RRT TMC EXAM NEWEST ACTUAL

RRT TMC EXAM NEWEST ACTUAL

EXAM QUESTIONS AND DETAILED

CORRECT ANSWERS (VERIFIED

ANSWERS) | A+ GRADE

A patient is considered to have sufficient respiratory muscle strength to maintain adequate ventilation and prevent secretion retention when the maximum inspiratory pressure (MIP; NIF) is more negative than which of the following? Correct Answer -20 cm H2O

Which of the following selections in a patient's medical history would be least important to consider in evaluating their pulmonary condition? Correct Answer dietary habits

A normal 5-foot 4-inch tall staff member serves as a biologic control for the PFT lab. Her established FVC is 3.81 L with a SD of ±0.13 L. During quality control testing

of a spirometer, she produces the following FVC results:

FVC #1 = 3.73 L, FVC #2 = 3.88 L, FVC #3 = 3.71 L. You should conclude that the Correct Answer the spirometer is performing within acceptable limits

You are called to assist a physician who is inserting a pulmonary artery catheter. During the procedure, you note a changeover on the monitor from pressures of about 25/5 mm Hg to pressures of 25/15 mm Hg. Which of the following most likely has occurred? Correct Answer the 1 / 4

catheter has moved from right ventricle to pulmonary artery

Based on an overnight oximetry test, a patient suspected of having sleep disordered breathing exhibits an oxygen desaturation index (ODI) of 48/hr. Which of the following would you recommend? Correct Answer CPAP titration at home or in the sleep lab

You are called to the NICU. A premature neonate receiving positive pressure ventilation exhibits acute respiratory distress, hypotension, and asymmetrical chest motion. Which of the following procedures would you initially recommend? Correct Answer chest transillumination

After opening the valve on an E cylinder which has a regulator attached, you hear a hissing noise. The flowmeter/gauge is turned off. Which of the following corrective actions should you take? Correct Answer tighten the regulator connection

Which of the following is an advantage of SIMV over assist/control ventilation? Correct Answer SIMV allows graded levels of support

The physician orders an increase in PEEP from 10 to 14 cm H2O for a patient receiving mechanical ventilation.After you adjust the PEEP setting, you note a rapid drop in the patient's blood pressure and a significant rise in heart 2 / 4

rate. Which of the following actions would be appropriate?Correct Answer lower the PEEP back to 10 cm H2O

What is the major hazard associated with the use of bag- valve resuscitator? Correct Answer pulmonary barotrauma

While analyzing an ABG sample you obtained from a

patient breathing room air, you obtain the following values:

pH 7.44 PaCO2 46 torr PaO2 163 torr The patient's blood

gas results should be: Correct Answer discarded the

sample and obtain a new one

You are using a portable pressure-cycled ventilator with a heated humidifier and IPPB circuit to temporarily ventilate a post-operative patient who is regaining consciousness in the recovery room. After checking the patient and ventilator, you notice that the inspiratory time is prolonged and the machine does not cycle off without active patient effort. What should you do in order to correct the problem?Correct Answer check/adjust ET tube cuff pressure

A ventilator that is being used in the assist/control mode will trigger on in response to which of the following?Correct Answer either the patient's inspiratory efforts or a timing mechanism

A 62-year-old male patient with a history of COPD and CHF have arrived in the ER with a complaint of difficulty breathing. To help with the differential diagnosis, the doctor orders the patient's blood to be tested for bacteremia, CK-MB, cTnI, cTnT, and BNP. All results are 3 / 4

negative. What is the most likely cause of the patient's dyspnea? Correct Answer Exacerbation of COPD

If you were to hear bronchial breath sounds over the patient's right middle lobe, what condition would you suspect is probably present? Correct Answer pneumonia

You are called to evaluate a patient's breathing pattern.You see that the patient's tidal volumes go from small to large to small and then stop for 10 seconds before starting again and it repeats itself. Which of the following would best describe this breathing pattern? Correct Answer cheyne-stokes respiration

A trauma patient has been receiving volume controlled SIMV via an endotracheal tube for the past three days.The attending surgeon anticipates that the patient will likely be on the ventilator for another 4 to 5 days. Which of the following actions would you recommend? Correct Answer maintain the endotracheal tube in place

You are monitoring a mechanically ventilated patient 36 hours post-craniotomy who has an ICP of 20 mmHg but is

otherwise stable. The latest ABG results are as follows:

pH 7.39 PaCO2 43 mm Hg HCO3 24 mEq/L BE 0 PaO2 88 mm Hg SaO2 95% Based on this information, which of the following is the most acceptable action? Correct Answer maintain the current settings

While assessing a patient who is receiving ventilatory support, you note significant weakening of the pulse

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