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NBRC Practice TMC ExamStudy online at https://quizlet.com/_hit01a1. qyzniea.iycm_0cynyoe1miyce a yzDaTonDyarTce_.-yvmelmy_gyimayg_DD_0e.1ycm_TD ythe respiratory therapist recommend?A. sputum culture and gram stainB. diagnostic bronchoscopyC. pleurodesisD. thoracentesis: D. ThoracentesisThoracentesis - a medical procedure that involves inserting a needle or catheter into the chest wall to remove "uid or air from the pleural space, the space between the lungs and chest wall.2. A pt with exacerbation of COPD is receiving NPPV in spontaneous mode with a nasal mask. The following data are available: FiO2 : 0.24 RR : 28/min IPAP : 12 cmH2O EPAP: 6 cmH2O One hour later, the following data are available: pH : 7.27 PaCO2 : 76 mmHg PaO2 : 62 mmHg HCO3- : 35 mEq/L BE : +5 mEq/L SaO2(calc) : 90% The inspiratory phase is prolonged and dyssynchrony is noted. Which of the following should a RT do FIRST?A. Increase the FiO2 to 0.28 B. Increase to EPAP 8 cmH2O C. Change to a full-face mask D. Change the ventilator circuit: C. Change to a full-face mask3. A pt who is 6'2" tall and weighs 98kg is receiving VC ventilation with Vt 600mL. A RT observes the low exhaled volume and low pressure alarms activating with each breath. The following data are available: Vte: 340-390mL; ETT size: 8.5mm; ETT cu pressure: 19cmH2O; ETT position: 18cm@incisor; HR 98; RR 32; SpO2 83%Which of the following should the RT do?A. advance the ETT @22cmB. adjust the cu pressure to 30cmH2O1 / 28
NBRC Practice TMC ExamStudy online at https://quizlet.com/_hit01aC. increase the Vt to 700mLD. reintubate with a larger ETT: A. advance the ETT @22cmAdvance ETT before adjusting cu/ pressure4. A RT is assisting a physician with insertion of a chest tube in a pt with a pleural arTce_.-yqgiaoyimayiTfayecyzDnlayn. yimaylmaciy one.n1aycwcia/yecygT.lie_.e.1yproperly, which of the following should be observed in the water-seal cham-ber?A. Continuous bubbling B. Water level functioning with breathing C. The water becoming cloudy D. No visible liquid: B. Water level functioning with breathing5. A mini-bronchoalveolar lavage procedure is recommended for diagnosis?A. ventilator associated pneumoniat-yzDaTonDyarTce_.C. pulmonary embolism,-ye e_znimelyzTD/_.nowyYfo_cec: A. ventilator associated pneumonia (VAP)6. A 44yo pt who underwent abdominal surgery is receiving vibratory PEP ther-apy. After 24hr of q4h therapy, the patient can ambulate independently while breathing air. A respiratory therapist should recommend?A. discontinuing therapyB. obtaining an ABG analysisC. performing a 6MWTD. changing frequency of therapy to q8h: A. discontinuing therapy7. A RT is reviewing a chart of a 60yo male who is 5'10" tall, weighs 73kg and has moderate dyspnea. The CXR reports indicates the pt has Kattened diaphragm, cakaoaymwzaoe.'nie_.Vyn. yc/nDDylno e_im_onlelyonie_-yhmay AhyoacTDicynoayncyg_D6lows: FVC 2.45L; FEV1/FVC% 48%; FEF25-75% 1.25L/sec; FRC by Helium dilution: 3.75L; RV/TLC% 45%; DLCO 12mL/min/mmHg2 / 28
NBRC Practice TMC ExamStudy online at https://quizlet.com/_hit01aWhich of the following should the RT review to further evaluate the extent of air trapping?q-y'_06k_DT/ayD__zB. post bronchodilator therapyC. nitrogen washoutD. body plethysmography: FnP?ry.WrcRhiPcrrM8. Which of the following devices best measures the accuracy of an air/O2 blender?A. capnometerB. pressure manometerd-yCEy'_0/aiaoD. polargraphic analyzer: D. polargraphic analyzer9. Before initiating tracheostomy tube change, the respiratory therapist shouldq-ylmal8yimay.a0yionlma_ci_/wyiTfaylTrB. recommend sedating the ptC. administer intratracheal lidocaine HClD. obtain a larger tracheostomy tube.: A. check the new tracheostomy tube cu/10. A 38yo male is being considered for possible extubation after receiving treatment for an asthma exacerbation over the last 36hrs. Breath sounds are clear, and no current distress is noted. While receiving an FiO2 of 0.40, PS of 15cmH2O, and 8cmH2O PEEP, physiologic data are: HR 88; RR 20; SpO2 97%. An SBT is initiated by T-piece with an FiO2 of 0.40. Fifteen minutes into the trial, physiologic data are: HR 119; RR 25; SpO2 93%. A RT should conclude the:A. patient is ready for extubationB. patient has failed the SBTC. patient's trial should be continuedD. patient requires VC, AC ventilation: B. patient has failed the SBT3 / 28
NBRC Practice TMC ExamStudy online at https://quizlet.com/_hit01a11. vmelmy_gyimayg_DD_0e.1yioani/a.iy_zie_.cyecy/_ciyaraliekayg_oynyzniea.iy0eimythe diagnosis with central sleep apnea?A. continuous positive airway pressureB. uvulopalatopharyngoplastyC. bilevel positive airway pressureD. prone position: C. bilevel positive airway pressure12. A 56yo male patient with uncontrollable blood pressure is receiving norepi-nephrine (levophed) in the ICU. Which of the following catheters should the RT use to most eectively monitor the patient's response to therapy?A. peripheral venousB. central venousC. peripheral arteryD. pulmonary artery: B. central venous13. An adult patient with asthma is receiving an 80/20 heliox mixture through a NRB mask. The reservoir bag collapses all the way down with each inspiration. A RT should:q-ye.loancayimay1ncy'_0B. remove the external one-way valveC. change to 70/30 heliox mixtureD. switch to a partial rebreathing mask: A. increase the gas "ow14. A pt is admitted to the hospital with a diagnosis of pneumonia. A CXR e. elniacye.YDioniacye.yimayoe1miyD_0aoyD_fay0eimyaDaknie_.y_gyimayoe1miyma/e e6aphragm. The pt has a cough producing a minimal amount of tenacious, purulent sputum. Which of the following should the RT do?A. perform nasotracheal suctioningB. administer a mucolytic agentC. initiate incentive spirometry q4hD. recommend vibratory PEP therapy: D. recommend vibratory PEP therapy4 / 28
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