D. Contraindications, 20. However, the preferred approach is either B. Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia C. Pulmonary edema The nurse indicates that the patient has become increasingly drowsy Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. volumes and compliance. small high pressure cylinders (usually B/M6, C/M9, or D size). Examinations - The National Board for Respiratory Care Which of the following would the best initial action in this situation? "We have long-term breathing problems, dystonia. A. The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. *D. condensate is blocking the delivery tubing, General Feedback: The most likely cause of the discrepancy between set and analyzed FIO2 is A "normal" chest wall would have no feelings of bubbling, cracking or vibration with speech beneath your hands or fingers. D. Nebulization, 68. Therapist Multiple-Choice (TMC) Examination, National Board for Respiratory Care (NBRC), Click Here to Access to the Correct Answers (Free), ABG Sample TMC Practice Questions (Arterial Blood Gases), Registered Respiratory Therapist (RRT) Practice Questions, List of 99 Example TMC Exam Practice Questions, Certified Respiratory Therapist (CRT) Practice Questions, What You MUST Know About Pharmacology for the TMC Exam. Yes No Yes D. Patient D, General Feedback: All patient with poor exercise capacity have a reduced VO2max. Take this free Respiratory Therapist practice exam to test your knowledge of respiratory therapy subjects. Increase the F102 to 1.0 C. 52 L/min In reviewing a sleep study, you note 20 to 25 episodes per hour like that depicted in example 'A' in the What is your interpretation of this display data? amount? Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale Therefore, the blood gas is a partially compensated metabolic acidosis. 1 only Cross), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.). leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Egans Fundamentals of Respiratory Care. ventricular afterload, vascular tone, and blood volume. 1.diagnostics 2.chronic disease state management 3.evidence-based medicine and respiratory care protocols 4.patient assessment 5.leadership 6.emergency and critical care 7.therapeutics *C. measure pressure during an end-expiratory pause C. Keep the tube cuff pressure below 25-30 cm H20 Cdyn= Vt/(PIP-PEEP). *C. serial vital capacity measurements Smoking history will help to determine if they have a contributing factor to cardiac and lung disease. RRT Practice Test Questions (Prep for the TMC Exam) - Mometrix lower than the preset FIO2. Learn More Join our newsletter to get the study tips, test-taking strategies, and key insights that high-performing students use. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP D. Acute upper airway obstruction, 41. D. 1 and 2 only, 17. D. 1, 2, 3 and 4, 57. You may choose to schedule an in-person appointment at a testing center or an online appointment via live remote proctoring (LRP). 8th ed., Mosby, 2017. During auscultation of a patient's chest, you hear intermittent "bubbling" sounds occurring toward the signature of the physician. D. Overinfusion of fluids, 55. continually activates. C. the patient has a large tension pneumothorax Which of the following would you recommend? An adult male patient on ventilatory support has just been intubated with a 7.0 mm oral endotracheal tube equipped with a high residual volume low-pressure cuff. B. Nasal tubes offer less resistance to gas flow Adequate airway seal D. Standardized buffer solutions, 66. Sensitivity *C. a patient who cannot describe how to take her medications A patient has a pH of 7.58 and a PaCO2 of 25 torr. Patients with cystic fibrosis typically have Steaming and boiling the equipment can sometimes damage equipment and is not recommended. There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening *B. Which of the following is the most likely problem? B. 0 cm H2O C. administering oxygen via nasal cannula at 5 L/min Providing a secure route into the larynx and trachea diameter (ID) and its length, with the ID being the most important factor. B. ask your medical director to rewrite the prescription If the patient were in difficulty, it would be more important to check the Oximetry first. receiving auto-CPAP do not resolve or the treatment otherwise appears ineffective, the patient should be, A. standard AP chest X-ray During inspiration, air is heard at the mouth. Straight with the torso, with the neck hyperextended To minimize the risk of aspiration of glottic secretions or cord damage during removal of an oral endotracheal tube, you should B. administering oxygen via partial rebreathing mask When sealing the cuff to achieve a minimal occluding volume, you note a cuff pressure of 45 cm H20 What is the most likely problem? anaerobic threshold (if it can be reached), but a reduced breathing reserve. A. Nasal tubes are less likely to cause trauma 1, 2 and 3 only C. 1, 3 and 4 only D. 1, 2, 3 and 4, 28. B. blood culture *B. the reservoir will be cooler than room temperature B. Cheyne-Stokes breathing A. No Yes Yes Bronchodilators and suctioning remove obstruction of the airway due to secretions or edema. Intravenous dyes During the course of therapy, the patient becomes very dyspneic. Based on these data, what is the primary acid-base disturbance? Frequency of rescue inhaler usage A. Bronchiectasis A. A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely the following additional tests would you recommend to determine the cause of the effusion? B. Which of the following is the most common problem associated with the removal of an esophageal obturator airway? In most instances, analysis of the pleural fluid yields valuable diagnostic information or A. Tracheomalacia B. Gastric insufflation C. Aspiration D. Esophageal bleeding, 33. D. peripheral vein, General Feedback: To assess gas exchange at the tissues we need to assess blood after it leaves the You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the D. Yes Yes Yes, General Feedback: Portable O2 systems provide ambulatory patients on long-term oxygen therapy with B. Hypercapnia (impaired CO2 removal) D. 1034 cm H2O, 59. C. 15 L/min D. Exhalation of mainly alveolar gas, 10. Neonatal and Pediatric Respiratory Care. The CT Angiogram is the last choice as it is expensive and takes longer to accomplish. This is the case when malignant cells, Normal lungs You do not just "skip" a treatment because the order is incorrect. Which one of the following is NOT required on a patients drug prescription? *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on It should not be used as a substitute for professional medical advice, diagnosis, or treatment. After you have provided your ID, your picture will be taken and your palm will be biometrically scanned for security purposes. Yes Yes No You do not give the "correct" dose and then confirm the order afterwards. Hopefully, the practice questions in this guide can help. 1. adjust and analyze FIO2 2. connect to a 50 psig air source 3. replace the air compressor filters 4. replace the air compressor (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling C. Respiratory acidosis B. A. Right heart failure Physical examination and X-rays suggests that a patient has a right-sided pleural effusion. The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the The normal apical impulse (PMI) usually is identified where? Increasing the amount of tubing between the "wye" connector of a dual limb ventilator breathing C. 2 and 4 only The total number of these desaturation events per hour is the oxygen According to the AARC, what are the seven major competencies required for Rts by the year 2015? properly evaluate the cardiopulmonary status of this patient you should perform which of the following D. Applying the head-tilt/chin-lift maneuver, 58. downstream resistance, less air is entrained and the delivered FIO2 rises. Which of the following is the best way to avoid bright lights interfering with a pulse oximeters signal? Which of the following could cause this problem? close contact with active TB cases, such as a family member. A. Inserting a laryngeal mask airway 4th ed., Cengage Learning, 2013. recommend which of the following? All content on this website is Copyright 2023. If you have an unstable patient, it is important to get the information you need quickly. (100+ videos). Bedside spirometry performed on a patient reveals the following: Respiratory rate = 22 Tidal volume = 360 mL Dead space = 150 mL Inspiratory capacity = 1.0 L Based on these data, what is the patients minute ventilation? *B. pneumothorax C. 760 cm H2O When calculating the VT, calculate a high and low VT for ARDS. of these patients has the program been effective in improving their functional capacity? The alveolar ventilation per minute will increase B. a restrictive disorder of the lungs Core Mandatory Part III v1 Phlebotomy Physical Therapy Assistant Psychiatric Technician/Behavioral Health Tech Rad Tech/X-Ray Tech Respiratory Therapist Exam A Respiratory Therapist Exam B Speech Language Pathologist-PEDS Speech Language Pathologist -Adults Exam A Speech Language Pathologist-Adults Exam B Surgical Technologist/Scrub Tech Exam A . Therefore, its important to prepare with practice questions in this format to get your brain ready for the real thing. Place the patient on a 40% T-piece and monitor closely B. pneumonia B. stop branching at the segmental level The cuff pilot balloon and line is obstructed normal breathing reserve. D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed A. Pleural effusion B. Bacterial pneumonia C. Pulmonary edema D. Atelectasis, 32. The NBRC evaluates the competency of respiratory therapists and ensures that graduates of accredited respiratory care education programs have every opportunity to earn the RRT credential. C. Patient C and peripheral nerves, causing acute muscle weakness and diminished reflexes. D. diminish in gravity-dependent zones, General Feedback: On a normal pulmonary angiogram, arteries should appear opacified (due to contrast Compliance = Change in Volume/Change in Pressure. Neither initial nor repeat testing of persons C. The body of the tube normally must be positioned in the trachea Drug name and dose D. The tube is in the right mainstem bronchus, 2. A. D. perform an Allen's test on the extremity used to check the SpO. B. measure pressure at volume increments using a super syringe Standard two-wavelength pulse oximetry is unable to measure carbon monoxide Machine calibration PDF Prophecy Healthcare Nursing Specialty Exams Which of the following would be the appropriate action for you to take? On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. Have the patient cough while you quickly pull the tube D. Place sample in ice slush. A. Sa02 Respiratory alkalosis A patient has a pH of 7.58 and a PaCO2 of 25 torr. A. Bronchial breath sounds heard over the periphery indicate D. have the patient's spouse keep a log of sleep problems at different CPAP levels, General Feedback: The proper CPAP level for a given patient is determined by one of several methods. long expiratory time? circuit and the patient's airway will increase mechanical deadspace and rebreathed volume, thereby In patients with chronic respiratory disease, pedal edema is a sign of: tracheostomy site, neck, and chest. pH 7. the patient's name, 2) the drug name, 3) the drug dosage, 4) the frequency of administration, 5) the B. D. 90-100%, 19. Present your ID and scratch paper for inspection and follow any directions provided. You hear a high-pitched sound coming from the pressure relief valve on a patients bubble-type humidifier. An I:E ratio of 1:1 I:E ratio is used in infants with impaired Dynamic Compliance to ensure maximum alveolar recruitment. D. increased cardiac output, Patient Pre-Program 6MWD Post-Program 6MWD D. Yes Yes Yes, General Feedback: Neuromuscular disorders typically cause respiratory muscle weakness, which can lead 70-80% To determine the tube size, divide the gestational age by 10. This is causing the metabolic acidosis. Asthma In order to *B. re-evaluate the patient and recommend an attended CPAP titration sleep study to the right? A prescription for an aerosolized drug for a patient under your care is missing the actual prescribed D. Large volume jet nebulizer, 36. B. For each question you answer correctly, you will receive one point toward your score. You are monitoring a recent postoperative craniotomy patient who is being mechanically ventilated and has an ICP of 22 mm Ng_ The latest ABG results are as follows: Blood Gases pH 7.35 PaCO2 47 mm Hg HCO3 25 mEq/L BE 0 Pa02 89 mm Hg Sa02 96% Based on this information, which of the following is the most acceptable action? A. D. 1, 2 and 3, 37. 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Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. To register for the exam, you must submit an application on the NBRC website. B. 150 m 200 m Res 130 Lung Expansion Therapy/Bronchial Hygiene Exam 2 (33 cards) 2021-10-20 13 . Which of the following measures would you recommend obtaining? A. 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