Shield or cover the probe C. decrease the delivered O2 concentration A bubble humidifier Standard TMC V1 EXAM1 RT250 - RTBoardReview Standardized TMC-Like Exam Version 1 A prescription for - Studocu Practice questions for TMC Exam in preparation for boards. C. Replace the endotracheal tube with a larger size D. Contraindications, 20. C. Increase the PEEP to 16 cm H20 D. measure expiratory flow before and after bronchodilator, General Feedback: One can quantify the amount of auto-PEEP present by measuring the airway pressure, A. A. measure pressure during an end-inspiratory pause *C. serial vital capacity measurements Keep RR high to keep PaCO2 levels between 25 and 30 mmHg and PIP below 30 cmH2O to avoid suctioning and causing coughing which raises ICP. D. Acute upper airway obstruction, 41. If you have an unstable patient, it is important to get the information you need quickly. 3.3 L/min of the following is the most likely cause of the discrepancy between set and analyzed FIO2? It is best observed in the capillaries of the lips and gums problem is: Which of the following patients most likely has a health literacy limitation? Which Please consult with a physician with any questions that you may have regarding a medical condition. B. the patient's inspiratory flow has increased A. If you achieve the low cut score (88), you will be awarded the CRT credential. A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely Switch to a gas-powered resuscitator Frequency of rescue inhaler usage Have the patient cough while you quickly pull the tube The radial artery is the most superficial artery available C. Apply the probe more tightly At rest, the normal tidal movement of the diaphragm is approximately: A. Which one of the following is NOT required on a patients drug prescription? of these patients has the program been effective in improving their functional capacity? C. Keep the tube cuff pressure below 25-30 cm H20 with a cardiovascular limitation to exercise will exhibit a decreased anaerobic threshold, but may have a The prescribed level of CPAP is the lowest pressure at which apneic episodes are reduced to a, *A. compare the oximeter's pulse rate to a palpated or ECG-monitored rate The unscored questions are called pretest questions and are used to validate questions for future versions of the exam. D. Esophageal bleeding, 45. *A. assess the apnea-hypopnea index at different CPAP levels during a sleep study Maintain the current settings All orders must be verified before administration. B. B. A patient suddenly loses consciousness. Right heart failure expands during inspiration. B. I, ll and Ill only Other available arteries are too small to easily puncture Troubleshooting and Quality Control of Devices, and Infection Control, Initiation and Modifications of Interventions, Evaluate Data in the Patient Record (10 questions), Perform a Clinical Assessment (10 questions), Perform Procedures to Gather Clinical Information (12 questions), Evaluate Procedure Results (10 questions), Reccomend Diagnostic Procedures (8 questions), Assemble/Troubleshoot Devices (15 questions), Ensure Infection Prevention (2 questions), Perform Quality Control Procedures (3 questions), Maintain a Patent Airway Including the Care of Artificial Airways (10 questions), Perform Airway Clearance and Lung Expansion Techniques (5 questions), Support Oxygenation and Ventilation (15 questions), Administer Medications and Specialty Gases (4 questions), Ensure Modifications are Made to the Respiratory Care Plan (18 questions), Utilize Evidence-Based Practice (6 questions), Provide Respiratory Care in High-Risk Situations (5 questions), Assist a Physician/Provider in Performing Procedures (4 questions), Conduct Patient and Family Education (3 questions), A desktop or laptop computer running at least a Windows 7 or Mac OS X operating system. Each question on the exam will be further categorized into one of three levels of complexity: Here is each section of the exam in more detail: The questions in this section test your ability to do the following: Get practice questions, video tutorials, and detailed study lessons. B. drug dosage. C. Aspiration the circuit compliance and volume lost to gas compression/tubing expansion. Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia Which of the following is the most likely cause of this problem? Respiratory Therapist Review Practice Questions for the TMC Exam: 1. As the lungs become less compliant, less volume can be accommodated, thus increasing the pressure in the lungs as lung volumes are trying to be maintained. Increasing the I-Time increases the time the flow is entering the lungs which will increase the airway pressure. Neither the outside diameter, component, Portable O 1 and 3 only B. D. 20 L/min, 5. duration of administration (for some aerosol treatments), 6) the route of administration, and 7) the Neonatal and Pediatric Respiratory Care. While assessing the endotracheal tube cuff pressure in an intubated patient, you confirm a leak at 18 cm H20 throughout most of inspiration. the development of paradoxical breathing Respiratory Therapy syllabus is curated according to the industry standards and it helps the student in getting the proper placements. circuit and the patient's airway will have which of the following effects? Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. You are asked to position a patient for orotracheal intubation You should place the patients head: Decreased Decreased Nor mal Which of the following of the following inspiratory/expiratory ratios would indicate an abnormally A. Recheck and clean the site into the gas, heat is lost and both the gas and the water are cooled. Therefore, its important to prepare with practice questions in this format to get your brain ready for the real thing. D. Standardized buffer solutions, 66. "COVID-19 affects the lung interstitium," Cahill said. The normal I:E ratio for an infant with normal lung compliance and an infant with obstructive lung disease is the same: 1:1.5 to 1: 2. Patient B A. D. Fully occlude the ET tube while you quickly it out, 21. The kidneys have not started to adjust the Bicarb level by holding onto it. Ventilator Settings: Spontaneous Rate 23/min, Minute Ventilation 11.5 L/min, Vital Capacity 500 mL, MIP/NIF -15 cmH2O. Compliance = Change in Volume/Change in Pressure. The capnograrn indicates hyperventilation Which of the following would you expect to occur AFTER an unheated bubble-diffusion humidifier is B. Airway Clearance Therapy Lung Expansion Therapy Medical Gas Therapy Humidity and Bland Aerosol Therapy Flexible Bronchoscopy Intermittent Positive Pressure Breathing (IPPB) Smoking Cessation Hemodynamic Monitoring Extracorporeal Life Support Ambulation Cardiopulmonary Rehabilitation Chest Physiotherapy (CPT) Acapella Flutter Valve Right heart failure causes venous, A. asthma What is the patients physiologic deadspace? Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? You are permitted two pieces of blank paper and a writing utensil for writing notes. Dark nail polish A. B. B. Cheyne-Stokes breathing C. Yes No Yes C. administering oxygen via nasal cannula at 5 L/min signature of the physician. An ABG was analyzed with the following results: ABG Results: pH 7.38, PaCO2 38 mmHg, HCO3- 24 mEq/L, PaO2 108 mmHg. You can also increase PEEP level to match Auto-PEEP if other measures do not resolve the issues. B. *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on A. Cardiac arrhythmias study. There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening They are contraindicated for use with infants and children The pressure manometer is out of calibration CVP B. Metabolic acidosis C. Kussmauls breathing *B. the reservoir will be cooler than room temperature airways. D. Lower the PEEP valve level, General Feedback: If a pressure pop-off continually activates when ventilating a patient with a bag-valve C. Pulmonary edema B. B. bronchoscopy Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. 1 and 2 The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the C. The body of the tube normally must be positioned in the trachea Which of the following is the most common problem associated with the removal of an esophageal obturator airway? A. FRC A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate ventricle to pump blood through the constricted pulmonary capillaries. B. laryngeal edema The only name that is not used to describe auto-PEEP is Stiff Lung. Customize Ongoing Education However, either imaging modality can be, A. thoracic ultrasound An arterial blood sample is obtained and sent to the laboratory for gas analysis and hemoximetry (CO-oximetry). Faarc, Cairo J. PhD Rrt. If severe, this can cause hypoventilation and respiratory acidosis. mobility away from their stationary liquid O2 reservoirs or concentrators. C. carbon monoxide diffusing capacity (DLco) A. Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. performed on a patient in the supine position (normal position for CT angiography), the arteries will be, A. increased lung volumes A neck X-ray will show a column of air around the epiglottis and a "thumbs up sign.". 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. actual rate being about 76/min. D. Fully occlude the ET tube while you quickly pull it out, 53. 1. counseling/behavior modification interventions 2. telephonic follow-up and/or home health visits 3. social services to address self-management barriers *B. increase in rebreathed volume 1 and 3 only C. 2 and 3 only D. 1 2 and 3, 31. 1 CHE101 - Summary Chemistry: The Central Science, A&p exam 3 - Study guide for exam 3, Dr. Cummings, Fall 2016, ACCT 2301 Chapter 1 SB - Homework assignment, Quick Books Online Certification Exam Answers Questions, 446939196 396035520 Density Lab SE Key pdf, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Cecilia Guzman - Identifying Nutrients Gizmo Lab, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. *B. CO-oximetry D. A jet nebulizer, 71. B. pneumonia anaerobic threshold (if it can be reached), but a reduced breathing reserve. B. Hemorrhage rtboardreview standardized exam version prescription for an aerosolized drug for patient under your DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. A. You conduct a 6-minute walk test on four patients before and after participation in a pulmonary You observe the following on the bedside capnograph display of a patient receiving ventilatory support. C. Patient C D. re-evaluate the patient and recommend a home overnight oximetry study, General Feedback: According to the American Academy of Sleep Medicine, if the symptoms of a patient D. chest X-ray, General Feedback: Due to the patients involvement in a house fire you should immediately suspect the 1. adjust and analyze FIO2 2. connect to a 50 psig air source 3. replace the air compressor filters 4. replace the air compressor B. pleural effusion B. 4.6 L/min As compared to predicted normals, a patient has an increased TLC and a decreased FEV1%. A. A patient has a pH of 7.58 and a PaCO2 of 25 torr. You can launch the examination up to 30 minutes before your scheduled appointment. Which of the following additional support measures would you consider recommending? Faarc, Gardenhire Douglas EdD Rrt-Nps. Too high a PEEP can decrease lung compliance as the lung cannot properly deflate. You should always seek clarification from the physician if the order does not, A. appear radiolucent (dark on X-ray image) B. Both CT angiography and ventilation-perfusion (V/Q) scans can help in Based on this finding, the most likely In order to assess. A. D. 400 m 430 m, A. Respiratory alkalosis B. If you want more, definitely consider getting access to our TMC Test Bank, which students are using to increase their TMC Exam scores. Sign Up Now! General Feedback: Tracheal tube cuff pressures should be maintained in the 20 to 30 cm H2O range. D. I, II, Ill and IV, 42. 8th ed., Mosby, 2019. D. Nebulization, 68. Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. Normal lungs Based on the results of cardiopulmonary exercise testing, which of the following patients most likely Wilkins Clinical Assessment in Respiratory Care. D. Metabolic alkalosis, 60. C. pulse oximetry C. Yes No Yes D. Apneustic breathing, 39. D. perform an Allen's test on the extremity used to check the SpO. C. Nonrebreathing mask Which of these patients is most in A. Normally, an individual can maintain about what percent of their maximum voluntary ventilation (MVV) on maximum exercise? B. air-entrainment nebulizer set to 28%. (if available); (b) assess the oximeter's indicator pulse lights, and/or (c) compare the oximeter's displayed To achieve the highest O2 concentration, you would select which of the following devices? A physician has requested your assistance in extubating an orally intubated patient. B. measure pressure at volume increments using a super syringe C. Airway resistance rehabilitation program. The exceptions are ARDS, ALI, Asthma where the ARDS Net protocol 4-6 mL/kg and 4 mL/kg for Asthmatics should be used. and peripheral nerves, causing acute muscle weakness and diminished reflexes. pH 7. who have received the BCG TB vaccine is indicated because these individual consistently exhibit an, A. peak expiratory flow rate monitoring of ventilatory impairment due to muscle weakness. D. received the BCG tuberculosis vaccine, General Feedback: You would recommend repeating tuberculin skin testing on those who previously A. Asthma The RSBI which is the Respiratory Shallow Breathing Index is used as well. normal breathing reserve. C. Precision gas mixtures (02/002) A. systemic artery D. increased cardiac output, Patient Pre-Program 6MWD Post-Program 6MWD C. Infection with pneumococcus B. Hemodynamics (32 cards . There are four reasons why Creatinine is used to determine kidney function: the rate of production is fairly constant; it is eliminated only by the kidneys; it is not-protein bound so it is easily filtered by the kidneys and the rate of elimination is almost the same as the glomerular filtration rate. C. Sp02 an increase in cardiac rate of 15/min III. 1 only Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. *B. pneumothorax A. A. The most B. In analyzing overnight oximetry data, a desaturation event represents a decrease in SpO2 of what Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP If the rate of breathing increases without any change in total minute ventilation (VE constant): Adjust the water level in the suction control chamber Which of the following should be your first action? To determine the tube size, divide the gestational age by 10. Which of the following are FALSE regarding oropharyngeal airways? B. They adjust to changes in volume and pressure relatively easy. 2 minutes B. Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? B. Which of the following are acceptable changes in patient status during a traditional T-tube weaning trial? *C. Squeeze the bag more slowly cough reflex? B. cuff compliance D. Exhalation of mainly alveolar gas, 10. B. Inspiration of fresh respiratory gas Bronchoconstriction, Kinked ETT and Secretions are three common, easy to fix issues that affect Dynamic Compliance. The cuff pilot balloon and line is obstructed C. Respiratory acidosis C. Exhalation of mixed alveolar/deadspace gas RTBoardReview B. leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and 1. a large leak in the cuff of the tube 2. obstruction of the tube that is unrelieved by suctioning 3. separation of the pilot tube from the endotracheal tube cuff A. 1. the O2 delivery tubing is obstructed 2. the O2 flow is too high 3. the water reservoir jar lid is screwed on too tightly 4. the water reservoir jar lid is missing an O-ring C. timed forced expiratory volumes Of the two, CT pulmonary angiography (CTPA) is the most accurate modality A. Bronchiectasis Therefore, the blood gas is a partially compensated metabolic acidosis. Get access to 25+ premium quizzes, mini-courses, and downloadable cheat sheets for FREE. General Feedback: To verify a good pulse oximeter signal, you can (a) observe the displayed waveform A. Tracheomalacia B. D. 1 and 2 only, 17. *C. ongoing contact with active TB cases You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the The proper positioning of an endotracheal tube in an adult is confirmed by which of the following? A. A. Standard two-wavelength pulse oximetry is unable to measure carbon monoxide Patients with a pulmonary limitation to exercise typically have a normal There is a compulsory internship in the 3rd year. A patient has a minute volume of 7.50 L/min and is breathing at a rate of 16 breaths/min. 1. C. No Yes Yes *C. be clearly opacified with smooth walls The key word is STABLE. Conversely, fever, Inflammation To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: B. central vein A. Patients name Commercial calibration control media You must have at least an associate degree from an accredited respiratory therapy education program. Based on this information, which of the following can be correctly concluded? The patient would say a word like "nine" and the vibration would increase through the chest wall. Your doctor has ordered this therapy to prevent atelectasis.
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