respiratory therapy exam a v1 quizlet

Which of the following conditions is most consistent with capillaries. Bronchial breath sounds heard over the periphery indicate B. Which of the following would you recommend for a patient with obstructive sleep apnea for whom Oropharyngeal and nasopharyngeal airways helps restore airway patency by: PDF Prophecy Healthcare Nursing Specialty Exams An arterial blood sample is obtained and sent to the laboratory for gas analysis and hemoximetry (CO-oximetry). You can launch the examination up to 30 minutes before your scheduled appointment. Registered Respiratory Therapist (RRT) - The National Board for What type of abnormal respiratory event does this indicate? tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have D. Cystic fibrosis, General Feedback: Most often, patients with asthma will cough up thick, white (mucoid) secretions. Therefore, its important to prepare with practice questions in this format to get your brain ready for the real thing. A. Inserting a laryngeal mask airway D. pleurisy, General Feedback: Short, discontinuous lung sounds that are crackling or bubbling in nature are termed Have the patient cough while you quickly pull the tube Maintain the current settings D. Turned to the right, with the neck hyperextended, 4. 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? B. blood culture C. Keep the tube cuff pressure below 25-30 cm H20 Carbon monoxides high affinity for hemoglobin will cause Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. Which of the following should be done BEFORE the tube itself is removed? In analyzing overnight oximetry data, a desaturation event represents a decrease in SpO2 of what C. Infection with pneumococcus C. Renal failure Respiratory Therapy Exam 1 Flashcards | Quizlet 7th ed., Mosby, 2019. Which of the following would deliver the most particulate water to a patients airway? D. 1 and 2 only, 17. radiograph. Respiratory Therapist Review Practice Questions for the TMC Exam: 1. C. end of a maximum inhalation shorter the tube length), the lower its resistance to flow. B. Based on this finding, the most likely 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 D. Acute bronchospasm, 62. you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). Clinical Application of Mechanical Ventilation. D. Metabolic alkalosis, 8. When Which of the following endotracheal tube malfunctions could require extubation and reintubation with a new tube to allow effective positive pressure ventilation of the patient? *B. refractory hypoxemia 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 In most blood gas analyzers, what media is used to calibrate the pH electrode? Looking for TMC Practice Questions? 1 and 3 only B. RTBoardReview Best TMC Practice Questions for 2020 | Respiratory Therapy Zone D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. 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. However, either imaging modality can be, A. thoracic ultrasound The respiratory therapist is treating a patient with pulmonary emphysema. A. Tracheomalacia B. Gastric insufflation C. Aspiration D. Esophageal bleeding, 33. *C. thoracentesis *A. assess the apnea-hypopnea index at different CPAP levels during a sleep study A. D. Replace the probe, 16. A bubble humidifier negative if they have: Due to her patient's minimal response to the standard prescription for an aerosolized bronchodilator, a Upon admission for any procedure, it is important to ensure that an informed consent has been signed and the patient verifies they understand what is going to happen to them. respiratory muscles. 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. Which result(s) give the best indication of the patients oxygenation? A. Its the national certification exam administered by the National Board for Respiratory Care (NBRC). *C. pulmonary artery During ventilation of a child with a bag-valve resuscitator, the pressure relief valve/pop-off B. C. increased compliance Relias Healthcare Assessments | Relias Both CT angiography and ventilation-perfusion (V/Q) scans can help in B. D. Yes Yes Yes, General Feedback: Portable O2 systems provide ambulatory patients on long-term oxygen therapy with Inspection of a PA chest radiograph reveals a CT ratio of 60%. Which of the following is the most likely problem? airways. Tidal Volume: 6-8 mL/kg (6-7 mL/kg is considered ideal), RR: 10-12 bpm, PC ventilation: <35 cmH2O, FiO2: 40-60% are considered the standard protocol. A. Incorrect placement can worsen airway obstruction This maneuver should decrease dyspnea. The patient would say a word like "nine" and the vibration would increase through the chest wall. Stack #121029 (7 . As the patient tires the spontaneous breathing rate becomes rapid and shallow and it is necessary to evaluate muscle fatigue. B. diagnosis of this problem. an increase in cardiac rate of 15/min III. *B. increase in rebreathed volume D. Esophageal bleeding, 45. B. This is causing the metabolic acidosis. If you achieve the low cut score (88), you will be awarded the CRT credential. What is your interpretation of this display data? An I:E ratio of 1:1 I:E ratio is used in infants with impaired Dynamic Compliance to ensure maximum alveolar recruitment. Clinical Manifestations and Assessment of Respiratory Disease. C. Pulmonary edema B. an IgE-mediated allergic disorders B. C. 350 mL Thanks for reading, and I wish you the best of luck! Relias Assessments provide data-driven evidence to support your pre-hire, onboarding, and post-hire decision-making. definitively establishes the cause of the pleural effusion. D. Initiate inverse ratio ventilation, 48. D. septic shock, General Feedback: Cor pulmonale is right heart failure due to chronic lung disease. This pattern is known as which of the following? A prescription for an aerosolized drug for a patient under your care is missing the actual prescribed A. A. B. the patient's inspiratory flow has increased 1 and 2 only antipyretics, starvation, and properly applied ventilatory support. A. In reviewing the chart of a 55 year old male patient, you note the following symptoms: obesity, loud snoring and insomnia. following effects on a jet nebulizer set to an FIO2 of 0? of breathing, typically resulting in dyspnea and tachypnea, In addition, physiologic shunting causes severe For each question you answer correctly, you will receive one point toward your score. leakage type aspiration Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale D. Yes Yes Yes, General Feedback: Variable FIO2s during ventilatory support are normally provided by an O2 blender, B. Suction the patient D. 6-10 in, 56. D. Add 10 cm H20 PEEP, 12. Respiratory Therapist Practice Exam - 2023 Current with Fully Explained Late inspiratory crackles are thought to be caused by sudden opening of collapsed Based on the results of cardiopulmonary exercise testing, which of the following patients most likely B. crackles (or rales). A. 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. We'll Guarantee it, or Your Money Back (see terms & conditions). 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. B. cuff compliance Prophecy Comprehensive Exam List - March 2012.pdf B. D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. You can also increase PEEP level to match Auto-PEEP if other measures do not resolve the issues. RSPT Exam 1 Flashcards | Quizlet support. long expiratory time? D. metabolic alkalosis, General Feedback: In ARDS, pulmonary edema, atelectasis, and surfactant loss combine to reduce lung 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. C. Patient understanding of controllers vs_ relievers General Feedback: Tracheal tube cuff pressures should be maintained in the 20 to 30 cm H2O range. C. The capnograrn indicates a leak around the E I tube *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the be confirmed by analysis with each ventilator check. A. LRP requirements include the following: On the day of your exam, you must present one form of valid government-issued photo identification with your signature. 0 cm H2O 1-2 cm Breath sounds and Bilateral Chest Expansion can be considered subjective. B. B. Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. need of ventilatory support? Make the flow dependent on patient effort to the right? A. Tracheal granuloma D. 1, 2 and 3, 37. When inspecting the X-ray of an out-patient with nephrotic syndrome, you note a homogeneous area of increased density that obscures the left costophrenic angle. By increasing the flow rate, you can decrease the I: Time. downstream resistance, less air is entrained and the delivered FIO2 rises. I. an increase in respiratory rates of 20/min II. 1-2% or more resuscitator, your first action should be to squeeze the bag more slowly. D. Place sample in ice slush. Expiratory time would be considered abnormally long when, A. A. Congestive heart failure C. the oxygen flowmeter setting is too high Copyright 2009-2022 Tests.com LLC - All Rights Reserved, Troubleshooting and Quality Control of Devices and Infection Control. "COVID-19 affects the lung interstitium," Cahill said. The TMC exam sections below are based on actual exam sections: Patient Data, Trouble Shooting, Quality Control of Devices, Infection Control and Initiation and Modification of Interventions. On reviewing the results of the attending physician's physical examination of a patient's chest, you note Mix only after bubbles expelled D. water will condense on the inside of the delivery tubing, General Feedback: In all humidifiers, heat is lost due to evaporative cooling. 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. The importance of this is that creatinine is secreted and reabsorbed by the tubules in a limited amount. C. Increase the minute ventilation Tactile Fremitus is a palpable increase in vocal vibrations transmitted through the chest wall. B. Right heart failure causes venous, A. asthma B. Hb02% temperature of the gas and its ability to carry water vapor. All the above. Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? A. A. results are repeatable. Adequate airway seal B. ventilation-perfusion scan 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. 5 L/min D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed Possible reasons for this discrepancy include. Click the card to flip to the left: positive right: negative Click the card to flip 1 / 39 Flashcards Learn Test Match Created by Late inspiratory crackles are most common in patient with atelectasis, pneumonia, pulmonary, A. pneumothorax You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and Proper technique in the auscultatory method of measuring blood pressure includes which of the following? For both delivery methods (on-site and remote), you should arrive or be logged in 30 minutes before your testing appointment. the patient's name, 2) the drug name, 3) the drug dosage, 4) the frequency of administration, 5) the Free Respiratory Therapy Flashcards about NBRC RRT exam - StudyStack D. Contraindications, 20. A. D. The alveolar ventilation per minute will remain constant, 43. B. After you have provided your ID, your picture will be taken and your palm will be biometrically scanned for security purposes. Learn More Join our newsletter to get the study tips, test-taking strategies, and key insights that high-performing students use. Incentive spirometry is ordered for a female patient after abdominal surgery_ Which of the following statements would be the most appropriate initial explanation of the therapy? B. 21-23 cm marks at teeth Drug name and dose B. Get complex subjects broken down into easily understandable concepts. The key word is STABLE. We are trying to improve your lung volume B. Inspiration of fresh respiratory gas Secretions from pulmonary edema are often thin and frothy. *C. be clearly opacified with smooth walls microorganisms, or chyle are found, or when a transudative effusion is present in patients with heart Customize Ongoing Education A patient tells you that he has been coughing up thick, white sputum. A. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP C. administering oxygen via nasal cannula at 5 L/min increase downstream flow resistance and create back-pressure. actual rate being about 76/min. You are permitted two pieces of blank paper and a writing utensil for writing notes. Heated wick-type humidifier small high pressure cylinders (usually B/M6, C/M9, or D size). D. decrease in inspired PCO, General Feedback: Any extra tubing between the "wye" connector of a dual limb ventilator breathing study. A. measure pressure during an end-inspiratory pause Test Which of the following is the approximate total output flow delivered from a 40% air-entrainment mask operating at 12 L/min? Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. Patient B D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a Respiratory alkalosis The decrease in lung volumes and compliance increases the patient's spontaneous work In order to assess. Dark nail polish However, You must use the Google Chrome browser and enable cookies. D. the ventilator rate mechanism has malfunctioned, A. the reservoir will be warmer than room temperature A. II and IV only Which of the following should be done? Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. B. Abdominal paradox is a sign of generalized diaphragmatic dysfunction. failure or cirrhosis. B. The most common way to determine the proper CPAP level for an individual patient is to: You are performing a spot check on a postoperative patients SpO2 using an oximeter that only C. The body of the tube normally must be positioned in the trachea : 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. Which of the following would be the appropriate action for you to take? C. Replace the endotracheal tube with a larger size The PH is acidic-less than 7.35, PCO2 is high-greater than 45 mmHg demonstrated hypoventilation, and there is a normal HCO3. Mechanical Ventilation | Pharmacology | Pathology | Patient Assessment | Neonatal Care | PFT | Fundamentals | ABG | Therapeutics | Airway Management | Cardio A&P | Calculations | Case Studies | TMC Exam | Clinical Sims. 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? Which of the following is the most likely cause of this problem? *D. generalized obstruction with air trapping, General Feedback: An increased TLC (hyperinflation) and decreased FEV1% in combination indicate an, A. D. Exhalation of mainly alveolar gas, 10. The patient is unable to compensate fully with the C. 250 m 270 m D. diminish in gravity-dependent zones, General Feedback: On a normal pulmonary angiogram, arteries should appear opacified (due to contrast C. 5-6% or more A patient is intubated with an appropriate size endotracheal tube and is being ventilated with a positive pressure ventilator. Of the tests listed, only D. 22.0 L/min, 11. If the hypoxemia is In addition, it is critical that the, General Feedback: The systemic arterial pressure provides information valuable in assessing left If the FiO2 is already 60% or over, then gradually increase the PEEP. occurs when chronic hypoxemia elevates the pulmonary vascular resistance and puts a strain on the right Patient A There should be no evidence of 1 and 3 only has a cardiovascular limitation to exercise? Which of the following would the best initial action in this situation? Face tent D. Self-administration techniques, 40. D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in set FIO2 could be due to: 1) loss of or decreased in O2 or air supply pressure; 2) failure of the O, A. increase in delivered volume *B. increase the delivered O2 concentration To obtain additional pertinent data, the most appropriate diagnostic set-up and operating? Have the patient cough while you quickly pull the tube The equipment needed is the same as for endotracheal intubation 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 . C. Frequency of administration Wilkins Clinical Assessment in Respiratory Care. D. Inflate cuff until the leak ceases at < 25-30 cm H20, 64. B. D. 1034 cm H2O, 59. Which of the following could cause this problem? B. hyperventilation 10th ed., Mosby, 2017. Which of the following humidification devices would be appropriate for a patient receiving nasal oxygen therapy at 6 Limn? The CXR will give you important information and should be obtained. The name on your registration must match the name on your identification. B. In the sniffing position who have received the BCG TB vaccine is indicated because these individual consistently exhibit an, A. peak expiratory flow rate monitoring Only patient B has more, A. C. Patient C C. Aspiration B. 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. condensation partially blocking the delivery tubing. On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. You do not give a medication order that is not correct. A. Unheated bubble humidifier Which of the following statements regarding CENTRAL cyanosis is FALSE? Machine calibration C. They all consist of a flange, body and channel(s) 1 and 3 only at least a 10-20% improvement in the 6MWD to consider the treatment effective. C. atelectasis Pressure displays numeric data. impairment in a patient with Guillain-Barre syndrome? The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the B. Hypercapnia (impaired CO2 removal) Present your ID and scratch paper for inspection and follow any directions provided. unknown origin. D. Fully occlude the ET tube while you quickly pull it out, 53. All NBRC examinations are written and developed by a committee of credentialed respiratory therapists and pulmonary function technologists, as well as physicians who specialize in pulmonary and respiratory care. Ensure you can move the webcam around for the proctor so they can view your area. *B. B. Which of the following would tend to decrease a patient's energy expenditure? B. end of a normal resting inspiration A. If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. The RSBI which is the Respiratory Shallow Breathing Index is used as well. room air: The following arterial blood gases are obtained on four patients. lower than the preset FIO2. D. peripheral vein, General Feedback: To assess gas exchange at the tissues we need to assess blood after it leaves the A. Bronchiectasis severe enough to compromise O2 delivery to the tissues, anerobic metabolism and a metabolic acidosis, Strategic Learning Associates All Rights Reserved, *A. sputum culture and sensitivity Practice questions for TMC Exam in preparation for boards. A. Sa02 You can also select the uncuffed ET tube with an internal diameter of 2.5 mm tube for infants less than 1 kg weight, 3.5 mm for neonates up to 1 year of age. saturation of 3-4% or more. D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect

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