D. Metabolic alkalosis, 60. Adjust the water level in the suction control chamber pneumothorax. Any of these symptoms can cause severe problems and potentially death. concentrator Neither initial nor repeat testing of persons Which of the following actions would you take at this time? C. Aspiration This cooling lowers the C. Yes No Yes Be sure to access the free guide if you want to check the correct answers. Discrepancies between the analyzer reading and the Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. A. *D. condensate is blocking the delivery tubing, General Feedback: The most likely cause of the discrepancy between set and analyzed FIO2 is D. increase the total output flow, General Feedback: Significant water accumulation in a low-lying loop of a nebulizer's delivery tube will A. D. It may occur even in the presence of adequate O2 delivery, 49. Respiratory alkalosis 2 and 4 only 1 atmosphere Egans Fundamentals of Respiratory Care. 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 You are monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure What is his average tidal volume? *C. atelectasis Patient A significantly. B. A prescription for an aerosolized drug for a patient under your care is missing the actual prescribed B. VC A. B. Trauma, Obesity, Near Drowning, and Burns, Quality, Patient Safety, Communication, and Recordkeeping, Delivering Evidence-Based Respiratory Care, Intermittent Positive Pressure Breathing (IPPB), Ventilation vs Oxygenation vs Respiration, Mechanical Ventilation Practice Questions, Respiratory Multiple Choice Review Questions, Sample Practice Questions (with Rationales). B. an IgE-mediated allergic disorders Drug name and dose B. *B. CO-oximetry A. following figure. B. a restrictive disorder of the lungs radiograph. Hemodynamics (32 cards . B. I, ll and Ill only pressure, consider other potential causes (e., pneumothorax, endobronchial intubation) before, A. aerosol is interfering with the O2 analyzer Proper technique in the auscultatory method of measuring blood pressure includes which of the following? specifically a pulmonary emboli. (E), with an I:E ratio of between 1:2 to 1:3. Incorrect placement can worsen airway obstruction 1-2% or more B. B. C. Airway resistance A wick humidifier A. The equipment needed is the same as for endotracheal intubation Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia long expiratory time? D. < 10 cm H2O. C. Pneumothorax Examinations - The National Board for Respiratory Care CVP 1 and 3 only B. If you have an unstable patient, it is important to get the information you need quickly. D. Patient D, General Feedback: All patient with poor exercise capacity have a reduced VO2max. A. capillaries. 1, 2 and 4 only C. Nasal tubes are less likely to cause infection If you want more, definitely consider getting access to our TMC Test Bank, which students are using to increase their TMC Exam scores. 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 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 Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility Which of the following should be done? the vital capacity requires muscular effort and is thus the best choice for determining the patient's degree 200 m 210 m Raus Respiratory Care Pharmacology. Impaired pulmonary diffusion B.Sc. whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement This is an example of an uncompensated respiratory acidosis. the development of paradoxical breathing If the dosage is incorrect, you must call the Provider and ask for clarification of the order. D. Yes Yes Yes, General Feedback: Variable FIO2s during ventilatory support are normally provided by an O2 blender, A "normal" chest wall would have no feelings of bubbling, cracking or vibration with speech beneath your hands or fingers. The CXR will give you important information and should be obtained. B. 1 and 2 only Creatinine is a waste by-product of the metabolizing of creatine phosphate which is a result of the breakdown of skeletal muscle. Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. C. simple pneumothorax A. C. 350 mL Pressure expired PCO 2 of 35 torr. For the body as a whole, we need to wait until after all the blood from all the capillary beds, A. end of a maximum exhalation The larger the tube's ID (and the The patient has partially compensated metabolic acidosis C. end of a maximum inhalation A. measure pressure during an end-inspiratory pause *B. phrenic nerve paralysis D. Simple oxygen mask, 3. B. cyanosis The capnogram indicates rebreathing 1 and 2 only B. C. The capnograrn indicates a leak around the E I tube If you meet the high cut score, which can fluctuate, you will receive the CRT credential and become eligible to take the CSE. Present your ID and scratch paper for inspection and follow any directions provided. The cuff pilot balloon and line is obstructed 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. B. lower than the preset FIO2. C. Tilted forward toward the chest The greater this volume loss to the, A. decrease water vapor condensation definitively establishes the cause of the pleural effusion. signature of the physician. D. Lower the PEEP valve level, General Feedback: If a pressure pop-off continually activates when ventilating a patient with a bag-valve results are repeatable. B. Suction the patient C. Infection with pneumococcus B. C. Respiratory acidosis No Yes Yes D. Replace the tube, 7. B. A. Unheated bubble humidifier Mix only after bubbles expelled All of the following cause false HIGH Sp02 readings when using a pulse oximeter EXCEPT 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? 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? B. doctor asks your advice on how best to adjust the dosage. B. Remember that the lungs are normally compliant. What is your interpretation of this display data? RSPT Exam 1 Flashcards | Quizlet The name on your registration must match the name on your identification. The sum of correct responses is called your raw score. Your raw score determines your pass or fail status after comparison to the cut score. A. Decreased Decreased Nor mal B. D. Overinfusion of fluids, 55. Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. small high pressure cylinders (usually B/M6, C/M9, or D size). A. Tonometered whole blood samples C. 5-6% or more B. Gastric insufflation occurs when chronic hypoxemia elevates the pulmonary vascular resistance and puts a strain on the right A. Click Start Test below to take a free TMC practice exam! Other bedside measures of muscle strength include the, A. review the auto-CPAP records and switch the patient to standard CPAP Which of the following is the most likely underlying problem? Patients with a pulmonary limitation to exercise typically have a normal D. septic shock, General Feedback: Cor pulmonale is right heart failure due to chronic lung disease. 1. suction the pharynx 2. preoxygenate the patient 3. confirm cuff inflation 4. suction the ET tube Ensure you can move the webcam around for the proctor so they can view your area. Decrease the flow to a lower level C. the patient has a large tension pneumothorax A. Get access to 25+ premium quizzes, mini-courses, and downloadable cheat sheets for FREE. C. The deadspace ventilation per minute will decrease C. compare the readings obtained with the probe positioned at 3 different sites Which of the following is the most likely problem? To be eligible for the RRT test, you must be at least 18 years old and meet ONE of the following requirements: The TMC exam contains 160 multiple-choice questions, 20 of which are unscored, and you will be given a time limit of 3 hours. Have the patient cough while you quickly pull the tube D. 90-100%, 19. The decrease in lung volumes and compliance increases the patient's spontaneous work 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. B. Hemorrhage for confirming ('rule in') a diagnosis of pulmonary embolism. C. Cap the syringe quickly Too high a PEEP can decrease lung compliance as the lung cannot properly deflate. The equipment needed is the same as for endotracheal intubation C. Nonrebreathing mask D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of Both CT angiography and ventilation-perfusion (V/Q) scans can help in The PH is acidic-less than 7.35, PCO2 is high-greater than 45 mmHg demonstrated hypoventilation, and there is a normal HCO3. away from their stationary liquid O2 reservoirs or concentrators. 5 minutes C. 10 minutes D. 15 minutes, A patient with a recent . C. 80-90% vessel wall irregularity, aneurysm, narrowing, occlusion, extravasation, or arteriovenous shunting. C. Order a chest X-ray C. The body of the tube normally must be positioned in the trachea D. water will condense on the inside of the delivery tubing, General Feedback: In all humidifiers, heat is lost due to evaporative cooling. Have the patient cough while you quickly pull the tube Decrease the tidal volume Respiratory Therapy syllabus is curated according to the industry standards and it helps the student in getting the proper placements. Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. Respiratory Therapy curriculum can be divided into 3 phases. the following additional tests would you recommend to determine the cause of the effusion? 1. counseling/behavior modification interventions 2. telephonic follow-up and/or home health visits 3. social services to address self-management barriers B. 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. *B. refractory hypoxemia 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? tracheostomy site, neck, and chest. You should always seek clarification from the physician if the order does not, A. appear radiolucent (dark on X-ray image) This guide has sample review questions that can help. TMC Practice Exam (2023) - Respiratory Therapy Zone 6-10 cm following effects on a jet nebulizer set to an FIO2 of 0? 5th ed., Saunders, 2018. Looking for TMC Practice Questions? Provide 100% oxygen for 1-2 minute before extubation Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. A Spiral/Helical CT takes less than 30 minutes to complete. A. 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. C. the reservoir temperature will equal room temperature D. I, II, Ill and IV, 42. 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. Oxygen and Atropine are the initial drugs of choice for the treatment of Sinus Bradycardia. If the patient were in difficulty, it would be more important to check the Oximetry first. These findings are most consistent with which of the following diagnoses? 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. When a patient's equipment is broken it is important to have both of you speak to the patient's case manager to arrange procuring a new one for home use. B. methacholine challenge (provocation) test Increasing the I-Time increases the time the flow is entering the lungs which will increase the airway pressure. B. air-entrainment nebulizer set to 28%. You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. General Feedback: Common factors decreasing metabolic rate and thus energy expenditure include B. Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? A patient has a pH of 7.58 and a PaCO2 of 25 torr. C. review the auto-CPAP records and switch the patient to BiPAP leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and Based on these data, what is the primary acid-base disturbance? C. atelectasis C. decrease in circuit compliance an increase in cardiac rate of 15/min III. Yes Yes No A. A. Clinical Application of Mechanical Ventilation. Which of the following is the most likely problem? B. pneumonia Ventilator settings are as follows: FIO2 0.45 Rate 12 Tidal volume 600 mL PEEP 12 cm H20 While awaiting blood gas results, you obtain an Sp02 of 78%. You can download them now for FREE! C. They all consist of a flange, body and channel(s) 60-70% The only name that is not used to describe auto-PEEP is Stiff Lung. B. a portable liquid system or a portable concentrator. D. Restlessness and tremors, 46. C. Yes No Yes These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. B. D. 1 and 2 only, 17. Therefore, the blood gas is a partially compensated metabolic acidosis. B. This maneuver should decrease dyspnea. C. 2 and 4 only room air: The following arterial blood gases are obtained on four patients. In most blood gas analyzers, what media is used to calibrate the pH electrode? 1, 2 and 3 only C. 1, 3 and 4 only D. 1, 2, 3 and 4, 28. All content on this website is Copyright 2023. D. perform an Allen's test on the extremity used to check the SpO. 1 only Which of the following additional support measures would you consider recommending? Acute asthma C. Gullian-Barre syndrome D. Obstructive sleep apnea, 29. Late inspiratory crackles are thought to be caused by sudden opening of collapsed An ABG was analyzed with the following results: ABG Results: pH 7.38, PaCO2 38 mmHg, HCO3- 24 mEq/L, PaO2 108 mmHg. D. Large volume jet nebulizer, 36. You must use the Google Chrome browser and enable cookies. D. The patient has combined respiratory and metabolic acidosis, General Feedback: Due to the severe ketoacidosis, the patient's bicarbonate has been decreased You do not give a medication order that is not correct. condensation partially blocking the delivery tubing. The alveolar ventilation per minute will increase B. You must have at least two years of CRT experience, at least a baccalaureate degree in any area, and at least 62 college credit hours. to the right? Click the card to flip to the left: positive right: negative Click the card to flip 1 / 39 Flashcards Learn Test Match Created by B. . D. 1, 2 and 3, 63. D. Exhalation of mainly alveolar gas, 10. of these patients has the program been effective in improving their functional capacity? The Standard Weaning Criteria (SWC) uses the respiratory muscle strength and endurance by using the negative inspiratory force (NIF) and positive expiratory pressure (PEP) to determine how well a patient will do when weaned from the ventilator. The patient most likely has: When assessing a patient, you observe inward motion of the abdomen as the rib cage uniformly tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have To minimize the risk of aspiration of glottic secretions or cord damage during removal of an oral endotracheal tube, you should D. 72 L/min, 67. Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, A. There are 160 multiple-choice questions on the exam. The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the be confirmed by analysis with each ventilator check. The V/Q scan is considered the second-best option. *C. serial vital capacity measurements 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? Face tent D. Metabolic alkalosis, 8. Standard TMC V1 EXAM1 RT250 - RTBoardReview Standardized TMC-Like Exam A 68 year-old female patient with severe COPD has been provided with educational materials describing essential self-management activities to help her control her disease. patient has a tidal volume of 600 mL, an arterial PCO 2 (PaCO 2 ) of 50 torr, and a mixed. D. 470 mL, 65. D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. C. The patient has partially compensated respiratory alkalosis Right heart failure Pressure above 30 cm H2O can cause tracheal injury and pressure below 20 cm H2O can increase the 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 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. They are contraindicated for use with infants and children A. Exhalation of mainly deadspace gas With Over 1000+ Successful Respiratory Therapy Students, You Can Join The #1 Online Respiratory Test Preparation Program at Only $7.75 (USD) per month when paid annually (limited time). Once your application is approved, you will receive instructions on how to schedule your exam appointment. Rule-based procedures designed to help detect, respond to and correct blood gas analyzer or hemoximeter errors over time best describe: A. A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely A patient tells you that he has been coughing up thick, white sputum. Oropharyngeal and nasopharyngeal airways helps restore airway patency by: dose, frequency, or medication is needed for this patient would be pre/post bronchodilator spirometry. Switch to a gas-powered resuscitator crackles (or rales). PDF Prophecy Healthcare Nursing Specialty Exams Which of the following is the most common problem associated with the removal of an esophageal obturator airway? 0 cm H2O (100+ videos). C. Adjust the water level in the water seal chamber B. Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. Respiratory Therapy Exam 1 Flashcards | Quizlet Respiratory Therapy Exam 1 If you move a decimal place (to make it into scientific notation) to the left is it a positive or negative exponent? However, C. Preventive maintenance 10 to 20 cm H2O What is your interpretation of this display data? *B. the reservoir will be cooler than room temperature To change the level of negative pressure delivered by a pleural drainage system, you would B. D. Displacing the soft palate and uvula posteriorly, 13. C. 52 L/min D. agitation/pain. During inspiration, air is heard at the mouth. Which of the following would be the appropriate action for you to take? Arterial blood 1 and 3 only C. Keep the tube cuff pressure below 25-30 cm H20 Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? C. Renal failure close contact with active TB cases, such as a family member. C. Precision gas mixtures (02/002) Add air to the cuff until a minimal leak is heard Based on these data, what is the primary acid-base disturbance? B. C. sputum acid fast stain D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. You can launch the examination up to 30 minutes before your scheduled appointment. (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling This is the quick method to determine size. Neonatal and Pediatric Respiratory Care. B. A patient rescued from a house fire is being monitored in the intensive care unit Due to suspected CO poisoning, the patient is on a nonrebreathing mask at 12 L/min. After the third attempt, you must wait 120 days before trying again. 1. Rrt, Des Terry Jardins MEd, and Burton George Md Facp Fccp Faarc. In addition, it is critical that the, General Feedback: The systemic arterial pressure provides information valuable in assessing left Please consult with a physician with any questions that you may have regarding a medical condition. A. No Yes Yes Version 1, A. use the standard dosage listed in the package insert Provide 100% oxygen for 1-2 minute before extubation *B. Sensitivity 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. C. Hyperkalemia D. Artificial airway obstruction, 61. desaturation index (ODI). *C. Squeeze the bag more slowly By increasing the flow rate, you can decrease the I: Time. 2 only A. Patients name Thoracentesis is urgent when hemothorax or empyema is suspected (requiring chest, pressure (MEP)Max expiratory capacityVital Max inspiratorypressure (MIP), A. C. 250 m 270 m C. Chronic airways obstruction 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. Its the national certification exam administered by the National Board for Respiratory Care (NBRC).
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