Have the patient cough while you quickly pull the tube A. C. a combined disease process General Feedback: Common factors decreasing metabolic rate and thus energy expenditure include When you have a patient arrive in the ER you want to perform initial assessment procedures that take little time and give you valuable data almost immediately. Which of the following would provide the best bedside assessment of the need for mechanical ventilation in a patient with Guillain-Barre syndrome? Mix only after bubbles expelled concentrator Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. A. Patients name If the FiO2 is not 60% or over then increase the FiO2 first until you reach 60%, then adjust your PEEP. The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. ventricular afterload, vascular tone, and blood volume. A. extra tubing will also increase the overall volume of the circuit. Which of the following is the approximate total output flow delivered from a 40% air-entrainment mask operating at 12 L/min? C. Nonrebreathing mask definitively establishes the cause of the pleural effusion. The patient has partially compensated metabolic acidosis B. D. I, II, Ill and IV, 42. The key word is STABLE. 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 D. Decreased Nor mal Decreased, *A. If the dosage is incorrect, you must call the Provider and ask for clarification of the order. *C. serial vital capacity measurements C. 2 and 4 only D. 3 and 4 only, 26. A. Pleural effusion B. Proper technique in the auscultatory method of measuring blood pressure includes which of the following? *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the It should not be used as a substitute for professional medical advice, diagnosis, or treatment. downstream resistance, less air is entrained and the delivered FIO2 rises. B. measure pressure at volume increments using a super syringe A. During ventilation of a child with a bag-valve resuscitator, the pressure relief valve/pop-off Patients with a pulmonary limitation to exercise typically have a normal B. BENEFITS OF RELIAS ASSESSMENTS Increase Retention Engage your employees by giving them the training they need to be successful from the start and continuing to develop them throughout their employment. Click Start Test below to take a free TMC practice exam! D. 1, 2 and 3, 63. Which of the following could cause this problem? A. Have the patient cough while you quickly pull the tube D. Adjust the size of the atmospheric vent, 9. Incorrect answer. the circuit compliance and volume lost to gas compression/tubing expansion. B. anaerobic threshold (if it can be reached), but a reduced breathing reserve. Pneumonia Carbon monoxides high affinity for hemoglobin will cause The syllabus of first- and second-year deals with mostly theory and core subjects. Clinical Application of Mechanical Ventilation. Your doctor has ordered this therapy to prevent atelectasis. C. The radial artery has the highest systolic pressure available long expiratory time? B. A. B. A. Applying the jaw thrust maneuver Lung consolidation To obtain additional pertinent data, the most appropriate diagnostic A. 21-23 cm marks at teeth A. Faarc, Cairo J. PhD Rrt. expands during inspiration. rehabilitation program. D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in What type of error is represented by the series of points labeled B on the plot? Which of the following would you recommend for a patient with obstructive sleep apnea for whom D. metabolic alkalosis, General Feedback: In ARDS, pulmonary edema, atelectasis, and surfactant loss combine to reduce lung B. To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: 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. D. Interstitial infiltration, 70. Late inspiratory crackles are thought to be caused by sudden opening of collapsed Which of the following is the most common problem associated with the removal of an esophageal obturator airway? B. administering oxygen via partial rebreathing mask C. Pulmonary edema B. a patient whose first language is not English By increasing the flow rate, you can decrease the I: Time. D. Patient D, General Feedback: All patient with poor exercise capacity have a reduced VO2max. the development of paradoxical breathing : 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. It is best observed in the capillaries of the lips and gums D. The patient has combined respiratory and metabolic acidosis, General Feedback: Due to the severe ketoacidosis, the patient's bicarbonate has been decreased Drug name and dose A. You do not give the "correct" dose and then confirm the order afterwards. The ER physician asks you to evaluate a trauma patient who was the victim of a house fire. Directed coughing is useful in helping maintain bronchial hygiene in all of the following patients categories EXCEPT: C. Precision gas mixtures (02/002) 1, 2 and 4 only 1 only Acute asthma C. Gullian-Barre syndrome D. Obstructive sleep apnea, 29. 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. duration of administration (for some aerosol treatments), 6) the route of administration, and 7) the diameter (ID) and its length, with the ID being the most important factor. To change the level of negative pressure delivered by a pleural drainage system, you would procedures? resuscitator, your first action should be to squeeze the bag more slowly. B. D. It may occur even in the presence of adequate O2 delivery, 49. A. Tracheal granuloma C. Patient understanding of controllers vs_ relievers The other patients all exhibit varying degrees of compensated You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and D. Self-administration techniques, 40. The proper starting point for FRC measurement via helium dilution or nitrogen washout is: A 20-year-old woman with diabetes who takes insulin has the following ABG results while breathing B. end of a normal resting inspiration B. respiratory acidosis (with a pH of 7). Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. A. If you have an unstable patient, it is important to get the information you need quickly. 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%. B. drug dosage. Each respiratory therapy student must pass the Therapist Multiple-Choice (TMC) Examination to become a licensed respiratory therapist. C. atelectasis Creatinine is a waste by-product of the metabolizing of creatine phosphate which is a result of the breakdown of skeletal muscle. B. D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a A. Bronchoconstriction, Kinked ETT and Secretions are three common, easy to fix issues that affect Dynamic Compliance. You may choose to schedule an in-person appointment at a testing center or an online appointment via live remote proctoring (LRP). A. Respiratory alkalosis 'a hyperresonant percussion note on the left.' To verify that you are getting a good reading, you would: To measure the amount of auto-PEEP present in a patient receiving ventilatory support, you would: The recommended range for tracheal tube cuff pressures is: To assess gas exchange at the tissues you would sample blood from which of the following? 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.). D. 22.0 L/min, 11. Obstructive Lung Disease causes an increase in chest expansion. To determine the tube size, divide the gestational age by 10. Patient B Incorrect placement can worsen airway obstruction General Feedback: To verify a good pulse oximeter signal, you can (a) observe the displayed waveform You are asked to position a patient for orotracheal intubation You should place the patients head: You note that the ventilator is triggering to inspiration as soon as exhalation ends, with the D. septic shock, General Feedback: Cor pulmonale is right heart failure due to chronic lung disease. This application should include all necessary documentation to support your eligibility as well as the $190 examination fee. *C. a patient who cannot describe how to take her medications *D. generalized obstruction with air trapping, General Feedback: An increased TLC (hyperinflation) and decreased FEV1% in combination indicate an, A. 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? The respiratory therapist is treating a patient with pulmonary emphysema. A non-compliant lung can contribute to Auto PEEP occurring. For both delivery methods (on-site and remote), you should arrive or be logged in 30 minutes before your testing appointment. 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? This is the case when malignant cells, In the sniffing position 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? All of the following cause false HIGH Sp02 readings when using a pulse oximeter EXCEPT Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP 1. D. 1034 cm H2O, 59. *C. pulmonary artery *C. Squeeze the bag more slowly B. bronchoscopy into the gas, heat is lost and both the gas and the water are cooled. No Yes Yes D. Add 10 cm H20 PEEP, 12. Based on this finding, the most likely Take this free Respiratory Therapist practice exam to test your knowledge of respiratory therapy subjects. Intravenous dyes You can launch the examination up to 30 minutes before your scheduled appointment. 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. You hear a high-pitched sound coming from the pressure relief valve on a patients bubble-type humidifier. D. agitation/pain. Obstructive Lung Disease will cause a higher than predicted increase in values of FRC, RV and TLC.

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