For both delivery methods (on-site and remote), you should arrive or be logged in 30 minutes before your testing appointment. concentrator 5 minutes C. 10 minutes D. 15 minutes, A patient with a recent . B. negative if they have: Due to her patient's minimal response to the standard prescription for an aerosolized bronchodilator, a C. end of a maximum inhalation An ABG was analyzed with the following results: ABG Results: pH 7.38, PaCO2 38 mmHg, HCO3- 24 mEq/L, PaO2 108 mmHg. D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root D. metabolic alkalosis, General Feedback: In ARDS, pulmonary edema, atelectasis, and surfactant loss combine to reduce lung 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. You cannot leave the webcams view during your exam, use other monitors, or talk to anyone. The only name that is not used to describe auto-PEEP is Stiff Lung. crackles (or rales). B. laryngeal edema Once your personal items are stored, you will be led into the testing room and given a short tutorial on the testing system. 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. Respiratory alkalosis As the patient tires the spontaneous breathing rate becomes rapid and shallow and it is necessary to evaluate muscle fatigue. The reasoning is that if your P/F ratio PaO2/FiO2 cannot be maintained as you lower the Peep as you may have an underlying problem with ARDS. 70-80% Capnography gives you the most immediate information. D. Neutral head position, 69. sedation/analgesics, muscle paralysis, shock/hypovolemia, hypothermia/cooling, hypothyroidism, The following figure is a statistical quality control plot for PCO2 measurements made by a blood gas analyzer using a control value of 40 mmHg. A. Unheated bubble humidifier 215 mL It is best observed in the capillaries of the lips and gums Switch to a gas-powered resuscitator D. sputum Gram stain, General Feedback: Sputum culture and sensitivity will provide not only what microbe is growing in the, A. infiltrates Portable O2 can be provided by 48 L/min Oximetry is also a device that gives you data, but it is on Oxygen, not End Tidal CO2. 1 and 3 only C. 2 and 3 only D. 1 2 and 3, 31. A. Rule-based procedures designed to help detect, respond to and correct blood gas analyzer or hemoximeter errors over time best describe: Which result(s) give the best indication of the patients oxygenation? continually activates. B. B. Tactile Rhonchi is felt through the skin as a "rumble" or "bubbling" feeling beneath the hands. A. C. Isolating/protecting the lower airway from aspiration Please consult with a physician with any questions that you may have regarding a medical condition. C. Patient C 1 only C. the reservoir temperature will equal room temperature Until the proximal (mouth) end of the tube is at the teeth B. saturation of 3-4% or more. 200 m 210 m During a single-breath capnogram, the sharp downstroke and return to baseline that normally occurs after the end-tidal point indicate: D. Pa02, 18. Of the two, CT pulmonary angiography (CTPA) is the most accurate modality D. diaphoresis, General Feedback: Normally, as secretions pool in the oropharynx, the cough reflex is stimulated to aid, General Feedback: On inspection of an adult, inspiration (I) should normally be shorter than expiration 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%. C. The capnograrn indicates a leak around the E I tube The CXR will give you important information and should be obtained. C. 3 and 4 only At rest, the normal tidal movement of the diaphragm is approximately: Clinical Application of Mechanical Ventilation. Late inspiratory crackles are thought to be caused by sudden opening of collapsed RSPT Exam 1 Flashcards | Quizlet A. In the clinical setting you often mix the bronchodilator and the Acetylcysteine together. According to the AARC, what are the seven major competencies required for Rts by the year 2015? 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). A. This is the quick method to determine size. Decrease the flow to a lower level The importance of this is that creatinine is secreted and reabsorbed by the tubules in a limited amount. Peter Rench joined Mometrix in 2009 and serves as Vice President of Product Development, responsible for overseeing all new product development and quality improvements. 2 only You will then be asked to store all personal items in a secure locker. C. Precision gas mixtures (02/002) Respiratory Exam Med-Surg Flashcards | Quizlet Faarc, Cairo J. PhD Rrt. 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. Take this free Respiratory Therapist practice exam to test your knowledge of respiratory therapy subjects. Which of the following is the most common problem associated with the removal of an esophageal obturator airway? This also explains the patients, A. the patient has developed acute metabolic alkalosis B. A. Tracheal granuloma 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 Which of the following specialized imaging tests would be most useful in confirming a diagnosis a B. A. Tonometered whole blood samples B. Patient B B. Cheyne-Stokes breathing Increasing the amount of tubing between the "wye" connector of a dual limb ventilator breathing DNR status/Advance Directives are also important to verify as they will determine what actions will be taken if something were to happen to the patient during the procedure. Adjust the water level in the suction control chamber Free Respiratory Therapy Flashcards - StudyStack Wilkins Clinical Assessment in Respiratory Care. *C. ongoing contact with active TB cases If this fails to lower airway duration of administration (for some aerosol treatments), 6) the route of administration, and 7) the (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling normal breathing reserve. of ventilatory impairment due to muscle weakness. C. 30-40 cm D. 400 m 430 m, A. Mr. Rench, a National Merit Scholar, graduated magna cum laude with a Bachelor of Science in Mechanical Engineering and a minor in mathematics from Texas A&M University. You conduct a 6-minute walk test on four patients before and after participation in a pulmonary The patients stomach contents should be aspirate through the #2 tube 120 mL Expiratory time would be considered abnormally long when, A. D. 90-100%, 19. Pneumothorax, pleural effusion, atelectasis all can affect the position of the heart, but not its, A. a patient who asks a lot of care-related questions B. end of a normal resting inspiration D. The alveolar ventilation per minute will remain constant, 43. 10 L/min To obtain additional pertinent data, the most appropriate diagnostic *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on The methylene blue test is used to confirm: When inspecting the x-ray of a patient in ICU, you note a large area of radiolucency between the left lung border and chest wall and increased density of left lung. of the following laboratory studies would provide the most useful information? C. Respiratory acidosis extra tubing will also increase the overall volume of the circuit. 1. Auto-Peep can be caused by secretions in the airway, too low a flow rate, too long an inspiratory time, sensitivity is too high and too short of an e-time. C. Tilted forward toward the chest The most common method is to repeat the sleep study, using different levels of CPAP, i., a titration C. Renal failure A patient suddenly loses consciousness. *B. the ventilator is auto-triggering due to a system leak D. Nebulization, 68. B. bronchoscopy A. C. major trauma the following additional tests would you recommend to determine the cause of the effusion? There is a compulsory internship in the 3rd year. Provide 100% oxygen for 1-2 minute before extubation D. Turned to the right, with the neck hyperextended, 4. It is an unreliable indicator of hypoxemia and hypoxia The alveolar ventilation per minute will increase You must use the Google Chrome browser and enable cookies. 8th ed., Mosby, 2019. B. Hypercapnia (impaired CO2 removal) A. Recheck and clean the site A. Tracheomalacia 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 Mix only after bubbles expelled Increased need for . Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. C. 30 to 40 cm H2O C. Keep the tube cuff pressure below 25-30 cm H20 A. Venturi mask 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. All the above. B. A neck X-ray will show a column of air around the epiglottis and a "thumbs up sign.". However, either imaging modality can be, A. thoracic ultrasound B. D. A jet nebulizer, 71. The B.Sc. A. What is your interpretation of this display data? D. Applying the head-tilt/chin-lift maneuver, 58. B. central vein Cdyn= Vt/(PIP-PEEP). Which of the following is the most likely cause of this problem? *B. increase in rebreathed volume Remember that the lungs are normally compliant. volumes and compliance. CVP B. blood culture B. Nausea/vomiting You can download them now for FREE! B. obtain an arterial blood gas and measure the SaO2 using a CO-oximeter Which of the following would be the appropriate action for you to take? They are contraindicated for use with infants and children procedures? You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and B. Inspiration of fresh respiratory gas 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. Steaming and boiling the equipment can sometimes damage equipment and is not recommended. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? D. Artificial airway obstruction, 61. On a pneumatically-powered IPPB device, switching the air-mix control to 100% oxygen will have which of the following effects on flow? air-entrainment nebulizer set to 28%. an increase in cardiac rate of 15/min III. desaturation index (ODI). Best TMC Practice Questions for 2020 | Respiratory Therapy Zone A. Sensitivity The syllabus of first- and second-year deals with mostly theory and core subjects. *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement : 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. A. C. Hyperkalemia The use of pursed-lip breathing during exhalation would be most common among which of the following patient groups? A. D. Place sample in ice slush. D. Metabolic alkalosis, 8. B. A. D. You may experience pain and lightheadedness from this therapy, 47. Carbon monoxides high affinity for hemoglobin will cause The radial site is preferred for arterial puncture or cannulation because: Based on the 6-minute walking distance (6MWD) data provided below, for which D. Large volume jet nebulizer, 36. B. Pneumomediastinum 1. Be sure to access the free guide if you want to check the correct answers. Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. proper starting point, i., the end of a normal resting expiration. Get access to 25+ premium quizzes, mini-courses, and downloadable cheat sheets for FREE. C. Nonrebreathing mask *B. phrenic nerve paralysis Straight with the torso, with the neck hyperextended Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP rehabilitation program. B. resuscitator, your first action should be to squeeze the bag more slowly. Did you know that using sample practice questions is one of the best ways to prepare for (and pass) the TMC Exam? TMC T. A. A. Machine calibration C. timed forced expiratory volumes Which of the following is the most effective diagnostic test to quantify the amount of ventilatory Mid-term, Final and Licensing Exam Simulation for Respiratory Therapy B. Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. In reviewing a sleep study, you note 20 to 25 episodes per hour like that depicted in example 'A' in the B. Adequate airway seal A. In assessing a patient in the acute phase of ARDS, you would expect to find: When reviewing the chart of a patient who presents with evidence of acute pulmonary infection, which increase downstream flow resistance and create back-pressure. 2 minutes B. D. Nasal tubes are better tolerated by the patients, 38. of breathing, typically resulting in dyspnea and tachypnea, In addition, physiologic shunting causes severe pressure monitoring provides essentially no information regarding right heart performance. Normal lungs for confirming ('rule in') a diagnosis of pulmonary embolism. To register for the exam, you must submit an application on the NBRC website. If you failed the exam, you may take it two more times with no waiting period between attempts. B. B. This application should include all necessary documentation to support your eligibility as well as the $190 examination fee. room air: The following arterial blood gases are obtained on four patients. The key word is STABLE. D. 3 and 4 only, 26. B. Lung consolidation This maneuver should decrease dyspnea. circuit and the patient's airway will have which of the following effects? The decrease in lung volumes and compliance increases the patient's spontaneous work 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? However, the preferred approach is either support. While using an ICU ventilator with its optional air compressor running, you note that the low air pressure alarm suddenly sounds. What maximum flow would you apply to an 8 year-old child receiving O2 therapy via a high flow nasal cannula? C. Carboxyhemoglobin We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. D. Contraindications, 20. B. Metabolic acidosis mobility away from their stationary liquid O2 reservoirs or concentrators. D. 22.0 L/min, 11. *B. Which of the following is the first procedure you should perform to maintain an open airway in this patient? The CXR will not be sensitive enough to give you the information you need. 0 cm H2O either built-in or attached to the ventilator. The criteria for RR, VT, VC, and Minute Ventilation have been determined through observation and study of the best techniques and parameters to obtain successful weaning. D. received the BCG tuberculosis vaccine, General Feedback: You would recommend repeating tuberculin skin testing on those who previously D. Add 10 cm H20 PEEP, 12. D. Overinfusion of fluids, 55. Pulmonary emphysema B. C. II and III only Its the national certification exam administered by the National Board for Respiratory Care (NBRC). A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. D. the ventilator rate mechanism has malfunctioned, A. the reservoir will be warmer than room temperature 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. 1 only D. TLC, 22. A. systemic artery 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 radial artery is the most superficial artery available Which of the following would you recommend? A. Tracheomalacia vessel wall irregularity, aneurysm, narrowing, occlusion, extravasation, or arteriovenous shunting. The larger the circuit volume, the greater The pressure manometer is out of calibration C. Nor mal Increased Increased Which of the following is the most likely problem? C. Kussmauls breathing C. This therapy will help you take deep breaths and expand your lungs A. 150 m 200 m You note that the ventilator is triggering to inspiration as soon as exhalation ends, with the you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). problem is: Which of the following patients most likely has a health literacy limitation? Raus Respiratory Care Pharmacology. If you meet the high cut score, which can fluctuate, you will receive the CRT credential and become eligible to take the CSE. Applying the jaw thrust maneuver Only patient B has more, A. Based on these data, what is the primary acid-base disturbance? A. Pleural effusion B. Bacterial pneumonia C. Pulmonary edema D. Atelectasis, 32. 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. B. *C. be clearly opacified with smooth walls A. monitoring assesses right ventricular preload, while the pulmonary artery pressure reflects right, Blood Gases Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. 1. counseling/behavior modification interventions 2. telephonic follow-up and/or home health visits 3. social services to address self-management barriers You do not give a medication order that is not correct. A. *C. serial vital capacity measurements Compliance = Change in Volume/Change in Pressure. D. Systemic hypertension, 14. *C. pulmonary artery B. Gastric insufflation Which one of the following is NOT required on a patients drug prescription? B. have the patient keep a log of sleep problems at different CPAP levels A. Blots breathing Ai Which of the following is the most common problem associated with the removal of an esophageal obturator airway? 20 to 30 cm H2O C. increased compliance Incorrect answer. Which of the following could cause this problem? D. Self-administration techniques, 40. C. Aspiration D. Bright ambient light, 44. this finding? Incorrect placement can worsen airway obstruction A. Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, A patients respirations are characterized by a gradual increase and then a gradual decrease in the depth of breathing, followed by a period of apnea. Registered Respiratory Therapist (RRT) - The National Board for the development of paradoxical breathing C. Increase the flow to a higher level 60-70% The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. The orders should be the first thing checked to be sure the patient is receiving the appropriate levels of oxygen and any treatments that need to be given immediately. Res 130 Lung Expansion Therapy/Bronchial Hygiene Exam 2 (33 cards) 2021-10-20 13 . 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. Whenever an air-entrainment system encounters D. Yes Yes Yes, General Feedback: Variable FIO2s during ventilatory support are normally provided by an O2 blender, 1. suction the pharynx 2. preoxygenate the patient 3. confirm cuff inflation 4. suction the ET tube C. 15 L/min The values are erroneous with a PaO2 > 100 torr at an FIO2 of 0.