TMC 2019 NBRC Qs
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| Dullness to percussion, decreased tactile fremitus and diminished breath sounds are associated with | show 🗑
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| What is associated with an optimally exposed chest radiograph? | show 🗑
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| show | Airway resistance
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| Drug dosage calculation | show 🗑
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| A pulsoximeter cannot provide an accurate indication of the oxyhemoglobin saturation in what clinical condition | show 🗑
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| Portable ventilators for pt. Transport within the hospital should have the ability to | show 🗑
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| show | Orthopnea
Likely related to CHF
Orthopnea is dyspnea that occurs when a patient supine
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| This determines a persons rapid-shallow breathing index | show 🗑
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| What may be suspected in a trauma patient with multiple fractures to multiple adjacent ribs | show 🗑
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| show | Central sleep apneas.
BiPAP is indicated to provide pressure support augmenting ventilation.
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| Which mask should be used to deliver 70% helium 30% oxygen effectively | show 🗑
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| What is used to assess the severity of CO poisoning? | show 🗑
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| Evaluation of Lung Infiltrates requires further diagnostic studies like | show 🗑
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| This is a mucolytic that may cause irritation and bronchospasm | show 🗑
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| This drug is an anticholinergic and provides minimal bronchospasm relief | show 🗑
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| This drug is a beta2-agonist and is an appropriate substitute for Albuterol | show 🗑
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| A decrease in plateau pressures represents | show 🗑
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| show | An increase in airway resistance.
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| Pale or blue color, absent HR, no reflex irritability, limp muscle tone and absent respirations indicates what APGAR score? | show 🗑
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| Baby is pink, HR >100, cry cough sneezing, active, strong cry indicates are related to APGAR scores of | show 🗑
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| Color shows acrocyanosis, HR <100, grimace, some flexion, slow or irregular respirations is APGAR scoring of | show 🗑
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| show | Forced expiratory spirogram
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| show | Continuous albuterol nebulizer
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| Cores crackles over both lung fields indicates | show 🗑
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| Subcutaneous emphysema is demonstrated by the presence of | show 🗑
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| Wheezing sound from narrowed airways | show 🗑
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| show | lower portion of the superior vena cava.
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| show | NIV or need for assisted ventilation
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| A patient with a history of chronic bronchitis complains of SOB following thoracic surgery. The patient is receiving 30% O2. Rhonchi in the right lower lobe are heard. What therapy is recommended? | show 🗑
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| show | auto-PEEP
Auto-PEEP is measured by subtracting set PEEP from the measured pressure during an expiratory hold.
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| A 65-year-old patient who is post-CABG was extubated 4 hours ago and complains of increasing shortness of breath. Breath sounds are decreased over the right lung field. Wh at should be recommended NEXT? | show 🗑
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| Patient is diaphoretic and has a pulse of 120 and an SpO2 of 81% with a 28% tracheostomy collar. The therapist is unable to pass a suction catheter. Which of the following should the therapist do FIRST? | show 🗑
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| show | increasing oxygen extraction and an increased C(a-v̄)O2.
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| A previously healthy 30-year-old patient is hospitalized with chills and fever. A chest radiograph is consistent with right upper lobe pneumonia. What is most likely to aid in the patient's management? | show 🗑
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| show | Venti Mask
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| show | tidal volume and minute ventilation
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| most effective for destroying microorganisms on patient care equipment? | show 🗑
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| show | Further Lunch Measurments
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| the purpose of incentive spirometry after abdominal surgery | show 🗑
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| Capnography waveforms resembling shark fins indicates | show 🗑
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| A patient with asthma is receiving a treatment with 2.5 mg of albuterol. During the treatment, the patient's heart rate increases from 80 to 138. A respiratory therapist should | show 🗑
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| After extubation, marked stridor, labored breathing, intercostal retractions, and an SpO2 of 85% is observed. Aerosolized racemic epinephrine has been delivered without benefit. Which of the following should the therapist recommend | show 🗑
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| VT x RR = | show 🗑
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| show | Airway obstruction
Scope may obstruct the tube
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| show | Terminate the therapy
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| show | Compensated Respiratory Acidosis
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| show | Decreased Metabolism
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| show | Left heart failure caused by edema
treat with diuretics
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| show | 12 to 16
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| show | The Wrist
"rad wrist"
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| Where is the brachial artery located | show 🗑
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| show | ulnar artery
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| show | methemoglobinemia
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| the maximum flow during a forced exhalation. | show 🗑
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| show | Inspiratory also known as Peak pressure
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| The best way to check the accuracy of a spirometer is to use a | show 🗑
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| A wait of a few minutes should be expected after application of a transcutaneous electrode before values stabilize. This is associated with | show 🗑
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| For a patient receiving noninvasive ventilation through a dual-limb circuit, an increase in what, will most likely reduce the respiratory effort associated with spontaneous breathing? | show 🗑
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| show | 35
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| Medication used to treat apneic conditions and indicates the need for home apnea monitoring in infants | show 🗑
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| most common side effect of aerosolized albuterol | show 🗑
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| show | handwashing
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| The treatment for carbon monoxide poisoning is high concentration of oxygen (close as possible to 100%) administered with | show 🗑
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| The most commonly used bedside measurement to monitor the progression of ventilatory impairment in a patient with Guillain-Barré syndrome is | show 🗑
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| A patient complains of a productive cough that started approximately four months ago. The patient most likely has | show 🗑
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| able to directly measure various forms of hemoglobin saturation, including oxyhemoglobin, carboxyhemoglobin, and methemoglobin | show 🗑
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| show | 60
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| A patient is suspected of having an upper airway obstruction. Which test should a respiratory therapist recommend to detect this abnormality | show 🗑
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| While testing the proper function of a flow-inflating bag, the bag does not fully inflate with occlusion of the patient connector. Which of the following may be the cause of the problem? | show 🗑
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| Three liters of air are injected into a spirometer from a certified-volume standard syringe. The measured value is 2.6 L. Which of the following should a respiratory therapist conclude? | show 🗑
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| History of nasal stuffiness, episodes of daytime dyspnea, and a cough that occurs every summer. Which of the following drug classifications should a respiratory therapist recommend to control the patient's symptoms? | show 🗑
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| Low PCWP and CVP coupled with a low urine output is characteristic of | show 🗑
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| The patient is exhibiting refractory wheezing., diminished breath sounds after the multiple treatments, indicating worsening obstruction, what should be done | show 🗑
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| show | inhaled bronchodilator therapy
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| show | airway clearance therapy
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| At the beginning of exhalation, the sharp rise in exhaled CO2 on a capnographic tracing represents | show 🗑
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| A fast-acting beta2-agonist is the appropriate treatment for | show 🗑
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| show | albuterol
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| mechanically ventilated patient developed auto-PEEP. What ventilator settings change should take place | show 🗑
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| show | Vt / PEEP (Pplat - PEEP)
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| show | 70% predicted
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| severe obstructive lung disease is characterized by an FEV1/FVC less than 70% and an FEV1 of | show 🗑
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| show | Levalbuterol Xopenex
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| What medication should be used to anesthetize a patient's airway prior to a flexible bronchoscopy procedure? | show 🗑
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| show | Obtain a sputum Gram stain
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| SBT with a T-piece have been initiated for 4 weeks. With each trial, the patient becomes agitated, dyspneic, and tachypneic, and must be returned to the ventilator. Which of the following should the respiratory therapist recommend? | show 🗑
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| A premature neonate with RDS receives the first dose of surfactant replacement therapy. Two hours later, FIO2 requirements have increased from 0.35 to 0.70. Which of the following should a respiratory therapist recommend FIRST? | show 🗑
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| show | bronchoscopy
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| Monitoring serum electrolytes is indicated in patients who are receiving | show 🗑
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| show | CPAP
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| show | removing all air from the syringe
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| A gas is saturated with 100% relative humidity at 32.2º C (90º F). As the gas cools to 26.7º C (80º F), the relative humidity will | show 🗑
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| show | allow the patient to clear secretions
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| show | Insert a 14-gauge needle in the left chest
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| Hypotension is an adverse effect of | show 🗑
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| An increase in the difference between PIP - plateau pressure is | show 🗑
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| show | Sniffing position
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| What score is used to determine a neonate's gestational age? | show 🗑
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| show | Air contains essentially no helium; therefore, it should read zero
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| show | lorazepam Ativan
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| show | 24hrs
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| show | left
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| Total flow = | show 🗑
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| show | in the sniffing position
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| Changes in the level of the bed relative to the transducer will make both systolic and diastolic pressures move | show 🗑
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| drug is most appropriate to paralyze a sedated patient in status asthmaticus who is receiving mechanical ventilation | show 🗑
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| What should be done for patient with facial burns, oropharynx edema indicating upper airway burns and the potential for worsening edema and airway obstruction | show 🗑
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| show | nebulized racemic epinephrine
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| show | airways obstruction and asthma
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| show | pulmonary embolism
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| show | pulmonary embolism
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| characteristic during VC ventilation? | show 🗑
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