TMC 2019 NBRC Qs
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each of the black spaces below before clicking
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| show | Pleural Effusion
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| What is associated with an optimally exposed chest radiograph? | show 🗑
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| The use of respiratory accessory muscles is frequently the result of | show 🗑
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| show | Change % to decimal. Divide desired dosage by the actual concentration.
Ex: desires 1mg / .4mg/ml = 2.5mL
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| show | Carbon monoxide poisoning
Explanation: carbon monoxide poisoning will result in carboxyhemoglobin. Standard pulse oximetry is unable to distinguish their differences resulting in high SpO2 readings.
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| show | Sound a disconnect alarm
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| A patient that states they feel they can breathe better when they sleep sitting in a chair is indicative of | show 🗑
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| show | Vane Respirometer
RSB Index is calculated using the formula:
RR/(minute volume)(RR)
the vane respirometer determines the minute volume
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| What may be suspected in a trauma patient with multiple fractures to multiple adjacent ribs | show 🗑
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| Absent airflow without chest or abdominal movement indicates what | show 🗑
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| show | Non rebreather
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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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| show | N - acetylcysteine
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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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| An increasing difference between peak and plat pressures indicates | show 🗑
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| show | 0 for each section
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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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| Exacerbation of asthma associated with respiratory distress is best treated with | show 🗑
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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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| show | Bronchospasm
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| When in proper position, the tip of the CVP catheter should be in the | show 🗑
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| The patient's condition continues to deteriorate, based on increased oxygen requirements and an elevated PaCO2, indicating | show 🗑
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| show | Vibratory PEP
Deep breathing accompanied by PEP therapy will provide optimal bronchial hygiene to clear secretions
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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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| show | chest radiograph
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| show | Replace the tracheostomy tube.
Unable to pass catheter is the key phrase here. Obstructed tube.
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| A decreasing cardiac output will result in | show 🗑
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| show | Coughing and deep breathing
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| the most appropriate device to administer a controlled oxygen concentration for a patient with a variable respiratory pattern? | show 🗑
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| Decreasing the peak pressure should result in a decreased | show 🗑
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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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| show | Airway Obstruction
The lack of a plateau and upward sloping shape of the curves demonstrate unequal distribution of inspired gas associated with obstruction
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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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| show | Minute Ventilation
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| A patient who is receiving mechanical ventilation is scheduled for a fiberoptic bronchoscopy. Which of the following is the primary threat to adequate ventilation during the procedure? | show 🗑
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| While administering an IPV treatment at 20 cm H2O to a patient with cystic fibrosis, a respiratory therapist notes the patient has suddenly become very short of breath and cyanotic. The therapist's most appropriate action is to | show 🗑
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| show | Compensated Respiratory Acidosis
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| While counseling a patient during a smoking cessation session, the patient expresses concern about weight gain. A respiratory therapist should address the patient's concern by explaining that this is partially the result of | show 🗑
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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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| show | Inside arm
"Brach your arm"
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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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| Pv̄O2 values below this number are too low and related to the need for cardiac output measurement | show 🗑
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| show | caffeine citrate daily
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| show | Tremor
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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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| show | bronchitis
Bronchitis is characterized by cough and sputum production. While pneumonia is similar it is often not chronic.
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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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| show | leukotriene inhibitor like montelukast known as Singulair
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| Low PCWP and CVP coupled with a low urine output is characteristic of | show 🗑
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| show | increased dosage continuous nebulized bronchodilator therapy
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| The flow-volume loop obtained after bronchodilator administration demonstrates a significant improvement in expiratory flow. What should be recommended? | show 🗑
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| A patient was diagnosed with bronchiectasis 3 years ago. The patient reports increased cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows cavitary disease. What is recommended? | show 🗑
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| show | washout of dead space
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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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| severe obstructive lung disease is characterized by an FEV1/FVC less than | show 🗑
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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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| show | lidocaine HCl Xylocaine
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| Ventilated pt. has a steady increase in the peak inspiratory pressure over a 12-hour shift. The patient has developed a fever and purulent pulmonary secretions. Which of the following should a respiratory therapist recommend FIRST? | show 🗑
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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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| show | chest radiograph
Increase in O2 requirements and the recent administration of surfactant, chest radiograph will help determine the cause of deterioration.
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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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| For a spontaneously breathing patient, which of the following will provide an elevated baseline pressure during inspiration and expiration? | show 🗑
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| After obtaining an arterial blood gas sample, a respiratory therapist should handle the sample by | show 🗑
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| show | remain 100% and excess water will rain out
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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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| show | indicative of increased airways resistance
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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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| A respiratory therapist is calibrating a helium analyzer. What should the analyzer read when calibrated in air? | show 🗑
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| What drug is appropriate for the sedation of a 30-year-old patient with status asthmaticus and hypotension who is receiving mechanical ventilation? | show 🗑
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| show | 24hrs
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| show | left
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| show | air to oxygen entrainment factor X set liter flow to the device
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| show | in the sniffing position
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| show | same direction
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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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| Peak expiratory flow measurements are indicated for the measurement of | show 🗑
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| show | pulmonary embolism
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| What classically presents as alveolar unit is normally ventilated, but pulmonary capillary blood flow is impeded causing poor perfusion | show 🗑
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| characteristic during VC ventilation? | show 🗑
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