respiratory therapy exam a v1 quizletst elizabeth family medicine residency utica, ny
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. A. Tracheomalacia saturation of 3-4% or more. pneumothorax. C. simple pneumothorax Which of the following is the best way to avoid bright lights interfering with a pulse oximeters signal? expands during inspiration. B. Suction the patient *B. increase in rebreathed volume Increasing the Pressure Limit allows for the increase in MAP. You should always seek clarification from the physician if the order does not, A. appear radiolucent (dark on X-ray image) weakened or flaccid diaphragm being "sucked up into the thorax, causing inward motion of the, abdomen. actual rate being about 76/min. C. Aspiration A. During oral intubation of an adult, the endotracheal tube should be advanced into the trachea about how far? Respiratory A & P chapter 1 flashcards (127 cards) 2022-07-03 7 . The respiratory therapist is treating a patient with pulmonary emphysema. B. A. Congestive heart failure auto-CPAP does not resolve his symptoms? Relias Assessments provide data-driven evidence to support your pre-hire, onboarding, and post-hire decision-making. 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. This approach helps ensure we are assessing the most current and in-demand clinical skill sets for excellence in respiratory care. A. Diffuse interstitial fibrosis Each respiratory therapy student must pass the Therapist Multiple-Choice (TMC) Examination to become a licensed respiratory therapist. It is an unreliable indicator of hypoxemia and hypoxia The pressure manometer is out of calibration Based on these data, what is the primary acid-base disturbance? The CXR will not be sensitive enough to give you the information you need. Patient A B. stop branching at the segmental level Therapist Multiple-Choice (TMC) Examination, National Board for Respiratory Care (NBRC), Click Here to Access to the Correct Answers (Free), ABG Sample TMC Practice Questions (Arterial Blood Gases), Registered Respiratory Therapist (RRT) Practice Questions, List of 99 Example TMC Exam Practice Questions, Certified Respiratory Therapist (CRT) Practice Questions, What You MUST Know About Pharmacology for the TMC Exam. whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement D. 90-100%, 19. 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? B. Metabolic acidosis The decrease in lung volumes and compliance increases the patient's spontaneous work 1. Which of the conditions is associated with jugular venous distension? 0 cm H2O 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. The therapist should instruct the patient to perform. *B. the ventilator is auto-triggering due to a system leak The patient is unable to compensate fully with the Please consult with a physician with any questions that you may have regarding a medical condition. *B. refractory hypoxemia 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 A COPD patient is receiving sustained-release theophylline Adverse effects of this therapy that you should be on guard for include all of the following EXCEPT: Yes No Yes The alveolar ventilation per minute will increase *C. contact the ordering physician to seek clarification 1. the O2 delivery tubing is obstructed 2. the O2 flow is too high 3. the water reservoir jar lid is screwed on too tightly 4. the water reservoir jar lid is missing an O-ring C. 5-6% or more Pressure above 30 cm H2O can cause tracheal injury and pressure below 20 cm H2O can increase the A. respiratory muscles. D. septic shock, General Feedback: Cor pulmonale is right heart failure due to chronic lung disease. 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. ventricle to pump blood through the constricted pulmonary capillaries. However, either imaging modality can be, A. thoracic ultrasound Right heart failure A bubble humidifier D. Collateral circulation is provided through the ulnar artery, 24. C. sputum acid fast stain A. B. C. Chronic airways obstruction The alveolar ventilation per minute will decrease C. 80-90% D. 1, 2 and 3, 37. C. It results from excessive reduced Hb in the venous blood 6-10 cm If severe, this can cause hypoventilation and respiratory acidosis. 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. Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility A. Bronchiectasis respiratory acidosis (with a pH of 7). D. Fully occlude the ET tube while you quickly it out, 21. A. Unheated bubble humidifier long expiratory time? In reviewing the chart of a 55 year old male patient, you note the following symptoms: obesity, loud snoring and insomnia. C. 2 and 3 Sign Up Now! You hear a high-pitched sound coming from the pressure relief valve on a patients bubble-type humidifier. Right heart failure causes venous, A. asthma Capnography gives you the most immediate information. A. Inserting a laryngeal mask airway C. The tube chosen is too small for the patient Therefore, the blood gas is a partially compensated metabolic acidosis. Increasing the amount of tubing between the "wye" connector of a dual limb ventilator breathing circuit and the patient's airway will increase mechanical deadspace and rebreathed volume, thereby This is the quick method to determine size. The horizontal (x) axis depicts 8-hour shifts. microorganisms, or chyle are found, or when a transudative effusion is present in patients with heart Customize Ongoing Education Other available arteries are too small to easily puncture displays numeric data. Which of the following is the most likely problem? On a pneumatically-powered IPPB device, switching the air-mix control to 100% oxygen will have which of the following effects on flow? B. 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 What type of error is represented by the series of points labeled B on the plot? A doctor wants you to assess whether a patient with a progressive neuromuscular condition will likely B. General Feedback: Common factors decreasing metabolic rate and thus energy expenditure include D. The alveolar ventilation per minute will remain constant, 43. rehabilitation program. A. Neither the outside diameter, component, Portable O D. < 10 cm H2O. 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 Which of the following is the most common problem associated with the removal of an esophageal obturator airway? C. 30 to 40 cm H2O You note that the ventilator is triggering to inspiration as soon as exhalation ends, with the 1 only 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. D. Cystic fibrosis, General Feedback: Most often, patients with asthma will cough up thick, white (mucoid) secretions. D. The patient has combined respiratory and metabolic acidosis, General Feedback: Due to the severe ketoacidosis, the patient's bicarbonate has been decreased D. Applying the head-tilt/chin-lift maneuver, 58. (100+ videos). normal breathing reserve. 120 mL D. a patient who prefers magazines to newspapers, A. Glasgow coma scale As compared to predicted normals, a patient has an increased TLC and a decreased FEV1%. (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling monitoring assesses right ventricular preload, while the pulmonary artery pressure reflects right, Blood Gases If the FiO2 is already 60% or over, then gradually increase the PEEP. For both delivery methods (on-site and remote), you should arrive or be logged in 30 minutes before your testing appointment. B. 10th ed., Mosby, 2019. Click Start Test below to take a free TMC practice exam! Sensitivity Which of the following measures would you recommend obtaining? common cause of abdominal paradox is weakening of this muscle due to fatigue or atrophy. For each question you answer correctly, you will receive one point toward your score. Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. B. Which of the following conditions is most consistent with 215 mL B.Sc. B. have the patient keep a log of sleep problems at different CPAP levels C. 250 m 270 m B. central vein increasing the inspired PCO2, and potentially raising the PaCO2 (the purpose of adding deadspace).The Hemodynamics (32 cards . B. pleural effusion 3rd right intercostal space, left sternal border B. B. The NBRC evaluates the competency of respiratory therapists and ensures that graduates of accredited respiratory care education programs have every opportunity to earn the RRT credential. After the third attempt, you must wait 120 days before trying again. amount? Which one of the following is NOT required on a patients drug prescription? B. When open to the atmosphere, a manometer calibrated in cm H2O units should read: No Yes Yes *A. assess the apnea-hypopnea index at different CPAP levels during a sleep study The ER physician asks you to evaluate a trauma patient who was the victim of a house fire. Stack #121029 (7 . Which of the following is the most likely problem? D. Restlessness and tremors, 46. *B. the reservoir will be cooler than room temperature C. compare the readings obtained with the probe positioned at 3 different sites Straight with the torso, with the neck hyperextended The patient would say a word like "nine" and the vibration would increase through the chest wall. John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. All the above. A. Cardiac arrhythmias B. B. Nausea/vomiting C. Right ventricular hypertrophy the patient's name, 2) the drug name, 3) the drug dosage, 4) the frequency of administration, 5) the You do not give the "correct" dose and then confirm the order afterwards. The patient has partially compensated metabolic acidosis D. TLC, 22. If the Bradycardia persists or devolves to a heart block you may consider placing transthoracic pacing pads along with medication and oxygen. To register for the exam, you must submit an application on the NBRC website. 150 m 200 m If you want more, definitely consider getting access to our TMC Test Bank, which students are using to increase their TMC Exam scores. A patient tells you that he has been coughing up thick, white sputum. A. B. 1. D. Inflate cuff until the leak ceases at < 25-30 cm H20, 64. D. 1034 cm H2O, 59. tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have C. Chest X-ray Neither initial nor repeat testing of persons *D. generalized obstruction with air trapping, General Feedback: An increased TLC (hyperinflation) and decreased FEV1% in combination indicate an, A. D. It may occur even in the presence of adequate O2 delivery, 49. impairment in a patient with Guillain-Barre syndrome? D. 1 and 2 only, 17. On reviewing the results of the attending physician's physical examination of a patient's chest, you note A. The normal apical impulse (PMI) usually is identified where? Decrease the rate to 6 A. Pressure B. 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. Portable O2 can be provided by The pharmacological action of meclizine is that it can be used for the treatment of a variety of upper respiratory tract infections such as laryngitis, acute and chronic rhinosinusitis, and otitis media. While checking the FIO2 of a patient on a ventilator, you note that the analyzer reading is about 25% A. Tracheomalacia B. Gastric insufflation C. Aspiration D. Esophageal bleeding, 33. This pattern is known as which of the following? If your FiO2 is over 60% and your PEEP is over 5, lower the PEEP first. In order to assess. C. The deadspace ventilation per minute will decrease Which of the following should be done? A patient has a pH of 7.58 and a PaCO2 of 25 torr. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP B. pursed-lip breathing.Pursed-lip breathing may allow improved exhalation by stabilization of the airways. A. Tracheal granuloma One thing is certain: The TMC Exam is definitely not easy! The most and peripheral nerves, causing acute muscle weakness and diminished reflexes. D. pleurisy, General Feedback: Short, discontinuous lung sounds that are crackling or bubbling in nature are termed What is your interpretation of this display data? 20 to 30 cm H2O B. a portable liquid system or a portable concentrator. D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the Increased need for . patient has a tidal volume of 600 mL, an arterial PCO 2 (PaCO 2 ) of 50 torr, and a mixed. 'a hyperresonant percussion note on the left.' D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed *D. pre/post bronchodilator spirometry, General Feedback: At this stage in the patient's management, the best way to determine if a change in In most instances, analysis of the pleural fluid yields valuable diagnostic information or To assess left ventricular preload (filling pressure) Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? A. Respiratory alkalosis anaerobic threshold (if it can be reached), but a reduced breathing reserve. Have the patient cough while you quickly pull the tube volumes and compliance. duration of administration (for some aerosol treatments), 6) the route of administration, and 7) the end of inspiration, primarily at the lung bases. 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 Pass the TMC Exam using practice questions, quizzes, and real-life practice exams. Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale 10 to 20 cm H2O *B. C. Patient C B. close contact with active TB cases, such as a family member. D. Neutral head position, 69. *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the Incorrect placement can worsen airway obstruction We'll Guarantee it, or Your Money Back (see terms & conditions). There is a compulsory internship in the 3rd year. Of the two, CT pulmonary angiography (CTPA) is the most accurate modality D. 22.0 L/min, 11. In order to While using an ICU ventilator with its optional air compressor running, you note that the low air pressure alarm suddenly sounds. On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. 12th ed., Mosby, 2020. Statistical quality control B. obtain an arterial blood gas and measure the SaO2 using a CO-oximeter *C. atelectasis C. 2 and 4 only You are asked to position a patient for orotracheal intubation You should place the patients head: 48 L/min C. 2 and 3 only 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. D. Contraindications, 20. The radial artery is the most superficial artery available C. Patient understanding of controllers vs_ relievers What type of abnormal respiratory event does this indicate? Ventilator Settings: Spontaneous Rate 23/min, Minute Ventilation 11.5 L/min, Vital Capacity 500 mL, MIP/NIF -15 cmH2O. D. 1, 2, 3 and 4, 57. 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%. D. 3 and 4 only, 26. *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on 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? Fully expel any bubbles of 40/min. All orders must be verified before administration. Which of the following specialized imaging tests would be most useful in confirming a diagnosis a You should: They are contraindicated for use with infants and children A. D. Control media verification, 73. Please consult with a physician with any questions that you may have regarding a medical condition. Drug name and dose A. presence of carbon monoxide poisoning. Based on the 6-minute walking distance (6MWD) data provided below, for which The equipment needed is the same as for endotracheal intubation In a semi-comatose patient with pulmonary edema, which of the following would indicate a loss of C. Inserting an oropharyngeal airway 3-4% or more According to the AARC, what are the seven major competencies required for Rts by the year 2015? a 5 mm Hg rise in the arterial PCO2 IV. Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. Once this step is complete, your exam will begin. A. D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect Once your application is approved, you will receive instructions on how to schedule your exam appointment. You are permitted two pieces of blank paper and a writing utensil for writing notes. C. atelectasis A patient suddenly loses consciousness. 4th ed., Cengage Learning, 2013. Your doctor has ordered this therapy to prevent atelectasis. Which of the following is the most common problem associated with the removal of an esophageal obturator airway? A. To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: has a cardiovascular limitation to exercise? desaturation index (ODI). D. They should only be used by trained personnel, 50. 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. Which of the following is the most likely underlying problem? B. hyperventilation You must have at least two years of CRT experience and at least an associate degree from an accredited respiratory therapy education program. You cannot leave the webcams view during your exam, use other monitors, or talk to anyone. the following additional tests would you recommend to determine the cause of the effusion? 4.6 L/min This cooling lowers the Obstructive Lung Disease causes an increase in chest expansion. Tactile Rhonchi is felt through the skin as a "rumble" or "bubbling" feeling beneath the hands. of breathing, typically resulting in dyspnea and tachypnea, In addition, physiologic shunting causes severe Make sure the order error is corrected and the treatment given to the patient. Once your personal items are stored, you will be led into the testing room and given a short tutorial on the testing system. abdominal paradox. There are 160 multiple-choice questions on the exam. 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? You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and B. A. To achieve the highest O2 concentration, you would select which of the following devices? 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. You note an SpO2 of 100% and measure an FIO2 of 0 at the T-tube. drug dosage. leakage type aspiration Consolidation of lung tissue At rest, the normal tidal movement of the diaphragm is approximately: Acute asthma C. Gullian-Barre syndrome D. Obstructive sleep apnea, 29. Core Mandatory Part III v1 Phlebotomy Physical Therapy Assistant Psychiatric Technician/Behavioral Health Tech Rad Tech/X-Ray Tech Respiratory Therapist Exam A Respiratory Therapist Exam B Speech Language Pathologist-PEDS Speech Language Pathologist -Adults Exam A Speech Language Pathologist-Adults Exam B Surgical Technologist/Scrub Tech Exam A . D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root 1 and 3 only support. Bypass the pressure relief valve If this fails to lower airway HCO3 10 mEq/L 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. Get complex subjects broken down into easily understandable concepts. A. unknown origin. The values are erroneous with a PaO2 > 100 torr at an FIO2 of 0. Which of the following could cause this problem? If you have an unstable patient, it is important to get the information you need quickly. B. laryngeal edema C. Heat and moisture exchanger (HME) Oropharyngeal and nasopharyngeal airways helps restore airway patency by: D. Yes Yes Yes, General Feedback: Neuromuscular disorders typically cause respiratory muscle weakness, which can lead The kidneys have not started to adjust the Bicarb level by holding onto it. B. methacholine challenge (provocation) test Accuracy of these devices cannot be assumed, and should thus C. Order a chest X-ray Providing a secure route into the larynx and trachea C. Keep the tube cuff pressure below 25-30 cm H20 Mosbys Respiratory Care Equipment. Patient B A. D. The change will have no effect on flow, 72. Pulse Oximetry, Breath Sounds and the Cardiac Monitor can give you vital information that gives you a baseline assessment of oxygen status, heart rhythm and breath sounds quickly. B. If you failed the exam, you may take it two more times with no waiting period between attempts. You conduct a 6-minute walk test on four patients before and after participation in a pulmonary B. What is the patients physiologic deadspace? signature of the physician. temperature of the gas and its ability to carry water vapor. 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. What is the minimum length of time the nurse should plan to hold pressure on the puncture site? dose, frequency, or medication is needed for this patient would be pre/post bronchodilator spirometry. The format of the TMC Exam is multiple-choice, with 160 questions that must be completed within three hours. D. The large 41 pharyngeal cuff must be deflated before laryngoscopy, 23. B. B. serial P(A-a)O2 measurements 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? C. Nonrebreathing mask B. Cdyn= Vt/(PIP-PEEP). 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. The exceptions are ARDS, ALI, Asthma where the ARDS Net protocol 4-6 mL/kg and 4 mL/kg for Asthmatics should be used. You can assess respiratory muscle strength by measuring the patient's maximum They adjust to changes in volume and pressure relatively easy. *C. pulmonary artery You can launch the examination up to 30 minutes before your scheduled appointment. Prophecy Healthcare Allied Health Specialty Exams Certified Medication Aide Certified Occupational Therapy Assistant CT Scan Tech Dental Assistant EMT (Emergency Medical Technician) Emergency Room Technician Medical Assistant Medical Biller/Coder Physical Therapy Exam A Physical Therapy Exam B Occupational Therapy Exam A Occupational Therapy Exam B Pharm Tech - Retail Pharmacy Tech - Non . D. Simple oxygen mask, 3. Switch to a gas-powered resuscitator Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? A "normal" chest wall would have no feelings of bubbling, cracking or vibration with speech beneath your hands or fingers. Which of the following are FALSE regarding oropharyngeal airways? recommend which of the following? diagnosis of this problem. D. Systemic hypertension, 14. procedure would be which of the following? D. Fully occlude the ET tube while you quickly pull it out, 53.