RT CRT

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amicalynn
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173801
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RT CRT
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2012-09-28 00:47:27
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Respiratory therapy
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CRT Practice Questions
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  1. Prior to intubation in an emergency, infection of air into a pilot line fails to inflate the cuff.  You should: 

    A. Check the cuf for leaks 
    B. Replace the ET tube 
    C. Inspect the pilot line for patency 
    D. Check the valve on the pilot line 
    B. replace the ET tube 
    (this multiple choice question has been scrambled)
  2. Which of the following alarm conditions indicates a potential system leak when delivering volume oriendted ventilatory support? 

    A. High volume + low pressure 
    B. Low volume + high pressure 
    C. High volume + high pressure
    D. Low volume + low presure 
    D. Low volume + low pressure 
    (this multiple choice question has been scrambled)
  3. While a patient is being ventilated with a bag resuciator the bag fills rapidly and collapses on minimal pressure, although little chest movement by the patient noted. The cause of the problem may be which of the following?

    A. Plugged inlet valve 
    B. Plugged ET tube
    C. Absence of inlet valve
    D. Excessive oxygen flow 
    C. Absence of inlet valve 
    (this multiple choice question has been scrambled)
  4. During CPR oxygen reservoir bag of bag vlave manula resuscitator collapses during the refill phase. you can corret this problem by: 

    A. Shortenieng the bag refill time
    B. Increasing O2 flow to the bag
    C. Increasing the rate of compression 
    D. Increasing the volume delviery 
    B. Increasing O2 flow to the bag 
    (this multiple choice question has been scrambled)
  5. What of the following is the most probable cause of insufficinet mist in a croup tent?

    A. Inaequate size of tent
    B. Decreased temp within the canopy
    C.Insufficient ice the cooling chamber
    D. A clooged capillary tube in the nebulizer
    D. clogged capillary tube in nebulizer
    (this multiple choice question has been scrambled)
  6. You observe the reservoir bag on a patient receivn oxygen at 10 L/min does not display at all when the patient inspires what should you do first? 

    A. Decrease the O2 flow to 6L/min
    B. Remove mask valve flaps
    C.Tell patient to breathe deeper
    D.check the mask for snug fit
    D. Check the mask for snug fit
    (this multiple choice question has been scrambled)
  7. To continuously monitor the adequacy of ventiatlion of a patient in the ICU being supported by the mask BiPAP, you would recommend which of the following? 

    A. ABG analysis 
    B. transcutaneous Pco2 
    C. Pulse Oximetry
    D. Capnography
    B. Transcutaneous Pco2
    (this multiple choice question has been scrambled)
  8. Which of the following test of lung mechanics would you recommend to use to test the presence of auto peep on a patient receving then to ventiatory support? 

    A. Airway resistance (insp hold)
    B. Static compliance (insp hold)
    C. Pressure volume loop
    D. Flow volume loop
    D. Flow volume loop
    (this multiple choice question has been scrambled)
  9. An AP X-ray of a 3 yr old child ith wheezing and striodr shows an area of prominet subglottic edema, but the lateal neck x-ray appears normal. What is th emost likely problem?

    A. foregin Body 
    B. Croup 
    C. Cystic Fibrosis 
    D. Epiglottis 
    B. Croup
    (this multiple choice question has been scrambled)
  10. During an interview with your patient you discover that he gest SOB when he lays down so he often sleeps with several pillows to prop his head up. what symptom is present? 

    A. apnea
    B. Platypnea
    C. Orthopena 
    D. Orthodeoxia
    C. Orthopnea
    (this multiple choice question has been scrambled)
  11. Resistance is encountered whiel suctioning through a size 6 mm ID ET tube with 14FR catheter. Which of the following is th emost appropriate action for you to take? 

    A. Instill normal saline solution  
    B. Use a 10 Fr catheter
    C.Lubricate the catheter 
    D. Turn the patients head
    B. use a 10 Fr cathther 
    (this multiple choice question has been scrambled)
  12. While obtaining an arterial sample for analysis using a point of care analyzer, you should do all ofthe following except: 

    A. Place the sampe in ice slush 
    B. analyze the sample within 3 mintues
    C. Thoroughly mix the smaple 
    D. Prevent sample exposure to air 
    A. place the sample in ice slush 
    (this multiple choice question has been scrambled)
  13. A 2 yr old is admitted to the ED with severe asthmatic symptoms. The attending physican orders a bornchodilator that is availabe in both solution and MDI preprations. Which of the following is the best delievery system for this drug to this patient? 

    A. Breath acutated MDI with mask 
    B. MDI with holding chamber and mask 
    C. SVN with mouthpiece
    D. SVN using the "blow by" technique 
    B. MDI with holding chamber and mask 
    (this multiple choice question has been scrambled)
  14. All of the following help minimize the risk of cross contaminiation during suctioning except:

    A. Perforing proper handwashing and glovoing before suctioning 
    B. Instilling 10 mL sterile saline before the suctioning attempt 
    C. using a fresh sterile single use cathther on each patient
    D. Using only steirle fluid to remove secretions from the cathter 
    B. instilling 10 mL sterile saline before suctioning attempt 
    (this multiple choice question has been scrambled)
  15. If sterilaztion is not feasible, which of the following are acceptable alternatives for processing a specialzied resuable plastic airway? 
      I. Exposure to high level chemical disinfectant
     II. surface disinfection with 70% ethyl alchol 
    III. Pasteuriztion at 63 C for 30 min 
    A. I, II, III
    B. II and III only 
    C. I and III only 
    D. I and II ony 
    C. I and III
    (this multiple choice question has been scrambled)
  16. On checking a ventialtor pts progress notes, you see that hte attending physicans treatment plan includes starting spontaneous breathing trails. Your most appropriate action is to do which of the following? 

    A. review plan changes with patients nurse 
    B. Wait until after the patiens sedation is disconnected 
    C. check to verify that a valid physicans order is present 
    D. begin spontaneous breathign trial immediatly
    C. check to verify that valid phyhsicans order is present 
    (this multiple choice question has been scrambled)
  17. after completing a ventialtor check, you note tht you incorrectly computed the pts complaince in prior entry. Which of the following is the msot apporpriate course of action?

    A. copy the entire ventialtor shee tover to correct the error 
    B. line out the error, write the word "error" correct and inital it 
    C. Inform the medical director of the error 
    D. erase the error and write over it with the correction 
    B. line out the error, write the word "error" correct and inital it 
    (this multiple choice question has been scrambled)
  18. The best way to routinely communicate a pts clinical status to the appropraite members of the health care team is by reproting information: 

    A. In the respriatoyr thearphy department records 
    B. In the pts chart 
    C. To the next shift of respriatory theapry staff 
    D. to the respiraotyr thearpy supervior 
    B. pts chart
    (this multiple choice question has been scrambled)
  19. If you are giving routine theapry and note adverse chagne sint he pts condition,  you should do which of the followin?
          I. Notify the nurse who is responsible for the        patient 
          II. contact the phsyican if a change in thepary seems warranted 
          III. Record the pts recations in the chart 
    A. I and III only 
    B. I, II, III 
    C. II only 
    D. II and III only 
    B. I, II, III
    (this multiple choice question has been scrambled)
  20. Midway thorugh an aerosol drug treatment via IPPB, a patient complains of dizziness and tingling in her fingers. After stoppoing the therapy and adjusting the equipment to correct the problem and completing the treatment, you should recor which of the follwoing in chart? 
          I. Medicastion used during the treatment 
          II. The patients pulse and BP and after the treatment 
         III. Naure of the probelm and the way in which it was corrected 
    A. II and III 
    B. I and II 
    C. I, II, III 
    D. I and III 
    D. I and III 
    (this multiple choice question has been scrambled)
  21. When a patient refues to take a treatment, yo should do which of the following? 

    A. ask the head nurse to convince the patient to take the treatment 
    B. give the treatment anyway and record that it was done 
    C. leave the pts room and D/C thearpy 
    D. notify the nurse in charge and chart pts refusal 
    D. notify the nurse in charge and chart pts refusal 
    (this multiple choice question has been scrambled)
  22. A patient suddenly loses consciousness. which of the following is the first procedure you should perform to maintain an open airway in this patient? 

    A. inserting a laryngeal maks airway 
    B. Appplying the head tilt/chin lift maneuver 
    C. inserting an oropharyngeal airway 
    D. Applying the jaw thrust maneuver 
    B. Appplying the head tilt/chin lift maneuver 
    (this multiple choice question has been scrambled)
  23. A pt is in ICU exhibits signs of acute upper airway obstrcution & concurrently having severe seizuers that make it impossible to open the mouth. In this case, what is the adjucnt airway of choice? 

    A. Oropharyngela airway 
    B. Tracheostomy tube 
    C. Oral ET 
    D. Nasopharyngeal airway
    D. Nasopharyngeal airway
    (this multiple choice question has been scrambled)
  24. Which of the following should be prescribed in order to privde adequate humidification to an intubated pt?

    A. Inpsired gas through cold bubble humidifer
    B. Inspried gas with an absolute humidity greater than 30 mg.L 
    C. inspired gas with 10% relative humidity 
    D. Tracheobronchial suctioning 
    B. Inspried gas with an absolute humidity greater than 30 mg.L 
    (this multiple choice question has been scrambled)
  25. All of the following are needed for an effective cough except :

    A. a closed glottis 
    B. compresison phase 
    C, explosive exhalation 
    D. low inspriatory volumes 
    D. low inspriatory volumes 
  26. A morning X-ray confirms bilateral infiltrates in the posterior segments of the upper lobe sof 30 yr old female pt. what postural drainge postion should you use to drain these segments?

    A. sitting position leaning forward on a pillow 
    B. spine with a pillow under her legs 
    C. prone iwht pillow under her hips 
    D. the foot of the ed raised 18 inches and the patient on her left side 
    A. sitting position leaning forward on a pillow 
    (this multiple choice question has been scrambled)
  27. Which of the following should you do in order to properly perform nasotrachela suctioning on an adult pt?

       I. lubricate the cathther 
      II. apply suction for less than 15 sec 
      III. preoxygneat and postoxgenate the patient 
      IV. instruct pt to exhale and hold breathe 
    A. I, III, IV 
    B. I, II, III 
    C. III, IV 
    D. I and IV 
    B. I, II, III 
    (this multiple choice question has been scrambled)
  28. Adult male requres postural drainage of the posterior basal segments bilaterally. docotrs order is ocmpelte and you have performed all pre treatment assessments and takena ll needed precaustions. to properly position this patient you should: 
      I. elevate food of bed 30 degrees 
     II. keep bed flat but put pillow under pts hips
     III. have pt lie supine with pillow under hips 
      IV. have pt lie prone with pillow under hips 
    A. I and II 
    B. III, IV 
    C. I and IV 
    D. II, III 
    C. I and IV 
    (this multiple choice question has been scrambled)
  29. While suctioning a pt receiving ventialtory support, you note the HR increases abrupty form 92 to 145 BPM. which of the following actiosn could help prevent or minimzie this problem? 
    A. instill lidocainte into the trchea before suctioning 
    B. give patinet two MDI puffs of beclomethasone before suctioning 
    C. recommend an IV does of atropine before suctitioning 
    D. incrase oxgyen concentriaon immeidatley before suctioning 
    D. incrase oxgyen concentriaon immeidatley before suctioning 
    (this multiple choice question has been scrambled)
  30. A pt with CHF is coughing up large amounts of pink, fothty sputum. ABG vlaues on simple mask O2 of 7L/min follows:
    pH            7.44
    PaCO2    29 torr
    HCO        20 
    BE          -3
    PaO2      46
    SaO2      76%
    which would you recommend 
    A. IPPB with compressed air 
    B. Starting intrapulmonary percussive ventiatlion to clear secretions 
    C. nonreabreathing maks 12L/min and postural drainage thearpy 
    D. Maks CPAP with 80% O2
    D. Maks CPAP with 80% O2
    (this multiple choice question has been scrambled)
  31. During pt-ventiator check in the ICU, you observe the following settings and monitored paramets on 70 kg (154lb) patient receving vent support: 
    MODE                    SIMV
    VT                          600 ml
    Mandatory rate    10
    total rate               38
    PEEP                      8
    Minute volume     10 L/min 
    what actions would you recommend?
    A. swithc to A/C mode 
    B. Decrease the mandatory rate 
    C. add pressure support 
    D. incrase the PEEP level 
    C. add pressure support 
    (this multiple choice question has been scrambled)
  32. which of the following best describes the way a patient should perfomr IS?

    A. pt should inhale normally hold it for several sec 
    B. pt should hold max insp cpaicyt (IC) breath for at least 5 sec
    C. pt should repeat mx inspiratory and expiraotry effrost ofr 10-15 sec 
    D. pt should exhale maximally and hold it for at least 5sec 
    B. pt should hold max insp cpaicyt (IC) breath for at least 5 sec
    (this multiple choice question has been scrambled)
  33. pt rececivng BiPAP for actue resp failure has PaO2 of 48 torr on 65% O2 with IPAP=20 cm h2O and EPAP=5 cm H2O. To raise pts PaO2 yo should recommend? 
    A. increasing EPAP to 10
    B. decreasing IPAP to 15
    C. increasing IPAP to 25
    D.increasing FiO2 to 0.80
    A. increasing EPAP to 10
    (this multiple choice question has been scrambled)
  34. Pt receving mechanical vent has following vent settings and ABG results 
    vent settings 
    MODE             SIMV        pH         7.26
    vT                    750          PacO2   56
    Set rate            4             HCO3     22
    Spont rate       0              PaO2     92
    FiO2                0.55          SaO2      96
    which to recommend 
    A. increasing tidal volume to 800 mL
    B. increasing SIMV rate
    C. increasing I-time
    D. decreasing the FiO2 0.50
    B. increasing SIMV rate
    (this multiple choice question has been scrambled)
  35. A new medical resident asks for your help in calculating the static lung complaince for an ICU patient receivng voluem cycled ventilation. the patient has the following settings and monitoring data: 
    Vt                                          700
    Rate                                       12/min
    Peak pressure                     50
    Plateau Pressure                 30
    PEEP                                     10
    Mechanical deadspace       100
    What is the pts static lung complaince ?
    A. 18
    B. 35
    C. 22
    D. 26
    • B. 35
    • 700/ (30-10)=700/20=35
  36. A patient with a size 8 tracheostomy tube is being suctioned by the nurse. While suctioning the patient you obsrve several PVCs on the pts monitor. You should recommend that the nurse: 
    A. sedate the patient prior to suction
    B. use a larger suction cathter
    C. preoxygenate the patient with 100 O2
    D. suction less often
    C. preoxygenate the patient with 100 O2
    (this multiple choice question has been scrambled)
  37. You need to provide continuous monitoring of the FIO2 for a ventiatlor that uses a heated humdifer delivery systme. the only analyzer avialbe is a galvanic cell analyzer. Where should you place the analzyers sensor?
    A. distal to heated humidifer 
    B. on the expiraotry side of the ciruit 
    C. Proximal to the heated humidifer 
    D. As close to thye patient as possible
    • C. Proximal to the heated humidifer
    • proximal is before the humidifer to any humidification device
  38. After perfroming a modified Allens test on the left hand of a patient, you note that his palm and fingers do not beocme pink for more than 15 sec after releasing pressure on the ulanr artery. At this point you should: 
    A. use the femoral site for smapling 
    B. repeate the tes ton the right hand 
    C. go ahead and draw the smapel from that site 
    D. use the left brachial site for smapling 
    B. repeate the tes ton the right hand 
    (this multiple choice question has been scrambled)
  39. While suctioning a pt, you observe an abrupt chagne in the ECG waveform being displayed on the cardiac monitor and drop in Spo2. which of the following actions should be taken?
    A. decrease the amount of negative pressure being used 
    B. Instill 10 mL normal saline directly into the trachea 
    C. Stop suctioning and immediately administer oxygen 
    D. change to smaller cathter and repeate the procedure 
    C. Stop suctioning and immediately administer oxygen 
    (this multiple choice question has been scrambled)
  40. after initationg a bronchodilator aerosol via IPPB to an asthmatic, the pt complains of fatigue and SOB. on inspection of the pt, you note increased use of accessory msucles, an incrase in HR from 90 to 122, and other signs of mild to moderate distress. which of the following is the appropriate action at this time?
    A. increae the pressure limit and get the pt to breathe slower 
    B. stop the treatment and immediately chart thsi untoward reaction 
    C. stop the treatment and stay with the pt until she improves 
    D. decrease the flwo and ahve the pt exhale more forcibly 
    C. stop the treatment and stay with the pt until she improves 
    (this multiple choice question has been scrambled)
  41. A pt is receving appropriate oxgyen thearpy via simple mask at 5 L/min but coplains that hte mask is confiving and interferes with eating. Which of the following oxygen delviery devices is a subitalbe alternative?

    A. nasal cannula 4-5L
    B. nonrebreather maskat 10 
    C. nasal cannula at 3 L
    D. A 28% venturie mask at 10 
    A. nasal cannula 4-5L
    (this multiple choice question has been scrambled)
  42. You notice that the air entrainment porst of a ventuire mask are occulbed by a pts bedding. what effect would this have on total flow and FiO2?
    A. incrase both total output flow and FiO2 
    B. Decrease both total flow output and FiO2 
    C. increase total output flow and decrease FiO2 
    D. decrease total output flow and incrase Fio2 
    D. decrease total output flow and incrase Fio2 
    (this multiple choice question has been scrambled)
  43. To prevent hypoxemia during suctioning an orally intiubated pt, you should do which of the following?
    A. admisinister 100 oxygen through the ventiltor for 1-2 min before suctioning 
    B. set vaccum pressure to 100-120 before proceudre 
    C. press alarm silence prior to suctioning
    D, maintain set FIO2 and increase PEEP prior to suctioning 
    A. admisinister 100 oxygen through the ventiltor for 1-2 min before suctioning 
    (this multiple choice question has been scrambled)
  44. Physican prescribes IS for postoperative pt who complains of dizziness when performing five insp maneuvers in a row. what action should be taken? 
    A. begin CPR on the inftant
    B. coach the pt to pause before each manever 
    C. recommend that hte thearpy be d/c
    D. Begin oxygen therapy via protocol 
    A. begin CPR on the inftant
    (this multiple choice question has been scrambled)
  45. College student is brought to the ED following a motor vehicle accident. He is tachypneci and tachycardic. He is receiving oxyen via a nonrebreathing mask at 10 L/min. You observe that the maks bag fully deflates on each inspriation. what action should be taken
    A. chagne to simple mask at 4
    B. change to nasal cannula 8
    C. incrase the flow rate to 12-15
    D. Continue thearpy and monitor SpO2 
    C. incrase the flow rate to 12-15
    (this multiple choice question has been scrambled)
  46. 48 yr old is orally intubated, receiving mechanical ventilation with a #7.0 endotracheal tube secured in place. cuff pressure is foudn to be 34 during peak inspriation using ht eminimal occluding volume technique. you should suggest 
    A. deflating and reinflating the cuff 
    B. replacing the ET tube with smaller size
    C. Replacing ET with larger size
    D. Performing minimal leak technique
    C. Replacing ET with larger size
    (this multiple choice question has been scrambled)
  47. Pt recving IPPB thearpy for atelectasisi wtih set pressure 25. druing thearpy the pt pusle becomes thready and the BP dropts form  120/80 to 90/50.
    A. Incrase the IPPB to 45 and contintue the treatment 
    B. Decrease the IPPB pressure to 10 and monitor the pt. 
    C. Change treatment to intermittent CPAP with 10 
    D. D/C the treatment and notifty the physican 
    D. D/c the treatment and notifty the physican 
    (this multiple choice question has been scrambled)
  48. Prior to beginning an adrenergic aerosol bronchodilator tx on ana adult pt, you record a resting HR of 132 beats/min. Which of the following is the correct action in this case? 
    A. use half the standard dosage oisted in the package insert 
    B. have pt selfa dminister the aerosol tx
    C. postpone tharpy unitl you are able to contact the ordering physican 
    D. double the drug diluent and prolong the administrion time
    C. postpone tharpy unitl you are able to contact the ordering physican 
    (this multiple choice question has been scrambled)
  49. Following administration of bland aerosol tx, auscultation revels rhonchi throughout middle and upper lung fields: 
    A. recommend administration of a bronchodialator 
    B. Recommend d/c of thearpy
    C. d/c the treatment and administer oxygen
    D. encourage pt to cough 
    D. encourage pt to cough 
    (this multiple choice question has been scrambled)
  50. While monitoring a pt during a T-tube weaing trial, you note increased HR from 85 to 110 and RR from  15 to 34 and PVCs increasing to an average of 4 per min. 
    A. Reconnet pt to the ventialtor with prior settings
    B. Request that the pt be given a stat bolus of lidocaine
    C. encourge pt to relax and contintue careful monitoring 
    D. Request the pt be givein strong sedative/hypnotic
    A. Reconnet pt to the ventialtor with prior settings
    (this multiple choice question has been scrambled)
  51. Pt with acute bornchities is receving mechanhical vent. Wheezing is heard over all lung fields, & rhonchi are heared over the central airways. Previously suctioned secretiosn ahve been quite thick. Pts peak pressure is 45, and Pplat 20. all of the following would be useful to treat pts condition except: 

    A. Ipratropium bromide (atrovent)
    B. Acetylcysteine (mucomyst) 
    C. Pancuronium bromide (pavulon)
    D. albuterol (proventil)
    C. Pancuronium bromide (pavulon)
    (this multiple choice question has been scrambled)
  52. 75 yer old female pt with a factured hip has been bedridden for at least one week. The pt has clear breath sounds, but they are diminished slightly in the bases. The pt has nomrla pulmonary fuction based on bedside spirometyr. which would you recommend?
         I. bronchodilator thearpy 
         II. deep suctioning 
         III. incentive spirometry treatments 
         IV. coughing and deep breathing 
    A. I and III
    B. III and IV
    C. I, II, IV 
    D. II and IV
    B. III and IV
    (this multiple choice question has been scrambled)
  53. An intubated pt in the ICU needs to undergo bedside bronchoscopy and is in need of short term modrate sedation. which of the foloowing agents wouldyou reocmmend for this procedure?
    A. Haloperidol (haldol)
    B. propofol (diprivan)
    C. Cisatracurium (nimbex) 
    D. Lorazepam (ativan)
    B. propofol (diprivan)
    (this multiple choice question has been scrambled)
  54. You are assisting a medical resent performing an emergent inutabtion on a somewhat combative pt. The resident wants to breifly paralyze the pt to facilitate this procedure. What would you propose?
    A. pancuronium (pavulon)
    B. Succinylocholine (anectine)
    C. Veuronium (norcuon)
    D. cisatracurium (nimbex) 
    B. Succinylocholine (anectine)
    (this multiple choice question has been scrambled)
  55. Which of the following conditions is an indication for the use of CPAP?
    A. tension pneumothorax
    B. pulmonary embolism
    C. pulmoanry edema
    D. asthma 
    C. pulmoanry edema
    (this multiple choice question has been scrambled)
  56. you would initiate O2 theapry in all of the following causes except: 
    A.decreasing myocradial work 
    B. Trating arterial hypoxemia 
    C. Treating absorption atelectasis 
    D. Treating carbon monoxide posoning
    C. Treating absorption atelectasis 
    (this multiple choice question has been scrambled)
  57. which of the following would you recommend for a patient that has emphysema iwth chronic PacO2 reteniton who expericnes hypoxemia at rest? 
    A. CPAP
    B. low flow oxygen
    C. oxygen via nonrebreathing mask 
    D. IS
    B. low flow oxygen
    (this multiple choice question has been scrambled)
  58. During a "code blue" or other medical emergency, a physican is having trouble starting an intravenous line. Which of the follow drugs can be placed down an ET during emergeny life support? 
                 I. Naloxone 
                 II. Lidocaine 
                 III. Atropine 
                 IV. Epinephrine 
    A. I, II, III
    B. I, II, III, IV  
    C. III, IV
    D. II and IV
    B. I, II, III, IV  
    (this multiple choice question has been scrambled)
  59. Which of the following techniques can be used to determine effectiveness of ventialtion? 
       I. Looking for the rise and fall of the victims chest 
      II. Feeling for air exchange near the victims mouth and nose 
       III. Listening for audbile breathing efforst from the victim 
    A. I and III
    B. I and II
    C. II and III 
    D. I, II, III
    D. I, II, III
    (this multiple choice question has been scrambled)
  60. At the oneset of adult mouth to mouth or mouth to mask ventilation, you should provide: 
    A. four fast, shallow breaths, then assess the pulse 
    B. four slow, deep breaths, then immediatley start compressions 
    C. two normal breaths, thne assess the pulse 
    D. one very slow breath, then immediatley start compressions
    C. two normal breaths, thne assess the pulse 
    (this multiple choice question has been scrambled)
  61. When transporting criticually ill pts who are receivng supplemental oxgyen in unpressurized aircraft, it is often necessary to make which adjustmen tin FiO2 in order to maintain adequte oxygenation?
    A. increased FiO2 
    B. Increase ventiatlion 
    C. decrease FiO2 
    D. no change to ventilation or FiO2 is needed
    A. increased FiO2 
    (this multiple choice question has been scrambled)
  62. The essential goals of pulmonary rehabilitation inculde all of the following except:
    A. Improve health related qualtiy of life
    B. improve exercise tolerance
    C. reduce percevied dypsnea
    D. Reverse lung damage 
    D. Reverse lung damage 
    (this multiple choice question has been scrambled)
  63. 90 kg male pt with flail chest injury is being mechanically ventialtied the A/C mode with FiO2 of 0.5, set rate of 18, and tidal volume of 600mL. he is involuntary brething above the set rate for total resp rate of 28-30. results of arterial blood gas analysis are:
    ph                  7.52
    PaCo2            27
    HCO3              21
    BE                   -2
    PaO2                81
    SaO2              96%
    On the basis of these results, th emost appropriate action is to: 
    A. increase the FiO2
    B. Incrase the ventilator rate
    C. Add mechanical deadspace
    D. incrase the tidal volume 
    C. Add mechanical deadspace
    (this multiple choice question has been scrambled)
  64. 87 yr old nursing home pt is admitted with PNA. On assessment the pt presents with 103.2 F temp, dry mucous membrances, ruine outptu of 10 mL/hr for the past two hours, mild hypotension, and incrased hematocrit on his CBC. You shoudl recomend the ER physican all of the following except:
    A. minimizing insensible water loss
    B. Documenting fluid intakte/output every hour 
    C. initiating IV fludis quickly
    D. beginning diuretic thearpy
    D. beginning diuretic thearpy
    (this multiple choice question has been scrambled)
  65. Which of the following airway routes would you recommend to immediatley ventilate a trauma pt in a neck brace w/ suspcted cervical spine injyr who was admitted to the ED/
       I. orotrachela intubation
      II. nasotracheal intubation 
      III. Laryngeal mask airway 
    A. II or III
    B. II
    C. I, II, III 
    D. III
    A. II or III
    (this multiple choice question has been scrambled)
  66. COPD pt being mechanically ventilated appears to be developing auto peep. which of the following should you recommend to improve this situation?
    A. using inverse I:E ratio
    B. using decelrating flow pattern
    C. decrase I:E ratio
    D. Adding inspiratory hold
    C. decrase I:E ratio
    (this multiple choice question has been scrambled)

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