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nbrc rrt
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  1. A patient with cystic fibrosis who usually expectorates sputum c/o increased dough and dark yellow sputum production over the past week. She is febrile and a chest CXR reveals a RML infiltrate. These clinical findings suggest:

    A) acute bronchitis
    B) hemoptysis
    C) pulmonary edema
    D) pneumonia
    D) pneumonia
    (this multiple choice question has been scrambled)
  2. After an oxygen concentrator has been used in a patient's home, a therapist must complete which of the following maintenance procedures?

    A) check the electrical system monthly
    B) change the filters
    C) lubricate the oxygen tubing connections
    D) check the electrical system monthly
    B) change the filters
    (this multiple choice question has been scrambled)
  3. A therapist is checking a jet nebulizer with an entrainment setting of 35%. A properly calibrated oxygen analzyer measures the concentration at 45%. Which of the following best explains this finding?

    A) inadequate flow through the jet
    B) water in the tubing
    C) excessive flow through the flowmeter
    D) obstructed jet orifice
    B) water in the tubing
    (this multiple choice question has been scrambled)
  4. When performing bedside spirometry on a patient, the following FEV1 values (L) are obtained from three maneuvers: 3.13, 3.75 and 2.85. What should you conclude?

    A) a value of 3.24 should be reported
    B) a value of 3.75 should be reported
    C) these are normal values
    D) the effort was inconsistent
    D) the effort was inconsistent
    (this multiple choice question has been scrambled)
  5. Which of the following bedside PFT results for a patient with Guillain-Barré most strongly indicates the need for mechanical ventilation?

    A) MIP of -23 cm HOH
    B) FEV1/FRC of 85%
    C) 5% decrease in peak expiratory flow
    D) VC of 5ml/kg
    D) VC of 5ml/kg
    (this multiple choice question has been scrambled)
  6. A 45 YO, 70kg (154 lb) adult patient is receiving VC, SIMV.A CXR reveals a moderate degree of bilateral, plate-like atelectasis in the lung bases. Current ventilator settings and ABG's are as follows: FiO2 0.40, MRate 12, Vt 450, PEEP 5.  pH 7.34, pCO2 46, pO2 70, HCO3 24, BE -1. In which of the following should an increase be recommended?

    A) PEEP & Vt
    B) PEEP & Rate
    C) FiO2 & Rate
    D) FiO2 and Vt
    A) PEEP & Vt
    (this multiple choice question has been scrambled)
  7. A 7 YO who is intubated with a 6.0mm ETT has copious secretions.Difficulty in suctioning the sputum trhough a 10 Fr suction catheter with a pressure of -60 mm Hg has been experienced. You should:

    A) increase the suction time to 24 seconds
    B) instill 3 ml of 7% NaCl before suctioning
    C) switch to an 8 Fr suction catheter
    D) change the suction pressure to -80 mm Hg
    D) change the suction pressure to -80 mm Hg
    (this multiple choice question has been scrambled)
  8. Which of the following should be used for high level disinfection of nondispsable ventilator tubing?

    A) ionizing radiation
    B) isopropyl alcohol
    C) hydrogen peroxide
    D) pasteurization
    D) pasteurization
    (this multiple choice question has been scrambled)
  9. A 45 YO man with a diagnosis of bilateral pneumonia is receiving VC, A/C ventilation. Despite an adequate minute ventilation, his PaO2 falls below 60 torr with and FiO2 of 0.60 and a PEEP of 5 cm H2O. Which of the following do you recommend?

    A) increase the FiO2
    B) initiate SIMV
    C) initiate PC ventilation
    D) increase PEEP
    D) increase PEEP
    (this multiple choice question has been scrambled)
  10. When reviewing therapy for a homecare  patient who has asthma, the therapist notes that every time the patient performs his daily peak flow measurement, it consistently reveals 100 lpm. Which of the following is an approrpriate initial action?

    A) instruct the patient to increase daily exercise
    B) recommend complete PFT
    C) recheck the patient's peak flow with a new prsk flow meter
    D) continue to monitor the patient's peak flow for 2 weeks
    C) recheck the patient's peak flow with a new prsk flow meter
    (this multiple choice question has been scrambled)
  11. A therapist reviews the following ABG results for a patient who is breathing 30% oxygen:  pH 7.36   pCO2 43   pO2 288   HCO3 23   BE -1.  These results most likely indicate:

    A) oxygen toxicity
    B) anemic hypoxemia
    C) laboratory error
    D) normal oxygenation
    C) laboratory error
    (this multiple choice question has been scrambled)
  12. When reading a chart, you note a 2 YO child with a history of asthma was admitted with severe respiratory distress. Wheezing is auscultated over the right lung only. These findings are consistent with:

    A) croup
    B) foreign body aspiration
    C) an acute asthma attack
    D) acute bronchitis
    B) foreign body aspiration
    (this multiple choice question has been scrambled)
  13. A therapist is administering a mixture of helium and oxygen through a nonrebreathing mask to a 40 YO patient during an acute asthmatic episode. The patient is still showing signs of moderate respiratory distress. The SpO2 is 92%. THe therapist observes the reservoir bag on the mask nearly collapses with each breath. Which of the following is the most appropriate initial response?

    A) d/c the heliox therapy
    B) increase the flow of the gas mixture into the mask
    C) decrease the proportion of helium in the mixture
    D) change the equipment to a partial rebreathing mask
    B) increase the flow of the gas mixture into the mask
    (this multiple choice question has been scrambled)
  14. A therapist is performing a high calibration on a nitric oxide analyzer. The expected value (ppm) is:

    A) 25
    B) 80
    C) 45
    D) 10
    C) 45
    (this multiple choice question has been scrambled)
  15. A sedated 152cm (5') 42kg (93 lbs) patient with pneumonia has been receiving VC, A/C ventilation for three days and has a worsening CXR. The following information is available: FiO2 0.85   MRate 24  Rate 24   Vt 400   PEEP 14     pH 7.25   pCO2 62   pO2 68   HCO3 27   BE -2   What changes should you make?

    A) PEEP to 10
    B) Rate to 36
    C) mode to PC, A/C
    D) Vt to 500
    C) mode to PC, A/C
    (this multiple choice question has been scrambled)
  16. When preparing to assist with a chest tube insertion, you learn that pleurodesis will follow. What additional equipment should you provide?

    A) hypertonic saline and pressure manometer
    B) hemostat and 3-way stop cock
    C) 3-way stop cock and hypertonic saline
    D) hemostat and pressure manometer
    B) hemostat and 3-way stop cock
    (this multiple choice question has been scrambled)
  17. SpO2 decreases from 98% to 87% in a 70 kg (154 lb), 183 cm (6') patient who is receiving mechanical ventilation. The right hemothorax is expanding more than the left and the breath sounds are clear on the right side, but decreased on the left. THe patient's ETT is at the 28 cm mark and the lip. Which of the following is the most appropriate action?

    A) increase the FiO2 to 1.0
    B) perform an ABG
    C) pull the tube back to 23 cm
    D) perform an ABG
    C) pull the tube back to 23 cm
    (this multiple choice question has been scrambled)
  18. A patient had abdominal surgery yesterday. The spontaneous Vt is 300 ml. With minimal coaching, the patient is able to reach an IS goal of 700 ml. The therapist should set an initial goal of:

    A) 700 ml
    B) 1200 ml
    C) 500 ml
    D) 900 ml
    D) 900 ml
    (this multiple choice question has been scrambled)
  19. An adult patient's DLCO is 20 ml/min/mm Hg. To further evaluate this patient, you should next:

    A) recommend a bronchoscopic examination
    B) perform an ABG
    C) perform a CT with contrast of the chest
    D) perform lung volume measurements by plethysmography
    D) perform lung volume measurements by plethysmography
    (this multiple choice question has been scrambled)
  20. A patient is receiving VC ventilation. You note peak pressure has increased from 20 to 30 cm H2O after 6 hours. Which of the following could explain this change?

    A) compliance increased and RAW decreased
    B) compliance decreased & RAW increased
    C) compliance decreased and RAW decreased
    D) compliance and RAW increased
    B) compliance decreased & RAW increased
    (this multiple choice question has been scrambled)
  21. Immediately following an arterial puncture to a patient's radial artery, the therapist should:

    A) compress the site
    B) label the site
    C) place the sample on ice
    D) perform an Allen's test
    A) compress the site
    (this multiple choice question has been scrambled)
  22. According to ATS Standards, a patient's FEV1 must increase by a minimum of what percent to demonstrate significant post-bronchodilator improvement?

    A) 12%
    B) 8%
    C) 20%
    D) 15%
    A) 12%
    (this multiple choice question has been scrambled)
  23. A therapist has an order to deliver 1.25mg of 0.5% albuterol to a patient with a SVN. How many ml of albuterol should the therapist administer?

    A) 0.625 ml
    B) 0.5 ml
    C) 0.25 ml
    D) 0.125 ml
    C) 0.25 ml
    (this multiple choice question has been scrambled)
  24. A patient with Duchenne Muscular Dystrophy has a VC of 625 ml. Which of the following should be done first?

    A) EMG and nerve conduction study
    B) edrophonium chloride (Tensilon) test
    C) MVV
    D) Maximum Inspiratory Pressure
    D) Maximum Inspiratory Pressure
    (this multiple choice question has been scrambled)
  25. When performing MVV maneuvers, a patient repeatedly terminates the test between 8 and 10 seconds. You should:

    A) report the average of the values
    B) administer oxygen and repeat the test
    C) reschedule the test at a later time
    D) report the low and the high of the values
    C) reschedule the test at a later time
    (this multiple choice question has been scrambled)
  26. A patient who is 193 cm (6'4") is intubated with an 8.0 ETT that is secured with a 17 cm mark adjacent to the incisor. A therapist hears a gurgling sound with each inhalation and observes the exhaled Vt is 300 ml less than the inhaled Vt. The therapist increases the cuff pressure from 16 cm H2O to 29 cm H2O. There is no change in the sound of the exhaled Vt. You should:

    A) advance the tube 5 cm
    B) recommend performance of a tracheostomy
    C) change to a 10.0 ETT
    D) increase the cuff pressure to 35 cm H2O
    A) advance the tube 5 cm
    (this multiple choice question has been scrambled)
  27. A therapist notices a prolonged inspiratory time and irregular cycling to exhalation for a patient receiving pressure-cycled ventilation during intra-hospital transport. In addition to checking the integrity of the circuit, which of the following should be evaluated?

    A) mucus plugging
    B) ETT cuff
    C) autoPEEP
    D) right mainstem intubation
    B) ETT cuff
    (this multiple choice question has been scrambled)
  28. A 1200 g, 27 week gestational age infant was delivered after a precipitous vag delivery to a mother who has diabetes. THe infant is receiving 100% oxygen during transfer to the NICU. Which of the following is the most important next course of treatment?

    A) surfactant replacement therapy
    B) extracorporeal membrane oxygenation
    C) high frequency oscillatory ventilation
    D) 40% oxygen by hood
    A) surfactant replacement therapy
    (this multiple choice question has been scrambled)
  29. A 68 YO man with a history of COPD is admitted to the hospital for increasing SOB and a nonproductive cough. Chest auscultation reveals expiratory wheezes. Which of the following is most appropriate to improve the patient's clinical condition?

    A) beclomethasone (vanceril)
    B) amoxocillin (augmentin)
    C) ipratropium bromide (atrovent)
    D) cromolyn sodium (intal)
    C) ipratropium bromide (atrovent)
    (this multiple choice question has been scrambled)
  30. Which of the following is the best index of oxygen transport for a patient who has been resuscitated after carbon monoxide poisoning?

    A) arterial blood tension
    B) alveolar-arterial oxygen difference
    C) arterial blood oxygen content
    D) hematocrit
    C) arterial blood oxygen content
    (this multiple choice question has been scrambled)
  31. A therapist is called to the ED to assist with intubation of an alert, agitated patient in respiratory failure. Two intubation attempts were unsuccessful. In addition to a neuromuscular block, which of the following drugs will best facilitate intubation?

    A) nifedipine (verapamil)
    B) propranolol (inderal)
    C) nitroprusside (nipride)
    D) midazolam (versed)
    D) midazolam (versed)
    (this multiple choice question has been scrambled)
  32. A 78 YO woman who has a femur fracture had a CT scan with contrast due to increased SOB. The CT scan showed multiple areas of decreased perfusion. What do you recommend?

    A) nitric oxide inhalation
    B) oxygen therapy
    C) sublingual nitroglycerin
    D) intravenous coagulant
    B) oxygen therapy
    (this multiple choice question has been scrambled)
  33. A patient's sputum specimen is purulent green in appearance, has separated into layers and has a foul odor. Which of the following is the most likely causing the patient to produce this type of sputum?

    A) emphysema
    B) bronchiectasis
    C) tuberculosis
    D) aspiration
    B) bronchiectasis
    (this multiple choice question has been scrambled)
  34. Following thoracic surgery for a lobectomy, a patient is receiving PC ventilation. The exhaled Vt suddenly drops from 800 ml  to 600 ml. Which of the following should be checked?

    A) tracheal position & breath sounds & drainage system
    B) tracheal position & drainage system & glottic secretions
    C) tracheal position & breath sounds & glottic secretions
    D) breath sounds & drainage system & glottic secretions
    A) tracheal position & breath sounds & drainage system
    (this multiple choice question has been scrambled)
  35. Which of the following can increase methemoglobin?

    A) inhaled CO & topical silver nitrate & nitroglycerin
    B) inhaled CO & nitroglycerin &inhaled NO
    C) topical silver nitrate & nitroglycerin & inhaled NO
    D) inhaled CO & nitroglycerin &inhaled NO
    C) topical silver nitrate & nitroglycerin & inhaled NO
    (this multiple choice question has been scrambled)
  36. The primary reason to aerosolize corticosteroids to treat some diseases of the airways is to:

    A) minimize systemic side effects
    B) decrease secretions
    C) reverse bronchospasm
    D) decrease bronchial irritation
    A) minimize systemic side effects
    (this multiple choice question has been scrambled)
  37. A recent ABG analysis on an intubated patient reveals pH 7.37   pCO2 32   pO2  88  HCO3 19  BE -5. THe most likely interpretation is:

    A) compensated metabolic acidosis
    B) acute respiratory alkalosis
    C) uncorrected hypoxemia
    D) chronic respiratpry acidosis
    A) compensated metabolic acidosis
    (this multiple choice question has been scrambled)
  38. A physician asks the therapist to change settings to reduce a patient's pCO2. Current SIMV parameters are: FiO2 0.40   Rate 8   TtlR 12  Vt 700   PEEP 8 cm  PS 5 cm. The physician wants to keep the mandatory rate at 8. Which of the following options should the therapist offer?

    A) decrease PEEP
    B) decrease Vt
    C) increase pressure support
    D) increase expiratory time
    C) increase pressure support
    (this multiple choice question has been scrambled)
  39. A therapist will assist a physician in performing a cardioversion for a spontaneously breathing patient with supraventricular tachycardia. THe patient is awake and alert. Which of the following are critical for this procedure?

    A) sedation & intubation & airway care
    B) sedation & intubation & supplemental O2
    C) intubation & supplemental O2 & airway care
    D) sdation & supplemental O2 & airway care
    D) sdation & supplemental O2 & airway care
    (this multiple choice question has been scrambled)
  40. Which of the following is the best instruction for a patient receiving SVN bronchodilator therapy?

    A) breathe in and out normally
    B) blow out hard, then in fast & deep
    C) breathe normally with an occasional deep inspiratory hold
    D) breathe in deep and fast, then exhale forcefully
    C) breathe normally with an occasional deep inspiratory hold
    (this multiple choice question has been scrambled)
  41. To produce capillary vasodilation, electrodes to TC monitoring must be heated to:

    A) 37-40 degrees C
    B) 48-51 degrees C
    C) 30-33 degrees C
    D) 42-45 degrees C
    D) 42-45 degrees C
    (this multiple choice question has been scrambled)
  42. A therapist observes that the peak inspiratory pressure of an intubated patient has increased from 24 to 35 cm H2O and the pressure limit alarm is intermittently activating. The therapist notes that the Pplat and PEEP have not changed. The therapist should:

    A) suction the airway
    B) check the circuit for leaks
    C) increase the pressure limit
    D) replace the HME
    A) suction the airway
    (this multiple choice question has been scrambled)
  43. While assessing a 33 YO male patient for implementation of an assess-and-treat protocol, a therapist obtains the following information: HR 100  RR 22  SpO2 93% RA. Breath sounds are decreased bilaterally in the bases and there is decreased resonance to percussion bilaterally in the bases. A CXR indicates atelectasis in both bases. The therapist should initiate:

    A) PD&P
    B) cool aerosol by mask
    C) incentive spirmotery
    D) albuterol by nebulizer
    C) incentive spirmotery
    (this multiple choice question has been scrambled)
  44. A therapist is monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure has changed from -36 cm H2O to -16 cm H2O in the last four hours. The therapist should recommend:

    A) measuring the patient's VC
    B) administering oxygen by nasal cannula
    C) administering oxygen by partial rebreathing mask
    D) measuring the MVV
    A) measuring the patient's VC
    (this multiple choice question has been scrambled)
  45. A previously healthy 35 YO male has been admitted to the hospital for unknown neuromuscular weakness. The patient is 178 cm (5'10") and weighs 73kg (160 lbs). THe following data has been obtained over the last four hours: 9am:  RR 14  Vt 500  VC 2000; 10am: RR 12  Vt 520  VC 450; 11 am: RR 15  Vt 490  VC 1300; 12 pm: RR 18  Vt 450  VC 850. The patient is having trouble clearing oral secretions. The therapist should initiate:

    A) PEP therapy
    B) mechanical ventilation
    C) mask CPAP
    D) nasotracheal suctioning prn
    B) mechanical ventilation
    (this multiple choice question has been scrambled)
  46. A patient in the ICU complains of light headedness, nausea and chest pain. THe patient is diaphoretic and has a BP of 90/60. The therapist observes the following ECG pattern. The therapist should recommend:

    A) cardioversion
    B) epinephrine
    C) lidocaine (xylocaine)
    D) defibrillation
    A) cardioversion
    (this multiple choice question has been scrambled)
  47. A family arrives at the ED c/o severe headache and nausea. Carbon monoxide poisoning is suspected. Which of the following should be included in the care plan?

    A) bronchodilator therapy
    B) CPAP
    C) high FiO2
    D) mechanical ventilation
    C) high FiO2
    (this multiple choice question has been scrambled)
  48. While palpating the anterior chest of a patient receiving continuous ventilatory support, a therapist finds a reduction in the chest expansion on the left side. The therapist should first:

    A) recommend immediate infusion of furosemide (lasix)
    B) compare breath sounds between each side of the chest
    C) prepare for a needle decompression and sterilize the left chest wall
    D) palpate for a subcutaneous emphysema along the lateral left chest wall
    B) compare breath sounds between each side of the chest
    (this multiple choice question has been scrambled)
  49. Which of the following should be recommended to reduce system arterial blood pressure and reduce ventricular preload?

    A) dobutamine (dobutrex)
    B) dopamine (intropin)
    C) sodium nitroprusside (nipride)
    D) propranolol (inderal)
    C) sodium nitroprusside (nipride)
    (this multiple choice question has been scrambled)
  50. HFOV is initiated for a 25-week premature neonate with severe RDS. The neonate has a HR of 160 and a BP of 64/40. An ABG obtained 20 minutes after intubation shows  pH 7.26   pCO2 64   pO2 60  HCO3 29  BE 0. The therapist should recommend:

    A) decrease the continuous distending pressure
    B) initiate conventional mechanical ventilation
    C) increasing the oscillatory amplitude
    D) changing the FiO2
    C) increasing the oscillatory amplitude
    (this multiple choice question has been scrambled)
  51. A 29 YO female with progressive dyspnea over the past 3 months presents to the pulmonary laboratory. The therapist notes a history of Guillain-Barré requiring prolonged endotracheal intubation. The following flow-volume loop is obtained. Which of the following procedures should the therapist anticipate being performed?

    A) CT scan of the head and thorax
    B) cardiopulmonary exercise tresting
    C) MIP and MEP measurement
    D) bronchoprovocation testing
    A) CT scan of the head and thorax
    (this multiple choice question has been scrambled)
  52. A 60 YO female with a diagnosis of bilateral basilar pneumonia is in the ICU. She is receiving VC, A/C ventilation. A therapist observes that her PaO2 has dropeed significantly from 65 to 52. Her current FiO2 is 0.60 and PEEP is 5 cm H2O. She is agitated and showing signs of respiratory distress. Her PaCO2 values have remained within normal range. What do you recommend?

    A) institute SIMV
    B) increase the PEEP to 10 cm H2O
    C) sedate the patient
    D) increase the FiO2 to 0.65
    B) increase the PEEP to 10 cm H2O
    (this multiple choice question has been scrambled)
  53. A patient is receiving mechanical ventilation in the SIMV mode. A therapist is completing a ventilator check and auscultates bilateral coarse crackles. The total rate displayed by the ventilator is 24, which is up from 14 at the last check. The patient's SpO2 is the same as it was on the last check. Which of the following should the therapist do?

    A) compare bilateral chest excursion
    B) increase the high alarm threshold
    C) recommend a CXR
    D) suction the airway
    D) suction the airway
    (this multiple choice question has been scrambled)
  54. A 71 YO female with a history of COPD is brought to the ED for respiratory distress. The patient is receiving oxygen by nasal cannula at 3 lpm. A therapist notes the patient has shallow breathing and has become progressively more difficult to arouse. To evaluate this patient's respiratory status, the therapist should:

    A) perform bedside spirometry
    B) obtain an ABG
    C) request a chest radiograph
    D) initiate pulse oximetry
    B) obtain an ABG
    (this multiple choice question has been scrambled)
  55. A  73 kg (162 lbs) 170 cm (5'7") man is receiving VC, SIMV following open heart surgery. Initial ventilator settings and blood gas results are below:  FiO2 0.40  R 8 TtlR 10 Vt 700 Vtspon 400  PS 5 cm H2O  PEEP 5 cm H2O   pH 7.28  pCO2 52  pO2 81  HCO3 24  BE -2. The therpist should first recommend increasing the:

    A) PS to 15 cm H2O
    B) mandatory rate to 12
    C) PEEP to 10
    D) FiO2 to 0.50
    B) mandatory rate to 12
    (this multiple choice question has been scrambled)
  56. Which of the following are potential complications associated with obtaining a blood sample through an indwelling radial arterial catheter?

    A) arteriospasm & dislodging a clot
    B) infection & dislodging a clot
    C) infection & pulmonary embolism
    D) arteriospasm & pulmonary embolism
    B) infection & dislodging a clot
    (this multiple choice question has been scrambled)
  57. Immediately following intubation, a therapist notes decreased breath sounds on the patient's left side and asymmetrical chest movement. Which of the following should the therapist recommend first?

    A) obtain a stat ABG
    B) insert a chest tube in the left pleural space
    C) reposition the ETT
    D) extubate the patient
    C) reposition the ETT
    (this multiple choice question has been scrambled)
  58. A tracheostomy should be cleaned with:

    A) betadine
    B) acetic acid
    C) soap & water
    D) chlorhexadine
    C) soap & water
    (this multiple choice question has been scrambled)
  59. A patient is admitted to the ED for asthma and auscultation reveals loud wheezing. A therapist administers two aerosolized bronchodilator treatments. Breath sounds and wheezing are now markedly diminished. It can be concluded that the patient's bronchospasm has:

    A) improved
    B) worsened
    C) resolved
    D) not changed
    B) worsened
    (this multiple choice question has been scrambled)
  60. Which of the following PFT's measures the FRC, RV and TLC?

    A) DLCO
    B) body plethysmography
    C) MVV
    D) spirometry
    B) body plethysmography
    (this multiple choice question has been scrambled)
  61. A patient arrives in the ED 1 hour after exposure to a chemical release from an industrial accident. The patient's SpO2 is 93% while receiving 4 lpm of oxygen by nasal cannula. Auscultation reveals normal air movement with bilateral expiratory wheezes. Which of the following is the most appropriate next step in the care of this pateint?

    A) transport the patient for a spiral CT scan of the thorax
    B) start supplemental oxygen by nonrebreathing mask
    C) initiate a short acting bronchodilator by aerosol
    D) prepare the patient for nasotracheal suctioning
    C) initiate a short acting bronchodilator by aerosol
    (this multiple choice question has been scrambled)
  62. While a patient is receiving VC ventilation, the ventilator suddenly begins to pressure limit with every breath. The patient's vital signs are deteriorating and the SpO2 is dropping. On PE, it is noted that the patient's trachea has shifted to the right and breath sounds are absent on the left side of the thorax. The physician at the bedside asks for the therapist's input. Which of the following is the proper course of action at this time?

    A) obtain an ABG
    B) obtain a CXR
    C) reposition the ETT
    D) perform needle decompression
    D) perform needle decompression
    (this multiple choice question has been scrambled)
  63. The primary function of the respiratory therapy department in a disaster is providing:

    A) a list of those who are excused in the disaster
    B) a roster of volunteers in the department
    C) triage assistance at the point of entry
    D) sufficient numbers of trained personnel
    D) sufficient numbers of trained personnel
    (this multiple choice question has been scrambled)
  64. Which of the following transdermal preparations can be used to assist a patient in a smoking cessation program?

    A) nitrodur
    B) nicoderm
    C) transderm scop
    D) estraderm
    B) nicoderm
    (this multiple choice question has been scrambled)
  65. A 20 YO female is admitted to the ED after she was pulled from a burning building. She is receiving oxygen by nonrebreathing mask and is breathing 30 times a minute with a normal skin color and a heart rate of 145. SpO2 is 100%. The therapist should:

    A) recommend carboxyhemoglobin testing
    B) recommend sputum C&S
    C) recommend circulating cardiac enzyme testing
    D) recommend serum theophylline levels
    A) recommend carboxyhemoglobin testing
    (this multiple choice question has been scrambled)
  66. A pateint experiences increasing SOB and a rapid, shallow breathing pattern after abdominal surgery. The patient is receiving oxygen by air-entrainment mask with a FiO2 of 0.50. The most recent ABG is  pH 7.44  pCO2 33  pO2 45  HCO3 22  BE -2. You should initiate:

    A) a nonrebreather mask
    B) NIPV
    C) PEP therapy
    D) invasive mechanical ventilation
    B) NIPV
    (this multiple choice question has been scrambled)
  67. Which of the following indicates a deficit in fluid balance?

    A) brisk capillary refill
    B) poor skin turgor
    C) jugular venous distension
    D) pedal edema
    B) poor skin turgor
    (this multiple choice question has been scrambled)
  68. Results of a sleep study reveal a patient has obstructive sleep apnea with marked oxygen desaturation. Which of the following therapies should be recommended for this patient?

    A) oropharyngeal airway
    B) oxygen at 2 lpm by cannula
    C) bed elevation to 45 degrees
    D) nasal CPAP
    D) nasal CPAP
    (this multiple choice question has been scrambled)
  69. A patient with an ideal body weight of 68 kg is receiving VC ventilation with the following settings: Ttl Rate 18  Vt 600  Peak Flow 45 lpm  Pplat 22  PEEP 3 cm H2O. What is the patient's minute ventilation?

    A) 13.2
    B) 5.4
    C) 10.8
    D) 8.1
    C) 10.8
    (this multiple choice question has been scrambled)
  70. While transporting a sedated patient using a portable ventilator, a therapist notes the patient's SpO2 has dropped from 97% to 84% and the heart rate has increased from 87 to 126. The therapist should first:

    A) request additional sedation
    B) manually ventilate the patient
    C) alert the medical emergency team
    D) replace the ETT
    B) manually ventilate the patient
    (this multiple choice question has been scrambled)
  71. PEP therapy will be performed at home by a 6 YO girl who has been diagnosed with cystic fibrosis. Which of the following should a therapist do when instructing the child and caregiver?

    A) recommend that the therapy be conducted before breakfast and immediately after dinner
    B) encourage the child to focus onreaching the prescribed pressure level on inspiration
    C) assess the caregiver's understanding of how the child should perform the therapy
    D) remind the child it is her responsibility to take the therapy for the prescribed duration
    C) assess the caregiver's understanding of how the child should perform the therapy
    (this multiple choice question has been scrambled)
  72. A patient is receiving SIMV following surgery. The vital signs are stable. Which of the following should the therapist recommend as the patient awakens?

    A) switch to A/C mode
    B) initiate weaning
    C) sedate the patient
    D) increase the SIMV rate
    B) initiate weaning
    (this multiple choice question has been scrambled)
  73. A therapist auscultates vesicular sounds throughout the periphery of the lung. This should be documented in the chart as:

    A) crackles
    B) wheezes
    C) normal
    D) friction rubs
    C) normal
    (this multiple choice question has been scrambled)
  74. A 188 cm (6'2") patient who weighs 100 kg (220 lbs) is receiving SIMV with the following settings:  FiO2 0.80  MRate 10 TtlR 32  Vt 750  Spon Vt 100  PEEP 12  PS 5. Which of the following should the therapist increase?

    A) pressure support
    B) PEEP
    C) Vt
    D) mechanical dead space
    A) pressure support
    (this multiple choice question has been scrambled)
  75. A therapist is performing quality control on a blood gas analyzer. To be accepted, result must occur within how many standard deviations from established limits?

    A) 2
    B) 6
    C) 4
    D) 1
    A) 2
    (this multiple choice question has been scrambled)
  76. A 55 YO patient is in moderate respiratory distress when receiving oxygen therapy. Blood gas results are pH 7.46   pCO2 33  pO2 54  HCO3 23  BE 0. Which of the following should be suspected?

    A) chronic respiratory alkalosis with severe hypoxemia
    B) compensated metabolic alkalosis with mild hypoxemia
    C) acute respiratory alkalosis with moderate hypoxemia
    D) chronic hypercapnia with severe hypoxemia
    C) acute respiratory alkalosis with moderate hypoxemia
    (this multiple choice question has been scrambled)
  77. Which of the following will lower mean airway pressure in a patient receiving VC ventilation?

    A) decrease the inspiratory time
    B) increase the PEEP
    C) decrease the trigger sensitivity
    D) increase the Vt
    A) decrease the inspiratory time
    (this multiple choice question has been scrambled)
  78. A 16 YO female was brought to the ED with a suspected drug overdose. She is intubated and receiving A/C ventilation. The following data are available:  R 14  Vt 550  Insp Flow 20  Pressure Limit 50. A physician notices the I:E ratio indicates 1:1.2 and asks the therapist to adjust it so the I:E will be 1:3. The therapist should increase the:

    A) rate
    B) inspiratory flow
    C) sensitivity
    D) Vt
    B) inspiratory flow
    (this multiple choice question has been scrambled)
  79. A 48 YO patient with polyneuropathy has received mechanical ventilation for 73 days.For the past week, the patient has been receiving an FiO2 of 0.40 by trach collar for progressively longer periods of time. Data collected over a 4-hour weaning trial are: 30 minutes: HR 98  RR 22  SpO2 96  VC 1.6  MIP -28; 2 hrs:  HR 102  RR 24  SpO2 95  VC 1.6  MIP -26; 4 hrs: HR 124  RR 34  SpO2 89  VC 0.9  MIP -16. A therapist should recommend:

    A) continuing the four hour regimen
    B) discontinue weaning trials for 48 hours
    C) continuing trials of 2 hours duration
    D) increasing the FiO2 setting to 0.50 during the next trial
    C) continuing trials of 2 hours duration
    (this multiple choice question has been scrambled)
  80. A chest radiograph for a newly admitted patient shows honycombing. While assessing the patient, the therapist notes a dry, non-productive cough and mild tachypnea. Which of the following diagnostic tests should the therapist recommend?

    A) V/Q Scan
    B) high resolution CT Scan
    C) thoracentesis
    D) bronchoalveolar lavage
    B) high resolution CT Scan
    (this multiple choice question has been scrambled)
  81. Tracheal suctioning should be discontinued immediately with the occurrence of:

    A) coughing
    B) patient discomfort
    C) diaphoresis
    D) bradycardia
    D) bradycardia
    (this multiple choice question has been scrambled)
  82. Quality control results using a 3.0 L calibration syringe spirometer are as follows: V1 2.67L; V2 2.70L; V3 2.69L. According to ATS/ERD Standards, the spirometer is:

    A) lacking linearity
    B) inadequately reliable
    C) inaccurate
    D) correctly calibrated
    C) inaccurate
    (this multiple choice question has been scrambled)
  83. A patient has been intubated for 4 days. When suctioning, it is noted that the secretions are becoming more tenacious. THe therapist should:

    A) switch to a heat moisture exchanger
    B) ensure proximal airway temperature is at least 35 degrees C
    C) instill 5 ml normal saline into the ETT
    D) change the device from an aerosol to a passover humidifier
    B) ensure proximal airway temperature is at least 35 degrees C
    (this multiple choice question has been scrambled)
  84. A patient in the ICU has been receiving mechanical ventilation for 2 weeks. The sputum has changed from white to green and is foul smelling. Smear of the sputum reveals gram positive cocci. The patient's WBC is 13,500. Which of the following therapies are recommended?

    A) antibiotics
    B) anti-inflammatory
    C) antivirals
    D) antiprotozoan
    A) antibiotics
    (this multiple choice question has been scrambled)
  85. Which of the following should be recommended for a suspected cystic fibrosis patient?

    A) sputum cytology
    B) sweat chloride test
    C) family genetic study
    D) liver function test
    B) sweat chloride test
    (this multiple choice question has been scrambled)
  86. A therapist is assisting a physician with a needle biopsy of a lung mass during a bronchoscopy. The biopsy site begins to hemorrhage. Which of the following should the therapist have ready for instillation?

    A) vitamin K
    B) lidocaine
    C) cold, sterile normal saline
    D) eoinephrine
  87. a patient with a trachesotomy tube is receiving a heated aerosol with an FiO2 of 0.30 by T-piece. A nurse informs the therapist that the T-piece often becomes disconnected from the trach tube. THe following recommendation should be made:

    A) tape the T-piece to the trach tube
    B) exchange the T-piece with a trach collar
    C) add a reservoir to the T-piece
    D) replace the inner cannula of the trach tube
    B) exchange the T-piece with a trach collar
    (this multiple choice question has been scrambled)
  88. A first line of therapy for the treatment & management of obstructive sleep apnea is:

    A) medical treatment with antidepressants
    B) CPAP
    C) bi-level positive airway pressure
    D) uvulapalatopharyngoplasty
    B) CPAP
    (this multiple choice question has been scrambled)
  89. A therapist returns to the room of a 62 YO patient and finds him unresponsive. The patient has a RR of 8, HR of 154 and a weak pulse. He is currently on a cannula of 2 lpm. The therapist should first:

    A) increase the cannula to 4 lpm and monitor with pulse oximetry
    B) recommend obtaining a CXR to evaluate pulmonary status
    C) activate the medical response team
    D) contact the physician for evaluation of the patient
    C) activate the medical response team
    (this multiple choice question has been scrambled)
  90. In a normal, healthy adult, which of the following pulmonary measurements is the largest?

    A) ERV
    B) IC
    C) FRC
    D) VC
    D) VC
    (this multiple choice question has been scrambled)
  91. A manometer is being used to monitor a continuous flow CPAP mask device set at 10 cm H2O. Each time the patient inhales, the pressure decreases to 2 cm H2O and then returns to 10 cm on exhalation. Which of the following is the most likely cause?

    A) the mask size is too large for this patient
    B) the CPAP pressure valve is too small for this patient
    C) the flow of gas to the system is insufficient
    D) there is a leak in the patient system
    C) the flow of gas to the system is insufficient
    (this multiple choice question has been scrambled)
  92. A patient with an acute exacerbation of COPD is receiving VC, SIMV. THe following ABG's are obtained:  pH 7.58  pCO2 67  pO2 67  HCO3 57  BE +30. The therapist should:

    A) decrease the mandatory rate
    B) maintain the current settings
    C) increase the FiO2
    D) change to A/C mode
    A) decrease the mandatory rate
    (this multiple choice question has been scrambled)
  93. While observing a patient performing incentive spirometry, it is noticed that the patient is not exhaling completely before beginning the next breath. The therapist should instruct the patient to:

    A) exhale more rapidly before inhaling
    B) allow a longer time before the next breath
    C) take smaller breaths to allow complete exhalation
    D) perform an FVC maneuver after each breath
    B) allow a longer time before the next breath
    (this multiple choice question has been scrambled)
  94. A capillary BG sample is drawn for a 3-day old female and reveals the following: pH 7.37  pCO2 67  pO2 46  SpO2 97%  PtcCO2 42/ Over the last 24 hours the TC monitor values consistently correlate with the CBG values. Which of the following is the most likely cause of the discrepancy in this patient's results?

    A) the sample site was the lateral aspect of the heel
    B) the sample site was cleansed with alcohol
    C) the sample site was warmed to 36 degrees C
    D) the sample size was 100 microlitres
    C) the sample site was warmed to 36 degrees C
    (this multiple choice question has been scrambled)
  95. Which of the following provides the best indication of alveolar ventilation?

    A) VC
    B) MVV
    C) Vt
    D) ABG
    D) ABG
    (this multiple choice question has been scrambled)
  96. Lung fields appear whiter on a CXR when the imaging technique is:

    A) underexposed
    B) rotated
    C) a lateral view
    D) overexposed
    A) underexposed
    (this multiple choice question has been scrambled)
  97. A patient who weighs 62 kg requires a minute ventilation of 15 lpm to maintain a PaCO2 of 36 while receiving mechanical ventilation. Which of the following could explain these requirements?

    A) high Vds & febrile & excessive caloric intake
    B) high Vds & intrapulmonary shunt & high caloric intake
    C) high Vds & febrile & intrapulmonary shunt
    D) febrile & intrapulmonary shunt & high caloric intake
    A) high Vds & febrile & excessive caloric intake
    (this multiple choice question has been scrambled)
  98. Static compliance is obtained by dividing Vt by:

    A) (PIP-PEEP)
    B) (Pplat-PEEP)
    C) (PIP-Paw)
    D) (Paw-Pplat)
    B) (Pplat-PEEP)
    (this multiple choice question has been scrambled)
  99. A patient receiving mechanical ventilation has a BP of 60/40. The patient is currently on a continuous dopamine HCl infusion and the SpO2 monitor does not consistently display a waveform of saturation value.  Which of the following is the best course of action?

    A) discontinue the pulse oximetry
    B) perform serial ABG's
    C) increase the dopamine infusion
    D) change to a reflective forehead sensor
    D) change to a reflective forehead sensor
    (this multiple choice question has been scrambled)
  100. A patient who weighs 70 kg is receving mechanical ventilation in the SIMV mode. The following data are available:  FiO2 0.40  MR 8 TtlR 30  Vt 550 Exhaled Minute Voume 6.6L.  pH 7.43  pCO2 33  pO2 95  HCO3 21  BE +2  SaO2 98%. What do you recommend

    A) decreasing the mandatory rate to 6
    B) adjusting the Vt to 450 ml
    C) Adding pressure support at 5 cm H2O
    D) decreasing the FiO2 to 0.30
    C) Adding pressure support at 5 cm H2O
    (this multiple choice question has been scrambled)
  101. A patient with pulmonary emphysema has been receiving 24% oxygen for 30 minutes. PaCO2 has risen from 45 to 48 and PaO2 has rised from 45 to 60. What should be done next?

    A) continue current oxygen therapy
    B) initiate mechanical ventilation
    C) increase the oxygen
    D) d/c the oxygen
    A) continue current oxygen therapy
    (this multiple choice question has been scrambled)
  102. The following capillary blood gases are obtained for a 34-233k gestational age infant receiving 35% oxygen per hood.  pH 7.34  PcCO2 45  pO2 83  GCO3 23  BE -1, What do you recommend?

    A) institute nasal CPAP
    B) initiate conventional mechanical ventilation
    C) decrease the oxygen
    D) maintain the FiO2
    C) decrease the oxygen
    (this multiple choice question has been scrambled)
  103. A patient with a bronchopleural fistula remains hypoxemic while receiving VC ventilation. Which of the following should be recommended?

    A) high frequency oscillatory ventilation
    B) PS ventilation
    C) CPAP
    D) PC inverse ratio ventilation
    A) high frequency oscillatory ventilation
    (this multiple choice question has been scrambled)
  104. A patient with a tracheostomy tube has been transitioned from a heat moisture exchanger to a heated aerosol. Acute dyspnea has developed. Which of the following is the most likely explanation?

    A) terminal airways became occluded by aerosol particles
    B) oxygen molecules were displaced by aerosol particles
    C) secretions expanded as they became hydrated
    D) crystals formed as aerosol evaporated
    C) secretions expanded as they became hydrated
    (this multiple choice question has been scrambled)
  105. Which of the following can provide 100% humidity at body temperature?

    A) heated wick humidifier
    B) bubble humidifier
    C) spinning disk humidifier
    D) bubble humidifier
    A) heated wick humidifier
    (this multiple choice question has been scrambled)
  106. A suction canister from the bronchoscopy suite was used for a patient with HIV. How should the canister be disposed?

    A) dispose of it with regular waste
    B) place it in a biohazard bag
    C) wipe it with isopropyl alcohol and incinerate
    D) double bag it in plastic
    B) place it in a biohazard bag
    (this multiple choice question has been scrambled)
  107. A patient receiving a nebulizer treatment with 3% saline c/o SOB. You should:

    A) decrease the nebulizer output
    B) add a bronchodilator to the nebulizer
    C) add oxygen to the inspired gas
    D) d/c therapy
    D) d/c therapy
    (this multiple choice question has been scrambled)
  108. Which of the following findings indicate clinical improvement of atelectasis?

    A) rhonchi clearing with cough
    B) reduced pleural rub
    C) decrease in inspiratory crackles
    D) diminished wheezes
    C) decrease in inspiratory crackles
    (this multiple choice question has been scrambled)
  109. A 75 kg patient had a cardiac arrest and is admitted to the ICU. The patient is apneic and is receiving 100% O2 by a bag valve resuscitator and has a SpO2 of 95%. Which of the following are the most appropriate settings?

    A) SIMV FiO2 0.4 Rate 12 Vt 750 PEEP 5
    B) SIMV FiO2 1.0 Rate 10 Vt 400 PEEP 3
    C) A/C FiO2 1.0 Rate 10 Vt 400 PEEP 3
    D) A/C FiO2 0.4 Rate 10 Vt 850 PEEP 3
    C) A/C FiO2 1.0 Rate 10 Vt 400 PEEP 3
    (this multiple choice question has been scrambled)
  110. A patient is receiving mechanical ventilation at home. Which of the following devices should be available to provide temporary support in the event of a power failure?

    A) face shield for mouth-to-mouth ventilation
    B) bag valve resuscitator
    C) CPAP device with nasal mask
    D) pneumatic demand valve resuscitator
    B) bag valve resuscitator
    (this multiple choice question has been scrambled)
  111. A patient hospitalized with LLL atelectasis has received PD&D four times daily for 5 days. Auscultation of the chest now reveals vesicular breath sounds. You should recommend:

    A) start acetylcysteine aerosol
    B) initiate HFCWO
    C) d/c therapy
    D) decrease rx to bid
    C) d/c therapy
    (this multiple choice question has been scrambled)
  112. Heated humidification should be used with:

    A) ETT
    B) a nonrebreather mask
    C) a 4 lpm nasal cannula
    D) a 50% air-entrainment mask
    A) ETT
    (this multiple choice question has been scrambled)
  113. The corect placement for a needle during decompression of a tension pneumothorax is:

    A) under the third rib in the mid-clavicular line
    B) under the second rib in the anterior axillary line
    C) over the second rib in the anterior axillary line
    D) over the third rib in the mid-clavicular line
    D) over the third rib in the mid-clavicular line
    (this multiple choice question has been scrambled)
  114. Which of the following serum sodium values is typical for a normal healthy adult?

    A) 131
    B) 148
    C) 138
    D) 121
    C) 138
    (this multiple choice question has been scrambled)
  115. Trendelenberg's position for postural drainage is contraindicated after a patient has had:

    A) cardiovascular surgery
    B) a pneumonectomy
    C) intracranial surgery
    D) hip surgery
    C) intracranial surgery
    (this multiple choice question has been scrambled)
  116. A patient is receiving continuous mechanical ventilation. To monitor and assess lung compliance and airway resistance, the following data are collected:
                   8 am        10 am
    del Vt       800           800
    PEEP/CPAP   5             5
    Peak AWP   30            40
    Stat AWP    20            30
    Insp Flow    60            60
    Which of the following should the therapist do next?

    A) perform bronchopulmonary lavage
    B) request a CXR
    C) decrease the PEEP setting
    D) increase the inspiratory flow setting
    B) request a CXR
    (this multiple choice question has been scrambled)
  117. A patient is being valuated following a MVA.The therapist palpates crepitus near the patient's right clavicle. This most likely indicates:

    A) tactile fremitus
    B) secretions in the airways
    C) subcutaneous emphysema
    D) bronchospasm
    C) subcutaneous emphysema
    (this multiple choice question has been scrambled)
  118. A 58 YO male patient is admitted to the ED following an MVA. THe HR is 100 and spontaneous RR is 32. ABG's are pH 7.44 pCO2 35  pO2 52  HCO3 23 BE 0. Which of the following should the therapist recommend first?

    A) H&H
    B) cardiac output
    C) serum lytes
    D) PTT
    A) H&H
    (this multiple choice question has been scrambled)
  119. A 183 cm (6'), 80 kg patient was receiving PSV with an FiO2 of 0.35 before surgery. After the patient returns from surgery, the following data are collected:  FiO2 0.75  RR 16  Vt 600  PEEP 8   pH 7.32  pCO2 45  pO2 50  HCO3 23 BE-3 SpO2 88%. THe therapist should recommend:

    A) decreasing FiO2
    B) a lung recruitment maneuver
    C) increasing tidal volume
    D) an autoPEEP measurement
    B) a lung recruitment maneuver
    (this multiple choice question has been scrambled)
  120. What volume remains in the lung at the end of a normal exhalation?

    A) FRC
    B) ERV
    C) IRV
    D) FVC
    A) FRC
    (this multiple choice question has been scrambled)
  121. A 38 YO male presents to the ED with a complaint of frequent vomiting. ABG's RA  pH 7.52  pCO2 38 pO2 102  HCO3 31  BE+8. Which of the following electrolyte disturbances most likely account for this anomaly?

    A) K 4.8 Cl 112
    B) K 4.8 Cl 82
    C) K 3.2 Cl 82
    D) K 3.2 Cl 112
    C) K 3.2 Cl 82
    (this multiple choice question has been scrambled)
  122. A therapist is concerned that the ETT of a stable patient may have moved during transport. Which of the following should be used to determine the position of the tube?

    A) laryngoscopy
    B) CXR
    C) capnography
    D) thoracic inspection
    B) CXR
    (this multiple choice question has been scrambled)
  123. A 68 YO chronically hypercapneic male with a 105 pack year history of smoking is admitted to the ED with SOB and tachypnea. He appears mildly confused and is given oxygen by 28% air entrainment mask. Within minutes his SpO2 is 85%. Which of the following should the therapist recommend as the next step while monitoring SpO2?

    A) 12 lpm simple mask
    B) nonrebreathing mask
    C) 36% air entrainment mask
    D) 3 lpm nasal cannula
    C) 36% air entrainment mask
    (this multiple choice question has been scrambled)
  124. A physician ordered heliox therapy for an infant with a tracheal obstruction. The treatment will be administered with an oxygen hood using 80/20 heliox. An oxygen calibrated flowmeter is used to control gas flow and is set at 10 lpm. What is the actual gas flow to the patient?

    A) 16 lpm
    B) 5.6 lpm
    C) 10 lpm
    D) 18 lpm
    D) 18 lpm
    (this multiple choice question has been scrambled)
  125. When assisting a physician with a synchronized cardioversion, a therapist should ensure the defibrillator is synchronized to which of the following waves on the ECG?

    A) P
    B) U
    C) T
    D) R
    D) R
    (this multiple choice question has been scrambled)
  126. An MDI is ordered for a patient receiving mechanical ventilation. Which of the following is the most appropriate way to administer the bronchodilator?

    A) insert the MDI into the expiratory limb of the ventilator
    B) increase the mandatory rate during the MDI actuation
    C) place the MDI adaptor in the inspiratory limb, close to the Y
    D) discharge the MDI directly into the ETT
    C) place the MDI adaptor in the inspiratory limb, close to the Y
    (this multiple choice question has been scrambled)
  127. The following PFT results were obtained:  VC 3.6  FRC 6.0  ERV 1.0   What is the patient's TLC?

    A) 7.0
    B) 6.0
    C) 8.6
    D) 9.6
    C) 8.6
    (this multiple choice question has been scrambled)
  128. A patient with ARDS is receiving A/C, PC ventilation. Radial & PA Catheters are placed for monitoring. Which of the following should be used to evaluate oxygen delivery in the determination of PEEP for this patient?

    A) serum lactate level
    B) mixed venous blood gas
    C) cardiac output
    D) ABG
    B) mixed venous blood gas
    (this multiple choice question has been scrambled)
  129. A 28-week gestational age neonate who is intubated has developed consolidation of the left lung. In which position should the patient be placed?

    A) supine
    B) prone
    C) left side down
    D) right side down
    D) right side down
    (this multiple choice question has been scrambled)
  130. A patient requies frequent nasotracheal suctioning.  The patient begins to cough violently after the nasopharyngeal airway is placed. Which of the following should be recommended?

    A) wait 10 minutes for the patient to adapt to the airway
    B) insert an airway that has a shorter length
    C) wait until the patient falls asleep to insert an airway
    D) insert an airway that is wider
    B) insert an airway that has a shorter length
    (this multiple choice question has been scrambled)
  131. In which of the following patient discharge situations should a therapist recommend an apnea monitor for home use?

    A) 4 YO child following surgery for intesitnal obstruction
    B) preterm infant who has been treated with caffeine
    C) neonate who was diagnosed with cystic fibrosis
    D) term infant who exhibits intermittent acrocyanosis
    B) preterm infant who has been treated with caffeine
    (this multiple choice question has been scrambled)
  132. A 201 kg (442 lbs) patient who underwent a gastric bypass and tracheotomy 2 weeks ago remains in the ICU receiving VC ventilation. After the patient is rolled to the supine position, the ventilator high pressure alarm sounds with each breath. The suction catheter can be passed 10 cm into the trach and no secretions are evident. Which of the following should be done first?

    A) replace the trach with an ETT
    B) recommend a CXR
    C) reposition the tube in the trachea
    D) initiate bag valve respiration
    C) reposition the tube in the trachea
    (this multiple choice question has been scrambled)
  133. A 36 YO male who suffered a C4 spinal injury 2 years ago received rehab and was able to resume spontaneous ventilaiton. He has had flu like symptoms, increased respiratory distress and increased pulmonary secretions over the past day. On presentation in the ED, ABG's are  pH 7.28  pCO2 51  pO2 68 HCO3 24  BE -3 SpO2 90%. What do you recommend?

    A) IPPB
    B) NPPV
    C) HFCWO
    D) CPAP
    B) NPPV
    (this multiple choice question has been scrambled)
  134. A postopoerative patient is receiving supplemental oxygen through a nasal cannula at 2 lpm. Which of the following is the most appropriate method for a therapist to evaluate the patient's response to the oxygen therapy?

    A) measure the SpO2
    B) evaluate the patient for respiratory distress
    C) perform an ABG
    D) observe the patient for cyanosis
    A) measure the SpO2
    (this multiple choice question has been scrambled)

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