TMC Secure Form A
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Last updated over 5 years ago
140 questions
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1. A 55 y/o patient with dyspnea and a non-productive cough has the following noted examination results over the right lower lung field:- dullness to percussion- decreased tactile fremitus- diminished breath soundsWhich of the following is most likely to produce these findings?
1. A 55 y/o patient with dyspnea and a non-productive cough has the following noted examination results over the right lower lung field:
- dullness to percussion
- decreased tactile fremitus
- diminished breath sounds
Which of the following is most likely to produce these findings?
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Which of the following is associated with an optimally exposed chest radiograph?
Which of the following is associated with an optimally exposed chest radiograph?
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The use of respiratory accessory muscles is frequently the result of an increase in:
The use of respiratory accessory muscles is frequently the result of an increase in:
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A 30 y/o patient has been receiving mechanical ventilation for 24 hours following admission for adrug overdose. The patient is alert, oriented, and stable, and has been weaned to PSV of 5 cmH20 andan Fi02 of 0.40. The following data are collected after 30 minutes:
ph 7.45 Vt: 485 mlC02: 34 torr MIP: -38 cmH20Pa02: 125 torr RR: 16HC03: 23 mEq/L
Which of the following should a RT recommend?
A 30 y/o patient has been receiving mechanical ventilation for 24 hours following admission for a
drug overdose. The patient is alert, oriented, and stable, and has been weaned to PSV of 5 cmH20 and
an Fi02 of 0.40. The following data are collected after 30 minutes:
ph 7.45 Vt: 485 ml
C02: 34 torr MIP: -38 cmH20
Pa02: 125 torr RR: 16
HC03: 23 mEq/L
Which of the following should a RT recommend?
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A physician orders 1 mg of medication to be administered by aerosol. If the concentration of a stocksolution is 0.04%, how many ml of the solution must be administered?
A physician orders 1 mg of medication to be administered by aerosol. If the concentration of a stock
solution is 0.04%, how many ml of the solution must be administered?
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6. A pulse oximeter provides an accurate indication of a patient’s oxyhemoglobin saturation in which of the following clinical conditions?
Polycythemia pulmonary HTN CHF CO poisoning
6. A pulse oximeter provides an accurate indication of a patient’s oxyhemoglobin saturation in which of the following clinical conditions?
Polycythemia pulmonary HTN CHF CO poisoning
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A 70 kg (154lb), (6ft 3in) male postoperative patient is receiving VC, A/C ventilation. Pertinent data are below:
Fi02: 0.30 pH 7.29Mandatory Rate: 12 PaC02: 51 torrTotal Rate: 14 Pa02: 86 torrVT: 500 ml Hc03: 24 mEq/LInspiratory time: 1.0 sec B.E.: -2 mEq/LPEEP: 5 cmH20
Which of the following should the RT recommend?
A 70 kg (154lb), (6ft 3in) male postoperative patient is receiving VC, A/C ventilation. Pertinent data are below:
Fi02: 0.30 pH 7.29
Mandatory Rate: 12 PaC02: 51 torr
Total Rate: 14 Pa02: 86 torr
VT: 500 ml Hc03: 24 mEq/L
Inspiratory time: 1.0 sec B.E.: -2 mEq/L
PEEP: 5 cmH20
Which of the following should the RT recommend?
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If a RT chooses to use a portable ventilator to transport a patient within a hospital, the ventilator should have the ability to:
If a RT chooses to use a portable ventilator to transport a patient within a hospital, the ventilator should have the ability to:
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Auscultation immediately following intubation reveals absent breath sounds on the left. Which of the following is the most likely explanation for this finding?
Auscultation immediately following intubation reveals absent breath sounds on the left. Which of the following is the most likely explanation for this finding?
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A patient with CHF tells a RT that he feels like he can breathe better when he sleeps sitting in a chair. This is most indicative of:
A patient with CHF tells a RT that he feels like he can breathe better when he sleeps sitting in a chair. This is most indicative of:
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Which of the following can a RT use to determine a patient’s RSBI?
Which of the following can a RT use to determine a patient’s RSBI?
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A pt. involved in a MVA presents with respiratory distress. A chest radiograph confirms the presence of multiple fractures to five adjacent ribs on the left side. Which of the following physical findings should be expected during assessment of the chest?
A pt. involved in a MVA presents with respiratory distress. A chest radiograph confirms the presence of multiple fractures to five adjacent ribs on the left side. Which of the following physical findings should be expected during assessment of the chest?
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A patient with OSA reports he continues to experience significant daytime sleepiness. He states he uses his nasal CPAP at the prescribed level of 12 cmH20 every night, determined by previous polysomnographic testing. A repeat sleep study indicates multiple periods of absent airflow, without chest or abdominal movement. Which of the following should a RT recommend?
A patient with OSA reports he continues to experience significant daytime sleepiness. He states he uses his nasal CPAP at the prescribed level of 12 cmH20 every night, determined by previous polysomnographic testing. A repeat sleep study indicates multiple periods of absent airflow, without chest or abdominal movement. Which of the following should a RT recommend?
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Which of the following masks should be used to deliver a 70/30 heliox mixture mosteffectively to a patient?
Which of the following masks should be used to deliver a 70/30 heliox mixture most
effectively to a patient?
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Which of the following should a RT use to assess the severity of possible CO poisoning?
Which of the following should a RT use to assess the severity of possible CO poisoning?
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During nasotracheal suctioning, a patient exhibits a gag reflex but does not cough. Watery secretionsare aspirated through the catheter. Which of the following should the RT do before repeating theprocedure?
During nasotracheal suctioning, a patient exhibits a gag reflex but does not cough. Watery secretions
are aspirated through the catheter. Which of the following should the RT do before repeating the
procedure?
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Which of the following should a RT use to determine a neonate’s gestational age?
Which of the following should a RT use to determine a neonate’s gestational age?
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A pt. receiving mechanical ventilation by a portable ventilator is being transported from the ED toradiology. Which of the following is required during transport?
A pt. receiving mechanical ventilation by a portable ventilator is being transported from the ED to
radiology. Which of the following is required during transport?
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A RT is calibrating a helium analyzer. What should the analyzer read when calibrated on air?
A RT is calibrating a helium analyzer. What should the analyzer read when calibrated on air?
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Which of the following drugs is appropriate for the sedation of a 30 y/o patient with statusasthmaticus and hypotension who is receiving mechanical ventilation?
Which of the following drugs is appropriate for the sedation of a 30 y/o patient with status
asthmaticus and hypotension who is receiving mechanical ventilation?
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A physician will be sedating a patient for a procedure and asks a RT to monitor the patient’sventilation. The therapist should select a:
A physician will be sedating a patient for a procedure and asks a RT to monitor the patient’s
ventilation. The therapist should select a:
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The standard frequency for dosing of inhaled tiotropium (spiriva) is every:
The standard frequency for dosing of inhaled tiotropium (spiriva) is every:
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A pt. with severe COPD is receiving PC, A/C ventilation on 0.30. The pt. becomestachypneic and is apprehensive, mottled, and hypertensive. Auscultation reveals distant breath soundson the right as compared to the left. Tracheal deviation to the left is observed. A RT shouldrecommend evaluation for a potential:
A pt. with severe COPD is receiving PC, A/C ventilation on 0.30. The pt. becomes
tachypneic and is apprehensive, mottled, and hypertensive. Auscultation reveals distant breath sounds
on the right as compared to the left. Tracheal deviation to the left is observed. A RT should
recommend evaluation for a potential:
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A RT intends to change the I:E during VC ventilation. Flow is constant during inspiration. Which ofthe following can be adjusted to accomplish this change? Volume RR sensitivity inspiratory flow
A RT intends to change the I:E during VC ventilation. Flow is constant during inspiration. Which of
the following can be adjusted to accomplish this change?
Volume RR sensitivity inspiratory flow
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When reviewing progress notes for a pt. a RT notes that a provider has recommended changes to thepatient’s treatment plan. Which of the following should the RT do NEXT?
When reviewing progress notes for a pt. a RT notes that a provider has recommended changes to the
patient’s treatment plan. Which of the following should the RT do NEXT?
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What is the approximate total flow that will be delivered from a 40% air-entrainment mask receiving12 L/min of oxygen?
What is the approximate total flow that will be delivered from a 40% air-entrainment mask receiving
12 L/min of oxygen?
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A RT is asked to position a pt. for orotracheal intubation. The RT should place the patient’s head:
A RT is asked to position a pt. for orotracheal intubation. The RT should place the patient’s head:
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A pt. has been receiving mechanical ventilation through a tracheostomy tube for 16 days. Thepatient begins to thrash about in the bed following withdrawal of a drug-induced coma. Thepatient’s tracheostomy tube has become dislodged. Following appropriate sedation, the RT should:
A pt. has been receiving mechanical ventilation through a tracheostomy tube for 16 days. The
patient begins to thrash about in the bed following withdrawal of a drug-induced coma. The
patient’s tracheostomy tube has become dislodged. Following appropriate sedation, the RT should:
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A pt.’s BP is monitored by an appropriately positioned arterial catheter transducer. The transducer ismounted on an IV pole that is not attached to the bed. The bed is lowered to permit routine patientcare. How will this affect the measured BP?
A pt.’s BP is monitored by an appropriately positioned arterial catheter transducer. The transducer is
mounted on an IV pole that is not attached to the bed. The bed is lowered to permit routine patient
care. How will this affect the measured BP?
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A 21 y/o male patient experiencing a acute asthma exacerbation is intubated and receivingmechanical ventilation. There is a sudden increase in airway pressures. The pt. is hemodynamicallystable and breath sounds are clear, but significantly decreased on the right. Which of the followingshould the RT recommend?
A 21 y/o male patient experiencing a acute asthma exacerbation is intubated and receiving
mechanical ventilation. There is a sudden increase in airway pressures. The pt. is hemodynamically
stable and breath sounds are clear, but significantly decreased on the right. Which of the following
should the RT recommend?
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Which of the following values for arterial carbon dioxide tension is consistent with alveolarhyperventilation?
Which of the following values for arterial carbon dioxide tension is consistent with alveolar
hyperventilation?
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Which of the following drugs is most appropriate to paralyze a sedated 30 y/o pt. with statusasthmaticus who is receiving continuous mechanical ventilation?
Which of the following drugs is most appropriate to paralyze a sedated 30 y/o pt. with status
asthmaticus who is receiving continuous mechanical ventilation?
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A 21 y/o man arrives in the ED after rescue from a house fire. Physical examination reveals burns onthe upper chest and face, and marked edema of the face and oropharynx. Results on an ABG sampleobtained while the pt. was breathing air are as follows: Ph 7.55 PaC02 26 torr Pa02 105 torr HC03 22 mEq/LWhich of the following should a RT recommend?
A 21 y/o man arrives in the ED after rescue from a house fire. Physical examination reveals burns on
the upper chest and face, and marked edema of the face and oropharynx. Results on an ABG sample
obtained while the pt. was breathing air are as follows:
Ph 7.55 PaC02 26 torr Pa02 105 torr HC03 22 mEq/L
Which of the following should a RT recommend?
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Moderate stridor with retraction sis noted immediately after extubation of a pt. A RT shouldrecommend:
Moderate stridor with retraction sis noted immediately after extubation of a pt. A RT should
recommend:
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For which of the following are peak expiratory flow measurements indicated?
For which of the following are peak expiratory flow measurements indicated?
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A pt.’s V/Q scan indicates an excess of ventilation compared to perfusion in the left lower lobe. These results suggest:
A pt.’s V/Q scan indicates an excess of ventilation compared to perfusion in the left lower lobe. These results suggest:
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Which of the following is characteristic during VC ventilation?
Which of the following is characteristic during VC ventilation?