TMC 2019 NBRC Qs
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| Dullness to percussion, decreased tactile fremitus and diminished breath sounds are associated with | show 🗑
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| What is associated with an optimally exposed chest radiograph? | show 🗑
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| The use of respiratory accessory muscles is frequently the result of | show 🗑
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| Drug dosage calculation | show 🗑
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| show | Carbon monoxide poisoning
Explanation: carbon monoxide poisoning will result in carboxyhemoglobin. Standard pulse oximetry is unable to distinguish their differences resulting in high SpO2 readings.
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| Portable ventilators for pt. Transport within the hospital should have the ability to | show 🗑
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| A patient that states they feel they can breathe better when they sleep sitting in a chair is indicative of | show 🗑
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| show | Vane Respirometer
RSB Index is calculated using the formula:
RR/(minute volume)(RR)
the vane respirometer determines the minute volume
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| show | Flail chest
-During Inspiration, muscled move the chest wall out and the decreased intrapleural pressure pulls in the flail segment creating a paradoxical movement.
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| Absent airflow without chest or abdominal movement indicates what | show 🗑
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| show | Non rebreather
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| What is used to assess the severity of CO poisoning? | show 🗑
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| show | Flexible Bronchoscopy
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| show | N - acetylcysteine
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| show | Ipatropium Bromide
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| This drug is a beta2-agonist and is an appropriate substitute for Albuterol | show 🗑
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| A decrease in plateau pressures represents | show 🗑
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| show | An increase in airway resistance.
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| Pale or blue color, absent HR, no reflex irritability, limp muscle tone and absent respirations indicates what APGAR score? | show 🗑
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| show | 2 for dad he section
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| Color shows acrocyanosis, HR <100, grimace, some flexion, slow or irregular respirations is APGAR scoring of | show 🗑
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| FVC and FEV1 May be obtained from a | show 🗑
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| show | Continuous albuterol nebulizer
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| show | Secretions
Secretions produce low pitched discontinuous lung sounds
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| Subcutaneous emphysema is demonstrated by the presence of | show 🗑
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| Wheezing sound from narrowed airways | show 🗑
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| show | lower portion of the superior vena cava.
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| The patient's condition continues to deteriorate, based on increased oxygen requirements and an elevated PaCO2, indicating | show 🗑
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| show | Vibratory PEP
Deep breathing accompanied by PEP therapy will provide optimal bronchial hygiene to clear secretions
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| Initiation of an expiratory hold just prior to the next ventilator-delivered breath facilitates the measurement of | show 🗑
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| show | chest radiograph
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| Patient is diaphoretic and has a pulse of 120 and an SpO2 of 81% with a 28% tracheostomy collar. The therapist is unable to pass a suction catheter. Which of the following should the therapist do FIRST? | show 🗑
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| show | increasing oxygen extraction and an increased C(a-v̄)O2.
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| show | Coughing and deep breathing
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| show | Venti Mask
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| show | tidal volume and minute ventilation
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| most effective for destroying microorganisms on patient care equipment? | show 🗑
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| There is no response to bronchodilator therapy. In this instance, in evaluation of a patient who is short of breath, further _____ is required | show 🗑
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| the purpose of incentive spirometry after abdominal surgery | show 🗑
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| Capnography waveforms resembling shark fins indicates | show 🗑
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| show | Decrease dosage of albuterol
as HR increase is likely secondarily related
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| show | reintubation
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| show | Minute Ventilation
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| A patient who is receiving mechanical ventilation is scheduled for a fiberoptic bronchoscopy. Which of the following is the primary threat to adequate ventilation during the procedure? | show 🗑
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| While administering an IPV treatment at 20 cm H2O to a patient with cystic fibrosis, a respiratory therapist notes the patient has suddenly become very short of breath and cyanotic. The therapist's most appropriate action is to | show 🗑
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| There is no indication for NPPV for a patient in a | show 🗑
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| show | Decreased Metabolism
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| An elevated pulmonary capillary wedge pressure is an indicator of | show 🗑
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| show | 12 to 16
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| show | The Wrist
"rad wrist"
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| Where is the brachial artery located | show 🗑
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| The right radial artery should not be punctured when there is insufficient collateral circulation through the | show 🗑
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| side effect of inhaled nitric oxide | show 🗑
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| the maximum flow during a forced exhalation. | show 🗑
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| "Bird-beak" patterns are a result of hyperinflation. Decreasing what, will decrease the tidal volume and correct the hyperinflation | show 🗑
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| show | 3mL syringe
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| A wait of a few minutes should be expected after application of a transcutaneous electrode before values stabilize. This is associated with | show 🗑
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| show | Pressure Support
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| show | 35
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| Medication used to treat apneic conditions and indicates the need for home apnea monitoring in infants | show 🗑
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| most common side effect of aerosolized albuterol | show 🗑
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| Critical infection control step in the home setting | show 🗑
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| show | nonrebreather mask
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| show | vital capacity
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| show | bronchitis
Bronchitis is characterized by cough and sputum production. While pneumonia is similar it is often not chronic.
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| able to directly measure various forms of hemoglobin saturation, including oxyhemoglobin, carboxyhemoglobin, and methemoglobin | show 🗑
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| Based on an oxyhemoglobin disassociation curve, an SpO2 of 90% with a normal pH is approximately a PaO2 of | show 🗑
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| A patient is suspected of having an upper airway obstruction. Which test should a respiratory therapist recommend to detect this abnormality | show 🗑
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| show | open flow control valve
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| Three liters of air are injected into a spirometer from a certified-volume standard syringe. The measured value is 2.6 L. Which of the following should a respiratory therapist conclude? | show 🗑
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| History of nasal stuffiness, episodes of daytime dyspnea, and a cough that occurs every summer. Which of the following drug classifications should a respiratory therapist recommend to control the patient's symptoms? | show 🗑
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| Low PCWP and CVP coupled with a low urine output is characteristic of | show 🗑
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| The patient is exhibiting refractory wheezing., diminished breath sounds after the multiple treatments, indicating worsening obstruction, what should be done | show 🗑
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| show | inhaled bronchodilator therapy
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| A patient was diagnosed with bronchiectasis 3 years ago. The patient reports increased cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows cavitary disease. What is recommended? | show 🗑
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| show | washout of dead space
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| show | acute bronchospasm
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| show | albuterol
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| show | Decrease the rate
thereby increasing the expiratory time which in turn decreases air trapping
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| Static Compliance formula | show 🗑
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| show | 70% predicted
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| show | 30 to 50% predicted
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| If a patient becomes tachycardic during albuterol treatment, what drug should be recommended next treatment? | show 🗑
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| What medication should be used to anesthetize a patient's airway prior to a flexible bronchoscopy procedure? | show 🗑
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| show | Obtain a sputum Gram stain
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| show | Pressure Support
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| show | chest radiograph
Increase in O2 requirements and the recent administration of surfactant, chest radiograph will help determine the cause of deterioration.
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| show | bronchoscopy
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| show | diuretics
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| For a spontaneously breathing patient, which of the following will provide an elevated baseline pressure during inspiration and expiration? | show 🗑
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| show | removing all air from the syringe
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| show | remain 100% and excess water will rain out
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| show | allow the patient to clear secretions
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| HR 142, RR 24 and BP 78/55 mm Hg. Examining the patient's chest, a respiratory therapist notes an absence of breath sounds in the left chest with a hyperresonant percussion note. What should be done? | show 🗑
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| show | PEEP
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| show | indicative of increased airways resistance
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| show | Sniffing position
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| What score is used to determine a neonate's gestational age? | show 🗑
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| A respiratory therapist is calibrating a helium analyzer. What should the analyzer read when calibrated in air? | show 🗑
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| What drug is appropriate for the sedation of a 30-year-old patient with status asthmaticus and hypotension who is receiving mechanical ventilation? | show 🗑
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| show | 24hrs
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| A right-sided pneumothorax will result in diminished breath sounds on the right and possibly a tracheal shift to the | show 🗑
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| show | air to oxygen entrainment factor X set liter flow to the device
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| show | in the sniffing position
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| Changes in the level of the bed relative to the transducer will make both systolic and diastolic pressures move | show 🗑
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| drug is most appropriate to paralyze a sedated patient in status asthmaticus who is receiving mechanical ventilation | show 🗑
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| show | Intubation
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| show | nebulized racemic epinephrine
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| show | airways obstruction and asthma
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| A patient's VQ scan indicates an excess of ventilation compared to perfusion in the left lower lobe. These results suggest | show 🗑
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| What classically presents as alveolar unit is normally ventilated, but pulmonary capillary blood flow is impeded causing poor perfusion | show 🗑
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| characteristic during VC ventilation? | show 🗑
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