In unheated humidifiers, as water vaporizes C. timed forced expiratory volumes The key word is STABLE. Other available arteries are too small to easily puncture Administer Acetylcysteine Concentrations of 10-20% via a nebulizer after pre-treating the patient with a bronchodilator. 20 to 30 cm H2O shorter the tube length), the lower its resistance to flow. C. The patient has partially compensated respiratory alkalosis No Yes Yes C. No Yes Yes Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? In addition, it is critical that the, General Feedback: The systemic arterial pressure provides information valuable in assessing left Standard TMC V1 EXAM1 RT250 - RTBoardReview Standardized TMC-Like Exam Version 1 A prescription for - Studocu Practice questions for TMC Exam in preparation for boards. respiratory acidosis (with a pH of 7). Decrease the flow to a lower level A. C. 2 and 3 only C. Precision gas mixtures (02/002) Before registering for the remote proctor option, make sure your equipment meets the requirements. D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root *C. atelectasis *B. re-evaluate the patient and recommend an attended CPAP titration sleep study unknown origin. Free Respiratory Therapy Flashcards about NBRC RRT exam - StudyStack A patient tells you that he has been coughing up thick, white sputum. the vital capacity requires muscular effort and is thus the best choice for determining the patient's degree On a pneumatically-powered IPPB device, switching the air-mix control to 100% oxygen will have which of the following effects on flow? You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the A. While using an ICU ventilator with its optional air compressor running, you note that the low air pressure alarm suddenly sounds. The proper starting point for FRC measurement via helium dilution or nitrogen washout is: A 20-year-old woman with diabetes who takes insulin has the following ABG results while breathing Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. B. ventilation-perfusion scan You must have at least an associate degree from an accredited respiratory therapy education program. C. the oxygen flowmeter setting is too high There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening tracheostomy site, neck, and chest. Incentive spirometry is ordered for a female patient after abdominal surgery_ Which of the following statements would be the most appropriate initial explanation of the therapy? *C. rebreathing Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility A. You need to determine if the patient has or had a history of cardiac issues, heart attacks or some form of lung disorder. Respiratory Therapist Practice Exam - 2023 Current with Fully Explained 21-23 cm marks at teeth If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. 3rd right intercostal space, left sternal border B. D. a patient who prefers magazines to newspapers, A. Glasgow coma scale The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. To assess left ventricular preload (filling pressure) Secretions from pulmonary edema are often thin and frothy. B. Mid-term, Final and Licensing Exam Simulation for Respiratory Therapy B. serial P(A-a)O2 measurements Respiratory alkalosis doctor asks your advice on how best to adjust the dosage. D. Pa02, 18. In most instances, analysis of the pleural fluid yields valuable diagnostic information or Based on this information, which of the following can be correctly concluded? 215 mL When open to the atmosphere, a manometer calibrated in cm H2O units should read: The equipment needed is the same as for endotracheal intubation D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed Which of the following is the most effective diagnostic test to quantify the amount of ventilatory B. have the patient keep a log of sleep problems at different CPAP levels Neither the outside diameter, component, Portable O D. Artificial airway obstruction, 61. Tidal Volume: 6-8 mL/kg (6-7 mL/kg is considered ideal), RR: 10-12 bpm, PC ventilation: <35 cmH2O, FiO2: 40-60% are considered the standard protocol. B. *B. B. *D. pre/post bronchodilator spirometry, General Feedback: At this stage in the patient's management, the best way to determine if a change in weakened or flaccid diaphragm being "sucked up into the thorax, causing inward motion of the, abdomen. When inspecting the X-ray of an out-patient with nephrotic syndrome, you note a homogeneous area of increased density that obscures the left costophrenic angle. Which of the following humidification devices would be appropriate for a patient receiving nasal oxygen therapy at 6 Limn? B. Nausea/vomiting To confirm this, an, A. serial end-expired PCO2 measurements The therapist should instruct the patient to perform. diagnosis of this problem. airways. In reviewing a sleep study, you note 20 to 25 episodes per hour like that depicted in example 'A' in the following figure. Right heart failure D. have the patient's spouse keep a log of sleep problems at different CPAP levels, General Feedback: The proper CPAP level for a given patient is determined by one of several methods. procedures? Cardiomegaly exits when the cardiac-to-thoracic width ratio (CT ratio) exceeds 50% on a PA chest sedation/analgesics, muscle paralysis, shock/hypovolemia, hypothermia/cooling, hypothyroidism, D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. pressure monitoring provides essentially no information regarding right heart performance. *D. generalized obstruction with air trapping, General Feedback: An increased TLC (hyperinflation) and decreased FEV1% in combination indicate an, A. C. Preventive maintenance C. Chest X-ray To avoid preanalytic errors associated with air contamination of a blood gas sample, all of the following are appropriate EXCEPT: C. Pulmonary edema A. The orders should be the first thing checked to be sure the patient is receiving the appropriate levels of oxygen and any treatments that need to be given immediately. B. A. The following figure is a statistical quality control plot for PCO2 measurements made by a blood gas analyzer using a control value of 40 mmHg. Clinical Manifestations and Assessment of Respiratory Disease. *B. the reservoir will be cooler than room temperature The methylene blue test is used to confirm: A. Did you know that using sample practice questions is one of the best ways to prepare for (and pass) the TMC Exam? TMC T. ventricle to pump blood through the constricted pulmonary capillaries. D. They should only be used by trained personnel, 50. A. Exhalation of mainly deadspace gas Accuracy of these devices cannot be assumed, and should thus D. Overinfusion of fluids, 55. Which of 1 only Based on these data, what is the primary acid-base disturbance? The name on your registration must match the name on your identification. This is an example of an uncompensated respiratory acidosis. While checking the FIO2 of a patient on a ventilator, you note that the analyzer reading is about 25% B. 1-2 cm Respiratory Therapy Exam 1 Flashcards | Quizlet Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? common cause of abdominal paradox is weakening of this muscle due to fatigue or atrophy. D. Patient D, General Feedback: All patient with poor exercise capacity have a reduced VO2max. This cooling lowers the Which of the following is the most likely problem? pressure, consider other potential causes (e., pneumothorax, endobronchial intubation) before, A. aerosol is interfering with the O2 analyzer The most common way to determine the proper CPAP level for an individual patient is to: You are performing a spot check on a postoperative patients SpO2 using an oximeter that only It should not be used as a substitute for professional medical advice, diagnosis, or treatment. C. sputum acid fast stain D. Spinal cord injury, 25. with a cardiovascular limitation to exercise will exhibit a decreased anaerobic threshold, but may have a set FIO2 could be due to: 1) loss of or decreased in O2 or air supply pressure; 2) failure of the O, A. increase in delivered volume Which of the following would you recommend? Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. D. Replace the tube, 7. Adjust the vacuum level on the suction regulator A. Tonometered whole blood samples A. B. According to the AARC, what are the seven major competencies required for Rts by the year 2015? increase downstream flow resistance and create back-pressure. Portable O2 can be provided by Face tent Clinical Application of Mechanical Ventilation. In reviewing the chart of a 55 year old male patient, you note the following symptoms: obesity, loud snoring and insomnia. Mechanical Ventilation | Pharmacology | Pathology | Patient Assessment | Neonatal Care | PFT | Fundamentals | ABG | Therapeutics | Airway Management | Cardio A&P | Calculations | Case Studies | TMC Exam | Clinical Sims. The patient would say a word like "nine" and the vibration would increase through the chest wall. A. Tracheomalacia To determine the tube size, divide the gestational age by 10. rehabilitation program. In general, an ODI 15 indicates the presence of sleep apnea-hypopnea, A. measuring maximum voluntary ventilation (MVV) B. The capnogram indicates rebreathing Your doctor has ordered this therapy to prevent atelectasis. A. Neither initial nor repeat testing of persons B. Hemorrhage PDF Prophecy Healthcare Nursing Specialty Exams *C. inside diameter (ID) To change the level of negative pressure delivered by a pleural drainage system, you would impairment in a patient with Guillain-Barre syndrome? D. Metabolic alkalosis, 60. 200 m 210 m A. What is the patients physiologic deadspace? 2 minutes B. D. 1, 2 and 3, 63. *C. thoracentesis Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. D. The tube is in the right mainstem bronchus, 2. B. Have the patient cough while you quickly pull the tube signature of the physician. If severe, this can cause hypoventilation and respiratory acidosis. A 150-lb. After you have provided your ID, your picture will be taken and your palm will be biometrically scanned for security purposes. 3rd left intercostal space, anterior axillary line C. 5th right intercostal space, midclavicular line D. 5th left intercostal space, midclavicular line, 27. Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale Steaming and boiling the equipment can sometimes damage equipment and is not recommended. Which of the following specialized imaging tests would be most useful in confirming a diagnosis a A. Diffuse interstitial fibrosis Fully expel any bubbles A patient has a pH of 7.58 and a PaCO2 of 25 torr. D. Metabolic alkalosis, 8. C. Frequency of administration A. Relias Assessments provide data-driven evidence to support your pre-hire, onboarding, and post-hire decision-making. B. central vein When inspecting the x-ray of a patient in ICU, you note a large area of radiolucency between the left lung border and chest wall and increased density of left lung. leakage type aspiration B. The other patients all exhibit varying degrees of compensated 3.3 L/min Which of the following would deliver the most particulate water to a patients airway? Directed coughing is useful in helping maintain bronchial hygiene in all of the following patients categories EXCEPT: you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). Pressure above 30 cm H2O can cause tracheal injury and pressure below 20 cm H2O can increase the Test Drug name and dose ventricular afterload, vascular tone, and blood volume. A. They adjust to changes in volume and pressure relatively easy. If the Bradycardia persists or devolves to a heart block you may consider placing transthoracic pacing pads along with medication and oxygen. Stack #121029 (7 . A. D. Lower the PEEP valve level, General Feedback: If a pressure pop-off continually activates when ventilating a patient with a bag-valve If the patient were in difficulty, it would be more important to check the Oximetry first. *B. increase in rebreathed volume D. 22.0 L/min, 11. C. Patient C Auto-Peep can be caused by secretions in the airway, too low a flow rate, too long an inspiratory time, sensitivity is too high and too short of an e-time. Patients with a pulmonary limitation to exercise typically have a normal The ratio of success is considered, The symptoms in options a, b, and c are the most frequently seen in this scenario as well as drooling, sitting forward, sweating. BSc in Respiratory Therapy: Course, Admission, Syllabus, Top College abdominal paradox also can also occur in neurologic disorders that affect phrenic nerve transmission. C. Patient understanding of controllers vs_ relievers Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. for confirming ('rule in') a diagnosis of pulmonary embolism. A. measure pressure during an end-inspiratory pause You hear a high-pitched sound coming from the pressure relief valve on a patients bubble-type humidifier. 1 and 2 A. Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. D. Replace the probe, 16. mobility away from their stationary liquid O2 reservoirs or concentrators. D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a *B. Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. D. peripheral vein, General Feedback: To assess gas exchange at the tissues we need to assess blood after it leaves the Yes Yes No respiratory muscles. Water and Hydrogen Peroxide can be used to soak the inner cannula of a Trach to loosen dried and tenacious secretions and then cleanse it with a brush, but it does not disinfect the equipment. Mix only after bubbles expelled Egans Fundamentals of Respiratory Care. Have the patient cough while you quickly pull the tube If the rate of breathing increases without any change in total minute ventilation (VE constant): Yes Yes No Inspection of a PA chest radiograph reveals a CT ratio of 60%. A. Pneumothorax, pleural effusion, atelectasis all can affect the position of the heart, but not its, A. a patient who asks a lot of care-related questions In a semi-comatose patient with pulmonary edema, which of the following would indicate a loss of failure or cirrhosis. In order to A. Congestive heart failure B. pneumonia expands during inspiration. Abdominal paradox is a sign of generalized diaphragmatic dysfunction. C. Apply the probe more tightly Decrease the tidal volume B. What is your interpretation of this display data? A patient suddenly loses consciousness. An adult male patient on ventilatory support has just been intubated with a 7.0 mm oral endotracheal tube equipped with a high residual volume low-pressure cuff. D. The change will have no effect on flow, 72. D. Collateral circulation is provided through the ulnar artery, 24. C. Tilted forward toward the chest Bronchodilators and suctioning remove obstruction of the airway due to secretions or edema. Make the flow dependent on patient effort C. The tube chosen is too small for the patient Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of B. C. Inserting an oropharyngeal airway B. B. pH 7. C. Renal failure D. You may experience pain and lightheadedness from this therapy, 47. C. Small airways obstruction A. These findings are most consistent with which of the following diagnoses? Which of the following actions would you take at this time? C. Heat and moisture exchanger (HME) A non-compliant lung can contribute to Auto PEEP occurring. C. The radial artery has the highest systolic pressure available receiving auto-CPAP do not resolve or the treatment otherwise appears ineffective, the patient should be, A. standard AP chest X-ray A patients respirations are characterized by a gradual increase and then a gradual decrease in the depth of breathing, followed by a period of apnea. 4th ed., Cengage Learning, 2013. a 5 mm Hg rise in the arterial PCO2 IV. D. re-evaluate the patient and recommend a home overnight oximetry study, General Feedback: According to the American Academy of Sleep Medicine, if the symptoms of a patient Based on the results of cardiopulmonary exercise testing, which of the following patients most likely 1. counseling/behavior modification interventions 2. telephonic follow-up and/or home health visits 3. social services to address self-management barriers *C. be clearly opacified with smooth walls When selecting an endotracheal tube, you should consider which of the following to minimize airflow D. Cystic fibrosis, General Feedback: Most often, patients with asthma will cough up thick, white (mucoid) secretions. In analyzing overnight oximetry data, a desaturation event represents a decrease in SpO2 of what *B. CO-oximetry The TMC exam sections below are based on actual exam sections: Patient Data, Trouble Shooting, Quality Control of Devices, Infection Control and Initiation and Modification of Interventions. They are contraindicated for use with infants and children Based on these data, what is the primary acid-base disturbance? Get new premium TMC Practice Questions delivered to your inbox daily to pass the exam. Statistical quality control The vertical (y) axis is PCO2 level, with 38-42 representing + 2 standard deviations. procedure would be which of the following? The only name that is not used to describe auto-PEEP is Stiff Lung. C. Chronic airways obstruction 1 and 3 only Commercial calibration control media 'a hyperresonant percussion note on the left.' BENEFITS OF RELIAS ASSESSMENTS Increase Retention Engage your employees by giving them the training they need to be successful from the start and continuing to develop them throughout their employment. small high pressure cylinders (usually B/M6, C/M9, or D size). Which of the following statements regarding CENTRAL cyanosis is FALSE? *C. measure pressure during an end-expiratory pause Therapist Multiple-Choice (TMC) Examination, National Board for Respiratory Care (NBRC), Click Here to Access to the Correct Answers (Free), ABG Sample TMC Practice Questions (Arterial Blood Gases), Registered Respiratory Therapist (RRT) Practice Questions, List of 99 Example TMC Exam Practice Questions, Certified Respiratory Therapist (CRT) Practice Questions, What You MUST Know About Pharmacology for the TMC Exam. *D. condensate is blocking the delivery tubing, General Feedback: The most likely cause of the discrepancy between set and analyzed FIO2 is A. C. major trauma Creatinine is a waste by-product of the metabolizing of creatine phosphate which is a result of the breakdown of skeletal muscle. Which of the following conditions is most consistent with PaCO2 27 torr C. 2 and 3 pulmonary emboli? *C. pulmonary artery B. C. Respiratory acidosis D. 470 mL, 65. D. Fully occlude the ET tube while you quickly pull it out, 53. You note an SpO2 of 100% and measure an FIO2 of 0 at the T-tube. D. 1, 2, 3 and 4, 57. D. The large 41 pharyngeal cuff must be deflated before laryngoscopy, 23. Which of the following would you recommend for a patient with obstructive sleep apnea for whom Respiratory Therapy syllabus is curated according to the industry standards and it helps the student in getting the proper placements. A. In the clinical setting you often mix the bronchodilator and the Acetylcysteine together. During auscultation of a patient's chest, you hear intermittent "bubbling" sounds occurring toward the *B. phrenic nerve paralysis D. Neutral head position, 69. Right heart failure causes venous, A. asthma Intravenous dyes B. D. the ventilator rate mechanism has malfunctioned, A. the reservoir will be warmer than room temperature Neonatal and Pediatric Respiratory Care. There should be no evidence of Increasing the amount of tubing between the "wye" connector of a dual limb ventilator breathing The reasoning is that if your P/F ratio PaO2/FiO2 cannot be maintained as you lower the Peep as you may have an underlying problem with ARDS. A. Bronchiectasis air-entrainment nebulizer set to 28%. A prescription for an aerosolized drug for a patient under your care is missing the actual prescribed Hopefully, the practice questions in this guide can help. the development of paradoxical breathing A. Tracheomalacia Test Bank - Respiratory Therapy Zone Respiratory Therapy Exam 1 Flashcards | Quizlet Respiratory Therapy Exam 1 If you move a decimal place (to make it into scientific notation) to the left is it a positive or negative exponent? desaturation index (ODI). You are monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure of these patients has the program been effective in improving their functional capacity? 1 and 2 only When Remember that the lungs are normally compliant. Pulse Oximetry, Breath Sounds and the Cardiac Monitor can give you vital information that gives you a baseline assessment of oxygen status, heart rhythm and breath sounds quickly. The most common method is to repeat the sleep study, using different levels of CPAP, i., a titration lower than the preset FIO2. It is an unreliable indicator of hypoxemia and hypoxia Thanks for reading, and I wish you the best of luck! Discrepancies between the analyzer reading and the C. the reservoir temperature will equal room temperature C. 80-90% C. atelectasis D. It may occur even in the presence of adequate O2 delivery, 49. A bubble humidifier D. The large #1 pharyngeal cuff must be deflated before laryngoscopy, 54. of ventilatory impairment due to muscle weakness. During the course of therapy, the patient becomes very dyspneic. Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, A. A. Tactile Rhonchi is felt through the skin as a "rumble" or "bubbling" feeling beneath the hands. If the FiO2 is already 60% or over, then gradually increase the PEEP. The Standard Weaning Criteria (SWC) uses the respiratory muscle strength and endurance by using the negative inspiratory force (NIF) and positive expiratory pressure (PEP) to determine how well a patient will do when weaned from the ventilator. anaerobic threshold (if it can be reached), but a reduced breathing reserve.
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