respiratory therapy exam a v1 quizlet

Inspection of a PA chest radiograph reveals a CT ratio of 60%. Use of generic vs brand name medications A. Pleural effusion B. an IgE-mediated allergic disorders lower than the preset FIO2. B. a patient whose first language is not English To verify that you are getting a good reading, you would: To measure the amount of auto-PEEP present in a patient receiving ventilatory support, you would: The recommended range for tracheal tube cuff pressures is: To assess gas exchange at the tissues you would sample blood from which of the following? Looking for TMC Practice Questions? B. Cheyne-Stokes breathing B. Nausea/vomiting In reviewing the chart of a 55 year old male patient, you note the following symptoms: obesity, loud snoring and insomnia. B. ask your medical director to rewrite the prescription C. The tube chosen is too small for the patient Portable O2 can be provided by You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the D. Lower the PEEP valve level, General Feedback: If a pressure pop-off continually activates when ventilating a patient with a bag-valve A. This is the quick method to determine size. D. The alveolar ventilation per minute will remain constant, 43. Capnography gives you the most immediate information. D. peripheral vein, General Feedback: To assess gas exchange at the tissues we need to assess blood after it leaves the either case, the accessory muscles of inspiration provide for most of the chest expansion, with the In the sniffing position D. Contraindications, 20. RTBoardReview If you achieve the low cut score (88), you will be awarded the CRT credential. Respiratory alkalosis 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 Gas can be felt coming from the valve. 1. a large leak in the cuff of the tube 2. obstruction of the tube that is unrelieved by suctioning 3. separation of the pilot tube from the endotracheal tube cuff A. Machine calibration Which of the following is the most likely problem? Which of the following endotracheal tube malfunctions could require extubation and reintubation with a new tube to allow effective positive pressure ventilation of the patient? Whenever an air-entrainment system encounters D. arterial blood gas (ABG), General Feedback: A chest X-ray and an ABG might be useful in detecting an abnormality, but not Pressure above 30 cm H2O can cause tracheal injury and pressure below 20 cm H2O can increase the Mr. Rench, a National Merit Scholar, graduated magna cum laude with a Bachelor of Science in Mechanical Engineering and a minor in mathematics from Texas A&M University. In addition, patients Obstructive Lung Disease causes an increase in chest expansion. D. 1034 cm H2O, 59. Based on the results of cardiopulmonary exercise testing, which of the following patients most likely While checking the FIO2 of a patient on a ventilator, you note that the analyzer reading is about 25% The normal apical impulse (PMI) usually is identified where? Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. media), have smooth walls and gradually taper as they continue to branch. D. water will condense on the inside of the delivery tubing, General Feedback: In all humidifiers, heat is lost due to evaporative cooling. D. 1 and 2 only, 17. Which of the following specialized imaging tests would be most useful in confirming a diagnosis a Core Mandatory Part III v1 Phlebotomy Physical Therapy Assistant Psychiatric Technician/Behavioral Health Tech Rad Tech/X-Ray Tech Respiratory Therapist Exam A Respiratory Therapist Exam B Speech Language Pathologist-PEDS Speech Language Pathologist -Adults Exam A Speech Language Pathologist-Adults Exam B Surgical Technologist/Scrub Tech Exam A . B. The most common method is to repeat the sleep study, using different levels of CPAP, i., a titration A. Which of the following actions would you take at this time? A "normal" chest wall would have no feelings of bubbling, cracking or vibration with speech beneath your hands or fingers. D. Spinal cord injury, 25. However, either imaging modality can be, A. thoracic ultrasound You must have at least four years of CRT experience and at least 62 college credit hours. These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. D. Replace the probe, 16. Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale dose, frequency, or medication is needed for this patient would be pre/post bronchodilator spirometry. long expiratory time? C. Nasal tubes are less likely to cause infection *B. end of inspiration, primarily at the lung bases. We are trying to improve your lung volume Provide 100% oxygen for 1-2 minute before extubation 3-4% or more 2 minutes B. B. inspiratory and expiratory pressures. 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. Which of the conditions is associated with jugular venous distension? C. 350 mL 0 cm H2O What is the minimum length of time the nurse should plan to hold pressure on the puncture site? C. Precision gas mixtures (02/002) C. 52 L/min radiograph. 10th ed., Mosby, 2019. profound hypoxemia. Start Test *C. atelectasis B. Gastric insufflation If this fails to lower airway A. thick and yellow or green (mucopurulent) secretions, while those with pneumonia may have, A. flail chest 1 and 2 only D. Metabolic alkalosis, 8. No Yes Yes If you have an unstable patient, it is important to get the information you need quickly. C. Replace the endotracheal tube with a larger size Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. Pulmonary emphysema B. While using an ICU ventilator with its optional air compressor running, you note that the low air pressure alarm suddenly sounds. C. measure and record the patient's SpO2 continuously throughout sleep D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of Bronchodilators and suctioning remove obstruction of the airway due to secretions or edema. Take this free Respiratory Therapist practice exam to test your knowledge of respiratory therapy subjects. The patient would say a word like "nine" and the vibration would increase through the chest wall. B. serial P(A-a)O2 measurements The Therapist Multiple-Choice (TMC) exam is a standardized certification exam administered by the National Board for Respiratory Care and used to certify respiratory therapists. A. Venturi mask cough reflex? Mix only after bubbles expelled (if available); (b) assess the oximeter's indicator pulse lights, and/or (c) compare the oximeter's displayed Pass the TMC Exam with insider tips, tricks, and exam hacks. *C. measure pressure during an end-expiratory pause B. We'll Guarantee it, or Your Money Back (see terms & conditions). Adequate airway seal Ventilator settings are as follows: FIO2 0.45 Rate 12 Tidal volume 600 mL PEEP 12 cm H20 While awaiting blood gas results, you obtain an Sp02 of 78%. D. Displacing the soft palate and uvula posteriorly, 13. D. 470 mL, 65. Both CT angiography and ventilation-perfusion (V/Q) scans can help in *B. CO-oximetry 2 only You can also select the uncuffed ET tube with an internal diameter of 2.5 mm tube for infants less than 1 kg weight, 3.5 mm for neonates up to 1 year of age. Mosbys Respiratory Care Equipment. All NBRC examinations are written and developed by a committee of credentialed respiratory therapists and pulmonary function technologists, as well as physicians who specialize in pulmonary and respiratory care. A patient tells you that he has been coughing up thick, white sputum. RSBI =(f/VT) which helps to identify the breathing pattern associated with an unsuccessful weaning. A. systemic artery B. A 150-lb. *C. a patient who cannot describe how to take her medications It should not be used as a substitute for professional medical advice, diagnosis, or treatment. B. C. Isolating/protecting the lower airway from aspiration D. Yes Yes Yes, General Feedback: Variable FIO2s during ventilatory support are normally provided by an O2 blender, If you meet the high cut score, which can fluctuate, you will receive the CRT credential and become eligible to take the CSE. D. Place sample in ice slush. A patient has a pH of 7.58 and a PaCO2 of 25 torr. C. Respiratory acidosis B. All orders must be verified before administration. C. major trauma A. D. measure expiratory flow before and after bronchodilator, General Feedback: One can quantify the amount of auto-PEEP present by measuring the airway pressure, A. The kidneys have not started to adjust the Bicarb level by holding onto it. As downstream pressures rise, air-, A. outside diameter (OD) Abdominal paradox is a sign of generalized diaphragmatic dysfunction. A. Inserting a laryngeal mask airway PaCO2 27 torr D. increase the total output flow, General Feedback: Significant water accumulation in a low-lying loop of a nebulizer's delivery tube will Which one of the following is NOT required on a patients drug prescription? C. increased compliance Maintain the current settings 10th ed., Mosby, 2017. need mechanical ventilation. B. 1 and 2 To register for the exam, you must submit an application on the NBRC website. The equipment needed is the same as for endotracheal intubation These findings are most consistent with which of the following diagnoses? Clinical Application of Mechanical Ventilation. D. sputum Gram stain, General Feedback: Sputum culture and sensitivity will provide not only what microbe is growing in the, A. infiltrates C. 2 and 4 only Mechanical Ventilation | Pharmacology | Pathology | Patient Assessment | Neonatal Care | PFT | Fundamentals | ABG | Therapeutics | Airway Management | Cardio A&P | Calculations | Case Studies | TMC Exam | Clinical Sims. Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? The sum of correct responses is called your raw score. Your raw score determines your pass or fail status after comparison to the cut score. A. Click Start Test below to take a free TMC practice exam! *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement pulmonary emboli? Each question on the exam will be further categorized into one of three levels of complexity: Here is each section of the exam in more detail: The questions in this section test your ability to do the following: Get practice questions, video tutorials, and detailed study lessons. The PH is acidic-less than 7.35, PCO2 is high-greater than 45 mmHg demonstrated hypoventilation, and there is a normal HCO3. A. Tracheal granuloma C. 2 and 3 *C. serial vital capacity measurements A. Free NBRC TMC Exam Practice Question 1 Each respiratory therapy student must pass the Therapist Multiple-Choice (TMC) Examination to become a licensed respiratory therapist. A. Nasal tubes are less likely to cause trauma *C. thoracentesis D. Pa02, 18. Which of the following would provide the best bedside assessment of the need for mechanical ventilation in a patient with Guillain-Barre syndrome? 5 minutes C. 10 minutes D. 15 minutes, A patient with a recent . Decrease the tidal volume A patient has a pH of 7.58 and a PaCO2 of 25 torr. To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: An arterial blood sample is obtained and sent to the laboratory for gas analysis and hemoximetry (CO-oximetry). Clinical Manifestations and Assessment of Respiratory Disease. To achieve the highest O2 concentration, you would select which of the following devices? To determine the tube size, divide the gestational age by 10. D. Fully occlude the ET tube while you quickly it out, 21. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP If the FiO2 is already 60% or over, then gradually increase the PEEP. Its the national certification exam administered by the National Board for Respiratory Care (NBRC). They are contraindicated for use with infants and children Hopefully, the practice questions in this guide can help. Decreased Nor mal Nor mal 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. diagnosis of this problem. D. Acute bronchospasm, 62. Troubleshooting and Quality Control of Devices, and Infection Control, Initiation and Modifications of Interventions, Evaluate Data in the Patient Record (10 questions), Perform a Clinical Assessment (10 questions), Perform Procedures to Gather Clinical Information (12 questions), Evaluate Procedure Results (10 questions), Reccomend Diagnostic Procedures (8 questions), Assemble/Troubleshoot Devices (15 questions), Ensure Infection Prevention (2 questions), Perform Quality Control Procedures (3 questions), Maintain a Patent Airway Including the Care of Artificial Airways (10 questions), Perform Airway Clearance and Lung Expansion Techniques (5 questions), Support Oxygenation and Ventilation (15 questions), Administer Medications and Specialty Gases (4 questions), Ensure Modifications are Made to the Respiratory Care Plan (18 questions), Utilize Evidence-Based Practice (6 questions), Provide Respiratory Care in High-Risk Situations (5 questions), Assist a Physician/Provider in Performing Procedures (4 questions), Conduct Patient and Family Education (3 questions), A desktop or laptop computer running at least a Windows 7 or Mac OS X operating system. Hemodynamics (32 cards . As the patient tires the spontaneous breathing rate becomes rapid and shallow and it is necessary to evaluate muscle fatigue. B. bronchoscopy In a normal pulmonary angiogram, the arteries should. To change the level of negative pressure delivered by a pleural drainage system, you would Which of the following would be the appropriate action for you to take? D. a patient who prefers magazines to newspapers, A. Glasgow coma scale The use of pursed-lip breathing during exhalation would be most common among which of the following patient groups? Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. 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. A. B. methacholine challenge (provocation) test 3.3 L/min Which of the following are acceptable changes in patient status during a traditional T-tube weaning trial? 3rd right intercostal space, left sternal border B. LRP requirements include the following: On the day of your exam, you must present one form of valid government-issued photo identification with your signature. A. small high pressure cylinders (usually B/M6, C/M9, or D size). . *B. refractory hypoxemia B. the patient's inspiratory flow has increased A. Unheated bubble humidifier B. pneumonia Patients with cystic fibrosis typically have C. atelectasis General Feedback: Common factors decreasing metabolic rate and thus energy expenditure include *B. the reservoir will be cooler than room temperature D. The large 41 pharyngeal cuff must be deflated before laryngoscopy, 23. Which of the following is the most effective diagnostic test to quantify the amount of ventilatory 1 only A. If the hypoxemia is B. Hemorrhage What maximum flow would you apply to an 8 year-old child receiving O2 therapy via a high flow nasal cannula? At rest, the normal tidal movement of the diaphragm is approximately: 48 L/min C. The body of the tube normally must be positioned in the trachea Face tent All the above. A. The name on your registration must match the name on your identification. B. In patients with chronic respiratory disease, pedal edema is a sign of: D. You may experience pain and lightheadedness from this therapy, 47. The CT Angiogram is the last choice as it is expensive and takes longer to accomplish. If severe, this can cause hypoventilation and respiratory acidosis. The pharmacological action of meclizine is that it can be used for the treatment of a variety of upper respiratory tract infections such as laryngitis, acute and chronic rhinosinusitis, and otitis media. For both delivery methods (on-site and remote), you should arrive or be logged in 30 minutes before your testing appointment. B. cyanosis *C. rebreathing Need access to the correct answers? To assess left ventricular preload (filling pressure) A. 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. Neither the outside diameter, component, Portable O Which of the following is the most common problem associated with the removal of an esophageal obturator airway? There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening Patient A C. Tilted forward toward the chest In Applying the jaw thrust maneuver C. Increase the minute ventilation You can download them now for FREE! D. agitation/pain. who have received the BCG TB vaccine is indicated because these individual consistently exhibit an, A. peak expiratory flow rate monitoring Which of the following are FALSE regarding oropharyngeal airways? The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. mobility away from their stationary liquid O2 reservoirs or concentrators. C. Heat and moisture exchanger (HME) Standard TMC V1 EXAM1 RT250 - RTBoardReview Standardized TMC-Like Exam D. perform an Allen's test on the extremity used to check the SpO.

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