Tutorial TMC A.docx....Tutorial TMC A.docx, Exams of Nursing

Tutorial TMC A.docx....Tutorial TMC A.docx

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Tutorial TMC A
1. A patient has been diagnosed with sarcoidosis. Which of the following pulmonary
function test would best evaluate the degree of impairment?
FEV1, MVV, VC, FEF 25-75 - correct answer VC
2. A pt has been receiving incentive spirometry therapy for the tx of atelectasis.
Which of the following would indicate improvement in the pts condition? increased
crackels, vesicular breath sounds, decrerased rhonchi, decreased wheezes. - correct
answer vesicular breath sounds
3. A pt is receiving VC, a/c in the intensive care unit. If the inspiratory phase of
ventilation ends when a preset value for volume has been reached, which of the
following variables is being controlled? - correct answer
cycle variable
4. Vasular markings on a chest radiograph are absent and the lung parenchyma is
black. This would indicate: congestive heart failure, overexposed film,
pneumoconiosis, underexposed film - correct answer
overexposed film
5. A pt is receiving aerosolized oxygen therapy via a T-piece (Briggs' adapter) in the
emergency department. The pat has asymetrical chest movement w/the left side
rising while the right side falls. Which of the following should be considered the
most likely reason for this breathing pattern? - correct answer
flail chest
6. Which of the following is equivalent to total lung capacity? VC + RV, IC + RV, IRV
+ VT + ERV, VC + FRC - correct answer VC + RV
7. For patients on mechanical ventilation, whcih of the following does NOT
contribute to an elevated PaCO2? high glucose intake, severe intrapulmonary shunt,
increased deadspace ventilation, fever - correct answer
severe intrapulmonary shunt
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Tutorial TMC A

  1. A patient has been diagnosed with sarcoidosis. Which of the following pulmonary function test would best evaluate the degree of impairment? FEV1, MVV, VC, FEF 25-75 - correct answer VC
  2. A pt has been receiving incentive spirometry therapy for the tx of atelectasis. Which of the following would indicate improvement in the pts condition? increased crackels, vesicular breath sounds, decrerased rhonchi, decreased wheezes. - correct answer vesicular breath sounds
  3. A pt is receiving VC, a/c in the intensive care unit. If the inspiratory phase of ventilation ends when a preset value for volume has been reached, which of the following variables is being controlled? - correct answer cycle variable
  4. Vasular markings on a chest radiograph are absent and the lung parenchyma is black. This would indicate: congestive heart failure, overexposed film, pneumoconiosis, underexposed film - correct answer overexposed film
  5. A pt is receiving aerosolized oxygen therapy via a T-piece (Briggs' adapter) in the emergency department. The pat has asymetrical chest movement w/the left side rising while the right side falls. Which of the following should be considered the most likely reason for this breathing pattern? - correct answer flail chest
  6. Which of the following is equivalent to total lung capacity? VC + RV, IC + RV, IRV
  • VT + ERV, VC + FRC - correct answer VC + RV
  1. For patients on mechanical ventilation, whcih of the following does NOT contribute to an elevated PaCO2? high glucose intake, severe intrapulmonary shunt, increased deadspace ventilation, fever - correct answer severe intrapulmonary shunt
  1. Vesicular breath sounds are auscultated with which of the following? atelectasis, normal lungs, pneumonia, pulmonary edema - correct answer normal lungs
  2. Severe internal hemorrhaging occurs during a fibreoptic bronchoscopy procedure. The respiratory therapist should recommend. administration of 4% lidocaine via nebulizer, bronchial lavage with normal saline, application of epinephrine via bronchoscope, anesthesia using cetocaine solution - correct answer application of epinephrine via bronchoscope
  3. Mild swelling occurs following extubation of a patient which of the following treatments modalities would the repsiratory therapist recommend? - correct answer cool aerosol therapy
  4. During the first day after birth of a 34 week gestation neonate, transctaneous monitoring indicates a PtcO2 of 65 torr for the right upper quadrant and PtcO2 of 38 torr for the left lower quadrant The repsirtatory therapist should recommend: a chest radiograph, adminstration of indomethacin, surgical repair of the PDA, mechanical ventilation, - correct answer administration of indomethacin
  5. A pt is being monitored in the cardiovascular intensive care unit following coronary arterial bypass surgery. Chest tubes are in place and the patient's vital signs have been stabilized. A routine check of the mechanical ventilator indicates that the average exhaled tidal volume is 150 ml below the set tidal volume. which of the following is the most likely cause of this problem? auto-PEEP, pleural leak, increased deadspace, airtrapping - correct answer pleural leak
  6. A 54 year old man has been maintained on mechaical ventialtion for several days in the intensive care unit. The following data is avaiable from morning arterial blood gases: pH 7.54, PaCO2 29 torr, PaO2 43 torr, bicarbonated 24 mEq/L. Which one: decrease the Vt, initiate weaning procdures, decrease the mandatory rate, increase the FIO2 - correct answer increase the FIO
  7. A pleural fluid smaple has been drawn by thoracetesis for examination and laboratory analysis. The sampel is purulent with a pH of 7.27. Which of the following disease processes should be ruled out by these results? liver cirrhosis, tuberculosis, lung abcess, sarciodosis - correct answer liver cirrhosis

sedation, SIMV, inspriatory hold, PC - correct answer sedation

  1. A pt has been orally intubated w/an ETT having an internal diameter of 9 mm. Which of the following catheter sizes would be most appropriate for the suctioning of this patient? 10, 12, 16, or 18 Fr - correct answer 12 Fr
  2. Which of the following tests is most appropriate in evaluating a victim rescued from a burning building? cardiac enzymes, SpO2, FEV1, carboxyhemoglobin - correct answer carboxyhemoglobin
  3. In the processing of hospital equipment, which of the following rapidly kills spores? ethyl alchohol peracetic acid, hydrogen peroxide, pasteurization - correct answer peracetic acid
  4. A pt in the intensive care unit is receiving VC- SIMV. ABG analysis indicates an elevated PaCO2. Which of the following should be recommended? decrease VT, increase pressure support, decrease PEEP, increase inspiratory flow - correct answer increase pressure support
  5. While doing a ventilator check for a pt in the intensive care unit, a short run of ventricular tachycardia is observed on the cardiac monitor. Which of the following should be recommended intitially? defibrilation, epinephrine lidocaine, cardioversion
  • correct answer lidocaine Trendelenburg positions for CPT should be avoided for pt hospitalized for whch of the following? cardiovascular surgery, stroke (CVA), systic fibrosis, hip replacement surgery - correct answer stroke (CVA) An arterial sample of blood containing air bubbles has been drawn from a pt breathing room air. Expected irrors inanalysis should include which of the following in pH, PaCO2, and PaO2? - correct answer increased pH, decreased PaCO2, increased PaO
  1. Nursing asks for a bronchodialtor via SVN with 2.5 mg albuterol (Ventolin) in 3 ml normal saline for a post-operative pt on the surgical floor. which of the following should be done first? explain goals to pt, review pt chest radiograph, confirm the

physicia's order in the pt chart, determine pts O2 status using pulse oximetry - correct answer confirm the physician's order in the pt chart

  1. A mother sewing button...An hour later her child is wheezing audibly and coughing, short of breath and RR are elevated. Auscultation indicates wheezing over the right lung only. Which should the RT recommend? bronchodilator tx, cool aerosol tx, endotracheal intubation, fibreoptic bronchoscopy - correct answer fibreoptic bronchosopy 31.The most COMMONLY occuring complication of airway scutioning is which of the following? hypoxemia, atelectasis, bradycardia, mucosal trauma - correct answer mucosal trauma
  2. Laboratory analysis of a pts electrolytes has the following resuls: Na+= 124 mEq/L, K+= 4.0 mEq/L, Flucose = 90 mEq/L, BUN = 12 mg/dl. These values indicate which of the following disorders? hyperkalemia, renal failure, hyponatremia, diabetes - correct answer hyponatremia
  3. A pt being treated in the ER complains of shortness of breath and is diaphoretic. She has a pulse of 136/min, a blood presure of 140/95 mm Hg, and a respiratory rate of 30 breaths /min. Palpation reveals tracheal deviation to the pts left. Which of the following should be considered as causing this: left basilar pleural effusion, rt sided diaphragmatic paralysis, right laobar tumor, lft. pneumothorax - correct answer right lobar tumor
  4. ABG analysis for a pt. receiving mechanical ventilation in the ICU indicates the following: pH 7.42, PaCO2 38, PaO2 85. Which of the following should be recommended at this time? increased the Vt, increase the FiO2, maintain current settings, increasing the deadspace. - correct answer maintain current settings
  5. A pt is receiving mechanical ventilation w/settings as follows: Vt 650, PEEP 5, flow rate 60 l/min. During successive ventilator checks, the following parameters are recorded: 2pm PIP 35, Pplat 25, 4pm PIP 45, Pplat 35. This data best indicates: airway resistance has decreased, lung compliance has increased, airway resistance has increased, lung compliance has decreased. - correct answer lung compliance has decreased
  1. Fine crackles are heard on auscultation of a pt admitted to the hsopital. These breath sounds are most closely assoiciated with: emphysema, pulmonary edema, asthma, pneumothorax. - correct answer pulmonary edma
  2. The following ABG results are obtained for a pt receiving VC, SIMV: pH 7.33, PaCO2 47, PaO2 80, bicarb 24. Appropriate Vent changes? decrease the Mandatory rate, increase the flow rate , increase the FiO2, reduce deadspace - correct answer reduced dead space
  3. Blunting of the costaphrencic angle on a chest radiograph is characteristic of : pulmonary edema, atelectasis, pulmonary emboli, pleural effusion - correct answer pleural effusion
  4. Following intubation of a male pt in the emergency dept., his breath sounds are clearly audible to auscultation on the right but markedly decreased on the left. What should be done next? repositioning of the ETT, extubation, ABG, chest radiograph - correct answer repositioning of the ETT
  5. Pt weaned from MV becomes agitated and confused. Vital signs show marked increses in both heart rate and BP. Pt has a low grade fever and his RR is 32 breaths/min. Recommendation: maintenance of current therapy, reassurance and calming of the pt, reinstitution of MV, extubation - correct answer reinstitution of mechanical ventilation
  6. The effectiveness of bronchodilator therapy is best assessed with which of the following? auscltation of breath sounds, pulse oximetry, ABG, PEFR vefore and after TX. - correct answer PEFR before and after TX
  7. A nonrebreathing mask is being used to deliver a 80/20 mixture of HE-O2 to a CoPD pt. The RT notices that the reservior bag on the mask comletely collapses on inspiration. Which of the following actions would most likely resolve this problem? tightening the mask, removal of the oneway valves, increasing the flowrate of the HE O2 mixture, conversion ti a 70/30 mixture of HE O2 - correct answer increasing the flowrate of the helium-oxygen mixture 50.Chest physical therapy with postural drainage is ordered for a pt whose chest radiograph shows left lower lobe pneumonia. The best pt postitioning for this therapy is which of the following? Trendelenburg, prone, left side dependent, bed

flat, Flowler's, Trendelendurg, supine - correct answer Trendelenburg, prone

  1. Tiamcinolone (Azmacort) is used in the treatment of asthma to ; enhance mast cell release, mobilize secretions, decrease response to inflammation, reverse bronchospasm - correct answer decrease response to inflammation
  2. In an emergency, the airway of choice for a pt with cervical spine injuries is which of the following? oral ETT, nasal ETT, tracheostomy tube, luken's tube - correct answer nasal endotracheal tube
  3. Which of the following disorders is most closely associated with a breathing patttern that has an irregular rhythm with an increased rate and depth. drug overdose, head trauma, diabetic keto-acidosis, CHF - correct answer diabetic keto-acidosis 54.Quality control procedures are completed on a thermistor. Observed readings correspond to the actual flow rates for both low and high flow but are erroneously higher that actual for the mid range flows, These results suggest a problem with: linearity, accuracy, inertia precision - correct answer linearity
  4. A COPD pt is receiving VC/VC ventilation. RR 28/min and there is evidence of air trapping. Recommendations: PC ventilation, sedation, SIMV, inspiratory hold - correct answer sedation
  5. During a routine ventialtor check on a pt in the cardiovasular intensive care unit, the cardiac monitor shows a pulmonary arterial pressure (PAP) of 24/9 mmHg. This is an indication of which of the following? pulmonary disorder, excessive PEEP, cardiac disorder, normal PAP. - correct answer normal PAP
  6. 56 yr old pt. has exacerbation of Copd. During assessment, the pt says that his breathing is better when seated upright and worsens if he attempts to lay down. These symptoms indicate: orthopnea, dyspnea, apneusis, hyperpnea - correct answer orthopnea
  1. Pt. being TX in ER complains of shortness of breath and is diaphoretic. Her pulse is 136/min, BP 140/95, and RR 30/min. Palpation revral tracheal deviation to the pts left. Which of the following should be considered as a possible cause of this pts condition? lft basilar pleural effusion, rt sided diaphragmatic paralysis, rt lobar tumor, lft pneumothorax. - correct answer right lobar tumor A "signet ring" pattern has been noted on a CT scan for a pt admitted to the hospital w/severe shortness of breath. Which of the following diseases is indicated? pulmonary fibrosis, brochiectasis, emphysema, pulmnary edema - correct answer bronchiectasis
  2. Pt admitted to the medical floor complains of shortness of breath. Vital signs are as follows: pulse 120/min, RR 28/min, BP 142/94, temperature 99.5. During the pt interview, the RT notices that the pt is anxious, shows confusion and is disoriented. Which of the following diagnostic procedures should be done Next to further assess this pt serum electrolytes, chest xray stat, ABG - correct answer ABG
  3. Following endotracheal intubation of a pt in the emergency dept, end tidal CO levels rise sharply during end expriation and auscultation of the chest shows markedly dimishished breath sounds on the left side. which of the following should be considered? esohageal intubation, lung collapse on the rt side, intubation w/in the rt mainstem bronchus, pleural effusion on the lft side. - correct answer intubation w/in the right mainstem bronchus
  4. AC, RR 16, VT 650, Fio2 50%, PEEP 5. ABG 7.42, PaO2 85, PaCO2 39 Hemodynamics: PCWP 18, Cardiac output: 2.9, Recommendation: - correct answer increase flowrate
  5. Pt is receiving VC AC in the ICU. RR and Volume are appropriate, the PaO obtained by ABG is below 60 on an Fio2 greater that 0.60. What should RT recommend 1st to improve the pt O2 status? increase the Fio2, initiate HFV, change to PC ventilation, increase PEEP setting. - correct answer increase PEEP setting
  6. ABG rsult for a pt breathing room air yeild the following data pH 7.38, PaCO2 54, PaO2 64, bicarb 31. so, acute respiratory alkalosis w/ moderate hypoxemia, uncompensated metabolic acidosis w/severe hypoxemia, chronic repsiratory acidosis w/mild hypoxemia, acute hypercapnic respiratory failure w/ moderate

hypoxemia - correct answer chronic respiratory acidosis w/mild hypoxemia

  1. A pt w/end stage emphysema is being mechanically ventilated in the intensive care unit. At an FiO2 of 0.80, the following data is available: pH 7.37, PaCO2 55, PaO2 43, HCO3 31. Best therapeutic response would be to increase: PEEP, mandatory rate , FiO2, inspriatory flow rate. - correct answer FiO
  2. Pt has been placed on a cool aerosol mist via T-piece, FiO2 0.40. Nursing complains that they often find the T-piece dislodged from the pt tracheostomy tube. The RT should: tape the T-piece to the trach tube, replace the t-piece w/a trach collar, sedate the pt, apply wrist restraints. - correct answer replace the T-piece w/a tracheostomy collar
  3. Ventilator checks for a COPD pt receiving mechainical vent support: 6am SpO 96%, PIP 36, Pplat 29; 8am SpO2 97%, PIP 34, Pplat 28; 10 am SpO2 84%, PIP 49, Pplat 41. Vent setting have not been changed. What should the RT do first. suction the pt, administer a bronchodialtor tx, check cuff pressure, increase the FiO2 to 100% - correct answer increase the FiO2 to 100%
  4. Pressure waveform seen on the graphics monitor of a volume cycled vent indicates a value of -10 cm H2O at the initiation of each synchronized mandatory breath. this wave form illustrates which of the following?inadequate flow rate to nmeet pt demand, excessive pt effort required to trigger inspiration, auto PEEP. - correct answer excessive pt effort required to trigger inspiration
  5. Pt in the ICU has been intubated following a cardiac arrest. The capnometry device used to verify tracheal intubation by producing a color change gives a negative result. Which of the following should the RT recommend 1st. - correct answer auscultate, listening for equal, bilateral breath sounds
  6. A fireman, overcome by smoke, is being resuscitated in the ER. Which of the following would provide the BEST evaluation of his oxygenation status? pulse oximetry, ABG assessment of PaO2, mass spectrometry, hemeoxietry - correct answer hemeoximetry
  1. Pt is being transported from the ER to the medical floor. E clinder fitted with Bourdon gauge is being used to deliver oxygen via nasal cannula at 4 l/min. During transport, an outlet restriction causes back pressure on the gauge this will result in: unaffected flowrate, higher flowrate, pressure indicator falling to zero, lower flowrates - correct answer higher flowrate
  2. A 73kg male pt is intubated and being ventilated using a 100% bag valve resuscutator following a cardiac arrest. With restoration of dcardiac and respiratory functions, the pt has been transferred to the ICU. The physician ordered VC ventilation. Which setting is recommended: A/C, mand rate 12, VT 600, Fio2 100%, PEEP 5 or SIMV, mand rate 10, Vt 450, Fio2 100% PEEP 3 - correct answer A/C, made rate 12, Vt 600, FiO2 1.0 PEEP 5
  3. The I:E ratio alarm is sounding with each mand breath being delivered to a head trauma pt receiving mechanical ventilation i the A/C mode. The pt has no inspiratory effort. Changes to which of the following vent settings would affect this alarm parameter? I. mandatory rate II. Vt III inspiratory flow rate IV senesitivity - correct answer I, II, III
  4. Which of the following diseases will cause a decrease in the diffusing capacity of the lungs? emphysema, chronic bronchitis, bronchiectasis, asthma - correct answer emphysema
  5. The most common problem encountered with PEP therapy is: patient fatigue, pulmonary barotrauma, increased intracranial pressure - correct answer patient fatigue
  6. A pt is receiving 4 L/min nasal O2. The pt SpO2 is 94%. Which of the following should be done next? discontinue, recheck SpO2 on room air, decrease O2 flowrate to 2 L/min - correct answer decrease O2 flowrate to 2 l/min
  7. A pt with asthma presents in the ER with shortness of breath, and severely diminished breath sounds are auscultated. Following administration of an

aerosolized bronchodilator, breath sounds reveal loud, scattered wheezes. This would indicate the pts condition is: worse, better, normal, unchanged - correct answer better

  1. The variable that ends the inspiratory phase w/ VC is ; pressure, time , volume, flow - correct answer volume
  2. A 37 week gestation female has been placed under an oxyhood, Fio2 .35. Capillary blood gases show the following results: pH 7,35, PaCO2 47, PaO2 40, bicarb 25: increase Fio2, place on MV, 3cm nasal CPAP, decrease the FIO2 - correct answer increase the FIO
  3. Which of the following indicates readiness for weaning from mechanical ventilation: PaCo2 33, shallow breathing index 155, MIP -25, P(A-a) 400 - correct answer MIP -
  4. ABG results for a pt receiving supplemental O2 via a 40% air-entrainment mask are: pH 7.49, PaCO2 31, PaO2 52, HCO3 23: 100% nonrebreather mask, intubation and MV support, mask CPAP, diazepam (Valium) - correct answer 100% nonrebreather
  5. ABG on pt on MV in the ICU. pH 7.47, PaCO2 29, PaO2 57: increase Vt, decrease mand rate, decrease deadspace, increase FIO2 - correct answer increase FiO
  6. Air leaks at the sensor site of a trascutaneous monitor will cause which of the following erroneous values? - correct answer high Ptc O2, low Ptc CO
  7. Which of the following devices provides 100% humidity at body temperature? passover, bubble diffusion, jet neb, wick humidifier - correct answer wick humidifier
  8. While checking a laryngoscope blade for an emergency intubation procedure, the light is out on the lg sized Miller blade. Use a Macintosh blade, secure the bulb, change the batteries, do nasal intubation - correct answer secure the bulb
  1. An erratic tracing w/no identifiable wave or repetition of waves is observed on a pts cardiac monitor. cardioversion, IV administration of Dopamine, electrical pacing, defibrillation - correct answer defibrillation
  2. Pressure waveforms for a pt receiving mechanical ventilation show prolonged negative pressure readings at the beginning of each inspiration. add expriatory retard, decreasing the RR, increasing the inspiratory flow rate, adjusting the sensitivity. - correct answer increasing the inspiratory flow rate
  3. V/Q scan is ordered for a 70 year old male pt with a history of deep vein thrombosis which reveals areas of decreased perfusion in the right, middle lobe. lung recruitment maneuversm diuretic therapy, anti coagulant therapy, chest tube placement - correct answer anti coagulant therapy
  4. The most SEVERE complication of suctioning is: bacterial contamination atelectasis, mucosal trauma, hypoxermia - correct answer hypoxemia
  5. While doing an exercise on the treadmill during cariopulmonary stress testing, a pt suddenly develops premature ventricular contractions on the cardiac monitor. decrease the level of graded exercise, terminate, continue, administer lidocaine - correct answer terminate
  6. 56 yr old female pt w/right lower lobe pneumonia is receiving VC A/C ventilation in the ICU. Over the hour, pt has become apprehensive and is complaining of difficulty breathing. ABG indicates pH 7.41, PaCO2 39, PaO2 55, bicarb 24. Vent settings MR 24, Vt 500, FiO2 .60, PEEP 5. sedation, increase FiO2, Increase PEeP, place on SIMV - correct answer increase PEEP Fio2 is already high,.
  7. When performing an ECG, the respiratory therapist notices a flat line for all leads on the monitor. Which of the following should be done. reattach all electrodes, reattach the rt leg electrode, clean electrode clips, turn off, then restart ECG machiner - correct answer reattach the rt leg electrode
  1. Which of the following I:E ratios would most adversely affect cardiac output? 1:1, 1:2, 1:3, 1:4 - correct answer 1:
  2. Which of the following values (mEq/L) for serum electrolyte are normal for sodium, potassium, chloride: - correct answer Na 135-145, K 3.5-4.5, Cl 90-
  3. An ambulatory pt is using a portable E cylinder to supply nasal O2 while walking the hallways of the hospital. The flowrate is set at 2 L/min and the guage indicates a pressure of 1400 psig. how long do they have - correct answer 1400 x .28 = 396/2 = 196/60 = 3 hours 15 min
  4. Ventilator check for a COPD pt receiving mechanical ventilation: 6 am SpO 96, PIP 36, Pplat 29; 8 am SpO2 97, PIP 34, Pplat 28, 10 am, SpO2 84, PIP 49, Pplat 41: suction pt, administer bronchodilator tx, check cuff pressure, increase the Fio to 100% - correct answer increase FiO2 100%
  5. Pt admitted to the ER complains of shortness of breath. Assessment of the pt indicates bilateral expriatory wheezes on auscultation, tachypnea, hepertension, and tachycardia; diuretic therapy, supplemental O2 via 35% air entrainment mask, cpt, bronchodilator tx - correct answer bronchodilator tx
  6. An in line end tidal CO2 monitor is being used with a pt. receiving mechanical ventilation in the ICU. 11am RR 12, PaCO2 42, PetCO2 36 1pm RR 14, PaCO2 40, Pet CO2 35, 3 pm RR 20, PaCO2 44, Pet CO2 22: increased shunt, hyoventiation, decreased dead space, pulmonary embolus - correct answer pulmonary embolus
  7. The primary purpose of aerosolized corticosteroids is to: reverse bronchospasm, mobilize secretions, reduce inflammation, inhibit anxiety - correct answer reduce inflammation
  8. Before administering an aerosol tx w/ 2.5mg albuteral (Ventolin) in 2.5 ml of normal saline, the pts HR is 84 RR 22, During the tx the pt HR increases to 128 bpm RR 24: continue tx, terminate and record HR and RR. Finish and notify doctor, continue, but increase the diluent. - correct answer terminate
  1. ABG results for a pt admitted to the medical floor are as follows: pH 7.41, PaCO2 40, PaO2 57. hyperventialtion, moderate hypoxemia, respiratory acidosis, severe hypoxemia - correct answer moderate Hypoxemia
  2. During normal, quiet breathing, which of the following remains in the lungs at the end of exhalation? RV, FRC, ERV, IC - correct answer FRC
  3. Which of the folowing is often seen with COPD pt? eupnea, decreased FRC, pursed lip breathing, bradycardia, - correct answer pursed lip breathing
  4. Chest physical therapy w/postural drainage is ordered for a pt whose cxray shows left lower lobe pneumonia, best position: trend supine, left side dependent bed flat, flowlers, trend prone - correct answer trendenlenburg, prone
  5. Chest radiograph for a pt involved in a motor vehicle accident shows a doulble fracture of three adjacent ribs on the right side. What will you see; bulging of the chest wall during inspiration, paradoxical movement of the right chest, decreased RR, tracheal deviation to the right - correct answer paradoxical movement of the right chest
  6. When performing calibration of the PaO2 electrode in a blood gas analyzer, the balance point refers to the introduction of which of the following concentrations of oxygen into the analyzer? 12, 0, 10, or 20% - correct answer 0%
  7. Which of the following provides the best evaluation of Oxygenation: PaO2, PaCO2, FEV 1, SpO2 - correct answer PaO
  8. A female pt presernts to the ER w/her chief compaint being diarrhea, and frequent vomiting. Lab tests should indicate: hypokalemia, metabolic acidosis, hypernateremia, diabetic, ketoacidosis - correct answer hypokalemia
  1. Which of the following should be recommended to increase the excretion of water? dopamine (Intropin), nitroprusside sodium (Nipride), isoproterenol (Isuprel), furosemide (Lasix) - correct answer furosemide (Lasix)
  2. Application of suction during withdrawal of a suction catheter should not exceed a Maximum of 10, 15, 20, or 25 seconds. - correct answer 15 seconds
  3. 47 year old male pt presents in the emergency dept. w/profuse diaphoresis. While sitting bare chested, tracheal deviation to the right is palpated. Pain is in his left shoulder. tx? a lung tumor, rt sided pneumothorax, Acute MI, a CVA (stroke) - correct answer Acute MI