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RAT Quiz - Assessment and Airway

Quiz by Tammy Kurszewski

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30 questions
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  • Q1
    A patient arrives in the ED after being pulled from a burning house. The respiratory therapist should recommend obtaining which of the following measurements to best determine the severity of the patient's smoke inhalation?
  • Q2
    You suspect a patient may have a pulmonary embolism. Which of the following would be the most appropriate recommendation for diagnosis of this condition?
    V/Q Scan
    Shunt study
    Coagulation Studies
  • Q3
    Failure to hyperoxygenate a patient on a ventilator before ET suctioning may result in:
  • Q4
    The most reliable method of determining whether the lungs of a patient receiving mechanical ventilation are getting stiffer and harder to ventilate is by measuring the:
    Static lung compliance
    Spontaneous Tidal Volume
    Dynamic lung compliance
  • Q5
    The respiratory therapist notes the following data while reviewing the patient's chart: Dynamic compliance 48 mL/cm H2O Static compliance 30 mL/cm H2O The therapist should conclude which of the following?
    Airway resistance is 18 cm H20/L/s.
    The data is erroneous.
    A pneumothorax has likely developed.
    The patient has severe restrictive disease.
  • Q6
    During manual ventilation, minimal resistance is found during compression of the bag, with little rise in the patient's chest. Which of the following should the respiratory therapist do to correct this problem?
    Increase O2 flow to the bag
    Inflate the cuff on the patient's ET tube
    Allow a longer time between bag compressions
    Add a reservoir to the bag
  • Q7
    While monitoring a patient's chest tube, you notice it is obstructed with a blood clot. The first action that should be taken is to do the following:
    Increase the suction pressure
    "Milk" the chest tube
    Remove the chest tube
    Clamp off the drainage tube
  • Q8
    To decrease the incidence of damage to the tracheal wall by the ET tube cuff, which of the following should be recommended?
    Never instill more than 5 cc of air into the cuff
    Use the minimal occlusive volume (MOV)
    Use a low-volume, high-pressure cuff
    Deflate the cuff every 2 hours for 5 minutes
  • Q9
    Which bedside assessment best determines whether a patient with Guillain-Barré syndrome is in need of ventilatory assistance?
    Maximum voluntary ventilation (MVV)
  • Q10
    While monitoring vital signs on a patient on a ventilator, the respiratory therapist observes a blood pressure of 175/100 mm Hg. Which of the following should be recommended at this time?
    Administer dopamine
    Administer nitroprusside
    Decrease the tidal volume (VT)
    Increase inspiratory flow
  • Q11
    A patient's cardiac monitor indicates the patient is experiencing PVCs. Which of the following should the respiratory therapist recommend?
    Administer oxygen
    Get a pulse oximetry reading
    Get serum electrolyte levels
    Administer an antiarrhythmic drug
  • Q12
    Shortly after PEEP is increased from 8 to 12 cm H2O, the patient becomes restless and agitated. Auscultation of breath sounds reveals diminished breath sounds on the right side, and chest inspection reveals the trachea shifted to the left of midline. These abnormal findings are most likely the result of which of the following?
    Left-sided pneumothorax
    Consolidation of the right lung
    Atelectasis of the right lung
    Right-sided tension pneumothorax
  • Q13
    A 24-year-old woman with diabetes has the following ABG results: pH 7.18 PaCO2 18 mm Hg PaO2 78 mm Hg HCO3- 10 mEq/L BE – 15 mEq/L You interpret these ABG values which of the following?
    Uncompensated metabolic acidosis
    Compensated respiratory alkalosis
    Partially compensated metabolic acidosis
    Partially compensated respiratory acidosis
  • Q14
    This set of ABG results was obtained on a patient in the ICU on a 2-L/min nasal cannula: pH 7.22 PaCO2 27 mm Hg PaO2 78 mm Hg HCO3- 12 mEq/L BE – 13 mEq/L The correct interpretation of these ABG results is which of the following?
    Uncompensated metabolic acidosis
    Partially compensated metabolic acidosis
    Fully compensated respiratory acidosis
    Uncompensated respiratory alkalosis
  • Q15
    The most effective method for determination of ET tube location after intubation is which of the following?
    Listening for air flow at the tube outlet
    Observation on the chest radiography film
    Direct visualization during intubation
    Auscultation of breath sounds

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