RAT Quiz - Assessment and Airway
Quiz by Tammy Kurszewski
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30 questions
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- Q1A 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?PaO2HbHbCOSpO2120s
- Q2You 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 ScanShunt studyBronchoscopyCoagulation Studies120s
- Q3Failure to hyperoxygenate a patient on a ventilator before ET suctioning may result in:HypocapniaHypoxemiaBradycardiaHypertension120s
- Q4The 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 complianceSpontaneous Tidal VolumeDynamic lung compliancePaO2120s
- Q5The 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.120s
- Q6During 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 bagInflate the cuff on the patient's ET tubeAllow a longer time between bag compressionsAdd a reservoir to the bag120s
- Q7While 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 tubeRemove the chest tubeClamp off the drainage tube120s
- Q8To 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 cuffUse the minimal occlusive volume (MOV)Use a low-volume, high-pressure cuffDeflate the cuff every 2 hours for 5 minutes120s
- Q9Which bedside assessment best determines whether a patient with Guillain-Barré syndrome is in need of ventilatory assistance?Maximum voluntary ventilation (MVV)FRCVCTLC120s
- Q10While 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 dopamineAdminister nitroprussideDecrease the tidal volume (VT)Increase inspiratory flow120s
- Q11A patient's cardiac monitor indicates the patient is experiencing PVCs. Which of the following should the respiratory therapist recommend?Administer oxygenGet a pulse oximetry readingGet serum electrolyte levelsAdminister an antiarrhythmic drug120s
- Q12Shortly 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 pneumothoraxConsolidation of the right lungAtelectasis of the right lungRight-sided tension pneumothorax120s
- Q13A 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 acidosisCompensated respiratory alkalosisPartially compensated metabolic acidosisPartially compensated respiratory acidosis120s
- Q14This 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 acidosisPartially compensated metabolic acidosisFully compensated respiratory acidosisUncompensated respiratory alkalosis120s
- Q15The most effective method for determination of ET tube location after intubation is which of the following?Listening for air flow at the tube outletObservation on the chest radiography filmDirect visualization during intubationAuscultation of breath sounds120s