respiratory therapy exam a v1 quizlet

You can download them now for FREE! A. Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. 6-10 cm Use of generic vs brand name medications D. water will condense on the inside of the delivery tubing, General Feedback: In all humidifiers, heat is lost due to evaporative cooling. temperature of the gas and its ability to carry water vapor. Get complex subjects broken down into easily understandable concepts. rtboardreview standardized exam version prescription for an aerosolized drug for patient under your DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia A. Nasal tubes are less likely to cause trauma B. concentrator and peripheral nerves, causing acute muscle weakness and diminished reflexes. D. They should only be used by trained personnel, 50. whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement *C. rebreathing respiratory alkalosis. B. Nausea/vomiting Administer Acetylcysteine Concentrations of 10-20% via a nebulizer after pre-treating the patient with a bronchodilator. To assess left ventricular preload (filling pressure) What is your interpretation of this display data? To change the level of negative pressure delivered by a pleural drainage system, you would *B. pneumothorax The patients stomach contents should be aspirate through the 42 tube The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. In a semi-comatose patient with pulmonary edema, which of the following would indicate a loss of 1 and 3 only C. 15 L/min Possible reasons for this discrepancy include. If you want more, definitely consider getting access to our TMC Test Bank, which students are using to increase their TMC Exam scores. If severe, this can cause hypoventilation and respiratory acidosis. 0.7 - 1.3 mg/dL. Need access to the correct answers? In addition, patients When you have a patient arrive in the ER you want to perform initial assessment procedures that take little time and give you valuable data almost immediately. You must have at least two years of CRT experience, at least a baccalaureate degree in any area, and at least 62 college credit hours. Machine calibration Which of the following is the most likely cause of this problem? following effects on a jet nebulizer set to an FIO2 of 0? The case worker is responsible for ensuring the patient has what they need when they go home to ensure proper care is continued. B. Providing a secure route into the larynx and trachea increase the risk of accidental extubation. Therefore, the blood gas is a partially compensated metabolic acidosis. 20 to 30 cm H2O Bronchoconstriction, Kinked ETT and Secretions are three common, easy to fix issues that affect Dynamic Compliance. The V/Q scan is considered the second-best option. *C. serial vital capacity measurements A. amount? pursed-lip breathing.Pursed-lip breathing may allow improved exhalation by stabilization of the airways. During auscultation of a patient's chest, you hear intermittent "bubbling" sounds occurring toward the B. cuff compliance B. methacholine challenge (provocation) test B. Gastric insufflation A. 10 to 20 cm H2O 2 minutes B. As downstream pressures rise, air-, A. outside diameter (OD) A. II and IV only 1. set-up and operating? Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. B. Inspection of a PA chest radiograph reveals a CT ratio of 60%. *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the *C. cardiomegaly D. Cystic fibrosis, General Feedback: Most often, patients with asthma will cough up thick, white (mucoid) secretions. Make sure the order error is corrected and the treatment given to the patient. CVP 2 and 4 only However, B. Hopefully, the practice questions in this guide can help. B. A. C. Airway resistance this finding? Decreased Nor mal Nor mal D. Collateral circulation is provided through the ulnar artery, 24. to the right? B. 1. inflate the cuff to 30 mm Hg above brachial pulse stoppage 2. place the lower cuff edge 3 inches above the antecubital fossa 3. deflate the cuff at a rate of 2 to 3 mm Hg per second 4. place bell of stethoscope over the brachial artery A. leakage type aspiration Which of the following measures would you recommend obtaining? 1 and 2 only B. Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? D. Systemic hypertension, 14. of the following is the most likely cause of the discrepancy between set and analyzed FIO2? 2 only A. In the presence of a low, A. ventilator disconnection specifically a pulmonary emboli. C. The tube chosen is too small for the patient tracheostomy site, neck, and chest. Decrease the flow to a lower level Standard two-wavelength pulse oximetry is unable to measure carbon monoxide Based on this finding, the most likely You do not just "skip" a treatment because the order is incorrect. Any of these symptoms can cause severe problems and potentially death. antipyretics, starvation, and properly applied ventilatory support. You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and C. pulse oximetry 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. The pressure manometer is out of calibration B. Suction the patient recommend which of the following? Copyright 2009-2022 Tests.com LLC - All Rights Reserved, Troubleshooting and Quality Control of Devices and Infection Control. This maneuver should decrease dyspnea. Please choose another answer. Once your application is approved, you will receive instructions on how to schedule your exam appointment. C. 52 L/min Which Respiratory Therapist Review Practice Questions for the TMC Exam: 1. D. Exhalation of mainly alveolar gas, 10. D. perform an Allen's test on the extremity used to check the SpO. Straight with the torso, with the neck hyperextended The horizontal (x) axis depicts 8-hour shifts. A. presence of carbon monoxide poisoning. monitoring assesses right ventricular preload, while the pulmonary artery pressure reflects right, Blood Gases *B. 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. Pass the TMC Exam using practice questions, quizzes, and real-life practice exams. B. Cheyne-Stokes breathing A. Which of the following would you expect to occur AFTER an unheated bubble-diffusion humidifier is D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in D. A jet nebulizer, 71. C. Pneumothorax A patient tells you that he has been coughing up thick, white sputum. 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? A 68 year-old female patient with severe COPD has been provided with educational materials describing essential self-management activities to help her control her disease. B. Increase the F102 to 1.0 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%. 7th ed., Mosby, 2019. 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? for confirming ('rule in') a diagnosis of pulmonary embolism. The decrease in lung volumes and compliance increases the patient's spontaneous work D. Yes Yes Yes, General Feedback: Neuromuscular disorders typically cause respiratory muscle weakness, which can lead Lung consolidation Which of the following is the most effective diagnostic test to quantify the amount of ventilatory be confirmed by analysis with each ventilator check. A. Patients name A. Inserting a laryngeal mask airway Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and drug dosage. Which of the conditions is associated with jugular venous distension? I. an increase in respiratory rates of 20/min II. C. Keep the tube cuff pressure below 25-30 cm H20 Tactile Rhonchi is felt through the skin as a "rumble" or "bubbling" feeling beneath the hands. long expiratory time? 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. Which of the following are potential causes of this problem? B. A. Bronchiectasis A patient suddenly loses consciousness. C. 2 and 4 only One thing is certain: The TMC Exam is definitely not easy! circuit and the patient's airway will have which of the following effects? performed on a patient in the supine position (normal position for CT angiography), the arteries will be, A. increased lung volumes D. You may experience pain and lightheadedness from this therapy, 47. B. B.Sc. C. 2 and 3 only To achieve the highest O2 concentration, you would select which of the following devices? Bypass the pressure relief valve To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: B. All of the following are common causes of fluid overload (overhydration) in patients EXCEPT: D. Restlessness and tremors, 46. D. The large 41 pharyngeal cuff must be deflated before laryngoscopy, 23. condensation partially blocking the delivery tubing. 1 and 3 only C. 2 and 3 only D. 1 2 and 3, 31. D. Pa02, 18. 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 During ventilation of a child with a bag-valve resuscitator, the pressure relief valve/pop-off There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening A. Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. When a patient's equipment is broken it is important to have both of you speak to the patient's case manager to arrange procuring a new one for home use. room air: The following arterial blood gases are obtained on four patients. Practice questions for TMC Exam in preparation for boards. When open to the atmosphere, a manometer calibrated in cm H2O units should read: Which of the following are acceptable changes in patient status during a traditional T-tube weaning trial? need mechanical ventilation. This application should include all necessary documentation to support your eligibility as well as the $190 examination fee. C. Cap the syringe quickly 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 C. 3 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. C. Tilted forward toward the chest Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? . Decreased use of respiratory therapy protocols 2. Which of the following is the most likely underlying problem? *B. the reservoir will be cooler than room temperature Respiratory alkalosis Wilkins Clinical Assessment in Respiratory Care. Which of the following is the most common problem associated with the removal of an esophageal obturator airway? Just far enough so that the tube cuff is no longer visible C. Until its cuff has passed the cords by two to three inches D. Until its cuff has passed the cords by two to three centimeters, 30. Rule-based procedures designed to help detect, respond to and correct blood gas analyzer or hemoximeter errors over time best describe: C. simple pneumothorax D. Fully occlude the ET tube while you quickly it out, 21. You are permitted two pieces of blank paper and a writing utensil for writing notes. A. *C. ongoing contact with active TB cases C. measure and record the patient's SpO2 continuously throughout sleep D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a Asthma 1 and 2 only shorter the tube length), the lower its resistance to flow. Decreased Decreased Nor mal B. Adequate airway seal D. Turned to the right, with the neck hyperextended, 4. All of the following cause false HIGH Sp02 readings when using a pulse oximeter EXCEPT Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. D. Decreased Nor mal Decreased, *A. D. 90-100%, 19. D. 3 and 4 only, 26. These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. A. Prophecy Healthcare Allied Health Specialty Exams Certified Medication Aide Certified Occupational Therapy Assistant CT Scan Tech Dental Assistant EMT (Emergency Medical Technician) Emergency Room Technician Medical Assistant Medical Biller/Coder Physical Therapy Exam A Physical Therapy Exam B Occupational Therapy Exam A Occupational Therapy Exam B Pharm Tech - Retail Pharmacy Tech - Non . B. Pneumomediastinum B. Creatinine is a waste by-product of the metabolizing of creatine phosphate which is a result of the breakdown of skeletal muscle. 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. A COPD patient is receiving sustained-release theophylline Adverse effects of this therapy that you should be on guard for include all of the following EXCEPT: Shield or cover the probe Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. *B. *B. phrenic nerve paralysis Which of the following is the first procedure you should perform to maintain an open airway in this patient? D. received the BCG tuberculosis vaccine, General Feedback: You would recommend repeating tuberculin skin testing on those who previously A. Oximetry is also a device that gives you data, but it is on Oxygen, not End Tidal CO2. A. measure pressure during an end-inspiratory pause Patients with a pulmonary limitation to exercise typically have a normal 1. the O2 delivery tubing is obstructed 2. the O2 flow is too high 3. the water reservoir jar lid is screwed on too tightly 4. the water reservoir jar lid is missing an O-ring D. The change will have no effect on flow, 72. Hemodynamics (32 cards . D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed Click the card to flip to the left: positive right: negative Click the card to flip 1 / 39 Flashcards Learn Test Match Created by (MIP/NIF) has changed from -35 cm H2O 4 hours ago to -10 cm H2O. C. Isolating/protecting the lower airway from aspiration Patient safety always comes first. *C. thoracentesis Which of the following statements regarding CENTRAL cyanosis is FALSE? A. The radial site is preferred for arterial puncture or cannulation because: Whenever an air-entrainment system encounters The cuff pilot balloon and line is obstructed 1-2 cm DNR status/Advance Directives are also important to verify as they will determine what actions will be taken if something were to happen to the patient during the procedure. D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root Based on these data, what is the primary acid-base disturbance? Which of these patients is most in The radial artery is the most superficial artery available You should: A. Place the patient on a 40% T-piece and monitor closely B. If the patient were in difficulty, it would be more important to check the Oximetry first. C. Hyperkalemia (if available); (b) assess the oximeter's indicator pulse lights, and/or (c) compare the oximeter's displayed Which of the following is the best way to avoid bright lights interfering with a pulse oximeters signal? (100+ videos). An ABG was analyzed with the following results: ABG Results: pH 7.38, PaCO2 38 mmHg, HCO3- 24 mEq/L, PaO2 108 mmHg. C. Nasal tubes are less likely to cause infection In patients with chronic respiratory disease, pedal edema is a sign of: Yes Yes No C. Infection with pneumococcus Faarc, Gardenhire Douglas EdD Rrt-Nps. As compared to predicted normals, a patient has an increased TLC and a decreased FEV1%. Frequency of rescue inhaler usage C. Frequency of administration Which of the following would the best initial action in this situation? impairment in a patient with Guillain-Barre syndrome? The unscored questions are called pretest questions and are used to validate questions for future versions of the exam. Yes Yes No microorganisms, or chyle are found, or when a transudative effusion is present in patients with heart You must have at least two years of CRT experience and at least an associate degree from an accredited respiratory therapy education program. The patient has partially compensated metabolic acidosis Physical examination and X-rays suggests that a patient has a right-sided pleural effusion. results are repeatable. Heated wick-type humidifier common cause of abdominal paradox is weakening of this muscle due to fatigue or atrophy. C. Small airways obstruction You are monitoring a recent postoperative craniotomy patient who is being mechanically ventilated and has an ICP of 22 mm Ng_ The latest ABG results are as follows: Blood Gases pH 7.35 PaCO2 47 mm Hg HCO3 25 mEq/L BE 0 Pa02 89 mm Hg Sa02 96% Based on this information, which of the following is the most acceptable action? It is best observed in the capillaries of the lips and gums Portable O2 can be provided by C. The body of the tube normally must be positioned in the trachea C. Order a chest X-ray You should always seek clarification from the physician if the order does not, A. appear radiolucent (dark on X-ray image) B. blood culture C. 250 m 270 m anaerobic threshold (if it can be reached), but a reduced breathing reserve. D. a patient who prefers magazines to newspapers, A. Glasgow coma scale Oropharyngeal and nasopharyngeal airways helps restore airway patency by: A. Tracheomalacia B. Gastric insufflation C. Aspiration D. Esophageal bleeding, 33. D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. Neonatal and Pediatric Respiratory Care. RSBI =(f/VT) which helps to identify the breathing pattern associated with an unsuccessful weaning. All orders must be verified before administration. We are trying to improve your lung volume Add air to the cuff until a minimal leak is heard Expiratory time would be considered abnormally long when, A. 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. receiving auto-CPAP do not resolve or the treatment otherwise appears ineffective, the patient should be, A. standard AP chest X-ray *C. a patient who cannot describe how to take her medications Which of the following specialized imaging tests would be most useful in confirming a diagnosis a D. Large volume jet nebulizer, 36. airways. C. An ultrasonic nebulizer procedure would be which of the following? either case, the accessory muscles of inspiration provide for most of the chest expansion, with the Which of the following is the most likely problem? C. Carboxyhemoglobin Which of the following additional support measures would you consider recommending? Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? To minimize the risk of aspiration of glottic secretions or cord damage during removal of an oral endotracheal tube, you should C. Right ventricular hypertrophy A. You are asked to position a patient for orotracheal intubation You should place the patients head: The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the D. It may occur even in the presence of adequate O2 delivery, 49. D. Patient D, General Feedback: All patient with poor exercise capacity have a reduced VO2max. The most C. The capnograrn indicates a leak around the E I tube An I:E ratio of 1:1 I:E ratio is used in infants with impaired Dynamic Compliance to ensure maximum alveolar recruitment. Which of the following should be done? It should not be used as a substitute for professional medical advice, diagnosis, or treatment. away from their stationary liquid O2 reservoirs or concentrators. Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. Peter Rench joined Mometrix in 2009 and serves as Vice President of Product Development, responsible for overseeing all new product development and quality improvements. Please consult with a physician with any questions that you may have regarding a medical condition. 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. saturation of 3-4% or more. Until the proximal (mouth) end of the tube is at the teeth B. C. atelectasis D. Acute bronchospasm, 62. 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 A. Pleural effusion B. Bacterial pneumonia C. Pulmonary edema D. Atelectasis, 32. Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, Neither initial nor repeat testing of persons B. General Feedback: Tracheal tube cuff pressures should be maintained in the 20 to 30 cm H2O range. 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. 0 cm H2O procedures? Provide 100% oxygen for 1-2 minute before extubation 10 L/min study. Adjust the vacuum level on the suction regulator rehabilitation program. 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. Proper technique in the auscultatory method of measuring blood pressure includes which of the following?

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respiratory therapy exam a v1 quizlet

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