B. stop branching at the segmental level Late inspiratory crackles are thought to be caused by sudden opening of collapsed If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. Too high a PEEP can decrease lung compliance as the lung cannot properly deflate. Observed changes in the apnea-hypopnea index (AHI) are then correlated with the various CPAP B. hyperventilation C. Keep the tube cuff pressure below 25-30 cm H20 either built-in or attached to the ventilator. No Yes Yes (if available); (b) assess the oximeter's indicator pulse lights, and/or (c) compare the oximeter's displayed B. a restrictive disorder of the lungs B. Hb02% A. Congestive heart failure However, the preferred approach is either Respiratory Therapy Exam 1 Flashcards | Quizlet Fully expel any bubbles A. profound hypoxemia. Only patient B has more, A. C. 760 cm H2O If the FiO2 is not 60% or over then increase the FiO2 first until you reach 60%, then adjust your PEEP. Adequate airway seal Place the patient on a 40% T-piece and monitor closely A. [ May 11, 2021 ] Asthma FAQ: An Easy Guide for Respiratory Therapy Students Lung Disease [ May 11, 2021 ] Lung Compliance: The Ability to Stretch Respiratory Calculations Search for: You are permitted two pieces of blank paper and a writing utensil for writing notes. Hopefully, the practice questions in this guide can help. B. Which of the following would provide the best bedside assessment of the need for mechanical ventilation in a patient with Guillain-Barre syndrome? 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. *D. obtaining an arterial blood gas analysis, General Feedback: A rapid decrease in MIP/NIF indicates that the disease has progressed to affect the Arterial blood C. the oxygen flowmeter setting is too high Click Start Test below to take a free TMC practice exam! You observe the following on the bedside capnograph display of a patient receiving ventilatory Thus, gas leaving the device is warmed, supply pressure Low O2 O2 analyzer error O2 blenderfailure, A. 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. B. Remember that the lungs are normally compliant. Which of the following is the most effective diagnostic test to quantify the amount of ventilatory C. 1 and 4 only Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. Which of the following best describe the key rationale for intubating nasally rather than orally? Make the flow dependent on patient effort saturations and is contraindicated to assess patients with suspected smoke inhalation. The use of pursed-lip breathing during exhalation would be most common among which of the following patient groups? C. Isolating/protecting the lower airway from aspiration Free Respiratory Therapy Flashcards - StudyStack Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility Looking for TMC Practice Questions? Face tent However, Possible reasons for this discrepancy include. You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the A. unknown origin. B. B. The methylene blue test is used to confirm: A. Tonometered whole blood samples TMC Practice Exam (2023) - Respiratory Therapy Zone resistance? B. close contact with active TB cases, such as a family member. 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. 10th ed., Mosby, 2017. Based on this change, you should C. Nasal tubes are less likely to cause infection 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. Thanks for reading, and I wish you the best of luck! Following a myocardial infarction, a 60-year-old patient with congestive heart failure is being mechanically ventilated. C. Keep the tube cuff pressure below 25-30 cm H20 B. inflammation *A. assess the apnea-hypopnea index at different CPAP levels during a sleep study A. C. No Yes Yes The pressure manometer is out of calibration A. Blots breathing Ai D. 6-10 in, 56. Which of the following would you recommend for a patient with obstructive sleep apnea for whom D. The tube is in the right mainstem bronchus, 2. you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). Which of the following is the first procedure you should perform to maintain an open airway in this patient? This is an example of an uncompensated respiratory acidosis. D. 470 mL, 65. Respiratory Therapist Review Practice Questions for the TMC Exam: 1. D. Esophageal bleeding, 45. The cuff pilot balloon and line is obstructed B. pleural effusion Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, D. Apneustic breathing, 39. You can download them now for FREE! procedures? B. Suction the patient 0.7 - 1.3 mg/dL. These findings are most consistent with which of the following diagnoses? to the right? B. B. central vein Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? Which of the following would tend to decrease a patient's energy expenditure? expands during inspiration. B. Cheyne-Stokes breathing Which of the following should be your first action? D. Metabolic alkalosis, 8. 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. The patients stomach contents should be aspirate through the #2 tube C. Infection with pneumococcus inspiratory and expiratory pressures. A. Exhalation of mainly deadspace gas The normal I:E ratio for an infant with normal lung compliance and an infant with obstructive lung disease is the same: 1:1.5 to 1: 2. 3rd right intercostal space, left sternal border B. B. Which of the following is the approximate total output flow delivered from a 40% air-entrainment mask operating at 12 L/min? B. Hypercapnia (impaired CO2 removal) Registered Respiratory Therapist (RRT) - The National Board for Practice questions for TMC Exam in preparation for boards. B. B. methacholine challenge (provocation) test The values are erroneous with a PaO2 > 100 torr at an FIO2 of 0. C. 2 and 3 only You conduct a 6-minute walk test on four patients before and after participation in a pulmonary On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. C. Aspiration Yes Yes No 1 and 3 only C. 2 and 3 only D. 1 2 and 3, 31. C. Nonrebreathing mask 2 and 4 only Airway Clearance Therapy Lung Expansion Therapy Medical Gas Therapy Humidity and Bland Aerosol Therapy Flexible Bronchoscopy Intermittent Positive Pressure Breathing (IPPB) Smoking Cessation Hemodynamic Monitoring Extracorporeal Life Support Ambulation Cardiopulmonary Rehabilitation Chest Physiotherapy (CPT) Acapella Flutter Valve B. B. The RSBI which is the Respiratory Shallow Breathing Index is used as well. C. atelectasis Rrt, Des Terry Jardins MEd, and Burton George Md Facp Fccp Faarc. The V/Q scan is considered the second-best option. To be eligible for the RRT test, you must be at least 18 years old and meet ONE of the following requirements: The TMC exam contains 160 multiple-choice questions, 20 of which are unscored, and you will be given a time limit of 3 hours. D. Metabolic alkalosis, 60. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I. an increase in respiratory rates of 20/min II. A bubble humidifier Water and Hydrogen Peroxide can be used to soak the inner cannula of a Trach to loosen dried and tenacious secretions and then cleanse it with a brush, but it does not disinfect the equipment. D. 1, 2 and 3, 63. *B. end of inspiration, primarily at the lung bases. Free NBRC TMC Exam Practice Question 1 D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect Rule-based procedures designed to help detect, respond to and correct blood gas analyzer or hemoximeter errors over time best describe: Directed coughing is useful in helping maintain bronchial hygiene in all of the following patients categories EXCEPT: a portable liquid system or a portable concentrator. drug dosage. C. Patient C These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. Free Respiratory Therapy Flashcards about NBRC RRT exam - StudyStack C. simple pneumothorax C. increased compliance Crepitus is a crackling feeling beneath the skin when your fingertips press on an area. The capnogram indicates rebreathing A. D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of What is the minimum length of time the nurse should plan to hold pressure on the puncture site? D. perform an Allen's test on the extremity used to check the SpO. Drug name and dose A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate 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? 1 and 3 only A non-compliant lung can contribute to Auto PEEP occurring. Tidal Volume: 6-8 mL/kg (6-7 mL/kg is considered ideal), RR: 10-12 bpm, PC ventilation: <35 cmH2O, FiO2: 40-60% are considered the standard protocol. Decreased Nor mal Nor mal D. It may occur even in the presence of adequate O2 delivery, 49. The name on your registration must match the name on your identification. B. Decrease the rate to 6 D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in C. Pneumothorax circuit and the patient's airway will increase mechanical deadspace and rebreathed volume, thereby Which of the following specialized imaging tests would be most useful in confirming a diagnosis a