practice quizes
A patient's prescription for an MDI bronchodilator specifies "2 puffs QID". What time period should elapse between each puff of a single treatment? A. 1 minute B. 5 minutes C. 30 seconds D. 10 seconds
A
Which of the following humidifiers would most consistently deliver the highest water vapor to a patient's airway? A. Passover B. Bubble C. Heated wick D. Heat moisture exchanger
D. Heat moisture exchanger
Common complications associated with arterial punctures include which of the following? I. Fistula formation II. Hematoma formation III. Spasm of the vessel A. I only B. III only C. I and II only D. II and III only
D. II and III only
When performing oxygen rounds, the respiratory therapist notes cyanosis in a patient with COPD who is receiving oxygen at 2 L/min by nasal cannula. Morning laboratory results show a hematocrit of 60%. This is most consistent with which of the following? A. Anemia B. Leukopenia C. Methemoglobinemia D. Polycythemia
D. Polycythemia
Which of the following could influence the results of pulse oximetry? a. Nail polish b. Motion artifact c. Hypotension d. All of the above
d. All of the above
While administering O2 through a non-rebreather mask, a patient suddenly becomes more dyspneic and experiences respiratory distress. Which of the following actions are correct for the RCP to take? a. Check the patient's SpO2 b. Increase the flow to the reservoir bag on the NRB mask c. Ensure that the mask fits snuggly and tight on the patent's face d. All of the above
d. All of the above
The compression-breath ratio for two-rescuer CPR on an adult victim is which of the following? A. 5:1 B. 15:2 C. 5:2 D. 30:2
B. 15:2
Which of the following patient groups would use of a DPI for bronchodilator administration NOT be recommended? A. Infants and children less than 6 years of age B. Patients suffering from pneumonia C. Patients requiring maintenance therapy D. All of the above
A
Which of the following would be most important to assess a patient's ability to perform metered dose inhaler (MDI) therapy? A. Ability to follow instructions B. Overall general appearance C. Adequacy of oxygenation D. Exercise tolerance
A. Ability to follow instructions
Direct spirometry CANNOT be used to measure which of the following? A. Vital capacity B. Residual volume C. Tidal volume D. Inspiratory reserve volume
B
Proper use of a DPI requires that the patient be able to do which of the following? A. Coordinate firing of the DPI with inspiration B. Generate inspiratory flows of 40 L/minute or higher C. Exhale forcibly through the device before drug therapy D. Inhale slowly and perform a breath hold
B
When using an MDI without a holding chamber, the patient should be instructed to fire the device at what point? A. Immediately after a slow inspiration B. Immediately as you begin a slow inspiration C. Immediately before beginning a slow exhalation D. Immediately after beginning a slow exhalation
B
Which of the following accessory devices would be appropriate to use with MDI for administration of metaproterenol to a patient who has hand-breath coordination difficulty? A. Nose clips B. Spacer C. Mask D. One-way valve
B
When using an MDI without a holding chamber, the patient should be instructed to fire the device at what point? A. Immediately after a slow inspiration B. Immediately as you begin a slow inspiration C. Immediately before beginning a slow exhalation D. Immediately after beginning a slow exhalation
B. Immediately as you begin a slow inspiration
Which of the following allows immediate determination of the lowest FiO2 needed to achieve satisfactory oxygenation? A. Capillary refill B. Pulse oximetry C. Nail bed color D. Shunt studies
B. Pulse oximetry
Which of the following accessory devices would be appropriate to use with MDI for administration of metaproterenol to a patient who has hand-breath coordination difficulty? A. Nose clips B. Spacer C. Mask D. One-way valve
B. Spacer
An increase in the number of staphylococcal infections is noted among hospitalized patients receiving respiratory care. Which of the following is the most likely source of the infections? A. The ventilators B. The personnel C. Distilled water D. Disposable circuits
B. The personnel
Which of the following describes the correct position of a properly inserted oropharyngeal airway? A. Distal tip at the level of the uvula, flange extending outside the teeth B. Distal below the epiglottis, flange extending outside the teeth C. Distal tip at the base of the tongue, flange just outside the teeth D. Distal tip at the base of the tongue, flange inside teeth
C. Distal tip at the base of the tongue, flange just outside the teeth
The respiratory therapist would instruct a patient which of the following conditions to use pursed lip breathing? A. Asthma B. Croup C. Emphysema D. Pneumonia
C. Emphysema
Which of the following types of artificial airways are inserted through the larynx? I. Pharyngeal airways II. Tracheostomy tubes III.Nasotracheal tubes IV. Orotracheal tubes A. I and IV B. I, II and III C. III and IV
C. III and IV
A conscious, spontaneously breathing patient is admitted to the emergency department (ED) with suspected carbon monoxide poisoning. The respiratory therapist's most appropriate INITIAL action would be to: A. Perform an arterial blood gas analysis. B. Intubate and apply CPAP with 50% oxygen. C. Administer oxygen by a 40% air-entrainment mask. D. Administer 100% oxygen by a nonrebreathing mask.
D. Administer 100% oxygen by a nonrebreathing mask.
Which of the following could influence the results of pulse oximetry? A. Nail polish B. Motion artifact C. Hypotension D. All of the above
D. All of the above
On receiving a new medication nebulizer treatment order, the RCP checks the order and finds the order is written incorrectly. What should the RCP do? A. Draw up the medication and give the treatment B. Ask the family what medication the patient should receive C. Obtain a past home care history D. Call the physician and clarify the order
D. Call the physician and clarify the order
A RCP is called to give a STAT aerosol treatment with Xopenex to a patient in respiratory distress. The patient appears very fearful and anxious and tells the RCP that he does not want the treatment. What action should the RCP take at this time? A. Contact the physician and tell her the patient has refused treatment B. Restrain the patient and forced him to take the treatment C. Assume the patient doesn't understand and ask for a translator D. Reassure the patient, explain the benefits of the treatment and attempt to give the treatment again
D. Reassure the patient, explain the benefits of the treatment and attempt to give the treatment again
Which of the following are considered high flow devices? a. Venturi mask at 40% B. b. High flow nasal cannula c. Aerosol face mask at 60% d. All of the above
d. All of the above
Which of the following conditions would be standard requirements for a patient with localized herpes zoster (shingles)? a. Gloves and handwashing b. A special respirator mask c. Full head mask d. Patient placed in a room with negative pressure ventilation
a. Gloves and handwashing
In inspecting an elderly female patient, you note that her spine has an abnormal anteroposterior (AP) curvature of the upper spine which results in a hunchback appearance. Which of the following terms would you use in charting this observation? a. Kyphosis b. Scoliosis c. Pectus carinatum d. Kyphoscoliosis
a. Kyphosis
When asking a patient if she knows what hospital she is in and what day of the week it is, you are trying to assess the patient's: a. Orientation to place and time b. Reaction to chronic illness c. Understanding of the English language d. Cooperation
a. Orientation to place and time
A patient who is in bed is in respiratory distress, displaying use of accessory muscles and nasal flaring. What is the best explanation for the nasal flaring? a. Patient is attempting to decrease airway resistance by dilating nares b. Patient is attempting to increase airway resistance by dilating nares c. Patient is attempting to decrease lung compliance by dilating nares d. Patient is attempting to breathe more shallow by dilating nares
a. Patient is attempting to decrease airway resistance by dilating nares
A pneumatic nebulizer that delivers 70% oxygen would have a air to oxygen ratio of: a. 1:1 b. .6:1 c. 1.6:1 d. 3:1
b. .6:1
A nasal cannula at a liter flow of 3 L/min applied to a patient with a normal ventilatory pattern delivers an oxygen concentration of approximately: a. 24% b. 32% c. 36% d. 28%
b. 32%
An H cylinder of oxygen was placed in service with 2000 psig and has been used for 5 hours at a flow rate of 10 L/min. It can be used for how many additional hours? a. 4 b. 5 c. 6 d. 7
b. 5
As a general rule, most hospitals require that infectious waste and body fluids be placed in which container? a. A yellow bag b. A red bag c. A white bag d. A clear bag
b. A red bag
A patient arrives in the emergency room in a full cardiopulmonary arrest with a cervical neck collar in place. The best alternative site that could be used to check the pulse would be the: a. Carotid pulse b. Femoral pulse c. Brachial pulse d. Radial pulse
b. Femoral pulse
As you enter the patient's room to administer a nebulizer treatment, you notice the patient is breathing rapidly and looks to be in distress. You notice the following during the physical exam: reduced chest expansion, a hyperresonant percussion note on the left side, absence of breath sounds on the left and a tracheal shift to the right. This suggests: a. Left sided consolidation b. Left sided pneumothorax c. Pleural effusion d. Right sided pneumothorax
b. Left sided pneumothorax
You are preparing to perform a right radial puncture on a patient and are doing the Allen's test prior to the puncture. The response to the test is for the patient's hand to "pink up" after pressure is released. The results are consistent with: a. Occluded radial artery b. Patent ulnar artery c. Occluded ulnar artery d. Patent brachial artery
b. Patent ulnar artery
You measure the blood pressure of a patient as 88/53. Which of the following entries would you use to describe this finding? a. Patient is hypertensive b. Patient is hypotensive c. Patient has low pulse pressure d. Patient has high pulse pressure
b. Patient is hypotensive
19. While palpating the chest, the respiratory care practitioner determines that there is decreased vibrations (decreased tactile fremitus) over the right lower lobe. This may be the result of which of the following? a. Pneumonia b. Pleural effusion c. Pneumonia d. Asthma
b. Pleural effusion
A patient is receiving oxygen from an "E" cylinder at 4 L/min through a nasal cannula. The cylinder pressure is1900 psig. How long will the cylinder run until it is empty? a. 47 minutes b. 1.7 hours c. 2.2 hours d. 3.6 hours
c. 2.2 hours
A nebulizer driven by oxygen at 8 liters per minute with an FiO2 of .40 will have a total flow between: a. 20-24 L/min b. 25-29 L/min c. 30-34 L/min d. 35-39 L/min
c. 30-34 L/min
After setting up a partial rebreathing mask on a patient at a flow of 8 L/min, the reservoir bag collapses before the patient finishes inspiring. The respiratory care practitioner should do which of the following? a. Change to a nasal cannula at 6 L/min b. Decrease the flow c. Increase the flow d. Change to a non-rebreathing mask
c. Increase the flow
A patient with pneumonia and fever of 103 degrees F is sitting up in bed. Her respiratory rate is regular and 35 times a minute. Accessory muscles of ventilation are being used. She is demonstrating which of the following? a. Kussmaul respirations b. Cheyne-Stokes respiration c. Tachypnea d. Eupnea
c. Tachypnea
The physician orders 28% oxygen to be administered to a COPD patient who is extremely short of breath. Which device will most accurately achieve this? a. Nasal cannula at 2 lpm b. Simple oxygen mask at 2 lpm c. Venturi mask at 28% d. Nonrebreathing mask at 6 lpm
c. Venturi mask at 28%
The respiratory therapist has received an order to obtain ABG levels from a patient, but an Allen's test indicates collateral circulation is not present in the right wrist. At this time the therapist would: a. Obtain blood from the right radial artery b. Obtain blood from the right brachial artery c. Wait for the physician to evaluate collateral circulation d. Check collateral circulation in the left wrist
d. Check collateral circulation in the left wrist
A RCP is asked to obtain a cylinder of carbon dioxide and oxygen for a diagnostic test. To ensure the correct cylinder is chosen, the RCP should: a. Choose a cylinder that is blue and yellow b. Inform the supervisor that is mixture of gases does not exist c. Choose a cylinder that is blue and green d. Read the label on the cylinder
d. Read the label on the cylinder
MDI (metered dose inhaler)
instrument that delivers a controlled dose of medication to narrowed airways with each compression of the canister
