Welcome to your Respiratory Therapy Name: Email: [The normal range of negative pressure to use when suctioning children is:] -80 to -100 mm Hg -60 to -80 mm Hg -100 to -120 mm Hg -150 to -200 mm Hg None . [Your patient has severe persistent asthma which would be appropriate] Salbutamol 100 - 200 mcg prn, Advair (Flu!casone 100 mcg/50 mcg Salmeterol) 1 puff BID, Prednisone 5 mg/day Salbutamol 100 - 200 mcg prn, Formoterol 6 mcg BID, Budesonide 100 mcg BID, Prednisone 15 mg/day Salbutamol 100 - 200 mcg prn, Salmeterol 50 mcg/dose 1 puff BID, Ciclesonide 100 mcg OD, Prednisone 5 mg/day Salbutamol 100 - 200 mcg prn, Salmeterol 50 mcg/dose 1 puff BID, Flu!casone 500 mcg, 1 puff BID, Prednisone 10 mg/day None . [You are monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure (MIP/NIF) has changed from -35 cm H2O 4 hours ago to -10 cm H2] measuring maximum voluntary ventilation (MVV) administering oxygen via partial rebreathing mask administering oxygen via nasal cannula at 5 L/min obtaining/analysing an arterial blood gas sample None . [A premature infant score 10 on the PIPP. This indicates ] The infant should be wrapped for comfort Fentanyl IV should be started Tylenol should be administered Infant has minimial pain None . [Which of the following is the best test for assessing the degree of reversible bronchospasm in an asthmatic patient?] nitrogen washout spirometry before and after bronchodilation maximal voluntary ventilation maximum inspiratory and expiratory force None . [Which of the following is the most effective diagnostic test to quantify the amount of ventilatory impairment in a patient with Guillain-Barre syndrome?] serial end-expired PCO2 measurements serial P(A-a)O2 measurements serial vital capacity measurements serial total lung capacity measurements None . [Absolute contraindications to turning or rotating critical ill patients include which of the following?] Unstable cardiac arrhythmias: No; Unstable spinal cord injuries: Yes; Ventilatory dependency: No Unstable cardiac arrhythmias: No; Unstable spinal cord injuries: No; Ventilatory dependency: Yes Unstable cardiac arrhythmias: Yes; Unstable spinal cord injuries: Yes; Ventilatory dependency: No Unstable cardiac arrhythmias: Yes; Unstable spinal cord injuries: Yes; Ventilatory dependency: Yes None . [Which of the following will not affect the alveolar uptake of an anesthetic agent?] FRC Solubility coefficient Alveolar MV Extremes of age None . [What percent of the adult population is believed to have obstructive sleep apnea?] <1% 2% to 4% 5% to 10% Unknown None . [Entering a patient care room you see the cold neb (CN) is set to deliver 28% oxygen and the oxygen flow meter is set at 6 LPM. The total flow from the CN is:] 24 LPM 32 LPM 48 LPM 60 LPM 72 LPM None . [A patient with inspiratory stridor most likely has which of the following conditions?] Bronchospasm: Yes; Laryngeal edema: Yes; Secretions in large airways: Yes Bronchospasm: No; Laryngeal edema: Yes; Secretions in large airways: No Bronchospasm: Yes; Laryngeal edema: No; Secretions in large airways: Yes Bronchospasm: No; Laryngeal edema: No; Secretions in large airways: Yes None . [According to ATS recommendations, diagnostic spirometers should be calibrated to within:] ± 1% or 10 mL, whichever is greater ± 3% or 50 mL, whichever is greater ± 5% or 100 mL, whichever is greater ± 10% or 500 mL, whichever is greater None . [The primary indication for apnea monitoring is to:] prevent sudden infant death syndrome (SIDS) identify life-threatening events in neonates warn of ventilator disconnection or malfunction assess neonates for obstructive sleep apnea None . [Following prescribed daily quality control procedures in your blood gas lab, you run a control solution through the blood gas analyzer. You note that two successively PCO2 readings fall outside the acceptable range. Which of the following actions is appropriate at this time?] report results after compensating for the deviation replace the PO2 electrode and recalibrate the analyzer analyze another control solution for comparison perform a two-point calibration and rerun the control None . [You are assessing a patient with a right subclavian central line that is monitored with a pressure transducing system. You notice that the CVP waveform fluctuates from 3-6 mmHg. Which of the following statements is true] The most accurate reading is 3 mmHg The most accurate reading is 6 mmHg Indication that there is an incorrectly placed central line Need to replace the transducer None . [In reviewing the chest x-ray report for a 62-year-old homeless person, you note the following: cavitation, infiltrates, and calcified nodules. These findings are most consistent with which of the following at diagnoses?] acute asthma pulmonary edema pulmonary emphysema post-primary tuberculosis None . [Which of the following is being measured if you instruct a patient to take a maximum deep breath and then exhale completely?] inspiratory force vital capacity (VC) total lung capacity (TLC) residual volume (RV) None . [Available evidence has shown that bilevel pressure is associated with better patient compliance than the conventional CPAP.] True False None . [What is the purpose of the Spontaneous Breathing Trial during the Airway Management Pathway] To demonatrate to family the accuracy of the Apnea Test To predict how long it will take the patient to pass away after the disocntinuousation of care To assess if the patient has an appropriate level of sedation for when they are taken off support To assess the patient for excessive secretions None . [While performing nasotracheal suctioning, you note that one of the patient's nostrils is obstructed and the other is becoming traumatized. You should:] discontinue the procedure and tell the patient to cough obtain an order for postural drainage and percussion recommend inserting an endotracheal tube for suctioning recommend inserting a nasopharyngeal airway for suctioning None . Time's up
