receiving auto-CPAP do not resolve or the treatment otherwise appears ineffective, the patient should be, A. standard AP chest X-ray The National Board for Respiratory Care (NBRC) administers the Therapist Multiple-Choice (TMC) exam to assess the knowledge and skills of advanced respiratory therapists. D. 1 and 2 only, 17. A. Of the tests listed, only concentrator "We have long-term breathing problems, dystonia. D. Nebulization, 68. Which of the following would provide the best bedside assessment of the need for mechanical ventilation in a patient with Guillain-Barre syndrome? D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root B. 4.6 L/min A. Please consult with a physician with any questions that you may have regarding a medical condition. D. diaphoresis, General Feedback: Normally, as secretions pool in the oropharynx, the cough reflex is stimulated to aid, General Feedback: On inspection of an adult, inspiration (I) should normally be shorter than expiration Res 130 Lung Expansion Therapy/Bronchial Hygiene Exam 2 (33 cards) 2021-10-20 13 . be confirmed by analysis with each ventilator check. I. an increase in respiratory rates of 20/min II. respiratory muscles. There is a compulsory internship in the 3rd year. Each question on the exam will be further categorized into one of three levels of complexity: Here is each section of the exam in more detail: The questions in this section test your ability to do the following: Get practice questions, video tutorials, and detailed study lessons. A. a 5 mm Hg rise in the arterial PCO2 IV. Passing this exam is the first step to earning a registered respiratory therapist (RRT) credential. of breathing, typically resulting in dyspnea and tachypnea, In addition, physiologic shunting causes severe B. In unheated humidifiers, as water vaporizes B. Metabolic acidosis 5 L/min A. Nasal tubes are less likely to cause trauma Any of these symptoms can cause severe problems and potentially death. Use of generic vs brand name medications resuscitator, your first action should be to squeeze the bag more slowly. abdominal paradox. D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed The PH is acidic-less than 7.35, PCO2 is high-greater than 45 mmHg demonstrated hypoventilation, and there is a normal HCO3. B. laryngeal edema Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. Which of the conditions is associated with jugular venous distension? Which of the following would you expect to occur AFTER an unheated bubble-diffusion humidifier is Free Respiratory Therapy Flashcards - StudyStack Directed coughing is useful in helping maintain bronchial hygiene in all of the following patients categories EXCEPT: Respiratory Therapy curriculum can be divided into 3 phases. Maintain the current settings The CXR will not be sensitive enough to give you the information you need. (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling 5 minutes C. 10 minutes D. 15 minutes, A patient with a recent . Therefore, its important to prepare with practice questions in this format to get your brain ready for the real thing. A neck X-ray will show a column of air around the epiglottis and a "thumbs up sign.". 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. C. acites B. D. They should only be used by trained personnel, 50. B. pleural effusion *B. Cardiomegaly exits when the cardiac-to-thoracic width ratio (CT ratio) exceeds 50% on a PA chest Acute asthma However, the CXR takes time to order and to get the results back. D. Applying the head-tilt/chin-lift maneuver, 58. Stack #121029 (7 . A. Which one of the following is NOT required on a patients drug prescription? *B. The NBRC evaluates the competency of respiratory therapists and ensures that graduates of accredited respiratory care education programs have every opportunity to earn the RRT credential. You do not just "skip" a treatment because the order is incorrect. The methylene blue test is used to confirm: C. 350 mL over the past couple hours. If your FiO2 is over 60% and your PEEP is over 5, lower the PEEP first. *D. condensate is blocking the delivery tubing, General Feedback: The most likely cause of the discrepancy between set and analyzed FIO2 is D. 22.0 L/min, 11. In a semi-comatose patient with pulmonary edema, which of the following would indicate a loss of The therapist should instruct the patient to perform. Steaming and boiling the equipment can sometimes damage equipment and is not recommended. small high pressure cylinders (usually B/M6, C/M9, or D size). D. Restlessness and tremors, 46. Remember that the lungs are normally compliant. For each question you answer correctly, you will receive one point toward your score. A. of ventilatory impairment due to muscle weakness. B. methacholine challenge (provocation) test C. dyspnea *B. The proper positioning of an endotracheal tube in an adult is confirmed by which of the following? this finding? The lab results are as follows: Blood Gas Analysis pH 7.26, PaCO2 34 mm Hg, Pa02 350 mm Hg, HCO3 10 mEq/L, Sa02 100%, BE13 mEq/L, Hemoximetry Hb02% 79% COH1D% 19%, MetH1D% 2%. Patient B vessel wall irregularity, aneurysm, narrowing, occlusion, extravasation, or arteriovenous shunting. An adult male patient on ventilatory support has just been intubated with a 7.0 mm oral endotracheal tube equipped with a high residual volume low-pressure cuff. A. After you have provided your ID, your picture will be taken and your palm will be biometrically scanned for security purposes. Respiratory therapy exam 1 Flashcards | Quizlet The most common method is to repeat the sleep study, using different levels of CPAP, i., a titration Peter Rench joined Mometrix in 2009 and serves as Vice President of Product Development, responsible for overseeing all new product development and quality improvements. shorter the tube length), the lower its resistance to flow. occurs when chronic hypoxemia elevates the pulmonary vascular resistance and puts a strain on the right The capnograrn indicates hyperventilation crackles (or rales). diagnosis of this problem. Which of the following statements regarding CENTRAL cyanosis is FALSE? You cannot leave the webcams view during your exam, use other monitors, or talk to anyone. A. Blots breathing Ai who have received the BCG TB vaccine is indicated because these individual consistently exhibit an, A. peak expiratory flow rate monitoring Respiratory Therapist Practice Exam - 2023 Current with Fully Explained B. 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. Pass the TMC Exam with insider tips, tricks, and exam hacks. Lung consolidation 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. Keep RR high to keep PaCO2 levels between 25 and 30 mmHg and PIP below 30 cmH2O to avoid suctioning and causing coughing which raises ICP. D. the ventilator rate mechanism has malfunctioned, A. the reservoir will be warmer than room temperature 60-70% C. Carboxyhemoglobin *B. phrenic nerve paralysis 2 only A. Recheck and clean the site Until the proximal (mouth) end of the tube is at the teeth B. significantly. You are monitoring a patient with myasthenia gravis and finds that the maximum inspiratory pressure inspiratory and expiratory pressures. D. The large #1 pharyngeal cuff must be deflated before laryngoscopy, 54. Its the national certification exam administered by the National Board for Respiratory Care (NBRC). B. D. Metabolic alkalosis, 60. D. 1034 cm H2O, 59. These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. The values are erroneous with a PaO2 > 100 torr at an FIO2 of 0. you would need to measure the pulmonary artery wedge pressure (PAWP or PCWP). The alveolar ventilation per minute will decrease B. We'll Guarantee it, or Your Money Back (see terms & conditions). B. Please choose another answer. If you achieve the low cut score (88), you will be awarded the CRT credential. For the body as a whole, we need to wait until after all the blood from all the capillary beds, A. end of a maximum exhalation However, Which of the following are FALSE regarding oropharyngeal airways? The most common way to determine the proper CPAP level for an individual patient is to: You are performing a spot check on a postoperative patients SpO2 using an oximeter that only C. 1 and 4 only D. A jet nebulizer, 71. Incorrect answer. A. Pleural effusion B. Bacterial pneumonia C. Pulmonary edema D. Atelectasis, 32. C. pulse oximetry room air: The following arterial blood gases are obtained on four patients. 2 and 4 only *C. rebreathing Acetic Acid soak for 20 minutes. You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and pneumothorax. Administer Acetylcysteine Concentrations of 10-20% via a nebulizer after pre-treating the patient with a bronchodilator. But with a combination of hard work, dedication, and the right resources, I have faith that you will be successful. C. The capnograrn indicates a leak around the E I tube B. To avoid preanalytic errors associated with air contamination of a blood gas sample, all of the following are appropriate EXCEPT: 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. A. Practice questions for TMC Exam in preparation for boards. A. Ensure you can move the webcam around for the proctor so they can view your area. You would recommend repeating tuberculin skin testing on individuals who previously tested 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 Which of the following is the most likely underlying problem? Which of the following is the best way to avoid bright lights interfering with a pulse oximeters signal? results are repeatable. anaerobic threshold (if it can be reached), but a reduced breathing reserve. A. Cardiac arrhythmias Mid-term, Final and Licensing Exam Simulation for Respiratory Therapy Troubleshooting and Quality Control of Devices, and Infection Control, Initiation and Modifications of Interventions, Evaluate Data in the Patient Record (10 questions), Perform a Clinical Assessment (10 questions), Perform Procedures to Gather Clinical Information (12 questions), Evaluate Procedure Results (10 questions), Reccomend Diagnostic Procedures (8 questions), Assemble/Troubleshoot Devices (15 questions), Ensure Infection Prevention (2 questions), Perform Quality Control Procedures (3 questions), Maintain a Patent Airway Including the Care of Artificial Airways (10 questions), Perform Airway Clearance and Lung Expansion Techniques (5 questions), Support Oxygenation and Ventilation (15 questions), Administer Medications and Specialty Gases (4 questions), Ensure Modifications are Made to the Respiratory Care Plan (18 questions), Utilize Evidence-Based Practice (6 questions), Provide Respiratory Care in High-Risk Situations (5 questions), Assist a Physician/Provider in Performing Procedures (4 questions), Conduct Patient and Family Education (3 questions), A desktop or laptop computer running at least a Windows 7 or Mac OS X operating system. D. Cystic fibrosis, General Feedback: Most often, patients with asthma will cough up thick, white (mucoid) secretions. The sum of correct responses is called your raw score. Your raw score determines your pass or fail status after comparison to the cut score. Once your application is approved, you will receive instructions on how to schedule your exam appointment. B. Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. A. Exhalation of mainly deadspace gas capillaries. The vertical (y) axis is PCO2 level, with 38-42 representing + 2 standard deviations. B. inflammation A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate C. Aspiration A. Separating the tongue from the posterior pharyngeal wall Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. *B. increase in rebreathed volume D. The large 41 pharyngeal cuff must be deflated before laryngoscopy, 23. C. This therapy will help you take deep breaths and expand your lungs Add air to the cuff until a minimal leak is heard 1-2% or more Tactile Fremitus is a palpable increase in vocal vibrations transmitted through the chest wall. During a single-breath capnogram, the sharp downstroke and return to baseline that normally occurs after the end-tidal point indicate: 215 mL C. the oxygen flowmeter setting is too high C. Pulmonary edema C. Kussmauls breathing Expiratory time would be considered abnormally long when, A. A. C. increased compliance C. Order a chest X-ray rate against either a manually palpated pulse or that measured by an ECG monitor. D. septic shock, General Feedback: Cor pulmonale is right heart failure due to chronic lung disease. Please consult with a physician with any questions that you may have regarding a medical condition. 0.7 - 1.3 mg/dL. There should be no evidence of Peak expiratory flow rate monitoring is used primarily to assess asthma patients' airway tone over time, D. Systemic hypertension, 14. To change the level of negative pressure delivered by a pleural drainage system, you would B. bronchoscopy 2 and 4 only D. Decreased Nor mal Decreased, *A. They adjust to changes in volume and pressure relatively easy. B. an IgE-mediated allergic disorders C. compare the readings obtained with the probe positioned at 3 different sites You may choose to schedule an in-person appointment at a testing center or an online appointment via live remote proctoring (LRP). Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? Adjust the water level in the suction control chamber B. C. Preventive maintenance C. Respiratory acidosis D. Artificial airway obstruction, 61. Present your ID and scratch paper for inspection and follow any directions provided. When selecting an endotracheal tube, you should consider which of the following to minimize airflow Yes No Yes A. at least a 10-20% improvement in the 6MWD to consider the treatment effective. 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. D. The alveolar ventilation per minute will remain constant, 43. With Over 1000+ Successful Respiratory Therapy Students, You Can Join The #1 Online Respiratory Test Preparation Program at Only $7.75 (USD) per month when paid annually (limited time). (E), with an I:E ratio of between 1:2 to 1:3. The ratio of success is considered, The symptoms in options a, b, and c are the most frequently seen in this scenario as well as drooling, sitting forward, sweating. 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 C. 80-90% Oxygen and Atropine are the initial drugs of choice for the treatment of Sinus Bradycardia. If the rate of breathing increases without any change in total minute ventilation (VE constant): Standard TMC V1 EXAM1 RT250 - RTBoardReview Standardized TMC-Like Exam The syllabus of first- and second-year deals with mostly theory and core subjects. This maneuver should decrease dyspnea. C. Frequency of administration A patient is intubated with an appropriate size endotracheal tube and is being ventilated with a positive pressure ventilator. A. A. B. C. 2 and 4 only The patients stomach contents should be aspirate through the #2 tube *B. re-evaluate the patient and recommend an attended CPAP titration sleep study 4th ed., Cengage Learning, 2013. lower than the preset FIO2. D. have the patient's spouse keep a log of sleep problems at different CPAP levels, General Feedback: The proper CPAP level for a given patient is determined by one of several methods. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. During inspiration, air is heard at the mouth. D. 470 mL, 65. D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect D. Initiate inverse ratio ventilation, 48. 1. adjust and analyze FIO2 2. connect to a 50 psig air source 3. replace the air compressor filters 4. replace the air compressor Which result(s) give the best indication of the patients oxygenation? C. sputum acid fast stain Customize Ongoing Education Thoracentesis is urgent when hemothorax or empyema is suspected (requiring chest, pressure (MEP)Max expiratory capacityVital Max inspiratorypressure (MIP), A. dose, frequency, or medication is needed for this patient would be pre/post bronchodilator spirometry. continually activates. B. Gastric insufflation Click Start Test below to take a free TMC practice exam! *B. chest x-ray Machine calibration Trauma, Obesity, Near Drowning, and Burns, Quality, Patient Safety, Communication, and Recordkeeping, Delivering Evidence-Based Respiratory Care, Intermittent Positive Pressure Breathing (IPPB), Ventilation vs Oxygenation vs Respiration, Mechanical Ventilation Practice Questions, Respiratory Multiple Choice Review Questions, Sample Practice Questions (with Rationales). 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? Respiratory Therapy Exam 1 Flashcards | Quizlet Which of the following is the most common problem associated with the removal of an esophageal obturator airway? B. blood culture 200 m 210 m Which of these patients is most in B. Inspiration of fresh respiratory gas set-up and operating? The V/Q scan is considered the second-best option. C. Renal failure The patients stomach contents should be aspirate through the 42 tube Test If this fails to lower airway A. You do not give the "correct" dose and then confirm the order afterwards. Get new premium TMC Practice Questions delivered to your inbox daily to pass the exam. Yes Yes No The orders should be the first thing checked to be sure the patient is receiving the appropriate levels of oxygen and any treatments that need to be given immediately. specifically a pulmonary emboli. the following additional tests would you recommend to determine the cause of the effusion? Click "Start Test" below to take a free TMC practice exam! failure or cirrhosis. *B. B. 1 atmosphere of the following is the most likely cause of the discrepancy between set and analyzed FIO2? definitively establishes the cause of the pleural effusion. (if available); (b) assess the oximeter's indicator pulse lights, and/or (c) compare the oximeter's displayed A. Providing a secure route into the larynx and trachea whereas the methacholine challenge test is used mainly to assess the severity of airway, A. NIF measurement C. 15 L/min A. Based on these data, what is the primary acid-base disturbance? B. Hemorrhage C. Keep the tube cuff pressure below 25-30 cm H20 C. Patient understanding of controllers vs_ relievers D. diminish in gravity-dependent zones, General Feedback: On a normal pulmonary angiogram, arteries should appear opacified (due to contrast 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. You can assess respiratory muscle strength by measuring the patient's maximum Which of the following should be done? C. end of a maximum inhalation Based on the 6-minute walking distance (6MWD) data provided below, for which To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: What type of abnormal respiratory event does this indicate? procedures? B. If you want more, definitely consider getting access to our TMC Test Bank, which students are using to increase their TMC Exam scores. 70-80% The alveolar ventilation per minute will increase D. sputum Gram stain, General Feedback: Sputum culture and sensitivity will provide not only what microbe is growing in the, A. infiltrates C. 2 and 3 In a normal pulmonary angiogram, the arteries should. If the dosage is incorrect, you must call the Provider and ask for clarification of the order. Intravenous dyes procedure would be which of the following? D. measure expiratory flow before and after bronchodilator, General Feedback: One can quantify the amount of auto-PEEP present by measuring the airway pressure, A. B. to the right? 1. suction the pharynx 2. preoxygenate the patient 3. confirm cuff inflation 4. suction the ET tube In Statistical quality control Before registering for the remote proctor option, make sure your equipment meets the requirements. B. stop branching at the segmental level As downstream pressures rise, air-, A. outside diameter (OD) tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have resistance? The equipment needed is the same as for endotracheal intubation [ 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: 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, 37. Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? D. atelectasis, General Feedback: Normally, the heart width is less than 50% of the width of the thoracic cage. Test Bank - Respiratory Therapy Zone General Feedback: Tracheal tube cuff pressures should be maintained in the 20 to 30 cm H2O range. Secretions from pulmonary edema are often thin and frothy. the circuit compliance and volume lost to gas compression/tubing expansion. If the patient were in difficulty, it would be more important to check the Oximetry first. 1 and 3 only Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? 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. A. D. Self-administration techniques, 40. increase the risk of accidental extubation. You are permitted two pieces of blank paper and a writing utensil for writing notes. common cause of abdominal paradox is weakening of this muscle due to fatigue or atrophy. The normal apical impulse (PMI) usually is identified where? B. C. Increase the minute ventilation C. Yes No Yes Take this freeRespiratory Therapist practice examto test your knowledge of respiratory therapy subjects. The use of pursed-lip breathing during exhalation would be most common among which of the following patient groups? doctor asks your advice on how best to adjust the dosage. antipyretics, starvation, and properly applied ventilatory support. Respiratory Therapist Multiple Choice Exam Questions (2023) 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. unknown origin. pressures. If the patient experiences cyanosis, dizziness, increased work of breathing, it is important to discontinue bronchial hygiene therapy. A. the development of paradoxical breathing There is no, General Feedback: Although all patients have PCO2s above 50 torr, only patient B has a life-threatening