Review 2

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  1. A 67 YO patient with a hx of COPD and heart failure has arrived in the Ed with a chief complaint of dyspnea. To help with the differential diagnoses, the physician orders the patient's blood to be testing for CK-MB, CTnI, cTnT and BNP. All results are negative What is the most likely cause of the patient's dyspnea?

    A) Pneumonia
    B) exaccerbation of COPD
    C) MI
    D) CHF
    B) exaccerbation of COPD
    (this multiple choice question has been scrambled)
  2. In listening to the patient's lungs, bronchial breath sounds are heard over the RLL area. These would indicate which of the following?

    A) consolidation in the RLL
    B) Pleural Effusion in the RLL
    C) Pneumothorax
    D) Pneumonia
    A) consolidation in the RLL
    (this multiple choice question has been scrambled)
  3. After feeling a sudden chest pain and SOB while lifting weights, a 37 TO man drove himself to the ED. after starting oxygen therapy on the patient, a PE is performed. Pertinent findings include a hyperresonant percussion note on the R side and a tracheal shift to the L. Based on these findings, what is the patient's most likely problem?

    A) Broken ribs on the R side
    B) Broken clavicle on the R side
    C) MI
    D) R sided pneumothorax
    D) R sided pneumothorax
    (this multiple choice question has been scrambled)
  4. The therapist is called to the ED to help care for a patient who was in a car accident and has chest injuries, including two broken ribs. Crepitations are felt while palpating the patient's neck. What is the most likely cause of this?

    A) blood in the back of the patient's throat
    B) the patient's lung has an air leak
    C) the patient has aspirated a tooth
    D) laryngeal tumor
    B) the patient's lung has an air leak
    (this multiple choice question has been scrambled)
  5. A therapist is called to help in the evaluation of a 55 YO male patient. The following S&S are noted: oral temp 40 degrees C (104.5 degrees F), diaphoresis, RR of 22, use of accessory muscles and palpable rhonchi in the RLL. You would suspect which of the following diagnoses?

    A) bacterial pneumonia
    B) Pneumothorax
    C) viral pneumonia
    D) heart attack
    A) bacterial pneumonia
    (this multiple choice question has been scrambled)
  6. Since being told of the dx of CA, a patient has become argumentative about the care received and threatens to hit a nurse and therapist. The patient should be evaluated for:

    A) hypoxemia
    B) hypercarbia
    C) emotional state
    D) language barrier problems
    C) emotional state
    (this multiple choice question has been scrambled)
  7. To help determine a patient's level of consciousness, which of the following questions should be asked?

    A) "Do you know what day this is?" and "Do you know where you are?"
    B) "How are you feeling today?"
    C) "Can I see your ID wristband?"
    D) "Do you know who the president is?"
    A) "Do you know what day this is?" and "Do you know where you are?"
    (this multiple choice question has been scrambled)
  8. To help determine if a patient has orthopnea, which of the following should be asked?

    A) Do you need to use extra pillows when you sleep?
    B) Do you know who the Governor is?
    C) Do any foods make it harder to cough up your secretions?
    D) How many flights of stairs can you climb?
    A) Do you need to use extra pillows when you sleep?
    (this multiple choice question has been scrambled)
  9. In observing an infant's chest configuration, it is noticed that it is the same size in both the AP and lateral dimensions. This would indicate that the patient has:

    A) pulmonary emphysema with air-trapping
    B) lordosis
    C) a normal chest
    D) pectus excavatum
    C) a normal chest
    (this multiple choice question has been scrambled)
  10. In examining a patient, it is noted that the patient has greatly diminished breath sounds in the RLL and the trachea has shifted to the R. These signs indicate which condition?

    A) L-sided pneumonia
    B) R-sided atelectasis
    C) R-sided pneumothorax
    D) L-sided pneumothorax
    B) R-sided atelectasis
    (this multiple choice question has been scrambled)
  11. In palpating a patient for symmetrical chest movements, it is noted that the patient's L side does not move as much as the R side. This indicates that the patient has which condition or conditions?

    A) L-sided pneumonia and/or L-sided pneumothorax
    B) R-sided pneumonia
    C) CHF
    D) Emphysema
    A) L-sided pneumonia and/or L-sided pneumothorax
    (this multiple choice question has been scrambled)
  12. A therapist is called to the ED to evaluate a pediatric patient. Upon entering the room, a harsh, high-pitched sound is heard on the patient's inspiration. Which of the following is true?

    A) sounds are tracheal
    B) sounds are bronchovesicular
    C) sounds are bronchial
    D) sounds are stridorous
    D) sounds are stridorous
    (this multiple choice question has been scrambled)
  13. A therapist is called to evaluate a patient's breathing pattern. It is noted that the patient's tidal volumes go from small to large to small and then stop for 10 seconds before starting up again. This pattern repeats itself. The patient's breathing pattern would best be called:

    A) Obstructed expiration
    B) Cheyne-Stokes Respiration
    C) Kussmaul's Respiration
    D) Eupnea
    B) Cheyne-Stokes Respiration
    (this multiple choice question has been scrambled)
  14. A tension pneumothorax is identified by which of the following:

    A) mediastinum shifts toward the affected side, the hemidiaphragm on the affected side is elevated and VS are unchanged
    B) mediastinum shifts toward the affected side, the VS suddenly deteriorate and the hemidiaphragm is depressed on the affected side
    C) mediastinum shifts toward the affected side, the hemidiaphragm on the affected side is elevated and the VS suddenly deteriorate
    D) sudden deterioration of VS, depression of hemidiaphragm on one side and the mediastinum shifts away from the affected side
    D) sudden deterioration of VS, depression of hemidiaphragm on one side and the mediastinum shifts away from the affected side
    (this multiple choice question has been scrambled)
  15. An adult patient is c/o localized pain over the lower R area of the chest while breathing. When you auscultate the chest, a rasping noise is heard at the point of pain on both inspiration & expiration. This is most likely:

    A) pleural friction rub
    B) normal breath sounds
    C) wheeze
    D) rhonchi
    A) pleural friction rub
    (this multiple choice question has been scrambled)
  16. A 65 YO patient has distended ugular veins even though her head and body are raised 45 degrees above her legs. This would indicate that she:

    A) is hypertensive
    B) is fluid overloaded
    C) has emphysema
    D) is dehydrated
    B) is fluid overloaded
    (this multiple choice question has been scrambled)
  17. Tactile fremitus would be reduced in all of the following conditions EXCEPT:

    A) pleural effusion
    B) pulmonary edema
    C) COPD
    D) Pneumothorax
    B) pulmonary edema
    (this multiple choice question has been scrambled)
  18. It is most important to ask a patient with a broken ankle from a recent lsip on an icy sidewalk about which of the following:

    A) level of pain
    B) emotional state
    C) level of consciousness
    D) WOB
    A) level of pain
    (this multiple choice question has been scrambled)
  19. All of the following could result in a mediastinal shift on a CXR EXCEPT:

    A) RLL atelectasis
    B) bilateral LL pneumonia
    C) R-sided hemothorax
    D) L-sided tension pneumothorax
    B) bilateral LL pneumonia
    (this multiple choice question has been scrambled)
  20. A patient who is suffering respiratory distress would exhibit all of the following EXCEPT:

    A) use of accessory muscles
    B) Normal RR
    C) intercostal retractions
    D) nasal flaring
    B) Normal RR
    (this multiple choice question has been scrambled)
  21. A patient with a hx of smoking has shown an increased AP diameter and depressed hemidiaphragms on a PA CXR. It is most likely that this patient has:

    A) pulmonary fibrosis
    B) taken too deep a breath
    C) LV failure
    D) emphysema
    D) emphysema
    (this multiple choice question has been scrambled)
  22. After two days of vomiting and diarrhea caused by the flu, a 50 YO patient is admitted. The ECG shows 5 PVC's in 1 minute and flat T waves. What laboratory test do you recommend?

    A) CBC
    B) ABG
    C) Electrolytes
    D) UA
    C) Electrolytes
    (this multiple choice question has been scrambled)
  23. A 48 YO patient with an extensive smoking hc usually coughs about 20 ml of sputum each day. The patient developed a "chest cold" 4 days ago and has noticed increased SOB and thicker secretions. What should be done at this time?

    A) perform 6-minute walk test
    B) get a sputum sample for C&S
    C) perform percussion to determine position of hemidiaphragms
    D) increase the flow on home oxygen concentrator
    B) get a sputum sample for C&S
    (this multiple choice question has been scrambled)
  24. A recently home-delivered boy is brought to the ED by the paramedics. The physician asks the therapist to evaluate the newborn's condition. Normal VS for a term newborn include all of the following EXCEPT:

    A) RR = 20
    B) HR of 130
    C) BP of 60-40
    D) rectal temp of 36.5 degrees C
    A) RR = 20
    (this multiple choice question has been scrambled)
  25. The therapist is assigned to assist with the delivery of a high-risk infant. After being evaluated, the infant is given a 5-minute APGAR score of 8. What should be recommended to the assisting nurse and physician?

    A) begin bag/valve breathing for the infant
    B) give the infant supplemental O2
    C) give the mother supplemental O2
    D) give the infant to the mother for bonding
    D) give the infant to the mother for bonding
    (this multiple choice question has been scrambled)
  26. You are called to Peds to assist in the evaluation and care of a 4 YO girl who has been sick with a bad cold for the last 2 days. In viewing a lateral neck film, you note the following: there is a clear air column through the upper airway and pointed narrowing of the tracheal air column below the larynx. What is the child's most likely condition?

    A) FB aspiration
    B) epliglottitis
    C) laryngotracheobronchitis (croup)
    D) tonsillitis
    C) laryngotracheobronchitis (croup)
    (this multiple choice question has been scrambled)
  27. A young adult who had surgery for a deviated septum was accidentally given 2 L of IV fluid in one hour. Which of the following signs would point to the patient being fluid overloaded?

    A) high urine specific gravity & peripheral edema
    B) tachycardia & high urine specific gravity
    C) tachycardia, peripheral edema & low urine specific gravity
    D) bradycardia and low urine specific gravity
    C) tachycardia, peripheral edema & low urine specific gravity
    (this multiple choice question has been scrambled)
  28. Patients with heart or lung disease commonly have shifting of mediastinal structures. In evaluating patients with CP disease, which of the following could result in a mediastinal shift being seen on a CXR?

    A) LLL atlectasis & fibrosis of the LL
    B) R-sided pneumothorax & bilateral LL pneumonia & L-sided tension pneumothorax
    C) L-sided tension pneumothorax
    D) R-sided pneumothorax & L-sided pneumothorax & LLL atelectasis & fibrosis of the L lung
    D) R-sided pneumothorax & L-sided pneumothorax & LLL atelectasis & fibrosis of the L lung
    (this multiple choice question has been scrambled)
  29. The radiologist remarks upon reviewing a 65 YO patient's CXR, the patient has an increased cardiothoracic ratio. This means to you that:

    A) the patient has a L pleural effusion
    B) the patient has a LML infiltrate
    C) the patient has an athletic heart
    D) the patient has an abnormal heart
    D) the patient has an abnormal heart
    (this multiple choice question has been scrambled)
  30. A patient has ARDS and is significantly hypoexemic. It is likely that the patient will exhibit all the following EXCEPT:

    A) nasal flarring
    B) normal RR
    C) intercostal retractions
    D) use of accessory muscles
    B) normal RR
    (this multiple choice question has been scrambled)
  31. An adult patient with COPD and LV Failure has been hospitalized. A series of dx procedures is being performed. The preferred radiographic position to minimize distortion of the heart is:

    A) Obilique
    B) Lateral
    C) PA
    D) AP
    C) PA
    (this multiple choice question has been scrambled)
  32. An intubated patient has been moved form the operating room to the ICU. Upon arrival, there is concern that the ETT may have moved.What is the best way to determine its location?

    A) palpate the larynx
    B) percuss the patient's chest
    C) listen to the stomach sounds
    D) CXR
    D) CXR
    (this multiple choice question has been scrambled)
  33. A 65 YO patient with repeated episodes of CHF has a CXR taken. The film shows the left costophrenic angle to be blunted with an air/fluid level with a meniscus in the LLL area. How should this be interpreted?

    A) pulmonary embolism of the LL
    B) pleural effusion of the LLL
    C) pneumonia of the LL
    D) pulmonary edema of the LL
    B) pleural effusion of the LLL
    (this multiple choice question has been scrambled)
  34. A 3 DO newborn is brought to the ED with the father after theyw ere involved in an MVA. The newborn is showing some signs of respiratory distress with cyanosis and tachycardia. What test would you recommend to determine if the newborn has a pneumothorax?

    A) transillumination
    B) ABG
    C) thoracentesis
    D) APGAR
    A) transillumination
    (this multiple choice question has been scrambled)
  35. The therapist is assisting in the delivery of a high-risk infant. At 1 minute after birth, the following are noted: HR = 90, weak cry, arms & legs show some flexion, the baby grimaces when a nasal catheter is inserted into the nostril and extremities are blue with a pink body. What APGAR score should the baby be given?

    A) 9
    B) 7
    C) 5
    D) 3
    C) 5
    (this multiple choice question has been scrambled)
  36. An elderly patient with CHF has been treated with the diuretic furosemide (lasix). Which electrolyte is the most important to monitor in this situation?

    A) chloride
    B) calcium
    C) sodium
    D) potassium
    D) potassium
    (this multiple choice question has been scrambled)
  37. A newborn has been admitted to the NICU. THe physician has determined the newborn to have a Silverman Score of 5. How should this be interpreted?

    A) within the normal range
    B) suctioning is indicated
    C) moderate respiratory distress
    D) severe respiratory distress
    C) moderate respiratory distress
    (this multiple choice question has been scrambled)
  38. A hospitalized patient who recovered from a C. botulinum infection received several respiratory care services. How should a nondisposable plastic pulmonary function mouthpiece be sterilized before being used?

    A) autoclave for 15 minutes
    B) pasteurize for 20 minutes
    C) soak in glutaraldehyde solution for 10 hours
    D) soak in an alcohol solution for 15 minutes
    C) soak in glutaraldehyde solution for 10 hours
    (this multiple choice question has been scrambled)
  39. A therapist is working with a homecare patient. How should the patient be instructed to clean her SVN?

    A) soak in white vinegar, put in the oven, wash in hot water & rinse in salt water
    B) soak in white vinegar and put in the oven for 10 minutes
    C) soak in white vinegar, put in the oven & wash in hot water with detergent
    D) soak in white vinegar and wash in hot water with detergent
    D) soak in white vinegar and wash in hot water with detergent
    (this multiple choice question has been scrambled)
  40. After a mechanical ventilator has been discontinued, what is the best method to sterilize the reusable main-flow bacteria filter?

    A) pasteurization
    B) wrap & soak in acetic acid
    C) glutaraldehyde soak
    D) autoclave
    D) autoclave
    (this multiple choice question has been scrambled)
  41. A batch of RT equipment has gone through gas sterilization with ethylene oxide. Routine surveillance of the equipment shows that the spores of B. subtilis have survived the process. What should be done next?

    A) aerate the gas as usual and pput into use
    B) resterilize the equipment and check for destruction of the spores
    C) wipe off the equipment with 70% alcohol to remove the spores
    D) use the equipment because this organism does not cause illness
    B) resterilize the equipment and check for destruction of the spores
    (this multiple choice question has been scrambled)
  42. A retired home care patient living on a fixed income needs to be able to disinfect her equipment. Which of the following would be best for her?

    A) ethylene oxide
    B) warm, soapy water
    C) glutaraldehyde
    D) acetic acid
    D) acetic acid
    (this multiple choice question has been scrambled)
  43. What is the most cost effective way for an RT Department to disinfect large amounts of reusable plastic tubing and masks?

    A) 70% alcohol
    B) pasteurization
    C) dry heat
    D) autoclave
    B) pasteurization
    (this multiple choice question has been scrambled)
  44. A contaminated Bird Mark 7 IPPB unit must be sterilized before use with another patient. What is the best method?

    A) pasteurization
    B) ethylene oxide
    C) 10 hour glutaraldehyde soak
    D) autoclave
    B) ethylene oxide
    (this multiple choice question has been scrambled)
  45. A 58 YO patient had an exacerbation of his COPD related to spring allergies. As he is being prepared for discharge, what should the therapist recommend?

    A) have a throat swab performed to check on strep infections
    B) get an influenza vaccination ASAP
    C) get an influenza vaccination in the fall
    D) get a TB skin test ASAP
    C) get an influenza vaccination in the fall
    (this multiple choice question has been scrambled)
  46. A home care company has found that several of its tracheostomy patients have E. coli tracheal infections. What is the most likely cause of the infections?

    A) poor hand-washing techniques by the patient's family members
    B) contaminated tubes from the manufacturer
    C) poor hand-washing technique by the visiting therapists
    D) contaminated bottles of sterile water
    C) poor hand-washing technique by the visiting therapists
    (this multiple choice question has been scrambled)
  47. An RT notices that two people in the ED waiting room are coughing regularly. All of the following should be done EXCEPT:

    A) have each coughing person wear a mask while waiting
    B) have the two coughing people sit near each other
    C) have both people sit at least 3 feet away from anyone else
    D) give facial tissues to the two people
    B) have the two coughing people sit near each other
    (this multiple choice question has been scrambled)
  48. A patient has been confirmed to have SARS. Which of the following should be implemented to prevent the disease from spreading?

    A) healthcare workers must wear an N95 mask & airborne precautions & contract precautions are used
    B) healthcare workers must wear a face mask & the patient must wear an N95 mask and airbotne precautions & the patient is placed in a positive pressure room & contact precautions are use
    C) healthcare workers must wear an N95 mask & place patient in a positive pressure room
    D) the patient must wear an N95 mask in his room & contact percautions
    A) healthcare workers must wear an N95 mask & airborne precautions & contract precautions are used
    (this multiple choice question has been scrambled)
  49. A homecare therapist is setting up a continuous home oxygen system for a 54 YO patient with CF. In addition to teaching the patient about her condition and how to use the system, which of the following should the therapist recommend:

    A) if the patient has already received the pneumovax vaccine, she should get a booster
    B) get the pneumovax vaccine
    C) thoracentesis
    D) healthcare workers must wear an N95 mask & place patient in a positive pressure room
    B) get the pneumovax vaccine
    (this multiple choice question has been scrambled)
  50. A 47 YO patient who recently returned home from a business trip to Hong Kong has a high fever and other S&S of pneumonia. SARS CoV is among the conditions being investigated. While the patient is being evaluated, what preventative measures should be taken?

    A) standard, contact, airborne & droplet precautions
    B) contact precautions & airborne precautions
    C) standard precautions & airborne precautions
    D) standard precautions & droplet precautions
    D) standard precautions & droplet precautions
    (this multiple choice question has been scrambled)
  51. An oxygen blender has just been returned from the NICU. What agent should be used for surface disinfection?

    A) ethylene oxide
    B) alkaline glutaraldehyde
    C) 70% ethyl alcohol
    D) glutaraldehyde
    C) 70% ethyl alcohol
    (this multiple choice question has been scrambled)
  52. An annual influenza vaccination should be given to which of the following groups?

    A) healthcare workers, people over 50, those with asthma & infants under 6 months
    B) healthcare workers, people 50 & older, children & adults with asthma
    C) healthcare workers and people over 50
    D) children & adults with asthma & infants younger than 6 months
    B) healthcare workers, people 50 & older, children & adults with asthma
    (this multiple choice question has been scrambled)
  53. After assisting with a bronchoscopy to inspect a patient's airways, the RT needs to clean the bronchoscope. How should the unit be disinfected?

    A) iodine solution & hot water wash
    B) iodine solution
    C) glutaraldehyde, iodine, detergent & hot water wash
    D) enzymatic detergent & glutaraldehyde solution
    D) enzymatic detergent & glutaraldehyde solution
    (this multiple choice question has been scrambled)
  54. After working with a trauma patient in the ED, an RT sees that there is blood on the patient's pulse oximeter. How should it be processed?

    A) glutaraldehyde
    B) ethylene oxide
    C) wiped down with a bleach solution
    D) disinfect with an alcohol solution
    C) wiped down with a bleach solution
    (this multiple choice question has been scrambled)
  55. Before drawing a blood gas sample from the radial artery, which test should be performed?

    A) BP Measurement
    B) Modified Allen Test
    C) Nailbed Blanching
    D) Allen Test
    B) Modified Allen Test
    (this multiple choice question has been scrambled)
  56. A patient is brought to the ED after being rescued from a house fire. She is unconscious and has facial burns. The physician believes she is suffering from smoke inhalation. What should be recommended as the best way to evaluate her?

    A) ABG analyzed through a CO oximeter
    B) PtCO2 monitor
    C) ABG through Standard Blood Gas Analyzer
    D) Standard Pulse Oximetry
    A) ABG analyzed through a CO oximeter
    (this multiple choice question has been scrambled)
  57. A therapist is ordered to draw a blood sample from the patient's radial artery. Before drawing the sample, a circulation test is performed by having the patient make a fist while pressure is applied over his ulnar and radial arteries. The patient's hand is opened and the pressure is released from the ulnar artery. His hand color returns within 15 seconds. This would indicate that the patient's:

    A) ulnar circulation is inadequate
    B) ulnar circulation is adequate
    C) radial circulation is inadequate
    D) radial circulation is adequate
    B) ulnar circulation is adequate
    (this multiple choice question has been scrambled)
  58. A therapist working in the ICU notices that an arterial blood sample has been sitting out for 40 minutes. It was not put in ice water. The blood gas analysis could be affected in which of the following ways:

    A) increased PaCO2, decreased PaO2, decreased pH
    B) decreased PaO2, decreased PaCO2 & increased pH
    C) decreased PaCO2, increased pH
    D) increased PaO2, increased PaCO2 & decreased pH
    A) increased PaCO2, decreased PaO2, decreased pH
    (this multiple choice question has been scrambled)
  59. An arterial puncture to obtain a sample for blood gas analysis should be recommended under which of the following conditions:

    A) suspected CO poisoning, to measure PaCO2 after changes in minute ventilation & after a patient with respiratory distress is admitted to the ED
    B) to measure PaO2 after the inspired FiO2 is changed, suspected CO poisoning, to measure PaCO2 after a change in minute ventilation & after a patient with respiratory distress has been admitted to the ED with a tension pneumothorax
    C) to measure PaO2 after changes in inspired FiO2 & to measure PaCO2 after changes in minute ventilation
    B) to measure PaO2 after the inspired FiO2 is changed, suspected CO poisoning, to measure PaCO2 after a change in minute ventilation & after a patient with respiratory distress has been admitted to the ED with a tension pneumothorax
    (this multiple choice question has been scrambled)
  60. Safety precautions for the protection of the therapist who is drawing an ABG sample include which of the following:

    A) put a glove only on the hand you use to draw the sample and wear goggles
    B) put a glove only on the hand you use to feel the pulse
    C) put a glove only on the hand you use to draw the sample
    D) put gloves on both hands & wear goggles
    D) put gloves on both hands & wear goggles
    (this multiple choice question has been scrambled)
  61. A 50 YO patient has a PaO2 of 72 while breathing RA. How should this be interpreted?

    A) severe hypoxemia
    B) normal for a person of that age
    C) mild hypoxemia
    D) moderate hypoxemia
    C) mild hypoxemia
    (this multiple choice question has been scrambled)
  62. An acute rise in the PaCO2 from 40 to 50 torr would result in the following change in pH:

    A) fall of 0.05
    B) fall of 0.10
    C) rise of 0.10
    D) rise of 0.05
    A) fall of 0.05
    (this multiple choice question has been scrambled)
  63. Interpret the following ABG drawn from a patient who is breathing 40% O2:
    pH 7.37  pCO2 62  pO2 54  HCO3 38  BE+11 Sat 87%

    A) uncorrected hypoxemia & compensated respiratory acidosis
    B) corrected hypoxemia & metabolic alkalosis
    C) uncorrected hypoxemia & uncompensated metabolic acidosis
    D) corrected hypoxemia & uncompensated metabolic acidosis
    A) uncorrected hypoxemia & compensated respiratory acidosis
    (this multiple choice question has been scrambled)
  64. Interpret the follow ABG drawn from a patient who is breathing 35% O2:
    pH 7.29  pCO2 37  pO2 86 HCO3 17  BE -8  Sat 90%

    A) corrected hypoxemia & uncompensated metabolic acidosis
    B) uncorrected hypoxemia & uncompensated metabolic acidosis
    C) corrected hypoxemia & compensated metabolic acidosis
    D) uncorrected hypoxemia & compensated respiratory acidosis
    A) corrected hypoxemia & uncompensated metabolic acidosis
    (this multiple choice question has been scrambled)
  65. Interpret the following ABG drawn from patient who is breathing RA:
    pH 7.57  pCO2 20  pO2 117 HCO3 24  BE +1 Sat 98%

    A) normal oxygenation & uncompensated respiratory alkalosis
    B) excessively corrected hypoxemia & uncompensated respiratory alkalosis
    C) excessively corrected hypoxemia & uncompensated metabolic acidosis
    D) normal oxygenation & compensated respiratory & metabolic alkalosis
    A) normal oxygenation & uncompensated respiratory alkalosis
    (this multiple choice question has been scrambled)
  66. Interpret the following ABG drawn from a patient who is breathing 60% O2:
    pH 7.18  pCO2 50  pO2 72  HCO3 18  BE -10 Sat 94%

    A) corrected hypoxemia & combined respiratory & metabolic acidosis
    B) corrected hypoxemia & uncorrected respiratory acidosis
    C) uncorrected hypoxemia & combined respiratory & metabolic acidosis
    D) corrected hypoxemia & uncorrected metabolic acidosis
    C) uncorrected hypoxemia & combined respiratory & metabolic acidosis
    (this multiple choice question has been scrambled)
  67. Interpret the following ABG drawn from a patient who is breathing 24% O2:
    pH 7.45  pCO2 22  pO2 57 HCO3 16 BE -6 Sat 91%

    A) corrected hypoexmia & compensated respiratory alkalosis
    B) uncorrected hypoxemia & combined respiratory & metabolic acidosis
    C) corrected hypoxemia & uncompensated respitatory alkalosis
    D) uncorrected hypoxemia & compensated respiratory alkalosis
    D) uncorrected hypoxemia & compensated respiratory alkalosis
    (this multiple choice question has been scrambled)
  68. Which of the following best indicates that a patient's tissues are adequately oxygenated?

    A) PaO2 85 torr
    B) Mixed Venous pO2 30
    C) Mixed Venous O2Sat 75%
    D) Sat 90%
    C) Mixed Venous O2Sat 75%
    (this multiple choice question has been scrambled)
  69. Blood gas analyzer calibration values are considered to be in control if they are within:

    A) 2 SD of the norm
    B) 4 SD of the norm
    C) 3 SD of the norm
    D) 1 SD of the norm
    A) 2 SD of the norm
    (this multiple choice question has been scrambled)
  70. A 5o YO patient with emphysema seems to be tiring 30 minutes into a weaning attempt on a Briggs adapter (T-piece). The best way to evaluate the patient's ventilatory status is by:

    A) measuring the bedside VC
    B) checking the PaCO2
    C) checking the pH value
    D) measuring the PtcCo2 value
    B) checking the PaCO2
    (this multiple choice question has been scrambled)
  71. A patient has Guillain-Barre Syndrome and pneumonia. The patient has been placed on 35% O2 by mask. The physician asks for your suggestion on the best way to evaluate the patient's overall ability to breathe. What should be recommended?

    A) perform an FVC maneuver
    B) do a full set of PFT's
    C) draw an ABG
    D) oerform pulse oximetry
    C) draw an ABG
    (this multiple choice question has been scrambled)
  72. A therapist is called to evaluate a patient who is using a pulse oximeter. Upon entering the room, it is noted that the patient is an African-American woman with an oximeter probe on her right earlobe. The monitor shows a weak pulse signal and a fluctuating SpO2 level. Which of the following should be done in a attempt to correct the problem?

    A) try monitoring from a fingertip & cover the probe with a opaque wrap
    B) switch to a probe over the bridge of the nose
    C) cover the probe with an opaque wrap
    D) cover the probe with an opaque wrap & switch the probe to the left earlobe
    A) try monitoring from a fingertip & cover the probe with a opaque wrap
    (this multiple choice question has been scrambled)
  73. A therapist is working with a postanesthesia patient who is on a PtcCO2 monitor. The correlation factor between the PaCO2 and the PtcCO2 is 1.4. The patient's previous PtcCO2 level was 63 torr. The nurse has called you because it is now 75 torr. The patient's approximate PaCO2 value would be calculated as:

    A) 63 torr
    B) 45 torr
    C) 105 torr
    D) 75 torr
    B) 45 torr
    (this multiple choice question has been scrambled)
  74. A 35 YO patient with pneumonia is receiving MV with PEEP. Calculate and interpret the patient's p(A-a)O2 level.
    The following conditions exist: PB=750 torr, normal is 760 torr for sea level; pH2O = 54 torr because the patient temperature is 104 degrees F (40 degrees C), normal is 47 torr  for  a normal temperature; FiO2 = 0.50; PaCO2 = 36; PaO2 = 60; Respiratory Exchange Ratio = 0.8.
    PACO2 = [(PB-PH2O) x FiO2] - (PaCO2/0.8)
    Based on the listed conditions, what is the PACO2 value?

    A) 312 torr
    B) 101 torr
    C) 95 torr
    D) 303 torr
    D) 303 torr
    (this multiple choice question has been scrambled)
  75. Based on the listed conditions, what is the patient's P(A-a)O2 value?

    A) 243 torr
    B) 248 torr
    C) 232 torr
    D) 41 torr
    A) 243 torr
    (this multiple choice question has been scrambled)
  76. How should the patient's P(A-a)O2 results be interpreted?

    A) check for analyzer error
    B) larger than normal difference (25 torr)
    C) normal oxygenation & ventilation
    D) normal for a person of this age
    B) larger than normal difference (25 torr)
    (this multiple choice question has been scrambled)
  77. A 50 YO male patient is being treated for a pulmonary embolism. He is receiving 50% O2 by mask. The results of a P(A-a)O2 study indicate that his A-a difference is 205 torr. What is the interpretation of this study?

    A) the A-a difference is increase (15 or less in a normal person)
    B) it is within normal range
    C) the results are not physiologically possible
    D) the patient's condition is improving
    A) the A-a difference is increase (15 or less in a normal person)
    (this multiple choice question has been scrambled)
  78. A premature neonate breathing RA has a PtcCO2 electrode on her R thigh and a PtCO2 electrode placed on her L thigh. Both have been showing stable readings over the past hour. After the patient was moved for nursing care, it was noted that the PtCO2 electrode value had increased. The PtcCO2 electrode value is unchanged. What could explain this?

    A) the PtcCO2 electrode has pulled loose from the skin
    B) the inspired oxygen percentage has decreased
    C) the patient is hyperventilating
    D) the patient's pulmonary condition has improved
    A) the PtcCO2 electrode has pulled loose from the skin
    (this multiple choice question has been scrambled)
  79. After a modified Allen Test is performed on a patient's R wrist, it takes 25 seconds for the hand to regain its color. What should be done now?

    A) draw an ABG sample on the L wrist
    B) perform an Allen Test on the R wrist
    C) perform a modified Allen Test on the patient's L wrist
    D) draw an ABG sample on the R wrist
    C) perform a modified Allen Test on the patient's L wrist
    (this multiple choice question has been scrambled)
  80. A 45 YO patient has been admitted to the ED after having smoke inhalation from a house fire. The patient is wearing a nonrebreather mask set at 10 lpm of O2. The most appropriate way to evaluate the patient's oxygenation status is by:

    A) ABG through Standard Blood Gas Analyzer
    B) pulse oximetry with a standard unit
    C) ABG sample run through a CO oximeter
    D) TC O2 monitor
    C) ABG sample run through a CO oximeter
    (this multiple choice question has been scrambled)
  81. Interpret the following ABG drawn while the patient was breathing 45% O2:
    pH 7.38  pCO2 59  pO2 64  HCO3 39 BE -112 Sat 91%

    A) corrected hypoxemia & compensated respiratory acidosis
    B) uncorrected hypoxemia & uncompensated metabolic acidosis
    C) corrected hypoxemia & metabolic alkalosis
    D) uncorrected hypoxemia & compensated respiratory acidosis
    D) uncorrected hypoxemia & compensated respiratory acidosis
    (this multiple choice question has been scrambled)
  82. Intrepret the following mixed venous gases drawn when the patient was breathing 40% O2:
    pH 7.35  MVCO2 46  MVO2 40  MVSat 75%

    A) uncorrected hypozemia & respiratory acidosis
    B) uncorrected hypoxemia & metabolic acidosis
    C) corrected hypoxemia & respiratory acidosis
    D) correccted hypoxemia (normal MV O2 = 40) and normal acid-base balance
    D) correccted hypoxemia (normal MV O2 = 40) and normal acid-base balance
    (this multiple choice question has been scrambled)
  83. Interpret the following ABG dtawn while the patient was breathing 30% O2:
    pH 7.44  pCO2 25  pO2 65 HCO3 17  BE -7 Sat 91%

    A) corrected hypoxemia & compensated repspiratory alkalosis
    B) uncorrected hypoxemia & combined respiratory & metabolic acidosis
    C) corrected hypoxemia & uncompensated respitatory alkalosis
    D) uncorrected hypoxemia & compensated respiratory alkalosis
    D) uncorrected hypoxemia & compensated respiratory alkalosis
    (this multiple choice question has been scrambled)
  84. Which of the following clinical values indicates that a patient;s tissues are hypoxemic?

    A) MV O2 25 (40 is normal)
    B) SaO2 88%
    C) MV O2SAT 80%
    D) PaO2 55
    A) MV O2 25 (40 is normal)
    (this multiple choice question has been scrambled)
  85. A spontaneously breathing neonate is in an incubator. The patient is being monitored with a tcCO2 electrode on her upper R chest. An hour ago, the patient's CO2 value was 45 torr and now is 5 torr/ THe nurse tells you that no change has occured in the baby's condition. What is the most likely cause for this difference?

    A) the temperature inside the incubator has increased
    B) the patient has a PDA
    C) air has leaked under the electrode
    D) the patient's cardiac output and lung condition has improved
    C) air has leaked under the electrode
    (this multiple choice question has been scrambled)
  86. A 17 YO patient is receiving MV becuase of apnea resulting from a drug overdose. While the patient is breathing 25% O2, the following ABG's were drawn:
    pH 7.42  pCO2 41  pO2 155 BE +2 Sat 100%. What action should now be taken?

    A) hyperventilate the patient
    B) reduce the patient to 21% O2
    C) recheck the blood gas analyzer: pO2 too high!
    D) maintain the present settings
    C) recheck the blood gas analyzer: pO2 too high!
    (this multiple choice question has been scrambled)
  87. A neonatal patient is receiving 40% O2 in a hood. THe following capillary gases have been received:
    pH 7.37  pCO2 45  pO2 60  HCO3 22  BE -2 Sat 91%. Which of these values can be reliably used clinically?

    A) pH, pCO2 & pO2
    B) pO2 & O2 Sat
    C) pH & pCO2
    D) pH, pCO2, pO2 & Sat
    C) pH & pCO2
    (this multiple choice question has been scrambled)
  88. The result of a set of ABG's and central venous gases have been received from a patient in the ICU. The results show that the PcvCO2 is 58 torr and the PaCO2 is 43 torr. How should these results be interpreted?

    A) the patient is in ventilatory failure
    B) disregard owing to a preanalytic error with the PcvCO2
    C) the patient is being hyperventilated
    D) low cardiac output
    D) low cardiac output
    (this multiple choice question has been scrambled)
  89. An adult patient in Dencer is receiving 50% oxygen through an entrainment mask. The ABG's are pH 7.41 pCO2 38  pO2 85 HCO3  25 BE +1 Sat 96%. The local Pb is 745 torr. The patient's P:F ratio would be calculated as which of the following?

    A) 0.05
    B) 85/50 = 1.7
    C) 0.76
    D) 0.11
    B) 85/50 = 1.7
    (this multiple choice question has been scrambled)
  90. Because it is not possible to obtain an ABG on a newborn, the physician orders analysis of an arterialized capillary blood gas sample. Which of the following shold be selected as the preferred sampling site?

    A) fingertip
    B) lateral area of the heel
    C) toe tip
    D) earlobe
    B) lateral area of the heel
    (this multiple choice question has been scrambled)
Author
ID
315879
Card Set
Review 2
Description
review2
Updated
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