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final exam RCP 110 review Flashcards | StudBud
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final exam RCP 110 review
final exam RCP 110 review
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#respiratory #first year
Flashcards
73 cards
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Practice quiz
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Questions
73
Answers
1
what is the respiratory quotient?
1.25
0.28
3.14
8.0
2
what is the pressure on a full E oxygen tank?
1100
2200
200
1200
3
the tubing needs drained on a 50% lg. vol nebulizer aerosol mask. there is bubbling in the tubing. Is the FiO2 50%?
no, it's lower
yes
no it's higher
4
interpret pH 7.32, PaCO2 59, HCO3 24, BE 0
uncomp resp acid
fully compensated resp. acid
partially com. resp acid
partially comp met acid
5
At 3lpm nasal cannula, the approx FiO2 is
36
28
24
32
6
minute ventilation VE calculation is
P(A-a)O2
f x Vt
PaO2/FiO2
C(a-v)O2
7
Your patient is wearing a partial re breather mask at 15lpm. What is the approximate FiO2?
70-100%
100% exactly
30-40%
40-70%
8
for every 10 years, there is a ___ mmHg P(A-a)O2 gradient normally
4
8
6
2
9
CPAP is great for removing CO2
true
false
10
A patients right to refuse treatment is considered
respect
HIPPA
beneficence
autonomy
11
Bubbles of air under the skin that can be palpated represents subcutaneous emphysema
boils
fremitus
bullae
crepitus
12
a person with Asthma experiencing bronchospasm and wheezing has a
low Raw
high compliance
high Raw
low compliance
13
there is water in the tubing of a lg. vol nebulizer. what happens to the flow to the patient?
it lowers
it gets higher
nothing happens
14
Your patient has a PaO2 of 65 torr on room air, what is that considered?
severe hypoxemia
moderate hypoxemia
no hypoxemia
mild hypoxemia
15
Can you use a nebulzer in line with an acapella flutter valve?
no
yes
16
A PaO2 of 54 is considered _______ on room air
moderate hypoxemia
severe hypoxemia
no hypoxemia
mild hypoxemia
17
what is the difference between a non rebreather and a partial rebreather mask?
flaps
reservoir bag
flow rate
18
your patient is on a non-rebreather mask at 12lpm, when the pt. inhales the bag collapses completely, what do you do?
turn the flow rate up
change to a venturi mask at 50%
keep it the same, that's normal
turn the flow rate down
19
what is this
EzPap
Acapella flutter
volume displacement IS
Flow displacement IS
20
The
NBRC
is responsible for
the organization that makes exams for RT's to be licensed
Individual state licensing agency
The accreditation of respiratory care education programs
Kettering reviews governing body
21
Your patient is on 5lpm nasal cannula, what should you do for this patient?
add an HME
add a wick-type humidifier
add a passover humidifier
add a bubble humidifier
22
a p/f ratio of 120 indicates
moderate ARDS/hypoxemia
mild ARDS/hypoxemia
no ARDS or hypoxemia
severe ARDS/hypoxemia
23
the veins, arteries, and nerves are located directly _____ the ribs
above
below
24
Your patient is on a nasal cannula at 4lpm. What type of device is that?
low flow
high flow
reservoir
25
PAO2=FiO2 x (PB-PH2O)- (PACO2 /RQ) is another way of writing the aveolar air equation
true
false
26
Which one is the carbon dioxide in the alveoli?
PaCO2
PaO2
PACO2
PAO2
27
What does this patient have?
pectus excavatum
a barrel chest
pectus carinatum
kyphoscoliosis
28
what is the barometric pressure at sea level?
760 mmHg
740 mmHg
750 mmHg
mmHg
29
How many flowmeters do you need with an EzPap with a nebulizer in line?
1
3
2
0
30
a normal tidal volume is usually around
750cc
300cc
150cc
500cc
31
TB is going to be in
contact isolation
airborne isolation
Reverse isolation
droplet isolation
32
what is this device?
Quake Flutter
Acapella flutter
Ezpap
Pipe flutter
33
your patient has a pulmonary emboli, what is the V/Q mismatch?
low
high
34
your patient is 50 years old, what would you expect his normal P(A-a)O2 gradient to be?
30mmHg
4mmHg
25mmHg
20mmHg
35
the larger the P(A-a)O2 gradient the larger the
diffusion defect at the A/C membrane
the amount of oxygen in the artery
inflamation in the conducting airways
amount of oxygen in the alveoli
36
with a high PVR, you can get chronically high pulmonary artery pressures (PAP), this is called
Cor Pulmonale
CHF
Left ventricular failure
Pulmonary Hypertension
37
what is this a picture of?
a nitric oxide flow meter
a high flow humidified nasal cannula (opti flow)
an air/oxygen blender
a flow meter for heliox
38
using an air-entrainment device (Venturi device), the more air entrained, the ______ the FiO2
no change
more
less
39
your trach patient is on a 40% lg. vol heated aerosol neb and needs to go to CT scan. What do you put him on?
venti mask with trach collar at 40%
green high flow /low flow nasal cannula
oxymizer
4lpm nasal cannula
40
An ARDS patient has a ___________ lung compliance
low
high
normal
41
can you use a nebulizer in line with an EzPap?
Yes
no
42
using an air-entrainment device like a venti mask, the less the FiO2, the ___________the total flow to the patient
higher
lower
43
a patient with pneumonia or COPD would have a ____ V/Q
normal
low
high
44
Your patient's P(A-a)O2 gradient is 100, what percent shunt is that?
6
2
8
4
45
COPD causes hypoxemia which leads to vasoconstriction in the lungs, this will cause the PVR to
rise
what is pvr?
decrease
stay the same
46
your pt. has on a 60% lg vol neb at 10lpm, what is the total flow to the patient?
10lpm
30lpm
16lpm
20lpm
47
the most common sources of infections in hospitals are
patients and bed rails
humans and large volume nebulizers
needle sticks and sneezes
call buttons and food
48
chronically high PVR with high PAP and pulmonary hypertension seen in COPD patients can lead to
Cor Pulmonale
pulmonary edema
Left sided heart failure
CHF
49
CPAP treats
COPD and hypercapnia
OSA and atelectasis
Chronic bronchitis with severe secretions
Ventialtion problems and Asthma
50
interpret this ABG pH 7.21, PaCO2 101, PaO2 42, HCO3 23, BE 0, SpO2 77%
part comp. resp. acid with mod hypoxemia
uncomp. resp. acid with mod hypoxemia
partially com. resp alkalosis with mild hypoxemia
mixed acidosis with severe hypoxemia
51
for every 50 mmHg in the A-a gradient, there is a _____% shunt
2
1
9
4
52
A hyperressonant percussion note with percussion means
Atelectasis
tumor
consolidation
too much air (hyperinflation or pneumothorax)
53
A simple mask flow rate goes from and to
12-15lpm
6-12lpm
1-3lpm
5-10lpm
54
What is a normal PAO2?
0.8
100
760
47
55
Influenza would be in what type of isolation?
droplet
reverse
airborne
contact
56
which is the indication for bland aerosol therapy?
treat bronchospasm
break down disulfide bonds in mucus
stop hemoptysis
liquify secretions for sputum removal
57
on a 3lpm nasal cannula, the approx FiO2 is
28%
40%
36%
32%
58
with a heated humidifier, an RT should never go higher than _____ Celsius
34
39
42
37
59
your patient has right sided atelectasis. The trachea would be shifted
to the left
to the right
60
In general, normal oxygen sat is ____% and the primary sign of hypoxemia is ________
88, pursed lip breathing
90 , shortness of breath
90, tachycardia
88, cyanosis
61
this patient has
tracheal deviation from left sided atlectasis
ARDS
tracheal deviation from right sided atelectasis
Tracheal deviation from pleural effusions of the right lung
62
when calculating alveolar minute ventilation you must subtract the______ first
PaO2
deadspace
PAO2
PETCO2
63
postextubation edema can be treated with racemic epi and
cool aerosol
albuterol
pulmicort
atrovent
64
ventilation without perfusion is termed
embolism
ischemia
infarction
deadspace
65
what does the PAO2 represent?
the amount of carbon dioxide in the alveoli
the amount of air in the alveoli
the amount of air in the artery
the amount of air in the conducting airways
66
what is this
low flow/high flow nasal cannula
oxygen pendant reservoir
nasal cannula
reservoir oxymizer
67
What is the PAO2 equation?
C(a-v)O2
PaCO2-PETCO2/PaCO2
P(A-a)O2
(PB-PH2O) x FiO2 - ( PACO2 x 1.25)
68
an HME should be replaced every _____ and PRN
12 hrs
48 hrs
24 hrs
72 hrs
69
what is the normal MEAN ARTERIAL PRESSURE (MAP)?
70-90 mmHg
80-100mmHg
20-40mmHg
60-80 mmHG
70
what is the normal PaCO2
-2 - +2
35-45
22-26
80-100
71
low blood oxygen is
hypoxemia
hypercapnia
alkalosis
acidemia
72
what is the A-a gradient with a PAO2 of 100 and a PaO2 of 40?
40
50
60
70
73
Fine crackles are associated with which two conditions?
bronchospasm and pleuracy
Atelectasis and pulmonary edema
Bronchiectasis and lobectomy
COPD and Asthma