1.
A patient receiving mechanical ventilation has increased peak inspiratory pressures, coarse rhonchi, and a fever. What should the respiratory therapist recommend?
A. 
Sputum culture and gram stain
B. 
Increase the tidal volume
C. 
D. 
2.
Following extubation a patient has moderate stridor. The patient’s Spo2 on 0.30 FiO2 cool aerosol face mask is 95%. The patient’s heart rate is 90/min and respiratory rate is 20/min. What should the respiratory therapist recommend NEXT?
A. 
Intubation and mechanical ventilation
B. 
C. 
D. 
3.
An unconscious patient arrives in the emergency department following a motor vehicle accident. What should the respiratory therapist do FIRST to establish this patient’s airway?
A. 
Head-tilt/chin-lift maneuver
B. 
Modified jaw thrust maneuver
C. 
Reposition the patient on their side
D. 
4.
Increased tactile fremitus is noted in the patient’s right lower lobe. Which of the following conditions would explain this?
A. 
B. 
C. 
D. 
5.
Palpation of the patient’s trachea reveals a tracheal shift to the right side. Which of the following would most likely cause this finding?
A. 
B. 
C. 
Right side pleural effusion
D. 
6.
A patient with multiple right sided rib fractures would present with which the following findings?
A. 
Dull percussion on right side
B. 
C. 
Symmetrical chest expansion
D. 
7.
Auscultation of a patient’s lungs reveals coarse bilateral crackles. This is most likely due to?
A. 
B. 
C. 
D. 
8.
Auscultation of a 3-year-old child’s lungs reveals unilateral wheezing. This patient most likely has?
A. 
B. 
C. 
Foreign body airway obstruction
D. 
9.
Increased accessory muscle use is most often due to?
A. 
B. 
Increased airway resistance
C. 
Increased lung compliance
D. 
10.
Auscultation and percussion of a hemodynamically unstable patient’s left lung reveals distant breath sounds and hyperresonance. The respiratory therapist suspects a pneumothorax. What should the therapist recommend NEXT?
A. 
B. 
C. 
D. 
11.
Following endotracheal intubation, chest assessment reveals breath sounds on the left side are distant and resonant to percussion. This is most likely due to?
A. 
Right mainstem intubation
B. 
C. 
D. 
12.
While auscultating voice sounds the therapist hears the soft A sound, or ahhhh, when the patient says the letter “E”. This change in sound is associated with which of the following conditions?
A. 
B. 
C. 
D. 
13.
A patient receiving mechanical ventilation has distant breath sounds on the left side with a tracheal shift to the right. The therapist should suspect?
A. 
Right mainstem intubation
B. 
C. 
Left upper lobe pneumonia
D. 
14.
What is the estimated heart rate of this ECG?
A. 
B. 
C. 
D. 
15.
An elevated ST segment may indicate?
A. 
B. 
C. 
D. 
16.
Spiked or peaked T waves on an ECG may be due to?
A. 
B. 
C. 
D. 
17.
A patient’s bed in the ICU is raised to provide routine care. The patient has a pulmonary artery catheter (PAC) in place and the transducer is attached to an IV pole next to the bed. What effect will this have on the patients CVP?
A. 
B. 
It will cause a false high reading
C. 
It will cause a false low reading
D. 
18.
A patient in the cardiac ICU has a pulmonary artery catheter in place. The patient is edematous and has a CVP reading of 12. The patient most likely has?
A. 
B. 
C. 
D. 
19.
A large difference between PIP and Pplat is most likely to be seen in which of the following disease states?
A. 
B. 
C. 
D. 
20.
Immediate potential complications with percutaneous tracheostomy tube insertion include everything except?
A. 
B. 
C. 
D.