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What is the most common route of pathogen transmission in the hospital?
indirect contact transmission
the minimal length of time required for effective handwashing is
20 sec
when using a computer, which of the following demonstrates back protection?
monitor at eye level when standing
hips at 90 degree when sitting at computer desk
Elbow at 90 degree when typing on keyboard
feet flat on the ground
A patient with active shingles should be placed on what type of precautions?
Airborne precautions
which of the following is a more difficult spot to clean when washing your hands?
underneath the fingernails
which of the following is not an electrical hazard?
device plugged into a red outlet
what type of precautions would be indicated for a patient diagnosed with MDRO?
Standard precautions
contact precautions
which of the following is required for a patient with active Tuberculosis?
N95
Alcohol-base hand sanitizers kill all of the following organisms except
MRSA
which of the following is a risk factor for a back injury?
using poor body mechanics
what is the most common cause of airway obstruction in an unconscious pt?
tongue
A patient with a suspected neck injury suddenly loses consciousness. Which of the following should the respiratory therapist perform to maintain to keep the patient’s airway open?
apply the head-tilt/ chin- lift maneuver
which of the following adventitious breath sounds may be heard with bronchospasm?
wheezing
a patient suffering respiratory distress, which of the following would show?
tripoding
paradoxical breathing
intercostal retractions
use of accessory muscles
a pt is receiving mucolytic therapy via breath actuated nebulizer, which of the following breath sounds is associated with their secretions?
coarse crackles
A respiratory therapist percusses a hyper-resonant note. this could indicate which of the following?
pneumothorax or emphysema
which of the following pt inspection assessments findings is indicative of congestive heart failure?
mottling
an increase in the anteroposterior diameter of the chest is often associated with emphysema.
true
which of the following indicates a patient chronic hypoxemia?
clubbing
A patient with right sided tension pneumothorax would have which of the following physical finding?
tracheal deviation to the left
the pin index safefy system position for oxygen is
2 and 5
a pt is on 60/40 Heliox with a non-rebreather mask? An oxygen flowmeter is set at 10l/min
5.2 hours
which of the following gases is considered to be laboratory?
carbon dioxide
which of the following flowmeters is not gravity dependent?
bourdon gauge
room air is comprised of
78% nitrogen, 20.9% oxygen, 1%other
if a pt requires a G cylinder, how long until the pressure will reach 0 psi if the tank currently has 1800 psi and the pt is on a simple mask with a flowrate of 10l/min?
433 minutes
what is the combination of a reducing value with a flowmeter called?
a regulator
nitrous oxide and nitric oxide are the same gas just a different blend ratio.
false
what is the correct order for attching a P.S.S regulator to an E tank
crack the tank
aline the pins of the regulator
tighten the regulator
turn on the tank
check for leaks
turn on the flowmeter
which device should you use a bubble bottle with?
nasal cannula
what liter flow requires a bubble bottle to be added to a nasal cannula?
4L/min
you hear a high pitched noise comming from a bubble bottle that is set up on a pt that is on a nonrebreather mask set at 15L/min. what is the problem?
bubble bottles are not suited for masks
a pt on a nasal cannula set at 3L/min will get an FiO 2 of
33%
a pt is on a partial rebreather mask set at 10L/min. The bag is completely collapsing during inspiration. which of the following actions should the RT take at this time?
increase the flow rate
the respiratory rate is controlled by the medulla oblongata
true
pulse oximetry (SpO2) is just as reliable of a meaurement as PaO2 in an ABG.
false
a pt wearing a nasal cannula is exclusively mouth breathing. What will happen to the delivered FiO2 that the pt is receiving?
the FiO2 will decrease
a pt is on a 6L/min nasal pendant for chronic hypoxemia and complains of soreness behind their ears. All the following would be appropriate options except
explain that it is part of wearing oxygen and that the pt just needs to get used to it
which of the following devices requires the lowest inspiratory flows (effort)?
small volume nebulizer
which of the following is a true statement about holding chambers?
they improve the deposition of a MDI
An Aerogen needs which of the following to generate an aerosol?
electricity
A pt peak flow meter reading was 60% of predicted. What should the pt be instructed to do at this time?
take a rescue medication
all of the following device can carry either a maintenance or rescue medication except
dry powder inhaler
a pt with a #8 ETT will need what size suction catheter?
14 Fr
suctioning is done on the way out only
true ,to prevent airway trauma and maintain effective ventilation
the use of saline can be instilled to mobilize secretions(lavage)
true
you are teaching a pt how to properly use their MDI and they ask how often they should prime the MDI after not being used , your answer would be
48 hours
an 82 year old is post-operative for IVC filter placement. The pt breath sounds have become rhonchorous upon completion of postural drainage with percussion. The RT initiates nasotracheal suctioning at 80cmH20, but the sections barely move up the catheter. What should the RT recommend now?
increase the suction pressure to 120cmH2O
A doctor placed an order for sputum sample on a trach pt with suspected aspiration pneumonia. The RT would also need to add a Leukin’s trap to the suction tubing
true
which therapy prevents atelectasis
incentive spirometry
what is the best position to drain the lateral left lower lobe?
in trendelenburg laying on the right side
which of the following is an absolute contraindication to metaneb therapy?
untreated tension pneumothorax