Author: Anonymous

A respiratory therapist is performing an exercise tolerance test on a 10-year-old female with suspected exercise-induced asthma using a bicycle ergometer. How long should the respiratory therapist allow the child to perform a monitored exercise interval?   

A 3-year-old child is transported to the emergency department following an impalement injury to the chest. The child is intubated and receiving manual ventilatory support. Breath sounds are reduced on the left and chest excursion is greater on the right than the left. Subcutaneous emphysema is noted on upper chest and neck. Which of the following radiologic views should the respiratory therapist recommend to evaluate the presence of free air or fluid in the pleural space?

Which of the following are complications associated with cystic fibrosis?   Massive hemoptysis Pneumothorax Pleural effusions Pneumopericardium A) Yes No Yes No B) No Yes No Yes C) Yes Yes No No D) No No Yes Yes

A respiratory therapist is reviewing the medical record of a preterm infant born at 30 weeks’ gestation presenting with respiratory distress. The chest radiograph (CXR) shows a ground-glass appearance of the lungs. The following data are available: HR: 130 beats/min   RR: 72 breaths/min   FIO2: 0.60 by nasal cannula at 1 L/min Arterial blood gases are as follows:  pH: 7.28   pCO2: 50 mm Hg   pO2: 56 mm Hg   SpO2: 88%   HCO3: 22.7 mEq/L     BE: –3.2 Which of the following should the respiratory therapist do?                               

Which of the following are true?   The right hemidiaphragm is slightly higher than the left. In neonates, the trachea may not align perfectly with the spine. The trachea bifurcates at the carina into the right and left mainstem bronchi at the 6th thoracic vertebrae (T6) in neonates. Widened intercostal spaces and flattened diaphragms are associated with decreased lung volumes. A) No Yes No Yes B) Yes No Yes No C) Yes Yes No No D) No No Yes Yes

An infant is born precipitously in the emergency department at a community hospital. The infant is 24 weeks’ gestation and requires intubation and mechanical ventilatory support. The community is located 90 miles from the receiving tertiary care center. The referring hospital requests the team arrive as quickly as possible. Which of the following should the team do?  

A RT is preparing a family for the discharge of their ventilator-dependent infant to home. Home nursing is arranged for 16 hours per day. Which of the following should the RT communicate to the family if the home health nurse is unable to report to their home for a scheduled shift, which leaves the child in the care of an untrained caregiver?

Which of the following should the respiratory therapist do to facilitate ECMO weaning for an infant with severe meconium aspiration?   Decrease the ECMO flow rate Decrease the set PEEP Increase the mechanical ventilatory support Increase the hemofiltration rate A) Yes No No Yes B) No Yes Yes No C) Yes No Yes No D) No Yes No Yes

Which of the following factors influence crew configuration for neonatal/pediatric specialty transport?   Personnel resources Patient volume or need Organizational operating margin Physician crew member availability A) Yes Yes No No B) Yes No Yes No C) No Yes No Yes D) No No Yes Yes

Which of the following is an example of a life-limiting illness?