RCP250_Kahoots_Final_Review.docx
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RCP 250 Kahoots Week 7 Review for Final What piece of equipment is not indicated for suctioning? A. Vacuum source. B. Pulse ox. C. Sterile suction catheter. D. ETT Cuff manometer 2. For infants, the diameter of the section catheter should be ____% of the internal diameter of the airway. A. 70% B. 40...
RCP 250 Kahoots Week 7 Review for Final What piece of equipment is not indicated for suctioning? A. Vacuum source. B. Pulse ox. C. Sterile suction catheter. D. ETT Cuff manometer 2. For infants, the diameter of the section catheter should be ____% of the internal diameter of the airway. A. 70% B. 40% C. 50% D. 30% 3. This type of suctioning is indicated for patients who have retained secretions but do not have an artificial airway? A. Tracheal. B. Shallow C. Endotracheal D. Nasotracheal 4. When suctioning a patient, total sectioning time should be kept to less than______ seconds? A. 30 B. 15 C. 40 D. 25 5. Healthcare workers with fever can provide patient care, as long as they have a mask on? True or False 6. For patients with increased ICP, ____ should be administered 15 minutes before suctioning? A. Prednisone B. Sterile Water C. Albuterol D. Lidocaine 7. For suctioning a patient with 8mm ETT, you should choose what size suction catheter? A. 14F B. 12F C. 16F D. 10F 8. You will need to set up suction for your pediatric patient. At what pressure should you set the suction? A. 60 to 100 mmHg B. 120 to 150 mmHg C. 100 to 120 mmHg D. 80 to 100 mmHg 9. Suction pressure for children should be set 80 to 100 mmHg. True or False 10. Patients requiring suctioning more then 6 times indicate what type of suctioning technique? A. Closed Suctioning B. Tracheal Suctioning C. Open Suctioning D. Nasotracheal Suctioning 11. What does HAI stand for? A. Hospital - assisted infection B. Hospital – associated infection C. Home – acquired infection D. Health care – associated infection 12. Contact transmission of infections are divided into what two groups? A. Vector and vehicle B. Airborne and droplet C. Direct and indirect D. Hospital and community. 13. What element is not present for transmission of infection within a healthcare setting? A. Source or resoirvoir of pathogens B. Antiseptic C. Root of transmission for pathogens D. Susceptible host 14. ______ are the primary source of infectious agents and healthcare setting? A. Text and mites B. Mosquitoes C. Humans D. Droplet nuclei 15. Patients with respiratory infections should be ____ feet away from one person in a waiting area? A. 2 feet B. 8 feet C. 6 feet D. 3 feet 16. When performing Nasotracheal suctioning, the patient should assume the what position? A. Posterior apical position B. Right lateral position. C. Sniffing position D. Guedel position 17. When suctioning, when secretions are too thick, installation of _____ maybe more effective than normal saline. A. Sodium bicarbonate (2%) B. Mucomyst C. Sodium bicarbonate (4%) D. Albuterol 18. In general, patients should be suction on a preset schedule throughout your shift. True or False 19. ______ is the application of negative pressure to the airways through a collecting tube. A. Suctioning B. Vacuuming C. Sputum sampling D. Resuscitation Kahoots Week 8 Review for Final What term is used to describe sputum that has pus in it? A. Mucus B. Spit C. Fetid D. Purulent 2. You are called to suction your patient that 8-mm ETT. What is the maximum size of catheter you would use? A. 8 Fr B. 14 Fr C. 10 Fr D. 12 Fr 3. What is the purpose of the pilot balloon on an endotracheal or tracheostomy tube? A. To help ascertain proper tube position. B. To minimize, mucosal trauma. C. To monitor cuff status and pressure. D. To protect the airway against aspiration. 4. The primary indications for lung expansion therapy is? A. Atelectasis. B. Asthma. C. Chronic bronchitis. D. Respiratory distress. 5. Patients undergoing PEP therapy must have high enough expiratory flow to generate pressure in the range of ____chH2O. A. 5 to 10 B. 15 to 25 C. 25 to 30 D. 10to 20 6. PH 7.24, PaCO2 55, HCO3 27 A. Partially compensated respiratory acidosis. B. Partially compensated metabolic acidosis. C. Uncompensated respiratory acidosis. D. Partially compensated respiratory alkalosis. 7. Too quickly test the functioning of a pulse oximeter, the clinician should: A. Place the probe and water. B. Hold the probe up to the light. C. Replace the batteries and check. D. Place the probe on his or her finger. 8. What example does not fall under the noncritical category in infected risk categories? A. Bronchoscope. B. Face masks. C. Blood pressure cuffs. D. Ventilators. 9. Which of the following can cause respiratory alkalosis. A. Pneumothorax. B. Salicylate overdose C. Vomiting. D. Hyperventilation. 10. Smokers may have levels of up to 9% of this gas in their arterial blood. A. Carboxyhemoglobin B. Hemoximetry. C. Methemoglobin D. Ferric Iron 11. What term is used to describe shortness of breath in the upright position? A. Orthopnea B. Platypnea C. Eupnea D. Apnea 12. Which of the following is most commonly associated with tripoding? A. Severe pulmonary hyper inflation. B. Hypotension. C. Pulmonary fibrosis. D. Pneumonia. 13. This sound is heard over the Apex of the heart that, an adults, may signify CHF. A. S1 B. S2 C. S3 D. S4 14. A dry, nonproductive cough is typically for restrictive lung disease such as pulmonary fibrosis, and____? A. Asthma. B. CHF. C. Bronchitis. D. Viral infection. 15. Massive hemoptysis is medical emergency commonly defined as more than _____mL within 24 hour time period. A. 300mL B. 350mL C. 150mL D. 200mL 16. The most common route for an in dwelling arterial vascular line is the: A. Dorsalis Pedis B. Femoral artery C. Axiliary. D. Radial artery. 17. A decrease in your pH parameters can be observed when the air is observed in the ABG sample. True or False 18. At high frequencies of ____to____Hz, airways oscillations enhance cough clearance of secretions. A. 12 to 25Hz B. 17 to 29Hz C. 22 to 30Hz D. 10 to 25Hz 19. This form of airway clearance consist of repeated cycles of breathing control, thoracic expansion, and FET. A. AD B. MIE C. ACBT D. PD 20. A benefit in the enhanced flow HFNC is washing out the CO2 from the anatomic dead space. True or False 21. Hazards and complications of CPAP therapy includes all of the following EXCPET: A. Hypoventilation. B. Nosocomial Infection C. Hyperventilation. D. Hemoptysis 22. The correct suction pressure that must be set for a pediatric patient is: A. 100-120mmHg B. 120-150mmHg C. 80-100mmHg D. 80-120mmHg 23. Before suctioning, delivery of 100% oxygen for ____to____ seconds to pediatric and adults is suggested. A. 15 to 30 seconds B. 30 to 6 0 seconds C. 10 to 20 seconds D. 35 to 45 seconds 24. An adults, tracheal, cuff pressures should be maintained at ____to____cmH2O to minimize mucosal injury and aspiration. A. 10 to 25cmH2O B. 5 to 20cmH20 C.15 to 20cmH2O D. 20 to 30cmH2O 25. Bedside methods to assess endotracheal tube position includes all of the following EXCEPT: A. Chest X-Ray B. Ultrasound. C. Capnometry D. Observation of chest movement. 26. The epiglottis is displaced directly by advancing this blade? A. Macintosh. B. Miller 27. When intubating, a male patient, the average length to the teeth of the tip of the ETT tube is? A. 23cm B. 21cm C. 25cm D. 20cm 28. As atelectasis progresses, the respiratory rate increases proportionally. True or False 29. When performing postural drainage, the indicated position is maintained a minimum of____ minutes if tolerated. A. 3 minutes. B. 5 minutes C. 6 minutes. D. 10 minutes 30. What size Macintosh or Miller blade is commonly used to intubate patients? A. 5 B. 6 C. 3 D. 4 Kahoots RCP250 Week 9 Final Review The position that best facilitates the insertion of an oral endotracheal tube is the _____ position. Chin lift Neutral Head Sniffing Jaw thrust If a patient on respiratory precautions is manually ventilated for transport, the filter should be on the ___ of device? Inspiratory Expiratory Infections that develop in the hospital are called hospital-onset or? Droplet Bector-borne Nosocomial Vehicle born\ Turning patients promotes lung expansion, improves oxygenation, and removes all secretions. True or False Nasotracheal intubation is the preferred route for intubation of patients with maxillofacial injuries? True or False To avoid or minimize the complications of suctioning, the RT needs to do all of the following, EXCEPT: Increase negative pressure and suction time Preoxygenate Use sterile technique Limit negative pressure and suction time Ideally, the distal tip of a properly positioned endotracheal tube (in a man) is positioned how far above the carina? 1 to 3 cm 3 to 5 cm 7 to 9 cm 4 to 6 in This component of the ETT ensures gas flow if the main port should become obstructed. Cuff Obturator Pilot balloon Murphy’s eye (side port) When preparing to draw an ABG, which artery provides the best collateral circulation? Brachial artery Femoral artery Radial artery Ulnar artery The cuff on an LMA tube requires a large volume of air to inflate to ___cmH2O to seal the airway. 80 cmH2O 100 cmHj2O 60 cmH2O 50 cmH2O A mother would like for her 20yo son to be able to perform ACT on his own at home. What are you teaching him? Manually assisted cough Directed cough Postural drainage Autogenic drainage The major routes for transmission of human pathogens in health care are the following, EXCEPT? susceptible host Droplet Contact Airborne What is the av3rage distance from the tip of a properly positioned oral ETT to the incisors of an adult man? 16 to 18 cm 21 to 23 cm 19 to 21 cm 24 to 26 cm What term is used to describe difficulty breathing in the reclining position? Orthopnea Eupnea Platypnea Apnea This is the third phase of a normal cough: Expulsion Irritation Inspiration Compression Your patient has an abnormal sensorium. Which of the following is most likely true? The patient knows his or her name. The patient is aware of the correct day. The patient is confused about where he or she is. The patient knows the name of the hospital they are in. This form of ACT consists of repeated cycles of breathing, thoracic expansion, and FET? ACBT CPT PEP MIE These types of breath sounds may be preset as the lung become more consolidated with atelectasis? Adventitious Vesicular Tracheal Bronchial Breathing characterized by prolonged inspiratory pause at full inspiration typically lasting 2 to 3 seconds? Agnol Breathing Apneustic Breathing Biot’s Breathing Kussmaul’s Breathing All of the following include bedside methods to assess endotracheal tube position, EXCEPT: Ultrasound Chest X-Ray Capnometry Auscultation of chest and abdomen What does presence of stridor indicate? Lower airway obstruction Bronchial spasm Increased secretions in upper airway Upper airway obstruction The second heart sound (S2) is created primarily by which of the following? Closure of the semilunar valves Opening of the atrioventricular valves Opening of the semilunar valves Closure of the atrioventricular valves What term is used to describe the absence of breathing? Orthopnea Platypnea Eupnea Apnea Weakening or impairment of the diaphragm can be a contributing factor of? Compression atelectasis Gas absorption atelectasis Respiratory Muscle weakness Interruption of ventilation When instructing patients on IS, the RT should inform the patient to do what? Exhale as fast as possible into the mouthpiece Inhale deeply and hold for 3 to 5 seconds Inhale and exhale rapidly through the mouthpiece Perform 3 SMI’s every 2 hours What is the major contributing factor in the development of postoperative atelectasis? Central nervous system overstimulation Decreased cardiac output Uncontrolled hyperpyrexia Repetitive, shallow breathing pH 7.34, HC03 21 Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis In thoracic and upper abdominal surgery, the closer the incision to the diaphragm, the lower the risk for atelectasis? True or False ______ is the most important protective reflexes? Breathing Hydration Cough Kicking Abnormal stimulus provokes the airways to send impulses to stimulate the medullary cough center? Inspiration Irritation Compression Expulsion This disease permanently damages and dilates airways that ae prone to obstruction due to retained secretions? Bronchiectasis Cerebral Palsy Cystic Fibrosis Asthma This form of ACT involves manually striking the chest wall with cupped hands in rhythmic fashion? High frequency chest wall oscillation Active cycle of breathing (ACBT) Autogenic Drainage Chest Physical Therapy (CPT) Manual Assisted Cough (Quad Cough) is useful in what patient population? Muscular dystrophy (MD) COPD Cystic Fibrosis Bronchiectasis Your patient with ALS is no longer tolerating manually assisted cough. What other form of ACT can you offer them? CPT Autogenic Drainage Mechanical Insufflation-Exsufflation (MIE) Directed cough When documenting after ACT treatment, what should NOT be included in charting? Positions used Time in positions Patient tolerance Patient’s urine output Potential outcomes of High-Flow Nasal Cannula include all, EXCEPT? Improved chest x-ray Decreased breath sounds Improved oxygenation Improved patient comfort If your patient’s pulse oximeter is giving erroneous readings, solutions include all of the following, EXCEPT? Removing nail polish Removing ambient light source Cleaning the probe with alcohol Alternating probe site When monitoring your patient on CPAP, it is important to remember that it poses a risk of? Active hemoptysis Hypoventilation Nausea Hyperventilation When inserting the laryngoscope, the RT should use the ___hand to hold, and the ___hand to open the mouth. Left, Right Right, Left A chronic cough is one lasting ___ weeks or longer? 5 8 10 6 Elements of respiratory hygiene/cough etiquette include all of the following, EXCEPT? Hand hygiene after contact with respiratory secretions Education of health care personnel, patients, and visitors Posted signs in appropriate language for patients and family members Spatial separation of ˂3 feet from persons with respiratory infections Basic vital signs include all of the following, EXCPET? Pulse rate Blood pressure Sensorium Oxygen Saturation Tracheal airways extend beyond the trachea into the pharynx. True or False These are additional sounds or vibrations produced by air movement through diseased airways? Stridor Adventitious lung sounds Diminished breath sounds Egophony sounds Properly sized OPA’s are measured from: The corner of the mouth to the patient’s ear The bottom of the nose to the angle of the jaw The corner of patient’s mouth to the angle of the jaw The corner of patient’s mouth to the chin. When placing an NPA, if you meet resistance in one nare, stop immediately and contact the doctor. True or False A history of lung disease or significant cigarette smoking increases the risk for atelectasis? True or False The MIE delivers a positive pressure breath of __to__ cmH2O over a 1- to 3- second period via a face mask or airway. 20 to 30 cmH2O 15 to 30 cmH2O 30 to 50 cmH2O 40 to 60 cmH2O This is the preferred, primary route for overcoming upper airway obstruction or trauma & for patients with poor reflexes. Tracheotomy Passy-muir Valve Endotracheal intubation Nasotracheal intubation Patients with tracheal airways are susceptible to bacterial colonization and infection in the lower respiratory tract? True or False pH 7.46, PCO2 35, HCO3 28 Uncompensated metabolic alkalosis Compensated metabolic alkalosis Partially compensated respiratory acidosis When obtaining a capillary blood gas sample, the site should be warmed to? 42C 40C 44C 37C Foul-smelling sputum is said to be? Mucoid Fetid Purulent Viscous Two different techniques that a RT can use when performing nasaotracheal intubation are: Direct, blind Indirect, blind Early mobilization for patients when trying to prevent atelectasis include all of the following, EXCEPT? Standing Sitting Walking Stay in the bed and enjoy the time off Fever is body temperature that is greater than? 39C 39.3C 37C 38.3 When interviewing a patient, personal space is defined as standing __to __feet away from the patient? 4 to 12 2 to 4 6 to 8 3 to 6 An effective cough depends upon the ability of al the following, EXCEPT: Elastic recoil properties of the lungs Expiratory muscle strength The ability to take a shallow breath Airway resistance Which of the following is NOT considered noncritical medical equipment? Blood pressure cuff Face mask Ventilator Ventilator circuits/humidifiers For patients with C. difficile, sterilizing hands with gel is sufficient after patient interaction. True or False All of the following equipment is necessary to prepare for ABG collection, EXCEPT: Modified Allen test Sharps container Standard precautions Needle capping device When suctioning a patient, total suction time should be kept to less than: 30 seconds 15 seconds 45 seconds 20 seconds When selecting HFNC, a benefit associated with usage is: Smaller prongs allow for higher flows. There is no benefit of HFNC Increasing CO2 in the anatomic dead space Washing out the CO2 from the anatomic dead space. When preparing to suction your infant patient, suction pressures should be set to? 1205 to 150 mmHg 80 to 100 mmHg 80 to 120 mmHg 100 to 120 mmHg For patients in droplet precaution rooms, cohorting is not acceptable. True or False This form of dyspnea occurs ehen a patient with unilateral lung disease lies with affected side in the down position? Platypnea Orthodeoxia Trepopnea Orthopnea Your patient with stridor will present with obstruction where? Lower airways Upper airways When obtaining an ABG, the patient’s medical record should be assessed for all of the following, EXCEPT? Bleeding disorders Exercise regimen Primary diagnosis Oxygen therapy Oropharyngeal airways can be used as a bite block for patients with oral tubes? True or False Hazards and complications of Incentive Spirometry include all of the following, EXCEPT? Pulmonary barotrauma Hypoventilation and respiratory acidosis Fatigue Respiratory alkalosis and hyperventilation When collecting equipment for our patient’s tracheostomy change, what is used to clean the site? Sodium bicarbonate Bleach Hydrogen peroxide Alcohol When entering into an airborne isolation room, all of the following must be worn, EXCEPT: Gown Standard face mask N-95 or better Gloves Diameter of a suction catheter should be less than ___% of the internal diameter of the artificial airway of adults. 50% 80% 60% 40%
