FREE RRT MCQ Questions And Answers

Question 1

A female patient, age 50, appears with a three-month history of a cough that produces phlegm and is worse in the morning after getting up.
The sputum has a little to moderate amount, a middling consistency, and a pale yellow tint.
No recent ill contacts or fever are present.
Rhonchi are sometimes heard bilaterally during auscultation, particularly in the lower lobes.
The patient has never smoked.
What do you suggest?

Accepted Answer

A more complete history including vocation, exposure to environmental hazards, and family history is required. Also, PFTs are indicated for this patient with a pre- and post-bronchodilator FEV1/FVC.

Answer

The patient needs pulmonary rehabilitation with exercise and nutritional counseling.

Answer

Tell the physician that the patient has COPD and needs a long-acting beta agonist and an inhaled corticosteroid to start at once.

Answer

An order for a stat CXR and a complete blood count (CBC) with differential is necessary to rule out pneumonia.

Question 2

A patient with a productive cough, a fever, and bilateral rhonchi in the lower lobes arrives to the ED of your hospital. The radiologist claims that the CXR may demonstrate bilateral infiltration. What quantity of white blood cells (WBCs) per microliter (mcL) would we anticipate to detect to establish a diagnosis of pneumonia?

Accepted Answer

12,000 to 14,000 WBCs/mcL

Answer

7,000 to 10,000 WBCs/mcL

Answer

7,000 to 10,000 WBCs/mcL

Answer

2,000 to 3,000 WBCs/mcL

Question 3

You discover traces of blood on the dressing between the stoma and the tube flange while providing routine care to a patient who has a tracheostomy. Which of these is the right move to take?

Accepted Answer

Clean the area of the stoma with normal saline; do a careful inspection of the condition of the stoma; replace the old dressing with a new, clean dressing; carefully note your observation in the patient chart; and directly notify the unit manager that the stoma needs the attention of the patient’s physician or advanced practice registered nurse (APRN) when one of them next does rounds.

Answer

Continue regular tracheostomy care as per usual protocol, make a mental note of the trace blood, and tell the next therapist about it when you give your report at the change of shift.

Answer

Put on a new, clean dressing and set a reminder to check for additional problems when doing tracheostomy care the following day.

Answer

Clean the area of the stoma with a cotton swab saturated with hydrogen peroxide and sterile water in a 50/50 mix; replace the dressing with a clean, new dressing; and ask that the patient be seen by the physician on call stat.

Question 4

Despite wearing a venturi mask that provides a FiO2 of 0.45 and a SpO2 of 87%, the patient in your care has proper tidal volumes, clean bilateral breath sounds throughout his lung fields, a normal CBC, and no signs or symptoms of infection. Although he is not currently taking an anticoagulant, the patient's file indicates a history of a clotting condition. Which examination would you advise getting done next?

Accepted Answer

ventilation-perfusion (V/Q) scan

Answer

CXR

Answer

ultrasound exam of aorta and echocardiogram

Answer

prothrombin time (PT) and international normalized ratio (INR)

Question 5

When a patient's SpO2 falls from 90% to 85% while they are being monitored in the telemetry unit, an alarm is triggered. The patient is equipped with a disposable inner cannula, a No. 6 Shiley tracheostomy tube, and a deflated cuff. What is the first thing you have to do when you walk into her room?

Accepted Answer

Assess the patient for signs of distress and check the pulse oximetry probe to see that it is securely in place.

Answer

Attempt to pass a suction catheter through the tracheostomy tube to remove accumulated secretions and to ensure that the tube is patent.

Answer

Check that the FiO2  setting on the entrainment device is set properly, as ordered.

Answer

Begin bag-mask ventilation with 100% oxygen at 15 L/min.

Question 6

Which of the following arterial blood gas (ABG) readings (on 4 L/min O2 through nasal cannula) best demonstrates acute or chronic lung disease?

Accepted Answer

pH 7.36        PO2 86        PCO2 52         HCO3 30

Answer

pH 7.40        PO2 70        PCO2 40         HCO3 25

Answer

pH 7.30        PO2 91        PCO2 52         HCO3 30

Answer

pH 7.11        PO2 79        PCO2 61         HCO3 24

Question 7

Which of these tests should the doctor order to find out a patient's functional residual capacity (FRC)?

Accepted Answer

body plethysmography

Answer

ABG analysis

Answer

V/Q scan

Answer

bedside spirometry

Question 8

Which of the following is a sign of respiratory distress?

Accepted Answer

Rapid breathing

Answer

Decreased heart rate

Answer

Pale skin

Answer

Low blood pressure

Question 9

What does the term "ARDS" stand for in respiratory care?

Accepted Answer

Acute Respiratory Distress Syndrome

Answer

Advanced Radiology Diagnosis System

Answer

Automated Respiratory Documentation Software

Answer

Airway Restriction Disorder System

Question 10

Which of the following is a common technique used by respiratory therapists to help clear mucus from the airways?

Accepted Answer

Percussion therapy

Answer

Intravenous medication

Answer

Dental extraction

Answer

Eye drops