1. While reviewing the chart of a patient A.

partially compensated metabolic acidosis

who has severe COPD, the CRT notices that
the patient has cor pulmonale. Which of the
following hemodynamic changes would be
expected?
A. decreased pulmonary capillary wedge
pressure
B. decreased central venous pressure
C. increased cardiac output
D. increased pulmonary artery diastolic
pressure
B. mixed respiratory and metabolic acidosis
C. compensated respiratory alkalosis
D. fully compensated metabolic acidosis
4. What is the normal I:E ratio for a
spontaneously breathing adult?
A. 1:3
B. 1:2
C. 2:1
D. 3:1

2. A newborn has a one-minute Apgar score 5. What term best describes a patient’s
of five. What type of intervention would be condition that is associated with an arterial
appropriate based on this score? PCO2 of 25 mm Hg?

A. temperature maintenance, drying, and A. hypoventilation

airway clearance B. tachypnea
B. endotracheal intubation and mechanical C. hyperventilation
ventilation D. hyperpnea
C. increased FIO2s via bag-mask ventilation
D. cardiopulmonary resuscitation 6. The tidal volume (VT) for a normal
healthy individual is usually _____ ml/kg of
3. A 44-year-old male in a diabetic coma IBW.
enters the emergency department. An
arterial blood sample while the patient A. 3 to 5
breathed room air was obtained B. 5 to 7
immediately. C. 7 to 10
D. 10 to 15
Analysis of the sample revealed the
following: 7. A 120-lb (IBW) female is receiving
PaO2 110 torr controlled mechanical ventilation. The
PaCO2 10 torr ventilator settings are as follows:
pH 7.10
HCO3¯ 3 mEq/L • ventilatory rate: 10 breaths/min.
B.E. –21 mEq/L • tidal volume: 800 cc
• FIO2: 0.50
Which of the following blood-gas
interpretations is correct? ABG and acid-base data reveal:
PO2 85 torr
PCO2 60 torr
pH 7.30
HCO3¯ 29 mEq/liter
This patient is a post-op thoracotomy and
has had no pre-existing pulmonary disease.
The physician has requested that the CRT
make the appropriate ventilator setting
changes to achieve an arterial PCO2 of 40
torr. What should the CRT do at this time?
A. Increase the ventilatory rate to 15
breaths/min.
B. Increase the tidal volume to 900 cc.
C. Add 50–100 cc of mechanical dead space.
D. Decrease the peak flow rate.
8. Which of the following factors will cause
the PIP on a mechanical ventilator to
increase?
I. an increase in the tubing compliance
II. excess moisture accumulation in the
breathing circuit
III. kinks in the tubing
A. I, II only
B. I, III only
C. II, III only
D. I, II, III
9. The ABG results for an alert,
spontaneously breathing patient who is
determined to have capillary shunting
secondary to a diffuse pneumonia are as
follows:
PO2 55 torr
PCO2 38 torr
pH 7.41
HCO3¯ 24 mEq/liter
The patient is receiving an FIO2 of 0.80.
Which of the following would be the most
appropriate therapy to improve the PaO2?
A. Initiate aggressive CPT and incentive
spirometry.
B. Apply CPAP.
C. Intubate and increase the FIO2.
D. Initiate IPAP.
10. A fenestrated tracheostomy tube can be
used for which of the following reasons?
I. to assess a patient’s ability to be
extubated
II. to decrease the incidence of infection
III. to enable the patient to speak
IV. to decrease the incidence of
postextubation edema
A. I, IV only
B. I, III only
C. II, IV only
D. II, III, IV only
11. The CRT is obtaining an E cylinder of
oxygen for a patient who is to be
transported from her room to the
pulmonary function lab. Which of the
following types of connections should the
CRT use to secure the regulator to the E
cylinder?
A. Diameter-Index Safety System
B. American Standard Safety System
C. Pin-Index Safety System
D. Quick Connect System
12. Oropharyngeal secretions are best
removed by using which of the following
catheters?
A. Yankauer suction tip
B. Trach Care closed suction system
C. Coudé suction catheter
D. modified whistle-tip catheter
13. The CRT is in need of an oxygen analyzer
that can perform rapid gas analysis during
exercise testing. Which of the following
oxygen analyzers would be suitable for this
purpose?
I. galvanic
II. paramagnetic
III. polargraphic
IV. zirconium
A. I, III only
B. II, IV only
C. III, IV only
D. I, II only
14. An alert and cooperative patient who
has a PaO2 of 40 torr while receiving an
FIO2 of 0.60 is considered to be in acute
oxygenation failure. The expectation is that
the patient will require oxygenation for the
next 24 to 72 hours. Which of the following
devices would most appropriate for
administering oxygen to this patient?
A. nonrebreathing mask
B. mechanical ventilator
C. air-entrainment mask
D. mask CPAP
15. A stable, normothermic infant who is
born at 32 weeks’ gestation is in need of
oxygen therapy. Which of the following
oxygen appliances would be most suitable
for this infant?
A. oxygen tent
B. oxyhood
C. oxygen mask
D. isolette
16. Which of the following equipment is
designed to encourage deep breathing and
to prevent post-operative atelectasis?
A. peak flow meters
B. chest percussors
C. flutter devices
D. incentive spirometers
17. Which of the following types of
humidifiers should the CRT select to reduce
the accumulation of water in the circuit of a
mechanical ventilator?
A. heat and moisture exchanger
B. heated cascade humidifier
C. heated wick humidifier
D. heated pass-over humidifier
18. Which of the following oxygen-delivery
devices would be appropriate for a stable
COPD patient who is mildly hypoxemic and
normocapnic?
A. air-entrainment mask
B. simple mask
C. nasal cannula
D. partial rebreathing mask
19. How should the CRT decontaminate a
fiberoptic bronchoscope that has been used
on a patient who has lung cancer?
A. glutaraldehyde
B. pasteurization
C. 90% isopropyl alcohol
D. acetic acid

20. Which of the following volume-pressure

characteristics should an adult endotracheal
tube cuff have?

A. high residual volume and low pressure

B. high residual volume and high pressure
C. low residual volume and low pressure
D. low residual volume and high pressure