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Final 1

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RTH110 RTH110 Test sobre Final 1, creado por wch2952 el 12/10/2015.
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Test por wch2952, actualizado hace más de 1 año
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Resumen del Recurso

Pregunta 1

Pregunta
A voluntary professional association for respiratory care practitioners.
Respuesta
  • TJC - The Joint Commission
  • CRT
  • RRT
  • AARC
  • NBRC

Pregunta 2

Pregunta
The national credentialing agency for respiratory care practitioners.
Respuesta
  • CRT
  • RRT
  • AARC
  • NBRC
  • JCAHO

Pregunta 3

Pregunta
One who successfully passes the Entry Level exam earns these credentials.
Respuesta
  • JCAHO
  • CRT
  • RRT
  • AARC
  • NBRC

Pregunta 4

Pregunta
One who passes the Advanced Practioner level exam earns these credentials.
Respuesta
  • JCAHO
  • CRT
  • RRT
  • AARC
  • NBRC

Pregunta 5

Pregunta
A private, voluntary association that establishes standards for accrediting institutions responsible for health care.
Respuesta
  • TJC- The Joint Commission
  • CRT
  • RRT
  • AARC
  • NBRC

Pregunta 6

Pregunta
Freedom to decide about one's own care?
Respuesta
  • Veracity
  • Autonomy
  • Confidentiality
  • Nonmaleficence
  • Beneficence

Pregunta 7

Pregunta
Binds the patient and the health care provider to tell the truth.
Respuesta
  • Veracity
  • Autonomy
  • Confidentiality
  • Nonmaleficence
  • Beneficence

Pregunta 8

Pregunta
Privileged information, which may not be revealed without express permission.
Respuesta
  • Veracity
  • Autonomy
  • Confidentiality
  • Non-maleficence
  • Beneficence

Pregunta 9

Pregunta
Never use treatment to injure or harm the sick.
Respuesta
  • Veracity
  • Autonomy
  • Confidenitaltiy
  • Nonmaleficence
  • Beneficence

Pregunta 10

Pregunta
Requires that the care giver actively contribute to the health and well being of the patient.
Respuesta
  • Veracity
  • Autonomy
  • Confidentiality
  • Nonmaleficence
  • Beneficence

Pregunta 11

Pregunta
Any conduct which creates a resonable apprehension of being touched in an injurous manner
Respuesta
  • Negligence
  • Assault
  • Slander
  • Libel
  • Malpractice

Pregunta 12

Pregunta
The failure to do something that a reasonable person, guided by ordinary considerations, would do.
Respuesta
  • Negligence
  • Assault
  • Slander
  • Libel
  • Malpractice

Pregunta 13

Pregunta
Defamation by the written word
Respuesta
  • Negligence
  • Assault
  • Slander
  • Libel
  • Malpractice

Pregunta 14

Pregunta
Defamation by oral speech
Respuesta
  • Negligence
  • Assault
  • Slander
  • Libel
  • Malpractice

Pregunta 15

Pregunta
Unreasonable lack of skills to fulfill professional duties
Respuesta
  • Negligence
  • Assault
  • Slander
  • Libel
  • Malpractice

Pregunta 16

Pregunta
A predefined category of admitting diagnoses, which have a fixed rate of reimbursement
Respuesta
  • Therapist Driven Protocol
  • DRG
  • Licensure
  • CQI
  • Credentialing

Pregunta 17

Pregunta
An ongoing process designed to detect and correct factors that interfere with the delivery of quality, cost effective health care
Respuesta
  • Therapist Driven Protocol
  • DRG
  • Licensure
  • CQI
  • Credentialing

Pregunta 18

Pregunta
A specific algorithm used by RCPs to independently initiate and adjust therapy using guidelines established by medical staff
Respuesta
  • Therapist Driven Protocol
  • DRG
  • Licensure
  • CQI
  • Credentialing

Pregunta 19

Pregunta
A process whereby a private agency recognizes that certain qualification have been met by an individual to work as a Respiratory Care Practitioner.
Respuesta
  • Therapist Driven Protocol
  • DRG
  • Licensure
  • CQI
  • Credentialing

Pregunta 20

Pregunta
Permission granted by a government agency to practice an occupation
Respuesta
  • Therapist Driven Protocol
  • DRG
  • Licensure
  • CQI
  • Credentialing

Pregunta 21

Pregunta
An approach based on the natural course of an ilness that integrates the way the products and services are used and reimbursed
Respuesta
  • Evidence Based Medicine
  • Disease Management
  • Patient Focused Care
  • Peer Review Organizations

Pregunta 22

Pregunta
A service outside the scope of a respiratory therapist's care would be:
Respuesta
  • Pulmonary function studies
  • Managing mechanical ventilators
  • Cardiopulmonary resuscitation
  • Assisting with laser bronchoscopy
  • Performing a tracheotomy ( a surgical opening in the throat)

Pregunta 23

Pregunta
Which of the following is NOT an advantage of using therapist driven protocols
Respuesta
  • Ensure consistency among providers
  • Better allocation of resources
  • Better to meet the needs of a patient's changing clinical condition
  • Requires the practitioner to remain in constant contact with the physician
  • Addresses the issue of cost containment

Pregunta 24

Pregunta
The main reason thta the state requires all practicing RCPs to have a current license from the Board of Medicine
Respuesta
  • So they can collect more money for the state budget
  • To help ensure that only qualified personnel are performing patient care duties
  • To keep a current record of the number of RCPs in Virginia
  • To identify which programs practioners have completed their education and training

Pregunta 25

Pregunta
When making your patient rounds, you have a heated discussion with a staff nurse who refuses to allow you to give a patient a STAT breathing treatment ordered until she first gives the patinet a bath. To resolve this issue, you should first notify the:
Respuesta
  • Doctor
  • Shift supervisor
  • Ordering physician
  • Medical director
  • Department director

Pregunta 26

Pregunta
Asepsis is defined as:
Respuesta
  • The absence of all living things
  • The absence of disease producing microorganisms
  • The absence of all forms of microorganisms
  • The absence of only bacteria

Pregunta 27

Pregunta
Sterile is defined as:
Respuesta
  • The absence of all living organisms
  • The absence of disease producing microorganisms
  • The absence of contaminants
  • The absence of bacteria

Pregunta 28

Pregunta
Infection control strategies aim to do all of the following EXCEPT:
Respuesta
  • Create barriers to transmission
  • Monitor and evaluate control procedures
  • Categorize patients at risk
  • Eliminate the source of the pathogen

Pregunta 29

Pregunta
A term used to describe a microorganism capable of producing disease Bacteria
Respuesta
  • Bacteria
  • Virus
  • Pathogen
  • Virulent

Pregunta 30

Pregunta
Nosocomial infections are ___________ acquired infections
Respuesta
  • Community
  • Hospital
  • Strictly respiratory
  • Sexually

Pregunta 31

Pregunta
To minimize the spread of infection, you should wash your hands for a minimum of _________ between patients.
Respuesta
  • 15 seconds
  • 30 seconds
  • 60 seconds
  • 2 minutes

Pregunta 32

Pregunta
Most hospital acquired infections will be caused by:
Respuesta
  • Viruses
  • Fungi
  • Bacteria
  • Protozoa

Pregunta 33

Pregunta
Unless otherwise indicated, this type of precaution should be used for all patients.
Respuesta
  • Strict Isolation Precautions
  • Standard precautions
  • Transmission based precautions
  • Contact precautions

Pregunta 34

Pregunta
Once properly identified, viruses often respond to antibiotic therapy.
Respuesta
  • True
  • False

Pregunta 35

Pregunta
Which types of patients are particularly susceptible to nosocomial infections? (select all that apply)
Respuesta
  • Diabetics
  • Immunosuppressed
  • Radiation therapy
  • Surgical
  • Non-medicated psychiatric

Pregunta 36

Pregunta
Patients with artifical airways, such as a trach, are at increased risk for nosocomial infections because: (select all that apply)
Respuesta
  • The normal filtration system of the upper airway is bypassed
  • Contamination of the trach during routine care, such as suctioning
  • Predisposing condition, such as COPD, weakens the immune system

Pregunta 37

Pregunta
The single most important method of reducing hospital acquired infections is:
Respuesta
  • Do not touch the patient’s nose
  • Good hand washing technique
  • Double bagging of all respiratory equipment
  • Putting all trached patient’s in isolation

Pregunta 38

Pregunta
The most difficult of all pathogens to kill are
Respuesta
  • Bacteria
  • Viruses
  • Spores
  • Fungi

Pregunta 39

Pregunta
Which of the following is NOT a major route of infection into the lung
Respuesta
  • Blood borne
  • Contact
  • Aspiration
  • Inhalation

Pregunta 40

Pregunta
A lab method used for classifying bacteria
Respuesta
  • Bronchoscopy
  • Isolation
  • Gram staining
  • Surveillance

Pregunta 41

Pregunta
Protective or reverse isolation is required for all of the following types of patients EXCEPT:
Respuesta
  • Burn
  • Transplant
  • Immunosuppressed
  • Pediatric

Pregunta 42

Pregunta
When water is not available, which of the following may be used as long as hands are not visibly dirty?
Respuesta
  • Gel containing 25% alcohol
  • Rinse containing 60% alcohol
  • Bleach
  • Betadine
  • Hydrogen peroxide

Pregunta 43

Pregunta
A Ziehl-Neelsen stain, also called an acid fast test, is used to specifically identify which organism?
Respuesta
  • Pseudomonas Aeruginosa
  • Mycobacterium Tuberculosis
  • Staphylococcus
  • Spores

Pregunta 44

Pregunta
Unlike airborne precautions, droplet precautions are used for infectious agents which usually do not travel beyond this distance.
Respuesta
  • 1 foot
  • 3 feet
  • 6 feet
  • 12 feet

Pregunta 45

Pregunta
Masks, gowns, gloves and goggles are items which are considered:
Respuesta
  • Personal protective equipment
  • Sterile attire
  • Accessory equipment
  • Standard attire

Pregunta 46

Pregunta
Of the following, which type of infection is most likely to lead to death?
Respuesta
  • Blood
  • Pulmonary
  • Urinary tract
  • Superficial

Pregunta 47

Pregunta
The most common route for the spread of nosocomial infections
Respuesta
  • Blood Borne
  • Vector
  • Contact
  • Airborne

Pregunta 48

Pregunta
Of the various sources of infection within the hospital, which are NOT easily controlled?
Respuesta
  • Staff
  • Visitors
  • Equipment
  • Patients

Pregunta 49

Pregunta
The single most important method to infection control is:
Respuesta
  • Wearing gloves
  • Washing Hands
  • Using standard precautions
  • Isolating patients

Pregunta 50

Pregunta
One who carries a microorganism
Respuesta
  • Host
  • Vehicle
  • Guest
  • Colony

Pregunta 51

Pregunta
Disease causing organisms are called:
Respuesta
  • Germs
  • Pathogens
  • Nosocomial
  • Bugs

Pregunta 52

Pregunta
A possible by-product of ethylene oxide sterilization is:
Respuesta
  • Polyhydrine chlorate
  • Ethylene monoxide
  • Ethylene gylcol
  • Sodium hypochlorite

Pregunta 53

Pregunta
Of the follwoing choices, which method of cleaning is the BEST for instruments which are used to enter the body or the blood stream?
Respuesta
  • Detergent washing
  • High level disinfection
  • Sterilization
  • Intermediate level disinfection

Pregunta 54

Pregunta
The most difficult of all pathogens to kill:
Respuesta
  • Bacteria
  • Viruses
  • Fungi
  • Spores

Pregunta 55

Pregunta
What method of disinfection uses hot water immersion at 63-70 C for 30 minutes?
Respuesta
  • Autoclaving
  • Pasteurization
  • ETO
  • Broths

Pregunta 56

Pregunta
What are the major consideration when using disposable equipment?
Respuesta
  • Cost
  • Quality
  • Accesability
  • Convenience

Pregunta 57

Pregunta
The preferred method fo sterilization of equipment that has been grossly contaminated with an extremely virulent (aggressive) pathogen, and is no longer of use, is which of the following?
Respuesta
  • ETO
  • Irradiation
  • Incineration
  • Autoclaving

Pregunta 58

Pregunta
An item has returned from the Central Sterile Suppy after being autoclaved. The outside processing color indicator has converted showing heat exposure. You now know:
Respuesta
  • The item is sterile
  • It has been properly exposed to gas
  • It has been properly exposed to steam
  • It has been properly exposed to Cidex

Pregunta 59

Pregunta
Of the follwoing techniques, which is not capable of sterilization?
Respuesta
  • Pasteurization
  • ETO
  • Irradiation
  • Gluteradehyde

Pregunta 60

Pregunta
What is the appropriate concentration of ethyl or isopropyl alcohol when used for surface disinfection?
Respuesta
  • 40% -50%
  • 50% - 60%
  • 70% - 90%
  • 100%

Pregunta 61

Pregunta
Sterilization is achieved by various means through effecting the cells in which way(s)?
Respuesta
  • Denaturation
  • Coagulation
  • Surface tension reduction
  • Interference with metabolism/reproduction

Pregunta 62

Pregunta
Which of the following do we depend upon to guarantee sterilization?
Respuesta
  • Biologic inidcator strip/capsule (Attest)
  • Heat sensitive tape
  • Gas sensitive tape
  • Thermo couplers

Pregunta 63

Pregunta
Quality control requires use of both cylce strips (gas or steam) and biologic indicators to confirm proper processing.
Respuesta
  • True
  • False

Pregunta 64

Pregunta
Once activated, Cidex will be fully potent for:
Respuesta
  • 24-72 hours
  • 5-7 days
  • 7-10 days
  • 14 days
  • 28 days

Pregunta 65

Pregunta
The pH range for Cidex is:
Respuesta
  • 2.5 - 3.5
  • 4.5 - 5.5
  • 7.35 - 7.45
  • 7.5-8.5

Pregunta 66

Pregunta
Once opened, sterile fluids may be used within ___ before they should be disposed.
Respuesta
  • 8 hours
  • 12 hours
  • 24 hours
  • 48 hours

Pregunta 67

Pregunta
The types of tests for contamination include all of the following except:
Respuesta
  • Swab surfaces
  • Broths
  • Ethylene oxide
  • Sporacidal capsules

Pregunta 68

Pregunta
Which of the following steps is not part of basic equipment processing?
Respuesta
  • Wash then rinse or surface disinfect
  • Pre-soak in glutaraldehyde for 20 minutes
  • Air dry completely
  • Package as required

Pregunta 69

Pregunta
A simple disinfectant made with vinegar and water (1:3) contains which of the following?
Respuesta
  • Cidex
  • Sodium hypochlorite
  • Ethylene glycol
  • Acetic acid

Pregunta 70

Pregunta
"Processing by risk" means:
Respuesta
  • Risk to the employee must be considered
  • Risk to the equipment must be considered
  • How the item is to be used determines the level of cleaning required
  • Determining how long the equipment is considered useable once properly cleaned

Pregunta 71

Pregunta
Alcohol is best used for:
Respuesta
  • Sterilization
  • Surface disinfection
  • Soaking electronic equipment
  • All of the above

Pregunta 72

Pregunta
Another name for bleach is:
Respuesta
  • Sonacide
  • Sodium hypochlorite
  • Ethylene glycol
  • Acetic acid

Pregunta 73

Pregunta
A method which combines heat and pressure to achieve sterilization
Respuesta
  • Autoclaving
  • Pasteurization
  • Ethylene oxide
  • Ionizing radiation

Pregunta 74

Pregunta
Fluid and medication precautions include which of the following?
Respuesta
  • Use sterile fluids
  • Whenever possible, use medications that the patient has brought from home
  • Use unit dose vials
  • Dispose of unused fluids immediatley after opening

Pregunta 75

Pregunta
When using contact precautions, where should single patient use equipment be disposed?
Respuesta
  • Proper trash receptacle inside the patient's room
  • Inside the respiratory department
  • Central sterile
  • At the nurse's station

Pregunta 76

Pregunta
The chemical symbol for nitric oxide gas is: [blank_start]NO[blank_end]
Respuesta
  • NO

Pregunta 77

Pregunta
The chemical symbol for carbon dioxide gas is [blank_start]CO2[blank_end]
Respuesta
  • CO2

Pregunta 78

Pregunta
The chemical symbol for Oxygen is [blank_start]O2[blank_end]
Respuesta
  • O2

Pregunta 79

Pregunta
The chemical symbol for Helium gas is [blank_start]He[blank_end]
Respuesta
  • He

Pregunta 80

Pregunta
The chemical symbol for Nitrogen gas is [blank_start]N[blank_end]
Respuesta
  • N

Pregunta 81

Pregunta
The color code for CO2 gas is [blank_start]Grey[blank_end]
Respuesta
  • Grey

Pregunta 82

Pregunta
The color code for Helium gas is [blank_start]Brown[blank_end]
Respuesta
  • Brown

Pregunta 83

Pregunta
The color code for Nitrous oxide gas is [blank_start]blue[blank_end]
Respuesta
  • blue

Pregunta 84

Pregunta
The color code for air is [blank_start]yellow[blank_end]
Respuesta
  • yellow

Pregunta 85

Pregunta
The color code for oxygen is [blank_start]green[blank_end]
Respuesta
  • green

Pregunta 86

Pregunta
Our natural atmosphere contains [blank_start]21[blank_end]% oxygen
Respuesta
  • 21

Pregunta 87

Pregunta
Our natural atmosphere contains [blank_start]78[blank_end]% nitrogen
Respuesta
  • 78

Pregunta 88

Pregunta
Oxygen will explode at 100% purity
Respuesta
  • True
  • False

Pregunta 89

Pregunta
Oxygen is produced commercially through the process of
Respuesta
  • Friction
  • Fractional distillation of liquid air
  • Fracturing liquid air
  • Breaking down water using a molecular sieve

Pregunta 90

Pregunta
Taking safety into consideration, at what pressure is it recommended to change used tanks for a full tank?
Respuesta
  • 500 psi
  • 100 psi
  • 200 psi
  • When it is completely empty

Pregunta 91

Pregunta
As a safety device, if an E cylinder's internal pressure or temperature is rising to dangerous levels, the _________ will activate thereby releasing the gas safely.
Respuesta
  • Fusible plug
  • Frangible disk
  • Teflon washer
  • Gas loc seal

Pregunta 92

Pregunta
If a medical gas cylinder has a "+" mark after its service pressure, it may be filled up to ___ psi.
Respuesta
  • 2000
  • 2100
  • 2200
  • 2440

Pregunta 93

Pregunta
Standards of gas purity are set by the
Respuesta
  • Compressed Gas Association
  • Food and Drug Administration
  • American Medical Association
  • American Association for Respiratory Care

Pregunta 94

Pregunta
Which organization requires color coding of gas cylinders?
Respuesta
  • Food and Drug Administration
  • Department of Transportation
  • National Fire and Protection Agency
  • Compressed Gas Association

Pregunta 95

Pregunta
The ___________________ is a safety system, for tanks larger than E, that uses threaded connections, which vary in thread number and thread angle, so that similar sized cylinders containing dissimilar gases cannot be misused.
Respuesta
  • American Standard Safety System
  • Diameter Index Safety System
  • Pin Index Safety System
  • Thread Index Safety System

Pregunta 96

Pregunta
The ONLY sure way to verify that oxygen is contained in a cylinder is by:
Respuesta
  • Reading the label
  • Verifying the color code
  • Analyzing the gas contents
  • Attaching the proper regulator

Pregunta 97

Pregunta
A device that incorporates both a reducing valve and a flow device is a ________________.
Respuesta
  • Analyzer
  • Flow meter
  • Regulator
  • Gas loc seal

Pregunta 98

Pregunta
An H cylinder of oxygen contains ________ cu ft. of gas.
Respuesta
  • 22
  • 244
  • 50
  • 44

Pregunta 99

Pregunta
What style regulator do small size cylinders use?
Respuesta
  • Threaded
  • Yoke style
  • Thorpe
  • "Bore" style

Pregunta 100

Pregunta
The safety system that applies to the valve outlets of small cylinders
Respuesta
  • Pin Index Safety System
  • Diameter Index Safety System
  • Threaded Index Safety System
  • Quick Connect Safety System

Pregunta 101

Pregunta
As a safety device, if an H cylinder's internal temperature or pressure rises to dangerous levels, the _________________ will activate, thereby safely releasing the gas.
Respuesta
  • Fusible plug
  • Frangible disk
  • Teflon washer
  • Regulator

Pregunta 102

Pregunta
What is the purpose of "cracking" the tank?
Respuesta
  • To test if the gas has a smell before connecting the regulator
  • To prevent debris from entering the regulator
  • To determine if there is a leak in the tank
  • To test to see if the safety system is working properly

Pregunta 103

Pregunta
The only accurate method to determine the contents of a liquid filled cylinder is
Respuesta
  • Read the pressure gauge
  • Weigh the cylinder
  • Turn the flow-meter to flush and measure how much gas comes out
  • Determine the temperature of the gas in the tank as gas volume is affected by temperature

Pregunta 104

Pregunta
If a tank is leaking after putting on a regulator, which of the following is the proper course of action?
Respuesta
  • Check and tighten all connections
  • Replace the tank
  • Check the outlet for debris
  • Check/replace the washer

Pregunta 105

Pregunta
Calculate the duration of flow from the cylinder. Your final answer must be in hours and minutes. A full H cylinder when the flowmeter is set at 5L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder
Respuesta
  • 23 hours and 2 minutes
  • 2 hours and 3 minutes
  • 17 hours and 47 minutes
  • 1 hour and 35 minutes

Pregunta 106

Pregunta
Calculate the duration of flow from the following cylinder. An E cylinder containing 1250 psi and the flowmeter is set at 3L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.
Respuesta
  • 1 hour and 10 minutes
  • 1 hour and 56 minutes
  • 65 hours and 25 minutes
  • 39 hours and 15 minutes

Pregunta 107

Pregunta
Calculate the duration of flow for the following cylinder. An E cylinder containing 1800 psi and the flowmeter is set at 2L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.
Respuesta
  • 4 hours and 12 minutes
  • 3 hours and 2 minutes
  • 47 hours and 6 minutes
  • 68 hours

Pregunta 108

Pregunta
Calculate the duration of flow for the following cylinder. An H cylinder containing 1200 psi and the flowmeter is set at 8L/min. For safety reasons, assume that you will NOT use all of the gas in the cylinder.
Respuesta
  • 7 hours and 51 minutes
  • 3 hours and 16 minutes
  • 25 minutes
  • 4 hours and 35 minutes

Pregunta 109

Pregunta
A patient has a nasal cannula and needs to be transported with an E cylinder that is lying flat underneath the stretcher. You would recommend using which type of flowmeter?
Respuesta
  • A Thorpe tube flow meter
  • An air oxygen proportioner
  • Bourdon style flow meter
  • Quick connect

Pregunta 110

Pregunta
Which of the following safety systems is utilized for equipment operating at less than 200 psi to prevent misconnections to inappropriate gases?
Respuesta
  • Diameter Index Safety System
  • American Index Safety System
  • Pin Index Safety System
  • Frangible disk and fusible plug combinations

Pregunta 111

Pregunta
If the outlet of a Bourdon gauge became partially obstructed creating back pressure, the indicated flow would ___________.
Respuesta
  • Show no flow
  • Be lower than you set
  • Be higher than you set
  • Show no change at all

Pregunta 112

Pregunta
It is possible to distinguish between a single stage reducing valve and a multi-stage reducing valve by counting the number of _____________.
Respuesta
  • Gauges
  • Threads
  • Pins
  • Pop-offs

Pregunta 113

Pregunta
When using this type of flowmeter the ball will jump when plugged into a gas source
Respuesta
  • Compensated thorpe tube
  • Uncompensated thorpe tube
  • Bourdon gauge
  • Flowmeter calibrated to be used with Heliox

Pregunta 114

Pregunta
The Bourdon gauge measures:
Respuesta
  • Tidal Volume
  • Pressure
  • Oxygen percentage
  • Type of cylinder content

Pregunta 115

Pregunta
Used as an alternative means for providing air to a patient without using an air cylinder
Respuesta
  • Manifold
  • Compressor
  • Regulator
  • Concentrator

Pregunta 116

Pregunta
The standard working pressure for medical gas equipment is ________.
Respuesta
  • .28 psi
  • 3.14 psi
  • 2200 psi
  • 50 psi
  • 200 psi

Pregunta 117

Pregunta
The device which converts the high pressure within a cylinder to a workable pressure is a:
Respuesta
  • Reducing valve
  • Kinetic flowmeter
  • A pop-off valve
  • A zone valve

Pregunta 118

Pregunta
Bulk piping alarms activate when:
Respuesta
  • The system detects a drop in pressure
  • The gas supply is completely empty
  • The system detects an interruption in gas flow, possibly because of an obstruction
  • The system has been tampered with

Pregunta 119

Pregunta
The NFPA standard for bulk oxygen systems requires that the reserve supply be:
Respuesta
  • Equal to the average of one days use (24 hours)
  • A fixed bank of 75 H cylinders
  • At least three small liquid cylinders
  • 100 ft of gas per bed

Pregunta 120

Pregunta
The advantage to using liquid bulk storage oxygen systems is:
Respuesta
  • A great deal of gas is available from a relatively small amount of liquid oxygen
  • It is the most economical means of providing oxygen to a facility
  • It provides a continuous oxygen supply to multiple station outlets
  • It provides oxygen at a uniform pressure of 50 psi

Pregunta 121

Pregunta
The terminal point of a piping system where equipment, such as a flowmeter, can be connected is the:
Respuesta
  • Station outlet
  • Manifold
  • Zone valve
  • Main shut off

Pregunta 122

Pregunta
A device used to both reduce pressure and control the flow from a medical gas cylinder is:
Respuesta
  • Compressor
  • Thrope tube flowmeter
  • Reducing valve
  • Regulator

Pregunta 123

Pregunta
The key property of helium which makes it useful as a therapeutic gas is its:
Respuesta
  • Low solubility
  • Low density
  • Poor conductive qualities
  • Chemical inertness

Pregunta 124

Pregunta
The limiting factor of a Thorpe tube flowmeter is:
Respuesta
  • Size
  • Weight
  • Gravity
  • Cost

Pregunta 125

Pregunta
When using a Thorpe tube style flowmeter, where should you look to read the actual flow being delivered?
Respuesta
  • At the top of ball
  • The middle of the ball
  • At the bottom of the ball

Pregunta 126

Pregunta
This device is used to mix both air and oxygen proportionally to deliver a specific FIO2
Respuesta
  • Compressor
  • Concentrator
  • Blender
  • Manifold system

Pregunta 127

Pregunta
When oxygen is in use, which of the following items should be avoided?
Respuesta
  • Smoking materials
  • Electrical devices
  • Friction toys

Pregunta 128

Pregunta
As a safety precaution, when oxygen is in use, a sign should be visibly posted.
Respuesta
  • True
  • False

Pregunta 129

Pregunta
This type of alarm will sound when low pressure is sensed while using an air-oxygen proportioner:
Respuesta
  • Shut off alarm
  • Pop off alarm
  • Manifold alarm
  • Reed alarm

Pregunta 130

Pregunta
The purpose of a pop off valve is:
Respuesta
  • To whistle when gas pressure has been reduced to 50 psi
  • To act as a safety mechanism and vent excessive gas pressure
  • To convert high pressure to working pressure
  • To regulate flow to the patient

Pregunta 131

Pregunta
This type of valve is used Used to isolate regions during times of maintenance or for fire safety without cutting off the entire system
Respuesta
  • Main shut off valves
  • Reed Alarms
  • Zone Valves
  • Compressors

Pregunta 132

Pregunta
You are called to assist in transporting a patient to radiology. The patient is currently on oxygen therapy using a nasal cannula set at 2 liter per minute. According to the nurse, the test will take exactly 2 hours. The room that will be used during the test does not have piped oxygen available. You have obtained an “E” cylinder containing 1500 psi. According to the information above, will you have enough oxygen in the tank to last during the procedure?
Respuesta
  • True
  • False

Pregunta 133

Pregunta
Alveolar oxygen tension is determined by:
Respuesta
  • How much oxygen is available to breathe
  • How much oxygen can move across the a/c membrane
  • How much oxygen is needed to properly resaturate red blood cells
  • Ventilation

Pregunta 134

Pregunta
Which symbol represents the fraction of inspired air?
Respuesta
  • FaO2
  • FiO2
  • PaO2
  • PAO2

Pregunta 135

Pregunta
Total barometric pressure at sea level is:
Respuesta
  • 570 mmHg
  • 760 mmHg
  • 100 mmHg
  • 47 mmHg

Pregunta 136

Pregunta
The movement of air in and out of the lungs is called:
Respuesta
  • Ventilation
  • Respiration
  • Diffusion
  • Absorption

Pregunta 137

Pregunta
Which of the following in NOT a response to inadequate oxygen supply?
Respuesta
  • Increased heart rate
  • Increased blood pressure
  • Hiccups
  • Increased work of breathing

Pregunta 138

Pregunta
When oxygen therapy is indicated, what is the role of the RT?
Respuesta
  • Select the proper mode of administration
  • Select the proper dosage
  • Monitor patient response
  • Recommend necessary changes

Pregunta 139

Pregunta
An inadequate quantity of oxygen in the blood
Respuesta
  • Hypoxemia
  • Tachycardia
  • Asphyxia
  • Anemia

Pregunta 140

Pregunta
This can occur when high concentrations of oxygen are used and the oxygen replaces the nitrogen in the alveoli.
Respuesta
  • Oxygen washout
  • Absorption atelectasis
  • Hypoxic drive
  • CO2 washout

Pregunta 141

Pregunta
This type of hypoxia may result from anemia, carbon monoxide poisoning or sickle cell disease
Respuesta
  • Stagnant hypoxia
  • Dysoxia
  • Hypoxemic Hypoxia
  • Hemoglobin deficiency

Pregunta 142

Pregunta
In a "normal, healthy person", the body's main stimulus to breathe is rising levels of ____________________.
Respuesta
  • Nitrogen
  • Oxygen
  • Carbon dioxide
  • Helium

Pregunta 143

Pregunta
The toxic effects of oxygen result from a combination of [blank_start]time[blank_end] and the amount of [blank_start]oxygen[blank_end].
Respuesta
  • time
  • oxygen

Pregunta 144

Pregunta
Assessing a patient's need for oxygen includes which of the following?
Respuesta
  • Lab testing (ABG)
  • Pulse oximetry
  • Current clinical condition
  • Bedside assessment

Pregunta 145

Pregunta
COPD patients receiving aggressive oxygen therapy are particularly at risk for:
Respuesta
  • Retrolental Fibroplasia
  • Oxygen Induced Hypoventilation
  • Pneumonia
  • Stroke

Pregunta 146

Pregunta
How much oxygen is in room air?
Respuesta
  • 15%
  • 21%
  • 50%
  • 100%

Pregunta 147

Pregunta
This type of hypoxia may result from high altitude, hypoventilation or diffusion defects.
Respuesta
  • Stagnant hypoxia
  • Hemoglobin deficiency
  • Dysoxia
  • Hypoxemic hypoxia

Pregunta 148

Pregunta
The body's first sign of hypoxemia is:
Respuesta
  • Peripheral vasodilation
  • Pulmonary vasoconstriction
  • Tachycardia
  • Hypotension

Pregunta 149

Pregunta
How does hypoxemia affect the neurologic system?
Respuesta
  • Confusion
  • Lethargy
  • Agitation
  • Disorientation

Pregunta 150

Pregunta
Oxygen toxicity results when using a [blank_start]FiO2[blank_end] greater than [blank_start]60[blank_end]% for [blank_start]12[blank_end] to [blank_start]24[blank_end] hours
Respuesta
  • FiO2
  • 60
  • 12
  • 24

Pregunta 151

Pregunta
Which of the following gases primarily serves to hold the alveoli open?
Respuesta
  • Nitrogen
  • Oxygen
  • Carbon dioxide
  • Water vapor

Pregunta 152

Pregunta
To prevent ROP or RLF, PaO2 should be kept between ___________.
Respuesta
  • 50-75 torr
  • 50-100 torr
  • 75-100 torr
  • Over 100 torr

Pregunta 153

Pregunta
A COPD patient often has chronic hypercarbia and mild hypoxemia. As a result, they rely on the _____________ to breathe
Respuesta
  • Oxygen drive
  • Hypoxic drive
  • Central chemoreceptors
  • Nitrogen washout

Pregunta 154

Pregunta
For a healthy person, the normal PaO2 range while breathing room air is _____________.
Respuesta
  • Less than 40 torr
  • 60-70 torr
  • 80-100 torr
  • Greater than 100 torr

Pregunta 155

Pregunta
A PaO2 of 60-70 mmHg would be considered _______________
Respuesta
  • Normal
  • Mild hypoxia
  • Moderate hypoxia
  • Severe hypoxia

Pregunta 156

Pregunta
With oxygen therapy and relief of tissue hypoxia, the RCP can expect a clearer sensorium and a more alert patient.
Respuesta
  • True
  • False

Pregunta 157

Pregunta
This type of hypoxemia does not respond to traditional oxygen therapy
Respuesta
  • Persistent hypoxemia
  • Intermittent hypoxemia
  • Refractory hypoxemia
  • Peripheral hypoxemia

Pregunta 158

Pregunta
Adjusting FiO2 gradually (5%) may minimize the risk of atelectasis
Respuesta
  • True
  • False

Pregunta 159

Pregunta
Regardless of the risk, you should never withholds supplemental oxygen from a hypoxic patient.
Respuesta
  • True
  • False

Pregunta 160

Pregunta
Which patient population is at risk of developing ROP/RLF
Respuesta
  • Newborns
  • Toddlers
  • Adolescents
  • Elderly

Pregunta 161

Pregunta
BTPS stands for:
Respuesta
  • True
  • False

Pregunta 162

Pregunta
Humidity, as water vapor, is water in a ________________form.
Respuesta
  • Relative
  • Molecular
  • Hyperbaric
  • Atomic

Pregunta 163

Pregunta
When a gas has a content that is equal to its capacity, what is it the relative humidity?
Respuesta
  • 25%
  • 50%
  • 75%
  • 100%

Pregunta 164

Pregunta
When a gas is holding less than its maximum capacity, the amount of water it would take to re-saturate the gas is the :
Respuesta
  • Dew Point
  • Humidity Deficit
  • Relative Humidity
  • Isothermic Saturation Boundary

Pregunta 165

Pregunta
What is the goal for humidity therapy for the patient who has an artificial airway who is receiving medical gas therapy?
Respuesta
  • To supply a water vapor saturated gas
  • To provide cool mist therapy
  • Correct To provide humidification and warmth at saturation levels for BTPS
  • To increased vapor content of dry therapeutic gases and return humidity to approximate ambient levels

Pregunta 166

Pregunta
If the supplemental level of humidity is greater than required by the patient, which of the following can occur?
Respuesta
  • Humidity deficit
  • Decreased work of breathing
  • Fluid overload
  • Isothermic Saturation

Pregunta 167

Pregunta
Where would you expect to find condensation?
Respuesta
  • Inside aerosol tubing
  • On any surface which moisture may hit
  • Inside Nebulizers
  • All of the above

Pregunta 168

Pregunta
Cool humidity therapy can be used to treat which of the following?
Respuesta
  • Croup
  • Epiglottitis
  • Post extubation edema
  • All of the above

Pregunta 169

Pregunta
When dry secretions are rehydrated, they could potentially form ______, which could cause airway obstructions.
Respuesta
  • Mucous plugs
  • Consolidations
  • Droplets
  • Particles

Pregunta 170

Pregunta
The amount of water which can be contained in any gas is limited by its temperature.
Respuesta
  • True
  • False

Pregunta 171

Pregunta
An expression of the percentage of water vapor compared to a saturated state.
Respuesta
  • Absolute Humidity
  • Relative Humidity
  • Saturated
  • Humidity Deficit

Pregunta 172

Pregunta
When a gas, at a given temperature, is holding as much water as possible, it is said to be fully_________
Respuesta
  • Particulated
  • Pressurized
  • Saturated
  • Condensated

Pregunta 173

Pregunta
Keeping the amount of humidity that a patient must contribute to a minimum will reduce the overall stress to the body.
Respuesta
  • True
  • False

Pregunta 174

Pregunta
Which of the following is a vehicle for pathogens?
Respuesta
  • Molecular water in the form of humidity
  • Condensation in the from of particulate droplet
  • All of the above

Pregunta 175

Pregunta
Simple humidifiers are designed to return dry therapeutic gases to approximatley ___ relative humidity
Respuesta
  • 25%
  • 50%
  • 75%
  • 100%

Pregunta 176

Pregunta
The primary function of the upper airway is to ________ inspired air.
Respuesta
  • Warm
  • Humidify
  • Filter
  • All of the above

Pregunta 177

Pregunta
Once a gas that is fully saturated at a given temperature begins to cool, the temperature at which condensation begins to form is called the:
Respuesta
  • Dew Point
  • Boiling point
  • Critical temperature
  • Humidity deficit

Pregunta 178

Pregunta
What is the main goal of humidity therapy for the patient with an intact airway who is receiving medical gas?
Respuesta
  • To supply a water vapor saturated gas
  • To increase water vapor content of dry therapeutic gases and return humidity to approximate ambient levels
  • To chill the upper airway's mucosal membrane
  • To provide humidification and warmth at saturation levels for BTPS

Pregunta 179

Pregunta
If a gas, at a certain temperature, is holding its full potential of water vapor and is then heated, the potential to hold water vapor will
Respuesta
  • Increase
  • Decrease
  • Remain the same

Pregunta 180

Pregunta
In a normal individual, at what level in the airway does the inspired atmosphere each BTPS?
Respuesta
  • Larynx
  • Right mainstem
  • Alevolar capillary membrane
  • Isothermic Saturation Boundary

Pregunta 181

Pregunta
Neonates are at greater risk of overhydration
Respuesta
  • True
  • False

Pregunta 182

Pregunta
At the alveolar level, water vapor exerts a partial pressure of ____________ mmHg
Respuesta
  • 37
  • 44
  • 47
  • 50

Pregunta 183

Pregunta
Water is constantly lost from the lungs and the skin through breathing and sweating.
Respuesta
  • True
  • False

Pregunta 184

Pregunta
Which route of inhalation is more efficient for heating and humidifying inspired air?
Respuesta
  • Nose
  • Mouth
  • Either route is the same

Pregunta 185

Pregunta
Which type of flow aids evaporation and allows for more moisture to be "picked up" in the gas stream?
Respuesta
  • Low flow
  • High flow
  • Flow is irrelevant

Pregunta 186

Pregunta
Which of the following is NOT a hazard of humidity therapy?
Respuesta
  • Alteration of heat and water exchange
  • Risk of infection
  • Electrical Hazards
  • Oxygen toxicity

Pregunta 187

Pregunta
Unheated bubble humidifiers are intended to restore ambient humidity to approximately ______ of relative humidity.
Respuesta
  • 10% - 20%
  • 25% - 35%
  • 40% - 50%
  • 50% - 75%

Pregunta 188

Pregunta
Which of the following techniques should be used to minimize the risk of infection when using humidity therapy.
Respuesta
  • Sterile replacements every 24 hours
  • Close feed reservoir systems
  • Use prepackaged sterile, disposable units
  • Drain condensation away from the reservoir
  • All of the above

Pregunta 189

Pregunta
Hazards of condensation include which of the following?
Respuesta
  • Aspiration risk
  • Risk of infection
  • Disruption of gas flow
  • Potential altering of FiO2
  • All of the above

Pregunta 190

Pregunta
The following are goals of humidity therapy EXCEPT:
Respuesta
  • Prevent drying of mucosa
  • Compensate for a humidity deficit
  • Provide an exact FiO2 to the patient under any condition
  • To provide cool aerosols to soothe irritated airways

Pregunta 191

Pregunta
Which of the following are examples of large volume, warmed humidifiers. Choose all that apply.
Respuesta
  • Wick style
  • Bubble
  • Heat moisture ex-changer
  • Cascade

Pregunta 192

Pregunta
HME's are classified as _________________ humidifiers.
Respuesta
  • Classic
  • Patient dependent
  • Active
  • Passive

Pregunta 193

Pregunta
Which of the following factors effect humidifier output?
Respuesta
  • Surface area
  • Contact Time
  • Temperature
  • Gas Flow
  • All of the above

Pregunta 194

Pregunta
If the temperature of a gas drops, the ability to hold water vapor will ___________________.
Respuesta
  • Increase
  • Decrease
  • Stay the same
  • Unknown

Pregunta 195

Pregunta
Which of the following are disadvantages of using a heat moisture exchanger? Choose all that apply.
Respuesta
  • Less effective than a heated, humidified system
  • Will occlude with heavy secretions
  • Disposable
  • Must be removed when giving aerosol treatments

Pregunta 196

Pregunta
Condensation or "Rain Out" is dependent on which of the following:
Respuesta
  • The temperature difference from the humdifier to the patient airway
  • Ambient temperature
  • Gas flow
  • Length, diameter and thermal mass of the breathing circuit
  • All of the above

Pregunta 197

Pregunta
Which type of patients require using warmed humidifiers.
Respuesta
  • Patients with artificial airways
  • Patients with intact upper airways
  • Patients with Asthma
  • Patients who are hyperthermic

Pregunta 198

Pregunta
Warmed humidifiers aim to deliver ______ body humidity.
Respuesta
  • 25%
  • 50%
  • 75%
  • 100%

Pregunta 199

Pregunta
HME's can provide ____________ humidity
Respuesta
  • 25%-50%
  • 50% - 75%
  • 60% - 90%
  • 100%

Pregunta 200

Pregunta
Another name for a heat moisture ex-changer is:
Respuesta
  • Artificial lung
  • Artificial nose
  • Re-breather
  • Briggs adapter
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