Question 1

When performing a therapist-driven protocol (TDP), the severity assessment determines:

Accepted Answer

A)  the frequency of performing a treatment modality. 
B)  the baseline dyspnea index. 
C)  the number of hospital days covered by the insurance carrier. 
D)  how urgently the physician wants the patient treated. 
A)  the frequency of performing a treatment modality. 
B)  the baseline dyspnea index. 
C)  the number of hospital days covered by the insurance carrier. 
D)  how urgently the physician wants the patient treated. A

Question 2

Which of the following are associated with the alveolar consolidation clinical scenario?
1) Increased opacity on the chest radiograph
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

Accepted Answer

A) 1, 3 
B) 2, 4 
C) 1, 2, 3 
D) 2, 3, 4 
A) 1, 3 
B) 2, 4 
C) 1, 2, 3 
D) 2, 3, 4 C

Question 3

According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from which of the following categories?
1) Antiinflammatory agents
2) Sympathomimetic agents
3) Parasympatholytic agents
4) Antimicrobial agents

Accepted Answer

A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 
A) 1 
B) 2, 3 
C) 2, 3, 4 
D) 1, 2, 3 D

Question 4

When a patient has an acute MI, which of the following protocols should the respiratory therapist initiate?

Accepted Answer

A)  Hyperinflation therapy protocol 
B)  Oxygen therapy protocol 
C)  Bronchopulmonary hygiene therapy protocol 
D)  Aerosolized medication therapy protocol 
A)  Hyperinflation therapy protocol 
B)  Oxygen therapy protocol 
C)  Bronchopulmonary hygiene therapy protocol 
D)  Aerosolized medication therapy protocol

Question 5

Postural drainage, percussion, and vibration are part of what TDP?

Accepted Answer

A)  Lung expansion protocol 
B)  Bronchopulmonary hygiene therapy protocol 
C)  Aerosolized medication therapy protocol 
D)  Oxygen therapy protocol 
A)  Lung expansion protocol 
B)  Bronchopulmonary hygiene therapy protocol 
C)  Aerosolized medication therapy protocol 
D)  Oxygen therapy protocol

Question 6

Which of the following protocols would be indicated when a patient with increased alveolar-capillary membrane thickening has increased opacity on the chest radiograph, bronchial breath sounds, and a dull percussion note?

Accepted Answer

A)  Aerosolized medication protocol 
B)  Lung expansion protocol 
C)  Oxygen therapy protocol 
D)  Bronchopulmonary hygiene protocol 
A)  Aerosolized medication protocol 
B)  Lung expansion protocol 
C)  Oxygen therapy protocol 
D)  Bronchopulmonary hygiene protocol

Question 7

Which of the following would be associated with the distal airway and alveolar weakening clinical scenario?
1) Depressed diaphragm on chest radiograph
2) Use of accessory muscles of inspiration
3) Rhonchi and wheezing
4) Increased PEFR

Accepted Answer

A) 1, 2 
B) 1, 3 
C) 1, 2, 3 
D) 1, 3, 4 
A) 1, 2 
B) 1, 3 
C) 1, 2, 3 
D) 1, 3, 4

Question 8

Which of the following pathophysiologic mechanisms would be expected in the excessive bronchial secretions clinical scenario?
1) Decreased ventilation/perfusion ratio
2) Increased airway resistance
3) Stimulation of the deflation reflex
4) Stimulation of the irritant reflex

Accepted Answer

A) 1, 2 
B) 1, 4 
C) 1, 2, 3 
D) 1, 2, 4 
A) 1, 2 
B) 1, 4 
C) 1, 2, 3 
D) 1, 2, 4

Question 9

A TDP can be started after:

Accepted Answer

A)  the nurse finishes his/her assessment. 
B)  the treatment option is selected. 
C)  a physician's order for the TDP is received. 
D)  authorization is received from the patient's insurance carrier. 
A)  the nurse finishes his/her assessment. 
B)  the treatment option is selected. 
C)  a physician's order for the TDP is received. 
D)  authorization is received from the patient's insurance carrier.

Question 10

An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO2) reading of 84% on room air. Which therapist-driven protocols should be implemented?
1) Bronchopulmonary hygiene therapy
2) Lung expansion
3) Oxygen therapy
4) Aerosolized medication therapy

Accepted Answer

A) 1, 2 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4 
A) 1, 2 
B) 3, 4 
C) 2, 3 
D) 1, 3, 4

Question 11

Which of the following are associated with the bronchospasm clinical scenario?
1) Increased airway resistance
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

Accepted Answer

A) 2, 3 
B) 1, 4 
C) 3, 4 
D) 1, 3, 4 
A) 2, 3 
B) 1, 4 
C) 3, 4 
D) 1, 3, 4

Exam 10: The Therapist-Driven Protocol Program

When performing a therapist-driven protocol (TDP), the severity assessment determines:

Which of the following are associated with the alveolar consolidation clinical scenario? 1) Increased opacity on the chest radiograph 2) Decreased FRC 3) Bronchial breath sounds 4) Hyperresonant percussion note

According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from which of the following categories? 1) Antiinflammatory agents 2) Sympathomimetic agents 3) Parasympatholytic agents 4) Antimicrobial agents

When a patient has an acute MI, which of the following protocols should the respiratory therapist initiate?

Postural drainage, percussion, and vibration are part of what TDP?

Which of the following protocols would be indicated when a patient with increased alveolar-capillary membrane thickening has increased opacity on the chest radiograph, bronchial breath sounds, and a dull percussion note?

Which of the following would be associated with the distal airway and alveolar weakening clinical scenario? 1) Depressed diaphragm on chest radiograph 2) Use of accessory muscles of inspiration 3) Rhonchi and wheezing 4) Increased PEFR

Which of the following pathophysiologic mechanisms would be expected in the excessive bronchial secretions clinical scenario? 1) Decreased ventilation/perfusion ratio 2) Increased airway resistance 3) Stimulation of the deflation reflex 4) Stimulation of the irritant reflex

A TDP can be started after:

Which of the following are associated with the bronchospasm clinical scenario? 1) Increased airway resistance 2) Decreased FRC 3) Bronchial breath sounds 4) Hyperresonant percussion note

The Patient Interview

The Physical Examination

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

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