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Lpn med surg exam

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Total Questions : 61

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Question 1:

ABG: pH 7.50, PaCO2 = 28 mm Hg, HCO = 24 mEq/L
Interpretation?

Answer and Explanation

A
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Question 2:

A patient presents with asthma not well controlled on a low-dose ICS. Which step-up strategy is preferred for patients over 5 years old?

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Question 3:

An adult man on ventilatory support has just been intubated with a 7-mm oral endotracheal tube equipped with a high-residual-volume, low-pressure cuff. When sealing the cuff to achieve a minimal occluding volume, you note a cuff pressure of 45 cm H2O. What is most likely the problem?

Answer and Explanation

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Question 4:

What is the primary role of NIV in the palliative care setting?

Answer and Explanation

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Question 5:

Which of the following is a major complication that can result from prolonged endotracheal intubation?

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Question 6:

Increased dead space-to-tidal volume ratio (VD/VT) is most commonly seen in which patient population, leading to increased work of breathing?

Answer and Explanation

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Question 7:

You might think being a respiratory therapist is easy, but it's SNOT

Answer and Explanation

Explanation

A. “SNOT” humorously refers to the fact that respiratory therapists often deal with nasal secretions, mucus, and airway management, highlighting that the job involves challenging and sometimes messy patient care.
B.While the statement is humorous, it reflects the reality that respiratory therapy requires skill, attention, and handling of complex airway issues—not always “easy” work.


A
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Question 8:

ABG: pH 7.25, PaCO2 = 65 mm Hg, HCO₃⁻ = 29 mEq/L Interpretation?

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Question 9:

A 65-year-old male with COPD is prescribed Tiotropium. What type of medication is this?

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Question 10:

Your patient is diagnosed with persistent asthma. Which type of drug would you recommend for maintenance bronchodilation and control of bronchospasm?

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