You have a patient who has just been admitted for a bronchoscopy. What are two specific parts of the chart you need to review:
1. Patient Consent for Procedure 2. Patient demographics 3. DNR status/Advance Directives 4. Religious Affiliation
2.
You have a stable patient who has been admitted for Pneumonia. What is the important data to review on arrival to the floor?
3.
You are performing a clinical assessment on a patient. You have placed your hands on each side of the patient's chest wall. You feel "bubbling" beneath your hands. What is this called?
4.
A patient comes into the ER with shortness of breath. What initial tests would NOT benefit this patient most?
A patient arrives in the emergency room with chest pain and shortness of breath. What questions are important to ask at this time?
7.
What parameters are included in weaning a patient from the ventilator?
8.
A 2-year-old child is brought to an urgent care and diagnosed with Epiglottitis. What symptoms were presented to get this diagnosis?
9.
What is the newborn's normal I:E ratio?
10.
You have a patient in Sinus Bradycardia. What are the two treatments you will choose for this patient initially?
11.
You have a patient with a pulmonary embolism. What diagnostic study is preferred?
12.
What values in pulmonary testing results will be higher than normal predicted values in Obstructive Lung Disease?
13.
What is the best method to confirm tube placement?
14.
Your patient has an ABG of PH: 7.21, PCO2: 56 mmHg, HCO3: 23 mEq/L, what does the ABG demonstrate?
15.
What is the normal Creatinine Level?
Troubleshooting and Quality Control of Devices and Infection Control
16.
You are looking at the orders for a patient to receive 125 mg of Albuterol via HHN Q 4 hours. What is the FIRST thing you do?
17.
What are the five parameters initially used to set up a ventilator?
18.
When weaning the patient from the ventilator, what parameters do you lower first?
19.
How do you calculate Compliance?
20.
Which of the following is not used to describe Auto PEEP?
21.
How do you fix auto-PEEP?
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22.
How does PEEP adversely affect the body?
23.
If your patient is on a ventilator and the FiO2 is over 60%, but the patient remains hypoxic what can you do?
24.
As Dynamic Compliance can vary at any point, what are three main reasons that Dynamic Compliance may be continually affected?
25.
You have a patient who has a brain injury. It is important to keep the airway pressures low to avoid increased intracranial pressures. What is the best action to take?
26.
When giving Acetylcysteine Concentrations of 10-20% how do you administer it?
27.
You have a neonate who is ventilated. The physician wishes to increase the MAP. What two settings do you change?
28.
A patient who is on nebulizers at home states that the nebulizer is no longer working. What can you do to help the patient?
29.
How does a patient disinfect home equipment?
30.
The patient is receiving bronchial hygiene therapy. What are the symptoms that would cause you to discontinue therapy?
The TMC (Therapist Multiple-Choice) exam is a challenging exam measuring respiratory therapy students' and graduates' knowledge and skills. The exam can be tough for several reasons. For one, the exam covers a lot of ground.
If you failed the exam, you may take it two more times with no waiting period between attempts. After the third attempt, you must wait 120 days before trying again.
Requiring higher education in the form of an associate's or bachelor's, alongside certification recognized by the NBRC, the steps to become a respiratory therapist may be difficult. Paired with the job's occasional long hours and associated stress, respiratory therapy is not for the weak of heart.
CRT candidates should study the TMC Detailed Content Outline. The NBRC has determined two cut scores. Respiratory therapists must score 66% to pass. If the second higher cut score of 72% is met, the NBRC awards a CRT certificate, and the therapist is eligible to take the Clinical Simulation Exam for RRT certification.
The learning path to become a respiratory therapist is different than that of becoming a nurse. This is even though both fields require advanced degrees and internship. Nurses have a broader scope of practice and need to consider multiple body systems, including respiratory care.
RTs use math when calibrating equipment for breathing treatments, reading graphs and performing temperature conversions. They also use math for counting pulse and breathing rates, calculating medication dosages, and determining things like minute ventilation and the patient's ideal body weight (IBW).
Balancing patient loads is a crucial aspect of a respiratory therapist's role, and it can be particularly challenging. Respiratory therapists often find themselves juggling the care of multiple patients, each with varying degrees of respiratory distress and medical needs.
One of the most common reasons candidates do not pass an NBRC written exam is hasty or last-minute preparation. Do yourself a favor and follow a deliberate and unhurried process. Remember it was the turtle who won the race and not the hare!
Year Percentage Benchmark Additional Details 2018 89% 60% 8 of 9 students earned the high cut score of the TMC. 2019 90% 60% 9 of 10 students earned the high cut score of the TMC. 2020 80% 60% 4 of 5 students earned the high cut score of the TMC Average 88% 60% 21 of 24 students earned the high cut score of the TMC.
Candidates who score 86 or higher on the TMC Exam can earn the certified respiratory therapist (CRT) credential. Candidates scoring 92 or higher on the TMC Exam can take the Clinical Simulation Exam (CSE), a hands-on test that evaluates clinical skills and decision-making abilities.
And not only do RTTs have job security, but this is also a job that is well respected in the medical field, and among your peers, you will be considered an expert in your profession, one that will help contribute to the conversation of improving a patient's life.
Physical Demands: This profession can be physically demanding, as respiratory therapists may need to lift and move patients, stand for long periods, and work in high-stress situations. It's important to be physically fit and able to handle these demands.
Passing the NBRC RTT Exam. At the moment, the NBRC registered respiratory therapist exam is known as one of the hardest exams of all allied health fields.
There's no such thing as failing a PFT. If it's abnormal, your provider will discuss additional work you may need to obtain a diagnosis and a treatment plan.
You should also avoid smoking for 24 hours before the test, and avoid drinking alcohol, strenuous exercise or eating large meals for a few hours beforehand. It's best to wear loose, comfortable clothing on the day of the test.
The respiratory examination aims to pick up on any respiratory (breathing) pathology that may be causing a patient's symptoms, such as shortness of breath, coughing, and wheezing. Common conditions include chest infections, asthma and chronic obstructive pulmonary disease (COPD).
Passing the NBRC RTT Exam. At the moment, the NBRC registered respiratory therapist exam is known as one of the hardest exams of all allied health fields. On average, about 61% of all candidates pass the exam.
Introduction: My name is Corie Satterfield, I am a fancy, perfect, spotless, quaint, fantastic, funny, lucky person who loves writing and wants to share my knowledge and understanding with you.
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