Introduction to Respiratory Therapy Final Exam Questions - 730 Verified Questions

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Introduction to Respiratory Therapy Final Exam Questions

Course

Introduction

Introduction to Respiratory Therapy offers a comprehensive overview of the fundamental concepts, roles, and responsibilities associated with the respiratory therapy profession. This course familiarizes students with the anatomy and physiology of the respiratory system, principles of gas exchange, and the basics of patient assessment. Topics covered include common pulmonary diseases, medical gas administration, airway management, and infection control procedures. Students will also explore the healthcare team environment and the ethical and legal aspects of respiratory care, preparing them for further specialized study and clinical practice in the field.

Recommended Textbook

Raus Respiratory Care Pharmacology 9th Edition by Douglas S. Gardenhire

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23 Chapters

730 Verified Questions

730 Flashcards

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Chapter 1: Introduction to Respiratory Care Pharmacology

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Sample Questions

Q1) If a drug is ordered with the Latin abbreviation qid,it should be administered

A)every hour.

B)four times daily.

C)every other day.

D)every 4 hours.

Answer: B

Q2) If a physician desires a drug to be administered as needed,he or she should use which of the following abbreviations?

A)pr

B)prn

C)npo

D)po

Answer: B

Q3) If generic substitution is permitted on a prescription:

A)drug from only one manufacturer must be given.

B)drug formulation may be changed by the pharmacist.

C)any manufactured brand of the drug listed may be given.

D)drug strength may be changed by the pharmacist.

Answer: C

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Page 3

Chapter 2: Principles of Drug Action

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Sample Questions

Q1) An allergic or immune-mediated reaction to a drug,which can be serious,requiring airway maintenance or ventilatory assistance is called

A)potency.

B)hypersensitivity.

C)potentiation.

D)additivity.

Answer: B

Q2) Which of the following are routes of drug administration?

1)Enteral

2)Parenteral

3)Ointment

4)Inhalation

A)1 and 4 only

B)1,2,and 3 only

C)1,2,and 4 only

D)1,2,3,and 4

Answer: C

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Chapter 3: Administration of Aerosolized Agents

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Sample Questions

Q1) These devices have individually wrapped capsules that contain a single dose of medication and deliver powder medication from a punctured capsule (examples: Aerolizer and HandiHaler).

A)Unit dose DPI

B)Multiple unit dose DPI

C)Multiple-dose DPI

Answer: A

Q2) After delivering an aerosol treatment,you notice that approximately 0.5 mL of medication remains in the small volume nebulizer.Which of the following actions do you take?

A)Replace the nebulizer before administering the next treatment

B)Recommend that subsequent doses be delivered via metered dose inhaler (MDI)

C)Take no action and deliver the following dose with the same small volume nebulizer

D)Double the amount of medication administered during the next treatment

Answer: C

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Chapter 4: Calculating Drug Doses

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Sample Questions

Q1) You administer 0.5 mL of a 1:200 strength drug;how many milligrams of active ingredient are you giving?

A)0.25 mg

B)2.5 mg

C)25 mg

D)12.5 mg

Q2) A physician orders 3 mL of an 8% drug solution.You have only a 10% solution available.How many milliliters of 10% solution do you need to make the new 8% solution?

A)0.24 mL

B)2.6 mL

C)24 mL

D)12.4 mL

Q3) A physician orders 3 mL of 0.83% albuterol.How many milligrams of medication would you administer?

A)25 mg

B)0.25 mg

C)2.5 mg

D)5 mg

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6

Chapter 5: Central and Peripheral Nervous Systems

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Sample Questions

Q1) The stimulation of which receptor sites produces bronchial smooth muscle relaxation?

A) <sub>1</sub>

B) <sub>2</sub>

C)

D) <sub>1</sub> and <sub>2</sub>

Q2) Branches of the nervous system,which can cause relaxation of airway smooth muscle,include which of the following?

1)Sympathetic nerves

2)Parasympathetic nerves

3)Nonadrenergic,noncholinergic (NANC)inhibitory nerves

A)1 only

B)2 only

C)1 and 2 only

D)1,2,and 3

Q3) Nicotine is capable of stimulating

A)sympathetic receptors only.

B)parasympathetic autonomic cholinergic receptors only.

C)both sympathetic and parasympathetic autonomic cholinergic receptors.

D)neither sympathetic nor parasympathetic autonomic cholinergic receptors.

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Chapter 6: Adrenergic Sympathomimeticbronchodilators

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Sample Questions

Q1) Inhalation is the preferred route of administering adrenergic bronchodilators for which of the following reasons?

1)Rapid onset of action

2)Smaller dosage used

3)Reduced side effects

4)Drug delivered to target organ

5)Safe and painless route

A)1 and 2 only

B)3 and 4 only

C)1,3,and 5 only

D)1,2,3,4,and 5

Q2) Which of the following is the generic name for Brovana?

A)Formoterol

B)Salmeterol

C)Olodaterol

D)Arformoterol

Q3) Is it appropriate to use Arcapta Neohaler as a rescue bronchodilator?

A)Yes

B)No

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Page 8

Chapter 7: Anticholinergic

Parasympatholyticbronchodilators

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Sample Questions

Q1) Cardiac effects of aerosolized ipratropium bromide include which of the following?

A)Increased heart rate

B)Increased blood pressure

C)Increased heart muscle contractility

D)Little or no effect

Q2) Possible side effects of aerosolized Atrovent include which of the following?

1)Flulike symptoms

2)Pharyngitis

3)Bradycardia

4)Dry mouth

5)Dyspnea

A)1,2,and 3 only

B)1,2,and 4 only

C)1,2,4,and 5 only

D)1,2,3,4,and 5

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Chapter 8: Xanthines

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Sample Questions

Q1) The mechanism of action of xanthines is A)well defined.

B)understood by a few physicians but not public knowledge. C)not published.

D)unclear.

Q2) Which of the following factors will increase theophylline levels?

1)Alcohol

2)\(\beta\)-blocking agents

3)Zileuton

4)Isoniazid

5)Loop diuretics

6)Rifampin

7)Calcium channel blockers

8)Influenza virus vaccine

A)1,2,7,and 8 only

B)1,2,3,7,and 8 only

C)2,3,6,7,and 8 only

D)1,2,3,and 4 only

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Chapter 9: Mucus-Controlling Drug Therapy

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Sample Questions

Q1) How does N-acetyl cysteine (NAC)work?

A)Adds water content to respiratory secretions

B)Substitutes sulfhydryl radicals for disulfide bonds in mucus

C)Breaks down DNA content in sputum

D)Increases mucociliary beat frequency

Q2) The rate of mucociliary transport in the normal peripheral airway is approximately

A)0.5 mm/min.

B)1.5 mm/min.

C)5.0 mm/min.

D)21.5 mm/min.

Q3) Agents that increase volume or hydration of airway secretions are called A)mucoregulatory.

B)mucolytics.

C)bronchodilators.

D)expectorants.

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11

Chapter 10: Surfactant Agents

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Sample Questions

Q1) Which of the following is the trade name for the generic exogenous surfactant preparation lucinactant?

A)Infasurf

B)Surfaxin

C)Curosurf

D)Survanta

Q2) Surfactant is stored in

A)alveoli.

B)type II alveolar cells.

C)lamellar bodies.

D)lipids.

Q3) ____________ is not a hazard or complication of exogenous surfactant.

A)Airway occlusion

B)Overoxygenation

C)Tachycardia

D)Pulmonary insult via barotrauma

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Page 12

Chapter 11: Corticosteroids in Respiratory Care

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Sample Questions

Q1) Your patient tells you that she is having chest tightness and wheezing four to six times per week,plus she wakes up with chest tightness and wheezing about once per week.She uses albuterol each time,with relief.She is taking no other medication except her albuterol MDI.What other medication would you suggest be prescribed to her?

A)Levalbuterol MDI

B)Salmeterol MDI

C)Beclomethasone MDI

D)Oral tobramycin

Q2) A patient has been taking oral prednisone for 1 week following a severe episode of asthma.The physician decides to switch the patient to aerosolized beclomethasone (Qvar).What is the best way to accomplish this?

A)Stop the oral drug and begin the aerosol

B)Begin the aerosol and gradually taper off of the oral dose

C)Keep the patient on the full-strength oral dose,and add the aerosol as well for stronger results

D)You cannot stop oral steroids once they are begun

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Chapter 12: Nonsteroidal Antiasthma Agents

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Sample Questions

Q1) Cromolyn sodium is effective in preventing bronchospasm by A)inhibiting mast cell degranulation.

B)blocking cholinergic receptor sites.

C)enhancing mast cell degranulation.

D)stimulating 2-adrenergic sites.

Q2) Zileuton is administered by A)DPI.

B)tablet.

C)MDI.

D)nebulizer.

Q3) Zileuton interacts with which of the following respiratory care drugs?

1)Theophylline

2)Albuterol

3)Warfarin

4)Ipratropium bromide

5)Beclomethasone

A)1 and 3 only

B)2 and 4 only

C)3 and 5 only

D)1 and 5 only

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Chapter 13: Aerosolized Antiinfective Agents

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Sample Questions

Q1) An 8-year-old patient is brought to the pediatrician's office with the complaint of uncomplicated flulike symptoms for 1 day.The pediatrician asks you to suggest an inhaled antiinfective.Which medication is the most appropriate at this time?

A)Aztreonam

B)Zanamivir

C)Ribavirin

D)Tobramycin

Q2) Pentamidine is administered by which of the following routes?

1)Inhaled aerosol

2)Intramuscular injection

3)Syrup

4)Tablet

5)Intravenous injection

A)1 and 4 only

B)1,2,and 5 only

C)2,3,4,and 5 only

D)1,2,3,4,and 5

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Chapter 14: Antimicrobial Agents

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Sample Questions

Q1) Quinolones exert their pharmacologic activity by

A)inhibiting translation of RNA into proteins.

B)inhibiting cell wall synthesis.

C)inhibiting protein synthesis.

D)inhibiting DNA synthesis.

Q2) What antibiotic is used to treat Pneumocystis carinii (jiroveci)infections?

A)TMP-SMX

B)Erythromycin

C)Streptomycin

D)Clindamycin

Q3) Aminoglycosides are used primarily for A)gram-positive infections.

B)gram-negative infections.

C)viral infections.

D)mycoplasma infections.

Q4) Penicillins exert their pharmacologic activity by

A)inhibiting translation of RNA into proteins.

B)inhibiting cell wall synthesis.

C)inhibiting protein synthesis.

D)inhibiting DNA synthesis.

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Chapter 15: Cold and Cough Agents

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Sample Questions

Q1) Expectorants include which of the following?

1)Guaifenesin

2)Robitussin

3)Iodinated glycerol

4)Potassium iodide

5)Benadryl

A)1 only

B)2,3,and 4 only

C)1,2,3,and 4 only

D)1,2,3,4,and 5

Q2) Treatment of the common cold is basically

A)preventive.

B)useless.

C)symptomatic.

D)specific to causative agent.

Q3) H<sub>1</sub> receptors

A)regulate gastric acid secretions.

B)promote diuresis.

C)cause bronchiole smooth muscle constriction.

D)increase heart rate.

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Chapter 16: Selected Agents of Pulmonary Value

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Sample Questions

Q1) The recommended dose of nitric oxide (NO)is

A)20 ppm.

B)30 ppm.

C)40 ppm.

D)60 ppm.

Q2) Zyban is a(n)

A)nicotine replacement.

B)bronchodilator.

C)antidepressant.

D)steroid.

Q3) An 80-kg man should receive what dose of Prolastin?

A)2400 mg weekly

B)480 mg daily

C)4800 mg weekly

D)240 mg daily

Q4) Nitric oxide (NO)is a

A)cardiac stimulant.

B)pulmonary vasodilator.

C)pulmonary vasoconstrictor.

D)systemic vasodilator.

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Chapter 17: Neonatal and Pediatric Aerosolized Drug Therapy

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Sample Questions

Q1) A patient is considered a neonate if he or she is

A)less than 37 weeks of gestational age.

B)in the first month of postnatal life.

C)12 to 18 years.

D)1 to 12 months.

E) 1 to 12 years.

Q2) What is the average minute ventilation for a neonate?

A)200-300 mL/kg/min

B)2 L/min

C)4 L/min

D)6 L/min

Q3) A respiratory therapist is administering a nebulizer treatment to an intubated pediatric patient and notices an increase in the patient's airway pressure.What could be the cause?

A)The nebulizer

B)The medication is working

C)PEEP has decreased

D)Decrease in volume delivered by the ventilator

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Chapter 18: Skeletal Muscle Relaxants Neuromuscular Blocking Agents

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Sample Questions

Q1) Agents that paralyze skeletal muscle by simple competitive inhibition of acetylcholine at muscle receptor sites are called

A)nondepolarizing.

B)depolarizing.

C)antagonizing.

D)repolarizing.

Q2) Nondepolarizing neuromuscular blocking agents can be reversed by administering A)cholinesterase inhibitors.

B)parasympatholytics.

C)sympathomimetics.

D)acetylcholine inhibitors.

Q3) Nondepolarizing agents

A)cause muscles to fasciculate and remain in a refractory state.

B)bind to acetylcholine receptors and cause a sustained postsynaptic membrane depolarization.

C)produce paralysis and muscle weakness by competing with acetylcholine for binding at the acetylcholine receptors.

D)all of the above are correct.

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Chapter 19: Diuretic Agents

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Sample Questions

Q1) Osmotic diuretics function by

A)blocking reabsorption of sodium and chloride in the distal tubule.

B)blocking reabsorption in the ascending limb of the loop of Henle.

C)blocking reabsorption of NaCl in the proximal tubule and descending limb of the loop of Henle.

D)blocking reabsorption of sodium and bicarbonate from the proximal tubule.

Q2) ________ is a common complication in the use of loop diuretics.

A)Hypokalemia

B)Volume overload

C)Hyperlipidemia

D)Hypoglycemia

Q3) Approximately what percentage of cardiac output flows through the renal system per minute?

A)10 B)20

C)30 D)40

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Chapter 20: Drugs Affecting the Central Nervous System

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Sample Questions

Q1) The hypothalamus is located in the A)cortex.

B)midbrain.

C)brainstem.

D)spinal cord.

Q2) Your patient is a 6-year-old boy with a common childhood febrile illness (e.g. ,the flu).Which NSAID should be avoided because of its risk of Reye syndrome?

A)Tylenol

B)Naprosyn

C)Aspirin

D)Advil

Q3) Major problems with the administration of NSAIDs are

A)gastric irritation and ulceration.

B)headache and coma.

C)pancreatitis and cholecystitis.

D)addiction and abuse.

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22

Chapter 21: Vasopressors,inotropes,and Antiarrhythmic Agents

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Sample Questions

Q1) Your patient is experiencing heart failure secondary to decreased contractility and has a confirmed severe allergy to sulfites.Which of the following inotropic medications would you not recommend?

A)Dobutamine

B)Milrinone

C)Digoxin

D)Inamrinone

Q2) Your patient has a decrease in his CVP,PCWP,and CO,with an increased HR following a laceration to his liver in a motor vehicle crash.Which shock state is he experiencing?

A)Septic shock

B)Hypovolemic shock

C)Neurogenic shock

D)Cardiogenic shock

Q3) The most important factor in the management of sudden cardiac death is

A)the age of the patient.

B)the underlying disease process.

C)timely and efficient cardiopulmonary resuscitation (CPR)and defibrillation.

D)fluid status.

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Chapter 22: Drugs Affecting Circulation: Antihypertensives,

Anti-anginals, Anti-thrombotics

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Sample Questions

Q1) The classes of diuretics include which of the following?

1)Loops

2)Potassium-sparing

3)Osmotics

4)Thiazides

5)Carbonic anhydrase inhibitors

A)1 and 4 only

B)2,3,and 5 only

C)1,2,4,and 5 only

D)1,2,3,4,and 5

Q2) Uncontrolled hypertension increases the risk of which of the following?

1)Myocardial infarction

2)Peripheral arterial disease

3)Angina

4)Stroke

5)Renal failure

A)1 and 3 only

B)2 and 4 only

C)1,4,and 5 only

D)1,2,3,4,and 5

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Chapter 23: Sleep and Sleep Pharmacology

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Sample Questions

Q1) The trade name for Ramelteon is

A)Ambien

B)ProSom

C)Sonata

D)Rozerem

Q2) Under normal circumstances,circadian rhythms become synchronized to the A)person's work schedule.

B)chronopharmacology.

C)chronobiology.

D)environmental light/dark cycle.

Q3) Which of the following are classified as sleep disorders?

1)Insomnia

2)Narcolepsy

3)Restless legs syndrome

4)Asthma

5)Parasomnias

A)2 and 5 only

B)1 and 2 only

C)1,2,and 3 only

D)1,2,3,and 5 only

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