30
Free Cards
1040
Total Cards
$7
Full Access
🔒 Unlock all categories for just $7 - One-time payment, lifetime access
30
Total Cards
0
Studied
0
Mastered
0
Need Review
A 55-year-old patient reports smoking 1.5 packs of cigarettes daily for 20 years, then 0.5 packs daily for the last 10 years. Calculate the total pack-years and determine if this patient meets the 2026 criteria for annual lung cancer screening.
A 32-year-old non-smoker presents with progressive dyspnea and wheezing. Family history reveals a sibling with early liver disease. PFTs show a panacinar emphysema pattern. Which specific demographic/historical finding most strongly supports testing for AAT deficiency?
A 64-year-old retired shipyard worker presents with exertional dyspnea and a dry cough. Physical exam reveals bibasilar inspiratory crackles and digital clubbing. Which historical detail is most critical for differentiating this from idiopathic pulmonary fibrosis (IPF)?
A 19-year-old African American male with a history of Sickle Cell Disease (SCD) presents with chest pain, a temperature of 38.5°C, and new infiltrates on CXR. What is the most likely diagnosis, and what is the primary respiratory therapy goal?
During a history intake, a patient reveals they sleep in a recliner to breathe better and often wake up gasping for air two hours after falling asleep. How should the Respiratory Therapist document these findings and what do they suggest?
A 58-year-old patient with hypertension and CHF presents with a persistent, non-productive cough but no wheezing or fever. Lung sounds are clear. Which category of the patient's medication history should be scrutinized first to prevent unnecessary diagnostic testing?
A patient reports a productive cough for 4 months this year and had a similar episode lasting 3 months last year. Based on the GOLD 2026 standards, how does this history define their condition, and what is the key demographic risk factor?
A 22-year-old presents with acute hypoxemic respiratory failure, bilateral ground-glass opacities, and a history of vaping THC-containing products. What is the suspected diagnosis, and what historical exclusion is necessary to confirm it?
A 10-month-old infant is brought to the ED with rhinorrhea, low-grade fever, and wheezing. The mother notes the child attends a large daycare center. Which historical factor is most significant for the suspected diagnosis of Bronchiolitis?
A male patient with a BMI of 36, age 52, and a neck circumference of 18 inches presents with daytime somnolence. Using the STOP-BANG criteria, which demographic/historical factors are already present, and what is the next step?
A 55-year-old male reports smoking 1.5 packs of cigarettes daily since age 35. What is the patient's smoking history in pack-years?
A patient states they have smoked 15 cigarettes per day for the last 40 years. Calculate the pack-year history for this patient.
A 60-year-old female smoked 2 packs/day for 10 years, then cut back to 1 pack/day for the next 10 years, and has been smoke-free for 5 years. What is her total pack-year history?
According to current standards, which smoking history threshold is a primary criterion for initiating annual low-dose CT (LDCT) lung cancer screening in adults aged 50-80?
A patient with a 50 pack-year history presents to the ER. Co-oximetry reveals a carboxyhemoglobin (COHb) level of 8%. In the absence of smoke inhalation, how should the RT interpret this finding?
A patient with a 40 pack-year history says, I know smoking is bad for my COPD, and I'm thinking about quitting next month. Which stage of the Transtheoretical Model is this patient in?
During a pediatric asthma assessment, the RT notes the parents smoke 2 packs/day in the home. What is the most significant clinical implication of this environmental tobacco smoke (ETS) exposure?
A 22-year-old patient reports vaping daily for 4 years but never smoking combustible cigarettes. How should the RT document this in the Pack-Year section of the medical record?
A patient with a 30 pack-year history is hospitalized for an acute MI and expresses a strong desire to quit smoking. Which nicotine replacement therapy (NRT) provides the most rapid relief for acute cravings?
A patient with a reported 5 pack-year history has a FEF25-75% of 45% predicted and an exhaled carbon monoxide (eCO) level of 25 ppm. What is the most likely explanation for these findings?
A 72-year-old alert male with a COPD exacerbation refuses BiPAP despite a pH of 7.24 and worsening respiratory distress. He demonstrates understanding of the risks, including death. What is the RT's most appropriate next action?
An unconscious patient has no Advanced Directive or Healthcare Proxy. The spouse wants everything done, but the adult child claims the patient never wanted to be on a machine. According to the standard legal hierarchy, who is the primary decision-maker?
A patient has a DNR (Do Not Resuscitate) order. During a treatment, the RT finds the patient in acute respiratory distress due to a large mucus plug. Should the RT perform therapeutic suctioning and provide supplemental oxygen?
During an apnea test for brain death determination, the patient's SpO2 drops to 84% and systolic BP falls to 75 mmHg before the 10-minute mark. What is the correct immediate action by the RT?
A family requests terminal weaning for a patient with a terminal illness and poor prognosis. What is the Respiratory Therapist's primary clinical and ethical responsibility during this process?
A patient's Living Will states no mechanical ventilation. The patient is now obtunded. The legally designated Healthcare Proxy (DPOA) demands the patient be intubated for acute respiratory failure. Which takes precedence?
An RT is asked to participate in a Slow Code (providing less than vigorous resuscitation) for a terminal patient who does NOT have a DNR order. What is the ethical standing of this practice?
Which ethical principle is most directly involved when an RT must decide how to allocate a limited supply of mechanical ventilators during a mass casualty respiratory pandemic?
A patient scheduled for an elective bronchoscopy tells the RT, I signed the consent form, but I'm still not sure why they are doing this or what the risks are. What is the RT's priority?
An RT administers high doses of morphine to a patient during terminal weaning. The medication relieves the patient's gasping but also suppresses the respiratory drive, likely shortening the time to death. What principle justifies this?
Get instant access to the complete NCLEX-RN bundle with 1040 premium flashcards
5 complete collections
Study anywhere, anytime
No subscriptions
✓ Instant access • ✓ Lifetime updates • ✓ 30-day guarantee
Created by experienced nursing educators and NCLEX experts
Spaced repetition and active recall for maximum retention
Join thousands of successful nurses who passed with our cards
I know exactly how overwhelming the weeks leading up to a certification exam can feel. You are likely balancing long shifts, patient care, and personal responsibilities, all while trying to cram massive amounts of information into your head. In my years mentoring clinicians through this process, I have found that the biggest hurdle isn't usually a lack of knowledge, but rather the anxiety of not knowing where to start or how to organize the material effectively. That is why I am sharing this preview of the Rrt Prep collection with you. While the full comprehensive set includes 1,040 flashcards, I have selected these 30 free practice questions to give you a solid starting point without the pressure of a commitment. These cards cover essential areas we deal with daily, including assessment techniques, diagnostics, management strategies, and pharmacology. It is a snapshot of the broader curriculum designed to help you gauge where you stand right now. When you go through these free cards, I want you to treat them like a real exam simulation. Don't just flip through them passively. Read the question, look away, and verbalize your answer before checking the back. In my experience, this active recall method is the single most effective way to move information from short-term memory to long-term retention. Use this preview to identify your weak spots. If you stumble on the pharmacology questions, for example, you know immediately that is where your next study session needs to focus. I believe in this approach because it mirrors the clinical judgment we use on the floor. It is not just about memorizing facts; it is about applying them quickly and accurately under pressure. Whether you decide to utilize the full collection later or just stick with these practice questions for now, I hope this resource gives you a moment of clarity and confidence in your preparation. You have put in the work at the bedside, and now it is time to validate that expertise on paper. Take a deep breath, trust your training, and let's get you ready for that exam.
Key Topics: