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TMC Exam A 2024 Newest Version
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TMC Exam A 2024 Newest Version
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TMC Exam A 2024 Newest Version Which of the following represents the most appropriate action? a. Decrease tidal volume b. Increase FIO2 to 0.6 c. Increase rate to 16 d. Add 100 mL deadspace - d. Add 100 mL deadspace Which of the following devices is most helpful in performing a safe and proper nasal intubation? a. Magill forceps b. Bodai adapter c. Bronchoscope d. Stylet - a. Magill forceps A patient who has mild stridor following endotracheal extubation would benefi t most from which of the following? a. Heated aerosol b. Reintubation c. Tracheostomy d. Racemic epinephrine - d. Racemic epinephrine A respiratory therapist is determining a VD/VT ratio. Which of the following is needed to complete this analysis? a. VT and VA b. PetCO2 and PaCO2 c. FIO2 and PaO2 d. PECO2 and PaO2 - b. PetCO2 and PaCO2 Which of the following is LEAST likely to promote the spread of nosocomial infection in a hospital? a. Poor hand washing among staff b. Frequent disconnection of a ventilator circuit c. Changing small volume nebulizer equipment every 48 hours d. Use of unit dose medication - d. Use of unit dose medication Which of the following can be used to estimate the level of Hemoglobin? a. C(a -v)O2 b. PAO2 c. Theophylline level d. RBC - d. RBC A patient with suspected myasthenia gravis in the emergency roo m should receive which of the following to confirm a diagnosis? a. Norcuron b. Edrophonium bromide c. Neostigmine d. Meperidine (Demerol) - b. Edrophonium bromide Which of the following is an important action when drawing an arterial blood gas sample? a. Choose a radial site with adequate ulnar circulation b. Use a 16 gauge needle c. Compress the site prior to puncture d. Run the sample within 15 minutes - a. Choose a radial site with adequate ulnar circulation Which of the following would be most helpful for a patient with fixed upper airway obstruction? a. Aerosolized epinephrine b. Beta II agonist medication c. Corticosteroids d. Heliox therapy - d. Heliox therapy Which of the following oxygen modalities woul d be appropriate for a 220 -lb (100 -kg) male with diabetic ketoacidosis who requires 40% supplemental oxygen? a. Air -entrainment mask b. Non -rebreathing mask c. Nasal cannula d. Simple mask - a. Air -entrainment mask While administering a treatment with Alb uterol to a patient with COPD, the therapist notes a sudden change in the patient's color to marked cyanosis. The patient appears apneic and the heart rate on the pulse oximeter indicates 30/min. The therapist should FIRST a. Administer oxygen by non -rebre athing mask b. Auscultate breath sounds c. Begin mouth -to-mouth resuscitation d. Go get help - c. Begin mouth -to-mouth resuscitation A 70-kg (154 -lb) female patient is receiving mechanical ventilation on the following settings: Mode: assist/control Mandat ory rate: 14 Total rate: 14 VT: 500 mL FiO2: 0.55 PEEP: 12 cmH2O Arterial blood gases revel pH 7.49 / PaCO2 32 / PaO2 109 / HCO3 24 / BE 0 The respiratory therapist should a. Decrease mandatory rate b. Decrease FIO2 c. Increase mandatory rate d. Decrease PEEP - d. Decrease PEEP Prior to the removal of chest tubes, which of the following should be done? a. The chest tube should be expose to normal atmospheric pressure b. Clamp the chest tube for 24 hours c. Flush the chest tube with normal sali ne d. Suction pressure should be increased temporarily - b. Clamp the chest tube for 24 hours Which of the following will help a patent to speak while intubated with a tracheostomy tube? a. Pass -Muir valve b. Inner cannula c. Double lumen endotracheal tub e d. Obturator - a. Pass -Muir valve Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The therapist should a. Report the problem to the medical director
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