TMC Practice Exam Respiratory Therapy Zone.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Practice%20
TMC Practice Exam
1. 1. During the assessment of a 64-year-old female patient, you note the
following signs dyspnea, hypotension, and a tracheal shift to the right. The
patient also has absent breath sounds, reduced chest expansion, and a hyper-
resonant percussion note all on the left side.These findings suggest which ofthe
following?
A. A pleural effusion on the left side
B. A pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
ANS B. A pneumothorax on the left side
2. 2. A 39-year-old male patient was admitted to the emergency department
with a fever and an SpO2 of 87% on room air. Upon auscultation, rhonchi is
heard and the patient has a productive cough. Which of the following would
you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
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B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum sample for culture and sen-
sitivity
ANS D. Provide oxygen therapy and obtain a sputum sample for culture and
sensitivity
3. 3. A 50-year-old male patient is intubated with a size 8 endotracheal tube
and is receiving volume-controlled A/C ventilation. Upon assessment, you note
that the patient's cuff pressure is measured at 38 cm H2O.Which of the
following would you recommend?
A. Withdraw the tube 1-2 cm and reassess the patient's breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to < 30 cm H2O
D. Recommend ventilation via a tracheostomy instead
ANS C. Lower the cuff pres-sure to < 30 cm H2O
4. 4. During the assessment of a 52-year-old female patient that is receiving
oxygen via nasal cannula at 4 L/min, you hear the bubble humidifier making a
whistling noise.Which of the following is the most likely cause of this finding?
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A. There is an obstruction in the delivery tube
B. The patient's ventilation has increased
C. There is a clogged system diffuser
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D. The flowmeter pressure is set too high
ANS A. There is an obstruction in thedelivery tube
5. 5. A pre and post bronchodilator test was ordered on a 48-year-old female
patient.The forced expiratory measurement that was obtained after the bron-
chodilator was given shows an increase in the patient's FEV1 from 60% to 80%of
the predicted value.This finding suggests which of the following?
A. A fixed airway obstruction
B. A reversible airway obstruction
C. A normal diffusion capacity
D. A restrictive process
ANS B. A reversible airway obstruction
6. 6. A 58-year-old female patient is intubated and appears to be breathing
asynchronously with the ventilator. Her breath sounds are absent on the left
side and the trachea appears to be shifted to the left. The patient has a dull
percussion note on the left side as well. Which of the following is the most
likely explanation of these findings?
A. A tracheoesophageal fistula has developed
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