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TMC Exam practice test EXAM 2024 | ACTUAL REAL EXAM ACCURATE QUESTIONS AND ANSWERS WITH RATIONALES | VERIFIED AND LATEST UPDATED |GUARANTEED PASS WITH 100+ QUESTIONS$25.99
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TMC Exam practice test EXAM 2024 | ACTUAL REAL EXAM ACCURATE QUESTIONS AND ANSWERS WITH RATIONALES | VERIFIED AND LATEST UPDATED |GUARANTEED PASS WITH 100+ QUESTIONS
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Course
TMC
Institution
TMC
TMC Exam practice test EXAM 2024 |
ACTUAL REAL EXAM ACCURATE QUESTIONS
AND ANSWERS WITH RATIONALES | VERIFIED
AND LATEST UPDATED |GUARANTEED PASS
WITH 100+ QUESTIONS
TMC BANK TEST practice test EXAM 2024 |
ACTUAL REAL EXAM ACCURATE QUESTIONS
AND ANSWERS WITH RATIONALES | VERIFIED
AND LATEST UPDATED |GUARANTEED PASS
WITH 100+ QUESTIONS
You are assisting a physician in exchanging the ET tube of a patient using a
fiberoptic bronchoscope (FOB) as the re-intubation guide. You would remove the
old tube
Select one:
A.immediately upon insertion of the FOB into the pharynx
B.only after confirming the FOB tip is just above the carina
C.prior to insertion of the FOB into the pharynx
D.only after the new tube is positioned in the trachea
- ANSWER During fiberoptic assisted ET tube exchange, a small (pediatric size)
bronchoscope is "pre-loaded" or ensleeved with a new ET tube. Using the scope
for visual guidance, the tip of the new tube is positioned in the laryngopharynx.
Then the tip of the scope is passed through the glottis and into trachea alongside
the existing tube (requires deflation of the old tube cuff). Only after the scope tip
is confirmed to be in proper position (just above the carina), should the old tube
be removed. Once the old tube is removed, the physician threads the new tube
over the bronchoscope into the trachea
The correct answer is: only after confirming the FOB tip is just above the carina
Which of the following procedures can help decrease the infection risk of in-use
ventilator equipment and circuitry? Changing thecircuit every24
hoursSterilizingreusablecomponentsProperlydraining tubingcondensateChanging
,HMEstwice per8-hour
shiftA.NoYesYesNoB.YesYesNoYesC.YesYesYesYesD.YesNoYesYes
Select one:
A.A
B.B
C.C
D.D
- ANSWER To help decrease the infection risk of in-use ventilator equipment and
circuitry, one should: sterilize or high-level disinfect reusable breathing circuits
components; use sterile water to fill humidifiers; periodically drain tubing
condensate away from the patient; implement hand hygiene after draining or
handling tubing condensate; and change heat-moisture exchangers (HMEs) only
according to the manufacturer's recommendation or when there is evidence of
obstruction or gross contamination. One should change ventilator circuits only
when they become visibly soiled or malfunction.
The correct answer is: A
A large adult (110 kg) requires intubation with a laryngeal mask airway (LMA).
What size LMA would you select for this patient?
Select one:
A.3
B.4
C.5
D.6
- ANSWER Proper size selection is critical to effective use of the LMA, as well as
maximum cuff inflation volumes. The recommended size LMA for a large adult (>
100 kg) is a #6, with a maximum cuff inflation volume of 50 mL. Often lesser
volumes are sufficient to obtain a seal and/or achieve 60 cm H2O cuff pressure.
,The correct answer is: 6
Which of the following indicates adequate humidification of a patient receiving
ventilatory support with a heated wire humidification system?
Select one:
A.the presence of condensate throughout the entire patient circuit
B.the absence of any condensate in the inspiratory limb of the circuit
C.the presence of condensate only in the expiratory limb of the circuit
D.the presence of a little condensate at or near the patient connection
- ANSWER In heated wire humidification systems, the presence of a few drops of
condensation at or near the patient connection is the best indicator of adequate
humidification.
The correct answer is: the presence of a little condensate at or near the patient
connection
A mechanically ventilated patient is being transported to X-ray. You notice that the
patient's heat and moisture exchanger (HME) has become clogged with
secretions. Which of the following should you do to correct the problem?
Select one:
A.increase the flow through the heat moisture exchanger
B.rinse the heat moisture exchanger with sterile water
C.replace the heat moisture exchanger
D.increase the relative humidity being delivered
- ANSWER Whenever a heat and moisture exchanger (HME) becomes clogged with
secretions, it should be changed. Clogged HMEs increase flow resistance in the
breathing circuit and are less effective in adding water vapor to the inspired air.
The correct answer is: replace the heat moisture exchanger
, A resident having difficulty intubation the trachea of a 6 foot 4 inch 90 kg male
patient request a laryngeal mask airway (LMA). What size LMA would you
recommend?
Select one:
A.size 3
B.size 4
C.size 5
D.size 6
- ANSWER Laryngeal mask airways come in six sizes and are selected based on
patient weight. Size 5 is appropriate for large adults (70-100 kg). The size 5 LMA
requires 40 mL air to inflate its mask cuff.
The correct answer is: size 5
For which of the following conditions would postural drainage be ineffective?
Select one:
A.cystic fibrosis
B.bronchiectasis
C.bronchitis
D.pleural effusion
- ANSWER Postural drainage can be effective in aiding airway clearance in patients
with symptomatic secretion retention associated with conditions such as cystic
fibrosis, bronchiectasis or chronic bronchitis. Postural drainage (with or without
percussion and vibration) is not indicated for patients who can effectively clear
secretions via other means (such as coughing) nor for routine or prophylactic
postoperative care. Airway clearance therapies such as postural drainage also
serve no purpose in managing patients with pleural effusions. A pleural effusion is
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