C&S TMC NUMBER THREE Exam
Questions and Answers (latest Update
2025)
A 36 weeks gestation, 4 hour post-delivery neonate has the
following ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend: - Correct Answer ✅ Maintain
current therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention of
Pneumocystis carinii pneumonia. Which of the following is
most appropriate therapy for this pt? - Correct Answer ✅
Pentamidine (NebuPent) via Respigard once every 4 weeks
An intubated pt is being mechanically ventilated via a volume
neb. The physician has asked the RT to begin weaning the pt.
Which of the following modes would be appropriate? -
Correct Answer ✅ 2 (A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5
L/m. Over the last hour, the pt's respirations have become
irregular and shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
,C&S TMC NUMBER THREE Exam
Questions and Answers (latest Update
2025)
HCO3: 36
The most appropriate recommendation: - Correct Answer
✅ decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2 retention &
air trapping. The pt complains that he has become
increasingly SOB and is having difficulty coughing up
secretions. Upon auscultation, the therapist notes scattered
coarse crackles and an occasional expiratory wheeze. Most
appropriate? - Correct Answer ✅ Aerosol bronchodilator
with PEP therapy
28 week gestation neonate is being manually ventilated
following delivery. Chest excursion is poor despite respiratory
ventilation with high peak pressures. Most appropriate
action? - Correct Answer ✅ Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed
profusely from the nasopharynx. The RT should: - Correct
Answer ✅ Keep the NT tubes cuff inflated and suction
pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on
which the sample was analyzed is calibrated to a PaO2 of 150
mmHg. Most acceptable action? - Correct Answer ✅
Recalibrate the analyzer to accommodate this unusual value
,C&S TMC NUMBER THREE Exam
Questions and Answers (latest Update
2025)
An adult pt is orally intubated and receiving continuous MV.
While performing a routine cuff pressure measurement, the
RT observes that the cuff pressure monometer's indicator
needle continuously reads zero. No vent alarms are activated
and the pt appears to be resting. The RT should do: - Correct
Answer ✅ Replace cuff monometer
A pt in ICU requires aggressive fluid and electrolyte
replacement therapy. Implementation of which of the
following would be most appropriate to evaluate the
effectiveness of therapy? - Correct Answer ✅ ECG
monitoring
Data obtained from an orally intubated, MV adult pt are as
follows:
8:00 AM
10:00 AM
Mode
SIMV
SIMV
VT
470 mL
470 mL
Rate
, C&S TMC NUMBER THREE Exam
Questions and Answers (latest Update
2025)
14/min
14/min
PetCO2
36 mmHg
44 mmHg
PaCO2
38 mmHg
46 mmHg
Spo2
92%
91%
SaO2 95%
95%
Which of the following best explains these data: - Correct
Answer ✅ Alveolar ventilation has decreased
An orally intubated 18 yr old male was bought to the ED by
EMS. A cuff pressure reading of 4 cmH2O was recorded at the
time of initial assessment. The most likely finding of this cuff
pressure is: - Correct Answer ✅ The pt is at high risk for
aspiration
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