Exam (elaborations)
TMC EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
TMC EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
TMC EXAM REVIEW QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A respiratory therapist is assisting a physician with endotracheal intubation. Which of the following shou
O O O O O O O O O O O O O O
ld be used INITIALLY to confirm tracheal intubation ?
O O O O O O O O
A. cm marking of ET tube
O O O O O
B. observe condensation in the tube
O O O O O
C. pulse oximetry
O O
D. Colorimetric capnography - ANSWER D. Colormetric capnography
O O O O O O O
O
assesses the presence of CO2 and provides confirmation of tracheal intubation when CO2 is detected
O O O O O O O O O O O O O O
A respiratory therapist is asked to review a newborn's history. The following information is available abo
O O O O O O O O O O O O O O O
ut the first few minutes after birth :
O O O O O O O
1 min - acrocyanosis, 70/min, cough, weak muscle tone, RR 20
O O O O O O O O O O
5 min - pink - 110/min, cough, active motion, RR 40/min
O O O O O O O O O O
A. 4 & 8O O O
B. 5 & 8O O O
C. 6 & 10
O O O
D. 7 & 10 - ANSWER C. 6 & 10
O O O O O O O O O
acrocyanosis = 1, Hr of 70 = 1, cough = 2, weak activity = 1, RR of 20 = 1.
O O O O O O O O O O O O O O O O O O O
pink = 2, HR of 110 = 2, cough = 2, active motion = 2, RR of 40 = 2
O O O O O O O O O O O O O O O O O O O
A 58 year old female was diagnosed with bronchiectasis 3 years ago. She reports increased cough and di
O O O O O O O O O O O O O O O O O
fficulty clearing secretions for the past 4 weeks. A chest radiograph shows no significant changes. Which
O O O O O O O O O O O O O O O O
of the following should the respiratory therapist recommend FIRST ?
O O O O O O O O O
,a. transtracheal aspiration
O O
b. airway clearance therapy
O O O
c. bronchodilator treatments
O O
d. respiratory isolation - ANSWER b. airway clearance therapy
O O O O O O O O
the history, clinical presentation, and chest radiograph findings suggest worsening bronchiectasis. the tr
O O O O O O O O O O O O
eatment of bronchiectasis includes techniques to loosen and mobilize viscid secretions. postural drainag
O O O O O O O O O O O O
e ( + HFCWO) enhances sputum clearance
O O O O O O
A 24 year old female is diagnosed with exercise-
O O O O O O O O
induced asthma and albuterol pro is ordered. A respiratory therapist should NEXT
O O O O O O O O O O O
a. refer patient for allergy skin testing
O O O O O O
b. educate the patient on obtaining daily peak flow measurements
O O O O O O O O O
c. instruct the patient to use albuterol 15 minutes before exercising
O O O O O O O O O O
d. suggest the patient use purse lip breathing while exercising -
O O O O O O O O O O
ANSWER C. instruct the patient to use albuterol 15 mins before exercising
O O O O O O O O O O O O
Patient understanding of their disease process and triggers is important part of patient education, as wel
O O O O O O O O O O O O O O O
l as knowing when and which medication should be taken.
O O O O O O O O O
In which of the following circumstances with tracheal secretions tend to dry in an intubated patients ?
O O O O O O O O O O O O O O O O O
A. a water vapor pressure of 47 mmHg
O O O O O O O
B. a relative humidity of 100% at 22*C ( 71.6* F)
O O O O O O O O O O
C. a dew point of 37*C (98.6*F)
O O O O O O
D. an absolute humidity of 44 mg/L - ANSWER B. absolute humidity at this temperature is inadequate
O O O O O O O O O O O O O O O O
,a water vapor pressure of 47 mmHg provides 100% humidity at body temperature
O O O O O O O O O O O O
a dew point of 37*C(98.6*F) indicates the gas is completely saturated at that temperature
O O O O O O O O O O O O O O
the absolute tracheal humidity must be grater than or equal to 30 mg/L
O O O O O O O O O O O O
Prior to suction the ET tube of an adult patient who is receiving ventilation with an Fio2 of 40%, a respir
O O O O O O O O O O O O O O O O O O O O
atory therapist should FIRST
O O O O
a. lubricate the catheter
O O O
b. hyper oxygenate the patient
O O O O
c. cleanse the catheter with water
O O O O O
d. administer an FiO2 of 40% by T-piece -
O O O O O O O O
ANSWER B. the FiO2 should be increased prior to each suctioning attempt to minimize hyperoxemia
O O O O O O O O O O O O O O O
lubrication of catheter is not necessary unless nasotracheal suctioning will be performed
O O O O O O O O O O O
sterile suction catheters do not need to be cleansed prior to use
O O O O O O O O O O O O
administration of the same fiO2 without positive pressure will compromise the patient's oxygenation an
O O O O O O O O O O O O O
d ventilation
O
A 25 year old patient with apnea is receiving PC ventilation. An ABG analysis results are as follows:
O O O O O O O O O O O O O O O O O
pH 7.20 O
CO2 65 O
PO2 70 O
HCO3 25 O
BE -4 O O
, SO2 (calc) 94% O O
A respiratory therapist should recommend increasing the
O O O O O O
a. set inspiratory pressure
O O O
b. expiratory time
O O
c. sensitivity
O
d. peak flow - ANSWER a. set inspiratory pressure
O O O O O O O O
^--
Oin PC ventilation, increasing the inspiratory pressure will result in an increased tidal volume and minute
O O O O O O O O O O O O O O O O
ventilation, potentially causing a decrease in PCO2
O O O O O O
increasing expiratory time will decrease tidal volume and minute ventilation, potentially causing increas
O O O O O O O O O O O O
e in PCO2 and further decrease in pH
O O O O O O O
increasing sensitivity will not increase ventilation in this patient
O O O O O O O O
peak flow cannot be set in PC ventilation
O O O O O O O
a 68 year old patient who is post-
O O O O O O O
CABG was extubated 4 hours ago and complains of increasing SOB. B/S are decreased over right lung fiel
O O O O O O O O O O O O O O O O O
d. the following data are available while the patient receives 4L NC:
O O O O O O O O O O O
HR 103 O
RR 27 O
BP 155/90 O
SpO2 90% O
Which of the following studies should a respiratory therapist recommend FIRST ?
O O O O O O O O O O O
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78834 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now