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TMC Test Bank Questions 100% Correct Answers With Rationale TMC Test Bank Questions 100% Correct Answers With Rationale A Respiratory Therapist Is Reviewing The Medical Record Of A 69-Year-Old Patient Admitted 2 Hours Prior. The Record Indicates The Patient Has Chronic Hypercapnia, Emphysema,...

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  • October 18, 2024
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  • 2024/2025
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TMC Test Bank 2024-2025 Questions 100%
Correct Answers With Rationale
A Respiratory Therapist Is Reviewing The Medical Record Of A 69-Year-Old Patient
Admitted 2 Hours Prior. The Record Indicates The Patient Has Chronic Hypercapnia,
Emphysema, And An 80 Pack-Year History Of Smoking. Admission Documentation
Shows The Patient Reported With Moderate Dyspnea. Currently, The Patient Is
Sleeping But Arouses With Significant Verbal Stimulation. The Therapist Should
First Recommend


A. Pulmonary Function Testing
B. Co-Oximetry
C. Single-Breath Nitrogen Elimination Test (Sbn2)
D. Arterial Blood Gas Analysis
ANSWER: D


Feedback:
An Arterial Blood Gas Will Be Most Revealing In Terms Of Assessing The Patient's
Ventilation And Oxygenation Status.




A Patient Diagnosed With Congestive Heart Failure Requires 4 Pillows To Rest
Comfortably And Breathe Better. This Is Most Consistent With


A. Dehydration
B. Apneustic Ventilation
C. Orthopnea
D. Ketoacidosis
ANSWER: C


Feedback:
The Requirement For Pillows To Sleep Properly Or Breathe Better During Sleeping Is
A Condition Usually Related To Congestive Heart Failure And Is Termed Orthopnea.

,A Respiratory Therapist Is Asked To Determine A Patient's Rsbi Value. Which Of
The Follow Devices Would Be Helpful In This Determination?


A. Peak Flow Meter
B. A Vane Respirometer
C. End-Tidal Co2 Monitor
D. Positive/Negative Pressure Manometer
ANSWER: B


Feedback:
Rapid Shallow Breathing Index Is A Number That Is Determined By Mathematically
Comparing The Exhaled Tidal Volume With The Total Rate. Thus, To Obtain The
Value One Must Use A Device That Measures Volume. Of The Devices Listed, A
Vane Respirometer Is The Only Device That Can Accomplish This.




A 50-Year-Old Male Patient Reports To The Emergency Department Complaining Of
Shortness Of Breath And A Non-Productive Cough. Clinical Examination Reveals
The Following Noted Over The Lower Left Lung Field


- Dull To Percussion
- Diminished Breath Sounds
- Decreased Tactile Fremitus


The Respiratory Therapist Should Suspect Which Of The Following Conditions?


A. Pulmonary Hypertension
B. Pulmonary Tuberculosis
C. Pneumonia
D. Pleural Effusion
ANSWER: D

,Feedback:
A Physical Examination That Reveals A Dull Sound To Percussion And Decreased
Tactile Fremitus, In Conjunction With Shortness Of Breath And A Nonproductive
Cough, Is Most Suggestive Of A Pleural Effusion.




What Is The Most Important Characteristic In A Transport Ventilator That Will Be
Used During A Transport Within A Hospital?


A. Operates On Batteries For At Least 1 Hour
B. Return Tidal Volume Reporting
C. Pressure Support Mode
D. Disconnect Alarm
ANSWER: D


Feedback:
During The Transport Of The Patient On A Ventilator, Movement From Place To
Place And Bed To Bed Presents The Most Obvious Risk Of Accidental
Disconnection. Thus, The Disconnect Alarm Is Most Important During The
Transport.




A Patient Who Is Receiving Mechanical Ventilation Is Scheduled For Fiberoptic
Bronchoscopy To Investigate A Lesion In The Right Mainstem Bronchus. Which Of
The Following Represents The Most Significant Threat To Ventilation During The
Procedure?


A. Stimulation Of The Vagal Nerve And Bradycardia
B. Airway Obstruction
C. Loss Of Peep Through Suctioning
D. Excessive Airway Resistance
ANSWER: B


Feedback:

, Although A Bronchoscopy Procedure Is Necessary To Investigate Deep Pulmonary
Problems, Such As Lesions, The Procedure Itself Can Cause Problems Because Of
The Width Of The Scope Relative To The Size Of The Airway. During The
Procedure The Scope Acts As A Large Airway Obstruction. If The Patient Is
Receiving Mechanical Ventilatory Support, It Is Likely That The High-Pressure
Alarm Will Sound During This Procedure. Therefore, It Is Appropriate To
Temporarily Increase The High-Pressure Limit Until The Procedure Is Complete.




A 32-Year-Old Male Who Weighs 60 Kg (143 Lb) Is Receiving Vc Simv Ventilation
Following The Surgical Repair Of A Hernia With Slow Emergence From Sedation.
The Following Data Is Observed:


Ph 7.48
Paco2 32 Torr
Pao2 110 Torr
Hco3- 23 Meq/L
Be -1 Meq/L
Fio2 0.45
Mandatory Rate 12
Total Rate 12
Tidal Volume 650 Ml


The Respiratory Therapist Should
A. Increase Mandatory Rate To 14
B. Check Autopeep
C. Decrease Fio2 To 0.21
D. Decrease Tidal Volume To 450 Ml
ANSWER: D


Feedback:
The Blood Gas Demonstrates A Small Amount Of Hyperventilation. Additionally,
Based Upon The Patient's Predicted Body Weight, A Tidal Volume Of 650 Ml Is Too

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