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TMC EXAM TEST BANK WITH RATIONALE QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+.
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TMC EXAM TEST BANK WITH RATIONALE QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+. Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the ...

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  • October 28, 2024
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  • 2024/2025
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TMC EXAM TEST BANK WITH RATIONALE
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+.
Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with
normal lungs should be able exhale what percent of the FVC?

A. 35-50% of the FVC
B. 50-70% of the FVC
C. 70-83% of the FVC
D. 84-93% of the FVC - ANSWER70 to 83% of the FVC

Simple spirometry CANNOT be used to measure the:

A. vital capacity
B. residual volume
C. tidal volume
D. inspiratory reserve volume - ANSWERresidual volume

Which of the following approaches can be used to obtain a medication history from a
patient with a depressed level of consciousness or who is severely agitated?

A. obtain and review the patient's past medical history
B. ask the patient's nurse about the patient's prescriptions
C. request that the lab run a comprehensive blood drug screen
D. obtain the patient's current prescription vials from the family - ANSWERobtain the
patient's current prescription vials from the family

Which of the following thoracic ultrasound findings is consistent with the presence of a
pneumothorax?

A. presence of gliding sign
B. absence of A-lines
C. presence of barcode sign
D. presence of seashore sign - ANSWERpresence of barcode sign

Which of the following would tend to increase insensible water loss?

A. hypothermia
B. bypassed upper airway
C. hypoventilation
D. diuretic administration - ANSWERbypassed upper airway

Which of the following would tend to decrease a patient's energy expenditure?

A. hypothermia

,B. inflammation
C. major trauma
D. agitation/pain - ANSWERhypothermia

A patient has acute respiratory acidosis. You would expect the base excess (BE) to
range between:

A. + 6 mEq/L
B. - 6 mEq/L
C. +/- 2 mEq/L
D. +/- 8 mEq/L - ANSWER+/- 2 mEq/L

The APGAR score for a normal newborn infant ranges between:

A. 1-4
B. 4-7
C. 7-10
D. 10-13 - ANSWER7 to 10

Which of the following arterial blood gas results would most likely be reported for a
patient who is having a mild asthma attack?

A. pH = 7.31 PCO2 = 50 torr PO2 = 60 torr

B. pH = 7.40 PCO2 = 50 torr PO2 = 50 torr

C. pH = 7.47 PCO2 = 32 torr PO2 = 60 torr

D. pH = 7.47 PCO2 = 40 torr PO2 = 50 torr - ANSWERpH = 7.47 PCO2 = 32 torr PO2 =
60 torr

Asthma is respiratory alkalosis

On inspection of a patient's ECG strip, you note no identifiable P waves; rapid irregular
undulations of the isoelectric line; and an irregular ventricular rhythm. In addition, the
precordial cardiac rate is greater than the peripheral pulse rate. The most likely problem
is:

A. 2nd degree (Wenckebach) heart block
B. ventricular fibrillation
C. atrial fibrillation
D. ventricular tachycardia - ANSWERatrial fibrillation

The normal range for vital capacity in a young healthy male of average size is:

A. 5000 to 6000 ml

,B. 2000 to 3000 ml
C. 3000 to 4000 ml
D. 4000 to 5000 ml - ANSWER4000 to 5000 ml

Pulmonary function parameters that signify an obstructive disease process include
which of the following?

A. Increase Airway Resistance - YES
Decreased Lung Volumes - NO
Decreased Forced Expiratory Flows - YES
AIr Trapping - YES

B. Increase Airway Resistance - NO
Decreased Lung Volumes - YES
Decreased Forced Expiratory Flows - YES
AIr Trapping - YES

C. Increase Airway Resistance - YES
Decreased Lung Volumes - YES
Decreased Forced Expiratory Flows - YES
AIr Trapping - YES

D. Increase Airway Resistance - YES
Decreased Lung Volumes - YES
Decreased Forced Expiratory Flows -NO
AIr Trapping - NO - ANSWERIncrease Airway Resistance - YES
Decreased Lung Volumes - NO
Decreased Forced Expiratory Flows - YES
AIr Trapping - YES

The amount of gas that can be inhaled over and above that normally inhaled during
quiet breathing is the:

A. IRV
B. FRC
C. ERV
D. VC - ANSWERIRV

The results of an arterial blood gas analysis are below:

pH - 7.28
PaCO2 - 22 torr
HCO2 - 10 mEq/L
BE -15
PaO2 - 110 torr

, These data indicate which of the following?

A. primary metabolic acidosis
B. primary metabolic alkalosis
C. primary respiratory alkalosis
D. primary respiratory acidosis - ANSWERprimary metabolic acidosis

While examining a patient in the ICU, you note that she appears somewhat edematous
and the nurse has indicated that the patient's urine output is "minimal." In what section
of the medical record would you check to determine the patient's fluid balance (intake
vs. output)?

A. physician orders
B. consent
C. lab results
D. nurses' notes and flowsheet - ANSWERnurses' notes and flowsheet

When inspecting the monitor of an adult patient in ICU, you note a heart rate of 138/min
with a regular rhythm. Which of the following is the most likely cause of this
observation?

A. beta-blocker adminstration
B. therapeutic hypothemia
C. arterial hypertension
D. anxiety or agitation - ANSWERanxiety or agitation

In reviewing a sleep study, you note 20 to 25 episodes per hour like. What type of
abnormal respiratory event does this indicate?

A. central sleep apnea
B. mixed sleep apnea
C. obstructive sleep apnea
D. respiratory effort - related arousal - ANSWERcentral sleep apnea

The gold standard for monitoring intracranial pressure (ICP) is the:

A. intraparenchymal probe
B. subarachnoid bolt
C. intraventricular catheter
D. epidural sensor - ANSWERintraventricular catheter

On inspection of an ECG rhythm strip from an adult patient, you note the following: rate
of 80/min; regular rhythm; normal P waves; P-R interval of 0.25 sec; normal QRS
complexes. The most likely problem is:

A. 1st degree heart block

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