TMC Questions first exam 2024/2025 with 100% correct answers
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TMC Qs first
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TMC Qs First
A RT is assisting a physician with endotracheal intubation. Which of the following should be used initially to confirm tracheal intubation?
a. cm marking of the ET tube
b. observable condensation in the tube
c. pulse oximetry
d. colormetric capnography correct answersD
A RT is asked to revie...
A RT is assisting a physician with endotracheal intubation. Which of the following should be used initially
to confirm tracheal intubation?
a. cm marking of the ET tube
b. observable condensation in the tube
c. pulse oximetry
d. colormetric capnography correct answersD
A RT is asked to review a newborn's history. The following information is available about the first few
minutes after birth
1 min 5 min
Appearance acrocyanosis pink
Heart Rate 70 110
Reflex cough cough
Muscle Tone weak active
RR 20 40
Which of the following APGAR scores should the therapist expect to see for this infant?
1 min 5 min
1. 4 8
2. 5 8
3. 6 10
4. 7 10
a. 1
b. 2
c. 3
d. 4 correct answersC
,A 58-year-old female was diagnosed with bronchiectasis 3 years ago. She reports increased cough and
difficulty clearing secretions for the past 4 weeks. A chest radiograph shown no significant changes.
Which of the following should the RT recommend FIRST?
a. transtracheal aspiration
b. airway clearance therapy
c. bronchodilator treatments
d. respiratory isolation correct answersB
A 24-year-old female is diagnosed with exercise-induced asthma and albuterol PRN is ordered. A RT
should NEXT
a. refer the pt for allergy skin testing
b. educate the pt on obtaining daily peak flow measurements
c. instruct the pt to use albuterol 15min before exercising
d. suggest the pt use pursed lip breathing while exercising correct answersC
In which of the following circumstances will tracheal secretions tend to dry in an intubated pt?
a. a water vapor pressure of 47mmHg
b. a relative humidity of 100% at 22 degrees Celsius (71.6 degrees F)
c. a dew point of 36 degrees C (98.6 degrees F)
d. an absolute humidity of 44mg/L correct answersB
Prior to suctioning the ET tube of an adult pt who is receiving ventilation with an FiO2 of 40%, a RT
should FIRST
a. lubricate the catheter
b. hyper oxygenate the pt
c. cleanse the catheter with water
d. administer an FiO2 of 40% by T-piece correct answersB
A 25-year-old patient with apnea is receiving PC ventilation. ABG analysis results are as follows:
,pH 7.20PCO2 65 mm HgPO2 70 mm HgHCO3- 25 mEq/LBE -4 mEq/LSO2 (calc) 94%
A respiratory therapist should recommend increasing the
A.
set inspiratory pressure.
B.
expiratory time.
C.
sensitivity.
D.
peak flow. correct answersA
A 68-year-old patient who is post-CABG was extubated 4 hours ago and complains of increasing
shortness of breath. Breath sounds are decreased over the right lung field. The following data are
available while the patient receives 4-L oxygen by nasal cannula:
HR 103/minRR 27/minBP 155/90 mm HgSpO2 90%
Which of the following studies should a respiratory therapist recommend FIRST?
A.
bedside spirometry
B.
chest CT with contrast
C.
ventilation/perfusion scan
D.
chest radiograph correct answersD
, Which of the following medications should a respiratory therapist use to anesthetize a patient's airway
prior to a flexible bronchoscopy procedure?
A.
lidocaine HCl
B.
midazolam HCl (Versed)
C.
ketamine (Ketalar)
D.
vecuronium bromide (Norcuron) correct answersA
A respiratory therapist is evaluating a 75-kg (165-lb), 180-cm (5-ft 11-in) male who is receiving VC, SIMV.
The following patient data are obtained:
FIO2 0.40Mandatory rate 8Total rate 8VT 550 mLPEEP 8 cm H2O pH 7.27PaCO2 55 mm HgPaO2 94 mm
HgHCO3- 25 mEq/LBE -3 mEq/LSaO2 (calc)
97%
Which of the following should the therapist recommend?
A.
Maintain current settings.
B.
Increase the mandatory rate to 12.
C.
Decrease the FIO2 to 0.30.
D.
Decrease the tidal volume to 450 mL. correct answersB
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