TMC PRACTICE EXAM QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
(LATEST UPDATE)
What is the primary advantage of volume-controlled ventilation as
compared to pressure-controlled ventilation?
A. VC limits and controls PIP.
B. VC provides a constant minute ventilation.
C. VC ensures better patient-ventilator synchrony.
D. VC delivers a decelerating flow pattern. - ANS ✓VC provides a constant
minute ventilation.
Bronchial breath sounds heard over the lung periphery indicate
A. narrowed airways.
B. obstructed bronchi.
C. lung consolidation.
D. pulmonary edema. - ANS ✓lung consolidation.
During a pre-operative evaluation, bedside spirometry results are as
follows: FVC 88% of predicted, FEV1 85% of predicted, FEV1/FVC 82% of
predicted and FEF25-75 81% of predicted. How should the respiratory
therapist interpret these results?
A. a mild restrictive disorder
B. a mild obstructive disorder
C. normal lung function
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D. mixed obstructive/restrictive disorder - ANS ✓normal lung function
A 55 year-old male patient is being evaluated for pulmonary rehabilitation.
During a cycle ergometer cardiopulmonary stress procedure, the patient
has a heart rate of 100/min and a respiratory rate of 20/min. He suddenly
begins to complain of chest pain and severe shortness of breath. The
respiratory therapist should
A. reduce the speed of the bike.
B. administer supplemental oxygen.
C. gradually reduce the workload and monitor closely.
D. terminate the procedure immediately. - ANS ✓terminate the procedure
immediately.
At 1 minute post-delivery, a newborn has blue extremities with a pink
body, heart rate is 90/min, respiratory rate is 20/min with a weak cry,
cough reflex is present, and there is some flexion of the extremities. At 5
minutes post-delivery, the infant is completely pink, heart rate is 140/min,
respiratory rate is 40/min, cough reflex is present, and the baby is active
with a strong cry. What APGAR scores should be assigned?
A. 4 & 8
B. 5 & 9
C. 5 & 10
D. 6 & 10 - ANS ✓6 & 10
The respiratory therapist is asked to administer 2.5 mg of albuterol to a
patient via small volume nebulizer. The medication is available in a 0.5%
solution. What volume of albuterol should be administered?
A. 0.25 mL
B. 0.50 mL
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C. 1.25 mL
D. 2.5 mL - ANS ✓0.50 mL
After consulting on management of a patient with pneumonia and
atelectasis, the pulmonologist has documented in the Progress Notes a need
to change the patient's treatment regimen. The respiratory therapist
should
A. continue the current treatment plan.
B. report the change in treatment plan to the next shift.
C. check the electronic medical record for new physician orders.
D. disregard the information until notified by the shift supervisor. - ANS
✓check the electronic medical record for new physician orders.
A 60 kg (132 lb) patient is being mechanically ventilated with the following
settings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm
H2O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 is
85%. A current chest x-ray shows diffuse bilateral infiltrates. Which of the
following is the most appropriate action in order to reduce peak airway
pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - ANS ✓Change to airway pressure release
ventilation.
In order to verify the accuracy of a lab-based spirometer device, the
respiratory therapist should utilize a
A. rotameter.
B. 3.0 L syringe.
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C. Wright respirometer.
D. pneumotachometer. - ANS ✓3.0 L syringe.
While performing diagnostic chest percussion, the respiratory therapist
notes decreased resonance to percussion. Which of the following are
potential causes of this finding?
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis - ANS ✓2, 3, and 4 only
A 19-year-old patient is brought to the emergency department after taking
a handful of pills. The patient is obtunded but is making regular, sonorous
respiratory efforts. Auscultation reveals coarse rhonchi bilaterally. Which
of the following should be done FIRST to assess this patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score. - ANS ✓Obtain an ABG.
A 60 year-old male is admitted to the ED with chest pain. The CBC and
electrolytes are normal. Troponin level is 0.4 ng/mL. The physician should
report to the patient that he is suffering from
A. pulmonary embolism.
B. gastroesophageal reflux.
C. myocardial infarction.
D. valvular stenosis. - ANS ✓myocardial infarction.
TMC PRACTICE
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