TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
Thelpatient'sllunglhaslanlairlleaklCorrectlAnswer:llYoularelcalledltolthelemergencyldepartmentltolhel
plcarelforlalpatientlwholwaslinlalvehiclelaccidentlandlhaslchestlinjurieslincludinglbrokenlribs.lCrepit
ationslarelfeltlwhilelpalpitatinglthelpatient'slneck.lWhatlislmostllikelylthelcauseloflthis?
ReversiblelairwaylobstructionlCorrectlAnswer:lAlforcedlexpiratorylmeasurementlobtainedlafterlthela
dministrationloflalbronchodilatorlshowslanlincreaselinlFEV1lfroml60%ltol80%loflpredicted.lThislindi
catesla:
completelairwaylobstructionlCorrectlAnswer:l Duringlcapnographylmonitoringloflalmechanicallylve
ntilatedlpatient,lyoulnotelthatlthelend-
tidallPCO2l(PetCO2)lhasldroppedltol0lmmlHg.lThislfindinglmaylindicate:
insertinglanlesophageal-
tracheallcombitubelCorrectlAnswer:lAnlunconsciouslapneiclpatientlwithlalfulllstomachlcannotlbel
orallylintubatedlinlthelemergencylroom.lWhichloflthelfollowinglwouldlyourlrecommendlbe?
patientslsizelandlclinicallconditionlCorrectlAnswer:l Whilelestablishinglinitiallventilatorylsup
portlsettingslforlalnewlpatient,lthelmostlimportantlconsiderationlislthe:
Feverl(hyperthermia)lCorrectlAnswer:l AlmalelpatientlhaslallowerlthanlnormallmixedlvenouslO2lcont
ent.lWhichloflthelfollowinglislthelmostllikelylcauseloflthislcondition?
applyl5-
10lcmlH20lpressurelsupportlCorrectlAnswer:l Youlareltryingltolweanlanlalertlintubatedlpatientlofflful
llventilatorylsupportlusinglthelCPAPlprotocollwithl40%lO2.lEarlylinlthelinitialleffortlherlrespiratoryl
ratelincreaseslfroml24ltol30/minlandlyoulstartltolobservelsomeluseloflherlaccessorylmuscleslwhilelbr
eathing.lWhichloflthelfollowinglwouldlbelyourlfirstlactionlatlthisltime?
70lminuteslCorrectlAnswer:lWhatlislthelapproximateldurationloflflowloflanloxygenlE-
cylinderlatl1000lpsilrunninglatl4lL/min?
increaselthelsuctionlpressureltol-
120lmmlHglCorrectlAnswer:l WhilelusinglalYankauerldeviceltolsuctionlanladultlpatient,lyoularelunabl
eltolremovelthicklsecretions.lThelregulatorlattachedltoltheloropharyngeallsuctioningldeviceldisplaysl
alreadinglofl-70lmmlHg.lWhichloflthelfollowinglactionslshouldlyoultakelatlthisltime?
almissinglleadlCorrectlAnswer:lWhilelsettingluplal12-
leadlEKGlonlalpatient,lyoularelunablelobtainlanylelectricallsignal.lThelbatterieslarelfullylchargedlandl
theldevicelwaslableltolpower-on.lThelmostllikelylcauseloflthislproblemlislwhichloflthelfollowing?
, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
angiographylCorrectlAnswer:l Whichloflthelfollowinglimaginglprocedureslislusedltolevaluatelthelarte
rieslforlabnormalitieslsuchlaslaneurysm,latherosclerosis,lembolism,locclusion,lstenosis,lthrombosis,l
trauma,lorlvasculitis?
haslsmokedlwithinlthelpriorl12-
24lhourslCorrectlAnswer:lYoulobtainlanlexpiredlcarbonlmonoxidel(CO)lreadinglofl18lppmlonlalCOP
Dlpatientlparticipatinglinlalpulmonarylrehabilitationlprogram.lBasedlonlthislfinding,l youlcanlconclud
elthatlthelpatient:
decreaselinlO2lsaturationlfroml91%ltol82%lCorrectlAnswer:lWhilelmonitoringlalpatientlduringlalspo
ntaneouslbreathingltrial,lwhichloflthelfollowinglobservationslwouldlcauselyoultolstopltheltriallandlret
urnlthelpatientltolventilatorylsupport?
increasedlventilationlCorrectlAnswer:l YourlpatientlislreceivinglvolumelcontrollA/Clventilation.lShe
lhaslbecomelincreasinglyl agitatedlandlthelend-
tidallCO2lhasldecreasedlfroml38ltol27ltorrloverlthellastl3lhours.lWhichloflthelfollowinglislmostllikelylt
helcause?
3500lmLlCorrectlAnswer:l Alnormallvitallcapacitylforlalfemalelpatientlwholislfivelfeetlthreelinche
sltalllandlweighslfiftylkilogramslwouldlbelapproximately:
thelsensitivitylCorrectlAnswer:lAnlasthmaticlpatientlislstrugglingltolinitiatelinspirationlonlalventilat
orloperatinglinlthelassist-
controllmode.lWhichloflthelfollowinglventilatorlsettingslwouldlyoulfirstlchecklinlorderltolresolveloflt
hislproblem?
atriallfibrillationlCorrectlAnswer:l Onlinspectionloflalpatient'slEKGlstrip,l youlnotelthatltherelarelnolid
entifiablelPlwaves;lrapidlirregularlundulationsloflthelisoelectriclline;landlanlirregularlventricularlrhyt
hm.lInladdition,lthelprecordiallcardiaclratelislgreaterlthanlthelperipherallpulselrate.lWhatlislthelmostlli
kelylproblem?
VitallCapacityl(VC)lCorrectlAnswer:lWhichloflthelfollowinglislthelbestlbedsidelmeasurementlforlas
sessinglthelintegratedlfunctionloflthelrespiratorylmuscleslandlmechanicallpropertiesloflthellungslandl
thorax?
SinuslTachycardialCorrectlAnswer:lWhilelinspectinglanlEKGlrhythmlstriplfromlanladultlpatient,lyo
ulnotelthelfollowing:lratelofl148;lregularlrhythm;lnormallPlwaves,lP-
Rlintervals,landlQRSlcomplexes.lWhatlislmostllikelylthelproblem?
whetherlthelpatientlislstablelonllowlFiO2slandlPEEPlCorrectlAnswer:lWhichloflthelfollowinglislalprer
equisitelforldischarginglalventilator-dependentlpatientltolthelhomecarelsetting?
, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
allargelvolumel(3lL)lcalibrationlsyringelCorrectlAnswer:l Youlwouldlneedlwhichloflthelfollo
winglequipmentlinlorderltolcalibratelalportablelbedsidelspirometer?
Ventilator-
associatedlpneumonial(VAP)lCorrectlAnswer:lAlphysicianlorderslalblindlbronchoalveolarllavag
elprocedurelforlalpatientlinlintensivelcarelunit.lWhatlislthelmostllikelylpotentialldiagnosislthatlthel
doctorlisltryingltolconfirmlwithlthislprocedure?
crouplCorrectlAnswer:lAnlAPlX-rayloflal4-year-
oldlchildlwithlwheezinglandlstridorlshowslanlarealoflprominentlsubglotticledema,lbutlthellaterallnec
klX-raylappearslnormal.lThelmostllikelylproblemlis?
sternocleidomastoidlmuscleslusedlatlrestlCorrectlAnswer:lIflnotedlonlinspiration,lwhichloflthelfollo
winglrespiratorylsignsloflanladultlpatientlwouldlbelconsideredlabnormal?
betweenlthel2ndlandl4thlthoraciclvertebralCorrectlAnswer:lWhilelreviewinglthelchestlX-rayloflal30-
year-
oldlmalelreceivinglventilatorylsupportlvialanlorallendotrachealltube.lTolassurelproperlplacementloflth
eltube,l youlwouldllooklforlitsltipltolbelpositioned
pulselesslventricularltachycardialCorrectlAnswer:l Defibrillationlshouldlbeldonelimmediatelylinlwh
ichloflthelfollowinglpatientlsituations?
variablelflowlcontrollandladjustablelI:ElratioslCorrectlAnswer:lAnlintubatedladultl65-year-
oldlmalelpatientlwithlseverelexpiratorylairwaylobstructionlrequireslventilatorylsupport.lWhichloflthel
followinglcapabilitieslwouldlbelmostlimportantlinlselectinglalventilatorlforlthislpatient?
thelpatientlcannotlsustainlprolongedlspontaneouslventilationlCorrectlAnswer:l Yoularelcalledltolobt
ainlalbedsidelvitallcapacityl(VC)lofl450lmllonlal122llblfemalelpatientlreceivinglventilatorylsupportlin
lthelCMVlmode.lWhichloflthelfollowinglcanl youldrawlfromlthisl finding?
hyperventilation/hypocapnialCorrectlAnswer:l Whichloflthelfollowinglislthelmostlcommonlpro
blemlencounteredlwhenlapplyinglassist-controllmodelduringlventilation?
flowmeter-
humidifierlconnectionlforlleakslCorrectlAnswer:lAlbubblelhumidifierlislnotlbubblinglduringloxygenlt
herapy,ldespitelthelflowmeterlsetlandlrunninglatl5lL/min.lWhichloflthelfollowinglshouldlyoulcheck?
bronchospasmlCorrectlAnswer:lWhichloflthelfollowinglwouldlcauselanlincreaselinlalpatient'slpeakla
irwaylpressurelwhilelreceivinglvolumelcontrollventilation?
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
Thelpatient'sllunglhaslanlairlleaklCorrectlAnswer:llYoularelcalledltolthelemergencyldepartmentltolhel
plcarelforlalpatientlwholwaslinlalvehiclelaccidentlandlhaslchestlinjurieslincludinglbrokenlribs.lCrepit
ationslarelfeltlwhilelpalpitatinglthelpatient'slneck.lWhatlislmostllikelylthelcauseloflthis?
ReversiblelairwaylobstructionlCorrectlAnswer:lAlforcedlexpiratorylmeasurementlobtainedlafterlthela
dministrationloflalbronchodilatorlshowslanlincreaselinlFEV1lfroml60%ltol80%loflpredicted.lThislindi
catesla:
completelairwaylobstructionlCorrectlAnswer:l Duringlcapnographylmonitoringloflalmechanicallylve
ntilatedlpatient,lyoulnotelthatlthelend-
tidallPCO2l(PetCO2)lhasldroppedltol0lmmlHg.lThislfindinglmaylindicate:
insertinglanlesophageal-
tracheallcombitubelCorrectlAnswer:lAnlunconsciouslapneiclpatientlwithlalfulllstomachlcannotlbel
orallylintubatedlinlthelemergencylroom.lWhichloflthelfollowinglwouldlyourlrecommendlbe?
patientslsizelandlclinicallconditionlCorrectlAnswer:l Whilelestablishinglinitiallventilatorylsup
portlsettingslforlalnewlpatient,lthelmostlimportantlconsiderationlislthe:
Feverl(hyperthermia)lCorrectlAnswer:l AlmalelpatientlhaslallowerlthanlnormallmixedlvenouslO2lcont
ent.lWhichloflthelfollowinglislthelmostllikelylcauseloflthislcondition?
applyl5-
10lcmlH20lpressurelsupportlCorrectlAnswer:l Youlareltryingltolweanlanlalertlintubatedlpatientlofflful
llventilatorylsupportlusinglthelCPAPlprotocollwithl40%lO2.lEarlylinlthelinitialleffortlherlrespiratoryl
ratelincreaseslfroml24ltol30/minlandlyoulstartltolobservelsomeluseloflherlaccessorylmuscleslwhilelbr
eathing.lWhichloflthelfollowinglwouldlbelyourlfirstlactionlatlthisltime?
70lminuteslCorrectlAnswer:lWhatlislthelapproximateldurationloflflowloflanloxygenlE-
cylinderlatl1000lpsilrunninglatl4lL/min?
increaselthelsuctionlpressureltol-
120lmmlHglCorrectlAnswer:l WhilelusinglalYankauerldeviceltolsuctionlanladultlpatient,lyoularelunabl
eltolremovelthicklsecretions.lThelregulatorlattachedltoltheloropharyngeallsuctioningldeviceldisplaysl
alreadinglofl-70lmmlHg.lWhichloflthelfollowinglactionslshouldlyoultakelatlthisltime?
almissinglleadlCorrectlAnswer:lWhilelsettingluplal12-
leadlEKGlonlalpatient,lyoularelunablelobtainlanylelectricallsignal.lThelbatterieslarelfullylchargedlandl
theldevicelwaslableltolpower-on.lThelmostllikelylcauseloflthislproblemlislwhichloflthelfollowing?
, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
angiographylCorrectlAnswer:l Whichloflthelfollowinglimaginglprocedureslislusedltolevaluatelthelarte
rieslforlabnormalitieslsuchlaslaneurysm,latherosclerosis,lembolism,locclusion,lstenosis,lthrombosis,l
trauma,lorlvasculitis?
haslsmokedlwithinlthelpriorl12-
24lhourslCorrectlAnswer:lYoulobtainlanlexpiredlcarbonlmonoxidel(CO)lreadinglofl18lppmlonlalCOP
Dlpatientlparticipatinglinlalpulmonarylrehabilitationlprogram.lBasedlonlthislfinding,l youlcanlconclud
elthatlthelpatient:
decreaselinlO2lsaturationlfroml91%ltol82%lCorrectlAnswer:lWhilelmonitoringlalpatientlduringlalspo
ntaneouslbreathingltrial,lwhichloflthelfollowinglobservationslwouldlcauselyoultolstopltheltriallandlret
urnlthelpatientltolventilatorylsupport?
increasedlventilationlCorrectlAnswer:l YourlpatientlislreceivinglvolumelcontrollA/Clventilation.lShe
lhaslbecomelincreasinglyl agitatedlandlthelend-
tidallCO2lhasldecreasedlfroml38ltol27ltorrloverlthellastl3lhours.lWhichloflthelfollowinglislmostllikelylt
helcause?
3500lmLlCorrectlAnswer:l Alnormallvitallcapacitylforlalfemalelpatientlwholislfivelfeetlthreelinche
sltalllandlweighslfiftylkilogramslwouldlbelapproximately:
thelsensitivitylCorrectlAnswer:lAnlasthmaticlpatientlislstrugglingltolinitiatelinspirationlonlalventilat
orloperatinglinlthelassist-
controllmode.lWhichloflthelfollowinglventilatorlsettingslwouldlyoulfirstlchecklinlorderltolresolveloflt
hislproblem?
atriallfibrillationlCorrectlAnswer:l Onlinspectionloflalpatient'slEKGlstrip,l youlnotelthatltherelarelnolid
entifiablelPlwaves;lrapidlirregularlundulationsloflthelisoelectriclline;landlanlirregularlventricularlrhyt
hm.lInladdition,lthelprecordiallcardiaclratelislgreaterlthanlthelperipherallpulselrate.lWhatlislthelmostlli
kelylproblem?
VitallCapacityl(VC)lCorrectlAnswer:lWhichloflthelfollowinglislthelbestlbedsidelmeasurementlforlas
sessinglthelintegratedlfunctionloflthelrespiratorylmuscleslandlmechanicallpropertiesloflthellungslandl
thorax?
SinuslTachycardialCorrectlAnswer:lWhilelinspectinglanlEKGlrhythmlstriplfromlanladultlpatient,lyo
ulnotelthelfollowing:lratelofl148;lregularlrhythm;lnormallPlwaves,lP-
Rlintervals,landlQRSlcomplexes.lWhatlislmostllikelylthelproblem?
whetherlthelpatientlislstablelonllowlFiO2slandlPEEPlCorrectlAnswer:lWhichloflthelfollowinglislalprer
equisitelforldischarginglalventilator-dependentlpatientltolthelhomecarelsetting?
, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l
CORRECT ANSWERS 2023- l l
2024/ DOWNLOAD TOSCORE A+
l l l l
allargelvolumel(3lL)lcalibrationlsyringelCorrectlAnswer:l Youlwouldlneedlwhichloflthelfollo
winglequipmentlinlorderltolcalibratelalportablelbedsidelspirometer?
Ventilator-
associatedlpneumonial(VAP)lCorrectlAnswer:lAlphysicianlorderslalblindlbronchoalveolarllavag
elprocedurelforlalpatientlinlintensivelcarelunit.lWhatlislthelmostllikelylpotentialldiagnosislthatlthel
doctorlisltryingltolconfirmlwithlthislprocedure?
crouplCorrectlAnswer:lAnlAPlX-rayloflal4-year-
oldlchildlwithlwheezinglandlstridorlshowslanlarealoflprominentlsubglotticledema,lbutlthellaterallnec
klX-raylappearslnormal.lThelmostllikelylproblemlis?
sternocleidomastoidlmuscleslusedlatlrestlCorrectlAnswer:lIflnotedlonlinspiration,lwhichloflthelfollo
winglrespiratorylsignsloflanladultlpatientlwouldlbelconsideredlabnormal?
betweenlthel2ndlandl4thlthoraciclvertebralCorrectlAnswer:lWhilelreviewinglthelchestlX-rayloflal30-
year-
oldlmalelreceivinglventilatorylsupportlvialanlorallendotrachealltube.lTolassurelproperlplacementloflth
eltube,l youlwouldllooklforlitsltipltolbelpositioned
pulselesslventricularltachycardialCorrectlAnswer:l Defibrillationlshouldlbeldonelimmediatelylinlwh
ichloflthelfollowinglpatientlsituations?
variablelflowlcontrollandladjustablelI:ElratioslCorrectlAnswer:lAnlintubatedladultl65-year-
oldlmalelpatientlwithlseverelexpiratorylairwaylobstructionlrequireslventilatorylsupport.lWhichloflthel
followinglcapabilitieslwouldlbelmostlimportantlinlselectinglalventilatorlforlthislpatient?
thelpatientlcannotlsustainlprolongedlspontaneouslventilationlCorrectlAnswer:l Yoularelcalledltolobt
ainlalbedsidelvitallcapacityl(VC)lofl450lmllonlal122llblfemalelpatientlreceivinglventilatorylsupportlin
lthelCMVlmode.lWhichloflthelfollowinglcanl youldrawlfromlthisl finding?
hyperventilation/hypocapnialCorrectlAnswer:l Whichloflthelfollowinglislthelmostlcommonlpro
blemlencounteredlwhenlapplyinglassist-controllmodelduringlventilation?
flowmeter-
humidifierlconnectionlforlleakslCorrectlAnswer:lAlbubblelhumidifierlislnotlbubblinglduringloxygenlt
herapy,ldespitelthelflowmeterlsetlandlrunninglatl5lL/min.lWhichloflthelfollowinglshouldlyoulcheck?
bronchospasmlCorrectlAnswer:lWhichloflthelfollowinglwouldlcauselanlincreaselinlalpatient'slpeakla
irwaylpressurelwhilelreceivinglvolumelcontrollventilation?
