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FORM B TMC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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FORM B TMC QUESTIONS AND ANSWERS WITHSOLUTIONS 2024
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas
O O O O O O O O O O O O O O O O O O O O
analysis results are: O O
O
FIO2 0.70 O
Mandatory rate 14 O O
VT 350 mL O O
PEEP 5 cm H2O O O O
O
pH 7.35 O
PaCO2 35 mm Hg O O O
PaO2 40 mm Hg O O O
HCO3- 19 mEq/L O O
BE - 6 mEq/LO O O
SO2 (calc) 74% O O
O
A respiratory therapist should recommend
O O O O
A. changing to SIMV mode.
O O O O
B. increasing to 10 cm H2O PEEP.
O O O O O O
C. changing to 5 cm H2O CPAP.
O O O O O O
D. increasing to 400 mL VT. - ANSWER B. increasing to 10 cm H2O PEEP.
O O O O O O O O O O O O O O
When instructing a patient on the administration of umeclidinium/vilanterol (Anoro Ellipta), which of th
O O O O O O O O O O O O O
e following is most important to emphasize?
O O O O O O
A. Gargle immediately after use.
O O O O
B. Inhale slowly with a breath hold.
O O O O O O
C. Breathe in fast and deep.
O O O O O
D. Shake medication vigorously before use. - ANSWER C. Breathe in fast and deep
O O O O O O O O O O O O O
,Umeclidinium/vilanterol (Anoro Ellipta) is a DPI that requires rapid inhalation. O O O O O O O O O
Following placement of a tracheostomy tube for long-
O O O O O O O
term mechanical ventilation, which of the following patient positions best prevents ventilator-
O O O O O O O O O O O
associated pneumonia? O
O
A. O
prone
B. O
Trendelenburg
C. O
supine
D. O
semi-Fowler - ANSWER D. semi-Fowler O O O O
Routine use of semi-Fowler positioning with the head of the bed elevated at an angle of 30-
O O O O O O O O O O O O O O O O
45 degrees has been shown to decrease rates of ventilator-associated pneumonia.
O O O O O O O O O O
Which of the following is used to monitor the partial pressure of transcutaneous carbon dioxide?
O O O O O O O O O O O O O O
O
A. O
red-light absorption sensor
O O
B. O
electromechanical transducer O
C. O
infrared analyzer O
D.Stow-Severinghaus electrode - ANSWER D.Stow-Severinghaus electrode O O O O O
An adult patient requires frequent blood sampling and medication administrations through an IV for 1 m
O O O O O O O O O O O O O O O
onth. The preferred vascular access is a
O O O O O O
O
,A. O
peripherally inserted central catheter. O O O
B. O
subclavian central vascular line. O O O
C. O
standard peripheral IV line. O O O
D. O
internal jugular catheter. - ANSWER A. peripherally inserted central catheter.
O O O O O O O O O O
A PICC is the best choice for long-term IV access and allows for blood sampling.
O O O O O O O O O O O O O O
A 170-cm (5-ft 7-in), 69-kg (152-lb) male with ARDS has the following ABG analysis results:
O O O O O O O O O O O O O O
O
pH 7.37 O
PCO2 43 mm Hg O O O
PO2 95 mm Hg O O O
HCO3- 25 mEq/L O O
BE -1 mEq/L
O O
SO2 (calc) 97% O O
O
The patient is receiving VC, A/C ventilation with the following settings:
O O O O O O O O O O
O
FIO2 0.70 O
Mandatory rate 12 O O
VT 450 mLO O
PEEP 8 cm H2O O O O
O
Which of the following is most appropriate?
O O O O O O
O
A. O
Decrease the FIO2 to 0.60. O O O O
, B. O
Change the PEEP to 5 cm H2O.
O O O O O O
C. O
Increase the minute ventilation.
O O O
D. O
Maintain the current settings. - ANSWER A. Decrease the FIO2 to 0.60.
O O O O O O O O O O O O
Since the PaO2 is adequate, it is now appropriate to decrease the FIO2 .
O O O O O O O O O O O O O
Following an emergent C-section, a 35 year old is receiving VC, A/C ventilation. The following pressure-
O O O O O O O O O O O O O O O
volume loop is observed: O O O
O
O
Which of the following ventilator settings should be adjusted?
O O O O O O O O
O
A. O
PEEP
B. O
flow rate O
C. O
tidal volume O
D. O
trigger sensitivity - ANSWER D. trigger sensitivity
O O O O O O
The patient is having difficultly triggering the breath, which is shown by the significant negative force cre
O O O O O O O O O O O O O O O O
ated before the breath is delivered. The trigger should be adjusted to be more sensitive to improve the
O O O O O O O O O O O O O O O O O O
patient's ability to trigger a breath.
O O O O O
Which of the following techniques is preferred for a quadriplegic patient having difficulty expectorating s
O O O O O O O O O O O O O O
ecretions?
O
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