TMC set 1 Exam Questions With
Verified Answers
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the
respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant
percussion note. The trachea is shifted to the right. The...
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the
respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant
percussion note. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory
rate is 30/min, and blood pressure is 60/40 mm Hg. What action should the therapist recommend
first? - answer✔✔Needle aspirate onto 2nd inter coastal space
A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which of the
following controls, when adjusted independently, would increase expiratory time? 1. Tidal
volume 2. Respiratory Rate 3. Inspiratory flow 4. Sensitivity - answer✔✔1,2,&3
Immediately after extubation of a patient in the ICU, the respiratory therapist observes increasing
respiratory distress with intercostal retractions and marked stridor. The SpO2 on 40% oxygen is
noted to be 76%. Which of the following would be most appropriate at this time? -
answer✔✔Reintubation
A patient receiving mechanical ventilation has developed a temperature of 99.9° F with purulent
secretions over the last 12 hours. The respiratory therapist has also noted a steady increase in
peak inspiratory pressure. What initial recommendation should be made to address these
changes? - answer✔✔sputum gram stain
Which of the following information may be obtained from a FVC maneuver during bedside
pulmonary function testing? 1. FEV1 2. PEFR 3. FRC 4. RV - answer✔✔1&2
The respiratory therapist provides education for a patient who is being discharged home on
aerosol therapy. The most important reason for the patient to follow the recommended cleaning
procedures using a vinegar/water solution is that this solution will - answer✔✔slow down
bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-productive cough. On physical
examination, breath sounds are diminished on the right, tactile fremitus is decreased and there is
dullness to percussion over the right lower lobe. The respiratory therapist should suspect that the
patient is suffering from - answer✔✔pleural effusion
What size endotracheal tube would be appropriate for an adult female patient? - answer✔✔7.0-
7.5mm
EXAM STUDY MATERIALS July 23, 2024 4:26 PM
, A patient who suffered trauma in an ATV accident is being monitored in the ICU. A pulmonary
artery catheter has been placed and the following data is available: PCWP 4 mm Hg PAP (mean)
8 mm Hg CVP 2 cm H2O Cardiac Output 3L/minThe respiratory therapist should recommend -
answer✔✔IV fluids
Bronchial breath sounds heard over the lung periphery indicate - answer✔✔lung consolidation
A 55 year-old male patient is 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 - answer✔✔terminate procedure
In order to verify the accuracy of a lab-based spirometer device, the respiratory therapist should
utilize a - answer✔✔A wrights respirometer
Following thoracotomy, a patient on volume-control ventilation has a chest tube in the left
pleural space. While inspecting the chest drainage system, the respiratory therapist notes
bubbling in the water seal chamber during the inspiratory phase. The therapist should report this
to the physician as - answer✔✔bronchopleural fistula
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 -
answer✔✔myocardial infarction
All of the following conditions can be treated with hyperbaric oxygen (HBO) therapy EXCEPT
a. carbon monoxide poisoning
b. decompression sickness
c. aenorobic infections
d. pulmonary hypertension - answer✔✔d. pulmonary hypertension
A 16 year-old patient with cystic fibrosis attends high school. Which of the following bronchial
hygiene therapies would be most appropriate for this patient? - answer✔✔Vibratory / oscillatory
PEP
A patient receiving oxygen therapy at home calls in the middle of the night and reports that the
oxygen supply tubing will not stay attached to her transtracheal catheter. The flow rate to the
transtracheal catheter is set at 0.5 L/min. The patient has attempted to flush the catheter with
saline and push a cleaning rod through it without success. The respiratory therapist should
instruct the patient to - answer✔✔switch to nasal cannula
The most probable cause of air bronchograms and increased density on a chest x-ray is -
answer✔✔pneumonia
EXAM STUDY MATERIALS July 23, 2024 4:26 PM
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