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TMC Practice 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC Practice 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert) TMC Practice Question Bank
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TMC Practice Question Bank.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Practice%20QuTMC Practice Question Bank
1. During the assessment of a 64-year-old female patient, you note the follow- ing signs
dyspnea, hypotension, and a tracheal shift to the right.The patient also has absent breath
sounds, reduced chest expansion, and a hyperreso- nant percussion note, all on the left
side.These findings suggest which of the following?
A. Pleural effusion on the left side
B. Pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
ANS Pneumothorax on the left side
2. A 39-year-old male patient was admitted to the emergency department with a fever and
SpO2 of 87% on room air. Upon auscultation, rhonchi is heard, and the patient has a
productive cough. Which of the following would you recommend?
A. Intubate and provide mechanical ventilation with 40% oxygen
B. Provide noninvasive positive pressure ventilation using a full face mask
C. Implement postural drainage and percussion with directed coughing
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D. Provide oxygen therapy and obtain a sputum sample for culture and sensi- tivity
ANS Provide oxygen therapy and obtain a sputum sample for culture and sensitivity
3. A 50-year-old male patient is intubated with a size 8 endotracheal tube and is receiving
volume-controlled A/C ventilation. Upon assessment, you note that the patient's cuff
pressure is measured at 38 cmH2O. Which of the following would you recommend?
A. Withdraw the tube 1-2cm and reassess the patient's breath sounds
B. Recommend reintubation with a smaller endotracheal tube
C. Lower the cuff pressure to <30cmH2)
D. Recommend ventilation via tracheostomy instead
ANS Lower the cuff pressure to
<30cmH2O
4. During the assessment of a 52-year-old female patient who is receiving oxygen via
nasal cannula at 4 L/min, you hear the bubble humidifier making a whistling noise.
What is the most likely cause of this finding?
ANS There is an obstruction in the delivery tubing
5. A pre and post-bronchodilator test was ordered on a 48-year-old female patient.The
forced expiratory measurement that was obtained after the bron- chodilator shows an
increase in the patient's FEV1 from 60% to 80% of the predicted value. This suggests
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which of the following?
A. Fixed airway obstruction
B. Reversible Airway Obstruction
C. Normal diffusion capacity
D. Restrictive process
ANS Reversible Airway Obstruction
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6. A 58-year-old female patient is intubated and appears to be breathing asyn- chronously
with the ventilator. Her breath sounds are absent on the left side, and the trachea is
shifted to the left.The patient has a dull percussion note on the left side as well. Which of
the following is the most likely explanation of these findings?
A. A tracheoesophageal fistula has developed
B. A tension pneumothorax has developed on the left side
C.The endotracheal tube is in the right mainstem bronchus
D.The patient is experiencing diffuse bronchospasm
ANS The endotracheal tube is in the right mainstem bronchus
7. A 63-year-old female patient is intubated and receiving mechanical ventila- tion in the
pressure-controlled A/C mode. If the patient's compliance were to decrease, which of the
following would you expect to occur?
A. The delivered volume will decrease
B. The peak pressure will increase
C. The inspiratory time will increase
D. The PEEP level will decrease
ANS The delivered Vt will decrease
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