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TMC Self-Assessment Exam (Form 2020A) With Complete Solution.
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TMC Self-Assessment Exam (Form 2020A) With Complete Solution.
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TMC Self-Assessment Exam (Form 2020A) WithComplete Solution
A .respiratory .therapist .is .assisting .a .physician .with .endotracheal .intubation. .Which .of .the .following .
should .be .used .INITIALLY .to .confirm .tracheal .intubation?
A.cm .marking .of .the .endotracheal .tube
B.observable .condensation .in .the .tube
C.pulse .oximetry
D.colorimetric .capnography .- .(correct .answer) .-D. .colorimetric .capnography
A .respiratory .therapist .is .asked .to .review .a .newborn's .history. .The .following .information .is .available
.about .the .first .few .minutes .after .birth:
1 .minute5 .minutesAppearance .acrocyanosis .pinkHeart .rate
.70/min .110/minReflexcough .coughMuscle .toneweak .active .motionRespiratory .rate .20/min .40/min
Which .of .the .following .APGAR .scores .should .the .therapist .expect .to .see .for .this .infant?
1-minute .5-minute1. .4 .82. .5 .83. .6 .104. .7 .10
A.1
,B.2
C.3
D.4 .- .(correct .answer) .-C. .3
A .58-year-
old .female .was .diagnosed .with .bronchiectasis .3 .years .ago. .She .reports .increased .cough .and .difficult
y .clearing .secretions .for .the .past .4 .weeks. .A .chest .radiograph .shows .no .significant .changes. .Which .
of .the .following .should .the .respiratory .therapist .recommend .FIRST?
A.transtracheal .aspiration
B.airway .clearance .therapy
C.bronchodilator .treatments
D.respiratory .isolation .- .(correct .answer) .-B. .airway .clearance .therapy
A .24-year-old .female .is .diagnosed .with .exercise-
induced .asthma .and .albuterol .prn .is .ordered. .A .respiratory .therapist .should .NEXT
A.refer .the .patient .for .allergy .skin .testing.
B.educate .the .patient .on .obtaining .daily .peak .flow .measurements.
C.instruct .the .patient .to .use .albuterol .15 .minutes .before .exercising.
D.suggest .the .patient .use .pursed .lip .breathing .while .exercising. .- .(correct .answer) .-
C. .instruct .the .patient .to .use .albuterol .15 .minutes .before .exercising
In .which .of .the .following .circumstances .will .tracheal .secretions .tend .to .dry .in .an .intubated .patient?
A.a .water .vapor .pressure .of .47 .mm .Hg
B.a .relative .humidity .of .100% .at .22° .C .(71.6° .F)
C.a .dew .point .of .37° .C .(98.6° .F)
D.an .absolute .humidity .of .44 .mg/L .- .(correct .answer) .-B. .a .relative .humidity .of .100% .at .22C .(71.6F)
Prior .to .suctioning .the .endotracheal .tube .of .an .adult .patient .who .is .receiving .ventilation .with .an .FI
O2 .of .0.40, .a .respiratory .therapist .should .FIRST
,A.lubricate .the .catheter.
B.hyperoxygenate .the .patient.
C.cleanse .the .catheter .with .water.
D.administer .an .FIO2 .of .0.40 .by .T-piece. .- .(correct .answer) .-B. .hyperoxygenate .the .patient
A .25-year-old .patient .with .apnea .is .receiving .PC .ventilation. .ABG .analysis .results .are .as .follows:
.
pH .7.20
PCO2 .65 .mm .Hg
PO2 .70 .mm .Hg
HCO3- .25 .mEq/L
BE .-4 .mEq/L
SO2 .(calc) .94%
.
A .respiratory .therapist .should .recommend .increasing .the
.
A.set .inspiratory .pressure.
B.expiratory .time.
C.sensitivity.
D.peak .flow. .- .(correct .answer) .-A. .set .inspiratory .pressure
A .68-year-old .patient .who .is .post-
CABG .was .extubated .4 .hours .ago .and .complains .of .increasing .shortness .of .breath. .Breath .sounds .ar
e .decreased .over .the .right .lung .field. .The .following .data .are .available .while .the .patient .receives .4-
L .oxygen .by .nasal .cannula:
.
HR .103/min
RR .27/min
BP .155/90 .mm .Hg
, SpO2 .90%
.
Which .of .the .following .studies .should .a .respiratory .therapist .recommend .FIRST?
.
A.bedside .spirometry
B.chest .CT .with .contrast
C.ventilation/perfusion .scan
D.chest .radiograph .- .(correct .answer) .-D. .chest .radiograph
Which .of .the .following .medications .should .a .respiratory .therapist .use .to .anesthetize .a .patient's .airw
ay .prior .to .a .flexible .bronchoscopy .procedure?
.
A.lidocaine .HCl
B.midazolam .HCl .(Versed)
C.ketamine .(Ketalar)
D.vecuronium .bromide .(Norcuron) .- .(correct .answer) .-A. .lidocaine .HCI
A .respiratory .therapist .is .evaluating .a .75-kg .(165-lb), .180-cm .(5-ft .11-
in) .male .who .is .receiving .VC, .SIMV. .The .following .patient .data .are .obtained:
.
FIO2 .0.40
Mandatory .rate .8
Total .rate .8
VT .550 .mL
PEEP .8 .cm .H2O
.
pH .7.27
PaCO2 .55 .mm .Hg
PaO2 .94 .mm .Hg
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