TMC EXAM (TEST B) EXAM QUESTIONS
ACCURATE TESTED VERSIONS 2024-2025 |
ACCURATE AND VERIFIED ANSWERS |
NEXT GEN FORMAT | GUARANTEED PASS|
A 2-year-old child with croup has been intubated for 4 days with a
4 mm ID uncuffed endotracheal tube. Heated aerosol at an FIO2
of 0.30 has been delivered to the patient. The physician asks the
respiratory therapist to evaluate the patient for possible
extubation. Which of the following would most likely indicate that
the patient is ready for extubation?
A.The patient is making normal quiet ventilatory efforts.
B.A negative sputum culture and sensitivity has been reported.
C.The patient's ABG are within normal range.
D.Breath sounds are heard around the tube on auscultation.
Correct Answer D
section on Airway Care
A patient is seen in the Emergency Department for complaints of
nausea and vomiting. A nasogastric tube has been inserted and
the patient is started on lasix. Which of the following should the
respiratory therapist monitor?
,While instructing a patient prior to a vital capacity maneuver, the
respiratory therapist should direct the patient to
A.exhale to residual volume and inhale to inspiratory capacity.
B.inhale to total lung capacity then exhale to residual volume.
C.exhale normally then inhale to total lung capacity.
D.inhale normally then exhale to functional residual capacity.
Correct Answer B
section on Pulmonary Diagnostic Testing
A patient involved in an automobile accident is brought to the ED
with tachypnea, tracheal deviation to the right, splinting,
asymmetrical chest movement, and decreased breath sounds on
the left side. The respiratory therapist should initially
A.insert a chest tube.
B.administer 100% oxygen via mask.
C.perform endotracheal intubation.
D.initiate non-invasive positive pressure ventilation. Correct
Answer B
section on Special Procedures
A 77-year-old male patient is admitted to the emergency room
with shortness of breath, fine basilar crackles, +2 pitting edema
and a chest radiogram with a butterfly pattern. These results are
most consistent with which of the following?
A.Pulmonary edema
B.Pulmonary interstitial emphysema
C.Pneumothorax
D.Emphysema Correct Answer A
section on Patient Assessment
,What is the total flow delivered to a patient receiving oxygen via
28% Venturi mask with the oxygen flowmeter set at 6 L/min?
Fine crepitant crackles are most commonly associated with which
of the following conditions?
A.Bronchitis
B.Pulmonary edema
C.Pneumonia
D.Foreign body aspiration Correct Answer B
section on Patient Assessment
A patient with end-stage pulmonary fibrosis receives oxygen at 2
L/min via transtracheal oxygen catheter. The patient complains of
increased work of breathing and shortness of breath. The
respiratory therapist should
A.manually ventilate the patient with a resuscitation bag.
B.increase the flow to the transtracheal catheter to 6 L/min.
C.evaluate the SpO2 with a pulse oximeter.
D.flush the transtracheal device with saline. Correct Answer D
section on General Patient Care
, During bedside monitoring, the respiratory therapist notices a
dampened waveform on the arterial line graphic. To restore the
graphic to normal, the therapist should first
A.verify the position of the transducer.
B.check the transducer dome for air bubbles.
C.flush the catheter with heparin solution.
D.attempt to draw blood from the arterial line. Correct Answer D
section on Patient Assessment
An optimal PEEP study is initiated for a patient receiving
mechanical ventilation. The respiratory therapist initiates PEEP of
10 cm H2O for 20 minutes with no adverse effects. The PEEP is
increased to 15 cm H2O and the patient's heart rate rises
significantly with a severe fall in the blood pressure. Based upon
the above information, the therapist should conclude that the
patient is suffering from
Following thoracotomy, a patient receives incentive spirometry
therapy Q2H. Her breath sounds are diminished in the bases of
the lungs with scattered crackles. The patient's inspiratory
capacity has decreased over the past 2 days. A chest radiograph
indicates thin-layered basilar densities. Which of the following has
most likely occurred?
A.Atelectasis
B.Pneumonia
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