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Exam (elaborations)

TMC Practice Exam

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  • TMC
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Exam of 16 pages for the course TMC at TMC (TMC Practice Exam)

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  • March 17, 2025
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TMC
  • TMC

1  review

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By: TESTBANKONLINESHOP • 3 weeks ago

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ESTEEMEDTESTBANKS
TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l




CORRECT ANSWERS 2023- l l




2024/ DOWNLOAD TOSCORE A+
l l l l




Thelpatient'sllunglhaslanlairlleaklCorrectlAnswer:llYoularelcalledltolthelemergencyldepartmentltolhel
plcarelforlalpatientlwholwaslinlalvehiclelaccidentlandlhaslchestlinjurieslincludinglbrokenlribs.lCrepit
ationslarelfeltlwhilelpalpitatinglthelpatient'slneck.lWhatlislmostllikelylthelcauseloflthis?

ReversiblelairwaylobstructionlCorrectlAnswer:lAlforcedlexpiratorylmeasurementlobtainedlafterlthela
dministrationloflalbronchodilatorlshowslanlincreaselinlFEV1lfroml60%ltol80%loflpredicted.lThislindi
catesla:

completelairwaylobstructionlCorrectlAnswer:l Duringlcapnographylmonitoringloflalmechanicallylve
ntilatedlpatient,lyoulnotelthatlthelend-
tidallPCO2l(PetCO2)lhasldroppedltol0lmmlHg.lThislfindinglmaylindicate:

insertinglanlesophageal-
tracheallcombitubelCorrectlAnswer:lAnlunconsciouslapneiclpatientlwithlalfulllstomachlcannotlbel
orallylintubatedlinlthelemergencylroom.lWhichloflthelfollowinglwouldlyourlrecommendlbe?

patientslsizelandlclinicallconditionlCorrectlAnswer:l Whilelestablishinglinitiallventilatorylsup
portlsettingslforlalnewlpatient,lthelmostlimportantlconsiderationlislthe:

Feverl(hyperthermia)lCorrectlAnswer:l AlmalelpatientlhaslallowerlthanlnormallmixedlvenouslO2lcont
ent.lWhichloflthelfollowinglislthelmostllikelylcauseloflthislcondition?

applyl5-
10lcmlH20lpressurelsupportlCorrectlAnswer:l Youlareltryingltolweanlanlalertlintubatedlpatientlofflful
llventilatorylsupportlusinglthelCPAPlprotocollwithl40%lO2.lEarlylinlthelinitialleffortlherlrespiratoryl
ratelincreaseslfroml24ltol30/minlandlyoulstartltolobservelsomeluseloflherlaccessorylmuscleslwhilelbr
eathing.lWhichloflthelfollowinglwouldlbelyourlfirstlactionlatlthisltime?

70lminuteslCorrectlAnswer:lWhatlislthelapproximateldurationloflflowloflanloxygenlE-
cylinderlatl1000lpsilrunninglatl4lL/min?

increaselthelsuctionlpressureltol-
120lmmlHglCorrectlAnswer:l WhilelusinglalYankauerldeviceltolsuctionlanladultlpatient,lyoularelunabl
eltolremovelthicklsecretions.lThelregulatorlattachedltoltheloropharyngeallsuctioningldeviceldisplaysl
alreadinglofl-70lmmlHg.lWhichloflthelfollowinglactionslshouldlyoultakelatlthisltime?

almissinglleadlCorrectlAnswer:lWhilelsettingluplal12-
leadlEKGlonlalpatient,lyoularelunablelobtainlanylelectricallsignal.lThelbatterieslarelfullylchargedlandl
theldevicelwaslableltolpower-on.lThelmostllikelylcauseloflthislproblemlislwhichloflthelfollowing?

, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l




CORRECT ANSWERS 2023- l l




2024/ DOWNLOAD TOSCORE A+
l l l l




angiographylCorrectlAnswer:l Whichloflthelfollowinglimaginglprocedureslislusedltolevaluatelthelarte
rieslforlabnormalitieslsuchlaslaneurysm,latherosclerosis,lembolism,locclusion,lstenosis,lthrombosis,l
trauma,lorlvasculitis?

haslsmokedlwithinlthelpriorl12-
24lhourslCorrectlAnswer:lYoulobtainlanlexpiredlcarbonlmonoxidel(CO)lreadinglofl18lppmlonlalCOP
Dlpatientlparticipatinglinlalpulmonarylrehabilitationlprogram.lBasedlonlthislfinding,l youlcanlconclud
elthatlthelpatient:

decreaselinlO2lsaturationlfroml91%ltol82%lCorrectlAnswer:lWhilelmonitoringlalpatientlduringlalspo
ntaneouslbreathingltrial,lwhichloflthelfollowinglobservationslwouldlcauselyoultolstopltheltriallandlret
urnlthelpatientltolventilatorylsupport?

increasedlventilationlCorrectlAnswer:l YourlpatientlislreceivinglvolumelcontrollA/Clventilation.lShe
lhaslbecomelincreasinglyl agitatedlandlthelend-

tidallCO2lhasldecreasedlfroml38ltol27ltorrloverlthellastl3lhours.lWhichloflthelfollowinglislmostllikelylt
helcause?

3500lmLlCorrectlAnswer:l Alnormallvitallcapacitylforlalfemalelpatientlwholislfivelfeetlthreelinche
sltalllandlweighslfiftylkilogramslwouldlbelapproximately:

thelsensitivitylCorrectlAnswer:lAnlasthmaticlpatientlislstrugglingltolinitiatelinspirationlonlalventilat
orloperatinglinlthelassist-
controllmode.lWhichloflthelfollowinglventilatorlsettingslwouldlyoulfirstlchecklinlorderltolresolveloflt
hislproblem?

atriallfibrillationlCorrectlAnswer:l Onlinspectionloflalpatient'slEKGlstrip,l youlnotelthatltherelarelnolid
entifiablelPlwaves;lrapidlirregularlundulationsloflthelisoelectriclline;landlanlirregularlventricularlrhyt
hm.lInladdition,lthelprecordiallcardiaclratelislgreaterlthanlthelperipherallpulselrate.lWhatlislthelmostlli
kelylproblem?

VitallCapacityl(VC)lCorrectlAnswer:lWhichloflthelfollowinglislthelbestlbedsidelmeasurementlforlas
sessinglthelintegratedlfunctionloflthelrespiratorylmuscleslandlmechanicallpropertiesloflthellungslandl
thorax?

SinuslTachycardialCorrectlAnswer:lWhilelinspectinglanlEKGlrhythmlstriplfromlanladultlpatient,lyo
ulnotelthelfollowing:lratelofl148;lregularlrhythm;lnormallPlwaves,lP-
Rlintervals,landlQRSlcomplexes.lWhatlislmostllikelylthelproblem?

whetherlthelpatientlislstablelonllowlFiO2slandlPEEPlCorrectlAnswer:lWhichloflthelfollowinglislalprer
equisitelforldischarginglalventilator-dependentlpatientltolthelhomecarelsetting?

, TMC RRT EXAM 160 QUESTIONS WITH 100%
l l l l l l




CORRECT ANSWERS 2023- l l




2024/ DOWNLOAD TOSCORE A+
l l l l




allargelvolumel(3lL)lcalibrationlsyringelCorrectlAnswer:l Youlwouldlneedlwhichloflthelfollo
winglequipmentlinlorderltolcalibratelalportablelbedsidelspirometer?

Ventilator-
associatedlpneumonial(VAP)lCorrectlAnswer:lAlphysicianlorderslalblindlbronchoalveolarllavag
elprocedurelforlalpatientlinlintensivelcarelunit.lWhatlislthelmostllikelylpotentialldiagnosislthatlthel
doctorlisltryingltolconfirmlwithlthislprocedure?

crouplCorrectlAnswer:lAnlAPlX-rayloflal4-year-
oldlchildlwithlwheezinglandlstridorlshowslanlarealoflprominentlsubglotticledema,lbutlthellaterallnec
klX-raylappearslnormal.lThelmostllikelylproblemlis?

sternocleidomastoidlmuscleslusedlatlrestlCorrectlAnswer:lIflnotedlonlinspiration,lwhichloflthelfollo
winglrespiratorylsignsloflanladultlpatientlwouldlbelconsideredlabnormal?

betweenlthel2ndlandl4thlthoraciclvertebralCorrectlAnswer:lWhilelreviewinglthelchestlX-rayloflal30-
year-
oldlmalelreceivinglventilatorylsupportlvialanlorallendotrachealltube.lTolassurelproperlplacementloflth
eltube,l youlwouldllooklforlitsltipltolbelpositioned

pulselesslventricularltachycardialCorrectlAnswer:l Defibrillationlshouldlbeldonelimmediatelylinlwh
ichloflthelfollowinglpatientlsituations?

variablelflowlcontrollandladjustablelI:ElratioslCorrectlAnswer:lAnlintubatedladultl65-year-
oldlmalelpatientlwithlseverelexpiratorylairwaylobstructionlrequireslventilatorylsupport.lWhichloflthel
followinglcapabilitieslwouldlbelmostlimportantlinlselectinglalventilatorlforlthislpatient?

thelpatientlcannotlsustainlprolongedlspontaneouslventilationlCorrectlAnswer:l Yoularelcalledltolobt
ainlalbedsidelvitallcapacityl(VC)lofl450lmllonlal122llblfemalelpatientlreceivinglventilatorylsupportlin
lthelCMVlmode.lWhichloflthelfollowinglcanl youldrawlfromlthisl finding?




hyperventilation/hypocapnialCorrectlAnswer:l Whichloflthelfollowinglislthelmostlcommonlpro
blemlencounteredlwhenlapplyinglassist-controllmodelduringlventilation?

flowmeter-
humidifierlconnectionlforlleakslCorrectlAnswer:lAlbubblelhumidifierlislnotlbubblinglduringloxygenlt
herapy,ldespitelthelflowmeterlsetlandlrunninglatl5lL/min.lWhichloflthelfollowinglshouldlyoulcheck?

bronchospasmlCorrectlAnswer:lWhichloflthelfollowinglwouldlcauselanlincreaselinlalpatient'slpeakla
irwaylpressurelwhilelreceivinglvolumelcontrollventilation?

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