TMC (TMC)

NBRC Mock TMC Exam Review QUESTIONS WITH COMPLETE SOLUTIONS

A patient with an ideal body weight of 80-kg (176-lb) is being evaluated for cessation of mechanical ventilation. The following weaning parameters and clinical data are available: Vital Capacity 1.2 L RSBI 50 Spont VT 400 mL Resp Rate 20/min Which of the parameters is the most reliable indicator that the patient is ready for cold cessation of mechanical ventilation? A. VC B. RSBI C. RR D. Spont VT correct answer: The correct answer is : B Explanation : The rapid shallow b...

4 critical life functions correct answer: 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion Findings that indicate patient's fluid intake exceeds urine output correct answer: 1. Weight gain 2. Electrolyte imbalance 3. Increased hemodynamic pressures 4. Decreased lung compliance Reading that indicates hypovolemia correct answer: CVP < 2 mmHg Reading that indicates hypervolemia correct answer: CVP > 6 mmHg Semicomatose correct answer: Responds only to painful ...

A patient Who has mild strider following endotracheal extubation would benefit most from which of the following? correct answer: Racemic epinephrine Which of the following is most indicative of a pulmonary embolism correct answer: Increase PAP, decreased PCWP A patient receiving mechanical ventilation has receive Halcion in the last 20 minutes. The physician orders the institution of spontaneous breathing trial to commence immediately. Which of the following medications would be helpful ...

Which of the following tests would be most useful in diagnosing a pulmonary emboli? a. Chest x-ray b. PFT c. Ventilation-perfusion scan (V/Q) d. ABG correct answer: c. V/Q scan it would show a lack of blood flow in the affected region of the pulmonary circulation While examining a patient in the ICU, you note that he appears somewhat edematous, and the nurse has indicated that the patient's urine output is "minimal." In which section of the record would you find the patient's fl...

A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is 20 bpm. The therapist should immediately. A. Confirm DNR status B. Go get help C. Begin rescue ventilation D. Begin chest compressions correct answer: Confirm DNR status Which of the following clinical observations is most commonly associated with right heart failure? A Peripheral edema ...

You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the following would be the most likely cause of this change? Select one: A. development of pulmonary edema B. water accumulation in the ventilator circuit C. partial obstruction of the endotracheal tube D. development of bronchospasm correct answer: An increase in the plateau pressure relati...

The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency correct answer: a. manual dexterity Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchoscopy correct answer: d. bronch...

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with correct answer: heart failure 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/mi...

Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC correct answer: c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume correct answer: b. residual volume Which of the following approaches can be used...