TMC PRACTICE EXAM 2026 SCRIPT
FEATURING FULL QUESTION SET AND
ACCURATE ANSWERS
⫸ Which of the following would be the most appropriate therapy for a
dyspneic patient who has crepitus with tracheal deviation to the left and
absent breath sounds on the right? Answer: A. Perform chest
physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
*D. Insert a chest tube
⫸ Following cardiac surgery, a 55 year-old patient has the following
ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL, BE +2. Venous blood gas results are pH 7.39,
PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's
C(a-v)O2. Answer: A. 2.5 vol%
B. 4.0 vol%
*C. 5.0 vol%
D. 5.5 vol%
⫸ Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
76%. Which of the following would be most appropriate at this time?
Answer: A. Cool mist aerosol treatment
B. Aerosolized racemic epinephrine
, C. Manual ventilation with resuscitation bag and mask
*D. Reintubation
⫸ A patient receiving mechanical ventilation has developed a
temperature of 99.9° F with purulent secretions over the last 12 hours.
The respiratory therapist has also noted a steady increase in peak
inspiratory pressure. What initial recommendation should be made to
address these changes? Answer: *A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
⫸ Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV Answer: *A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only
⫸ The respiratory therapist provides education for a patient who is
being discharged home on aerosol therapy. The most important reason
FEATURING FULL QUESTION SET AND
ACCURATE ANSWERS
⫸ Which of the following would be the most appropriate therapy for a
dyspneic patient who has crepitus with tracheal deviation to the left and
absent breath sounds on the right? Answer: A. Perform chest
physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
*D. Insert a chest tube
⫸ Following cardiac surgery, a 55 year-old patient has the following
ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL, BE +2. Venous blood gas results are pH 7.39,
PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's
C(a-v)O2. Answer: A. 2.5 vol%
B. 4.0 vol%
*C. 5.0 vol%
D. 5.5 vol%
⫸ Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
76%. Which of the following would be most appropriate at this time?
Answer: A. Cool mist aerosol treatment
B. Aerosolized racemic epinephrine
, C. Manual ventilation with resuscitation bag and mask
*D. Reintubation
⫸ A patient receiving mechanical ventilation has developed a
temperature of 99.9° F with purulent secretions over the last 12 hours.
The respiratory therapist has also noted a steady increase in peak
inspiratory pressure. What initial recommendation should be made to
address these changes? Answer: *A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
⫸ Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV Answer: *A. 1 and 2 only
B. 1 and 3 only
C. 2 and 4 only
D. 3 and 4 only
⫸ The respiratory therapist provides education for a patient who is
being discharged home on aerosol therapy. The most important reason
