TMC 2020 → 2026: NEXT-GEN A+ PREP –
UPDATED CONTENT, SMARTER
QUESTIONS, FASTER RESULTS
A patient on VC ventilation has demonstrated auto-PEEP on
ventilator graphics. Which of the following controls, when
adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - THE CORRECT ANSWER-1, 2, and 3 only
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?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - THE CORRECT ANSWER-Insert a chest tube
A 55 year-old post cardiac surgery 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.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - THE CORRECT ANSWER-5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - THE CORRECT ANSWER-50 mL/cm H2O
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 86%. Which of the following would
be most appropriate at this time?
,A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - THE CORRECT ANSWER-reintubation
Which of the following patients would most likely benefit from
pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of
24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory
support. - THE CORRECT ANSWER-A patient on SIMV with a set rate
of 12/min and total rate of 24/min.
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?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. - THE CORRECT ANSWER-Obtain a sputum
gram stain.
, 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 - THE CORRECT ANSWER-1 and 2 only
The respiratory therapist is providing patient education for a
patient who is being discharged home on aerosol therapy. The
most important reason for the patient to follow the
recommended cleaning procedures using a vinegar/water
solution is that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. - THE CORRECT ANSWER-Retard
bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there
is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering
from
A. pneumonia.
UPDATED CONTENT, SMARTER
QUESTIONS, FASTER RESULTS
A patient on VC ventilation has demonstrated auto-PEEP on
ventilator graphics. Which of the following controls, when
adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - THE CORRECT ANSWER-1, 2, and 3 only
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?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - THE CORRECT ANSWER-Insert a chest tube
A 55 year-old post cardiac surgery 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.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - THE CORRECT ANSWER-5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - THE CORRECT ANSWER-50 mL/cm H2O
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 86%. Which of the following would
be most appropriate at this time?
,A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - THE CORRECT ANSWER-reintubation
Which of the following patients would most likely benefit from
pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of
24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory
support. - THE CORRECT ANSWER-A patient on SIMV with a set rate
of 12/min and total rate of 24/min.
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?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. - THE CORRECT ANSWER-Obtain a sputum
gram stain.
, 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 - THE CORRECT ANSWER-1 and 2 only
The respiratory therapist is providing patient education for a
patient who is being discharged home on aerosol therapy. The
most important reason for the patient to follow the
recommended cleaning procedures using a vinegar/water
solution is that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. - THE CORRECT ANSWER-Retard
bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there
is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering
from
A. pneumonia.
