LINDSEY JONES TMC COMPREHENSIVE
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND VERIFIED SOLUTIONS 100% CORRECT
⩥ Prior to obtaining an MEP value with a pressure manometer, the
respiratory therapist notes the needle is pointing at a positive pressure of
-4 cmH2O prior to the maneuver. During the MEP maneuver, the needle
reaches 32 cmH2O. The therapist should
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director. Answer: B. record an
MEP of 36 cmH2O
⩥ Which of the following is the most significant complication of
bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
D. hypotension. Answer: C. laryngospasms
,⩥ A patient has the following input/output history and other clinical
information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
These data would result in which of the following?
A. increase in PCWP
B. increase in PAP
C. decrease in PVR
D. increase in SVR. Answer: D. increase in SVR
This question is tricky. The first observation one must make is that the
patient is putting out more fluid than he is taking in. This will result in
dehydration and a decrease in all hemodynamic values including cardiac
,output. If cardiac output is decreased, systemic vascular resistance will
increase. One must know the formula for systemic vascular resistance in
order to understand this. Systemic vascular resistance is determined by
subtracting CVP from MAP and dividing it by cardiac output. If cardiac
output is decreased then the final SVR number will increase.
⩥ Which of the following would result in an increase in pulmonary
capillary wedge pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale. Answer: B. mitral valve stenosis
⩥ During a difficult intubation, the emergency room physician requests
an endotracheal tube that is smaller than recommended for the patient's
height and ideal body weight. As a result, the respiratory therapist should
anticipate
A. a decrease in static compliance
B. increase in PAW
C. an increase in RAW
D. increased I:E ratio. Answer: C. an increase in RAW
, ⩥ The results of a V/Q scan shows poor perfusion with adequate
ventilation. A chest radiograph shows a wedge-shaped infiltrate over the
right lung field. The patient most likely has
A. a pulmonary embolism
B. ARDS
C. pneumonia
D. fluid overload. Answer: A. a pulmonary embolism
⩥ A pulse oximeter reading is significantly less than oxygen saturation
by blood gas. Which of the following could be the cause?
A. increased SVR
B. decreased QsQt
C. decreased CVP
D. marked hypotension. Answer: D. marked hypotension
⩥ An adult post-op patient is unable to get any of the balls to rise on an
incentive spirometer, in spite of reports of her best effort. The therapist
should
A. switch to IPPB by mask
B. discontinue therapy and report the problem to the physician
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND VERIFIED SOLUTIONS 100% CORRECT
⩥ Prior to obtaining an MEP value with a pressure manometer, the
respiratory therapist notes the needle is pointing at a positive pressure of
-4 cmH2O prior to the maneuver. During the MEP maneuver, the needle
reaches 32 cmH2O. The therapist should
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director. Answer: B. record an
MEP of 36 cmH2O
⩥ Which of the following is the most significant complication of
bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
D. hypotension. Answer: C. laryngospasms
,⩥ A patient has the following input/output history and other clinical
information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
These data would result in which of the following?
A. increase in PCWP
B. increase in PAP
C. decrease in PVR
D. increase in SVR. Answer: D. increase in SVR
This question is tricky. The first observation one must make is that the
patient is putting out more fluid than he is taking in. This will result in
dehydration and a decrease in all hemodynamic values including cardiac
,output. If cardiac output is decreased, systemic vascular resistance will
increase. One must know the formula for systemic vascular resistance in
order to understand this. Systemic vascular resistance is determined by
subtracting CVP from MAP and dividing it by cardiac output. If cardiac
output is decreased then the final SVR number will increase.
⩥ Which of the following would result in an increase in pulmonary
capillary wedge pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale. Answer: B. mitral valve stenosis
⩥ During a difficult intubation, the emergency room physician requests
an endotracheal tube that is smaller than recommended for the patient's
height and ideal body weight. As a result, the respiratory therapist should
anticipate
A. a decrease in static compliance
B. increase in PAW
C. an increase in RAW
D. increased I:E ratio. Answer: C. an increase in RAW
, ⩥ The results of a V/Q scan shows poor perfusion with adequate
ventilation. A chest radiograph shows a wedge-shaped infiltrate over the
right lung field. The patient most likely has
A. a pulmonary embolism
B. ARDS
C. pneumonia
D. fluid overload. Answer: A. a pulmonary embolism
⩥ A pulse oximeter reading is significantly less than oxygen saturation
by blood gas. Which of the following could be the cause?
A. increased SVR
B. decreased QsQt
C. decreased CVP
D. marked hypotension. Answer: D. marked hypotension
⩥ An adult post-op patient is unable to get any of the balls to rise on an
incentive spirometer, in spite of reports of her best effort. The therapist
should
A. switch to IPPB by mask
B. discontinue therapy and report the problem to the physician
