1 | Page
1
C&S TMC EXAM 1 ONE NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH
RATIONALES | ALREADY GRADED A+||BRAND NEW
VERSION!!
A respiratory therapist is assisting a physician during a transtracheal
bronchoscopy. As the bronchoscope is advanced in the airways, the
above ECG tracing is observed on the patient's cardiac monitor. The RT
should recommend?
----Solution----
Administration of lidocaine.
After extubating a patient the RT observes the onset of inspiratory
stridor. After administering racemic epinephrine (vaponefrin), the
patient still has inspiratory stridor, but a lesser extent. The therapist
should now do what?
----Solution----
Continue with current therapy.
Prior to bronchodilator therapy, a patient is tachycardic and tachypneic
with bilateral inspiratory and expiratory wheezing. 30 minutes after the
administration of the bronchodilator, the patient has normal vital signs
and is resting comfortably. Which of the following has most clearly
improved?
----Solution----
11
pg. 1
,2|Page
Resistance to airflow
While monitoring a patient during a traditional t tube weaning trial with
an FiO2 of 0.40. the respiratory therapist records the following data:
-------------------------------------
Data prior to weaning 15 minutes after the start of weaning
Heart Rate
88/min 112/min
Respiratory Rate
12/min 24/min
PaCO2
37 mm Hg 54 mm Hg
PaO2
79 mm Hg 72 mm Hg
Which of the following actions would be appropriate at this time?
----Solution----
Reconnect the patient to the ventilator with prior settings.
If the flowmeter is set too low on high flow oxygen system, the RT
should expect ----Solution----
A decrease in inspired oxygen
,[Document title]
After a patient is placed in the head down position for postural drainage
of the right lower lobe, he begins to cough vigorously and becomes short
of breath. What should the RT do?
----Solution----
Sit patient up and reassure him coughing is normal.
Which of the following is best suitable for an adult patient requiring
long-term continuous ventilatory support?
----Solution----
A cuffed tracheostomy tube
Nasotracheal intubation would be preferred over oratracheal intubation
in which of the following clinical situations?
----Solution----
4; Repair of a fractured mandible-yes/no/no
The most important aspect regarding quality control for blood gas
analyst is that?
----Solution----
The blood gas analyzer always functions properly prior to patient sample
analysis
When using a non rebreathing oxygen mask, the flowmeter should be set
on?
----Solution----
, 4|Page
Where the bag does not deflate more than one third during inspiration
An ICU patient has been receiving potassium replacement therapy for
two days. The ECG rhythm shown above was recorded on the patients
cardiac monitor on day 2 treatment. Which of the following should the
RT initially recommend to further assess the patients clinical conditions?
----Solution----
Electrolytes
A RT is caring for a neonatal patient who has a transcutaneous PO2
electrode in place on the right chest. Over the last 6 hrs, the therapist
observes that the transcutaneous PO2 measurement has decreased from
79 mm Hg to 62 mm Hg. The most likely cause for this situation is
----Solution----
The neonates pulmonary condition has deteriorated
After being asked to take a breath , the patient states that he is unable to
take a deep breath. The RT would conclude that the patient is most
likely:
----Solution----
Uncooperative
A 52 yr old obese male in acute respiratory distress has just been
admitted to the ED. Physical examination reveals accessory ventilatory
muscle use, neck vein distension, and pedal edema. There is markedly
1
C&S TMC EXAM 1 ONE NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH
RATIONALES | ALREADY GRADED A+||BRAND NEW
VERSION!!
A respiratory therapist is assisting a physician during a transtracheal
bronchoscopy. As the bronchoscope is advanced in the airways, the
above ECG tracing is observed on the patient's cardiac monitor. The RT
should recommend?
----Solution----
Administration of lidocaine.
After extubating a patient the RT observes the onset of inspiratory
stridor. After administering racemic epinephrine (vaponefrin), the
patient still has inspiratory stridor, but a lesser extent. The therapist
should now do what?
----Solution----
Continue with current therapy.
Prior to bronchodilator therapy, a patient is tachycardic and tachypneic
with bilateral inspiratory and expiratory wheezing. 30 minutes after the
administration of the bronchodilator, the patient has normal vital signs
and is resting comfortably. Which of the following has most clearly
improved?
----Solution----
11
pg. 1
,2|Page
Resistance to airflow
While monitoring a patient during a traditional t tube weaning trial with
an FiO2 of 0.40. the respiratory therapist records the following data:
-------------------------------------
Data prior to weaning 15 minutes after the start of weaning
Heart Rate
88/min 112/min
Respiratory Rate
12/min 24/min
PaCO2
37 mm Hg 54 mm Hg
PaO2
79 mm Hg 72 mm Hg
Which of the following actions would be appropriate at this time?
----Solution----
Reconnect the patient to the ventilator with prior settings.
If the flowmeter is set too low on high flow oxygen system, the RT
should expect ----Solution----
A decrease in inspired oxygen
,[Document title]
After a patient is placed in the head down position for postural drainage
of the right lower lobe, he begins to cough vigorously and becomes short
of breath. What should the RT do?
----Solution----
Sit patient up and reassure him coughing is normal.
Which of the following is best suitable for an adult patient requiring
long-term continuous ventilatory support?
----Solution----
A cuffed tracheostomy tube
Nasotracheal intubation would be preferred over oratracheal intubation
in which of the following clinical situations?
----Solution----
4; Repair of a fractured mandible-yes/no/no
The most important aspect regarding quality control for blood gas
analyst is that?
----Solution----
The blood gas analyzer always functions properly prior to patient sample
analysis
When using a non rebreathing oxygen mask, the flowmeter should be set
on?
----Solution----
, 4|Page
Where the bag does not deflate more than one third during inspiration
An ICU patient has been receiving potassium replacement therapy for
two days. The ECG rhythm shown above was recorded on the patients
cardiac monitor on day 2 treatment. Which of the following should the
RT initially recommend to further assess the patients clinical conditions?
----Solution----
Electrolytes
A RT is caring for a neonatal patient who has a transcutaneous PO2
electrode in place on the right chest. Over the last 6 hrs, the therapist
observes that the transcutaneous PO2 measurement has decreased from
79 mm Hg to 62 mm Hg. The most likely cause for this situation is
----Solution----
The neonates pulmonary condition has deteriorated
After being asked to take a breath , the patient states that he is unable to
take a deep breath. The RT would conclude that the patient is most
likely:
----Solution----
Uncooperative
A 52 yr old obese male in acute respiratory distress has just been
admitted to the ED. Physical examination reveals accessory ventilatory
muscle use, neck vein distension, and pedal edema. There is markedly
