TMC EXAM LATEST ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

TMC EXAM LATEST 2023-2024 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+


Change to airway pressure release ventilation - ANSWER-A 60 kg (132 lb)
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patient is being mechanically ventilated with the following settings: VC, A/C;
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VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2O PEEP. The
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patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A
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current chest x-ray shows diffuse bilateral infiltrates. Which of the following
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is the most appropriate action in order to reduce peak airway pressure?
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2, 3 & 4 - ANSWER-While performing diagnostic chest percussion, the
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respiratory therapist notes decreased resonance to percussion. Which of
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the following are potential causes of this finding?.
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1. pneumothorax

2. pleural effusion v




3. pneumonia

4. atelectasis



Persistent bronchopleural fistula - ANSWER-A post-operative patient on
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volume-control ventilation has a chest tube in the left pleural space. While
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inspecting the chest drainage system, the respiratory therapist notes
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, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
bubbling in the water seal chamber during the inspiratory phase. The
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therapist should report this to the physician:
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Increase the FiO2 - ANSWER-A post-operative patient is receiving
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mechanical ventilation in the ICU at the following settings: VC, A/C; VT550
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mL, respiratory rate 14/min, FIO2 0.50 and 10 cm H2O PEEP. Bedside
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monitoring results demonstrate that the PvO2 is 33 mm Hg and the SpO2
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v is 90%. The patient is alert and oriented with stable vital signs. Which of the
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following should the respiratory therapist recommend?
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1, 2 & 3 - ANSWER-After assisting with bronchoalveolar lavage and lung
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biopsy on a mechanically ventilated patient, the respiratory therapist notes
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the activation of a high pressure alarm. Peak inspiratory pressure has
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increased from 32 cm H2O before the procedure to 45 cm H2O after the
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procedure. Possible causes for the increased pressure include
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1. bronchospasm

2. pneumothorax.

3. pulmonary hemorrhage. v

, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
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year-old male is orally intubated and continuous mechanical ventilation is
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initiated. Physical assessment of the neck and chest reveal a midline
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trachea and significant reduction in thoracic expansion of the left chest.
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There are diminished breath sounds in the left lung compared to the right
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lung. These findings most likely indicate which of the following?
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Tube is not of the appropriate size - ANSWER-A 42 year-old trauma patient
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in the ED has been intubated with a 6.5 mm oral endotracheal tube
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equipped with a high-residual-volume, low-pressure cuff. The respiratory
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therapist notes that a cuff pressure of 42 cm H2O is necessary to achieve a
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minimal occluding volume. This would indicate that the:
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Recalibrate the blood analyzer - ANSWER-A new blood gas analyzer is
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calibrated by the manufacturer at sea level. Upon receiving the new
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analyzer at a higher altitude, a respiratory therapist should:
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Mean Airway Pressure - ANSWER-While receiving an FIO2 of 1.0 and a
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tidal volume of 400 mL during volume-controlled ventilation, a 60-kg (132-
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lb) patient is having difficulty achieving adequate oxygenation. To improve
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, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
oxygenation, a respiratory therapist should manipulate ventilator settings to
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increase which of the following?
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Increase the IPAP - ANSWER-A patient is receiving noninvasive positive
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pressure ventilation. Pulmonary compliance has decreased over the past 4
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hours. To increase the patient's tidal volume, it would be most appropriate
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to:
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Fifth intercostal space in mid-axillary line - ANSWER-A respiratory therapist
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is reviewing a chest radiograph and notes the presence of a chest tube.
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The patient has a hemothorax. Which of the following locations is most
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appropriate for this chest tube to be placed?
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Administering ipratropium bromide (atrovent) - ANSWER-A patient with
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COPD is receiving mechanical ventilation. The patient continues to wheeze
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despite treatment with albuterol. Peak airway pressure is increased with no
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change in plateau pressure. A respiratory therapist should recommend:
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MIP - ANSWER-Which of the following should be used to determine the
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return of a postoperative patient's ability to breathe adequately after
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anesthesia?
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