TMC PRACTICE PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ After a patient undergoes a thoracentesis, the respiratory therapist notes that
the obtained pleural fluid is clear with a slight straw color. This fluid is most
likely the result of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax..
Answer: B.
◍ Which of the following would be most important to evaluate for a patient
who is entering a smoking cessation program?
A. Height
B. Smoking history
C. Weight
D. Diet.
Answer: B.
◍ 1. A patient's sputum is purulent, green in appearance, has separated into
layers, and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis.
Answer: D. Bronchiectasis
◍ The respiratory therapist is calibrating a spirometer and checking the
volume with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8
, L, and 2.8
L. Based upon the information obtained which of the following is a correct
statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak.
Answer: D.
◍ Which of the following is an indication for high frequency jet ventilation?
A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema.
Answer: A.
◍ A 43-year-old female patient has just undergone a total abdominal
hysterectomy. The patient arrives in the post anesthesia care unit obtunded
with minimal response to painful stimulus. What treatment should the
respiratory therapist recommend for this patient?
A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography.
Answer: B.
◍ 2. A patient in the ICU complains of light headedness, nausea, and chest
pains. The patient is diaphoretic and has a blood pressure of 90/60mmHg.
What should the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine.
Answer: B. Cardioversion
,◍ 3. A patient with Guillain-Barre syndrome has a vital capacity of 625m
L. An RT should recommend which of the following be performed FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study.
Answer: A. MIP
◍ A 44 week gestational age infant has just been delivered via C-section and is
gasping, grunting, and has tachycardia and tachypnea. At one minute his
Apgar score is 4 and at 5 minutes the score is 5. The infant is most likely
suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity..
Answer: B
◍ What is the normal VD/VT ratio for a patient breathing room air?
A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
D. 65 - 75%.
Answer: B.
◍ 4. Which of the following beside pulmonary function testing results for a
patient with multiple sclerosis most strongly indicates the need for
ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg.
Answer: D. Vital capacity of 5mL/kg
◍ A heat moisture exchanger is indicated for humidification in which of the
, following situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators..
Answer: B.
◍ 5. A 23-year-old patient is in moderate respiratory distress while receiving
oxygen.ABG=7.42/ 31/ 38/ 20/ -3/ 71%How should these results be
interpreted?.
Answer: Chronic Respiratory Alkalosis with severe hypoxemia
◍ All of the following could cause a patient's right-hemidiaphragm to be
elevated, EXCEPT
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms..
Answer: B.
◍ 6. What is the patient's TLC?Vital Capacity= 3.6LFRC= 6.0 LERV = 1.0.
Answer: 8.6
◍ 7. A COPD patient becomes hypotensive following a drug overdose.
Following intubation VC A/C ventilation should be initiated with which of
the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0.
Answer: D. 1.0
◍ 8. A patient has been receiving VC ventilation for 24 hours. A respiratory
therapist is called to the bedside because the high pressure alarm is sounding
with each breath. What should the RT do first?.
Answer: Manually ventilate the patient
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ After a patient undergoes a thoracentesis, the respiratory therapist notes that
the obtained pleural fluid is clear with a slight straw color. This fluid is most
likely the result of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax..
Answer: B.
◍ Which of the following would be most important to evaluate for a patient
who is entering a smoking cessation program?
A. Height
B. Smoking history
C. Weight
D. Diet.
Answer: B.
◍ 1. A patient's sputum is purulent, green in appearance, has separated into
layers, and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis.
Answer: D. Bronchiectasis
◍ The respiratory therapist is calibrating a spirometer and checking the
volume with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8
, L, and 2.8
L. Based upon the information obtained which of the following is a correct
statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak.
Answer: D.
◍ Which of the following is an indication for high frequency jet ventilation?
A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema.
Answer: A.
◍ A 43-year-old female patient has just undergone a total abdominal
hysterectomy. The patient arrives in the post anesthesia care unit obtunded
with minimal response to painful stimulus. What treatment should the
respiratory therapist recommend for this patient?
A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography.
Answer: B.
◍ 2. A patient in the ICU complains of light headedness, nausea, and chest
pains. The patient is diaphoretic and has a blood pressure of 90/60mmHg.
What should the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine.
Answer: B. Cardioversion
,◍ 3. A patient with Guillain-Barre syndrome has a vital capacity of 625m
L. An RT should recommend which of the following be performed FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study.
Answer: A. MIP
◍ A 44 week gestational age infant has just been delivered via C-section and is
gasping, grunting, and has tachycardia and tachypnea. At one minute his
Apgar score is 4 and at 5 minutes the score is 5. The infant is most likely
suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity..
Answer: B
◍ What is the normal VD/VT ratio for a patient breathing room air?
A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
D. 65 - 75%.
Answer: B.
◍ 4. Which of the following beside pulmonary function testing results for a
patient with multiple sclerosis most strongly indicates the need for
ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg.
Answer: D. Vital capacity of 5mL/kg
◍ A heat moisture exchanger is indicated for humidification in which of the
, following situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators..
Answer: B.
◍ 5. A 23-year-old patient is in moderate respiratory distress while receiving
oxygen.ABG=7.42/ 31/ 38/ 20/ -3/ 71%How should these results be
interpreted?.
Answer: Chronic Respiratory Alkalosis with severe hypoxemia
◍ All of the following could cause a patient's right-hemidiaphragm to be
elevated, EXCEPT
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms..
Answer: B.
◍ 6. What is the patient's TLC?Vital Capacity= 3.6LFRC= 6.0 LERV = 1.0.
Answer: 8.6
◍ 7. A COPD patient becomes hypotensive following a drug overdose.
Following intubation VC A/C ventilation should be initiated with which of
the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0.
Answer: D. 1.0
◍ 8. A patient has been receiving VC ventilation for 24 hours. A respiratory
therapist is called to the bedside because the high pressure alarm is sounding
with each breath. What should the RT do first?.
Answer: Manually ventilate the patient
