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KETTERING TMC [2026/2027] UPDATED VERSION | VERIFIED QUESTIONS

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Prepare for the Kettering TMC Exam – 2026/2027 Updated Version with a comprehensive Respiratory Therapy Multiple-Choice (TMC) Exam Study Guide and Practice Question Resource. This resource features original TMC-style practice questions with correct answers and detailed rationales designed to strengthen clinical reasoning, patient assessment, and respiratory-care decision-making. Topics include airway management, oxygen therapy, arterial blood gas interpretation, acid-base balance, mechanical ventilation, ventilator settings and troubleshooting, pulmonary function testing, respiratory pharmacology, airway clearance techniques, cardiopulmonary assessment, neonatal and pediatric respiratory care, emergency respiratory interventions, hemodynamic monitoring, infection prevention, and patient safety. Ideal for respiratory therapy students, TMC candidates, CRT applicants, RRT candidates, and NBRC examination preparation.

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KETTERING TMC [2026/2027]

UPDATED VERSION |

VERIFIED QUESTIONS


KETTERING TMC PRACTICE
EXAM 2026



A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist
discovers that breath sounds are absent in the left chest with a
hyperresonant percussion note. The trachea is shifted to the
right. The patient's heart rate is 45/min, respiratory rate is
30/min, and blood pressure is 60/40 mm Hg. What action
should the therapist recommend first? - CORRECT
ANSWER -Needle aspirate the 2nd left intercostal space.

,A healthy adult female can exhale what portion of her forced
vital capacity in the first second? - CORRECT ANSWER -
70%

A pulse oximeter provides an accurate indication of a patient's
oxygenation status in which of the following situations?



1. Polycythemia

2. Pulmonary hypertension

3. Congestive heart failure

4. Carbon monoxide poisoning - CORRECT ANSWER -C.



1, 2, & 3 only



What increase in FEV1 during post-bronchodilator spirometry
is needed to confirm reversibility of an obstructive pattern? -
CORRECT ANSWER -12% and 200 mL

,Which of the following should the respiratory therapist utilize
in order to determine the severity of respiratory distress in a
newborn? - CORRECT ANSWER -Silverman score



While administering 3.5 mg of albuterol to a patient with
asthma in the ICU, the respiratory therapist notes that the
patient's heart rate increases from 120 to 150 beats/minute.
What is the appropriate modification for the next treatment for
this patient? - CORRECT ANSWER -Reduce the dose of
albuterol.




A patient on VC ventilation demonstrates 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 - CORRECT ANSWER -*A. 1, 2, and 3 only



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 mandatory rate of
12/min and total rate of 24/min. C.



A patient with acute lung injury.

D.

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