TMC Exam Review
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1. A respiratory therapist is assisting a D. Colormetric capnography
physician with endotracheal intuba-
tion. Which of the following should be assesses the presence of CO2 and provides confir-
used INITIALLY to confirm tracheal in- mation of tracheal intubation when CO2 is detect-
tubation ? ed
A. cm marking of ET tube
B. observe condensation in the tube
C. pulse oximetry
D. Colorimetric capnography
2. A respiratory therapist is asked to re- C. 6 & 10
view a newborn's history. The follow-
ing information is available about the acrocyanosis = 1, Hr of 70 = 1, cough = 2, weak
first few minutes after birth : activity = 1, RR of 20 = 1.
1 min - acrocyanosis, 70/min, cough, pink = 2, HR of 110 = 2, cough = 2, active motion =
weak muscle tone, RR 20 2, RR of 40 = 2
5 min - pink - 110/min, cough, active
motion, RR 40/min
A. 4 & 8
B. 5 & 8
C. 6 & 10
D. 7 & 10
3. A 58 year old female was diagnosed b. airway clearance therapy
with bronchiectasis 3 years ago. She
reports increased cough and difficul- the history, clinical presentation, and chest radi-
ty clearing secretions for the past 4 ograph findings suggest worsening bronchiecta-
weeks. A chest radiograph shows no sis. the treatment of bronchiectasis includes tech-
significant changes. Which of the fol- niques to loosen and mobilize viscid secretions.
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lowing should the respiratory thera- postural drainage ( + HFCWO) enhances sputum
pist recommend FIRST ? clearance
a. transtracheal aspiration
b. airway clearance therapy
c. bronchodilator treatments
d. respiratory isolation
4. A 24 year old female is diagnosed C. instruct the patient to use albuterol 15 mins
with exercise-induced asthma and al- before exercising
buterol pro is ordered. A respiratory
therapist should NEXT Patient understanding of their disease process and
triggers is important part of patient education,
a. refer patient for allergy skin testing as well as knowing when and which medication
b. educate the patient on obtaining should be taken.
daily peak flow measurements
c. instruct the patient to use albuterol
15 minutes before exercising
d. suggest the patient use purse lip
breathing while exercising
5. In which of the following circum- B. absolute humidity at this temperature is inade-
stances with tracheal secretions tend quate
to dry in an intubated patients ?
A. a water vapor pressure of 47 a water vapor pressure of 47 mmHg provides 100%
mmHg humidity at body temperature
B. a relative humidity of 100% at 22*C
a dew point of 37*C(98.6*F) indicates the gas is
( 71.6* F)
completely saturated at that temperature
C. a dew point of 37*C (98.6*F)
D. an absolute humidity of 44 mg/L
the absolute tracheal humidity must be grater than
or equal to 30 mg/L
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6. Prior to suction the ET tube of an adult B. the FiO2 should be increased prior to each suc-
patient who is receiving ventilation tioning attempt to minimize hyperoxemia
with an Fio2 of 40%, a respiratory ther-
apist should FIRST
lubrication of catheter is not necessary unless na-
a. lubricate the catheter sotracheal suctioning will be performed
b. hyper oxygenate the patient
sterile suction catheters do not need to be
c. cleanse the catheter with water
cleansed prior to use
d. administer an FiO2 of 40% by
T-piece
administration of the same fiO2 without positive
pressure will compromise the patient's oxygena-
tion and ventilation
7. A 25 year old patient with apnea is re- a. set inspiratory pressure
ceiving PC ventilation. An ABG analy- ^-- in PC ventilation, increasing the inspiratory
sis results are as follows: pressure will result in an increased tidal volume
and minute ventilation, potentially causing a de-
pH 7.20 crease in PCO2
CO2 65
PO2 70
HCO3 25 increasing expiratory time will decrease tidal vol-
BE -4 ume and minute ventilation, potentially causing
SO2 (calc) 94% increase in PCO2 and further decrease in pH
A respiratory therapist should recom- increasing sensitivity will not increase ventilation in
mend increasing the this patient
a. set inspiratory pressure peak flow cannot be set in PC ventilation
b. expiratory time
c. sensitivity
d. peak flow
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8. a 68 year old patient who is D. Based on timing and symptoms, the dyspnea
post-CABG was extubated 4 hours could be due to a pneumothorax, chest tube mal-
ago and complains of increasing SOB. function, lobar collapse, or accumulation of pleural
B/S are decreased over right lung fluid. A chest radiography can be obtained quickly
field. the following data are available to identify the issue for rapid intervention.
while the patient receives 4L NC: (chest tube always placed after CABG)
HR 103 while spirometry may be performed prior to
RR 27 surgery to determine the presence of pulmonary
BP 155/90 abnormalities, it will not provide useful diagnostic
SpO2 90% information this soon following extubation
Which of the following studies should CT scan with contrast could identify a pulmonary
a respiratory therapist recommend embolus or fluid collection, but this would not be
FIRST ? most appropriate next step in evaluating this pa-
tient
a. bedside spirometry
b. chest CT with contrast V/Q scans are useful to identify PE in select patient
c. ventilation/perfusion scan populations, but this would not be most appropri-
d. chest radiography ate next step in evaluating this patient
9. Which of the following medications a. lidocaine hcl
should a respiratory therapist use to is a topical anesthetic and will reduce airway reflex-
anesthetize a patients airway prior to es during the procedure
flexible bronchoscopy procedure?
midazolam (versed) is a sedative that is adminis-
a. lidocaine HCL tered systemically and will relax the patient, but will
b. midazolam HCL (Versed) not reduce airway reflexes
c. ketamine (ketalar)
d. vecuronium bromide (norcuron) ketamine is not a local anesthetic, and will increase
airway secretions. this may lead to respiratory de-
pression and hypoventilation
Study online at https://quizlet.com/_dgdnnv
1. A respiratory therapist is assisting a D. Colormetric capnography
physician with endotracheal intuba-
tion. Which of the following should be assesses the presence of CO2 and provides confir-
used INITIALLY to confirm tracheal in- mation of tracheal intubation when CO2 is detect-
tubation ? ed
A. cm marking of ET tube
B. observe condensation in the tube
C. pulse oximetry
D. Colorimetric capnography
2. A respiratory therapist is asked to re- C. 6 & 10
view a newborn's history. The follow-
ing information is available about the acrocyanosis = 1, Hr of 70 = 1, cough = 2, weak
first few minutes after birth : activity = 1, RR of 20 = 1.
1 min - acrocyanosis, 70/min, cough, pink = 2, HR of 110 = 2, cough = 2, active motion =
weak muscle tone, RR 20 2, RR of 40 = 2
5 min - pink - 110/min, cough, active
motion, RR 40/min
A. 4 & 8
B. 5 & 8
C. 6 & 10
D. 7 & 10
3. A 58 year old female was diagnosed b. airway clearance therapy
with bronchiectasis 3 years ago. She
reports increased cough and difficul- the history, clinical presentation, and chest radi-
ty clearing secretions for the past 4 ograph findings suggest worsening bronchiecta-
weeks. A chest radiograph shows no sis. the treatment of bronchiectasis includes tech-
significant changes. Which of the fol- niques to loosen and mobilize viscid secretions.
, TMC Exam Review
Study online at https://quizlet.com/_dgdnnv
lowing should the respiratory thera- postural drainage ( + HFCWO) enhances sputum
pist recommend FIRST ? clearance
a. transtracheal aspiration
b. airway clearance therapy
c. bronchodilator treatments
d. respiratory isolation
4. A 24 year old female is diagnosed C. instruct the patient to use albuterol 15 mins
with exercise-induced asthma and al- before exercising
buterol pro is ordered. A respiratory
therapist should NEXT Patient understanding of their disease process and
triggers is important part of patient education,
a. refer patient for allergy skin testing as well as knowing when and which medication
b. educate the patient on obtaining should be taken.
daily peak flow measurements
c. instruct the patient to use albuterol
15 minutes before exercising
d. suggest the patient use purse lip
breathing while exercising
5. In which of the following circum- B. absolute humidity at this temperature is inade-
stances with tracheal secretions tend quate
to dry in an intubated patients ?
A. a water vapor pressure of 47 a water vapor pressure of 47 mmHg provides 100%
mmHg humidity at body temperature
B. a relative humidity of 100% at 22*C
a dew point of 37*C(98.6*F) indicates the gas is
( 71.6* F)
completely saturated at that temperature
C. a dew point of 37*C (98.6*F)
D. an absolute humidity of 44 mg/L
the absolute tracheal humidity must be grater than
or equal to 30 mg/L
, TMC Exam Review
Study online at https://quizlet.com/_dgdnnv
6. Prior to suction the ET tube of an adult B. the FiO2 should be increased prior to each suc-
patient who is receiving ventilation tioning attempt to minimize hyperoxemia
with an Fio2 of 40%, a respiratory ther-
apist should FIRST
lubrication of catheter is not necessary unless na-
a. lubricate the catheter sotracheal suctioning will be performed
b. hyper oxygenate the patient
sterile suction catheters do not need to be
c. cleanse the catheter with water
cleansed prior to use
d. administer an FiO2 of 40% by
T-piece
administration of the same fiO2 without positive
pressure will compromise the patient's oxygena-
tion and ventilation
7. A 25 year old patient with apnea is re- a. set inspiratory pressure
ceiving PC ventilation. An ABG analy- ^-- in PC ventilation, increasing the inspiratory
sis results are as follows: pressure will result in an increased tidal volume
and minute ventilation, potentially causing a de-
pH 7.20 crease in PCO2
CO2 65
PO2 70
HCO3 25 increasing expiratory time will decrease tidal vol-
BE -4 ume and minute ventilation, potentially causing
SO2 (calc) 94% increase in PCO2 and further decrease in pH
A respiratory therapist should recom- increasing sensitivity will not increase ventilation in
mend increasing the this patient
a. set inspiratory pressure peak flow cannot be set in PC ventilation
b. expiratory time
c. sensitivity
d. peak flow
, TMC Exam Review
Study online at https://quizlet.com/_dgdnnv
8. a 68 year old patient who is D. Based on timing and symptoms, the dyspnea
post-CABG was extubated 4 hours could be due to a pneumothorax, chest tube mal-
ago and complains of increasing SOB. function, lobar collapse, or accumulation of pleural
B/S are decreased over right lung fluid. A chest radiography can be obtained quickly
field. the following data are available to identify the issue for rapid intervention.
while the patient receives 4L NC: (chest tube always placed after CABG)
HR 103 while spirometry may be performed prior to
RR 27 surgery to determine the presence of pulmonary
BP 155/90 abnormalities, it will not provide useful diagnostic
SpO2 90% information this soon following extubation
Which of the following studies should CT scan with contrast could identify a pulmonary
a respiratory therapist recommend embolus or fluid collection, but this would not be
FIRST ? most appropriate next step in evaluating this pa-
tient
a. bedside spirometry
b. chest CT with contrast V/Q scans are useful to identify PE in select patient
c. ventilation/perfusion scan populations, but this would not be most appropri-
d. chest radiography ate next step in evaluating this patient
9. Which of the following medications a. lidocaine hcl
should a respiratory therapist use to is a topical anesthetic and will reduce airway reflex-
anesthetize a patients airway prior to es during the procedure
flexible bronchoscopy procedure?
midazolam (versed) is a sedative that is adminis-
a. lidocaine HCL tered systemically and will relax the patient, but will
b. midazolam HCL (Versed) not reduce airway reflexes
c. ketamine (ketalar)
d. vecuronium bromide (norcuron) ketamine is not a local anesthetic, and will increase
airway secretions. this may lead to respiratory de-
pression and hypoventilation
