TMC Exam A Complete Exam Study
Questions with Verified Answers |
Brand New Version
1. A patient receiving mechanical ventilation has received Halcion in the last
twenty minutes. The physician orders the institution of spontaeneous
breathing trials to commence immediately. Which of the following
medications would be most helpful to the patient?
a. Meperidine
b. Valium
c. Romazicon (Flumazenil)
d. Morphine Sulfate - ANSWER c. Romazicon (Flumazenil)
2. Which of the following oxygen modalities would be appropriate for a 220-lb
(100-kg) male with diabetic ketoacidosis who requires 40% supplemental
oxygen?
a. Air-entrainment mask
b. Non-rebreathing mask
c. Nasal cannula
d. Simple mask - ANSWER a. Air-entrainment mask
3. While administering a treatment with Albuterol to a patient with COPD, the
therapist notes a sudden change in the patient's color to marked cyanosis.
The patient appears apneic and the heart rate on the pulse oximeter indicates
30/min. The therapist should FIRST
a. Administer oxygen by non-rebreathing mask
b. Auscultate breath sounds
c. Begin mouth-to-mouth resuscitation
d. Go get help - ANSWER c. Begin mouth-to-mouth resuscitation
,4. The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP - ANSWER d. Decrease PEEP
5. Prior to the removal of chest tubes, which of the following should be done?
a. The chest tube should be expose to normal atmospheric pressure
b. Clamp the chest tube for 24 hours
c. Flush the chest tube with normal saline
d. Suction pressure should be increased temporarily - ANSWER b.
Clamp the chest tube for 24 hours
6. Which of the following will help a patent to speak while intubated with a
tracheostomy tube?
a. Pass-Muir valve
b. Inner cannula
c. Double lumen endotracheal tube
d. Obturator - ANSWER a. Pass-Muir valve
7. In preparation for ventilator weaning the physician requests a VD/VT ratio
assessment. Which of the following is needed to determine the deadspace-
tidal volume ratio?
a. Single breath nitrogen elimination and caponographic data
b. Helium dilution study and an arterial blood gas
c. Arterial blood gases and capnographic data
d. Helium dilution study and single breath nitrogen elimination -
ANSWER c. Arterial blood gases and capnographic data
8. A respiratory therapist is determining a VD/VT ratio. Which of the
following is needed to complete this analysis?
a. VT and VA
b. PetCO2 and PaCO2
c. FIO2 and PaO2
d. PECO2 and PaO2 - ANSWER b. PetCO2 and PaCO2
,9. Which of the following is LEAST likely to promote the spread of
nosocomial infection in a hospital?
a. Poor hand washing among staff
b. Frequent disconnection of a ventilator circuit
c. Changing small volume nebulizer equipment every 48 hours
d. Use of unit dose medication - ANSWER d. Use of unit dose
medication
10.Which of the following can be used to estimate the level of Hemoglobin?
a. C(a-v)O2
b. PAO2
c. Theophylline level
d. RBC - ANSWER d. RBC
11.Which of the following alarms would be most important for a patient
receiving positive pressure ventilation by a pressure-cycled ventilator?
a. Low volume
b. I:E ratio
c. Low FIO2
d. High pressure - ANSWER a. Low volume
12.Patients with large necks who experience frequent dislodging of their
tracheostomy tubes need (a)
a. Longer tracheostomy tube
b. Shorter tracheostomy tube
c. Larger tracheostomy tube
d. Nasal intubation - ANSWER a. Longer tracheostomy tube
13.Which of the following would be most effective at resolving a humidity
deficit for a patient who is intubated with an 8.0-mm endotracheal tube?
a. Large volume nebulizer
b. Concha heated humidifier
, c. HME
d. Bubble humidifier - ANSWER b. Concha heated humidifier
A patient with suspected myasthenia gravis in the emergency room should receive
which of the following to confirm a diagnosis?
a. Norcuron
b. Edrophonium bromide
c. Neostigmine
d. Meperidine (Demerol) - ANSWER b. Edrophonium bromide
Which of the following is an important action when drawing an arterial blood gas
sample?
a. Choose a radial site with adequate ulnar circulation
b. Use a 16 gauge needle
c. Compress the site prior to puncture
d. Run the sample within 15 minutes - ANSWER a. Choose a radial site with
adequate ulnar circulation
Which of the following would be most helpful for a patient with fixed upper
airway obstruction?
a. Aerosolized epinephrine
b. Beta II agonist medication
c. Corticosteroids
d. Heliox therapy - ANSWER d. Heliox therapy
Prior to obtaining an MEP value with a pressure manometer, the respiratory
therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to
the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The
therapist should
Questions with Verified Answers |
Brand New Version
1. A patient receiving mechanical ventilation has received Halcion in the last
twenty minutes. The physician orders the institution of spontaeneous
breathing trials to commence immediately. Which of the following
medications would be most helpful to the patient?
a. Meperidine
b. Valium
c. Romazicon (Flumazenil)
d. Morphine Sulfate - ANSWER c. Romazicon (Flumazenil)
2. Which of the following oxygen modalities would be appropriate for a 220-lb
(100-kg) male with diabetic ketoacidosis who requires 40% supplemental
oxygen?
a. Air-entrainment mask
b. Non-rebreathing mask
c. Nasal cannula
d. Simple mask - ANSWER a. Air-entrainment mask
3. While administering a treatment with Albuterol to a patient with COPD, the
therapist notes a sudden change in the patient's color to marked cyanosis.
The patient appears apneic and the heart rate on the pulse oximeter indicates
30/min. The therapist should FIRST
a. Administer oxygen by non-rebreathing mask
b. Auscultate breath sounds
c. Begin mouth-to-mouth resuscitation
d. Go get help - ANSWER c. Begin mouth-to-mouth resuscitation
,4. The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP - ANSWER d. Decrease PEEP
5. Prior to the removal of chest tubes, which of the following should be done?
a. The chest tube should be expose to normal atmospheric pressure
b. Clamp the chest tube for 24 hours
c. Flush the chest tube with normal saline
d. Suction pressure should be increased temporarily - ANSWER b.
Clamp the chest tube for 24 hours
6. Which of the following will help a patent to speak while intubated with a
tracheostomy tube?
a. Pass-Muir valve
b. Inner cannula
c. Double lumen endotracheal tube
d. Obturator - ANSWER a. Pass-Muir valve
7. In preparation for ventilator weaning the physician requests a VD/VT ratio
assessment. Which of the following is needed to determine the deadspace-
tidal volume ratio?
a. Single breath nitrogen elimination and caponographic data
b. Helium dilution study and an arterial blood gas
c. Arterial blood gases and capnographic data
d. Helium dilution study and single breath nitrogen elimination -
ANSWER c. Arterial blood gases and capnographic data
8. A respiratory therapist is determining a VD/VT ratio. Which of the
following is needed to complete this analysis?
a. VT and VA
b. PetCO2 and PaCO2
c. FIO2 and PaO2
d. PECO2 and PaO2 - ANSWER b. PetCO2 and PaCO2
,9. Which of the following is LEAST likely to promote the spread of
nosocomial infection in a hospital?
a. Poor hand washing among staff
b. Frequent disconnection of a ventilator circuit
c. Changing small volume nebulizer equipment every 48 hours
d. Use of unit dose medication - ANSWER d. Use of unit dose
medication
10.Which of the following can be used to estimate the level of Hemoglobin?
a. C(a-v)O2
b. PAO2
c. Theophylline level
d. RBC - ANSWER d. RBC
11.Which of the following alarms would be most important for a patient
receiving positive pressure ventilation by a pressure-cycled ventilator?
a. Low volume
b. I:E ratio
c. Low FIO2
d. High pressure - ANSWER a. Low volume
12.Patients with large necks who experience frequent dislodging of their
tracheostomy tubes need (a)
a. Longer tracheostomy tube
b. Shorter tracheostomy tube
c. Larger tracheostomy tube
d. Nasal intubation - ANSWER a. Longer tracheostomy tube
13.Which of the following would be most effective at resolving a humidity
deficit for a patient who is intubated with an 8.0-mm endotracheal tube?
a. Large volume nebulizer
b. Concha heated humidifier
, c. HME
d. Bubble humidifier - ANSWER b. Concha heated humidifier
A patient with suspected myasthenia gravis in the emergency room should receive
which of the following to confirm a diagnosis?
a. Norcuron
b. Edrophonium bromide
c. Neostigmine
d. Meperidine (Demerol) - ANSWER b. Edrophonium bromide
Which of the following is an important action when drawing an arterial blood gas
sample?
a. Choose a radial site with adequate ulnar circulation
b. Use a 16 gauge needle
c. Compress the site prior to puncture
d. Run the sample within 15 minutes - ANSWER a. Choose a radial site with
adequate ulnar circulation
Which of the following would be most helpful for a patient with fixed upper
airway obstruction?
a. Aerosolized epinephrine
b. Beta II agonist medication
c. Corticosteroids
d. Heliox therapy - ANSWER d. Heliox therapy
Prior to obtaining an MEP value with a pressure manometer, the respiratory
therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to
the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The
therapist should
