Kettering TMC Modules exam with correct answers

Kettering TMC Modules exam with correct
answers

Abballoon-tipped,bflow-
directedbcatheterbisbpositionedbinbthebpulmonarybarterybwithbthebballoonbdeflated.bWhichbofbthebfollowin
gbpressuresbwillbbebmeasuredbbybthebproximalblumen?



A)bCVP

B)bPAP

C)bPWP

D)bMAPb-bcorrectbanswer-A.bCVP

Swansbgansbcatheterbforbhemodynamicbmonitoring.bDistalbdeflatedbisbPAP,bDistalbinflatedbisbPWP



Allbofbthebfollowingbcouldbcausebabcapnographybreadingbtobchangebfromb36btorrbtob30btorrbEXCEPT



A)bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus

B)bhyperventilation

C)bpulmonarybemboli

D)bhypovolemiab-bcorrectbanswer-A.bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus.

ThisbwillbcausebPeTCObtobincrease



Abpatientbinbthebintensivebcarebunitbhasbthebfollowingbhemodynamicbmeasurements:



CVP:b9bmmHg

MeanbPAP:b24bmmHg

PCWP:b9bmmHg

MAPb93bmmHg

CardiacbOutputb(QT):b5.4bL/min

,Cardiacbindexb(QI):b2.9bLmin/m2



A)brightbheartbfailure

B)bleftbheartbfailure

C)bpulmonarybembolism

D)bnormalbcardiacbfuctionb-bcorrectbanswer-C.bpulmonarybembolism

CVP-High,bMeanbPAP-High(lungs),bPCWP-Normalb(rulesboutbleftbheartbproblem),bMAP-normal,bQT-
normal,bQI-normal



AllbofbthebfollowingbwillbaffectbthebaccuracybofbabcapnographbEXCEPT



A)blongbsamplingbline

B)blowbsamplingbflow

C)bcondensationbinbthebtubing

D)busebofbabdesiccantb-bcorrectbanswer-D.busebofbabdesiccant-
chemicalbthatbremovesbmoisturebfrombthebgasbcreatingbabmorebaccuratebmeasurement



Longbsamplingblinebwillbtakeblongerbforbgasbtobpassbthrubtobreachbanalyzer,blowbsamplingbflowbwontbgiveben
oughbinfobforbgoodbreading,bcondensationbinbthebtubingbcanbcausebobstructionbinbline



Ab1000bgbneonatebisbstablebinbthebNICU.bWhichbofbthebfollowingbshouldbthebrespiratorybtherapistbusebtobm
onitorbthebneonate'sboverallbcardiopulmonarybstatus?



A)bTcPCO2bandbTcPO2bmonitor

B)bArterialbbloodbgasbanalysisbQ4bhours

C)bSpO2bmonitor

D)bCapillarybgasbanalysisbQ8bhoursb-bcorrectbanswer-
A.bTcPCO2bandbTcPO2bmonitorbisbnoninvasivebandbcontinuouslybmonitoringbventilation/O2



ABGbisbinvasivebandbQ4,bSpO2bmonitorbonlybmeasuresbO2,bCapbGasesbnotbaccurate(worstbanswer)

,Abunilateralbwheezbwouldbmostblikelybindicatebwhichbofbthebfollowing?



A)basthma

B)batelectasis

C)bforeignbbodybaspiration

D)bepiglotitisb-bcorrectbanswer-C.bforeignbbodybaspiration



Asthmabisbbilateralbwheeze,batelectasisbisbdiminished,bepiglotitsbisbstridor



AllbofbthebfollowingbwouldbbebassociatedbwithbthebpresencebofbabpnewumothoraxbEXCEPT:



A)btrachealbdeviation

B)bdullbpercussion

C)babsentbbreathbsounds

D)brespiratorybdistressb-bcorrectbanswer-B.bdullbpercussion-bmakesbabhighbpitchedbtympanicbsound



trachealbdeviationbpushedbawaybfrombPNX



Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpattern:



A)bNormalbsinusbrhythm

B)bLeftbbundlebbranchbblock

C)bNormalbsinusbrhythmbw/multifocalbPVC

D)bNormalbsinusbrhythmbw/artifactb-bcorrectbanswer-C.bNormalbsinusbrhythmbw/multifocalbPVC



B.bAdministerb100%boxygen

, lidocainebcanbtreatbPVCbbutbnotb1st,batropinebforbbradycardia,bepinephrine-ERbdrugbforbpulselessbVtachb-
bcorrectbanswer-

Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpatternbonbthebmonitor:



A)bAdministerblidocaine

B)badministerb100%bO2

C)badministerbatropine

D)badministerbepinephrine



Whatbisbthebnormalbrangebforbthebmeanbpulmonarybarterybpressurebinbanbadult?b



A)b2-6bmmbHg

B)b4-12bmmbHg

C)b9-18bmmbHg

D)b21-28bmmbHgb-bcorrectbanswer-C.b9-18bmmHg



Ab44-year-
oldbwomanbhasbjustbundergonebabcholecystectomy.bOverbtheblastb48bhoursbthebpatientbhasbthebfollowingbl
aboratorybfindings:



K+:b2bmEq/L
b



Na+:b135bmEq/L
b



Cl-:b100bmEq/L
b



HCO3-:b32bmEq/L
b



Urineboutput:b40bmL/hour
b




Basedbuponbthisbinformation,bthebrespiratorybtherapistbwouldbconcludebthatbthebpatientb-bcorrectbanswer-
D.bmetabolicbalkalosis



K(low),bNa(normal),bCl(normal),bHCO3(high)bconfirmingbanswer