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TMC EXAM LATEST 2024-2025 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER-A 60 kg (132 lb)
patient is being mechanically ventilated with the following settings: VC, A/C;
VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2O PEEP. The
patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A
current chest x-ray shows diffuse bilateral infiltrates. Which of the following
is the most appropriate action in order to reduce peak airway pressure?
2, 3 & 4 - ANSWER-While performing diagnostic chest percussion, the
respiratory therapist notes decreased resonance to percussion. Which of
the following are potential causes of this finding?.
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-operative patient on
volume-control ventilation has a chest tube in the left pleural space. While
inspecting the chest drainage system, the respiratory therapist notes
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bubbling in the water seal chamber during the inspiratory phase. The
therapist should report this to the physician:
Increase the FiO2 - ANSWER-A post-operative patient is receiving
mechanical ventilation in the ICU at the following settings: VC, A/C; VT550
mL, respiratory rate 14/min, FIO2 0.50 and 10 cm H2O PEEP. Bedside
monitoring results demonstrate that the PvO2 is 33 mm Hg and the SpO2
is 90%. The patient is alert and oriented with stable vital signs. Which of the
following should the respiratory therapist recommend?
1, 2 & 3 - ANSWER-After assisting with bronchoalveolar lavage and lung
biopsy on a mechanically ventilated patient, the respiratory therapist notes
the activation of a high pressure alarm. Peak inspiratory pressure has
increased from 32 cm H2O before the procedure to 45 cm H2O after the
procedure. Possible causes for the increased pressure include
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage.
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Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
year-old male is orally intubated and continuous mechanical ventilation is
initiated. Physical assessment of the neck and chest reveal a midline
trachea and significant reduction in thoracic expansion of the left chest.
There are diminished breath sounds in the left lung compared to the right
lung. These findings most likely indicate which of the following?
Tube is not of the appropriate size - ANSWER-A 42 year-old trauma patient
in the ED has been intubated with a 6.5 mm oral endotracheal tube
equipped with a high-residual-volume, low-pressure cuff. The respiratory
therapist notes that a cuff pressure of 42 cm H2O is necessary to achieve a
minimal occluding volume. This would indicate that the:
Recalibrate the blood analyzer - ANSWER-A new blood gas analyzer is
calibrated by the manufacturer at sea level. Upon receiving the new
analyzer at a higher altitude, a respiratory therapist should:
Mean Airway Pressure - ANSWER-While receiving an FIO2 of 1.0 and a
tidal volume of 400 mL during volume-controlled ventilation, a 60-kg (132-lb)
patient is having difficulty achieving adequate oxygenation. To improve
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oxygenation, a respiratory therapist should manipulate ventilator settings to
increase which of the following?
Increase the IPAP - ANSWER-A patient is receiving noninvasive positive
pressure ventilation. Pulmonary compliance has decreased over the past 4
hours. To increase the patient's tidal volume, it would be most appropriate
to:
Fifth intercostal space in mid-axillary line - ANSWER-A respiratory therapist
is reviewing a chest radiograph and notes the presence of a chest tube.
The patient has a hemothorax. Which of the following locations is most
appropriate for this chest tube to be placed?
Administering ipratropium bromide (atrovent) - ANSWER-A patient with
COPD is receiving mechanical ventilation. The patient continues to wheeze
despite treatment with albuterol. Peak airway pressure is increased with no
change in plateau pressure. A respiratory therapist should recommend:
MIP - ANSWER-Which of the following should be used to determine the
return of a postoperative patient's ability to breathe adequately after
anesthesia?
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TMC EXAM LATEST 2024-2025 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER-A 60 kg (132 lb)
patient is being mechanically ventilated with the following settings: VC, A/C;
VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2O PEEP. The
patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A
current chest x-ray shows diffuse bilateral infiltrates. Which of the following
is the most appropriate action in order to reduce peak airway pressure?
2, 3 & 4 - ANSWER-While performing diagnostic chest percussion, the
respiratory therapist notes decreased resonance to percussion. Which of
the following are potential causes of this finding?.
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-operative patient on
volume-control ventilation has a chest tube in the left pleural space. While
inspecting the chest drainage system, the respiratory therapist notes
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bubbling in the water seal chamber during the inspiratory phase. The
therapist should report this to the physician:
Increase the FiO2 - ANSWER-A post-operative patient is receiving
mechanical ventilation in the ICU at the following settings: VC, A/C; VT550
mL, respiratory rate 14/min, FIO2 0.50 and 10 cm H2O PEEP. Bedside
monitoring results demonstrate that the PvO2 is 33 mm Hg and the SpO2
is 90%. The patient is alert and oriented with stable vital signs. Which of the
following should the respiratory therapist recommend?
1, 2 & 3 - ANSWER-After assisting with bronchoalveolar lavage and lung
biopsy on a mechanically ventilated patient, the respiratory therapist notes
the activation of a high pressure alarm. Peak inspiratory pressure has
increased from 32 cm H2O before the procedure to 45 cm H2O after the
procedure. Possible causes for the increased pressure include
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage.
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Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
year-old male is orally intubated and continuous mechanical ventilation is
initiated. Physical assessment of the neck and chest reveal a midline
trachea and significant reduction in thoracic expansion of the left chest.
There are diminished breath sounds in the left lung compared to the right
lung. These findings most likely indicate which of the following?
Tube is not of the appropriate size - ANSWER-A 42 year-old trauma patient
in the ED has been intubated with a 6.5 mm oral endotracheal tube
equipped with a high-residual-volume, low-pressure cuff. The respiratory
therapist notes that a cuff pressure of 42 cm H2O is necessary to achieve a
minimal occluding volume. This would indicate that the:
Recalibrate the blood analyzer - ANSWER-A new blood gas analyzer is
calibrated by the manufacturer at sea level. Upon receiving the new
analyzer at a higher altitude, a respiratory therapist should:
Mean Airway Pressure - ANSWER-While receiving an FIO2 of 1.0 and a
tidal volume of 400 mL during volume-controlled ventilation, a 60-kg (132-lb)
patient is having difficulty achieving adequate oxygenation. To improve
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oxygenation, a respiratory therapist should manipulate ventilator settings to
increase which of the following?
Increase the IPAP - ANSWER-A patient is receiving noninvasive positive
pressure ventilation. Pulmonary compliance has decreased over the past 4
hours. To increase the patient's tidal volume, it would be most appropriate
to:
Fifth intercostal space in mid-axillary line - ANSWER-A respiratory therapist
is reviewing a chest radiograph and notes the presence of a chest tube.
The patient has a hemothorax. Which of the following locations is most
appropriate for this chest tube to be placed?
Administering ipratropium bromide (atrovent) - ANSWER-A patient with
COPD is receiving mechanical ventilation. The patient continues to wheeze
despite treatment with albuterol. Peak airway pressure is increased with no
change in plateau pressure. A respiratory therapist should recommend:
MIP - ANSWER-Which of the following should be used to determine the
return of a postoperative patient's ability to breathe adequately after
anesthesia?
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