LINDSEY JONES TMC EXAM
QUESTIONS AND ANSWERS 100%
CORRECT
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. go get help
B. administer oxygen by non-rebreathing mask
C. auscultate breath sounds
D. begin mouth-to-mouth resuscitation - ANSWER-D. begin mouth-to-mouth
resuscitation
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following
settings:
Mode assist/control
Mandatory rate 14
Total rate 14
VT 500 mL
FIO2 0.55
PEEP 12 cmH2O
Arterial blood gases reveal
pH 7.49
PaCO2 32 mmHg
PaO2 109 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
The respiratory therapist should
A. increase mandatory rate
B. decrease PEEP
C. decrease FIO2
D. decrease mandatory rate - ANSWER-B. decrease PEEP
Prior to the removal of chest tubes, which of the following should be done?
A. the chest tube should be exposed to normal atmospheric pressure
B. suction pressure should be increased temporarily
,C. flush the chest tube with normal saline
D. clamp the chest tube for 24 hours - ANSWER-D. clamp the chest tube for 24 hours
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
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director - ANSWER-B. record an MEP of 36
cmH2O
Which of the following is a strategy that may help reduce or prevent autoPEEP in a
patient with ARDS?
A. sedation of the patient
B. increasing minute ventilation
C. high flow rates
D. matching PEEP - ANSWER-C. high flow rates
Which of the following is the most significant complication of bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
D. hypotension - ANSWER-C. laryngospasms
Which of the following would result in an increase in pulmonary capillary wedge
pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale - ANSWER-B. mitral valve stenosis
During a difficult intubation, the emergency room physician requests an endotracheal
tube that is smaller than recommended for the patient's height and ideal body weight.
As a result, the respiratory therapist should anticipate
A. a decrease in static compliance
B. increase in PAW
C. an increase in RAW
D. increased I:E ratio - ANSWER-C. an increase in RAW
, The results of a V/Q scan shows poor perfusion with adequate ventilation. A chest
radiograph shows a wedge-shaped infiltrate over the right lung field. The patient most
likely has
A. a pulmonary embolism
B. ARDS
C. pneumonia
D. fluid overload - ANSWER-A. a pulmonary embolism
A patient is on 70%/30% heliox therapy by nonrebreathing mask. If flowing through an
oxygen flow meter, what is the actual flow of the mixture if the flow meter indicates 10
L/min?
A. 18 L/min
B. 8 L/min
C. 16 L/min
D. 5 L/min - ANSWER-C. 16 L/min
A Bronchogram would be most helpful in evaluating and diagnosing which of the
following?
A. chronic bronchitis
B. bronchiectasis
C. ARDS
D. mycoplasma pneumonia - ANSWER-B. bronchiectasis
An infant who is 35 weeks of gestation requires supplemental oxygen at 40%. Which of
the following modalities is most appropriate?
A. nasal CPAP mask
B. nasal cannula at 2 L/min
C. croup tent
D. oxygen hood with an air/oxygen blender - ANSWER-D. oxygen hood with an
air/oxygen blender
A patient has the following input/output history and other clinical information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
QUESTIONS AND ANSWERS 100%
CORRECT
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. go get help
B. administer oxygen by non-rebreathing mask
C. auscultate breath sounds
D. begin mouth-to-mouth resuscitation - ANSWER-D. begin mouth-to-mouth
resuscitation
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the following
settings:
Mode assist/control
Mandatory rate 14
Total rate 14
VT 500 mL
FIO2 0.55
PEEP 12 cmH2O
Arterial blood gases reveal
pH 7.49
PaCO2 32 mmHg
PaO2 109 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
The respiratory therapist should
A. increase mandatory rate
B. decrease PEEP
C. decrease FIO2
D. decrease mandatory rate - ANSWER-B. decrease PEEP
Prior to the removal of chest tubes, which of the following should be done?
A. the chest tube should be exposed to normal atmospheric pressure
B. suction pressure should be increased temporarily
,C. flush the chest tube with normal saline
D. clamp the chest tube for 24 hours - ANSWER-D. clamp the chest tube for 24 hours
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
A. record and MEP of -28 cmH2O
B. record an MEP of 36 cmH2O
C. record an MEP of 28 cmH2O
D. report the problem to the medical director - ANSWER-B. record an MEP of 36
cmH2O
Which of the following is a strategy that may help reduce or prevent autoPEEP in a
patient with ARDS?
A. sedation of the patient
B. increasing minute ventilation
C. high flow rates
D. matching PEEP - ANSWER-C. high flow rates
Which of the following is the most significant complication of bronchoscopy?
A. coughing
B. vagal nerve stimulation
C. laryngospasms
D. hypotension - ANSWER-C. laryngospasms
Which of the following would result in an increase in pulmonary capillary wedge
pressure?
A. decrease in pulmonary vascular resistance (PVR)
B. mitral valve stenosis
C. dehydration
D. cor pulmonale - ANSWER-B. mitral valve stenosis
During a difficult intubation, the emergency room physician requests an endotracheal
tube that is smaller than recommended for the patient's height and ideal body weight.
As a result, the respiratory therapist should anticipate
A. a decrease in static compliance
B. increase in PAW
C. an increase in RAW
D. increased I:E ratio - ANSWER-C. an increase in RAW
, The results of a V/Q scan shows poor perfusion with adequate ventilation. A chest
radiograph shows a wedge-shaped infiltrate over the right lung field. The patient most
likely has
A. a pulmonary embolism
B. ARDS
C. pneumonia
D. fluid overload - ANSWER-A. a pulmonary embolism
A patient is on 70%/30% heliox therapy by nonrebreathing mask. If flowing through an
oxygen flow meter, what is the actual flow of the mixture if the flow meter indicates 10
L/min?
A. 18 L/min
B. 8 L/min
C. 16 L/min
D. 5 L/min - ANSWER-C. 16 L/min
A Bronchogram would be most helpful in evaluating and diagnosing which of the
following?
A. chronic bronchitis
B. bronchiectasis
C. ARDS
D. mycoplasma pneumonia - ANSWER-B. bronchiectasis
An infant who is 35 weeks of gestation requires supplemental oxygen at 40%. Which of
the following modalities is most appropriate?
A. nasal CPAP mask
B. nasal cannula at 2 L/min
C. croup tent
D. oxygen hood with an air/oxygen blender - ANSWER-D. oxygen hood with an
air/oxygen blender
A patient has the following input/output history and other clinical information:
Yesterday Today
IN 1900 cc 1600 cc
OUT 2200 cc 1900 cc
C.O. 5.1 L/min 3.8 L/min
BP 110/80 mm Hg 110/80 mm Hg
CVP 5 mm Hg 5 mm Hg
