TMC Actual Exam Questions With Reviewed 100%
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1. What is normal urine output in an adult patient? 40 mL/hr
2. A spontaneous breathing term-71trial is initiated on Extubate
an intubated, awake, and alert 70 kg (154 lb) patient.
After 40 minutes on an FIO2 of 0.30, ABG results are
as follows:
pH 7.39
PaCO2 44 torr
PaO2 85 torr
HCO3- 24 mEq/L.
The patient's vital signs remained stable throughout
the trial. Which of the following is the most appropri-
ate recommendation?
3. After assisting with bronchoalveolar lavage and lung 1, 2, and 3
biopsy on a mechanically ventilated patient, the res-
piratory therapist notes the activation of a high pres-
sure 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.
4. A 48 year-old female is admitted to the ED with di- heart failure
aphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent
with
, TMC Actual Exam Questions With Reviewed 100%
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5. A patient is admitted to the ED following a motor Needle aspirate into the
vehicle accident. On physical exam, the respiratory 2nd left intercostal space
therapist discovers that breath sounds are absent in
the left chest with a hyperresonant percussion note.
The trachea is shifted to the right. The patient's heart
rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the
therapist recommend first?
6. All of the following strategies are likely to decrease the using a low-residual-vol-
likelihood of damage to the tracheal mucosa EXCEPT: ume, low-compliance cutt.
-maintaining cuff pressures between 20 and 25 mm
Hg.
- using the minimal leak technique for inflation.
- using a low-residual-volume, low-compliance cuff.
- monitoring intracuff pressures.
7. A 52 year-old post-operative cholecystectomy pa- deep breathing and
tient's breath sounds become more coarse upon com- coughing to clear secre-
pletion of postural drainage with percussion. The res- tions.
piratory therapist should recommend
8. A 65 kg spinal cord injured patient develops atelec- IPPB
tasis. His inspiratory capacity is 30% of his predicted
value. What bronchial hygiene therapy would be most
appropriate initially?
9. A healthy adult female can exhale what portion of her 70%
forced vital capacity in the first second?
10. A patient on VC ventilation demonstrates auto-PEEP 1, 2, and 3
on ventilator graphics. Which of the following con-
, TMC Actual Exam Questions With Reviewed 100%
Correct Detailed Answers Guaranteed Pass!!
trols, when adjusted independently, would increase
expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
11. Which of the following would be the most appropri- insert a chest tube
ate therapy for a dyspneic patient who has crepitus
with tracheal deviation to the left and absent breath
sounds on the right?
12. Following cardiac surgery, a 55 year-old patient has 5.0%
the following ABG results:
pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%.
Calculate the patient's C(a-v)O2.
13. A patient on VC, SIMV with a VT of 500 mL has a PIP VT/Plat-PEEP
of 25 cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm
H2O. What is the patient's static lung compliance?
14. Immediately after extubation of a patient in the ICU, Reintubation
the respiratory therapist observes increasing respira-
tory distress with intercostal retractions and marked
stridor. The SpO2 on 40% oxygen is noted to be 76%.
Which of the following would be most appropriate at
this time?
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Correct Detailed Answers Guaranteed Pass!!
15. Which of the following patients would most likely ben- B. A patient on SIMV with a
efit from pressure support ventilation? mandatory rate of 12/min
and total rate of 24/min.
A. An intubated patient with an absent respiratory
drive.
B. A patient on SIMV with a mandatory rate of 12/min
and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative
ventilatory support.
16. A patient receiving mechanical ventilation has devel- Obtain a sputum gram
oped a temperature of 99.9° F with purulent secre- stain
tions over the last 12 hours. The respiratory therapist
has also noted a steady increase in peak inspirato-
ry pressure. What initial recommendation should be
made to address these changes?
17. Which of the following information may be obtained 1 and 2
from a FVC maneuver during bedside pulmonary func-
tion testing?
1. FEV1
2. PEFR
3. FRC
4. RV
18. The respiratory therapist provides education for a pa- Slow the growth of bacte-
tient who is being discharged home on aerosol ther- ria
apy. The most important reason for the patient to
follow the recommended cleaning procedures using
a vinegar/water solution is that this solution will
19. Pleural Ettusion
Correct Detailed Answers Guaranteed Pass!!
1. What is normal urine output in an adult patient? 40 mL/hr
2. A spontaneous breathing term-71trial is initiated on Extubate
an intubated, awake, and alert 70 kg (154 lb) patient.
After 40 minutes on an FIO2 of 0.30, ABG results are
as follows:
pH 7.39
PaCO2 44 torr
PaO2 85 torr
HCO3- 24 mEq/L.
The patient's vital signs remained stable throughout
the trial. Which of the following is the most appropri-
ate recommendation?
3. After assisting with bronchoalveolar lavage and lung 1, 2, and 3
biopsy on a mechanically ventilated patient, the res-
piratory therapist notes the activation of a high pres-
sure 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.
4. A 48 year-old female is admitted to the ED with di- heart failure
aphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent
with
, TMC Actual Exam Questions With Reviewed 100%
Correct Detailed Answers Guaranteed Pass!!
5. A patient is admitted to the ED following a motor Needle aspirate into the
vehicle accident. On physical exam, the respiratory 2nd left intercostal space
therapist discovers that breath sounds are absent in
the left chest with a hyperresonant percussion note.
The trachea is shifted to the right. The patient's heart
rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the
therapist recommend first?
6. All of the following strategies are likely to decrease the using a low-residual-vol-
likelihood of damage to the tracheal mucosa EXCEPT: ume, low-compliance cutt.
-maintaining cuff pressures between 20 and 25 mm
Hg.
- using the minimal leak technique for inflation.
- using a low-residual-volume, low-compliance cuff.
- monitoring intracuff pressures.
7. A 52 year-old post-operative cholecystectomy pa- deep breathing and
tient's breath sounds become more coarse upon com- coughing to clear secre-
pletion of postural drainage with percussion. The res- tions.
piratory therapist should recommend
8. A 65 kg spinal cord injured patient develops atelec- IPPB
tasis. His inspiratory capacity is 30% of his predicted
value. What bronchial hygiene therapy would be most
appropriate initially?
9. A healthy adult female can exhale what portion of her 70%
forced vital capacity in the first second?
10. A patient on VC ventilation demonstrates auto-PEEP 1, 2, and 3
on ventilator graphics. Which of the following con-
, TMC Actual Exam Questions With Reviewed 100%
Correct Detailed Answers Guaranteed Pass!!
trols, when adjusted independently, would increase
expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
11. Which of the following would be the most appropri- insert a chest tube
ate therapy for a dyspneic patient who has crepitus
with tracheal deviation to the left and absent breath
sounds on the right?
12. Following cardiac surgery, a 55 year-old patient has 5.0%
the following ABG results:
pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L,
SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%.
Calculate the patient's C(a-v)O2.
13. A patient on VC, SIMV with a VT of 500 mL has a PIP VT/Plat-PEEP
of 25 cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm
H2O. What is the patient's static lung compliance?
14. Immediately after extubation of a patient in the ICU, Reintubation
the respiratory therapist observes increasing respira-
tory distress with intercostal retractions and marked
stridor. The SpO2 on 40% oxygen is noted to be 76%.
Which of the following would be most appropriate at
this time?
, TMC Actual Exam Questions With Reviewed 100%
Correct Detailed Answers Guaranteed Pass!!
15. Which of the following patients would most likely ben- B. A patient on SIMV with a
efit from pressure support ventilation? mandatory rate of 12/min
and total rate of 24/min.
A. An intubated patient with an absent respiratory
drive.
B. A patient on SIMV with a mandatory rate of 12/min
and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative
ventilatory support.
16. A patient receiving mechanical ventilation has devel- Obtain a sputum gram
oped a temperature of 99.9° F with purulent secre- stain
tions over the last 12 hours. The respiratory therapist
has also noted a steady increase in peak inspirato-
ry pressure. What initial recommendation should be
made to address these changes?
17. Which of the following information may be obtained 1 and 2
from a FVC maneuver during bedside pulmonary func-
tion testing?
1. FEV1
2. PEFR
3. FRC
4. RV
18. The respiratory therapist provides education for a pa- Slow the growth of bacte-
tient who is being discharged home on aerosol ther- ria
apy. The most important reason for the patient to
follow the recommended cleaning procedures using
a vinegar/water solution is that this solution will
19. Pleural Ettusion
