TMC EXAM QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS BRAND NEW 2025
Following cardiac surgery, a 55-year-old patient has 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. - ANSWER - >-5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance? - ANSWER - >-50 mL/cm H2O
A 48-year-old female is admitted to the ED with diaphoresis,
jugular venous distension, and 3+ pitting edema in the ankles.
These findings are consistent with... - ANSWER - >-Heart Failure
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist discovers
that breath sounds are absent in the left chest with a hyper
resonant 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? - ANSWER - >-Needle aspirate the
2nd left intercostal space
,All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa: - ANSWER - >-1.
Use the minimal leak technique for inflation. 2. Use a low-
residual-volume, low-compliance cuff. 3. Monitor intracuff
pressures.
A 52 year-old post-operative cholecystectomy (surgical removal
of the gallbladder) patient's breath sounds become more
coarse upon completion of postural drainage with percussion.
The respiratory therapist should recommend... - ANSWER - >-
Deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient develops atelectasis. His
inspiratory capacity is 30% of his predicted value. What
bronchial hygiene therapy (a broad term used to describe
various airway clearance technique) would be most appropriate
initially? - ANSWER - >-Intermittent positive pressure breathing
(IPPB)
A healthy adult female can exhale what portion of her forced
vital capacity in the first second? - ANSWER - >-70%
A patient on VC ventilation demonstrates auto-PEEP on
ventilator graphics. What controls, when adjusted
independently, would increase expiratory time? - ANSWER - >-
1. Tidal volume 2. Respiratory Rate 3. Inspiratory flow
What would be the most appropriate therapy for a dyspneic
patient who has crepitus with tracheal deviation to the left and
,absent breath sounds on the right? - ANSWER - >-Insert a chest
tube
Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory 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? - ANSWER - >-Reintubation
What type of patient would most likely benefit from pressure
support ventilation? - ANSWER - >-A patient on SIMV with a
mandatory rate of 12/min and total rate of 24/min
A patient receiving mechanical ventilation has developed a
temperature of 99.9° F with purulent secretions over the last 12
hours. The respiratory therapist has also noted a steady
increase in peak inspiratory pressure. What initial
recommendation should be made to address these changes? -
ANSWER - >-Obtain a sputum gram stain
What information may be obtained from a FVC maneuver
during bedside pulmonary function testing? - ANSWER - >-1.
FEV1 2. PEFR
The respiratory therapist provides education for a patient who
is being discharged home on aerosol therapy. The most
important reason for the patient to follow the recommended
, cleaning procedures using a vinegar/water solution is that this
solution will... - ANSWER - >-Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry,
non-productive cough. On physical examination, breath sounds
are diminished on the right, tactile fremitus is decreased and
there is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering
from - ANSWER - >-Pleural effusion
What size suction catheters would be appropriate to use for a
patient with a size 8.0 mm ID endotracheal tube? - ANSWER - >-
12 Fr
A patient who is receiving continuous mechanical ventilation is
fighting the ventilator. His breath sounds are markedly
diminished on the left, there is dullness to percussion on the
left, and the trachea is shifted to the left. The most likely
explanation for the problem is that... - ANSWER - >-The
endotracheal tube has slipped into the right main stem
bronchus.
The respiratory therapist notes a developing hematoma after
an arterial blood gas was drawn from the right radial artery.
The immediate response is to... - ANSWER - >-Apply pressure to
the site.
A patient's breathing pattern irregularly increases and
decreases and is interspersed with periods of apnea up to 1
GUARANTEED PASS BRAND NEW 2025
Following cardiac surgery, a 55-year-old patient has 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. - ANSWER - >-5.0 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance? - ANSWER - >-50 mL/cm H2O
A 48-year-old female is admitted to the ED with diaphoresis,
jugular venous distension, and 3+ pitting edema in the ankles.
These findings are consistent with... - ANSWER - >-Heart Failure
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist discovers
that breath sounds are absent in the left chest with a hyper
resonant 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? - ANSWER - >-Needle aspirate the
2nd left intercostal space
,All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa: - ANSWER - >-1.
Use the minimal leak technique for inflation. 2. Use a low-
residual-volume, low-compliance cuff. 3. Monitor intracuff
pressures.
A 52 year-old post-operative cholecystectomy (surgical removal
of the gallbladder) patient's breath sounds become more
coarse upon completion of postural drainage with percussion.
The respiratory therapist should recommend... - ANSWER - >-
Deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient develops atelectasis. His
inspiratory capacity is 30% of his predicted value. What
bronchial hygiene therapy (a broad term used to describe
various airway clearance technique) would be most appropriate
initially? - ANSWER - >-Intermittent positive pressure breathing
(IPPB)
A healthy adult female can exhale what portion of her forced
vital capacity in the first second? - ANSWER - >-70%
A patient on VC ventilation demonstrates auto-PEEP on
ventilator graphics. What controls, when adjusted
independently, would increase expiratory time? - ANSWER - >-
1. Tidal volume 2. Respiratory Rate 3. Inspiratory flow
What would be the most appropriate therapy for a dyspneic
patient who has crepitus with tracheal deviation to the left and
,absent breath sounds on the right? - ANSWER - >-Insert a chest
tube
Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory 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? - ANSWER - >-Reintubation
What type of patient would most likely benefit from pressure
support ventilation? - ANSWER - >-A patient on SIMV with a
mandatory rate of 12/min and total rate of 24/min
A patient receiving mechanical ventilation has developed a
temperature of 99.9° F with purulent secretions over the last 12
hours. The respiratory therapist has also noted a steady
increase in peak inspiratory pressure. What initial
recommendation should be made to address these changes? -
ANSWER - >-Obtain a sputum gram stain
What information may be obtained from a FVC maneuver
during bedside pulmonary function testing? - ANSWER - >-1.
FEV1 2. PEFR
The respiratory therapist provides education for a patient who
is being discharged home on aerosol therapy. The most
important reason for the patient to follow the recommended
, cleaning procedures using a vinegar/water solution is that this
solution will... - ANSWER - >-Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry,
non-productive cough. On physical examination, breath sounds
are diminished on the right, tactile fremitus is decreased and
there is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering
from - ANSWER - >-Pleural effusion
What size suction catheters would be appropriate to use for a
patient with a size 8.0 mm ID endotracheal tube? - ANSWER - >-
12 Fr
A patient who is receiving continuous mechanical ventilation is
fighting the ventilator. His breath sounds are markedly
diminished on the left, there is dullness to percussion on the
left, and the trachea is shifted to the left. The most likely
explanation for the problem is that... - ANSWER - >-The
endotracheal tube has slipped into the right main stem
bronchus.
The respiratory therapist notes a developing hematoma after
an arterial blood gas was drawn from the right radial artery.
The immediate response is to... - ANSWER - >-Apply pressure to
the site.
A patient's breathing pattern irregularly increases and
decreases and is interspersed with periods of apnea up to 1
