TMC SELF-ASSESSMENT EXAM
(FORM 2020A) VERIFIED AND
GRADED A+. 100% PASS RATE
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,A respiratory therapist is assisting a physician with endotracheal intubation. Which of the
following should be used INITIALLY to confirm tracheal intubation?
A.cm marking of the endotracheal tube
B.observable condensation in the tube
C.pulse oximetry
D.colorimetric capnography
D. colorimetric capnography
r
te
A respiratory therapist is asked to review a newborn's history. The following information is
available about the first few minutes after birth:
as
1 minute5 minutesAppearance acrocyanosis pinkHeart rate 70/min 110/minReflexcough
coughMuscle toneweak active motionRespiratory rate 20/min 40/min
M
Which of the following APGAR scores should the therapist expect to see for this infant?
1-minute 5-minute1. 4 82. 5 83. 6 104. 7 10
n
A.1
io
B.2
C.3
D.4
at
C. 3
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A 58-year-old female was diagnosed with bronchiectasis 3 years ago. She reports increased
cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no
significant changes. Which of the following should the respiratory therapist recommend FIRST?
ra
A.transtracheal aspiration
B.airway clearance therapy
C.bronchodilator treatments
G
D.respiratory isolation
B. airway clearance therapy
A 24-year-old female is diagnosed with exercise-induced asthma and albuterol prn is ordered. A
respiratory therapist should NEXT
A.refer the patient for allergy skin testing.
B.educate the patient on obtaining daily peak flow measurements.
,C.instruct the patient to use albuterol 15 minutes before exercising.
D.suggest the patient use pursed lip breathing while exercising.
C. instruct the patient to use albuterol 15 minutes before exercising
In which of the following circumstances will tracheal secretions tend to dry in an intubated
patient?
A.a water vapor pressure of 47 mm Hg
B.a relative humidity of 100% at 22° C (71.6° F)
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C.a dew point of 37° C (98.6° F)
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D.an absolute humidity of 44 mg/L
B. a relative humidity of 100% at 22C (71.6F)
as
Prior to suctioning the endotracheal tube of an adult patient who is receiving ventilation with an
FIO2 of 0.40, a respiratory therapist should FIRST
A.lubricate the catheter.
B.hyperoxygenate the patient.
C.cleanse the catheter with water. M
n
D.administer an FIO2 of 0.40 by T-piece.
B. hyperoxygenate the patient
io
A 25-year-old patient with apnea is receiving PC ventilation. ABG analysis results are as
at
follows:
pH 7.20
du
PCO2 65 mm Hg
PO2 70 mm Hg
HCO3- 25 mEq/L
ra
BE -4 mEq/L
SO2 (calc) 94%
G
A respiratory therapist should recommend increasing the
A.set inspiratory pressure.
B.expiratory time.
C.sensitivity.
D.peak flow.
A. set inspiratory pressure
, A 68-year-old patient who is post-CABG was extubated 4 hours ago and complains of
increasing shortness of breath. Breath sounds are decreased over the right lung field. The
following data are available while the patient receives 4-L oxygen by nasal cannula:
HR 103/min
RR 27/min
BP 155/90 mm Hg
SpO2 90%
Which of the following studies should a respiratory therapist recommend FIRST?
r
te
A.bedside spirometry
B.chest CT with contrast
C.ventilation/perfusion scan
as
D.chest radiograph
D. chest radiograph
M
Which of the following medications should a respiratory therapist use to anesthetize a patient's
airway prior to a flexible bronchoscopy procedure?
n
A.lidocaine HCl
B.midazolam HCl (Versed)
io
C.ketamine (Ketalar)
D.vecuronium bromide (Norcuron)
A. lidocaine HCI
at
A respiratory therapist is evaluating a 75-kg (165-lb), 180-cm (5-ft 11-in) male who is receiving
du
VC, SIMV. The following patient data are obtained:
FIO2 0.40
ra
Mandatory rate 8
Total rate 8
VT 550 mL
G
PEEP 8 cm H2O
pH 7.27
PaCO2 55 mm Hg
PaO2 94 mm Hg
HCO3- 25 mEq/L
BE -3 mEq/L
SaO2 (calc)
97%
(FORM 2020A) VERIFIED AND
GRADED A+. 100% PASS RATE
r
te
as
M
n
io
at
du
ra
G
,A respiratory therapist is assisting a physician with endotracheal intubation. Which of the
following should be used INITIALLY to confirm tracheal intubation?
A.cm marking of the endotracheal tube
B.observable condensation in the tube
C.pulse oximetry
D.colorimetric capnography
D. colorimetric capnography
r
te
A respiratory therapist is asked to review a newborn's history. The following information is
available about the first few minutes after birth:
as
1 minute5 minutesAppearance acrocyanosis pinkHeart rate 70/min 110/minReflexcough
coughMuscle toneweak active motionRespiratory rate 20/min 40/min
M
Which of the following APGAR scores should the therapist expect to see for this infant?
1-minute 5-minute1. 4 82. 5 83. 6 104. 7 10
n
A.1
io
B.2
C.3
D.4
at
C. 3
du
A 58-year-old female was diagnosed with bronchiectasis 3 years ago. She reports increased
cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no
significant changes. Which of the following should the respiratory therapist recommend FIRST?
ra
A.transtracheal aspiration
B.airway clearance therapy
C.bronchodilator treatments
G
D.respiratory isolation
B. airway clearance therapy
A 24-year-old female is diagnosed with exercise-induced asthma and albuterol prn is ordered. A
respiratory therapist should NEXT
A.refer the patient for allergy skin testing.
B.educate the patient on obtaining daily peak flow measurements.
,C.instruct the patient to use albuterol 15 minutes before exercising.
D.suggest the patient use pursed lip breathing while exercising.
C. instruct the patient to use albuterol 15 minutes before exercising
In which of the following circumstances will tracheal secretions tend to dry in an intubated
patient?
A.a water vapor pressure of 47 mm Hg
B.a relative humidity of 100% at 22° C (71.6° F)
r
C.a dew point of 37° C (98.6° F)
te
D.an absolute humidity of 44 mg/L
B. a relative humidity of 100% at 22C (71.6F)
as
Prior to suctioning the endotracheal tube of an adult patient who is receiving ventilation with an
FIO2 of 0.40, a respiratory therapist should FIRST
A.lubricate the catheter.
B.hyperoxygenate the patient.
C.cleanse the catheter with water. M
n
D.administer an FIO2 of 0.40 by T-piece.
B. hyperoxygenate the patient
io
A 25-year-old patient with apnea is receiving PC ventilation. ABG analysis results are as
at
follows:
pH 7.20
du
PCO2 65 mm Hg
PO2 70 mm Hg
HCO3- 25 mEq/L
ra
BE -4 mEq/L
SO2 (calc) 94%
G
A respiratory therapist should recommend increasing the
A.set inspiratory pressure.
B.expiratory time.
C.sensitivity.
D.peak flow.
A. set inspiratory pressure
, A 68-year-old patient who is post-CABG was extubated 4 hours ago and complains of
increasing shortness of breath. Breath sounds are decreased over the right lung field. The
following data are available while the patient receives 4-L oxygen by nasal cannula:
HR 103/min
RR 27/min
BP 155/90 mm Hg
SpO2 90%
Which of the following studies should a respiratory therapist recommend FIRST?
r
te
A.bedside spirometry
B.chest CT with contrast
C.ventilation/perfusion scan
as
D.chest radiograph
D. chest radiograph
M
Which of the following medications should a respiratory therapist use to anesthetize a patient's
airway prior to a flexible bronchoscopy procedure?
n
A.lidocaine HCl
B.midazolam HCl (Versed)
io
C.ketamine (Ketalar)
D.vecuronium bromide (Norcuron)
A. lidocaine HCI
at
A respiratory therapist is evaluating a 75-kg (165-lb), 180-cm (5-ft 11-in) male who is receiving
du
VC, SIMV. The following patient data are obtained:
FIO2 0.40
ra
Mandatory rate 8
Total rate 8
VT 550 mL
G
PEEP 8 cm H2O
pH 7.27
PaCO2 55 mm Hg
PaO2 94 mm Hg
HCO3- 25 mEq/L
BE -3 mEq/L
SaO2 (calc)
97%
