TMC Exam 1 with Questions and Solutions

TMC Exam 1 with Questions and Solutions 1. During the assessment of a 64-year-old female patient, you note the following signs: dyspnea, hypotension, and a tracheal shift to the right. The patient also has absent breath sounds, reduced chest expansion, and a hyperresonant percussion note all on the left side. These findings suggest which of the following? A. A pleural effusion on the left side B. A pneumothorax on the left side C. Atelectasis on the left side D. Consolidation on the left side ANSWER B. A pneumothorax on the left side 2. A 39-year-old male patient was admitted to the emergency department with a fever and an SpO2 of 87% on room air. Upon auscultation, rhonchi is heard and the patient has a productive cough. Which of the following would you recommend? A. Intubate and provide mechanical ventilation with 40% oxygen B. Provide noninvasive positive pressure ventilation using a full face mask C. Implement postural drainage and percussion with directed coughing D. Provide oxygen therapy and obtain a sputum sample for culture and sensitivity ANSWER D. Provide oxygen therapy and obtain a sputum sample for culture and sensitivity 3. A 50-year-old male patient is intubated with a size 8 endotracheal tube and is receiving volume-controlled A/C ventilation. Upon assessment, you note that the patient's cuff pressure is measured at 38 cm H2O. Which of the following would you recommend? A. Withdraw the tube 1-2 cm and reassess the patient's breath sounds