TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
1. A 52 year-old post-operative cholecystectomy patient's D. deep
breathing and
breath sounds become more coarse upon coughing to clear secre-
completion of postural drainage with tions.
percussion. The respiratory therapist should
recommend: See Patient Assessment
A. Continuing the therapy until breath
sounds im- prove.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear
secretions. 70%
2. A healthy adult female can exhale what
portion of her forced vital capacity in the first
second?
3. Following cardiac surgery, a 55 year-old patient has the 5%
volume
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.
4. What value for the apnea-hypopnea index (AHI) is con- 5 to 15
sistent with mild obstructive sleep apnea?
5. The respiratory therapist is asked to evaluate the pres- Initiate an
expiratory hold
ence of Auto-PEEP on a patient receiving mechanical just prior to the
next venti-
1/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
ventilation. In order to do this, what should the RT do? lator-
delivered breath
6. What do bronchial breath sounds heard over lung consolidation
the lung periphery indicate? (pneu- monia)
Rationale: should be
vesic- ular in periphery
2/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
7. A 60 kg (132 lb) patient is mechanically ventilated at the B. Change
to airway pres- following settings: VC, A/C; VT 500 mL, respiratory
rate sure release ventilation. 12/min, FIO2 1.00 and 10 cm H2O
PEEP. The patient's
peak airway pressure is 60 cm H2O and his SpO2
is 85%. A current chest x-ray shows diffuse
bilateral infil- trates. Which of the following is
the most appropriate action in order to
reduce peak airway pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O.
8. A 19-year-old patient is brought to the Emergency De- B. Obtain an
ABG.
partment after taking a handful of pills. The
patient is obtunded but is making regular,
sonorous respiratory efforts. Auscultation
reveals coarse rhonchi bilaterally. Which of the
following should be done FIRST to assess this
patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score.
9. A young healthy adult with complaints of reversibility.
intermittent wheezing is seen in the Which of
pulmonary clinic. A pre/post bronchodilator the
spirometry reveals a normal study with no following
3/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
should the res- piratory therapist D. Bronchial provocation
recommend?
A. Helium dilution study
4/
31
A+ 2025
1. A 52 year-old post-operative cholecystectomy patient's D. deep
breathing and
breath sounds become more coarse upon coughing to clear secre-
completion of postural drainage with tions.
percussion. The respiratory therapist should
recommend: See Patient Assessment
A. Continuing the therapy until breath
sounds im- prove.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear
secretions. 70%
2. A healthy adult female can exhale what
portion of her forced vital capacity in the first
second?
3. Following cardiac surgery, a 55 year-old patient has the 5%
volume
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.
4. What value for the apnea-hypopnea index (AHI) is con- 5 to 15
sistent with mild obstructive sleep apnea?
5. The respiratory therapist is asked to evaluate the pres- Initiate an
expiratory hold
ence of Auto-PEEP on a patient receiving mechanical just prior to the
next venti-
1/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
ventilation. In order to do this, what should the RT do? lator-
delivered breath
6. What do bronchial breath sounds heard over lung consolidation
the lung periphery indicate? (pneu- monia)
Rationale: should be
vesic- ular in periphery
2/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
7. A 60 kg (132 lb) patient is mechanically ventilated at the B. Change
to airway pres- following settings: VC, A/C; VT 500 mL, respiratory
rate sure release ventilation. 12/min, FIO2 1.00 and 10 cm H2O
PEEP. The patient's
peak airway pressure is 60 cm H2O and his SpO2
is 85%. A current chest x-ray shows diffuse
bilateral infil- trates. Which of the following is
the most appropriate action in order to
reduce peak airway pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O.
8. A 19-year-old patient is brought to the Emergency De- B. Obtain an
ABG.
partment after taking a handful of pills. The
patient is obtunded but is making regular,
sonorous respiratory efforts. Auscultation
reveals coarse rhonchi bilaterally. Which of the
following should be done FIRST to assess this
patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score.
9. A young healthy adult with complaints of reversibility.
intermittent wheezing is seen in the Which of
pulmonary clinic. A pre/post bronchodilator the
spirometry reveals a normal study with no following
3/
31
, TMC Practice Exam A + B Solved Correctly To Score
A+ 2025
should the res- piratory therapist D. Bronchial provocation
recommend?
A. Helium dilution study
4/
31
