Tmc exam.

TMC EXAM LATEST 2023-2024 ACTUAL EXAM
TESTBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ K




Change to airway pressure release ventilation - ANSWER-
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A 60 kg (132 lb) patient is being mechanically ventilated with the following se
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ttings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2
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O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 is
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85%. A current chest x-
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ray shows diffuse bilateral infiltrates. Which of the following is the most appr
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opriate action in order to reduce peak airway pressure?
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2, 3 & 4 - ANSWER-
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While performing diagnostic chest percussion, the respiratory therapist no
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tes decreased resonance to percussion. Which of the following are potenti
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al causes of this finding?.
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1. pneumothorax

2. pleural effusion K




3. pneumonia

4. atelectasis



Persistent bronchopleural fistula - ANSWER-A post-
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operative patient on volume- K K K




control ventilation has a chest tube in the left pleural space. While inspecti
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ng the chest drainage system, the respiratory therapist notes
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, TMC EXAM LATEST 2023-2024 ACTUAL EXAM
TESTBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ K



bubbling in the water seal chamber during the inspiratory phase. The thera
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pist should report this to the physician:
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Increase the FiO2 - ANSWER-A post-
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operative patient is receiving mechanical ventilation in the ICU at the followi
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ng settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 10 c
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m H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is 33
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mm Hg and the SpO2 is 90%. The patient is alert and oriented with stable vit
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al signs. Which of the following should the respiratory therapist recommend?
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1, 2 & 3 - ANSWER-
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After assisting with bronchoalveolar lavage and lung biopsy on a mechanical
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ly ventilated patient, the respiratory therapist notes the activation of a high pr
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essure alarm. Peak inspiratory pressure has increased from 32 cm H2O bef
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ore the procedure to 45 cm H2O after the procedure. Possible causes for th
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e increased pressure include
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1. bronchospasm

2. pneumothorax.

3. pulmonary hemorrhage. K

, TMC EXAM LATEST 2023-2024 ACTUAL EXAM
TESTBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ K



Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
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year-
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old male is orally intubated and continuous mechanical ventilation is initiat
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ed. Physical assessment of the neck and chest reveal a midline trachea a
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nd significant reduction in thoracic expansion of the left chest.
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There are diminished breath sounds in the left lung compared to the right l
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ung. These findings most likely indicate which of the following?
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Tube is not of the appropriate size - ANSWER-A 42 year-
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old trauma patient in the ED has been intubated with a 6.5 mm oral endotrac
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heal tube equipped with a high-residual-volume, low-
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pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm H
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2O is necessary to achieve a minimal occluding volume. This would indicate
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that the: K




Recalibrate the blood analyzer - ANSWER- K K K K K




A new blood gas analyzer is calibrated by the manufacturer at sea level. U
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pon receiving the new analyzer at a higher altitude, a respiratory therapist
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should:



Mean Airway Pressure - ANSWER-
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While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume-
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controlled ventilation, a 60-kg (132- K K K K




lb) patient is having difficulty achieving adequate oxygenation. To improve
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, TMC EXAM LATEST 2023-2024 ACTUAL EXAM
TESTBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ K



oxygenation, a respiratory therapist should manipulate ventilator settings to i
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ncrease which of the following?
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Increase the IPAP - ANSWER- K K K K




A patient is receiving noninvasive positive pressure ventilation. Pulmonary c
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ompliance has decreased over the past 4 hours. To increase the patient's tid
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al volume, it would be most appropriate to:
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Fifth intercostal space in mid-axillary line - ANSWER-
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A respiratory therapist is reviewing a chest radiograph and notes the presen
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ce of a chest tube.
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The patient has a hemothorax. Which of the following locations is most app
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ropriate for this chest tube to be placed?
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Administering ipratropium bromide (atrovent) - ANSWER- K K K K K




A patient with COPD is receiving mechanical ventilation. The patient continu
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es to wheeze despite treatment with albuterol. Peak airway pressure is incre
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ased with no change in plateau pressure. A respiratory therapist should reco
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mmend:



MIP - ANSWER-
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Which of the following should be used to determine the return of a postope
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rative patient's ability to breathe adequately after anesthesia?
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