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Exam (elaborations)

TMC EXAM A QUESTIONS AND ANSWERS 100% SOLVED 2025  

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A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? a. Meperidine b. Valium c. Romazicon (Flumazenil) d. Morphine Sulfate - ANSWERc. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is needed to determine the deadspace-tidal volume ratio? a. Single breath nitrogen elimination and caponographic data b. Helium dilution study and an arterial blood gas c. Arterial blood gases and capnographic data d. Helium dilution study and single breath nitrogen elimination - ANSWERc. Arterial blood gases and capnographic data A respiratory therapist is determining a VD/VT ratio. Which of the following is needed to complete this analysis? a. VT and VA b. PetCO2 and PaCO2 c. FIO2 and PaO2 d. PECO2 and PaO2 - ANSWERb. PetCO2 and PaCO2 Which of the following is LEAST likely to promote the spread of nosocomial infection in a hospital? a. Poor hand washing among staff b. Frequent disconnection of a ventilator circuit c. Changing small volume nebulizer equipment every 48 hours d. Use of unit dose medication - ANSWERd. Use of unit dose medication Which of the following can be used to estimate the level of Hemoglobin? a. C(a-v)O2 b. PAO2 c. Theophylline level d. RBC - ANSWERd. RBC

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TMC EXAM A QUESTIONS AND
ANSWERS 100% SOLVED 2025

,A patient receiving mechanical ventilation has received Halcion in the last twenty
minutes. The physician orders the institution of spontaeneous breathing trials to
commence immediately. Which of the following medications would be most helpful to
the patient?
a. Meperidine
b. Valium
c. Romazicon (Flumazenil)
d. Morphine Sulfate - ANSWERc. Romazicon (Flumazenil)

In preparation for ventilator weaning the physician requests a VD/VT ratio assessment.
Which of the following is needed to determine the deadspace-tidal volume ratio?
a. Single breath nitrogen elimination and caponographic data
b. Helium dilution study and an arterial blood gas
c. Arterial blood gases and capnographic data
d. Helium dilution study and single breath nitrogen elimination - ANSWERc. Arterial
blood gases and capnographic data

A respiratory therapist is determining a VD/VT ratio. Which of the following is needed to
complete this analysis?
a. VT and VA
b. PetCO2 and PaCO2
c. FIO2 and PaO2
d. PECO2 and PaO2 - ANSWERb. PetCO2 and PaCO2

Which of the following is LEAST likely to promote the spread of nosocomial infection in
a hospital?
a. Poor hand washing among staff
b. Frequent disconnection of a ventilator circuit
c. Changing small volume nebulizer equipment every 48 hours
d. Use of unit dose medication - ANSWERd. Use of unit dose medication

Which of the following can be used to estimate the level of Hemoglobin?
a. C(a-v)O2
b. PAO2
c. Theophylline level
d. RBC - ANSWERd. RBC

Which of the following alarms would be most important for a patient receiving positive
pressure ventilation by a pressure-cycled ventilator?
a. Low volume
b. I:E ratio

, c. Low FIO2
d. High pressure - ANSWERa. Low volume

Patients with large necks who experience frequent dislodging of their tracheostomy
tubes need (a)
a. Longer tracheostomy tube
b. Shorter tracheostomy tube
c. Larger tracheostomy tube
d. Nasal intubation - ANSWERa. Longer tracheostomy tube

Which of the following would be most effective at resolving a humidity deficit for a
patient who is intubated with an 8.0-mm endotracheal tube?
a. Large volume nebulizer
b. Concha heated humidifier
c. HME
d. Bubble humidifier - ANSWERb. Concha heated humidifier

A patient with suspected myasthenia gravis in the emergency room should receive
which of the following to confirm a diagnosis?
a. Norcuron
b. Edrophonium bromide
c. Neostigmine
d. Meperidine (Demerol) - ANSWERb. Edrophonium bromide

Which of the following is an important action when drawing an arterial blood gas
sample?
a. Choose a radial site with adequate ulnar circulation
b. Use a 16 gauge needle
c. Compress the site prior to puncture
d. Run the sample within 15 minutes - ANSWERa. Choose a radial site with adequate
ulnar circulation

Which of the following would be most helpful for a patient with fixed upper airway
obstruction?
a. Aerosolized epinephrine
b. Beta II agonist medication
c. Corticosteroids
d. Heliox therapy - ANSWERd. Heliox therapy

Which of the following oxygen modalities would be appropriate for a 220-lb (100-kg)
male with diabetic ketoacidosis who requires 40% supplemental oxygen?
a. Air-entrainment mask
b. Non-rebreathing mask
c. Nasal cannula
d. Simple mask - ANSWERa. Air-entrainment mask

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