TMC Practice Exam B
A 10-12 months-vintage affected person with bronchial asthma is requested to monitor his
airflow improvement following each Beta-2 agonist remedy taken at domestic. Which of the
following need to the therapist offer for the affected person?
A. Turbine pneumotachometer
B. Peak waft meter
C. Pulse oximeter
D. Volume displacement spirometer - ANS-B
A one hundred fifty kg (330 lb) patient has been referred to a sleep center for assessment of
sleep apnea and daytime drowsiness. Which of the subsequent is the maximum suitable
diagnostic method?
A. Spirometry
B. Pulse oximetry
C. Polysomnography
D. Body plethysmography - ANS-C
A sixteen-yr-vintage affected person involved in a bike accident has been admitted to the
emergency department. The paramedic indicates that the affected person turned into no longer
carrying a helmet. To investigate the affected person's neurologic repute the respiration
therapist might determine the patient's
A. Vital capability.
B. Pupillary response.
C. Herring bruer reflex .
D. Moro reflexes. - ANS-B
A 1600 g neonate is receiving oxygen with the aid of oxyhood at an FIO2 of zero.60. The
flowmeter is set at 5 L/min. While studying the oxygen, the respiratory therapist notices varying
FIO2 readings at exceptional places in the oxyhood. Which of the following have to the therapist
do to accurate the trouble?
A. Re-calibrate the oxygen reading tool
B. Increase the waft to the oxyhood
C. Place the neonate in an isolette at an FIO2 of 0.60
D. Check the water level of the humidifier - ANS-B
,A 17 12 months-old affected person is receiving 40% oxygen through a Venturi masks following
a motor automobile accident. He abruptly develops acute shortness of breath, is diaphoretic and
SpO2 is 85%. Breath sounds are vesicular at the right and extraordinarily dwindled at the left.
The respiratory therapist need to compare the affected person for the presence of
A. Atelectasis.
B. A pneumothorax.
C. Arterial high blood pressure.
D. A myocardial infarction. - ANS-B
A 19-year-antique affected person has a length 7 mm ID nasotracheal tube positioned through
the proper nare. While attempting to suction the affected person with a length 12 Fr catheter,
resistance is met as the catheter is brought into the endotracheal tube. The breathing therapist
must
A. Lubricate the catheter with petroleum jelly prior to suctioning.
B. Instill acetylcysteine into the endotracheal tube.
C. Transfer to a ten Fr suction catheter.
D. Extubate the affected person and reintubate with a length 9 mm ID endotracheal tube. -
ANS-C
A 2-year-vintage baby currently diagnosed with laryngotracheobronchitis requires the
management of forty% oxygen. What is the most appropriate technique for turning in the
oxygen?
A. Oxyhood connected to a blender set at forty% and 10 L/min
B. Cool aerosol mask set at 15 L/min and forty%
C. Venturi mask set at 40%
D. Croup tent at forty% - ANS-B
A 2-12 months-old toddler with croup has been intubated for 4 days with a four mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of zero.30 has been delivered to the patient. The
medical doctor asks the respiration therapist to assess the patient for feasible extubation. Which
of the following might most likely indicate that the affected person is ready for extubation?
A. The affected person is making ordinary quiet ventilatory efforts.
B. A terrible sputum culture and sensitivity has been mentioned.
C. The affected person's ABG are inside everyday variety.
D. Breath sounds are heard across the tube on auscultation. - ANS-D
A 2000 g neonate is respiratory spontaneously on 28% oxygen via an oxyhood with the
subsequent arterial blood gasoline results:
pH 7.37
,PaCO2 37 torr
PaO2 forty six torr
HCO3- 22 mEq/L
Based upon the above data, the respiration therapist ought to endorse which of the following?
A. Intubate and provoke mechanical ventilation with an FIO2 0.Fifty five
B. Intubate and provoke five cmH2O CPAP with an FIO2 zero.60
C. Increase the FIO2 to zero.35
D. Increase the FIO2 to zero.60 - ANS-C
A 2100 g neonate is inside the NICU and is being monitored with a TcPO2 monitor. The TcPO2
is studying 53 torr with the temperature set at 40oC. The arterial PO2 is 73 torr. Which of the
following might high-quality explain the difference in TcPO2 ranges?
A. There became an errors within the arterial blood gas evaluation.
B. The TcPO2 display desires to be repositioned on the neonate.
C. The TcPO2 temperature placing is simply too low.
D. The TcPO2 screen has come off the pores and skin. - ANS-C
A 25-yr-vintage, 58 kg (one hundred thirty lb) female is admitted to ICU after an emergency
C-phase. The patient is receiving mechanical air flow thru extent control ventilator. The current
ventilator settings are:
Mode VC, SIMV
VT 500 mL
f 12 bpm
FIO2 0.50
PEEP 5 cm H2O
The following laboratory information are to be had:
pH 7.36
PaCO2 44 torr
PaO2 50 torr
HCO3- 22 mEq/L
SaO2 82%
CVP 7 cm H2O
PAP thirteen mm Hg (imply)
QT four.Five L/min.
The respiration therapist need to suggest growing which of the following?
A. Tidal volume to 700 mL
, B. PEEP to eight cm H2O
C. Set charge to 15 bpm
D. FIO2 to .60 - ANS-D
A 30-yr-old male who weighs 68 kg (150 lb) has a minute ventilation of nine L/min. And a
respiratory fee of 20/min. What is his alveolar minute volume?
A. 4 L/min.
B. 6 L/min.
C. 8 L/min.
D. 12 L/min. - ANS-B
A 32-week gestational age little one is receiving mechanical ventilation for pulmonary interstitial
emphysema. The respiration therapist suspects that a pneumothorax has advanced. Which of
the subsequent diagnostic procedures have to the therapist endorse to confirm this analysis?
A. Upper airway x-ray
B. Capillary blood gasoline
C. Chest radiograph
D. Pre- & publish-ductal blood gases - ANS-C
A four-12 months-antique lady is admitted to the emergency department with continual dry
coughing. Chest radiograph effects screen everyday concept with the proper lung ultimate
accelerated on expiration. Which of the subsequent have to the respiratory therapist endorse at
this time?
A. Endobronchial intubation
B. Arterial blood gas evaluation
C. Bronchoscopic exam
D. Lateral neck radiograph - ANS-C
A forty three-year-vintage woman affected person has simply passed through a complete belly
hysterectomy. The affected person arrives within the post anesthesia care unit obtunded with
minimal response to painful stimulus. What treatment ought to the breathing therapist advise for
this patient?
A. Initiate assisted air flow
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - ANS-B.
A forty four week gestational age infant has simply been added via C-section and is gasping,
grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at five
mins the rating is five. The little one is maximum probably laid low with
A 10-12 months-vintage affected person with bronchial asthma is requested to monitor his
airflow improvement following each Beta-2 agonist remedy taken at domestic. Which of the
following need to the therapist offer for the affected person?
A. Turbine pneumotachometer
B. Peak waft meter
C. Pulse oximeter
D. Volume displacement spirometer - ANS-B
A one hundred fifty kg (330 lb) patient has been referred to a sleep center for assessment of
sleep apnea and daytime drowsiness. Which of the subsequent is the maximum suitable
diagnostic method?
A. Spirometry
B. Pulse oximetry
C. Polysomnography
D. Body plethysmography - ANS-C
A sixteen-yr-vintage affected person involved in a bike accident has been admitted to the
emergency department. The paramedic indicates that the affected person turned into no longer
carrying a helmet. To investigate the affected person's neurologic repute the respiration
therapist might determine the patient's
A. Vital capability.
B. Pupillary response.
C. Herring bruer reflex .
D. Moro reflexes. - ANS-B
A 1600 g neonate is receiving oxygen with the aid of oxyhood at an FIO2 of zero.60. The
flowmeter is set at 5 L/min. While studying the oxygen, the respiratory therapist notices varying
FIO2 readings at exceptional places in the oxyhood. Which of the following have to the therapist
do to accurate the trouble?
A. Re-calibrate the oxygen reading tool
B. Increase the waft to the oxyhood
C. Place the neonate in an isolette at an FIO2 of 0.60
D. Check the water level of the humidifier - ANS-B
,A 17 12 months-old affected person is receiving 40% oxygen through a Venturi masks following
a motor automobile accident. He abruptly develops acute shortness of breath, is diaphoretic and
SpO2 is 85%. Breath sounds are vesicular at the right and extraordinarily dwindled at the left.
The respiratory therapist need to compare the affected person for the presence of
A. Atelectasis.
B. A pneumothorax.
C. Arterial high blood pressure.
D. A myocardial infarction. - ANS-B
A 19-year-antique affected person has a length 7 mm ID nasotracheal tube positioned through
the proper nare. While attempting to suction the affected person with a length 12 Fr catheter,
resistance is met as the catheter is brought into the endotracheal tube. The breathing therapist
must
A. Lubricate the catheter with petroleum jelly prior to suctioning.
B. Instill acetylcysteine into the endotracheal tube.
C. Transfer to a ten Fr suction catheter.
D. Extubate the affected person and reintubate with a length 9 mm ID endotracheal tube. -
ANS-C
A 2-year-vintage baby currently diagnosed with laryngotracheobronchitis requires the
management of forty% oxygen. What is the most appropriate technique for turning in the
oxygen?
A. Oxyhood connected to a blender set at forty% and 10 L/min
B. Cool aerosol mask set at 15 L/min and forty%
C. Venturi mask set at 40%
D. Croup tent at forty% - ANS-B
A 2-12 months-old toddler with croup has been intubated for 4 days with a four mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of zero.30 has been delivered to the patient. The
medical doctor asks the respiration therapist to assess the patient for feasible extubation. Which
of the following might most likely indicate that the affected person is ready for extubation?
A. The affected person is making ordinary quiet ventilatory efforts.
B. A terrible sputum culture and sensitivity has been mentioned.
C. The affected person's ABG are inside everyday variety.
D. Breath sounds are heard across the tube on auscultation. - ANS-D
A 2000 g neonate is respiratory spontaneously on 28% oxygen via an oxyhood with the
subsequent arterial blood gasoline results:
pH 7.37
,PaCO2 37 torr
PaO2 forty six torr
HCO3- 22 mEq/L
Based upon the above data, the respiration therapist ought to endorse which of the following?
A. Intubate and provoke mechanical ventilation with an FIO2 0.Fifty five
B. Intubate and provoke five cmH2O CPAP with an FIO2 zero.60
C. Increase the FIO2 to zero.35
D. Increase the FIO2 to zero.60 - ANS-C
A 2100 g neonate is inside the NICU and is being monitored with a TcPO2 monitor. The TcPO2
is studying 53 torr with the temperature set at 40oC. The arterial PO2 is 73 torr. Which of the
following might high-quality explain the difference in TcPO2 ranges?
A. There became an errors within the arterial blood gas evaluation.
B. The TcPO2 display desires to be repositioned on the neonate.
C. The TcPO2 temperature placing is simply too low.
D. The TcPO2 screen has come off the pores and skin. - ANS-C
A 25-yr-vintage, 58 kg (one hundred thirty lb) female is admitted to ICU after an emergency
C-phase. The patient is receiving mechanical air flow thru extent control ventilator. The current
ventilator settings are:
Mode VC, SIMV
VT 500 mL
f 12 bpm
FIO2 0.50
PEEP 5 cm H2O
The following laboratory information are to be had:
pH 7.36
PaCO2 44 torr
PaO2 50 torr
HCO3- 22 mEq/L
SaO2 82%
CVP 7 cm H2O
PAP thirteen mm Hg (imply)
QT four.Five L/min.
The respiration therapist need to suggest growing which of the following?
A. Tidal volume to 700 mL
, B. PEEP to eight cm H2O
C. Set charge to 15 bpm
D. FIO2 to .60 - ANS-D
A 30-yr-old male who weighs 68 kg (150 lb) has a minute ventilation of nine L/min. And a
respiratory fee of 20/min. What is his alveolar minute volume?
A. 4 L/min.
B. 6 L/min.
C. 8 L/min.
D. 12 L/min. - ANS-B
A 32-week gestational age little one is receiving mechanical ventilation for pulmonary interstitial
emphysema. The respiration therapist suspects that a pneumothorax has advanced. Which of
the subsequent diagnostic procedures have to the therapist endorse to confirm this analysis?
A. Upper airway x-ray
B. Capillary blood gasoline
C. Chest radiograph
D. Pre- & publish-ductal blood gases - ANS-C
A four-12 months-antique lady is admitted to the emergency department with continual dry
coughing. Chest radiograph effects screen everyday concept with the proper lung ultimate
accelerated on expiration. Which of the subsequent have to the respiratory therapist endorse at
this time?
A. Endobronchial intubation
B. Arterial blood gas evaluation
C. Bronchoscopic exam
D. Lateral neck radiograph - ANS-C
A forty three-year-vintage woman affected person has simply passed through a complete belly
hysterectomy. The affected person arrives within the post anesthesia care unit obtunded with
minimal response to painful stimulus. What treatment ought to the breathing therapist advise for
this patient?
A. Initiate assisted air flow
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - ANS-B.
A forty four week gestational age infant has simply been added via C-section and is gasping,
grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at five
mins the rating is five. The little one is maximum probably laid low with
