TMC Practice Exam A + B
A thirteen 12 months-vintage affected person within the ED complains of dyspnea, chest
tightness, and a unfastened efficient cough. The patient has a respiration rate of 33
breaths/minute and bilateral wheezing inside the lungs. What treatment must the respiration
therapist provoke?
A. Levalbuterol
B. Oxygen
C. Salmeterol
D. PEP - ANS-B. Oxygen
A 19-12 months-antique affected person is added to the Emergency Department after taking a
handful of pills. The affected person is obtunded however is making ordinary, sonorous
respiration efforts. Auscultation reveals coarse rhonchi bilaterally. Which of the subsequent
ought to be accomplished FIRST to evaluate this patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure height expiratory flow.
D. Determine the Glasgow Coma Score. - ANS-B. Obtain an ABG.
A 30-12 months-antique male who weighs 68 kg (a hundred and fifty lb) has a minute ventilation
of 9 L/min. And a breathing price 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. 6 L/min.
Formula: (VT-VD) x RR
A forty three-year-antique female affected person has simply gone through a complete belly
hysterectomy. The patient arrives within the put up anesthesia care unit obtunded with minimum
response to painful stimulus. What treatment have to the respiration therapist propose for this
affected person?
A. Initiate assisted air flow
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - ANS-B. Insert oropharyngeal airway
, A 52 year-old publish-operative cholecystectomy patient's breath sounds become greater
coarse upon final touch of postural drainage with percussion. The respiration therapist ought to
endorse:
A. Continuing the therapy till breath sounds enhance.
B. Administering dornase alpha.
C. Administering albuterol therapy.
D. Deep respiratory and coughing to clean secretions. - ANS-D. Deep respiratory and coughing
to clean secretions.
See Patient Assessment
A 60 kg (132 lb) woman patient with congestive heart failure gets NPPV with an IPAP of sixteen
cm H2O, EPAP of 10 cm H2O, and FIO2 of 0.70. Available laboratory facts consists of: pH 7.40,
PaCO2 42 torr; PaO2 145 torr; HCO3 26 mEq/L, SaO2 99%, CVP 10 cm H2O. Breath sounds
monitor some first-class bibasilar crackles. This situation should be defined as:
A. Shunting.
B. Hypoventilation.
C. Hyperoxygenation.
D. Fluid overload. - ANS-C. Hyperoxygenation.
A 60 kg (132 lb) affected person is routinely ventilated at the subsequent settings: VC, A/C; VT
500 mL, respiration price 12/min, FIO2 1.00 and 10 cm H2O PEEP. The affected person's peak
airway strain is 60 cm H2O and his SpO2 is eighty five%. A contemporary chest x-ray shows
diffuse bilateral infiltrates. Which of the subsequent is the maximum suitable action a good way
to reduce top airway pressure?
A. Increase the frequency.
B. Change to airway stress launch ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - ANS-B. Change to airway strain release air flow.
A 72 12 months-vintage female publish stem cell transplant affected person inside the ICU
complains of issue respiratory and is cited to have diffuse fluffy infiltrates on chest X-ray. The
B-kind Natriuretic Peptide (BNP) take a look at result demonstrates seven-hundred pg/mL. What
is the patient's feasible condition?
A. Severe heart failure
B. Respiratory distress syndrome
C. Severe renal failure
D. Moderate heart failure - ANS-D. Moderate heart failure
A thirteen 12 months-vintage affected person within the ED complains of dyspnea, chest
tightness, and a unfastened efficient cough. The patient has a respiration rate of 33
breaths/minute and bilateral wheezing inside the lungs. What treatment must the respiration
therapist provoke?
A. Levalbuterol
B. Oxygen
C. Salmeterol
D. PEP - ANS-B. Oxygen
A 19-12 months-antique affected person is added to the Emergency Department after taking a
handful of pills. The affected person is obtunded however is making ordinary, sonorous
respiration efforts. Auscultation reveals coarse rhonchi bilaterally. Which of the subsequent
ought to be accomplished FIRST to evaluate this patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure height expiratory flow.
D. Determine the Glasgow Coma Score. - ANS-B. Obtain an ABG.
A 30-12 months-antique male who weighs 68 kg (a hundred and fifty lb) has a minute ventilation
of 9 L/min. And a breathing price 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. 6 L/min.
Formula: (VT-VD) x RR
A forty three-year-antique female affected person has simply gone through a complete belly
hysterectomy. The patient arrives within the put up anesthesia care unit obtunded with minimum
response to painful stimulus. What treatment have to the respiration therapist propose for this
affected person?
A. Initiate assisted air flow
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - ANS-B. Insert oropharyngeal airway
, A 52 year-old publish-operative cholecystectomy patient's breath sounds become greater
coarse upon final touch of postural drainage with percussion. The respiration therapist ought to
endorse:
A. Continuing the therapy till breath sounds enhance.
B. Administering dornase alpha.
C. Administering albuterol therapy.
D. Deep respiratory and coughing to clean secretions. - ANS-D. Deep respiratory and coughing
to clean secretions.
See Patient Assessment
A 60 kg (132 lb) woman patient with congestive heart failure gets NPPV with an IPAP of sixteen
cm H2O, EPAP of 10 cm H2O, and FIO2 of 0.70. Available laboratory facts consists of: pH 7.40,
PaCO2 42 torr; PaO2 145 torr; HCO3 26 mEq/L, SaO2 99%, CVP 10 cm H2O. Breath sounds
monitor some first-class bibasilar crackles. This situation should be defined as:
A. Shunting.
B. Hypoventilation.
C. Hyperoxygenation.
D. Fluid overload. - ANS-C. Hyperoxygenation.
A 60 kg (132 lb) affected person is routinely ventilated at the subsequent settings: VC, A/C; VT
500 mL, respiration price 12/min, FIO2 1.00 and 10 cm H2O PEEP. The affected person's peak
airway strain is 60 cm H2O and his SpO2 is eighty five%. A contemporary chest x-ray shows
diffuse bilateral infiltrates. Which of the subsequent is the maximum suitable action a good way
to reduce top airway pressure?
A. Increase the frequency.
B. Change to airway stress launch ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - ANS-B. Change to airway strain release air flow.
A 72 12 months-vintage female publish stem cell transplant affected person inside the ICU
complains of issue respiratory and is cited to have diffuse fluffy infiltrates on chest X-ray. The
B-kind Natriuretic Peptide (BNP) take a look at result demonstrates seven-hundred pg/mL. What
is the patient's feasible condition?
A. Severe heart failure
B. Respiratory distress syndrome
C. Severe renal failure
D. Moderate heart failure - ANS-D. Moderate heart failure
