TMC practice exam 1
A 13 year-antique affected person within the ED complains of dyspnea, chest tightness, and a
unfastened productive cough. The affected person has a breathing rate of 33 breaths/minute
and bilateral wheezing within the lungs. What remedy must the respiration therapist initiate?
A.Levalbuterol
B.Oxygen
C.Salmeterol
D.PEP - ANS-b
A sixteen 12 months-antique patient with cystic fibrosis attends excessive school. Which of the
following bronchial hygiene remedies could be most appropriate for this patient?
A.Intrapulmonary percussive ventilation
B.Dornase alpha therapy
C.Vibratory / oscillatory PEP
D.Postural drainage and guide percussion - ANS-c
A 19-year-old patient is added to the Emergency Department after taking a handful of tablets.
The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation reveals
coarse rhonchi bilaterally. Which of the following should be completed FIRST to assess this
patient?
A.Obtain a sputum specimen.
B.Obtain an ABG.
C.Measure peak expiratory waft.
D.Determine the Glasgow Coma Score. - ANS-b
A 28 yr-vintage woman has been admitted thru the ED with suspected CO poisoning. She gets
oxygen via non-rebreather masks at 10 L/min. Upon entering the patient's room, the respiration
therapist notes that the reservoir bag of the masks collapses during idea. This is most probably
the result of
A.Defective one-manner valves.
B.Tight seal among the mask and the patient's face.
C.Presence of a bubble humidifier.
D.Inadequate glide to the reservoir bag - ANS-d
A 30 year-antique male with bronchitis has coarse bilateral rales with a SpO2 of ninety%.
Despite a great cough effort, he has awesome problem in doing away with his thick secretions.
The respiration therapist must initiate
A.Aerosol treatments with three cc ordinary saline every four hours.
B.Sputum induction for gram stain.
C.A heated humidifier and oxygen remedy.
,D.Non-stop ultrasonic thru aerosol mask. - ANS-c
A 33 yr-old affected person with trauma has been ventilated at the contemporary settings for
twenty-four hours. While reviewing ventilator records from the patient, the respiration therapist
notes the following: 080010001200Peak Inspiratory Pressure (cm H2O)283550Plateau
Pressure (cm H2O)232525This information might indicate that
A.Airway resistance is reducing.
B.Lung compliance is increasing.
C.The affected person desires suctioning.
D.The affected person can begin weaning. - ANS-c
A 36 yr-vintage fireman changed into trapped and ultimately rescued from the crumble of a
burning constructing. Which of the subsequent gadgets would be suitable to correctly check his
oxygenation reputation?
A.Capnograph
B.Pulse oximeter
C.Blood fuel analyzer
D.Hemoximeter - ANS-d
A 36 12 months-antique affected person is admitted to the ED with a temperature of 38.5° C and
suspected pneumonia. The patient has no history of pulmonary ailment. Auscultation reveal
medium crackles at some point of both lungs. Which of the following need to be recommended
for control of this patient?
A.Pre/put up bronchodilator have a look at
B.Ultrasonic nebulizer treatments
C.Manually assisted coughing
D.Regular coughing and deep breathing - ANS-d
A forty two year-antique trauma patient within the ED has been intubated with a 6.Five mm oral
endotracheal tube ready with a excessive-residual-quantity, low-pressure cuff. The breathing
therapist notes that a cuff pressure of forty two cm H2O is necessary to obtain a minimum
occluding extent. This might suggest that the
A.Tube isn't always of the ideal length.
B.Pilot balloon and line are obstructed.
C.Strain manometer is defective.
D.Cuff has herniated over the top of the tube. - ANS-a
A forty four yr-antique patient who suffered a cerebral vascular coincidence has been moved
from Neuro-ICU to the step-down unit. He becomes diaphoretic and his SpO2 suddenly drops
from 95% to 88% on a 32% tracheostomy collar. His coronary heart charge is a hundred and
fifteen/min, respiration rate is 42/min and his breath sounds are very faded. The breathing
therapist is unsuccessful in trying to pass a 12 Fr suction catheter. The therapist must
A.Growth the suction pressure to a hundred and twenty mm Hg.
B.Trade to a 10 Fr suction catheter.
, C.Update the tracheostomy tube.
D.Orally intubate the patient. - ANS-c
A forty eight year-antique girl is admitted to the ED with diaphoresis, jugular venous distension,
and 3+ pitting edema in the ankles. These findings are consistent with
A.Liver failure.
B.Pulmonary embolism.
C.Coronary heart failure.
D.Electrolyte imbalance. - ANS-c
A 50 kg (one hundred ten lb) patient is routinely ventilated with the subsequent settings: VC,
A/C, VT 400 mL, respiration rate 14/min, FIO2 0.60 and 10 cm H2O PEEP. The chest
radiograph demonstrates diffuse bilateral radiopacity. ABG results are: pH 7.36, PaCO2 47 torr,
PaO2 50 torr, and HCO3- 26 mEq/L. The respiratory therapist ought to boom the
A.PEEP.
B.FIO2.
C.Expiratory time.
D.Respiration rate. - ANS-a
A 52 12 months-old publish-operative cholecystectomy affected person's breath sounds turn out
to be greater coarse upon completion of postural drainage with percussion. The breathing
therapist must suggest
A.Persevering with the remedy until breath sounds improve.
B.Administering dornase alpha.
C.Administering albuterol remedy.
D.Deep respiratory and coughing to clean secretions. - ANS-d
A 52 yr-old submit-operative affected person's chest radiograph demonstrates infiltrates inside
the posterior basal segments of the decrease lobes. Which of the subsequent is the perfect
postural drainage position?
A.Head down, affected person supine with a pillow under knees
B.Patient inclined with a pillow below head, bed flat
C.Patient supine with a pillow under knees, bed flat
D.Head down, patient susceptible with a pillow under hips - ANS-d
A 55 12 months-antique male affected person is evaluated for pulmonary rehabilitation. During a
cycle ergometer cardiopulmonary pressure system, the affected person has a heart rate of
100/min and a respiration charge of 20/min. He abruptly starts to complain of chest pain and
severe shortness of breath. The breathing therapist have to
A.Lessen the velocity of the motorcycle.
B.Administer supplemental oxygen.
C.Step by step lessen the workload and screen carefully.
D.Terminate the technique right away. - ANS-d
A 13 year-antique affected person within the ED complains of dyspnea, chest tightness, and a
unfastened productive cough. The affected person has a breathing rate of 33 breaths/minute
and bilateral wheezing within the lungs. What remedy must the respiration therapist initiate?
A.Levalbuterol
B.Oxygen
C.Salmeterol
D.PEP - ANS-b
A sixteen 12 months-antique patient with cystic fibrosis attends excessive school. Which of the
following bronchial hygiene remedies could be most appropriate for this patient?
A.Intrapulmonary percussive ventilation
B.Dornase alpha therapy
C.Vibratory / oscillatory PEP
D.Postural drainage and guide percussion - ANS-c
A 19-year-old patient is added to the Emergency Department after taking a handful of tablets.
The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation reveals
coarse rhonchi bilaterally. Which of the following should be completed FIRST to assess this
patient?
A.Obtain a sputum specimen.
B.Obtain an ABG.
C.Measure peak expiratory waft.
D.Determine the Glasgow Coma Score. - ANS-b
A 28 yr-vintage woman has been admitted thru the ED with suspected CO poisoning. She gets
oxygen via non-rebreather masks at 10 L/min. Upon entering the patient's room, the respiration
therapist notes that the reservoir bag of the masks collapses during idea. This is most probably
the result of
A.Defective one-manner valves.
B.Tight seal among the mask and the patient's face.
C.Presence of a bubble humidifier.
D.Inadequate glide to the reservoir bag - ANS-d
A 30 year-antique male with bronchitis has coarse bilateral rales with a SpO2 of ninety%.
Despite a great cough effort, he has awesome problem in doing away with his thick secretions.
The respiration therapist must initiate
A.Aerosol treatments with three cc ordinary saline every four hours.
B.Sputum induction for gram stain.
C.A heated humidifier and oxygen remedy.
,D.Non-stop ultrasonic thru aerosol mask. - ANS-c
A 33 yr-old affected person with trauma has been ventilated at the contemporary settings for
twenty-four hours. While reviewing ventilator records from the patient, the respiration therapist
notes the following: 080010001200Peak Inspiratory Pressure (cm H2O)283550Plateau
Pressure (cm H2O)232525This information might indicate that
A.Airway resistance is reducing.
B.Lung compliance is increasing.
C.The affected person desires suctioning.
D.The affected person can begin weaning. - ANS-c
A 36 yr-vintage fireman changed into trapped and ultimately rescued from the crumble of a
burning constructing. Which of the subsequent gadgets would be suitable to correctly check his
oxygenation reputation?
A.Capnograph
B.Pulse oximeter
C.Blood fuel analyzer
D.Hemoximeter - ANS-d
A 36 12 months-antique affected person is admitted to the ED with a temperature of 38.5° C and
suspected pneumonia. The patient has no history of pulmonary ailment. Auscultation reveal
medium crackles at some point of both lungs. Which of the following need to be recommended
for control of this patient?
A.Pre/put up bronchodilator have a look at
B.Ultrasonic nebulizer treatments
C.Manually assisted coughing
D.Regular coughing and deep breathing - ANS-d
A forty two year-antique trauma patient within the ED has been intubated with a 6.Five mm oral
endotracheal tube ready with a excessive-residual-quantity, low-pressure cuff. The breathing
therapist notes that a cuff pressure of forty two cm H2O is necessary to obtain a minimum
occluding extent. This might suggest that the
A.Tube isn't always of the ideal length.
B.Pilot balloon and line are obstructed.
C.Strain manometer is defective.
D.Cuff has herniated over the top of the tube. - ANS-a
A forty four yr-antique patient who suffered a cerebral vascular coincidence has been moved
from Neuro-ICU to the step-down unit. He becomes diaphoretic and his SpO2 suddenly drops
from 95% to 88% on a 32% tracheostomy collar. His coronary heart charge is a hundred and
fifteen/min, respiration rate is 42/min and his breath sounds are very faded. The breathing
therapist is unsuccessful in trying to pass a 12 Fr suction catheter. The therapist must
A.Growth the suction pressure to a hundred and twenty mm Hg.
B.Trade to a 10 Fr suction catheter.
, C.Update the tracheostomy tube.
D.Orally intubate the patient. - ANS-c
A forty eight year-antique girl is admitted to the ED with diaphoresis, jugular venous distension,
and 3+ pitting edema in the ankles. These findings are consistent with
A.Liver failure.
B.Pulmonary embolism.
C.Coronary heart failure.
D.Electrolyte imbalance. - ANS-c
A 50 kg (one hundred ten lb) patient is routinely ventilated with the subsequent settings: VC,
A/C, VT 400 mL, respiration rate 14/min, FIO2 0.60 and 10 cm H2O PEEP. The chest
radiograph demonstrates diffuse bilateral radiopacity. ABG results are: pH 7.36, PaCO2 47 torr,
PaO2 50 torr, and HCO3- 26 mEq/L. The respiratory therapist ought to boom the
A.PEEP.
B.FIO2.
C.Expiratory time.
D.Respiration rate. - ANS-a
A 52 12 months-old publish-operative cholecystectomy affected person's breath sounds turn out
to be greater coarse upon completion of postural drainage with percussion. The breathing
therapist must suggest
A.Persevering with the remedy until breath sounds improve.
B.Administering dornase alpha.
C.Administering albuterol remedy.
D.Deep respiratory and coughing to clean secretions. - ANS-d
A 52 yr-old submit-operative affected person's chest radiograph demonstrates infiltrates inside
the posterior basal segments of the decrease lobes. Which of the subsequent is the perfect
postural drainage position?
A.Head down, affected person supine with a pillow under knees
B.Patient inclined with a pillow below head, bed flat
C.Patient supine with a pillow under knees, bed flat
D.Head down, patient susceptible with a pillow under hips - ANS-d
A 55 12 months-antique male affected person is evaluated for pulmonary rehabilitation. During a
cycle ergometer cardiopulmonary pressure system, the affected person has a heart rate of
100/min and a respiration charge of 20/min. He abruptly starts to complain of chest pain and
severe shortness of breath. The breathing therapist have to
A.Lessen the velocity of the motorcycle.
B.Administer supplemental oxygen.
C.Step by step lessen the workload and screen carefully.
D.Terminate the technique right away. - ANS-d
