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TMC Exam E 2025/2026 Complete Questions And Correct Answers (Verified Answers)|Brand New Version!

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A patient with a history of chronic bronchitis is post-
operative for an exploratory laparotomy. Review of
the medical record suggests the physician has
concern about difficulty clearing secretions after the
procedure. To assist the patient with mobilization and
d. Instruction on deep removal of secretions, the respiratory therapist should
breathing and coughing recommend
techniques a. MDI therapy with an anti-inflammatory
corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing
techniques

Which of the following conditions would be a
contraindication for IPPB?
a. Untreated pneumothorax
a. Untreated
b. Pulmonary edema
pneumothorax
c. A patient requiring bronchodilation AND lung
expansion
d. Fractured ribs

, The respiratory therapist has an order to cap a patient
with a fenestrated tracheostomy tube in preparation
for speech therapy. Prior to applying the cap on the
b. The inner cannula is
end of the tube, the therapist should also ensure
removed and the cuff
a. The inner cannula is removed and the cuff inflated
deflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated

A 75-kg (165-lbs) male is in acute ventilatory failure. In
preparation for mechanical ventilatory support, the
patient is to be orally intubated. Which of the
following artificial airways would be most appropriate
a. Size 7.0 mm ET tube with for this patient?
a large volume, low a. Size 7.0 mm ET tube with a large volume, low
pressure cuff pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high
pressure cuff
d. Jackson tracheostomy tube

Which of the following devices is needed to
determine a patient's airway resistance?
a. Turbine pneumotachometer
c. Body box
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer

, A patient is receiving manual ventilatory support with
a bag-valve connected to a size 8.0 mm ET tube.
While transporting the patient from CT scan back to
the intensive care unit, the respiratory therapist
notices oxygen saturation has dropped to 88% and
d. Examine chest rise and that the bag-valve is easier to squeeze than normal.
auscultate breath sounds Suspecting mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds

A 48-year-old patient has just been orally intubated
prior to being placed on volume-controlled
ventilation. The respiratory therapist should do which
of the following to best confirm proper placement of
d. Obtain a chest
the endotracheal tube?
radiograph
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph

After 20 minutes into a spontaneous breathing trial
(SBT) a mechanically ventilated female patient
becomes anxious. Her baseline heart rate has
increased by 20 /min. What should the respiratory
d. Return to full
therapist do?
mechanical ventilation
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation

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