TMC Prep Exam Questions AND Correct Answers
A ______________ is the most appropriate non-invasive
technique for continuous monitoring of oxygen saturation &
pulse. - ✔✔Pulse Oximeter
A 1600 g neonate is stable in the NICU. Which of the following
should the RT utilize to continuously monitor the patient's
respiratory status?
A. Pulse Oximetry
B. ABG analysis
C. Transcutaneous monitoring
D. Echocardiography - ✔✔C. Transcutaneous monitoring
A 22 y/o female admitted to the ED with a narcotic overdose
has been intubated for airway protection. Intravenous access
is not currently available. The physician has administered
naloxone (Narcan) via the ET tube. Following administration
of the drug, the RT should
a. hyperventilate the patient for 30 seconds
b. administer 50 mL of normal saline via the ET tube
,c. perform cardioversion
d. suction the patient via the ET tube - ✔✔a. hyperventilate
the patient for 30 seconds
A 26 y/o female patient was involved in a motor vehicle
accident six weeks ago & required mechanical ventilation for a
period of 4 weeks. The patient currently has a fenestrated
tracheostomy tube connected to a tracheal speaking device.
The OT determines that the patient is ready for oral liquid
feeding. Prior to the patient's first feeding, the RT should
1. remove the speaking device
2. inflate the cuff
3. clamp the pilot tube
4. insert the obturator
a. 1 & 3 only
b. 2 & 3 only
c. 1 & 2 only
d. 3 & 4 only - ✔✔c. 1 & 2 only
A 26 y/o male patient has been orally intubated with 8.0 mm
ET tube. The physician asks the RT to confirm proper ET tube
,position with capnography. The capnograph consistently
reads 4 torr. The therapist should determine that
A. the patient has a pulmonary embolism.
B. this is a normal value
C. the patient needs to be extubated and manually ventilated.
D. the sensor was placed the wrong position. - ✔✔C. the
patient needs to be extubated and manually ventilated.
A 32 week gestation age infant has just been delivered. The
infant's APGAR scores at 1 & 5 minutes are 2 & 3 respectively.
The physician has determined that the infant requires
intubation and mechanical ventilation. Which of the following
equipment items would be necessary for this procedure?
1. Esophageal tracheal Combitube
2. Airway exchange catheter
3. Miller laryngoscope blade size 0
4. Endotracheal tubes sizes 2.5 & 3.0 mm
a. 1 & 4 only
b. 2 & 3 only
c. 3 & 4 only
, d. 2 & 4 only - ✔✔c. 3 & 4 only
A 67 y/o male patient who weighs 320 lb (145 kg) is scheduled
for a tracheostomy procedure. The OR nurse calls the RT
department & states that the physician is having trouble
finding an appropriate tracheostomy tube for this patient.
Which of the following tracheostomy tubes should the
therapist suggest?
a. Jackson
b. Fenestrated
c. Foam Cuff
d. Extended - ✔✔d. Extended
A 78 y/o male patient recently underwent abdominal surgery
for repair of a complicated Lt hernia. Two days after surgery,
the patient Chest X-Ray reveals an elevated diaphragm on the
left, crowded pulmonary vessels and scattered thin-layered
densities. These findings would be most consistent with -
✔✔Atelectasis
A blood gas sample drawn from the Rt Radial Artery indicates
a PaO2 of 86 torr, & a sample drawn from the umbilical artery
A ______________ is the most appropriate non-invasive
technique for continuous monitoring of oxygen saturation &
pulse. - ✔✔Pulse Oximeter
A 1600 g neonate is stable in the NICU. Which of the following
should the RT utilize to continuously monitor the patient's
respiratory status?
A. Pulse Oximetry
B. ABG analysis
C. Transcutaneous monitoring
D. Echocardiography - ✔✔C. Transcutaneous monitoring
A 22 y/o female admitted to the ED with a narcotic overdose
has been intubated for airway protection. Intravenous access
is not currently available. The physician has administered
naloxone (Narcan) via the ET tube. Following administration
of the drug, the RT should
a. hyperventilate the patient for 30 seconds
b. administer 50 mL of normal saline via the ET tube
,c. perform cardioversion
d. suction the patient via the ET tube - ✔✔a. hyperventilate
the patient for 30 seconds
A 26 y/o female patient was involved in a motor vehicle
accident six weeks ago & required mechanical ventilation for a
period of 4 weeks. The patient currently has a fenestrated
tracheostomy tube connected to a tracheal speaking device.
The OT determines that the patient is ready for oral liquid
feeding. Prior to the patient's first feeding, the RT should
1. remove the speaking device
2. inflate the cuff
3. clamp the pilot tube
4. insert the obturator
a. 1 & 3 only
b. 2 & 3 only
c. 1 & 2 only
d. 3 & 4 only - ✔✔c. 1 & 2 only
A 26 y/o male patient has been orally intubated with 8.0 mm
ET tube. The physician asks the RT to confirm proper ET tube
,position with capnography. The capnograph consistently
reads 4 torr. The therapist should determine that
A. the patient has a pulmonary embolism.
B. this is a normal value
C. the patient needs to be extubated and manually ventilated.
D. the sensor was placed the wrong position. - ✔✔C. the
patient needs to be extubated and manually ventilated.
A 32 week gestation age infant has just been delivered. The
infant's APGAR scores at 1 & 5 minutes are 2 & 3 respectively.
The physician has determined that the infant requires
intubation and mechanical ventilation. Which of the following
equipment items would be necessary for this procedure?
1. Esophageal tracheal Combitube
2. Airway exchange catheter
3. Miller laryngoscope blade size 0
4. Endotracheal tubes sizes 2.5 & 3.0 mm
a. 1 & 4 only
b. 2 & 3 only
c. 3 & 4 only
, d. 2 & 4 only - ✔✔c. 3 & 4 only
A 67 y/o male patient who weighs 320 lb (145 kg) is scheduled
for a tracheostomy procedure. The OR nurse calls the RT
department & states that the physician is having trouble
finding an appropriate tracheostomy tube for this patient.
Which of the following tracheostomy tubes should the
therapist suggest?
a. Jackson
b. Fenestrated
c. Foam Cuff
d. Extended - ✔✔d. Extended
A 78 y/o male patient recently underwent abdominal surgery
for repair of a complicated Lt hernia. Two days after surgery,
the patient Chest X-Ray reveals an elevated diaphragm on the
left, crowded pulmonary vessels and scattered thin-layered
densities. These findings would be most consistent with -
✔✔Atelectasis
A blood gas sample drawn from the Rt Radial Artery indicates
a PaO2 of 86 torr, & a sample drawn from the umbilical artery