1|Page
C&S TMC EXAM TWO NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED
A+||BRAND NEW VERSION!!
Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the
RT ensure that:
----Solution-----
the transducer is properly leveled and zeroed
The fiberoptic bronchoscope is usually preferred device during
bronchoscopy b/c its:
----Solution-----
flexibility
The capnograph tracing above was obtained from a mechanically
ventilated pt. On the basis of this tracing, the RT should:
----Solution-----
check the exhalation valve
A RT is performing nasotracheal suctioning. During the procedure, the
therapist occludes the catheter's thumb port; there is no vacuum. The
therapist could do all of the following EXCEPT
,2|Page
----Solution-----
use a longer suction catheter
The primary hazard of an oropharyngeal airway device is:
----Solution-----
the ot may gag or fight the device
While manually ventilating a pt with a bag-valve resuscitator during
cardiopulmonary resuscitation (CPR), the RT notices that the oxygen
reservoir is missing. The therapist should conclude that:
----Solution-----
the FiO2 will most likely be less than 1.0
A pt with a tracheostomy tube is producing moderate amounts of thick,
tenacious sputum. The best device for this pt would be:
----Solution-----
a heated large reservoir air-entrainment jet nebulizer
Which of the following humidity devices is the most economical choice
for use in an intubated, mechanically ventilated pt who only needs short-
term ventilation?
----Solution-----
heat moisture exchanger
The RT noticed that the CPAP pressure indicated on the low pressure
monitor is consistently less than the preset CPAP of an infant's nasal
CPAP system. Which of the following should the therapist do FIRST to
correct this problem?
----Solution-----
,3|Page
tighten all connections
While the RT is checking the oxygen setup of a pt on a 2L/min nasal
cannula, the pt complains of not being able to detect any oxygen flow
from the cannula. Which of the following actions would be appropriate?
----Solution-----
tighten all connections
Which of the following will alter the oxygen concentration of an air-
entrainment mask? 1 Increasing the flow setting-YES Occluding the air-
entrainment ports-YES Altering the size of the jet orifice-YES 2
Increasing the flow setting-NO Occluding the air-entrainment ports-YES
Altering the size of the jet orifice-NO 3 Increasing the flow setting-YES
Occluding the air-entrainment ports-NO Altering the size of the jet
orifice-YES
----Solution----
4 Increasing the flow setting-NO Occluding the air-entrainment ports-
YES Altering the size of the jet orifice-YES
While assessing a pt who is receiving oxygen via transtracheal catheter,
the ot complains of a persistent, nonproductive cough and tracheal
irritation. The appropriate action at this time would be what?
----Solution-----
reposition the catheter
A 65-year old asian female has just been admitted to the ED. Through an
interpreter, it is learned that the pt is complaining of palpitations and
chest discomfort. What would be indicated?
----Solution-----
12-lead ECG
, 4|Page
A critically ill pt with hypovolemic shock is being monitored in the ICU.
Measurement of which of the following would indicate if tissue hypoxia
is present? ----Solution-----SVO2
A 27 year old male has been admitted to the ED after he was found
unconscious in the bedroom closet of his home following a house fire.
He is currently receiving supplemental oxygen via a non rebreather
mask. An arterial blood gas sample is obtained. The values are as
follows: pH 7.22 PaCO2 45 mm Hg PaO2 345 mm Hg HCO3- 118
mEq/L SaO2 100% Which of the following would be most appropriate
at this time? ----Solution-----analyze the blood sample using a CO-
oximeter
Which of the following would be most helpful to evaluate the
effectiveness of secretion clearance therapy? ----Solution-----chest x-ray
A 46 year old male is presented to the RT clinic with complaints of
cough, night sweats, and loss of appetite. The pt has a history of IV drug
abuse and hep B. The therapist recommended? ----Solution-----
tuberculin skin test
The PFT results of an adult female are as follows: Measured Predicted
%Predicted FVC(L): 2.63 3.11 84 FEV1(L): 1.58 2.28 69
FEV1/FVC(%): 60 73 FEF25%-75%(L/Sec): 0.59 2.56 23 PEF (L/Sec):
4.90 5.78 85 On the basis of these data, the correct interpretation is: ----
Solution-----small airway obstruction
C&S TMC EXAM TWO NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED
A+||BRAND NEW VERSION!!
Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the
RT ensure that:
----Solution-----
the transducer is properly leveled and zeroed
The fiberoptic bronchoscope is usually preferred device during
bronchoscopy b/c its:
----Solution-----
flexibility
The capnograph tracing above was obtained from a mechanically
ventilated pt. On the basis of this tracing, the RT should:
----Solution-----
check the exhalation valve
A RT is performing nasotracheal suctioning. During the procedure, the
therapist occludes the catheter's thumb port; there is no vacuum. The
therapist could do all of the following EXCEPT
,2|Page
----Solution-----
use a longer suction catheter
The primary hazard of an oropharyngeal airway device is:
----Solution-----
the ot may gag or fight the device
While manually ventilating a pt with a bag-valve resuscitator during
cardiopulmonary resuscitation (CPR), the RT notices that the oxygen
reservoir is missing. The therapist should conclude that:
----Solution-----
the FiO2 will most likely be less than 1.0
A pt with a tracheostomy tube is producing moderate amounts of thick,
tenacious sputum. The best device for this pt would be:
----Solution-----
a heated large reservoir air-entrainment jet nebulizer
Which of the following humidity devices is the most economical choice
for use in an intubated, mechanically ventilated pt who only needs short-
term ventilation?
----Solution-----
heat moisture exchanger
The RT noticed that the CPAP pressure indicated on the low pressure
monitor is consistently less than the preset CPAP of an infant's nasal
CPAP system. Which of the following should the therapist do FIRST to
correct this problem?
----Solution-----
,3|Page
tighten all connections
While the RT is checking the oxygen setup of a pt on a 2L/min nasal
cannula, the pt complains of not being able to detect any oxygen flow
from the cannula. Which of the following actions would be appropriate?
----Solution-----
tighten all connections
Which of the following will alter the oxygen concentration of an air-
entrainment mask? 1 Increasing the flow setting-YES Occluding the air-
entrainment ports-YES Altering the size of the jet orifice-YES 2
Increasing the flow setting-NO Occluding the air-entrainment ports-YES
Altering the size of the jet orifice-NO 3 Increasing the flow setting-YES
Occluding the air-entrainment ports-NO Altering the size of the jet
orifice-YES
----Solution----
4 Increasing the flow setting-NO Occluding the air-entrainment ports-
YES Altering the size of the jet orifice-YES
While assessing a pt who is receiving oxygen via transtracheal catheter,
the ot complains of a persistent, nonproductive cough and tracheal
irritation. The appropriate action at this time would be what?
----Solution-----
reposition the catheter
A 65-year old asian female has just been admitted to the ED. Through an
interpreter, it is learned that the pt is complaining of palpitations and
chest discomfort. What would be indicated?
----Solution-----
12-lead ECG
, 4|Page
A critically ill pt with hypovolemic shock is being monitored in the ICU.
Measurement of which of the following would indicate if tissue hypoxia
is present? ----Solution-----SVO2
A 27 year old male has been admitted to the ED after he was found
unconscious in the bedroom closet of his home following a house fire.
He is currently receiving supplemental oxygen via a non rebreather
mask. An arterial blood gas sample is obtained. The values are as
follows: pH 7.22 PaCO2 45 mm Hg PaO2 345 mm Hg HCO3- 118
mEq/L SaO2 100% Which of the following would be most appropriate
at this time? ----Solution-----analyze the blood sample using a CO-
oximeter
Which of the following would be most helpful to evaluate the
effectiveness of secretion clearance therapy? ----Solution-----chest x-ray
A 46 year old male is presented to the RT clinic with complaints of
cough, night sweats, and loss of appetite. The pt has a history of IV drug
abuse and hep B. The therapist recommended? ----Solution-----
tuberculin skin test
The PFT results of an adult female are as follows: Measured Predicted
%Predicted FVC(L): 2.63 3.11 84 FEV1(L): 1.58 2.28 69
FEV1/FVC(%): 60 73 FEF25%-75%(L/Sec): 0.59 2.56 23 PEF (L/Sec):
4.90 5.78 85 On the basis of these data, the correct interpretation is: ----
Solution-----small airway obstruction
