KETTERING TMC 2026 TEST QUESTIONS AND
ANSWERS SURE A+
✔✔Over the last hour a patient being ventilated with a volume cycled ventilator has had
a decrease in urine output from 35 mL/hour to 10 mL/hour. The most likely cause of this
change would be an increase in the
A. respiratory rate.
B. delivered FIO2 .
C. peak airway pressure.
D. inspiratory flow. - ✔✔C. peak airway pressure.
✔✔Following administration of oxygen, what additional therapy should the respiratory
therapist recommend for a patient with decompression sickness?
A. Non-invasive ventilation
B. Inhaled nitric oxide
C. Hyperbaric oxygen therapy
D. Extracorporeal membrane oxygenation - ✔✔C. Hyperbaric oxygen therapy
✔✔A patient has been participating in Pulmonary Rehabilitation for the past 5 weeks.
The patient has recorded the results of his 6 minute walk test each week. The results
indicate a steady increase in distance over the 5 week period. These results are
consistent with
A. need to wear supplemental oxygen while walking.
B. need for an additional 6 weeks of rehabilitation.
C. improvement in exercise ability.
D. early discharge from rehabilitation. - ✔✔C. improvement in exercise ability.
✔✔The following measurements were obtained from a patient being monitored with a
balloon tipped, flow directed catheter:
,CVP 2 cmH2O
PAP 12 torr (mean)
PCWP 3 torr
CI 1.2 L/min/m2
BP 110/90 mm Hg
Based on the above information, all of the following parameters would be decreased
EXCEPT
A. right ventricular end diastolic pressure.
B. left atrial filling pressure.
C. systemic vascular resistance.
D. cardiac output. - ✔✔C. systemic vascular resistance.
✔✔Cardiopulmonary resuscitation has been performed on an adult patient for 15
minutes. The following pattern is seen on the ECG monitor: coarse V-fib
The respiratory therapist has obtained the following arterial blood gas results:
pH 7.02
PaCO2 47 torr
PaO2 76 torr
HCO3 14 mEq/L
SaO2 94%
FIO2 1.0
Which of the following should the therapist recommend at this time?
A. Increase the minute volume
B. Administer sodium bicarbonate
C. Decrease the FIO2
D. Administer lidocaine - ✔✔B. Administer sodium bicarbonate
✔✔A patient recently underwent a thoracotomy and is now receiving IPPB QID. The
patient's inspiratory capacity has diminished over the past several days and the patient
is becoming increasingly short of breath. Chest radiograph shows left lower lobe
radiodensity with a concave upper border. The respiratory therapist would conclude that
the patient has developed
A. a pleural effusion.
B. atelectasis.
C. a pneumothorax.
D. pneumonia. - ✔✔A. Pleural effusion
✔✔Pressure-cycled ventilation would be LEAST appropriate for a patient with
, A. kyphosis.
B. muscular dystrophy.
C. chronic CO2 retention.
D. a drug overdose. - ✔✔C. chronic CO2 retention.
✔✔A hyperresonant percussion note is associated with which of the following
pathologies?
1. Hemothorax
2. Pleural effusion
3. Tension Pneumothorax
4. Chronic bronchitis
A. 1, 3
B. 3, 4
C. 1, 2
D. 2, 4 - ✔✔B. 3, 4
✔✔A patient involved in a motor vehicle accident has sustained a long bone fracture
and remains in traction. The patient suddenly complains of chest pain and develops
tachypnea and tachycardia. The respiratory therapist should
A. administer 100% oxygen.
B. recommend heparin.
C. recommend streptokinase.
D. request a chest X-ray. - ✔✔A. administer 100% oxygen.
✔✔How should the respiratory therapist assemble a Bird Mark 7 respirator to deliver
40% oxygen during an intermittent positive pressure breathing treatment?
A. Bleed in oxygen with the air-mix off
B. 100% oxygen with the air-mix on
C. Air-mix on and attached to a blender set at 40%
D. Air-mix off and attached to a blender set at 40% - ✔✔D. Air-mix off and attached to a
blender set at 40%
✔✔A patient is being ventilated with a high frequency ventilator. The results of an
arterial blood gas analysis are as follows:
pH 7.29
PaCO2 68 torr
PaO2 73 torr
HCO3- 25 mEq/L
BE +1 mEq/L
ANSWERS SURE A+
✔✔Over the last hour a patient being ventilated with a volume cycled ventilator has had
a decrease in urine output from 35 mL/hour to 10 mL/hour. The most likely cause of this
change would be an increase in the
A. respiratory rate.
B. delivered FIO2 .
C. peak airway pressure.
D. inspiratory flow. - ✔✔C. peak airway pressure.
✔✔Following administration of oxygen, what additional therapy should the respiratory
therapist recommend for a patient with decompression sickness?
A. Non-invasive ventilation
B. Inhaled nitric oxide
C. Hyperbaric oxygen therapy
D. Extracorporeal membrane oxygenation - ✔✔C. Hyperbaric oxygen therapy
✔✔A patient has been participating in Pulmonary Rehabilitation for the past 5 weeks.
The patient has recorded the results of his 6 minute walk test each week. The results
indicate a steady increase in distance over the 5 week period. These results are
consistent with
A. need to wear supplemental oxygen while walking.
B. need for an additional 6 weeks of rehabilitation.
C. improvement in exercise ability.
D. early discharge from rehabilitation. - ✔✔C. improvement in exercise ability.
✔✔The following measurements were obtained from a patient being monitored with a
balloon tipped, flow directed catheter:
,CVP 2 cmH2O
PAP 12 torr (mean)
PCWP 3 torr
CI 1.2 L/min/m2
BP 110/90 mm Hg
Based on the above information, all of the following parameters would be decreased
EXCEPT
A. right ventricular end diastolic pressure.
B. left atrial filling pressure.
C. systemic vascular resistance.
D. cardiac output. - ✔✔C. systemic vascular resistance.
✔✔Cardiopulmonary resuscitation has been performed on an adult patient for 15
minutes. The following pattern is seen on the ECG monitor: coarse V-fib
The respiratory therapist has obtained the following arterial blood gas results:
pH 7.02
PaCO2 47 torr
PaO2 76 torr
HCO3 14 mEq/L
SaO2 94%
FIO2 1.0
Which of the following should the therapist recommend at this time?
A. Increase the minute volume
B. Administer sodium bicarbonate
C. Decrease the FIO2
D. Administer lidocaine - ✔✔B. Administer sodium bicarbonate
✔✔A patient recently underwent a thoracotomy and is now receiving IPPB QID. The
patient's inspiratory capacity has diminished over the past several days and the patient
is becoming increasingly short of breath. Chest radiograph shows left lower lobe
radiodensity with a concave upper border. The respiratory therapist would conclude that
the patient has developed
A. a pleural effusion.
B. atelectasis.
C. a pneumothorax.
D. pneumonia. - ✔✔A. Pleural effusion
✔✔Pressure-cycled ventilation would be LEAST appropriate for a patient with
, A. kyphosis.
B. muscular dystrophy.
C. chronic CO2 retention.
D. a drug overdose. - ✔✔C. chronic CO2 retention.
✔✔A hyperresonant percussion note is associated with which of the following
pathologies?
1. Hemothorax
2. Pleural effusion
3. Tension Pneumothorax
4. Chronic bronchitis
A. 1, 3
B. 3, 4
C. 1, 2
D. 2, 4 - ✔✔B. 3, 4
✔✔A patient involved in a motor vehicle accident has sustained a long bone fracture
and remains in traction. The patient suddenly complains of chest pain and develops
tachypnea and tachycardia. The respiratory therapist should
A. administer 100% oxygen.
B. recommend heparin.
C. recommend streptokinase.
D. request a chest X-ray. - ✔✔A. administer 100% oxygen.
✔✔How should the respiratory therapist assemble a Bird Mark 7 respirator to deliver
40% oxygen during an intermittent positive pressure breathing treatment?
A. Bleed in oxygen with the air-mix off
B. 100% oxygen with the air-mix on
C. Air-mix on and attached to a blender set at 40%
D. Air-mix off and attached to a blender set at 40% - ✔✔D. Air-mix off and attached to a
blender set at 40%
✔✔A patient is being ventilated with a high frequency ventilator. The results of an
arterial blood gas analysis are as follows:
pH 7.29
PaCO2 68 torr
PaO2 73 torr
HCO3- 25 mEq/L
BE +1 mEq/L
