TMC EXAM B KETTERING 60 QUESTIONS
WITH 100% CORRECT ANSWERS / A+ GRADE
The respiratory therapist calibrates a spirometer and checks the volume with a 3.0 liter
super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
A.
Another syringe needs to be used
B.
Spirometer is accurate
C.
The plunger was advanced too slowly
D.
Spirometer may have a leak ...ANSWER...D.
Spirometer may have a leak
A 44-week gestational age infant is delivered via C-section and is gasping, grunting,
and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at 5
minutes the score is 5. The infant is most likely suffering from
A.
transient tachypnea of the newborn.
B.
meconium aspiration.
C.
bronchopulmonary dysplasia.
D.
apnea of prematurity. ...ANSWER...meconium aspiration.
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
,A.
right lower lobe atelectasis.
B.
right side hyperlucency, absent vascular markings.
C.
hepatomegaly.
D.
right lower lobe consolidation with air bronchograms. ...ANSWER...B. right side
hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent (differential)
lung ventilation following thoracotomy and right lower lobectomy. Which of the following
setting combinations would be most appropriate for this patient?
A.
Right lung 50 mL; left lung 450 mL
B.
Right lung 150 mL; left lung 350 mL
C.
Right lung 250 mL; left lung 250 mL
D.
Right lung 350 mL; left lung 150 mL ...ANSWER...Right lung 150 mL; left lung 350 mL
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the patient.
The physician asks the respiratory therapist to evaluate the patient for possible
extubation. Which of the following would most likely indicate that the patient is ready for
extubation?
A.
The patient is making normal quiet ventilatory efforts.
B.
A negative sputum culture and sensitivity has been reported.
C.
The patient's ABG are within normal range.
D.
,Breath sounds are heard around the tube on auscultation. ...ANSWER...D. Breath
sounds are heard around the tube on auscultation.
A patient is seen in the Emergency Department for complaints of nausea and vomiting.
A nasogastric tube has been inserted and the patient is started on lasix. Which of the
following should the respiratory therapist monitor?
A.
Cardiac enzymes
B.
Serum electrolytes
C.
Arterial blood gases
D.
Cell hydration level ...ANSWER...B. Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory therapist
should direct the patient to
A.
exhale to residual volume and inhale to inspiratory capacity.
B.
inhale to total lung capacity then exhale to residual volume.
C.
exhale normally then inhale to total lung capacity.
D.
inhale normally then exhale to functional residual capacity. ...ANSWER...B. inhale to
total lung capacity then exhale to residual volume.
A patient involved in an automobile accident is brought to the ED with tachypnea,
tracheal deviation to the right, splinting, asymmetrical chest movement, and decreased
breath sounds on the left side. The respiratory therapist should initially
A.
insert a chest tube.
B.
administer 100% oxygen via mask.
C.
perform endotracheal intubation.
, D.
initiate non-invasive positive pressure ventilation. ...ANSWER...B. administer 100%
oxygen via mask.
A patient with end-stage pulmonary fibrosis receives oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of
breath. The respiratory therapist should
A.
manually ventilate the patient with a resuscitation bag.
B.
increase the flow to the transtracheal catheter to 6 L/min.
C.
evaluate the SpO2 with a pulse oximeter.
D.
flush the transtracheal device with saline. ...ANSWER...flush the transtracheal device
with saline.
During bedside monitoring, the respiratory therapist notices a dampened waveform on
the arterial line graphic. To restore the graphic to normal, the therapist should first
A.
verify the position of the transducer.
B.
check the transducer dome for air bubbles.
C.
flush the catheter with heparin solution.
D.
attempt to draw blood from the arterial line. ...ANSWER...attempt to draw blood from the
arterial line.
An optimal PEEP study is initiated for a patient receiving mechanical ventilation. The
respiratory therapist initiates PEEP of 10 cm H2O for 20 minutes with no adverse
effects. The PEEP is increased to 15 cm H2O and the patient's heart rate rises
significantly with a severe fall in the blood pressure. Based upon the above information,
the therapist should conclude that the patient is suffering from
A.
peripheral vasoconstriction.
B.
WITH 100% CORRECT ANSWERS / A+ GRADE
The respiratory therapist calibrates a spirometer and checks the volume with a 3.0 liter
super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
A.
Another syringe needs to be used
B.
Spirometer is accurate
C.
The plunger was advanced too slowly
D.
Spirometer may have a leak ...ANSWER...D.
Spirometer may have a leak
A 44-week gestational age infant is delivered via C-section and is gasping, grunting,
and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at 5
minutes the score is 5. The infant is most likely suffering from
A.
transient tachypnea of the newborn.
B.
meconium aspiration.
C.
bronchopulmonary dysplasia.
D.
apnea of prematurity. ...ANSWER...meconium aspiration.
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
,A.
right lower lobe atelectasis.
B.
right side hyperlucency, absent vascular markings.
C.
hepatomegaly.
D.
right lower lobe consolidation with air bronchograms. ...ANSWER...B. right side
hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent (differential)
lung ventilation following thoracotomy and right lower lobectomy. Which of the following
setting combinations would be most appropriate for this patient?
A.
Right lung 50 mL; left lung 450 mL
B.
Right lung 150 mL; left lung 350 mL
C.
Right lung 250 mL; left lung 250 mL
D.
Right lung 350 mL; left lung 150 mL ...ANSWER...Right lung 150 mL; left lung 350 mL
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the patient.
The physician asks the respiratory therapist to evaluate the patient for possible
extubation. Which of the following would most likely indicate that the patient is ready for
extubation?
A.
The patient is making normal quiet ventilatory efforts.
B.
A negative sputum culture and sensitivity has been reported.
C.
The patient's ABG are within normal range.
D.
,Breath sounds are heard around the tube on auscultation. ...ANSWER...D. Breath
sounds are heard around the tube on auscultation.
A patient is seen in the Emergency Department for complaints of nausea and vomiting.
A nasogastric tube has been inserted and the patient is started on lasix. Which of the
following should the respiratory therapist monitor?
A.
Cardiac enzymes
B.
Serum electrolytes
C.
Arterial blood gases
D.
Cell hydration level ...ANSWER...B. Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory therapist
should direct the patient to
A.
exhale to residual volume and inhale to inspiratory capacity.
B.
inhale to total lung capacity then exhale to residual volume.
C.
exhale normally then inhale to total lung capacity.
D.
inhale normally then exhale to functional residual capacity. ...ANSWER...B. inhale to
total lung capacity then exhale to residual volume.
A patient involved in an automobile accident is brought to the ED with tachypnea,
tracheal deviation to the right, splinting, asymmetrical chest movement, and decreased
breath sounds on the left side. The respiratory therapist should initially
A.
insert a chest tube.
B.
administer 100% oxygen via mask.
C.
perform endotracheal intubation.
, D.
initiate non-invasive positive pressure ventilation. ...ANSWER...B. administer 100%
oxygen via mask.
A patient with end-stage pulmonary fibrosis receives oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of
breath. The respiratory therapist should
A.
manually ventilate the patient with a resuscitation bag.
B.
increase the flow to the transtracheal catheter to 6 L/min.
C.
evaluate the SpO2 with a pulse oximeter.
D.
flush the transtracheal device with saline. ...ANSWER...flush the transtracheal device
with saline.
During bedside monitoring, the respiratory therapist notices a dampened waveform on
the arterial line graphic. To restore the graphic to normal, the therapist should first
A.
verify the position of the transducer.
B.
check the transducer dome for air bubbles.
C.
flush the catheter with heparin solution.
D.
attempt to draw blood from the arterial line. ...ANSWER...attempt to draw blood from the
arterial line.
An optimal PEEP study is initiated for a patient receiving mechanical ventilation. The
respiratory therapist initiates PEEP of 10 cm H2O for 20 minutes with no adverse
effects. The PEEP is increased to 15 cm H2O and the patient's heart rate rises
significantly with a severe fall in the blood pressure. Based upon the above information,
the therapist should conclude that the patient is suffering from
A.
peripheral vasoconstriction.
B.
