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TMC Final Exam: Comprehensive Respiratory Therapy Study Guide & Practice Test

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Prepare for your TMC Final Exam with our complete respiratory therapy study guide. Includes practice questions, detailed rationales, and comprehensive NBRC-style problems for RRT credentialing.

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TMC FINAL EXAM PREP 2025/2026 COMPLETE

QUESTIONS WITH CORRECT DETAILED ANSWERS ||

100% GUARANTEED PASS <BRAND NEW VERSION>

A 48 year-old female is admitted to the ED with diaphoresis,

jugular venous distension, and 3+ pitting edema in the ankles.

These findings are consistent with


A. liver failure.


B. pulmonary embolism.


C. heart failure.


D. electrolyte imbalances ......ANSWER.....Heart failure


A patient is admitted to the ED following a motor vehicle

accident. On physical exam, the respiratory therapist discovers

that breath sounds are absent in the left chest with a

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hyperresonant percussion note. The trachea is shifted to the right.

The patient's heart rate is 45/min, respiratory rate is 30/min,

and blood pressure is 60/40 mm Hg. What action should the

therapist recommend first?


A. Call for a STAT chest x-ray.


B. Insert a chest tube into the left chest.


C. Needle aspirate the 2nd left intercostal space.


D. Activate the medical emergency team to intubate the

patient. ......ANSWER.....Needle aspirate the 2nd left intercostal

space.


All of the following strategies are likely to decrease the

likelihood of damage to the tracheal mucosa EXCEPT

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A. maintaining cuff pressures between 20 and 25 mm Hg.


B. using the minimal leak technique for inflation.


C. using a low-residual-volume, low-compliance cuff.


D. monitoring intracuff pressures. ......ANSWER.....monitoring

intracuff pressures.


A 52 year-old post-operative cholecystectomy patient's breath

sounds become more coarse upon completion of postural

drainage with percussion. The respiratory therapist should

recommend


A. continuing the therapy until breath sounds improve.


B. administering dornase alpha.


C. administering albuterol therapy.

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D. deep breathing and coughing to clear

secretions. ......ANSWER.....deep breathing and coughing to

clear secretions.


A 65 kg spinal cord injured patient has developed atelectasis.

His inspiratory capacity is 30% of his predicted value. What

bronchial hygiene therapy would be most appropriate initially?


A. IS / SMI


B. IPPB with normal saline


C. postural drainage and percussion


D. PEP therapy ......ANSWER.....IPPB with normal saline


A patient on VC ventilation has demonstrated auto-PEEP on

ventilator graphics. Which of the following controls, when

adjusted independently, would increase expiratory time?

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