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C&S TMC EXAM ONE Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
. A patient with severe ARDS with a pulmonary artery catheter
in place is receiving mechanical ventilation via volume,
ventilator. The patient requires an FIO2 of 1.0 and PEEP of 22
cm H2O to maintain an adequate Pa02. On occasion, the patient
becomes combative and tries to get out of bed. Each time this
occurs, the high pressure limit alarm sounds repeatedly and the
SvO2 drops below 50%. The RT should recommend? -
ANSWER-- administering midazolam (Versed)
36 hrs after initiation of mechanical ventilation, a patients chest
x ray shows dense bilateral infiltrates. The patient has gained
2.5kg (5.5lb) and the urinary output is averaging 28ml/hr. Chest
auscultation reveals fine crackles throughout all lung fields.
Which of the following interventions would be appropriate at
this time? - ANSWER-- 3; yes/no/yes
During the administration of an ultrasonic nebulizer with half-
normal saline. The RT notes the onset of inspiratory wheezes in
,2|Page
the left lower lung field. The therapist should do which of the
following? - ANSWER-- terminate the treatment and obtain an
order for a bronchodilator treatment
Which of the following is indicated for hypotension that is
unresponsive to fluid resuscitation? - ANSWER-- a vasopressor
agent
A patient has just been admitted to the ED for an acute asthmatic
attack. The physician has prescribed albuterol (provent),
Ipratropium Bromide(atrovent), and fluticasone (flovent). Which
of the following is the correct order of administration of these
drugs? - ANSWER-- albuterol,ipratropium, fluticasone.
A patient who develops sub-glottic edema following extubation
would benefit from the administration of which of the
following? - ANSWER-- nebulized racemic epinephrine
While performing endotracheal suctioning on an intubated
pediatric asthmatic patient, the RT observes that the patient
becomes severely bronchospastic. The therapist should -
ANSWER-- recommended endotracheal instillation of lidocaine
(Xylocaine) prior to suctioning
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Higher than normal levels of exhaled nitric oxide generally
mean: - ANSWER-- airway inflammation due to asthma
. Which of the following should be done immediately following
a lung recruitment maneuver? - ANSWER-- perform a
decremental PEEP study
A 36 weeks gestation neonate is being mechanically ventilated.
The ventilator settings are: PIP 24, RR 32/min, I-Time 0.6 sec,
flow rate 8 L/ min, PEEP 6 cm H2O, and FIO2 0.45. The
neonates physician is concerned about the volume/ pressure
loop, which is shown to the right. The RT should suggest which
of the following? - ANSWER-- decreasing PIP to 20 cm H20
The pressure and flow curves shown to the right were recorded
from a mechanically ventilated patient receiving pressure
control ventilation (PCV).Using the pressure and flow curves
represented in "A" as the reference, which of the following best
explains the change in the pressure and flow curves represented
in "B" - ANSWER-. - optimal inspiratory time has been
achieved
When the ventilator rate of a mechanically ventilated patient is
decreased from 8/min to 6/min, the patient becomes agitated and
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the etCO2 increases from 44 mm Hg to 51 mm Hg. Based on
this change, the RT should conclude that: - ANSWER-- alveolar
ventilation has decreased
The high respiratory rate and I:E ratio ventilator alarms have
activated on a mechanically ventilated adult patient who has a
long history of chronic CO2 retention. Which of the following is
most likely to occur as a result of this situation? - ANSWER--
increased hyperinflation and air trapping
Which of the following will occur when the high pressure limit
is reached on a volume ventilator? - ANSWER-- 3: no/yes/no
.While performing a ventilator check on a sedated and paralyzed
patient, the RT notes that the mechanical rate is set at 12/min,
but the total rate reads 16/min. The RT should - ANSWER--
adjust the sensitivity settings
To increase the VT of a patient receiving noninvasive positive
pressure ventilation (NPPV), the RT should - ANSWER--
increases the gradient between the EPAP and IPAP levels
C&S TMC EXAM ONE Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
. A patient with severe ARDS with a pulmonary artery catheter
in place is receiving mechanical ventilation via volume,
ventilator. The patient requires an FIO2 of 1.0 and PEEP of 22
cm H2O to maintain an adequate Pa02. On occasion, the patient
becomes combative and tries to get out of bed. Each time this
occurs, the high pressure limit alarm sounds repeatedly and the
SvO2 drops below 50%. The RT should recommend? -
ANSWER-- administering midazolam (Versed)
36 hrs after initiation of mechanical ventilation, a patients chest
x ray shows dense bilateral infiltrates. The patient has gained
2.5kg (5.5lb) and the urinary output is averaging 28ml/hr. Chest
auscultation reveals fine crackles throughout all lung fields.
Which of the following interventions would be appropriate at
this time? - ANSWER-- 3; yes/no/yes
During the administration of an ultrasonic nebulizer with half-
normal saline. The RT notes the onset of inspiratory wheezes in
,2|Page
the left lower lung field. The therapist should do which of the
following? - ANSWER-- terminate the treatment and obtain an
order for a bronchodilator treatment
Which of the following is indicated for hypotension that is
unresponsive to fluid resuscitation? - ANSWER-- a vasopressor
agent
A patient has just been admitted to the ED for an acute asthmatic
attack. The physician has prescribed albuterol (provent),
Ipratropium Bromide(atrovent), and fluticasone (flovent). Which
of the following is the correct order of administration of these
drugs? - ANSWER-- albuterol,ipratropium, fluticasone.
A patient who develops sub-glottic edema following extubation
would benefit from the administration of which of the
following? - ANSWER-- nebulized racemic epinephrine
While performing endotracheal suctioning on an intubated
pediatric asthmatic patient, the RT observes that the patient
becomes severely bronchospastic. The therapist should -
ANSWER-- recommended endotracheal instillation of lidocaine
(Xylocaine) prior to suctioning
,3|Page
Higher than normal levels of exhaled nitric oxide generally
mean: - ANSWER-- airway inflammation due to asthma
. Which of the following should be done immediately following
a lung recruitment maneuver? - ANSWER-- perform a
decremental PEEP study
A 36 weeks gestation neonate is being mechanically ventilated.
The ventilator settings are: PIP 24, RR 32/min, I-Time 0.6 sec,
flow rate 8 L/ min, PEEP 6 cm H2O, and FIO2 0.45. The
neonates physician is concerned about the volume/ pressure
loop, which is shown to the right. The RT should suggest which
of the following? - ANSWER-- decreasing PIP to 20 cm H20
The pressure and flow curves shown to the right were recorded
from a mechanically ventilated patient receiving pressure
control ventilation (PCV).Using the pressure and flow curves
represented in "A" as the reference, which of the following best
explains the change in the pressure and flow curves represented
in "B" - ANSWER-. - optimal inspiratory time has been
achieved
When the ventilator rate of a mechanically ventilated patient is
decreased from 8/min to 6/min, the patient becomes agitated and
, 4|Page
the etCO2 increases from 44 mm Hg to 51 mm Hg. Based on
this change, the RT should conclude that: - ANSWER-- alveolar
ventilation has decreased
The high respiratory rate and I:E ratio ventilator alarms have
activated on a mechanically ventilated adult patient who has a
long history of chronic CO2 retention. Which of the following is
most likely to occur as a result of this situation? - ANSWER--
increased hyperinflation and air trapping
Which of the following will occur when the high pressure limit
is reached on a volume ventilator? - ANSWER-- 3: no/yes/no
.While performing a ventilator check on a sedated and paralyzed
patient, the RT notes that the mechanical rate is set at 12/min,
but the total rate reads 16/min. The RT should - ANSWER--
adjust the sensitivity settings
To increase the VT of a patient receiving noninvasive positive
pressure ventilation (NPPV), the RT should - ANSWER--
increases the gradient between the EPAP and IPAP levels
