C&S TMC EXAM TWO 2026
|COMPREHENSIVE ACTUAL EXAM |
QUESTIONS AND VERIFIED ANSWERS
| RATED A + | NEW!!
Which of the following acid-base disorders would most likely be present
in a pt with renal failure who is receiving inadequate mechanical
ventilation? - ANSWER- -metabolic acidosis/respiratory acidosis
Pts with which of the following conditions are more likely to exhibit a
lower than predicted carbon monoxide diffusing capacity (DLCO)?
1 Idiopathic Pulmonary Fibrosis- YES COPD-YES Anemia-YES
Pulmonary Vascular disease-YES
2 Idiopathic Pulmonary Fibrosis- YES COPD-NO Anemia-YES
Pulmonary Vascular disease-NO
3 Idiopathic Pulmonary Fibrosis- NO COPD-YES Anemia-NO
Pulmonary Vascular disease-YES
4 Idiopathic Pulmonary Fibrosis-YES COPD-YES Anemia-YES
Pulmonary Vascular disease-NO - ANSWER- 1 Idiopathic Pulmonary
Fibrosis- YES COPD-YES Anemia-YES Pulmonary Vascular disease-
YES
The results of a 12-lead ECG obtained from a 44 year old female reveal
flattened T waves with prominent U waves. The RT should suspect: -
ANSWER- -electrolyte deficiency
,Which of the following best describes the RT response to metabolic
alkalemia? - ANSWER- -metabolic alkalemia depresses the respiratory
center, causing hypoventilation
The RT has just suctioned blue, creamy secretions from a pt with a
tracheostomy that wears the mask intermittent tube feedings. Which of
the following actions would be appropriate? - ANSWER- -check the
integrity of the tracheostomy cuff
8 During a CPAP titration during sleep procedure, the pt becomes
agitated and refuses to continue to wear the mask when the CPAP is
increased from 15 cm H2O ro 16 cm H2O. The previous setting of 15
cm H2O, the pt continued to have obstructive respiratory events. Which
of the following should be done? - ANSWER- -switch to BiPAP titration
Which of the following are potential complications that might occur as a
result of an under inflated endotracheal tube's cuff?
1 Tracheomalacia- YES Tracheostenosis- YES Gastric Insufflation-
YES Aspiration-NO
2 Tracheomalacia- NO Tracheostenosis- NO Gastric Insufflation- YES
Aspiration-YES
3 Tracheomalacia- NO Tracheostenosis- NO Gastric Insufflation- NO
Aspiration- YES
4 Tracheomalacia- YES Tracheostenosis- YES Gastric Insufflation- NO
Aspiration- YES - ANSWER- 2 Tracheomalacia- NO Tracheostenosis-
NO Gastric Insufflation- YES Aspiration-YES
,30 Which of the following can be determined from simple spirometry?
FVC FEF25%-75% FEV1 FRC
1 YES NO YES YES
2 NO NO YES YES
3 YES YES NO NO
4 YES YES YES NO - ANSWER- number 4
An adult pt being weaned from mechanical ventilation has a maximum
inspiratory pressure (MIP) of -34 cm H2O. On the basis of this
information, which of these is true? - ANSWER- -the pt has adequate
inspiratory muscle strength
Monitoring of airway pressures and flow rates during continuous
ventilatory support is useful because they best reflect changes in: -
ANSWER- -airway resistance
A RT increases the VT of a mechanically ventilated pt from 475 mL to
525 mL. This would result in a decrease of which of the following? -
ANSWER- -VD/VT
Determining the effectiveness of therapy for an adult male with septic
shock would be best accomplished by which of the following? -
ANSWER- -pulmonary artery pressure monitoring
, Which of the following must be known in order to calculate the CaO2?
PaO2 PaCO2 Hb SaO2 pH
1 NO YES NO YES YES
2 YES NO YES YES NO
3 YES YES NO NO NO
4 NO NO YES NO YES - ANSWER- number 2
6 Which of the following must be measured in order to determine a ots
I:E ratio? RR Anatomic dead space Inspiratory Flow Rate VT
1 YES YES YES NO
2 YES NO NO YES
3 NO YES YES NO
4 YES NO YES YES - ANSWER- number 4
Which of the following is the normal range for capnography? -
ANSWER- -35-45 mm Hg
Electrocardiograph monitoring provides specific information about the
heart's: - ANSWER- electrical impulse activity
A pt has just been admitted to the ED following a gunshot wound to the
head. During assessment, the RT observes that the pts pupils remain
fixed and dilated when a light is shined on them. This indicates that: -
ANSWER- -the brain is probably hypoxic
|COMPREHENSIVE ACTUAL EXAM |
QUESTIONS AND VERIFIED ANSWERS
| RATED A + | NEW!!
Which of the following acid-base disorders would most likely be present
in a pt with renal failure who is receiving inadequate mechanical
ventilation? - ANSWER- -metabolic acidosis/respiratory acidosis
Pts with which of the following conditions are more likely to exhibit a
lower than predicted carbon monoxide diffusing capacity (DLCO)?
1 Idiopathic Pulmonary Fibrosis- YES COPD-YES Anemia-YES
Pulmonary Vascular disease-YES
2 Idiopathic Pulmonary Fibrosis- YES COPD-NO Anemia-YES
Pulmonary Vascular disease-NO
3 Idiopathic Pulmonary Fibrosis- NO COPD-YES Anemia-NO
Pulmonary Vascular disease-YES
4 Idiopathic Pulmonary Fibrosis-YES COPD-YES Anemia-YES
Pulmonary Vascular disease-NO - ANSWER- 1 Idiopathic Pulmonary
Fibrosis- YES COPD-YES Anemia-YES Pulmonary Vascular disease-
YES
The results of a 12-lead ECG obtained from a 44 year old female reveal
flattened T waves with prominent U waves. The RT should suspect: -
ANSWER- -electrolyte deficiency
,Which of the following best describes the RT response to metabolic
alkalemia? - ANSWER- -metabolic alkalemia depresses the respiratory
center, causing hypoventilation
The RT has just suctioned blue, creamy secretions from a pt with a
tracheostomy that wears the mask intermittent tube feedings. Which of
the following actions would be appropriate? - ANSWER- -check the
integrity of the tracheostomy cuff
8 During a CPAP titration during sleep procedure, the pt becomes
agitated and refuses to continue to wear the mask when the CPAP is
increased from 15 cm H2O ro 16 cm H2O. The previous setting of 15
cm H2O, the pt continued to have obstructive respiratory events. Which
of the following should be done? - ANSWER- -switch to BiPAP titration
Which of the following are potential complications that might occur as a
result of an under inflated endotracheal tube's cuff?
1 Tracheomalacia- YES Tracheostenosis- YES Gastric Insufflation-
YES Aspiration-NO
2 Tracheomalacia- NO Tracheostenosis- NO Gastric Insufflation- YES
Aspiration-YES
3 Tracheomalacia- NO Tracheostenosis- NO Gastric Insufflation- NO
Aspiration- YES
4 Tracheomalacia- YES Tracheostenosis- YES Gastric Insufflation- NO
Aspiration- YES - ANSWER- 2 Tracheomalacia- NO Tracheostenosis-
NO Gastric Insufflation- YES Aspiration-YES
,30 Which of the following can be determined from simple spirometry?
FVC FEF25%-75% FEV1 FRC
1 YES NO YES YES
2 NO NO YES YES
3 YES YES NO NO
4 YES YES YES NO - ANSWER- number 4
An adult pt being weaned from mechanical ventilation has a maximum
inspiratory pressure (MIP) of -34 cm H2O. On the basis of this
information, which of these is true? - ANSWER- -the pt has adequate
inspiratory muscle strength
Monitoring of airway pressures and flow rates during continuous
ventilatory support is useful because they best reflect changes in: -
ANSWER- -airway resistance
A RT increases the VT of a mechanically ventilated pt from 475 mL to
525 mL. This would result in a decrease of which of the following? -
ANSWER- -VD/VT
Determining the effectiveness of therapy for an adult male with septic
shock would be best accomplished by which of the following? -
ANSWER- -pulmonary artery pressure monitoring
, Which of the following must be known in order to calculate the CaO2?
PaO2 PaCO2 Hb SaO2 pH
1 NO YES NO YES YES
2 YES NO YES YES NO
3 YES YES NO NO NO
4 NO NO YES NO YES - ANSWER- number 2
6 Which of the following must be measured in order to determine a ots
I:E ratio? RR Anatomic dead space Inspiratory Flow Rate VT
1 YES YES YES NO
2 YES NO NO YES
3 NO YES YES NO
4 YES NO YES YES - ANSWER- number 4
Which of the following is the normal range for capnography? -
ANSWER- -35-45 mm Hg
Electrocardiograph monitoring provides specific information about the
heart's: - ANSWER- electrical impulse activity
A pt has just been admitted to the ED following a gunshot wound to the
head. During assessment, the RT observes that the pts pupils remain
fixed and dilated when a light is shined on them. This indicates that: -
ANSWER- -the brain is probably hypoxic
