TMC COMPREHENSIVE TEST PAPER 2026
COMPLETE SOLUTIONS
◉ Which of the following measurements is most indicative of
pulmonary edema?
A. Heart rate of 120/min
B. Blood pressure of 92/72 mm Hg
C. Pulmonary artery pressure of 25/10 mm Hg
D. Pulmonary capillary wedge pressure of 30 mm Hg. Answer:
Pulmonary capillary wedge pressure of 30 mm Hg
◉ Sleep apnea can be defined as repeated episodes of complete
cessation of airflow for
A. 5 seconds or longer.
B. 10 seconds or longer.
C. 15 seconds or longer.
D. 20 seconds or longer.. Answer: 10 seconds or longer
◉ A patient in the ICU receiving mechanical ventilation has just
undergone a fiberoptic bronchoscopy procedure in which a tissue
,biopsy was collected. Immediately following the procedure, the
respiratory therapist notes that the peak inspiratory pressure on the
ventilator has increased. Potential causes for this include all of the
following EXCEPT
A. hypoxemia.
B. pneumothorax.
C. pulmonary hemorrhage.
D. bronchospasm/laryngospasm.. Answer: hypoxemia
◉ What size endotracheal tube would be appropriate for an adult
female patient?
A. 6.0 to 6.5 mm
B. 6.5 to 7.0 mm
C. 7.0 to 7.5 mm
D. 7.5 to 8.0 mm. Answer: 7.0 to 7.5 mm
◉ The respiratory therapist has been asked to measure Auto-PEEP
on a patient receiving mechanical ventilation. In order to do this, the
therapist should
A. initiate an inspiratory hold just after the next ventilator-delivered
breath.
,B. initiate an expiratory hold just prior to the next ventilator-
delivered breath.
C. subtract Pplat from Pdyn.
D. subtract set PEEP from the measured Pplat.. Answer: initiate an
expiratory hold just prior to the next ventilator-delivered breath.
◉ A patient who suffered trauma in an ATV accident is being
monitored in the ICU. A pulmonary artery catheter has been placed
and the following data is available:
PvO2 46 torr
PCWP 19 mm Hg
PAP (mean) 10 mm Hg
CVP 12 cm H2O
Cardiac Output 3L/min
The respiratory therapist should recommend
1. IV fluid challenge
2. positive inotropic agent
3. inhaled nitric oxide
4. diuretic therapy. Answer: 2 and 4
, ◉ What is the primary advantage of volume-controlled ventilation
as compared to pressure-controlled ventilation?
A. VC limits and controls PIP.
B. VC provides a constant minute ventilation.
C. VC ensures better patient-ventilator synchrony.
D. VC delivers a decelerating flow pattern.. Answer: VC provides a
constant minute ventilation.
◉ Bronchial breath sounds heard over the lung periphery indicate
A. narrowed airways.
B. obstructed bronchi.
C. lung consolidation.
D. pulmonary edema.. Answer: lung consolidation.
◉ During a pre-operative evaluation, bedside spirometry results are
as follows: FVC 88% of predicted, FEV1 85% of predicted, FEV1/FVC
82% of predicted and FEF25-75 81% of predicted. How should the
respiratory therapist interpret these results?
A. a mild restrictive disorder
B. a mild obstructive disorder
COMPLETE SOLUTIONS
◉ Which of the following measurements is most indicative of
pulmonary edema?
A. Heart rate of 120/min
B. Blood pressure of 92/72 mm Hg
C. Pulmonary artery pressure of 25/10 mm Hg
D. Pulmonary capillary wedge pressure of 30 mm Hg. Answer:
Pulmonary capillary wedge pressure of 30 mm Hg
◉ Sleep apnea can be defined as repeated episodes of complete
cessation of airflow for
A. 5 seconds or longer.
B. 10 seconds or longer.
C. 15 seconds or longer.
D. 20 seconds or longer.. Answer: 10 seconds or longer
◉ A patient in the ICU receiving mechanical ventilation has just
undergone a fiberoptic bronchoscopy procedure in which a tissue
,biopsy was collected. Immediately following the procedure, the
respiratory therapist notes that the peak inspiratory pressure on the
ventilator has increased. Potential causes for this include all of the
following EXCEPT
A. hypoxemia.
B. pneumothorax.
C. pulmonary hemorrhage.
D. bronchospasm/laryngospasm.. Answer: hypoxemia
◉ What size endotracheal tube would be appropriate for an adult
female patient?
A. 6.0 to 6.5 mm
B. 6.5 to 7.0 mm
C. 7.0 to 7.5 mm
D. 7.5 to 8.0 mm. Answer: 7.0 to 7.5 mm
◉ The respiratory therapist has been asked to measure Auto-PEEP
on a patient receiving mechanical ventilation. In order to do this, the
therapist should
A. initiate an inspiratory hold just after the next ventilator-delivered
breath.
,B. initiate an expiratory hold just prior to the next ventilator-
delivered breath.
C. subtract Pplat from Pdyn.
D. subtract set PEEP from the measured Pplat.. Answer: initiate an
expiratory hold just prior to the next ventilator-delivered breath.
◉ A patient who suffered trauma in an ATV accident is being
monitored in the ICU. A pulmonary artery catheter has been placed
and the following data is available:
PvO2 46 torr
PCWP 19 mm Hg
PAP (mean) 10 mm Hg
CVP 12 cm H2O
Cardiac Output 3L/min
The respiratory therapist should recommend
1. IV fluid challenge
2. positive inotropic agent
3. inhaled nitric oxide
4. diuretic therapy. Answer: 2 and 4
, ◉ What is the primary advantage of volume-controlled ventilation
as compared to pressure-controlled ventilation?
A. VC limits and controls PIP.
B. VC provides a constant minute ventilation.
C. VC ensures better patient-ventilator synchrony.
D. VC delivers a decelerating flow pattern.. Answer: VC provides a
constant minute ventilation.
◉ Bronchial breath sounds heard over the lung periphery indicate
A. narrowed airways.
B. obstructed bronchi.
C. lung consolidation.
D. pulmonary edema.. Answer: lung consolidation.
◉ During a pre-operative evaluation, bedside spirometry results are
as follows: FVC 88% of predicted, FEV1 85% of predicted, FEV1/FVC
82% of predicted and FEF25-75 81% of predicted. How should the
respiratory therapist interpret these results?
A. a mild restrictive disorder
B. a mild obstructive disorder
