Kettering TMC [2026/2027] Updated
Version | Verified Questions & Detailed
Rationales
A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient - ANSWER-*B. conscious patient with an ineffective
cough*
A 43-week gestational age infant has just been delivered and is stained with
meconium. The physician has asked that the baby be intubated and suctioned
immediately. The respiratory therapist should recommend intubating the baby
with which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
,C. 3.0 mm
D. 4.0 mm - ANSWER-*C. 3.0 mm*
An 8-month-old infant admitted to the pediatric unit is playing with marbles. The
infant suddenly develops violent coughing and is unable to cry. The respiratory
therapist administered series of back blows and chest thrusts, and the infant is
now unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
C. perform a blind finger sweep.
D. prepare to intubate. - ANSWER-*B. initiate CPR*
Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180 degrees
B. insert the airway in the opposite direction of its shape and rotate 90 degrees
,C. insert the airway in the same direction of its shape into the airway and do not
rotate
D. insert the airway in the same direction of its shape and rotate 180 degrees -
ANSWER-*C. insert the airway in the same direction of its shape and into the
airway and do not rotate.*
Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal
tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff - ANSWER-*A. The
distal end should be recessed at least 1 cm from the tip of the endotracheal tube*
When using a flow-inflating resuscitation bag during manual ventilation of a
neonate, the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
, B. the size of the oxygen reservoir.
C. the oxygen flow rate.
D. how much the bag is compressed. - ANSWER-*A. The F02 of the gas delivered
to the bag.*
patient being mechanically ventilated requires endotracheal suctioning. The
patient is on high levels of PEEP therapy and has periods of hypotension. The
respiratory therapist hyperoxygenates the patient before beginning the
procedure. As the therapist disconnects the patient from the ventilator circuit, the
following pattern is seen on the ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning - ANSWER-*A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right lung. The
physician has requested that the right lung be ventilated at a pressure 10 cmH2O
Version | Verified Questions & Detailed
Rationales
A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient - ANSWER-*B. conscious patient with an ineffective
cough*
A 43-week gestational age infant has just been delivered and is stained with
meconium. The physician has asked that the baby be intubated and suctioned
immediately. The respiratory therapist should recommend intubating the baby
with which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
,C. 3.0 mm
D. 4.0 mm - ANSWER-*C. 3.0 mm*
An 8-month-old infant admitted to the pediatric unit is playing with marbles. The
infant suddenly develops violent coughing and is unable to cry. The respiratory
therapist administered series of back blows and chest thrusts, and the infant is
now unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
C. perform a blind finger sweep.
D. prepare to intubate. - ANSWER-*B. initiate CPR*
Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180 degrees
B. insert the airway in the opposite direction of its shape and rotate 90 degrees
,C. insert the airway in the same direction of its shape into the airway and do not
rotate
D. insert the airway in the same direction of its shape and rotate 180 degrees -
ANSWER-*C. insert the airway in the same direction of its shape and into the
airway and do not rotate.*
Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal
tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff - ANSWER-*A. The
distal end should be recessed at least 1 cm from the tip of the endotracheal tube*
When using a flow-inflating resuscitation bag during manual ventilation of a
neonate, the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
, B. the size of the oxygen reservoir.
C. the oxygen flow rate.
D. how much the bag is compressed. - ANSWER-*A. The F02 of the gas delivered
to the bag.*
patient being mechanically ventilated requires endotracheal suctioning. The
patient is on high levels of PEEP therapy and has periods of hypotension. The
respiratory therapist hyperoxygenates the patient before beginning the
procedure. As the therapist disconnects the patient from the ventilator circuit, the
following pattern is seen on the ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning - ANSWER-*A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right lung. The
physician has requested that the right lung be ventilated at a pressure 10 cmH2O
