TMC self-assessment examination A QUESTIONS AND
VERIFIED ANSWERS RECENT AND COMPREHENSIVE VERSION
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
A respiratory therapist is assisting a physician with endotracheal intubation. Which of the
following should be used initially to confirm tracheal intubation?
A. Cm marking of the endotracheal tube
B. Observable condensation in the tube
C. Pulse oximetry
D. Colorimetric capnography
D. Colorimetric Capnography
Explanation: calormetric capnography asseses the presence of co2 and provides confirmation of
tracheal intubation when co2 is detected
A respiratory therapist is asked to review a newborn's history. The following information is
available about the first few minutes after birth:
Appearance 1 min- acrocyanosis 5 min pink
Heart rate 70/min 110/min
Reflex cough Cough
Muscle tone weak active motion
Respiratory rate 20/min. 40/min
Which of the following APGAR scores should the therapist expect to see for this infant?
1 min / 5 min
,1.
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
C. 3
explanation: score for 1 minute is 6: acrocyanosis= 1, heart rate 70/min =1, cough= 2, weak
activity = 1, RR 20 = 1
Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2 active motion = 2 respiratory rate of 40=2
A 58 year old female was diagnosed with bronchiectasis 3 years ago. She reports increased
cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no
significant changes. Which of the following should the respiratory therapist recommend first?
A. Transtracheal aspiration
B. Airway clearance therapy
C. Bronchodilator treatments
D. Respiratory isolation
B. Airway clearance therapy
Explanations:
A. While a sputum sample may be requesting, transtrscheal aspiration would be unnecessarily
invasive as the patient is able to produce sputum samples on her own.
,B. The history, clinical presentation, and chest radiograph findings suggest worsening
bronchiectasis. The treatment of bronchiectasis includes techniques to loosen and mobilize
Viscid secretions. Postural drainage enhances sputum clearance.
C. Bronchodilator therapy alone will not aid in secretion removal
D. There is no indication of this patient having a communicable disease. The diagnosis of
bronchiectasis was established 3 years ago.
A 24 year old female is diagnosed with excercise induced asthma and albuterol prn is ordered. A
respiratory therapist should next:
A. Refer the patient for allergy skin testing
B. Educate the patient on obtaining daily peak flow measurements
C. Instruct the patient to use albuterol 15 mins before exercising
D. Suggest the patient use pursed lip breathing while exercising
C. Instruct the patient to use albuterol 15 mins before exercising
Explanation: patient understanding their disease process and triggers is important part of
patient education, as well as knowing when and which medication should be taken
In which of the following circumstances will tracheal secretions tend to dry in an intubated
patient?
A. A water vapor pressure of 47 mm hg
B. A relative humidity of 100% at 22•C
C. Dew point of 37•C
D. An absolute humidity of 44 mg/L
B. A relative humidity of 100% at 22•C
, Explanations:
A. Water vapor pressure of 47 mmHg provides 100% humidity at body temperature
B. The absolute humidity at this temperature is inadequate
C. A dew point of 37•C indicates the gas is completely saturated at that temperature
D. The absolute tracheal humidity must be greater than or equal to 30mg/L
Prior to suctioning the endotracheal tube of an adult patient who is receiving ventilation with
an FiO2 of .4 a respiratory therapist should first
A. Lubricate the catheter
B. Hyperoxygenate the patient
C. Cleanse the catheter with water
D. Administer an FiO2 of .4 by t-piece
B. Hyperoxygenate the patient
Explanation:
A. Lubricating the catheter is not necessary unless nasotracheal suctioning will be performed
B. The FiO2 should be increased prior to each suctioning attempt to minimize hypoxemia
C. Sterile suction catheters do not need to be cleansed prior to use
D. Administration of the same FiO2 without positive pressure will compromise the patients
oxygenation and ventilation
A 25-year-old patient with apnea is receiving PC ventilation. ABG analysis results are as follows:
pH 7.20
VERIFIED ANSWERS RECENT AND COMPREHENSIVE VERSION
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
A respiratory therapist is assisting a physician with endotracheal intubation. Which of the
following should be used initially to confirm tracheal intubation?
A. Cm marking of the endotracheal tube
B. Observable condensation in the tube
C. Pulse oximetry
D. Colorimetric capnography
D. Colorimetric Capnography
Explanation: calormetric capnography asseses the presence of co2 and provides confirmation of
tracheal intubation when co2 is detected
A respiratory therapist is asked to review a newborn's history. The following information is
available about the first few minutes after birth:
Appearance 1 min- acrocyanosis 5 min pink
Heart rate 70/min 110/min
Reflex cough Cough
Muscle tone weak active motion
Respiratory rate 20/min. 40/min
Which of the following APGAR scores should the therapist expect to see for this infant?
1 min / 5 min
,1.
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
C. 3
explanation: score for 1 minute is 6: acrocyanosis= 1, heart rate 70/min =1, cough= 2, weak
activity = 1, RR 20 = 1
Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2 active motion = 2 respiratory rate of 40=2
A 58 year old female was diagnosed with bronchiectasis 3 years ago. She reports increased
cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no
significant changes. Which of the following should the respiratory therapist recommend first?
A. Transtracheal aspiration
B. Airway clearance therapy
C. Bronchodilator treatments
D. Respiratory isolation
B. Airway clearance therapy
Explanations:
A. While a sputum sample may be requesting, transtrscheal aspiration would be unnecessarily
invasive as the patient is able to produce sputum samples on her own.
,B. The history, clinical presentation, and chest radiograph findings suggest worsening
bronchiectasis. The treatment of bronchiectasis includes techniques to loosen and mobilize
Viscid secretions. Postural drainage enhances sputum clearance.
C. Bronchodilator therapy alone will not aid in secretion removal
D. There is no indication of this patient having a communicable disease. The diagnosis of
bronchiectasis was established 3 years ago.
A 24 year old female is diagnosed with excercise induced asthma and albuterol prn is ordered. A
respiratory therapist should next:
A. Refer the patient for allergy skin testing
B. Educate the patient on obtaining daily peak flow measurements
C. Instruct the patient to use albuterol 15 mins before exercising
D. Suggest the patient use pursed lip breathing while exercising
C. Instruct the patient to use albuterol 15 mins before exercising
Explanation: patient understanding their disease process and triggers is important part of
patient education, as well as knowing when and which medication should be taken
In which of the following circumstances will tracheal secretions tend to dry in an intubated
patient?
A. A water vapor pressure of 47 mm hg
B. A relative humidity of 100% at 22•C
C. Dew point of 37•C
D. An absolute humidity of 44 mg/L
B. A relative humidity of 100% at 22•C
, Explanations:
A. Water vapor pressure of 47 mmHg provides 100% humidity at body temperature
B. The absolute humidity at this temperature is inadequate
C. A dew point of 37•C indicates the gas is completely saturated at that temperature
D. The absolute tracheal humidity must be greater than or equal to 30mg/L
Prior to suctioning the endotracheal tube of an adult patient who is receiving ventilation with
an FiO2 of .4 a respiratory therapist should first
A. Lubricate the catheter
B. Hyperoxygenate the patient
C. Cleanse the catheter with water
D. Administer an FiO2 of .4 by t-piece
B. Hyperoxygenate the patient
Explanation:
A. Lubricating the catheter is not necessary unless nasotracheal suctioning will be performed
B. The FiO2 should be increased prior to each suctioning attempt to minimize hypoxemia
C. Sterile suction catheters do not need to be cleansed prior to use
D. Administration of the same FiO2 without positive pressure will compromise the patients
oxygenation and ventilation
A 25-year-old patient with apnea is receiving PC ventilation. ABG analysis results are as follows:
pH 7.20
