TMC EXAM NEW 2026 TEST BANK 4| LATEST VERSIONS
(VERSION A & B) WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| TMC EXIT EXAM 2026
(BRAND NEW!!)
A 173-cm (5-ft 8-in), 111-kg (245-lb), 73-year-old male is intubated with a size 7.5 endotracheal tube and
receiving mechanical ventilation. He has a history of 70 pack-years of smoking. A capnograph shows the
following waveform:
A. emphysema.
B. morbid obesity.
C. pulmonary emboli.
D. mainstem intubation.
A. emphysema.
An increase and slant in CO2 are characteristic of emphysema due to prolonged expiration and air
trapping
Digital clubbing can be most easily assessed by
A. palpating the proximal digital joints.
B. inspecting the appearance of the nail bed.
C. examining the fingers for evidence of discoloration.
D. comparing the symmetry of the fingers between both hands.
B. inspecting the appearance of the nail bed.
Clubbing causes an increased angle between the nail bed and the finger, as well as an increase in the
diameter of the terminal portion of the finger.
1
,A 62-year-old male with COPD is prescribed compressed oxygen by a pulseflow delivery system. During a
follow-up home visit, the patient reports to a respiratory therapist that oxygen is being delivered
continuously. The therapist should FIRST
A. check the regulator setting.
B. calibrate the oxygen sensor.
C. replace the nasal cannula.
D. increase the flow.
A. check the regulator setting.
The therapist should suspect the regulator setting has been switched to continuous mode rather than
pulse dose.
A respiratory therapist observes the following chest radiograph:
Which of the following are evident?
A. pneumothorax and pleural effusion
B. tracheostomy tube and chest tube
C. chest tube and pneumothorax
D. pleural effusion and tracheostomy tube
D. pleural effusion and tracheostomy tube
The entire tracheostomy tube is visible at the clavicles ending in the trachea. Pleural effusion is present
in the lower zone of the radiograph noted by obscuring of the heart border, costophrenic angle, and
hemidiaphragm.
2
,The most commonly used bedside measurement to monitor the progression of ventilatory impairment
in a patient with Guillain-Barré syndrome is
A. end-tidal CO2.
B. PaCO2.
C. vital capacity.
D. peak flow.
C. vital capacity.
Guillain-Barré syndrome is a neurological disease that causes weakness of respiratory muscles and
ascending paralysis. Serial measurements of vital capacity will reveal progressive neuromuscular
ventilatory impairment.
A respiratory therapist instructed a patient to take a deep breath and then exhale as quickly as possible.
The therapist observed a recording of the fastest air movement. Which of the following was measured?
A. peak flow
B. vital capacity
C. FEV1
D. VE
A. peak flow
Peak flow is the maximum flow during a forced exhalation.
According to AASM guidelines, a normal AHI is defined as less than
A. 7.
B. 5.
3
, C. 9.
D. 3.
B. 5.
AASM guidelines classify obstructive sleep apnea by an AHI of 5 or greater.
A patient presents to the ED with a fever and a productive cough. A sputum sample reveals purulent
sputum. Which of the following should a respiratory therapist suspect?
A. allergic rhinitis
B. viral respiratory tract infection
C. congestive heart failure
D. bacterial pneumonia
D. bacterial pneumonia
These signs and symptoms are often associated with bacterial pneumonia.
A 27-year-old male patient has mild asthma. The patient's pulse is 80/min before administration of an
aerosolized bronchodilator. The patient's pulse rises and stabilizes at 92/min during the treatment.
Which of the following should a respiratory therapist do?
A. Terminate the treatment, and document the response in the progress notes.
B. Terminate the treatment, and notify the head nurse.
C. Continue the treatment as ordered.
D. Continue the treatment with normal saline.
C. Continue the treatment as ordered.
The heart rate response is within normal limits, so continuing the treatment as ordered is appropriate.
4
(VERSION A & B) WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| TMC EXIT EXAM 2026
(BRAND NEW!!)
A 173-cm (5-ft 8-in), 111-kg (245-lb), 73-year-old male is intubated with a size 7.5 endotracheal tube and
receiving mechanical ventilation. He has a history of 70 pack-years of smoking. A capnograph shows the
following waveform:
A. emphysema.
B. morbid obesity.
C. pulmonary emboli.
D. mainstem intubation.
A. emphysema.
An increase and slant in CO2 are characteristic of emphysema due to prolonged expiration and air
trapping
Digital clubbing can be most easily assessed by
A. palpating the proximal digital joints.
B. inspecting the appearance of the nail bed.
C. examining the fingers for evidence of discoloration.
D. comparing the symmetry of the fingers between both hands.
B. inspecting the appearance of the nail bed.
Clubbing causes an increased angle between the nail bed and the finger, as well as an increase in the
diameter of the terminal portion of the finger.
1
,A 62-year-old male with COPD is prescribed compressed oxygen by a pulseflow delivery system. During a
follow-up home visit, the patient reports to a respiratory therapist that oxygen is being delivered
continuously. The therapist should FIRST
A. check the regulator setting.
B. calibrate the oxygen sensor.
C. replace the nasal cannula.
D. increase the flow.
A. check the regulator setting.
The therapist should suspect the regulator setting has been switched to continuous mode rather than
pulse dose.
A respiratory therapist observes the following chest radiograph:
Which of the following are evident?
A. pneumothorax and pleural effusion
B. tracheostomy tube and chest tube
C. chest tube and pneumothorax
D. pleural effusion and tracheostomy tube
D. pleural effusion and tracheostomy tube
The entire tracheostomy tube is visible at the clavicles ending in the trachea. Pleural effusion is present
in the lower zone of the radiograph noted by obscuring of the heart border, costophrenic angle, and
hemidiaphragm.
2
,The most commonly used bedside measurement to monitor the progression of ventilatory impairment
in a patient with Guillain-Barré syndrome is
A. end-tidal CO2.
B. PaCO2.
C. vital capacity.
D. peak flow.
C. vital capacity.
Guillain-Barré syndrome is a neurological disease that causes weakness of respiratory muscles and
ascending paralysis. Serial measurements of vital capacity will reveal progressive neuromuscular
ventilatory impairment.
A respiratory therapist instructed a patient to take a deep breath and then exhale as quickly as possible.
The therapist observed a recording of the fastest air movement. Which of the following was measured?
A. peak flow
B. vital capacity
C. FEV1
D. VE
A. peak flow
Peak flow is the maximum flow during a forced exhalation.
According to AASM guidelines, a normal AHI is defined as less than
A. 7.
B. 5.
3
, C. 9.
D. 3.
B. 5.
AASM guidelines classify obstructive sleep apnea by an AHI of 5 or greater.
A patient presents to the ED with a fever and a productive cough. A sputum sample reveals purulent
sputum. Which of the following should a respiratory therapist suspect?
A. allergic rhinitis
B. viral respiratory tract infection
C. congestive heart failure
D. bacterial pneumonia
D. bacterial pneumonia
These signs and symptoms are often associated with bacterial pneumonia.
A 27-year-old male patient has mild asthma. The patient's pulse is 80/min before administration of an
aerosolized bronchodilator. The patient's pulse rises and stabilizes at 92/min during the treatment.
Which of the following should a respiratory therapist do?
A. Terminate the treatment, and document the response in the progress notes.
B. Terminate the treatment, and notify the head nurse.
C. Continue the treatment as ordered.
D. Continue the treatment with normal saline.
C. Continue the treatment as ordered.
The heart rate response is within normal limits, so continuing the treatment as ordered is appropriate.
4
