TMC EXAM NEW 2026 TEST BANK 4| LATEST VERSIONS
(VERSION A & B) WITH COMPLETE 500 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| TMC EXIT
EXAM 2026 (BRAND NEW!!)
A 9yo asthmatic has previously responded well to Xopenex by SVN. The patient is currently intubated &
on mechanical ventilation for acute respiratory failure. The physician orders that Xopenex be delivered
to patient by inline SVN. What is the most important consideration to make for effective medication
delivery?
a) Increased particle deposition
b) Increased alpha 1 response
c) Increased tachycardia risk
d) Nebulizer placement can result in variation in medication delivery - Correct Answer-d) Nebulizer
placement can result in variation in medication delivery
Which of the following resistors isn't associated with pressurizing the circuit for a CPAP patient?
a) Spring-loaded
b) Fixed-orifice
c) Weighted
d) Water-column - Correct Answer-b) Fixed-orifice
While receiving nasal CPAP by NIV, an infant patient is retracting & creating a fluctuating baseline
pressure on the manometer. What should the RT do in this situation?
a) Adjust threshold resistor size
b) Suction patient
c) Increase flowrate
d) Increase fixed-orifice resistor size - Correct Answer-c) Increase flowrate
Patient's experiencing air hunger & isn't in sync with the ventilator. More flow is likely needed to satisfy
inspiratory demands of patient.
1
,An RT analyzes the O2 % coming from the end of the aerosol tubing on a LVN. The analysis shows a
higher FIO2 than what was set. Which of the following could be the reason for this discrepancy?
a) Kinked aerosol tubing
b) Clogged tubing in nebulizer
c) Leak in aerosol tubing
d) Depleted reservoir - Correct Answer-a) Kinked aerosol tubing
When giving O2 by any device providing air entrainment, pack-pressure will slow down the flow of gas &
consequently lower the amount of air being entrained, resulting in an increased FIO2.
When performing a preoperative ventilator test the RT notices that the return VT is 200mL less than the
set VT. What should the therapist do to fix this?
a) Tag the vent as nonfunctional & isolate it from functional equipment
b) Check for leak in circuit
c) Notify the medical director & seek advice
d) Accept results & place vent into service rotation - Correct Answer-b) Check for leak in circuit
The reduced VT would most likely be caused by a failure to make good connection between the circuit
and the vent.
Which of the following methods would be the most helpful to a patient with a restrictive pulmonary
defect weaning from mechanical ventilation who has been having difficulty in recent weaning attempts?
a) Permissive hypercapnia
b) T-piece trials for 24hrs several times a week
c) PSV
d) PCV - Correct Answer-c) PSV
Patients with restrictive defects have increased pulmonary resistance as a result of low lung compliance.
Pressure support helps the patient overcome the increased resistance and reduces WoB.
2
,What is the most critical alarm for a postop mechanically ventilated patient with a set RR of 4bpm?
a) Low VE
b) Low PIP
c) High PIP
d) Low VT
e) High RR - Correct Answer-a) Low VE
A set RR of 4bpm is insufficient to maintain adequate ventilation & so it's necessary to assure sufficient
spontaneous breathing is occurring to adequately ventilate the patient. If patient triggers the alarm, it
triggers the RT to intervene.
A patient's intubated on a 7.0 ETT & requires suctioning. Which of the following inline catheter sizes
would be the most effective?
a) 18Fr
b) 16Fr w/ coude-tip
c) 10Fr
d) 14Fr - Correct Answer-c) 10Fr
A patient with a 7.0 ETT can't be suctioned with a catheter that has an outer diameter > 3.5mm (or 1/2
the ETT size). To convert from mm to Fr divide the ETT size by 2 & multiply by 3.
While assessing a patient on PPV with an adult Servo ventilator, the low return volume alarm starts
going off. Which of the following is the most likely cause?
a) Bronchopleural fistula
b) Pulmonary embolism
c) ARDS
d) Excess condensate in circuit - Correct Answer-a) Bronchopleural fistula
Which of the following vagal responses should be monitored for when giving a patient nasotracheal
suctioning?
a) Hypertension
3
, b) Bradycardia
c) Increased systemic vascular resistance
d) 3rd degree heart block - Correct Answer-b) Bradycardia
Which of the following data would not be associated with a patient that has a mixed obstructive &
restrictive pulmonary defect?
a )% FEV1/FVC of 78%
b) FEV1 75% of predicted
c) SVC 68% of predicted
d) FEF of 200-1200, 74% of predicted - Correct Answer-a) % FEV1/FVC of 78%
To be considered restrictive the patient must have FVC < 80% of predicted.
To be considered obstructive the patient must have FEV1/FVC < 75% &/or a FEV1 < 80% of predicted.
Reduced _____ is a negative effect of mechanical PEEP.
a) FIO2
b) PaO2
c) Venous return
d) A-aDO2 - Correct Answer-c) Venous return
PEEP creates greater intrathoracic pressure making it more difficult for the cardiovascular system to
function properly & reducing blood flow to the right atrium.
When considering appropriate staffing levels & proper patient care, the RT supervisor should consider
which of the following?
a) Previously missed therapy
b) Individual staff member skills
c) Frequency of declined therapy
d) Staff member preference - Correct Answer-b) Individual staff member skills
4
(VERSION A & B) WITH COMPLETE 500 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| TMC EXIT
EXAM 2026 (BRAND NEW!!)
A 9yo asthmatic has previously responded well to Xopenex by SVN. The patient is currently intubated &
on mechanical ventilation for acute respiratory failure. The physician orders that Xopenex be delivered
to patient by inline SVN. What is the most important consideration to make for effective medication
delivery?
a) Increased particle deposition
b) Increased alpha 1 response
c) Increased tachycardia risk
d) Nebulizer placement can result in variation in medication delivery - Correct Answer-d) Nebulizer
placement can result in variation in medication delivery
Which of the following resistors isn't associated with pressurizing the circuit for a CPAP patient?
a) Spring-loaded
b) Fixed-orifice
c) Weighted
d) Water-column - Correct Answer-b) Fixed-orifice
While receiving nasal CPAP by NIV, an infant patient is retracting & creating a fluctuating baseline
pressure on the manometer. What should the RT do in this situation?
a) Adjust threshold resistor size
b) Suction patient
c) Increase flowrate
d) Increase fixed-orifice resistor size - Correct Answer-c) Increase flowrate
Patient's experiencing air hunger & isn't in sync with the ventilator. More flow is likely needed to satisfy
inspiratory demands of patient.
1
,An RT analyzes the O2 % coming from the end of the aerosol tubing on a LVN. The analysis shows a
higher FIO2 than what was set. Which of the following could be the reason for this discrepancy?
a) Kinked aerosol tubing
b) Clogged tubing in nebulizer
c) Leak in aerosol tubing
d) Depleted reservoir - Correct Answer-a) Kinked aerosol tubing
When giving O2 by any device providing air entrainment, pack-pressure will slow down the flow of gas &
consequently lower the amount of air being entrained, resulting in an increased FIO2.
When performing a preoperative ventilator test the RT notices that the return VT is 200mL less than the
set VT. What should the therapist do to fix this?
a) Tag the vent as nonfunctional & isolate it from functional equipment
b) Check for leak in circuit
c) Notify the medical director & seek advice
d) Accept results & place vent into service rotation - Correct Answer-b) Check for leak in circuit
The reduced VT would most likely be caused by a failure to make good connection between the circuit
and the vent.
Which of the following methods would be the most helpful to a patient with a restrictive pulmonary
defect weaning from mechanical ventilation who has been having difficulty in recent weaning attempts?
a) Permissive hypercapnia
b) T-piece trials for 24hrs several times a week
c) PSV
d) PCV - Correct Answer-c) PSV
Patients with restrictive defects have increased pulmonary resistance as a result of low lung compliance.
Pressure support helps the patient overcome the increased resistance and reduces WoB.
2
,What is the most critical alarm for a postop mechanically ventilated patient with a set RR of 4bpm?
a) Low VE
b) Low PIP
c) High PIP
d) Low VT
e) High RR - Correct Answer-a) Low VE
A set RR of 4bpm is insufficient to maintain adequate ventilation & so it's necessary to assure sufficient
spontaneous breathing is occurring to adequately ventilate the patient. If patient triggers the alarm, it
triggers the RT to intervene.
A patient's intubated on a 7.0 ETT & requires suctioning. Which of the following inline catheter sizes
would be the most effective?
a) 18Fr
b) 16Fr w/ coude-tip
c) 10Fr
d) 14Fr - Correct Answer-c) 10Fr
A patient with a 7.0 ETT can't be suctioned with a catheter that has an outer diameter > 3.5mm (or 1/2
the ETT size). To convert from mm to Fr divide the ETT size by 2 & multiply by 3.
While assessing a patient on PPV with an adult Servo ventilator, the low return volume alarm starts
going off. Which of the following is the most likely cause?
a) Bronchopleural fistula
b) Pulmonary embolism
c) ARDS
d) Excess condensate in circuit - Correct Answer-a) Bronchopleural fistula
Which of the following vagal responses should be monitored for when giving a patient nasotracheal
suctioning?
a) Hypertension
3
, b) Bradycardia
c) Increased systemic vascular resistance
d) 3rd degree heart block - Correct Answer-b) Bradycardia
Which of the following data would not be associated with a patient that has a mixed obstructive &
restrictive pulmonary defect?
a )% FEV1/FVC of 78%
b) FEV1 75% of predicted
c) SVC 68% of predicted
d) FEF of 200-1200, 74% of predicted - Correct Answer-a) % FEV1/FVC of 78%
To be considered restrictive the patient must have FVC < 80% of predicted.
To be considered obstructive the patient must have FEV1/FVC < 75% &/or a FEV1 < 80% of predicted.
Reduced _____ is a negative effect of mechanical PEEP.
a) FIO2
b) PaO2
c) Venous return
d) A-aDO2 - Correct Answer-c) Venous return
PEEP creates greater intrathoracic pressure making it more difficult for the cardiovascular system to
function properly & reducing blood flow to the right atrium.
When considering appropriate staffing levels & proper patient care, the RT supervisor should consider
which of the following?
a) Previously missed therapy
b) Individual staff member skills
c) Frequency of declined therapy
d) Staff member preference - Correct Answer-b) Individual staff member skills
4
