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!!)
While assisting a physician who is inserting a pulmonary artery catheter, you note a changeover on the
monitor from pulsatile pressures of about 32/18 mm Hg to a nonpulsatile pressures of 15 mm Hg. Which
of the following has occurred?
:
A. the catheter has slipped back into the right atrium and needs to be and re-inserted
B. the catheter has moved from right ventricle into the pulmonary artery
C. the catheter has advanced into the pulmonary wedge or occluded position
D. the catheter is in Zone I and needs to be withdrawn and re-inserted - Correct Answer-C. the catheter
has advanced into the pulmonary wedge or occluded position
To properly disinfect a bronchoscope you would:
A. send the scope and accessories to central supply for steam autoclaving
B. wipe the exterior and perfuse all channels with 70% isopropyl alcohol
C. send the scope and accessories to central supply for pasteurization
D. immerse scope (up to handle) and perfuse channels with glutaraldehyde - Correct Answer-D. immerse
scope (up to handle) and perfuse channels with glutaraldehyde
Which of the following would tend to decrease intracranial pressure (ICP)?
:
A. arterial hypertension
1
,B. hypoventilation
C. hypoxemia
D. head elevation - Correct Answer-D. head elevation
Based on the following blood-gas report, what is the most likely acid-base diagnosis?
pH = 7.29
pCO2 = 55 mm Hg
HCO3 = 25.8 mEq/L
:
A. acute (uncompensated) respiratory acidosis
B. combined respiratory & metabolic acidosis
C. partially compensated metabolic acidosis
D. partially compensated respiratory acidosis - Correct Answer-A. acute (uncompensated) respiratory
acidosis
You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure
has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the
following would be the most likely cause of this change?
:
A. development of pulmonary edema
B. water accumulation in the ventilator circuit
C. partial obstruction of the endotracheal tube
2
,D. development of bronchospasm - Correct Answer-A. development of pulmonary edema
Before preparing to administer therapy to a patient, you should first review the medical records for
:
A. patient's medical history
B. patient's blood type
C. patient's economic status
D. patient's marital status - Correct Answer-A. patient's medical history
A patient is admitted to the ICU from a post-operative surgical unit with a hospital-acquired lobar
pneumonia. A sputum Gram stain reveals Gram-positive organisms. Which of the following is the most
likely cause of the pneumonia?
:
A. Haemophilus influenzae
B. Klebsiella pneumoniae
C. Pseudomonas aeruginosa
D. Staphylococcus aureus - Correct Answer-D. Staphylococcus aureus
Which of the following formula can be used to estimate a patient's maximum voluntary ventilation
(MVV)?
:
A. FVC x 40
B. VCO2/VO2
C. FEV1 x 40
D. IRV/FRC - Correct Answer-C. FEV1 x 40
3
, The maximum amount of air that can be exhaled from the maximum inspiratory level is defined as which
of the following?
:
A. vital capacity
B. residual volume
C. total lung capacity
D. expiratory reserve volume - Correct Answer-A. vital capacity
You come upon a patient who is unresponsive and is not breathing. You had heard from her nurse that
she had discussed a do not resuscitate (DNR) order with her physician. You should
:
A. Check the patient's chart for a DNR order/advanced directive
B. Immediately call a code and begin resuscitation efforts
C. Contact the nurses' station and ask how best to proceed
D. Call a "slow code," i.e., apply basic CPR, but not ACLS - Correct Answer-B. Immediately call a code and
begin resuscitation efforts
On reviewing the results of the attending physician's physical examination of a patient's chest, you note
'a dull percussion note and bronchial breath sounds - LLL.' Which of the following is a potential problem?
:
A. emphysema
B. bronchospasm
C. pneumothorax
D. consolidation - Correct Answer-D. consolidation
After the most strenuous expiratory effort, air still remains in the lungs and cannot be removed
voluntarily. This volume is known as the:
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!!)
While assisting a physician who is inserting a pulmonary artery catheter, you note a changeover on the
monitor from pulsatile pressures of about 32/18 mm Hg to a nonpulsatile pressures of 15 mm Hg. Which
of the following has occurred?
:
A. the catheter has slipped back into the right atrium and needs to be and re-inserted
B. the catheter has moved from right ventricle into the pulmonary artery
C. the catheter has advanced into the pulmonary wedge or occluded position
D. the catheter is in Zone I and needs to be withdrawn and re-inserted - Correct Answer-C. the catheter
has advanced into the pulmonary wedge or occluded position
To properly disinfect a bronchoscope you would:
A. send the scope and accessories to central supply for steam autoclaving
B. wipe the exterior and perfuse all channels with 70% isopropyl alcohol
C. send the scope and accessories to central supply for pasteurization
D. immerse scope (up to handle) and perfuse channels with glutaraldehyde - Correct Answer-D. immerse
scope (up to handle) and perfuse channels with glutaraldehyde
Which of the following would tend to decrease intracranial pressure (ICP)?
:
A. arterial hypertension
1
,B. hypoventilation
C. hypoxemia
D. head elevation - Correct Answer-D. head elevation
Based on the following blood-gas report, what is the most likely acid-base diagnosis?
pH = 7.29
pCO2 = 55 mm Hg
HCO3 = 25.8 mEq/L
:
A. acute (uncompensated) respiratory acidosis
B. combined respiratory & metabolic acidosis
C. partially compensated metabolic acidosis
D. partially compensated respiratory acidosis - Correct Answer-A. acute (uncompensated) respiratory
acidosis
You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure
has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the
following would be the most likely cause of this change?
:
A. development of pulmonary edema
B. water accumulation in the ventilator circuit
C. partial obstruction of the endotracheal tube
2
,D. development of bronchospasm - Correct Answer-A. development of pulmonary edema
Before preparing to administer therapy to a patient, you should first review the medical records for
:
A. patient's medical history
B. patient's blood type
C. patient's economic status
D. patient's marital status - Correct Answer-A. patient's medical history
A patient is admitted to the ICU from a post-operative surgical unit with a hospital-acquired lobar
pneumonia. A sputum Gram stain reveals Gram-positive organisms. Which of the following is the most
likely cause of the pneumonia?
:
A. Haemophilus influenzae
B. Klebsiella pneumoniae
C. Pseudomonas aeruginosa
D. Staphylococcus aureus - Correct Answer-D. Staphylococcus aureus
Which of the following formula can be used to estimate a patient's maximum voluntary ventilation
(MVV)?
:
A. FVC x 40
B. VCO2/VO2
C. FEV1 x 40
D. IRV/FRC - Correct Answer-C. FEV1 x 40
3
, The maximum amount of air that can be exhaled from the maximum inspiratory level is defined as which
of the following?
:
A. vital capacity
B. residual volume
C. total lung capacity
D. expiratory reserve volume - Correct Answer-A. vital capacity
You come upon a patient who is unresponsive and is not breathing. You had heard from her nurse that
she had discussed a do not resuscitate (DNR) order with her physician. You should
:
A. Check the patient's chart for a DNR order/advanced directive
B. Immediately call a code and begin resuscitation efforts
C. Contact the nurses' station and ask how best to proceed
D. Call a "slow code," i.e., apply basic CPR, but not ACLS - Correct Answer-B. Immediately call a code and
begin resuscitation efforts
On reviewing the results of the attending physician's physical examination of a patient's chest, you note
'a dull percussion note and bronchial breath sounds - LLL.' Which of the following is a potential problem?
:
A. emphysema
B. bronchospasm
C. pneumothorax
D. consolidation - Correct Answer-D. consolidation
After the most strenuous expiratory effort, air still remains in the lungs and cannot be removed
voluntarily. This volume is known as the:
4
