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 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 - Correct 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. - Correct 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 - Correct Answer-*C.
insert the airway in the same direction of its shape and into the airway and do not rotate.*
1
,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 - Correct Answer-*A. The distal end should
be recessed at least 1 cm from the tip of the endotracheal tube*
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 - Correct 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 lower than the left lung. The respiratory
therapist should recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter - Correct Answer-*B. Double-lumen endobronchial tube*
A patient has been intubated in order to receive volume control ventilation. To inflate the endotracheal
tube cuff, the respiratory therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
2
,D. to establish a pressure of 40 cmH20. - Correct Answer-*C. to establish a pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents to the ER with massive maxillary
and nasal trauma. Which of the following devices would be most appropriate for maintaining the
patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube - Correct Answer-*B. fenestrated tracheostomy tube*
Shortly after extubating a patient, the therapist notes an increase in the patient's work of breathing,
intercostal retractions, marked stridor and a decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
C. CPAP therapy with 40% oxygen
D. Reintubate orally - Correct Answer-*D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still unconscious. Vital signs are all stable
and the SpO2 is 95%. Which of the following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Laryngeal mask airway
D. Esophageal obturator airway - Correct Answer-*A. Oropharyngeal airway*
Which of the following factors would increase the difficulty of performing oral endotracheal intubation?
1. Small mouth opening
2. Macroglossia
3. Atrophy of thyroid
4. Mallampati Class II
3
, A. 1 and 2 only
B. 3 and 4 only
C. 1 and 3 only
D. 2 and 4 only - Correct Answer-*A. 1 and 2 only*
A 57-year-old post-op patient is receiving volume control ventilation. The respiratory therapist is having
difficulty removing secretions when suctioning. The patient weighs 85 kg (187 Ib), is orally intubated
with a size 9.0 mm ID endotracheal tube, the vacuum level is set at 90 mm Hg and the suction catheter
being used is a size 14 Fr. The therapist should
A. switch to a larger catheter size.
B. increase the vacuum level.
C. switch to a Coude catheter.
D. instill normal saline prior to suctioning. - Correct Answer-*B. Increase the vacuum level*
A 2800 g neonate has just been orally intubated with a size 3.0 mm ID endotracheal tube. The
respiratory therapist is preparing to suction the neonate and notices that there are size 6 French suction
catheters at the bedside. The therapist should
A. use the size 6 French catheters,
B. obtain a size 4 French catheter.
C. obtain a size 8 French catheter.
D. obtain a size 10 French catheter. - Correct Answer-*B. obtain a size 4 French catheter*
While suctioning an adult patient, the respiratory therapist notes that the vacuum regulator is set at 120
mm Hg but only registers 70 mm Hg on the manometer. Which of the following is the LEAST likely
cause?
A. Leak in the system
B. Thumb not completely covering the port
C. Loose connection in the collection bottle
D. Additional length of suction tubing - Correct Answer-*D. Additional length of suction tubing*
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 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 - Correct 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. - Correct 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 - Correct Answer-*C.
insert the airway in the same direction of its shape and into the airway and do not rotate.*
1
,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 - Correct Answer-*A. The distal end should
be recessed at least 1 cm from the tip of the endotracheal tube*
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 - Correct 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 lower than the left lung. The respiratory
therapist should recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter - Correct Answer-*B. Double-lumen endobronchial tube*
A patient has been intubated in order to receive volume control ventilation. To inflate the endotracheal
tube cuff, the respiratory therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
2
,D. to establish a pressure of 40 cmH20. - Correct Answer-*C. to establish a pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents to the ER with massive maxillary
and nasal trauma. Which of the following devices would be most appropriate for maintaining the
patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube - Correct Answer-*B. fenestrated tracheostomy tube*
Shortly after extubating a patient, the therapist notes an increase in the patient's work of breathing,
intercostal retractions, marked stridor and a decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
C. CPAP therapy with 40% oxygen
D. Reintubate orally - Correct Answer-*D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still unconscious. Vital signs are all stable
and the SpO2 is 95%. Which of the following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Laryngeal mask airway
D. Esophageal obturator airway - Correct Answer-*A. Oropharyngeal airway*
Which of the following factors would increase the difficulty of performing oral endotracheal intubation?
1. Small mouth opening
2. Macroglossia
3. Atrophy of thyroid
4. Mallampati Class II
3
, A. 1 and 2 only
B. 3 and 4 only
C. 1 and 3 only
D. 2 and 4 only - Correct Answer-*A. 1 and 2 only*
A 57-year-old post-op patient is receiving volume control ventilation. The respiratory therapist is having
difficulty removing secretions when suctioning. The patient weighs 85 kg (187 Ib), is orally intubated
with a size 9.0 mm ID endotracheal tube, the vacuum level is set at 90 mm Hg and the suction catheter
being used is a size 14 Fr. The therapist should
A. switch to a larger catheter size.
B. increase the vacuum level.
C. switch to a Coude catheter.
D. instill normal saline prior to suctioning. - Correct Answer-*B. Increase the vacuum level*
A 2800 g neonate has just been orally intubated with a size 3.0 mm ID endotracheal tube. The
respiratory therapist is preparing to suction the neonate and notices that there are size 6 French suction
catheters at the bedside. The therapist should
A. use the size 6 French catheters,
B. obtain a size 4 French catheter.
C. obtain a size 8 French catheter.
D. obtain a size 10 French catheter. - Correct Answer-*B. obtain a size 4 French catheter*
While suctioning an adult patient, the respiratory therapist notes that the vacuum regulator is set at 120
mm Hg but only registers 70 mm Hg on the manometer. Which of the following is the LEAST likely
cause?
A. Leak in the system
B. Thumb not completely covering the port
C. Loose connection in the collection bottle
D. Additional length of suction tubing - Correct Answer-*D. Additional length of suction tubing*
4
