TMC Practice Exam Test Questions and Answers Graded A+
A 48 year-old female is admitted to the ED with diaphore-
sis, jugular venous distension, and 3+ pitting edema in
the ankles. These findings are consistent with
Heart failure
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist dis-
covers that breath sounds are absent in the left chest with
a hyperresonant percussion note. The trachea is shifted
to the right. The patient's heart rate is 45/min, respiratory
rate is 30/min, and blood pressure is 60/40 mm Hg. What
action should the therapist recommend first? Needle aspirate the 2nd left intercostal space.
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient.
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cutt pressures between 20 and 25 mm Hg. monitoring intracutt pressures.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cutt.
D. monitoring intracutt pressures.
, TMC Practice Exam Test Questions and Answers Graded A+
A 52 year-old post-operative cholecystectomy patient's
breath sounds become more coarse upon completion of
postural drainage with percussion. The respiratory thera-
pist should recommend
deep breathing and coughing to clear secretions.
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed at-
electasis. His inspiratory capacity is 30% of his predicted
value. What bronchial hygiene therapy would be most
appropriate initially?
IPPB with normal saline
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1, 2, and 3 only
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with tra-
cheal deviation to the left and absent breath sounds on
, TMC Practice Exam Test Questions and Answers Graded A+
the right?
A. Perform chest physiotherapy Insert a chest tube
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
A 55 year-old post cardiac surgery patient has the follow-
ing ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 torr,
HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous
blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr,
and SvO2 66%. Calculate the patient's C(a-v)O2.
5.0 vol%
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25
cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What
is the patient's static lung compliance
50 mL/cm H2O
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory dis-
tress with intercostal retractions and marked stridor. The
SpO2 on 40% oxygen is noted to be 86%. Which of the
following would be most appropriate at this time?
, TMC Practice Exam Test Questions and Answers Graded A+
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine reintubation
C. manual ventilation with resuscitation bag and mask
D. reintubation
Which of the following patients would most likely benefit
from pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
A patient on SIMV with a set rate of 12/min and total rate
B. A patient on SIMV with a set rate of 12/min and total
of 24/min.
rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ven-
tilatory support.
A patient receiving mechanical ventilation has developed
a temperature of 99.9° F with purulent secretions over
the last 12 hours. The respiratory therapist has also not-
ed a steady increase in peak inspiratory pressure. What
initial recommendation should be made to address these
changes? Obtain a sputum gram stain.
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
Which of the following information may be obtained from
a FVC maneuver during bedside pulmonary function test-
ing?
1 and 2 only
1. FEV1
2. PEFR
A 48 year-old female is admitted to the ED with diaphore-
sis, jugular venous distension, and 3+ pitting edema in
the ankles. These findings are consistent with
Heart failure
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist dis-
covers that breath sounds are absent in the left chest with
a hyperresonant percussion note. The trachea is shifted
to the right. The patient's heart rate is 45/min, respiratory
rate is 30/min, and blood pressure is 60/40 mm Hg. What
action should the therapist recommend first? Needle aspirate the 2nd left intercostal space.
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient.
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cutt pressures between 20 and 25 mm Hg. monitoring intracutt pressures.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cutt.
D. monitoring intracutt pressures.
, TMC Practice Exam Test Questions and Answers Graded A+
A 52 year-old post-operative cholecystectomy patient's
breath sounds become more coarse upon completion of
postural drainage with percussion. The respiratory thera-
pist should recommend
deep breathing and coughing to clear secretions.
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed at-
electasis. His inspiratory capacity is 30% of his predicted
value. What bronchial hygiene therapy would be most
appropriate initially?
IPPB with normal saline
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1, 2, and 3 only
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with tra-
cheal deviation to the left and absent breath sounds on
, TMC Practice Exam Test Questions and Answers Graded A+
the right?
A. Perform chest physiotherapy Insert a chest tube
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
A 55 year-old post cardiac surgery patient has the follow-
ing ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 torr,
HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous
blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr,
and SvO2 66%. Calculate the patient's C(a-v)O2.
5.0 vol%
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25
cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What
is the patient's static lung compliance
50 mL/cm H2O
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory dis-
tress with intercostal retractions and marked stridor. The
SpO2 on 40% oxygen is noted to be 86%. Which of the
following would be most appropriate at this time?
, TMC Practice Exam Test Questions and Answers Graded A+
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine reintubation
C. manual ventilation with resuscitation bag and mask
D. reintubation
Which of the following patients would most likely benefit
from pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
A patient on SIMV with a set rate of 12/min and total rate
B. A patient on SIMV with a set rate of 12/min and total
of 24/min.
rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ven-
tilatory support.
A patient receiving mechanical ventilation has developed
a temperature of 99.9° F with purulent secretions over
the last 12 hours. The respiratory therapist has also not-
ed a steady increase in peak inspiratory pressure. What
initial recommendation should be made to address these
changes? Obtain a sputum gram stain.
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
Which of the following information may be obtained from
a FVC maneuver during bedside pulmonary function test-
ing?
1 and 2 only
1. FEV1
2. PEFR
