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1
1
TMC Practice Exam Questions and Answers 2026.
A 48-year-sd
old female is admitted to the ED with diaphoresis, jugular venous distension,and 3+ pitting edema in t
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he ankles. These findings are consistent with
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A. liver failure.
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B. pulmonary embolism.
sd sd
C. heart failure.
sd sd
D. electrolyte imbalances - ✔✔ Correct Answer: Heart failure
sd sd sd sd sd sd s d sd
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respirator
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y therapist discovers that breath sounds are absent in the left chest with ahyperresonant percussion not
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e. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory rate is 30/min, and
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blood pressure is 60/40 mm Hg. What action should the therapist recommend first?
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A. Call for a STAT chest x-ray.
sd sd sd sd sd sd
B. Insert a chest tube into the left chest.
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C. Needle aspirate the 2nd left intercostal space.
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D. Activate the medical emergency team to intubate the patient. -
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✔✔ Correct Answer: Needle aspirate the 2nd left intercostal space.
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All of the following strategies are likely to decrease the likelihood of damage to thetracheal mucosa E
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XCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.B. us
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ing the minimal leak technique for inflation.
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C. using a low-residual-volume, low-compliance cuff.
sd sd sd sd sd
D. monitoring intracuff pressures. - ✔✔ Correct Answer: monitoring intracuff pressures.
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A 52 year-old post-
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operative cholecystectomy patient's breath sounds become more coarse upon completion of postural
sd sd sd sd sd sd sd sd sdsd sd sd s
drainage with percussion. The respiratory therapistshould recommend
d sd sd sd sd sd sd
A. continuing the therapy until breath sounds improve.B. admi
sd sd sd sd sd sd sd sdsd
nistering dornase alpha. sd sd
C. administering albuterol therapy.
sd sd sd
D. deep breathing and coughing to clear secretions. -
sd sd sd sd sd sd sd sd
✔✔ Correct Answer: deep breathing and coughing to clear secretions.
sd sd sd s d sd sd sd sd sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
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, 2
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is30% of his pr
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edicted value. What bronchial hygiene therapy would be most appropriate initially?
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A. IS / SMI sd sd sd
B. IPPB with normal saline
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C. postural drainage and percussion
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D. PEP therapy - ✔✔ Correct Answer: IPPB with normal saline
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A patient on VC ventilation has demonstrated auto-
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PEEP on ventilator graphics. Whichof the following controls, when adjusted independently, would i
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ncrease expiratory time? sd sd
1. Tidal volume
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2. Respiratory Rate
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3. Inspiratory flow
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4. Sensitivity - ✔✔ Correct Answer: 1, 2, and 3 only
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Which of the following would be the most appropriate therapy for a dyspneic patient whohas crepitus
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with tracheal deviation to the left and absent breath sounds on the right?
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A. Perform chest physiotherapy B. A
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dminister an IPPB treatmentC. Inse sd sd sd sdsd
rt an endotracheal tube
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D. Insert a chest tube - ✔✔ Correct Answer: Insert a chest tube
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A 55 year- sd sd
old post cardiac surgery patient has the following ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 t
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orr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venousblood gas results are pH 7.39, PvCO
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd sd
2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-v)O2.
sd sd sd sd sd sd sd sd sd sd sd sd
A. 2.5 vol% sd sd
B. 4.0 vol% sd sd
C. 5.0 vol% sd sd
D. 5.5 vol% - ✔✔ Correct Answer: 5.0 vol%
sd sd sd sd sd sd s d sd
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cmH2O and PEEP o
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f 5 cm H2O. What is the patient's static lung compliance
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A. 25 mL/cm H2O s d s d s d
B. 35 mL/cm H2O s d s d s d
C. 45 mL/cm H2O sd sd sd
D. 50 mL/cm H2O - ✔✔ Correct Answer: 50 mL/cm H2O
sd sd sd sd sd sd sd s d sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
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, 3 3
Immediately after extubation of a patient in the ICU, the respiratory therapist observes increasing r sd sd sd sd sd sd sd sd sd sd sd sd sd sd
espiratory distress with intercostal retractions and marked stridor. The SpO2on 40% oxygen is note
sd sd sd sd sd sd sd sd sd sd sdsd sd sd
d to be 86%. Which of the following would be most appropriate atthis time?
sd sd sd sd sd sd sd sd sd sd sd sd sd
A. cool mist aerosol treatment
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B. aerosolized racemic epinephrine
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C. manual ventilation with resuscitation bag and maskD. reint
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ubation - ✔✔ Correct Answer: reintubation sd sd sd sd s d
Which of the following patients would most likely benefit from pressure supportventilation?
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A. An intubated patient with an absent respiratory drive.
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B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.C. A patient
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
with acute lung injury. sd sd sd
D. A patient who requires short-term post-operative ventilatory support. -
sd sd sd sd sd sd sd sd sd
✔✔ Correct Answer: A patient on SIMV with a set rate of 12/min and total rate of 24/min.
sd sd sd sdsd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
A patient receiving mechanical ventilation has developed a temperature of 99.9° F withpurulent secr
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etions over the last 12 hours. The respiratory therapist has also noted a steady increase in peak inspir
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
atory pressure. What initial recommendation should be made to address these changes?
sd sd sd sd sd sd sd sd sd sd sdsd
A. Initiate bronchial hygiene therapy.B. Obt
sd sd sd sd sdsd
ain a sputum gram stain.
sd sd sd sd
C. Administer IPV.
sd sd
D. Insert a CASS tube. - ✔✔ Correct Answer: Obtain a sputum gram stain.
sd sd sd sd sd sd sd sd s d sd sd sd sd
Which of the following information may be obtained from a FVC maneuver duringbedside pulmonar
sd sd sd sd sd sd sd sd sd sd sd sd sdsd
y function testing?
sd sd
sd 1. FEV1 sd
sd 2. PEFR sd
sd 3. FRC sd
sd 4. RV - ✔✔ Correct Answer: 1 and 2 only
sd sd sd sd sd s d sd sd sd
The respiratory therapist is providing patient education for a patient who is being discharged home o
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n aerosol therapy. The most important reason for the patient to follow the recommended cleaning pro
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
cedures using a vinegar/water solution is that thissolution will
sd sd sd sd sd sd sd sd
A.sterilizetheequipment.B. retar
sd sd sd sd
d bacterial growth.
sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
, 4 4
C. kill all micro-organisms and spores.
sd sd sd sd sd
D. extend the equipment life. - ✔✔ Correct Answer: Retard bacterial growth
sd sd sd sd sd sd sd sd s d sd sd
A patient who complains of dyspnea is noted to have a dry, non-
sd sd sd sd sd sd sd sd sd sd sd sd
productive cough. On physical examination, breath sounds are diminished on the right, tactile fremit
sd sd sd sdsd sd sd sd sd sd sd sd sd sd
us is decreased and there is dullness to percussion over the right lower lobe. The respiratorytherapist s
sd sd sd sd sd sdsd sd sd sd sd sd sd sd sd sd sd
hould suspect that the patient is suffering from
sd sd sd sdsd sd sd sd
A. pneumonia.
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B. pulmonary embolism.
sd sd
C. pleural effusion.
sd sd
D. bronchiolitis. - ✔✔ Correct Answer: pleural effusion
sd sd sd sd sd s d sd
Which of the following suction catheters would be appropriate to use for a patient with asize 8.0 mm I
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D endotracheal tube?
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A. 8 Fr sd sd
B. 10 Fr sd sd
C. 12 Fr sd sd
D. 14 Fr - ✔✔ Correct Answer: 12 Fr
sd sd sd sd sd sd s d sd
A patient who is receiving continuous mechanical ventilation is fighting the ventilator. His brea
sd sd sd sd sd sd sd sd sd sd sd sd sdsd
th sounds are markedly diminished on the left, there is dullness to percussionon the left, and the tr
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd
achea is shifted to the left. The most likely explanation for the problem is that
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
A. the patient is disconnected from the ventilator.
sd sd sd sd sd sd sd
B. the patient is experiencing diffuse bronchospasm.
sd sd sd sd sd sd
C. the endotracheal tube has slipped into the right main stem bronchus.
sd sd sd sd sd sd sd sd sd sd sd
D. the patient has developed a left tension pneumothorax. -
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✔✔ Correct Answer: the endotracheal tube has slipped into the right main stem bronchus
sd sd sd s d sd sd sd sd sd sd sd sd sd sd
The respiratory therapist notes a developing hematoma after an arterial blood gas wasdrawn from the
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
right radial artery. The immediate response is to
sd sd sd sd sd sd sd
A. notify the charge nurse.
sd sd sd sd
B. apply a pressure dressing.C. apply
sd sd sd sd sdsd s
pressure to the site.
d sd sd sd
D. perform a modified Allen's test. - ✔✔ Correct Answer: apply pressure to the site.
sd sd sd sd sd sd sd sd sd s d sd sd sd sd
A patient's breathing pattern irregularly increases and decreases and is interspersed with periods of a
sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
pnea up to 1 minute. Which of the following conditions is the most likelycause of this problem?
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd
A. Diabetes insipidus
sd sd
B. Renal failure
sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
1
1
TMC Practice Exam Questions and Answers 2026.
A 48-year-sd
old female is admitted to the ED with diaphoresis, jugular venous distension,and 3+ pitting edema in t
sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd sd
he ankles. These findings are consistent with
sd sd sd sd sd sd
A. liver failure.
sd sd
B. pulmonary embolism.
sd sd
C. heart failure.
sd sd
D. electrolyte imbalances - ✔✔ Correct Answer: Heart failure
sd sd sd sd sd sd s d sd
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respirator
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd
y therapist discovers that breath sounds are absent in the left chest with ahyperresonant percussion not
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
e. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory rate is 30/min, and
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd sd sd
blood pressure is 60/40 mm Hg. What action should the therapist recommend first?
sd sd sd sd sd sd sd sd sd sd sd sd
A. Call for a STAT chest x-ray.
sd sd sd sd sd sd
B. Insert a chest tube into the left chest.
sd sd sd sd sd sd sd sd
C. Needle aspirate the 2nd left intercostal space.
sd sd sd sd sd sd sd
D. Activate the medical emergency team to intubate the patient. -
sd sd sd sd sd sd sd sd sd sd
✔✔ Correct Answer: Needle aspirate the 2nd left intercostal space.
sd sd sd sdsd sd sd sd sd sd sd
All of the following strategies are likely to decrease the likelihood of damage to thetracheal mucosa E
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
XCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.B. us
sd sd sd sd sd sd sd sd sd sdsd
ing the minimal leak technique for inflation.
sd sd sd sd sd sd
C. using a low-residual-volume, low-compliance cuff.
sd sd sd sd sd
D. monitoring intracuff pressures. - ✔✔ Correct Answer: monitoring intracuff pressures.
sd sd sd sd sd sd sd s d sd sd
A 52 year-old post-
sd sd sd
operative cholecystectomy patient's breath sounds become more coarse upon completion of postural
sd sd sd sd sd sd sd sd sdsd sd sd s
drainage with percussion. The respiratory therapistshould recommend
d sd sd sd sd sd sd
A. continuing the therapy until breath sounds improve.B. admi
sd sd sd sd sd sd sd sdsd
nistering dornase alpha. sd sd
C. administering albuterol therapy.
sd sd sd
D. deep breathing and coughing to clear secretions. -
sd sd sd sd sd sd sd sd
✔✔ Correct Answer: deep breathing and coughing to clear secretions.
sd sd sd s d sd sd sd sd sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
, 2
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is30% of his pr
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
edicted value. What bronchial hygiene therapy would be most appropriate initially?
sd sd sd sd sd sd sd sd sd sd
A. IS / SMI sd sd sd
B. IPPB with normal saline
sd sd sd sd
C. postural drainage and percussion
sd sd sd sd
D. PEP therapy - ✔✔ Correct Answer: IPPB with normal saline
sd sd sd sd sd sd s d sd sd sd
A patient on VC ventilation has demonstrated auto-
sd sd sd sd sd sd sd
PEEP on ventilator graphics. Whichof the following controls, when adjusted independently, would i
sd sd sd sd sd sdsd sd sd sd sd sd sd
ncrease expiratory time? sd sd
1. Tidal volume
sd sd sd
2. Respiratory Rate
sd sd sd
3. Inspiratory flow
sd sd sd
4. Sensitivity - ✔✔ Correct Answer: 1, 2, and 3 only
sd sd sd sd sd sd s d sd sd sd sd
Which of the following would be the most appropriate therapy for a dyspneic patient whohas crepitus
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
with tracheal deviation to the left and absent breath sounds on the right?
sd sd sd sd sd sd sd sd sd sd sd sd
A. Perform chest physiotherapy B. A
sd sd sd sd sdsd
dminister an IPPB treatmentC. Inse sd sd sd sdsd
rt an endotracheal tube
sd sd sd
D. Insert a chest tube - ✔✔ Correct Answer: Insert a chest tube
sd sd sd sd sd sd sd sd s d sd sd sd
A 55 year- sd sd
old post cardiac surgery patient has the following ABG results: pH 7.50, PaCO2 30 torr, PaO2 62 t
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd sd
orr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venousblood gas results are pH 7.39, PvCO
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd sd
2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-v)O2.
sd sd sd sd sd sd sd sd sd sd sd sd
A. 2.5 vol% sd sd
B. 4.0 vol% sd sd
C. 5.0 vol% sd sd
D. 5.5 vol% - ✔✔ Correct Answer: 5.0 vol%
sd sd sd sd sd sd s d sd
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cmH2O and PEEP o
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
f 5 cm H2O. What is the patient's static lung compliance
sd sd sd sd sd sd sd sd sd sd
A. 25 mL/cm H2O s d s d s d
B. 35 mL/cm H2O s d s d s d
C. 45 mL/cm H2O sd sd sd
D. 50 mL/cm H2O - ✔✔ Correct Answer: 50 mL/cm H2O
sd sd sd sd sd sd sd s d sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
, 3 3
Immediately after extubation of a patient in the ICU, the respiratory therapist observes increasing r sd sd sd sd sd sd sd sd sd sd sd sd sd sd
espiratory distress with intercostal retractions and marked stridor. The SpO2on 40% oxygen is note
sd sd sd sd sd sd sd sd sd sd sdsd sd sd
d to be 86%. Which of the following would be most appropriate atthis time?
sd sd sd sd sd sd sd sd sd sd sd sd sd
A. cool mist aerosol treatment
sd sd sd sd
B. aerosolized racemic epinephrine
sd sd sd
C. manual ventilation with resuscitation bag and maskD. reint
sd sd sd sd sd sd sd sdsd
ubation - ✔✔ Correct Answer: reintubation sd sd sd sd s d
Which of the following patients would most likely benefit from pressure supportventilation?
sd sd sd sd sd sd sd sd sd sd sd
A. An intubated patient with an absent respiratory drive.
sd sd sd sd sd sd sd sd
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.C. A patient
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
with acute lung injury. sd sd sd
D. A patient who requires short-term post-operative ventilatory support. -
sd sd sd sd sd sd sd sd sd
✔✔ Correct Answer: A patient on SIMV with a set rate of 12/min and total rate of 24/min.
sd sd sd sdsd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
A patient receiving mechanical ventilation has developed a temperature of 99.9° F withpurulent secr
sd sd sd sd sd sd sd sd sd sd sd sd sd
etions over the last 12 hours. The respiratory therapist has also noted a steady increase in peak inspir
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
atory pressure. What initial recommendation should be made to address these changes?
sd sd sd sd sd sd sd sd sd sd sdsd
A. Initiate bronchial hygiene therapy.B. Obt
sd sd sd sd sdsd
ain a sputum gram stain.
sd sd sd sd
C. Administer IPV.
sd sd
D. Insert a CASS tube. - ✔✔ Correct Answer: Obtain a sputum gram stain.
sd sd sd sd sd sd sd sd s d sd sd sd sd
Which of the following information may be obtained from a FVC maneuver duringbedside pulmonar
sd sd sd sd sd sd sd sd sd sd sd sd sdsd
y function testing?
sd sd
sd 1. FEV1 sd
sd 2. PEFR sd
sd 3. FRC sd
sd 4. RV - ✔✔ Correct Answer: 1 and 2 only
sd sd sd sd sd s d sd sd sd
The respiratory therapist is providing patient education for a patient who is being discharged home o
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
n aerosol therapy. The most important reason for the patient to follow the recommended cleaning pro
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
cedures using a vinegar/water solution is that thissolution will
sd sd sd sd sd sd sd sd
A.sterilizetheequipment.B. retar
sd sd sd sd
d bacterial growth.
sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
, 4 4
C. kill all micro-organisms and spores.
sd sd sd sd sd
D. extend the equipment life. - ✔✔ Correct Answer: Retard bacterial growth
sd sd sd sd sd sd sd sd s d sd sd
A patient who complains of dyspnea is noted to have a dry, non-
sd sd sd sd sd sd sd sd sd sd sd sd
productive cough. On physical examination, breath sounds are diminished on the right, tactile fremit
sd sd sd sdsd sd sd sd sd sd sd sd sd sd
us is decreased and there is dullness to percussion over the right lower lobe. The respiratorytherapist s
sd sd sd sd sd sdsd sd sd sd sd sd sd sd sd sd sd
hould suspect that the patient is suffering from
sd sd sd sdsd sd sd sd
A. pneumonia.
sd
B. pulmonary embolism.
sd sd
C. pleural effusion.
sd sd
D. bronchiolitis. - ✔✔ Correct Answer: pleural effusion
sd sd sd sd sd s d sd
Which of the following suction catheters would be appropriate to use for a patient with asize 8.0 mm I
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
D endotracheal tube?
sd sd
A. 8 Fr sd sd
B. 10 Fr sd sd
C. 12 Fr sd sd
D. 14 Fr - ✔✔ Correct Answer: 12 Fr
sd sd sd sd sd sd s d sd
A patient who is receiving continuous mechanical ventilation is fighting the ventilator. His brea
sd sd sd sd sd sd sd sd sd sd sd sd sdsd
th sounds are markedly diminished on the left, there is dullness to percussionon the left, and the tr
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd sd
achea is shifted to the left. The most likely explanation for the problem is that
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
A. the patient is disconnected from the ventilator.
sd sd sd sd sd sd sd
B. the patient is experiencing diffuse bronchospasm.
sd sd sd sd sd sd
C. the endotracheal tube has slipped into the right main stem bronchus.
sd sd sd sd sd sd sd sd sd sd sd
D. the patient has developed a left tension pneumothorax. -
sd sd sd sd sd sd sd sd sd
✔✔ Correct Answer: the endotracheal tube has slipped into the right main stem bronchus
sd sd sd s d sd sd sd sd sd sd sd sd sd sd
The respiratory therapist notes a developing hematoma after an arterial blood gas wasdrawn from the
sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
right radial artery. The immediate response is to
sd sd sd sd sd sd sd
A. notify the charge nurse.
sd sd sd sd
B. apply a pressure dressing.C. apply
sd sd sd sd sdsd s
pressure to the site.
d sd sd sd
D. perform a modified Allen's test. - ✔✔ Correct Answer: apply pressure to the site.
sd sd sd sd sd sd sd sd sd s d sd sd sd sd
A patient's breathing pattern irregularly increases and decreases and is interspersed with periods of a
sd sd sd sd sd sd sd sd sd sd sd sd sdsd sd
pnea up to 1 minute. Which of the following conditions is the most likelycause of this problem?
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sdsd
A. Diabetes insipidus
sd sd
B. Renal failure
sd sd
TMC Practice Exam Qu TMC Practice Exam Questions and Answers 2024estions and Answers 2024
sd sd sd sd sd sd sd sd sd sd sd sd sd
