TMC LATEST EXAM PRACTICE ASSESSMENT
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
300 ITEMS
◉ A patient is admitted to the ED following a motor vehicle accident.
On physical exam, the respiratory therapist discovers 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?.
Answer: Needle aspirate the 2nd left intercostal space
◉ All of the following strategies are likely to decrease the likelihood
of damage to the tracheal mucosa EXCEPT.
Answer: using a low residual volume, low compliance cuff
◉ A 52 year-old post-operative cholecystectomy patient's breath
sounds become more coarse upon completion of postural drainage
with percussion. The respiratory therapist should recommend.
Answer: deep breathing & coughing to clear secretions
,◉ A 65 kg spinal cord injured patient develops atelectasis. His
inspiratory capacity is 30% of his predicted value. What bronchial
hygiene therapy would be most appropriate initially?.
Answer: IPPB
◉ A healthy adult female can exhale what portion of her forced vital
capacity in the first second?.
Answer: 70%
◉ A patient on VC ventilation demonstrates auto-PEEP on ventilator
graphics. Which of the following controls, when adjusted
independently, would increase expiratory time?
1. Tidal volume
2. respiratory rate
3. inspiratory flow
4. sensitivity.
Answer: 1, 2, and 3 only
◉ Which of the following would be the most appropriate therapy for
a dyspneic patient who has crepitus with tracheal deviation to the
left and absent breath sounds on the right?.
Answer: insert a chest tube
,◉ Following cardiac surgery, a 55 year-old patient has the following
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..
Answer: 5.0 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?.
Answer: 50 mL/cm H2O
◉ Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory distress with
intercostal retractions and marked stridor. The SpO2 on 40% oxygen
is noted to be 76%. Which of the following would be most
appropriate at this time?.
Answer: Reintubation
◉ Which of the following patients would most likely benefit from
pressure support ventilation?.
Answer: A patient on SIMV with a mandatory rate of 12/min and
total rate of 24/min.
, ◉ 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 noted a steady increase in
peak inspiratory pressure. What initial recommendation should be
made to address these changes?.
Answer: obtain a sputum gram stain
◉ Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV.
Answer: 1 & 2 only
◉ The respiratory therapist provides education for a patient who is
being discharged home on aerosol therapy. The most important
reason for the patient to follow the recommended cleaning
procedures using a vinegar/water solution is that this solution will.
Answer: retard bacterial growth
◉ A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there is
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
300 ITEMS
◉ A patient is admitted to the ED following a motor vehicle accident.
On physical exam, the respiratory therapist discovers 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?.
Answer: Needle aspirate the 2nd left intercostal space
◉ All of the following strategies are likely to decrease the likelihood
of damage to the tracheal mucosa EXCEPT.
Answer: using a low residual volume, low compliance cuff
◉ A 52 year-old post-operative cholecystectomy patient's breath
sounds become more coarse upon completion of postural drainage
with percussion. The respiratory therapist should recommend.
Answer: deep breathing & coughing to clear secretions
,◉ A 65 kg spinal cord injured patient develops atelectasis. His
inspiratory capacity is 30% of his predicted value. What bronchial
hygiene therapy would be most appropriate initially?.
Answer: IPPB
◉ A healthy adult female can exhale what portion of her forced vital
capacity in the first second?.
Answer: 70%
◉ A patient on VC ventilation demonstrates auto-PEEP on ventilator
graphics. Which of the following controls, when adjusted
independently, would increase expiratory time?
1. Tidal volume
2. respiratory rate
3. inspiratory flow
4. sensitivity.
Answer: 1, 2, and 3 only
◉ Which of the following would be the most appropriate therapy for
a dyspneic patient who has crepitus with tracheal deviation to the
left and absent breath sounds on the right?.
Answer: insert a chest tube
,◉ Following cardiac surgery, a 55 year-old patient has the following
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..
Answer: 5.0 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?.
Answer: 50 mL/cm H2O
◉ Immediately after extubation of a patient in the ICU, the
respiratory therapist observes increasing respiratory distress with
intercostal retractions and marked stridor. The SpO2 on 40% oxygen
is noted to be 76%. Which of the following would be most
appropriate at this time?.
Answer: Reintubation
◉ Which of the following patients would most likely benefit from
pressure support ventilation?.
Answer: A patient on SIMV with a mandatory rate of 12/min and
total rate of 24/min.
, ◉ 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 noted a steady increase in
peak inspiratory pressure. What initial recommendation should be
made to address these changes?.
Answer: obtain a sputum gram stain
◉ Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV.
Answer: 1 & 2 only
◉ The respiratory therapist provides education for a patient who is
being discharged home on aerosol therapy. The most important
reason for the patient to follow the recommended cleaning
procedures using a vinegar/water solution is that this solution will.
Answer: retard bacterial growth
◉ A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there is
