TMC LATEST EXAM SCRIPT 2026 QUESTIONS
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET 300
◉ Prior to obtaining an MEP value with a pressure manometer, the
respiratory therapist notes the needle is pointing at a positive
pressure of -4 cmH2O prior to the maneuver. During the MEP
maneuver, the needle reaches 32 cmH2O. The therapist should
a. Report the problem to the medical director
b. Record an MEP of -28 cmH2O
c. Record an MEP of 28 cmH2O
d. Record an MEP of 36 cmH2O.
Answer: d. Record an MEP of 36 cmH2O
◉ A 70-kg (154-lb) male patient is receiving mechanical ventilation.
After increasing PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
,c. Remove 100 mL of deadspace
d. Decrease FIO2.
Answer: c. Remove 100 mL of deadspace
◉ What would occur on a time-cycled ventilator with a fixed rate if
the inspiratory flow rate were increased?
a. Decrease in tidal volume
b. Increase in inspiratory time
c. Decrease in inspiratory time
d. Increase in tidal volume.
Answer: d. Increase in tidal volume
◉ Why should a respiratory therapist FIRST open the airway of a
patient who is apneic?
a. To protect the neck if the patient has experience physical trauma
b. The patient may be experiencing upper airway occlusion
c. The physical contact may help to trigger a spontaneous breath
d. To facilitate the placement of an oropharyngeal airway.
Answer: b. The patient may be experiencing upper airway occlusion
◉ Which of the following is a strategy that may help reduce or
prevent autoPEEP in a patient with ARDS?
,a. Sedation of the patient
b. Increasing minute ventilation
c. Matching PEEP
d. High flow rates.
Answer: d. High flow rates
◉ A pediatric patient has a non-productive cough. A chest
radiograph reveals a foreign body in the right mainstem bronchi.
Which of the following should be used to alleviate the problem?
a. Tonsil suction device
b. Bronchoscope
c. Suction catheter
d. Laryngoscope.
Answer: b. Bronchoscope
◉ An adult male is being suctioned though an 8.0-mm ET tube with
a 12 Fr. suction catheter at a pressure of 90 mmHg. Secretion
removal has been ineffective. Which of the following modifications
should be recommended?
a. Decrease suction pressure to 80 mmHg
b. Increase suction catheter size to 14 FR
c. Increase suction pressure to 110 mmHg
d. Change to a 10-mm ET tube.
, Answer: c. Increase suction pressure to 110 mmHg
◉ Which of the following is the most significant complication of
bronchoscopy?
a. Laryngospasms
b. Coughing
c. Hypotension
d. Vagal nerve stimulation.
Answer: a. Laryngospasms
◉ Which of the following can be instructed to a COPD patient to help
reduce FRC?
a. Serial coughing
b. Autogenic drainage
c. Pursed-lip breathing
d. Incentive spirometry.
Answer: c. Pursed-lip breathing
◉ A Bronchogram would be most helpful in evaluating and
diagnosing which of the following?
a. ARDS
b. Myoplasma pneumonia
AND SOLUTIONS COMPREHENSIVE STUDY
SHEET FULL PRACTICE SET 300
◉ Prior to obtaining an MEP value with a pressure manometer, the
respiratory therapist notes the needle is pointing at a positive
pressure of -4 cmH2O prior to the maneuver. During the MEP
maneuver, the needle reaches 32 cmH2O. The therapist should
a. Report the problem to the medical director
b. Record an MEP of -28 cmH2O
c. Record an MEP of 28 cmH2O
d. Record an MEP of 36 cmH2O.
Answer: d. Record an MEP of 36 cmH2O
◉ A 70-kg (154-lb) male patient is receiving mechanical ventilation.
After increasing PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
,c. Remove 100 mL of deadspace
d. Decrease FIO2.
Answer: c. Remove 100 mL of deadspace
◉ What would occur on a time-cycled ventilator with a fixed rate if
the inspiratory flow rate were increased?
a. Decrease in tidal volume
b. Increase in inspiratory time
c. Decrease in inspiratory time
d. Increase in tidal volume.
Answer: d. Increase in tidal volume
◉ Why should a respiratory therapist FIRST open the airway of a
patient who is apneic?
a. To protect the neck if the patient has experience physical trauma
b. The patient may be experiencing upper airway occlusion
c. The physical contact may help to trigger a spontaneous breath
d. To facilitate the placement of an oropharyngeal airway.
Answer: b. The patient may be experiencing upper airway occlusion
◉ Which of the following is a strategy that may help reduce or
prevent autoPEEP in a patient with ARDS?
,a. Sedation of the patient
b. Increasing minute ventilation
c. Matching PEEP
d. High flow rates.
Answer: d. High flow rates
◉ A pediatric patient has a non-productive cough. A chest
radiograph reveals a foreign body in the right mainstem bronchi.
Which of the following should be used to alleviate the problem?
a. Tonsil suction device
b. Bronchoscope
c. Suction catheter
d. Laryngoscope.
Answer: b. Bronchoscope
◉ An adult male is being suctioned though an 8.0-mm ET tube with
a 12 Fr. suction catheter at a pressure of 90 mmHg. Secretion
removal has been ineffective. Which of the following modifications
should be recommended?
a. Decrease suction pressure to 80 mmHg
b. Increase suction catheter size to 14 FR
c. Increase suction pressure to 110 mmHg
d. Change to a 10-mm ET tube.
, Answer: c. Increase suction pressure to 110 mmHg
◉ Which of the following is the most significant complication of
bronchoscopy?
a. Laryngospasms
b. Coughing
c. Hypotension
d. Vagal nerve stimulation.
Answer: a. Laryngospasms
◉ Which of the following can be instructed to a COPD patient to help
reduce FRC?
a. Serial coughing
b. Autogenic drainage
c. Pursed-lip breathing
d. Incentive spirometry.
Answer: c. Pursed-lip breathing
◉ A Bronchogram would be most helpful in evaluating and
diagnosing which of the following?
a. ARDS
b. Myoplasma pneumonia
