TMC LATEST EXAM TEST PAPER 2026 FULL
QUESTIONS AND ANSWERS VERIFIED STUDY
GUIDE FINAL PREP 300
◉ 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?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube.
Answer: Insert a chest tube
◉ A 55 year-old post cardiac surgery 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.
A. 2.5 vol%
,B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%.
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
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O.
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 86%. Which of the following would be most
appropriate at this time?
,A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation.
Answer: reintubation
◉ Which of the following patients would most likely benefit from
pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of
24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory
support..
Answer: A patient on SIMV with a set 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?
, A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube..
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 and 2 only
◉ The respiratory therapist is providing patient 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
A. sterilize the equipment.
B. retard bacterial growth.
QUESTIONS AND ANSWERS VERIFIED STUDY
GUIDE FINAL PREP 300
◉ 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?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube.
Answer: Insert a chest tube
◉ A 55 year-old post cardiac surgery 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.
A. 2.5 vol%
,B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%.
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
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O.
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 86%. Which of the following would be most
appropriate at this time?
,A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation.
Answer: reintubation
◉ Which of the following patients would most likely benefit from
pressure support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of
24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory
support..
Answer: A patient on SIMV with a set 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?
, A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube..
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 and 2 only
◉ The respiratory therapist is providing patient 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
A. sterilize the equipment.
B. retard bacterial growth.
