TMC EXAM B
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1. After a patient undergoes a thoracentesis, the respira- B
tory therapist notes that the obtained pleural fluid is
clear with a slight straw color. This fluid is most likely
the result of
A.empyema.
B.congestive heart failure.
C.lung carcinoma.
D.hemothorax.
2. Which of the following would be most important to B
evaluate for a patient who is entering a smoking ces-
sation program?
A.Height
B.Smoking history
C.Weight
D.Diet
3. The respiratory therapist calibrates a spirometer and D
checks the volume with a 3.0 liter super syringe. The
volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based
upon the information obtained which of the following
is a correct statement?
A.Another syringe needs to be used
B.Spirometer is accurate
C.The plunger was advanced too slowly
D.Spirometer may have a leak
4. Which of the following is an indication for high fre- A
quency jet ventilation?
A.Bronchopleural fistula
B.Wilson Mikity syndrome
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
C.Necrotizing lesion of right lung
D.Centrilobular emphysema
5. A 43-year-old female patient undergoes a total ab- B
dominal hysterectomy. The patient arrives in the
Post Anesthesia Care Unit obtunded with minimal re-
sponse to painful stimulus. What treatment should
the respiratory therapist recommend for this patient?
A.Initiate assisted ventilation
B.Insert oropharyngeal airway
C.Obtain positron emission tomography
D.Initiate noninvasive capnography
6. A 44-week gestational age infant is delivered via C-sec- B
tion and is gasping, grunting, and has tachycardia and
tachypnea. At one minute his Apgar score is 4 and
at 5 minutes the score is 5. The infant is most likely
suffering from
A.transient tachypnea of the newborn.
B.meconium aspiration.
C.bronchopulmonary dysplasia.
D.apnea of prematurity.
7. What is the normal VD/VT ratio for a patient breathing B
room air?
A.5 - 15%
B.20 - 40%
C.45 - 55%
D.65 - 75%
8. A heat moisture exchanger is indicated for humidifica- B
tion in which of the following situations?
A.Mechanical ventilation in a long-term care facility.
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
B.Transport to a tertiary care center.
C.Patient with tenacious secretions.
D.Delivery of aerosolized bronchodilators.
9. All of the following could cause a patient's B
right-hemidiaphragm to be elevated, EXCEPT
A.right lower lobe atelectasis.
B.right side hyperlucency, absent vascular markings.
C.hepatomegaly.
D.right lower lobe consolidation with air bron-
chograms.
10. A 64-year-old, 70 kg (154 lb) man with severe COPD re- B
ceives independent (differential) lung ventilation fol-
lowing thoracotomy and right lower lobectomy. Which
of the following setting combinations would be most
appropriate for this patient?
A.Right lung 50 mL; left lung 450 mL
B.Right lung 150 mL; left lung 350 mL
C.Right lung 250 mL; left lung 250 mL
D.Right lung 350 mL; left lung 150 mL
11. A 2-year-old child with croup has been intubated for D
4 days with a 4 mm ID uncuffed endotracheal tube.
Heated aerosol at an FIO2 of 0.30 has been delivered
to the patient. The physician asks the respiratory ther-
apist to evaluate the patient for possible extubation.
Which of the following would most likely indicate that
the patient is ready for extubation?
A.The patient is making normal quiet ventilatory ef-
forts.
B.A negative sputum culture and sensitivity has been
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
reported.
C.The patient's ABG are within normal range.
D.Breath sounds are heard around the tube on auscul-
tation.
12. A patient is seen in the Emergency Department for B
complaints of nausea and vomiting. A nasogastric
tube has been inserted and the patient is started on
lasix. Which of the following should the respiratory
therapist monitor?
A.Cardiac enzymes
B.Serum electrolytes
C.Arterial blood gases
D.Cell hydration level
13. While instructing a patient prior to a vital capacity B
maneuver, the respiratory therapist should direct the
patient to
A.exhale to residual volume and inhale to inspiratory
capacity.
B.inhale to total lung capacity then exhale to residual
volume.
C.exhale normally then inhale to total lung capacity.
D.inhale normally then exhale to functional residual
capacity.
14. A patient involved in an automobile accident is B
brought to the ED with tachypnea, tracheal deviation
to the right, splinting, asymmetrical chest movement,
and decreased breath sounds on the left side. The
respiratory therapist should initially
A.insert a chest tube.
Study online at https://quizlet.com/_f7pkin
1. After a patient undergoes a thoracentesis, the respira- B
tory therapist notes that the obtained pleural fluid is
clear with a slight straw color. This fluid is most likely
the result of
A.empyema.
B.congestive heart failure.
C.lung carcinoma.
D.hemothorax.
2. Which of the following would be most important to B
evaluate for a patient who is entering a smoking ces-
sation program?
A.Height
B.Smoking history
C.Weight
D.Diet
3. The respiratory therapist calibrates a spirometer and D
checks the volume with a 3.0 liter super syringe. The
volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based
upon the information obtained which of the following
is a correct statement?
A.Another syringe needs to be used
B.Spirometer is accurate
C.The plunger was advanced too slowly
D.Spirometer may have a leak
4. Which of the following is an indication for high fre- A
quency jet ventilation?
A.Bronchopleural fistula
B.Wilson Mikity syndrome
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
C.Necrotizing lesion of right lung
D.Centrilobular emphysema
5. A 43-year-old female patient undergoes a total ab- B
dominal hysterectomy. The patient arrives in the
Post Anesthesia Care Unit obtunded with minimal re-
sponse to painful stimulus. What treatment should
the respiratory therapist recommend for this patient?
A.Initiate assisted ventilation
B.Insert oropharyngeal airway
C.Obtain positron emission tomography
D.Initiate noninvasive capnography
6. A 44-week gestational age infant is delivered via C-sec- B
tion and is gasping, grunting, and has tachycardia and
tachypnea. At one minute his Apgar score is 4 and
at 5 minutes the score is 5. The infant is most likely
suffering from
A.transient tachypnea of the newborn.
B.meconium aspiration.
C.bronchopulmonary dysplasia.
D.apnea of prematurity.
7. What is the normal VD/VT ratio for a patient breathing B
room air?
A.5 - 15%
B.20 - 40%
C.45 - 55%
D.65 - 75%
8. A heat moisture exchanger is indicated for humidifica- B
tion in which of the following situations?
A.Mechanical ventilation in a long-term care facility.
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
B.Transport to a tertiary care center.
C.Patient with tenacious secretions.
D.Delivery of aerosolized bronchodilators.
9. All of the following could cause a patient's B
right-hemidiaphragm to be elevated, EXCEPT
A.right lower lobe atelectasis.
B.right side hyperlucency, absent vascular markings.
C.hepatomegaly.
D.right lower lobe consolidation with air bron-
chograms.
10. A 64-year-old, 70 kg (154 lb) man with severe COPD re- B
ceives independent (differential) lung ventilation fol-
lowing thoracotomy and right lower lobectomy. Which
of the following setting combinations would be most
appropriate for this patient?
A.Right lung 50 mL; left lung 450 mL
B.Right lung 150 mL; left lung 350 mL
C.Right lung 250 mL; left lung 250 mL
D.Right lung 350 mL; left lung 150 mL
11. A 2-year-old child with croup has been intubated for D
4 days with a 4 mm ID uncuffed endotracheal tube.
Heated aerosol at an FIO2 of 0.30 has been delivered
to the patient. The physician asks the respiratory ther-
apist to evaluate the patient for possible extubation.
Which of the following would most likely indicate that
the patient is ready for extubation?
A.The patient is making normal quiet ventilatory ef-
forts.
B.A negative sputum culture and sensitivity has been
, TMC EXAM B
Study online at https://quizlet.com/_f7pkin
reported.
C.The patient's ABG are within normal range.
D.Breath sounds are heard around the tube on auscul-
tation.
12. A patient is seen in the Emergency Department for B
complaints of nausea and vomiting. A nasogastric
tube has been inserted and the patient is started on
lasix. Which of the following should the respiratory
therapist monitor?
A.Cardiac enzymes
B.Serum electrolytes
C.Arterial blood gases
D.Cell hydration level
13. While instructing a patient prior to a vital capacity B
maneuver, the respiratory therapist should direct the
patient to
A.exhale to residual volume and inhale to inspiratory
capacity.
B.inhale to total lung capacity then exhale to residual
volume.
C.exhale normally then inhale to total lung capacity.
D.inhale normally then exhale to functional residual
capacity.
14. A patient involved in an automobile accident is B
brought to the ED with tachypnea, tracheal deviation
to the right, splinting, asymmetrical chest movement,
and decreased breath sounds on the left side. The
respiratory therapist should initially
A.insert a chest tube.
