TMC Practice Questions exam 2024 ( A+ GRADED 100% VERIFIED)

TMC Practice Questions exam 2024 ( A+ GRADED 100% VERIFIED) A patient presents in the emergency department (ED) following a motor vehicle crash. Physical assessment and chest radiograph indicate significant air and fluid in the pleural space. The FIRST action should be to answerinsert a chest tube and connect to suction The information below is obtained for a 70 kg (154 lb) postoperative patient who is receiving mechanical ventilation: Mode Assist/control FIO2 0.40 Mandatory rate 10 Total rate 16 VT 650 mL pH 7.50 PaCO2 30 torr PaO2 92 torr HCO3 23 mEq/L BE 0 mEq/L Which of the following is the most appropriate ventilator change? answerinitiate SIMV mode at 10 While gathering equipment in the ICU to set up an arterial line ordered STAT, the respiratory therapist notes the noncompliant pressure tubing is in a sterile package, but the corner of the package is open. Which of the following should the therapist do? answerobtain an unopened, sterile pressure tubing To assess an outcome indicator of the department?s bronchodilator QA program, the respiratory therapist should monitor the: answeraverage length of stay for patients receiving bronchodilators A patient received a head injury in a motor vehicle crash and is 24 hours post admission. He is receiving artificial mechanical ventilation at a mandatory rate of 16 and a tidal volume is 800 mL. The patient?s current arterial blood gas results are as follows: pH 7.50 PaCO2 28 torr PaO2 90 torr HCO3 21 mEq/L BE -1 mEq/L The most appropriate recommendation for this patient is to answermaintain the present settings A respiratory therapist is using a test lung to conduct a pre-operational test of a ventilator at the following settings: Mode Assist/control FIO2 0.40 Respiratory rate 12 Flow 60 L/min VT 700 mL The exhaled tidal volume measurement is 500 mL. Which of the following actions should the therapist take? answerassess the ventilator circuit for leaks A patient weighing 70 kg (154 lb) and 173 cm (5 ft 8 in) tall is recently sedated and pharmacologically paralyzed. A chest radiograph shows bilateral basilar atelectasis but is otherwise clear. Ventilator settings are: Mode SIMV FIO2 0.50 Mandatory rate 10 VT 450 mL Arterial blood gas results are as follows: pH 7.43 PaCO2 36 torr PaO2 79 torr HCO3 23 mEq/L BE 0 mEq/L SaO2 96% Which of the following modifications should the therapist recommend to the physician? answervt 700 mL rate 10 deadspace 200 mL