C&S TMC 2 EXAM TEST BANK 100+
QUESTIONS WIY 100% CORRECT
ANSWERS UPDATED 2024-2025
Which of the following is NOT used to determine the degree of lung dysfunction due to
emphysema? - Answer-Measuring carboxyhemoglobin
The respiratory therapist finds that a patient awakens only with extreme difficulty but
responds appropriately when aroused. The therapist would conclude that the patient is
most likely: - Answer-Obtunded
Results of a pulmonary function study obtained from a 58-year-old female are as
follows:
Actual Predicted
TLC: 6.84L 6.21 L
SVC 4.70 L 4.76L
FVC: 3.12 L 4.76 L
RV: 1.69 L 1.21 L
FRC: 4.34 L 2.61 L
FEV1: 3.12 L 4.41 L
Which of the following conditions is consistent with these results? - Answer-Pulmonary
emphysema
Which of the following best explains the results of the chest x-ray shown to the right? -
Answer-There is a right-sided tension pneumothorax with mediastinal deviation to the
left
A patient with moderately severe cor pulmonale (right heart failure) would most likely
exhibit: - Answer-Distended jugular veins
Which of the following is true regarding a do-not-resuscitate (DNR) order? - Answer-If a
patient makes a request to cancel a DNR order, the practitioner must immediately notify
the physician
A 41-year-old female patient with a diagnosis of COPD is about to be discharged
from the hospital. The respiratory therapist has been asked to evaluate the patient and
recommend a pulmonary rehabilitation program tailored to this patient's needs. Which of
the following histories would be pertinent for the therapist to review before providing a
recommendation? - Answer-Environmental: No
Occupational: No
Social: Yes
Medication: Yes
,Which of the following would the respiratory therapist explain to a patient as the primary
goal of his pulmonary rehabilitation? - Answer-It improves the quality of life
While interviewing a patient who has recently been enrolled in a pulmonary
rehabilitation program, the patient tells the respiratory therapist that he has tried to quit
smoking several times but has been unsuccessful. Which of the following
pharmacologic agents should the respiratory therapist recommend for this patient? -
Answer-Transdermal nicotine patch (Nicoderm)
Which of the following would the respiratory therapist recommend to a home care
patient for disinfection of his small volume nebulizer? - Answer-A mixture of vinegar and
water
A patient's ECG rhythm consistently reverts to the rhythm shown above. The respiratory
therapist should recommend: - Answer-Cardioversion
A respiratory therapist is assisting the physician in placing a tracheostomy tube in an
orally intubated adolescent patient. At which point should the therapist be ready to
deflate the cuff and withdraw the endotracheal tube? - Answer-When the physician
begins inserting the tracheostomy tube into the stoma
A patient about to undergo bronchoscopy becomes fearful and anxious and indicates
she does not want the procedure done. The most appropriate action at this time is to -
Answer-Administer a sedative to relieve anxiety
During an air transport of a mechanically ventilated neonate, the respiratory therapist
encounters difficulty in maintaining adequate oxygen saturation. Which of the
following should the respiratory therapist do? - Answer-Manually ventilate the patient
with an FIO2 of 1.0
A patient just admitted to the respiratory ward appears fearful when the respiratory
therapist enters the room to initiate a nebulized albuterol treatment. The respiratory
therapist should: - Answer-Communicate the role of a respiratory therapist and goal of
therapy clearly to the patient
Following the administration of succinylcholine to facilitate intubation, the house resident
is unable to orally intubate the patient despite repeated attempts. He requests an
antidote to reverse the succinylcholine effects. The respiratory therapist should: -
Answer-Resume manual ventilation
During insertion of a pulmonary artery catheter, ventricular asystole is observed on the
cardiac monitor. Which of the following actions is the FIRST priority in the management
of this patient? - Answer-Initiation of manual ventilation and closed chest compressions
Thirty minutes after the PEEP was increased from 7 cm H2O to 10 cm H2O, an infant
becomes agitated and develops extreme respiratory distress. A chest x-ray is obtained,
, which is shown to the right. Which of the following would be the most appropriate
recommendation at this time? - Answer-Needle aspiration of the right lung
For which of the following patients receiving continuous mechanical ventilation would a
rapid weaning protocol NOT be appropriate? - Answer-A patient with acute
exacerbation of emphysema
A patient with moderately severe ARDS is receiving mechanical ventilation via ARDS
protocol. When PEEP is increased from 10 cm H2O to 15 cm H2O, the PvO2 increases
from 31 mm Hg to 39 mm Hg. Based on this change, the respiratory therapist should
conclude that: - Answer-Oxygenation at the tissue level has improved
A 49-year-old, 5'11 tall, 81 kg male with ARDS secondary to sepsis is nasally intubated
and receiving volume-control A/C ventilation. Pertinent data are as follows: VT: 450 mL
Rate: 18/min
FIO2: 0.90
PEEP: 18 cm H2O
PIP: 62 cm H2O
Pplat: 36 cm H2O
The respiratory therapist should recommend: - Answer-Decreasing VT in 1 mL/kg steps
to a minimum of 4 mL/kg
A 64-year-old male presented to the ED complaining of persistent right-sided chest pain
and a bothersome dry cough. He was subsequently admitted to the respiratory ward for
treatment of community-acquired pneumonia. Over the next 2 days his respiratory
status worsens and he is transferred to the ICU.
A chest x-ray taken at the time of admission to the ICU reveals diffuse bilateral fluffy
infiltrates, more on the right than the left. Arterial blood gases obtained while breathing
oxygen via nonrebreathing mask at 12 L/min reveals pH 7.29, PaCO2 56 mm Hg, PaO2
49 mm Hg. The decision is made to provide ventilatory support.
Which of the following would be appropriate for this patient? - Answer-Volume-control
A/C ventilation with tidal volume of 6 mL/kg
A physician has ordered pulmonary function testing for a 73 year-old male who presents
with complaints of dyspnea and orthopnea. The PFT results are as follows: Actual
Predicted %Predicted
FVC(L): 1.42 3.55 40
FEV1(L): 0.81 2.70 30
FEV1/FEV% 57 76
RV(L): 1.92 2.60 74
TLC(L): 3.61 6.50 55
Which of the following is consistent with these results? - Answer-Severe obstructive
defect with moderate restrictive defect
QUESTIONS WIY 100% CORRECT
ANSWERS UPDATED 2024-2025
Which of the following is NOT used to determine the degree of lung dysfunction due to
emphysema? - Answer-Measuring carboxyhemoglobin
The respiratory therapist finds that a patient awakens only with extreme difficulty but
responds appropriately when aroused. The therapist would conclude that the patient is
most likely: - Answer-Obtunded
Results of a pulmonary function study obtained from a 58-year-old female are as
follows:
Actual Predicted
TLC: 6.84L 6.21 L
SVC 4.70 L 4.76L
FVC: 3.12 L 4.76 L
RV: 1.69 L 1.21 L
FRC: 4.34 L 2.61 L
FEV1: 3.12 L 4.41 L
Which of the following conditions is consistent with these results? - Answer-Pulmonary
emphysema
Which of the following best explains the results of the chest x-ray shown to the right? -
Answer-There is a right-sided tension pneumothorax with mediastinal deviation to the
left
A patient with moderately severe cor pulmonale (right heart failure) would most likely
exhibit: - Answer-Distended jugular veins
Which of the following is true regarding a do-not-resuscitate (DNR) order? - Answer-If a
patient makes a request to cancel a DNR order, the practitioner must immediately notify
the physician
A 41-year-old female patient with a diagnosis of COPD is about to be discharged
from the hospital. The respiratory therapist has been asked to evaluate the patient and
recommend a pulmonary rehabilitation program tailored to this patient's needs. Which of
the following histories would be pertinent for the therapist to review before providing a
recommendation? - Answer-Environmental: No
Occupational: No
Social: Yes
Medication: Yes
,Which of the following would the respiratory therapist explain to a patient as the primary
goal of his pulmonary rehabilitation? - Answer-It improves the quality of life
While interviewing a patient who has recently been enrolled in a pulmonary
rehabilitation program, the patient tells the respiratory therapist that he has tried to quit
smoking several times but has been unsuccessful. Which of the following
pharmacologic agents should the respiratory therapist recommend for this patient? -
Answer-Transdermal nicotine patch (Nicoderm)
Which of the following would the respiratory therapist recommend to a home care
patient for disinfection of his small volume nebulizer? - Answer-A mixture of vinegar and
water
A patient's ECG rhythm consistently reverts to the rhythm shown above. The respiratory
therapist should recommend: - Answer-Cardioversion
A respiratory therapist is assisting the physician in placing a tracheostomy tube in an
orally intubated adolescent patient. At which point should the therapist be ready to
deflate the cuff and withdraw the endotracheal tube? - Answer-When the physician
begins inserting the tracheostomy tube into the stoma
A patient about to undergo bronchoscopy becomes fearful and anxious and indicates
she does not want the procedure done. The most appropriate action at this time is to -
Answer-Administer a sedative to relieve anxiety
During an air transport of a mechanically ventilated neonate, the respiratory therapist
encounters difficulty in maintaining adequate oxygen saturation. Which of the
following should the respiratory therapist do? - Answer-Manually ventilate the patient
with an FIO2 of 1.0
A patient just admitted to the respiratory ward appears fearful when the respiratory
therapist enters the room to initiate a nebulized albuterol treatment. The respiratory
therapist should: - Answer-Communicate the role of a respiratory therapist and goal of
therapy clearly to the patient
Following the administration of succinylcholine to facilitate intubation, the house resident
is unable to orally intubate the patient despite repeated attempts. He requests an
antidote to reverse the succinylcholine effects. The respiratory therapist should: -
Answer-Resume manual ventilation
During insertion of a pulmonary artery catheter, ventricular asystole is observed on the
cardiac monitor. Which of the following actions is the FIRST priority in the management
of this patient? - Answer-Initiation of manual ventilation and closed chest compressions
Thirty minutes after the PEEP was increased from 7 cm H2O to 10 cm H2O, an infant
becomes agitated and develops extreme respiratory distress. A chest x-ray is obtained,
, which is shown to the right. Which of the following would be the most appropriate
recommendation at this time? - Answer-Needle aspiration of the right lung
For which of the following patients receiving continuous mechanical ventilation would a
rapid weaning protocol NOT be appropriate? - Answer-A patient with acute
exacerbation of emphysema
A patient with moderately severe ARDS is receiving mechanical ventilation via ARDS
protocol. When PEEP is increased from 10 cm H2O to 15 cm H2O, the PvO2 increases
from 31 mm Hg to 39 mm Hg. Based on this change, the respiratory therapist should
conclude that: - Answer-Oxygenation at the tissue level has improved
A 49-year-old, 5'11 tall, 81 kg male with ARDS secondary to sepsis is nasally intubated
and receiving volume-control A/C ventilation. Pertinent data are as follows: VT: 450 mL
Rate: 18/min
FIO2: 0.90
PEEP: 18 cm H2O
PIP: 62 cm H2O
Pplat: 36 cm H2O
The respiratory therapist should recommend: - Answer-Decreasing VT in 1 mL/kg steps
to a minimum of 4 mL/kg
A 64-year-old male presented to the ED complaining of persistent right-sided chest pain
and a bothersome dry cough. He was subsequently admitted to the respiratory ward for
treatment of community-acquired pneumonia. Over the next 2 days his respiratory
status worsens and he is transferred to the ICU.
A chest x-ray taken at the time of admission to the ICU reveals diffuse bilateral fluffy
infiltrates, more on the right than the left. Arterial blood gases obtained while breathing
oxygen via nonrebreathing mask at 12 L/min reveals pH 7.29, PaCO2 56 mm Hg, PaO2
49 mm Hg. The decision is made to provide ventilatory support.
Which of the following would be appropriate for this patient? - Answer-Volume-control
A/C ventilation with tidal volume of 6 mL/kg
A physician has ordered pulmonary function testing for a 73 year-old male who presents
with complaints of dyspnea and orthopnea. The PFT results are as follows: Actual
Predicted %Predicted
FVC(L): 1.42 3.55 40
FEV1(L): 0.81 2.70 30
FEV1/FEV% 57 76
RV(L): 1.92 2.60 74
TLC(L): 3.61 6.50 55
Which of the following is consistent with these results? - Answer-Severe obstructive
defect with moderate restrictive defect
