MOCK TMC LEVEL TWO QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

MOCK TMC LEVEL TWO QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
A PATIENT HAS THE FOLLOWING ABG.
O O O O O




PHO7.37, OPAO2 O50 OMM OHG, OPACO2 O50 OMM OHG, OHCO3 O 25 OM EQ/L, OPAO2 O449 OMM OHG

THE P(A-A)O2 IS: - ANSWER 399 TORR
O O O O O O




A RESPIRATORY THERAPIST IS ASKED TO ASSESS A 16-YEAR-
O O O O O O O O


OLD GIRL WITH A SEVERE HEAD COLD WHO IS RECEIVING 4 L/ MIN O2 VIA NASAL CANNULA. T HE PATIENT IS ALER
O O O O O O O O O O O O O O O O O O O


T AND AWAKE AND IS COMPLAINING THAT SHE CANNOT BREATHE THROUGH HER NOSE . HER SPO2 IS 84%. WHIC
O O O O O O O O O O O O O O O O O


H ACTION SHOULD THE RESPIRATORY THERAPIST TAKE ? - ANSWER C HANGE TO A SIMPLE O2 MASK AT 5-
O O O O O O O O O O O O O O O O


7 L/MIN
O




WHILE SUCTIONING A PATIENT THERE IS AN ABRUPT CHANGE IN THE ECG WAVEFORM DISPLAYED ON THE CARDIA
O O O O O O O O O O O O O O O O


C MONITOR. T HE SPO2 DROPS PRECIPITOUSLY . W HICH OF THE FOLLOWING ACTIONS SHOULD A RRT TAKE NEXT?
O O O O O O O O O O O O O O O O


- ANSWER STOP SUCTIONING AND IMMEDIATELY ADMINISTER OXYGEN
O O O O O O O




LUNG RECRUITMENT MANEUVERS, RM, FOR PATIENTS WITH ARDS IS MOST LIKELY TO BE SUCCESSFUL : -
O O O O O O O O O O O O O O


OANSWER EARLY IN THE COURSE OF ARDS ONCE THE PATIENT IS STABILIZED
O O O O O O O O O O O




A MECHANICALLY VENTILATED PATIENT HAS A VD/VT RATIO OF 0.62. THE RESPIRATORY THERAPIST SHOULD REC
O O O O O O O O O O O O O O


OMMEND: - ANSWER INCREASING VT O O O O




TO EVALUATE AND FOLLOW THE COURSE OF A PATIENT WITH INTERSTITIAL LUNG DISEASE , WHICH OF THE FOLLOWI
O O O O O O O O O O O O O O O O


NG PROCEDURES SHOULD THE RRT RECOMMEND? - ANSWER DIFFUSING CAPACITY (DLCO)
O O O O O O O O O O




A PATIENT WITH ACUTE BRONCHITIS IS RECEIVING MECHANICAL VENTILATION. WHEEZING IS HEARD OVER ALL LUN
O O O O O O O O O O O O O O


G FIELDS, AND RHONCHI ARE HEARD OVER THE CENTRAL AIRWAYS. SECRETIONS ARE THICK . T HE PATIENT' S PEAK P
O O O O O O O O O O O O O O O O


RESSURE IS 45 CM H2O, PLATEAU PRESSURE IS 20 CM H2O. ALL OF THE FOLLOWING WOULD BE USEFUL TO TREA
O O O O O O O O O O O O O O O O O O O


T THE PATIENT EXCEPT: - ANSWER PANCURONIUM BROMIDE (PAVULON)
O O O O O O O O




AN ADULT PRESSURE RELEASE VALVE ON A BVM DEVICE IS MOST LIKELY TO VENT PRESSURES EXCEEDING : -
O O O O O O O O O O O O O O O O


ANSWER 45 CM H2O OR GREATER
O O O O O O

,METHEMOGLOBINEMIA EXCEEDING 30% IS BEST TREATED WITH: - O O O O O O O


ANSWER METHYLENE BLUE OR ASCORBIC ACID
O O O O O O




AN APNEA MONITOR ON A PREMATURE INFANT INDICATES ABNORMAL DECREASE IN RESPIRATORY RATE AND ABN
O O O O O O O O O O O O O O


ORMAL INCREASE IN HEART RATE . WHAT IS THE MOST LIKELY CAUSE OF THESE RESULTS? - ANSWER HYPOXEMIA
O O O O O O O O O O O O O O O O




WHILE TAKING AN AEROSOL TREATMENT WITH 0.25 MG ALBUTEROL , A PATIENT SUDDENLY LOSES CONSCIOUSNESS
O O O O O O O O O O O O O


. WHICH OF THE FOLLOWING IS THE FIRST PROCEDURE THE RRT SHOULD PERFORM TO MAINTAIN A PATENT AIRW
O O O O O O O O O O O O O O O O O


AY FOR THE PATIENT? - ANSWER APPLY THE HEAD-TILT/ CHIN- LIFT MANEUVER
O O O O O O O O O O




WHEN CHECKING A CHEST X-
O O O O


RAYOFOR OPROPEROENDOTRACHEAL OTUBE OPLACEMENT OIT OISO NOTEDOTHATOTHE ODISTAL OTIP OOF OTHE OTUBE OISO2 OCM OABOV
E OTHE OCARINA. OW HICH OOF OTHE OFOLLOWING OIS OTHE OMOSTOAPPROPRIATE OACTION? O-
O ANSWER WITHDRAW THE ETT BY 2-3 CM
O O O O O O




A 23- O


YEAROOLD OFIRE O FIGHTER OIS O ADMITTED OWITH O SUSPECTED OSMOKE OINHALATION. OT HE ORRT OPLACESOHIM OON O AO NON-
REBREATHING OMASK. OWHAT OISOTHE OMOSTO APPROPRIATE OMETHOD OOFOMONITORING OTHE OPATIENT 'S OOXYGENATION? O
- ANSWER HEMOXIMETRY ANALYSIS
O O O




IN THE LAB RESULTS SECTION OF A PATIENT 'S MEDICAL RECORD, THE OVERALL WBC IS SHOWN AS 22,000 FOR A
O O O O O O O O O O O O O O O O O O O


FEBRILE PATIENT WHO APPEARS ACUTELY ILL AND IN MODERATE RESPIRATORY DISTRESS. WHAT IS THE MOST LIKEL
O O O O O O O O O O O O O O O


Y DIAGNOSIS? - ANSWER BACTERIAL PNEUMONIA
O O O O O




DURING A PATIENT- O O


VENTILATOR OCHECK OIN OTHE OICU, OTHE ORRT OOBSERVES OTHE OFOLLOWING O SETTINGSO ANDOMONITORED OPARAMETERS OO
NO AO70-KGO(154-LB) OPATIENT ORECEIVING OVENTILATORY OSUPPORT :

MODE: VOLUME CONTROL SIMV
O O O




VT: 500 ML O O




MANDATORY RATE: 10 O O




TOTAL RATE: 38 O O




PEEP: 8 CM H2O O O O




MINUTE VOLUME: 10 L/MIN O O O




WHICH OF THE FOLLOWING SHOULD THE RRT RECOMMEND? - ANSWER ADD PRESSURE SUPPORT
O O O O O O O O O O O O

, A PATIENT PRESENTS WITH MORBID OBESITY, ANASARCA, AND ASCITES. THE RESPIRATORY THERAPIST SHOULD MO
O O O O O O O O O O O O O


ST EXPECT : - ANSWER REDUCED CHEST COMPLIANCE AND INCREASED PPLAT
O O O O O O O O O




A PHYSICIAN SPECIFIES THE FOLLOWING IN HER RESPIRATORY THERAPY ORDERS THE FOLLOWING OBJECTIVE FOR A
O O O O O O O O O O O O O O O


PATIENT WITH AN ARTIFICIAL AIRWAY : "OVERCOME THE PATIENT ' S HUMIDITY DEFICIT ". T HE BEST INTERVENTION T
O O O O O O O O O O O O O


O ACHIEVE THIS OBJECTIVE IS: - ANSWER LARGE -RESERVOIR HEATED JET NEBULIZER
O O O O O O O O O O




A 56-
O


YO OPATIENT OWITH ONO OKNOWN OLUNG ODISEASE OIS ORECEIVING O MIDAZALOM O(VERSED) O ANDO HAS OA OPAO2 OOFO42 OMM OH
G. OT HE OFOLLOWING OCLINICAL O DATAOIS OAVAILABLE OONOTHE OPATIENT .

RR IS 12/MIN, VT 3 ML/KG, FIO2 0.50, PEEP 15 CM H2O, PMAX 35 CM H2O
O O O O O O O O O O O O O O O




THE RESPIRATORY THERAPIST SHOULD RECOMMEND: - ANSWER INCREASING VT
O O O O O O O O




WHEN A PATIENT IS BREATHING ROOM AIR, AND THE R VALUE IS CONSTANT, THEN THE SUM OF PAO2 + PACO2
O O O O O O O O O O O O O O O O O O O O


SHOULD EQUAL ABOUT : - ANSWER 140 MM HG
O O O O O O O




A PHYSICIAN ORDERS O2 THERAPY PER PROTOCOL FOR AN OTHERWISE HEALTHY POSTOPERATIVE PATIENT WHO H
O O O O O O O O O O O O O O


AS A PAO2 OF 52 TORR ON ROOM AIR. AFTER INITIATING A NASAL CANNULA AT 2 L/ MIN AND REPEATING AN AR
O O O O O O O O O O O O O O O O O O O O


TERIAL BLOOD GAS, THE PATIENT ' S P AOS IS NOW 50 TORR. WHICH ACTION SHOULD THE RRT TAKE ? -
O O O O O O O O O O O O O O O O


OANSWER INCREASE OXYGEN FLOW AND REASSESS THE PATIENT
O O O O O O O




A TODDLER IS RECEIVING VOLUME CONTROL A/C VENTILATION. TO MINIMIZE VOLUME LOSS DUE TO COMPRESSIO
O O O O O O O O O O O O O O


N AND TUBING EXPANSION, WHICH OF THE FOLLOWING SHOULD A RRT SELECT ? - ANSWER LOW-
O O O O O O O O O O O O O O


COMPLIANCE OTUBING




A PHYSICIAN IS INSISTENT IN GETTING STAT ABG RESULTS FOR A PATIENT CRASHING IN THE ICU. THE RT DRAWS
O O O O O O O O O O O O O O O O O O O


THE ABG AND TAKES THE SPECIMEN TO THE BLOOD GAS ANALYZER . T HERE IS A CALIBRATION ERROR MESSAGE ON
O O O O O O O O O O O O O O O O O


OTHE ANALYZER. T HE THERAPIST SEES THAT THE LAST QUALITY CONTROL RESULTS WERE OUT OF RANGE FOR PACO
O O O O O O O O O O O O O O O O


2 BY -5 MM HG. THE BEST COURSE OF ACTION IS TO: -
O O O O O O O O O O O O


OANSWER RECALIBRATE AND REPEAT QUALITY CONTROL TO WITHIN CONTROL LIMITS
O O O O O O O O O




FOR WHICH OF THE FOLLOWING PATIENTS SHOULD A RRT CAREFULLY MONITOR CARDIOVASCULAR FUNCTION DURI
O O O O O O O O O O O O O


NG APPLICATION OF INTERMITTENT POSITIVE PRESSURE BREATHING (IPPB)?
O O O O O O O