RRT TMC EXAM WITH 100% ACCURATE SOLUTIONS

RRT TMC EXAM 2024/2025 WITH 100% AC
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CURATE SOLUTIONS f




Thefpatient'sflungfhasfanfairfleakf-
fPrecisefAnswerf✔✔Youfarefcalledftofthefemergencyfdepartmentftofhelpfcarefforfafpatientfwhofwasfinfafvehi

clefaccidentfandfhasfchestfinjuriesfincludingfbrokenfribs.fCrepitationsfareffeltfwhilefpalpitatingfthefpatient'sf
neck.fWhatfisfmostflikelyfthefcausefoffthis?



Reversiblefairwayfobstructionf-
fPrecisefAnswerf✔✔Afforcedfexpiratoryfmeasurementfobtainedfafterfthefadministrationfoffafbronchodilato

rfshowsfanfincreasefinfFEV1ffromf60%ftof80%foffpredicted.fThisfindicatesfa:



completefairwayfobstructionf-
fPrecisefAnswerf✔✔Duringfcapnographyfmonitoringfoffafmechanicallyfventilatedfpatient,fyoufnotefthatfthef

end-tidalfPCO2f(PetCO2)fhasfdroppedftof0fmmfHg.fThisffindingfmayfindicate:



insertingfanfesophageal-trachealfcombitubef-
fPrecisefAnswerf✔✔Anfunconsciousfapneicfpatientfwithfaffullfstomachfcannotfbeforallyfintubatedfinfthefem

ergencyfroom.fWhichfofftheffollowingfwouldfyourfrecommendfbe?



patientsfsizefandfclinicalfconditionf-
fPrecisefAnswerf✔✔Whilefestablishingfinitialfventilatoryfsupportfsettingsfforfafnewfpatient,fthefmostfimpor

tantfconsiderationfisfthe:



Feverf(hyperthermia)f-
fPrecisefAnswerf✔✔AfmalefpatientfhasfaflowerfthanfnormalfmixedfvenousfO2fcontent.fWhichfofftheffollowi

ngfisfthefmostflikelyfcausefoffthisfcondition?



applyf5-10fcmfH20fpressurefsupportf-
fPrecisefAnswerf✔✔YoufareftryingftofweanfanfalertfintubatedfpatientfoffffullfventilatoryfsupportfusingfthefC

PAPfprotocolfwithf40%fO2.fEarlyfinfthefinitialfeffortfherfrespiratoryfratefincreasesffromf24ftof30/minfandfyou
fstartftofobservefsomefusefoffherfaccessoryfmusclesfwhilefbreathing.fWhichfofftheffollowingfwouldfbefyourffi

rstfactionfatfthisftime?

,70fminutesf-fPrecisefAnswerf✔✔WhatfisfthefapproximatefdurationfoffflowfoffanfoxygenfE-
cylinderfatf1000fpsifrunningfatf4fL/min?



increasefthefsuctionfpressureftof-120fmmfHgf-
fPrecisefAnswerf✔✔WhilefusingfafYankauerfdeviceftofsuctionfanfadultfpatient,fyoufarefunableftofremovefthi

ckfsecretions.fThefregulatorfattachedftoftheforopharyngealfsuctioningfdevicefdisplaysfafreadingfoff-
70fmmfHg.fWhichfofftheffollowingfactionsfshouldfyouftakefatfthisftime?



afmissingfleadf-fPrecisefAnswerf✔✔Whilefsettingfupfaf12-
leadfEKGfonfafpatient,fyoufarefunablefobtainfanyfelectricalfsignal.fThefbatteriesfareffullyfchargedfandfthefdev
icefwasfableftofpower-on.fThefmostflikelyfcausefoffthisfproblemfisfwhichfofftheffollowing?



angiographyf-
fPrecisefAnswerf✔✔Whichfofftheffollowingfimagingfproceduresfisfusedftofevaluatefthefarteriesfforfabnorma

litiesfsuchfasfaneurysm,fatherosclerosis,fembolism,focclusion,fstenosis,fthrombosis,ftrauma,forfvasculitis?



hasfsmokedfwithinfthefpriorf12-24fhoursf-
fPrecisefAnswerf✔✔Youfobtainfanfexpiredfcarbonfmonoxidef(CO)freadingfoff18fppmfonfafCOPDfpatientfparti

cipatingfinfafpulmonaryfrehabilitationfprogram.fBasedfonfthisffinding,fyoufcanfconcludefthatfthefpatient:



decreasefinfO2fsaturationffromf91%ftof82%f-
fPrecisefAnswerf✔✔Whilefmonitoringfafpatientfduringfafspontaneousfbreathingftrial,fwhichfofftheffollowing

fobservationsfwouldfcausefyouftofstopftheftrialfandfreturnfthefpatientftofventilatoryfsupport?




increasedfventilationf-
fPrecisefAnswerf✔✔YourfpatientfisfreceivingfvolumefcontrolfA/Cfventilation.fShefhasfbecomefincreasinglyfa

gitatedfandfthefend-
tidalfCO2fhasfdecreasedffromf38ftof27ftorrfoverftheflastf3fhours.fWhichfofftheffollowingfisfmostflikelyfthefcau
se?



3500fmLf-
fPrecisefAnswerf✔✔Afnormalfvitalfcapacityfforfaffemalefpatientfwhofisffiveffeetfthreefinchesftallfandfweighsff

iftyfkilogramsfwouldfbefapproximately:

, thefsensitivityf-
fPrecisefAnswerf✔✔Anfasthmaticfpatientfisfstrugglingftofinitiatefinspirationfonfafventilatorfoperatingfinfthef

assist-
controlfmode.fWhichfofftheffollowingfventilatorfsettingsfwouldfyouffirstfcheckfinforderftofresolvefoffthisfpro
blem?



atrialffibrillationf-
fPrecisefAnswerf✔✔Onfinspectionfoffafpatient'sfEKGfstrip,fyoufnotefthatftherefarefnofidentifiablefPfwaves;fr

apidfirregularfundulationsfoffthefisoelectricfline;fandfanfirregularfventricularfrhythm.fInfaddition,fthefprecor
dialfcardiacfratefisfgreaterfthanfthefperipheralfpulsefrate.fWhatfisfthefmostflikelyfproblem?



VitalfCapacityf(VC)f-
fPrecisefAnswerf✔✔Whichfofftheffollowingfisfthefbestfbedsidefmeasurementfforfassessingfthefintegratedffu

nctionfoffthefrespiratoryfmusclesfandfmechanicalfpropertiesfofftheflungsfandfthorax?



SinusfTachycardiaf-
fPrecisefAnswerf✔✔WhilefinspectingfanfEKGfrhythmfstripffromfanfadultfpatient,fyoufnoteftheffollowing:frat

efoff148;fregularfrhythm;fnormalfPfwaves,fP-
Rfintervals,fandfQRSfcomplexes.fWhatfisfmostflikelyfthefproblem?



whetherfthefpatientfisfstablefonflowfFiO2sfandfPEEPf-
fPrecisefAnswerf✔✔Whichfofftheffollowingfisfafprerequisitefforfdischargingfafventilator-

dependentfpatientftofthefhomecarefsetting?



aflargefvolumef(3fL)fcalibrationfsyringef-
fPrecisefAnswerf✔✔Youfwouldfneedfwhichfofftheffollowingfequipmentfinforderftofcalibratefafportablefbedsi

defspirometer?



Ventilator-associatedfpneumoniaf(VAP)f-
fPrecisefAnswerf✔✔Afphysicianfordersfafblindfbronchoalveolarflavagefprocedurefforfafpatientfinfintensivefc

arefunit.fWhatfisfthefmostflikelyfpotentialfdiagnosisfthatfthefdoctorfisftryingftofconfirmfwithfthisfprocedure?



croupf-fPrecisefAnswerf✔✔AnfAPfX-rayfoffaf4-year-
oldfchildfwithfwheezingfandfstridorfshowsfanfareafoffprominentfsubglotticfedema,fbutftheflateralfneckfX-
rayfappearsfnormal.fThefmostflikelyfproblemfis?