TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
1. Although treated with several antiar- apply cardioversion
rhythmic drugs, a patient with ven-
tricular tachycardia begins to exhibit *If drug management fails, if the ventricular
hypotension and decreased conscious- rate exceeds 150/min, or if the patient becomes
ness. Which of the following actions hemodynamically unstable, synchronous car-
would you recommend at this time? dioversion is indicated.
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient
2. A physician orders intubation and vol- rate/min: 15; VT (mL): 500
ume-controlled A/C ventilation for a
6-foot, 3-inch tall 190-lb (86-kg) adult Tidal volume 6ml/kg IBW
male patient with ARDS. Which of the
6ft 3= 85kg IBW
following ventilator settings would you
Vt= 500
aim for to support this patient?
Rate= 10 to 20
rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200
3. A doctor institutes volume-controlled 35/min
ventilation for a 70-kg ARDS patient with
a targeted tidal volume of 420 mL To
maintain adequate ventilation with this
tidal volume, the maximum respiratory
rate you would allow is:
25/min
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
35/min
20/min
30/min
4. Which of the following PaCO2 levels at least 60 mm Hg
would be considered a positive result for
brain death determination at the end of or 20+ from baseline CO2
an apnea test?
-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
-at least 55 mm Hg
5. A COPD patient receiving volume-con- 2 and 3 only
trolled A/C ventilation at a rate of 15 and
a VT of 650 mL exhibits signs of air trap- * Adding an end-inspiratory pause would cause
ping (auto-PEEP). Which of the following more airtrapping
alternatives would you recommend to
help overcome this problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
1 and 2 only
6. A patient who just underwent major the patient has a bronchopleural fistula
thoracic surgery is placed on pres-
sure-controlled A/C ventilation with 10 * Constant bubbling indicates a leak; either in
cmH2O PEEP. You observe continuous the patient or in the tubing/chamber system.
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
bubbling in the water seal chamber of
his pleural drainage system. Which of
the following is the most likely cause of
this observation?
-the patient has a pleural effusion
-the suction/ vacuum pressure is too
low
-the drainage system is obstructed
-the patient has a bronchopleural fistula
7. To measure the amount of auto-PEEP measure pressure during an end-expiratory
present in a patient receiving ventilatory pause
support, you would:
-measure pressure during an end-expi-
ratory pause
-measure expiratory flow before and af-
ter bronchodilator
-measure pressure at volume incre-
ments using a super syringe
-measure pressure during an end-inspi-
ratory pause
8. Which of the following indicate that 1 and 2
a pleural drainage system is working
properly? * Suction control should bubble continuously
1. the water seal chamber level rises and and water seal chamber should rise and fall.
falls with breathing
* Continuous bubbling in the water seal cham-
2. there is continuous bubbling in the
ber= leak.
suction control chamber
3. there is continuous bubbling in the
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
water seal chamber
1, 2, and 3
1 only
1 and 2
3 only
9. A physician wants to calculate the stat- 36 mL/cmH2O
ic lung compliance for a 110-kg patient
receiving volume controlled ventilation. *VT/(Plat-PEEP)
Patient settings and monitoring data
are as follows: Vt 900 ml, Rate 14/min,
Peak pressure 50 cmH2O, Plateau pres-
sure 35 cmH2O, PEEP 10 cmH2O, Me-
chanical dead space 100ml. The pa-
tient's static lung compliance is:
22 mL/cmH2O
26 mL/cmH2O
18 mL/cmH2O
36 mL/cmH2O
10. A physician has attempted on sever- insert a chest tube into the right pleural space
al occasions to insert a central ve-
nous catheter into the right subclavian * Pneumothorax is a complication of central
vein of a patient receiving mechani- venous catheter.
cal ventilation. Suddenly the ventilator's
high-pressure alarm sounds, the pa-
tient's blood pressure drops, and the
SPO2 value drips from 96% to 84%.
Breath sounds are greatly diminished
over the right-lung field. What action
100% Correct Detailed Answers Guaranteed Pass!!
1. Although treated with several antiar- apply cardioversion
rhythmic drugs, a patient with ven-
tricular tachycardia begins to exhibit *If drug management fails, if the ventricular
hypotension and decreased conscious- rate exceeds 150/min, or if the patient becomes
ness. Which of the following actions hemodynamically unstable, synchronous car-
would you recommend at this time? dioversion is indicated.
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient
2. A physician orders intubation and vol- rate/min: 15; VT (mL): 500
ume-controlled A/C ventilation for a
6-foot, 3-inch tall 190-lb (86-kg) adult Tidal volume 6ml/kg IBW
male patient with ARDS. Which of the
6ft 3= 85kg IBW
following ventilator settings would you
Vt= 500
aim for to support this patient?
Rate= 10 to 20
rate/min: 10; VT (mL): 800
rate/min: 15; VT (mL): 500
rate/min: 20; VT (mL): 900
rate/min: 8; VT (mL): 1200
3. A doctor institutes volume-controlled 35/min
ventilation for a 70-kg ARDS patient with
a targeted tidal volume of 420 mL To
maintain adequate ventilation with this
tidal volume, the maximum respiratory
rate you would allow is:
25/min
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
35/min
20/min
30/min
4. Which of the following PaCO2 levels at least 60 mm Hg
would be considered a positive result for
brain death determination at the end of or 20+ from baseline CO2
an apnea test?
-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
-at least 55 mm Hg
5. A COPD patient receiving volume-con- 2 and 3 only
trolled A/C ventilation at a rate of 15 and
a VT of 650 mL exhibits signs of air trap- * Adding an end-inspiratory pause would cause
ping (auto-PEEP). Which of the following more airtrapping
alternatives would you recommend to
help overcome this problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
1 and 2 only
6. A patient who just underwent major the patient has a bronchopleural fistula
thoracic surgery is placed on pres-
sure-controlled A/C ventilation with 10 * Constant bubbling indicates a leak; either in
cmH2O PEEP. You observe continuous the patient or in the tubing/chamber system.
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
bubbling in the water seal chamber of
his pleural drainage system. Which of
the following is the most likely cause of
this observation?
-the patient has a pleural effusion
-the suction/ vacuum pressure is too
low
-the drainage system is obstructed
-the patient has a bronchopleural fistula
7. To measure the amount of auto-PEEP measure pressure during an end-expiratory
present in a patient receiving ventilatory pause
support, you would:
-measure pressure during an end-expi-
ratory pause
-measure expiratory flow before and af-
ter bronchodilator
-measure pressure at volume incre-
ments using a super syringe
-measure pressure during an end-inspi-
ratory pause
8. Which of the following indicate that 1 and 2
a pleural drainage system is working
properly? * Suction control should bubble continuously
1. the water seal chamber level rises and and water seal chamber should rise and fall.
falls with breathing
* Continuous bubbling in the water seal cham-
2. there is continuous bubbling in the
ber= leak.
suction control chamber
3. there is continuous bubbling in the
, TMC MOCK Actual Exam100+ Questions With Reviewed
100% Correct Detailed Answers Guaranteed Pass!!
water seal chamber
1, 2, and 3
1 only
1 and 2
3 only
9. A physician wants to calculate the stat- 36 mL/cmH2O
ic lung compliance for a 110-kg patient
receiving volume controlled ventilation. *VT/(Plat-PEEP)
Patient settings and monitoring data
are as follows: Vt 900 ml, Rate 14/min,
Peak pressure 50 cmH2O, Plateau pres-
sure 35 cmH2O, PEEP 10 cmH2O, Me-
chanical dead space 100ml. The pa-
tient's static lung compliance is:
22 mL/cmH2O
26 mL/cmH2O
18 mL/cmH2O
36 mL/cmH2O
10. A physician has attempted on sever- insert a chest tube into the right pleural space
al occasions to insert a central ve-
nous catheter into the right subclavian * Pneumothorax is a complication of central
vein of a patient receiving mechani- venous catheter.
cal ventilation. Suddenly the ventilator's
high-pressure alarm sounds, the pa-
tient's blood pressure drops, and the
SPO2 value drips from 96% to 84%.
Breath sounds are greatly diminished
over the right-lung field. What action
