Page 1 of 386
TMC PRACTICE STUDY GUIDE NEWEST
VERSION ALL WITH 650 QUESTIONS AND
CORRECT DETAILED ANSWERS JUST
RELEASED
Question: All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - CORRECT ANSWER✔✔monitoring intracuff pressures.
Question: A 52 year-old post-operative cholecystectomy patient's breath sounds become more
coarse upon completion of postural drainage with percussion. The respiratory therapist should
recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
1
SUCCESS!
,Page 2 of 386
D. deep breathing and coughing to clear secretions. - CORRECT ANSWER✔✔deep breathing and
coughing to clear secretions.
Question: A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances - CORRECT ANSWER✔✔Heart failure
Question: A patient is admitted to the ED following a motor vehicle accident. On physical exam,
the respiratory therapist discovers that breath sounds are absent in the left chest with a
hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate is
45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What action should the
therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
2
SUCCESS!
,Page 3 of 386
D. Activate the medical emergency team to intubate the patient. - CORRECT ANSWER✔✔Needle
aspirate the 2nd left intercostal space.
Question: A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity
is 30% of his predicted value. What bronchial hygiene therapy would be most appropriate
initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - CORRECT ANSWER✔✔IPPB with normal saline
Question: A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics.
Which of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - CORRECT ANSWER✔✔1, 2, and 3 only
3
SUCCESS!
, Page 4 of 386
Question: Which of the following would be the most appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation to the left and absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - CORRECT ANSWER✔✔Insert a chest tube
Question: A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous blood gas
results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-
v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - CORRECT ANSWER✔✔5.0 vol%
Question: A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cm
H2O and PEEP of 5 cm H2O. What is the patient's static lung compliance
4
SUCCESS!
TMC PRACTICE STUDY GUIDE NEWEST
VERSION ALL WITH 650 QUESTIONS AND
CORRECT DETAILED ANSWERS JUST
RELEASED
Question: All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - CORRECT ANSWER✔✔monitoring intracuff pressures.
Question: A 52 year-old post-operative cholecystectomy patient's breath sounds become more
coarse upon completion of postural drainage with percussion. The respiratory therapist should
recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
1
SUCCESS!
,Page 2 of 386
D. deep breathing and coughing to clear secretions. - CORRECT ANSWER✔✔deep breathing and
coughing to clear secretions.
Question: A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances - CORRECT ANSWER✔✔Heart failure
Question: A patient is admitted to the ED following a motor vehicle accident. On physical exam,
the respiratory therapist discovers that breath sounds are absent in the left chest with a
hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate is
45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What action should the
therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
2
SUCCESS!
,Page 3 of 386
D. Activate the medical emergency team to intubate the patient. - CORRECT ANSWER✔✔Needle
aspirate the 2nd left intercostal space.
Question: A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity
is 30% of his predicted value. What bronchial hygiene therapy would be most appropriate
initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - CORRECT ANSWER✔✔IPPB with normal saline
Question: A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics.
Which of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - CORRECT ANSWER✔✔1, 2, and 3 only
3
SUCCESS!
, Page 4 of 386
Question: Which of the following would be the most appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation to the left and absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - CORRECT ANSWER✔✔Insert a chest tube
Question: A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous blood gas
results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-
v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - CORRECT ANSWER✔✔5.0 vol%
Question: A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cm
H2O and PEEP of 5 cm H2O. What is the patient's static lung compliance
4
SUCCESS!
