1|Page
TMC EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| TMC EXAM
REVIEW 2025 (BRAND NEW!!)
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
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%
pg. 1
,2|Page
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
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - Correct Answer - 50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
86%. Which of the following would be most appropriate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - Correct Answer - reintubation
Which of the following patients would most likely benefit from pressure
support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support.
- Correct Answer - A patient on SIMV with a set rate of 12/min and total
rate of 24/min.
pg. 2
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A patient receiving mechanical ventilation has developed a temperature
of 99.9° F with purulent secretions over the last 12 hours. The
respiratory therapist has also noted a steady increase in peak inspiratory
pressure. What initial recommendation should be made to address these
changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. - Correct Answer - Obtain a sputum gram stain.
Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV - Correct Answer - 1 and 2 only
The respiratory therapist is providing patient education for a patient who
is being discharged home on aerosol therapy. The most important reason
for the patient to follow the recommended cleaning procedures using a
vinegar/water solution is that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. - Correct Answer - Retard bacterial growth
pg. 3
, 4|Page
A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there is
dullness to percussion over the right lower lobe. The respiratory
therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis. - Correct Answer - pleural effusion
Which of the following suction catheters would be appropriate to use for
a patient with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr - Correct Answer - 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting
the ventilator. His breath sounds are markedly diminished on the left,
there is dullness to percussion on the left, and the trachea is shifted to the
left. The most likely explanation for the problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
pg. 4
TMC EXAM NEWEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| TMC EXAM
REVIEW 2025 (BRAND NEW!!)
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
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%
pg. 1
,2|Page
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
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - Correct Answer - 50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
86%. Which of the following would be most appropriate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - Correct Answer - reintubation
Which of the following patients would most likely benefit from pressure
support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support.
- Correct Answer - A patient on SIMV with a set rate of 12/min and total
rate of 24/min.
pg. 2
,3|Page
A patient receiving mechanical ventilation has developed a temperature
of 99.9° F with purulent secretions over the last 12 hours. The
respiratory therapist has also noted a steady increase in peak inspiratory
pressure. What initial recommendation should be made to address these
changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. - Correct Answer - Obtain a sputum gram stain.
Which of the following information may be obtained from a FVC
maneuver during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV - Correct Answer - 1 and 2 only
The respiratory therapist is providing patient education for a patient who
is being discharged home on aerosol therapy. The most important reason
for the patient to follow the recommended cleaning procedures using a
vinegar/water solution is that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. - Correct Answer - Retard bacterial growth
pg. 3
, 4|Page
A patient who complains of dyspnea is noted to have a dry, non-
productive cough. On physical examination, breath sounds are
diminished on the right, tactile fremitus is decreased and there is
dullness to percussion over the right lower lobe. The respiratory
therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis. - Correct Answer - pleural effusion
Which of the following suction catheters would be appropriate to use for
a patient with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr - Correct Answer - 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting
the ventilator. His breath sounds are markedly diminished on the left,
there is dullness to percussion on the left, and the trachea is shifted to the
left. The most likely explanation for the problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
pg. 4
