1|Page
TMC EXAM E|| LATEST AND COMPLETE
UPDATE WITH QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
NEWEST VERSION
A patient with a history of chronic bronchitis is post-operative for an exploratory
laparotomy. Review of the medical record suggests the physician has concern
about difficulty clearing secretions after the procedure. To assist the patient with
mobilization and removal of secretions, the respiratory therapist should
recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER: d.
Instruction on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER: a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the cap on
the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
,2|Page
d. The inner cannula is in placed and the cuff inflated - ANSWER: b. The inner
cannula is removed and the cuff deflated
A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for
mechanical ventilatory support, the patient is to be orally intubated. Which of the
following artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER: a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway
resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER: c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a
size 8.0 mm ET tube. While transporting the patient from CT scan back to the
intensive care unit, the respiratory therapist notices oxygen saturation has dropped
to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-
positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER: d. Examine chest
rise and auscultate breath sounds
,3|Page
A 48-year-old patient has just been orally intubated prior to being placed on
volume-controlled ventilation. The respiratory therapist should do which of the
following to best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER: d. Obtain a chest radiograph
After 20 minutes into a spontaneous breathing trial (SBT) a mechanically
ventilated female patient becomes anxious. Her baseline heart rate has increased by
20 /min. What should the respiratory therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER: d. Return to full mechanical
ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER: b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema.
Which of the following would be experienced with this emergency?
a. Hypovolemia
, 4|Page
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER: c. Elevated left ventricular filling
pressure with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER: d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
b. Frequent PVCs
c. Asystole
d. Ventricular fibrillation - ANSWER: a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar
ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER: d. PaCO2 from an
arterial blood gas analysis
TMC EXAM E|| LATEST AND COMPLETE
UPDATE WITH QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
NEWEST VERSION
A patient with a history of chronic bronchitis is post-operative for an exploratory
laparotomy. Review of the medical record suggests the physician has concern
about difficulty clearing secretions after the procedure. To assist the patient with
mobilization and removal of secretions, the respiratory therapist should
recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER: d.
Instruction on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER: a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the cap on
the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
,2|Page
d. The inner cannula is in placed and the cuff inflated - ANSWER: b. The inner
cannula is removed and the cuff deflated
A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for
mechanical ventilatory support, the patient is to be orally intubated. Which of the
following artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER: a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway
resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER: c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a
size 8.0 mm ET tube. While transporting the patient from CT scan back to the
intensive care unit, the respiratory therapist notices oxygen saturation has dropped
to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-
positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER: d. Examine chest
rise and auscultate breath sounds
,3|Page
A 48-year-old patient has just been orally intubated prior to being placed on
volume-controlled ventilation. The respiratory therapist should do which of the
following to best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER: d. Obtain a chest radiograph
After 20 minutes into a spontaneous breathing trial (SBT) a mechanically
ventilated female patient becomes anxious. Her baseline heart rate has increased by
20 /min. What should the respiratory therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER: d. Return to full mechanical
ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER: b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema.
Which of the following would be experienced with this emergency?
a. Hypovolemia
, 4|Page
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER: c. Elevated left ventricular filling
pressure with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER: d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
b. Frequent PVCs
c. Asystole
d. Ventricular fibrillation - ANSWER: a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar
ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER: d. PaCO2 from an
arterial blood gas analysis
