TMC Practice Exam Solved Correctly To
Score A+
1. 1. During the assessment of a 64-year-old female pa- B. A
pneumothorax on the
tient, you note the following signs: dyspnea, hypoten- left side
sion, and a tracheal shift to the right. The
patient also has absent breath sounds, reduced
chest expansion, and a hyperresonant
percussion note all on the left side. These
findings suggest which of the following?
A. A pleural effusion on the left side
B. A pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
2. 2. A 39-year-old male patient was admitted to D. Provide oxygen
the emergency department with a fever and therapy and obtain a
an SpO2 of 87% on room air. Upon sputum sam- ple for
auscultation, rhonchi is heard and the patient culture and sensi- tivity
has a productive cough. Which of the following
would you recommend?
A. Intubate and provide mechanical
ventilation with 40% oxygen
B. Provide noninvasive positive pressure
ventilation using a full face mask
C. Implement postural drainage and
percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum
sam- ple for culture and sensitivity
3. 3. A 50-year-old male patient is intubated with a size 8 C. Lower the
cutt pressure
1/
110
, TMC Practice Exam Solved Correctly To
Score A+
endotracheal tube and is receiving volume-controlled to < 30 cm
H2O
A/C ventilation. Upon assessment, you note
that the patient's cuff pressure is measured at
38 cm H2O. Which of the following would you
recommend?
2/
110
, TMC Practice Exam Solved Correctly To
Score A+
A. Withdraw the tube 1-2 cm and reassess the C. A normal
pa- tient's breath sounds diffusion
B. Recommend reintubation with a smaller capacity
endotra- cheal tube D. A
restrictiv
C. Lower the cuff pressure to < 30 cm H2O e process
D.Recommend ventilation via a tracheostomy
instead 6. 6. A 58-
year-old
4. 4. During the assessment of a 52-year-old
female
female pa- tient that is receiving oxygen via
patient is
nasal cannula at
intubated
4 L/min, you hear the bubble humidifier
and ap-
making a whistling noise. Which of the
pears to
following is the most likely cause of this
be
finding?
breathing
asynchron
A. There is an obstruction in the delivery tube
ously with
B. The patient's ventilation has increased
the ven-
C. There is a clogged system diffuser
D. The flowmeter pressure is set too high
5. 5. A pre and post bronchodilator test was
ordered on a 48-year-old female patient. The
forced expira- tory measurement that was
obtained after the bron- chodilator was given
shows an increase in the pa- tient's FEV1 from
60% to 80% of the predicted value. This
finding suggests which of the following?
A. A fixed airway obstruction
B. A reversible airway obstruction
3/
110
, TMC Practice Exam Solved Correctly To
Score A+
A. There is an obstruction in the delivery tube
B. A reversible airway ob- struction
4/
110
Score A+
1. 1. During the assessment of a 64-year-old female pa- B. A
pneumothorax on the
tient, you note the following signs: dyspnea, hypoten- left side
sion, and a tracheal shift to the right. The
patient also has absent breath sounds, reduced
chest expansion, and a hyperresonant
percussion note all on the left side. These
findings suggest which of the following?
A. A pleural effusion on the left side
B. A pneumothorax on the left side
C. Atelectasis on the left side
D. Consolidation on the left side
2. 2. A 39-year-old male patient was admitted to D. Provide oxygen
the emergency department with a fever and therapy and obtain a
an SpO2 of 87% on room air. Upon sputum sam- ple for
auscultation, rhonchi is heard and the patient culture and sensi- tivity
has a productive cough. Which of the following
would you recommend?
A. Intubate and provide mechanical
ventilation with 40% oxygen
B. Provide noninvasive positive pressure
ventilation using a full face mask
C. Implement postural drainage and
percussion with directed coughing
D. Provide oxygen therapy and obtain a sputum
sam- ple for culture and sensitivity
3. 3. A 50-year-old male patient is intubated with a size 8 C. Lower the
cutt pressure
1/
110
, TMC Practice Exam Solved Correctly To
Score A+
endotracheal tube and is receiving volume-controlled to < 30 cm
H2O
A/C ventilation. Upon assessment, you note
that the patient's cuff pressure is measured at
38 cm H2O. Which of the following would you
recommend?
2/
110
, TMC Practice Exam Solved Correctly To
Score A+
A. Withdraw the tube 1-2 cm and reassess the C. A normal
pa- tient's breath sounds diffusion
B. Recommend reintubation with a smaller capacity
endotra- cheal tube D. A
restrictiv
C. Lower the cuff pressure to < 30 cm H2O e process
D.Recommend ventilation via a tracheostomy
instead 6. 6. A 58-
year-old
4. 4. During the assessment of a 52-year-old
female
female pa- tient that is receiving oxygen via
patient is
nasal cannula at
intubated
4 L/min, you hear the bubble humidifier
and ap-
making a whistling noise. Which of the
pears to
following is the most likely cause of this
be
finding?
breathing
asynchron
A. There is an obstruction in the delivery tube
ously with
B. The patient's ventilation has increased
the ven-
C. There is a clogged system diffuser
D. The flowmeter pressure is set too high
5. 5. A pre and post bronchodilator test was
ordered on a 48-year-old female patient. The
forced expira- tory measurement that was
obtained after the bron- chodilator was given
shows an increase in the pa- tient's FEV1 from
60% to 80% of the predicted value. This
finding suggests which of the following?
A. A fixed airway obstruction
B. A reversible airway obstruction
3/
110
, TMC Practice Exam Solved Correctly To
Score A+
A. There is an obstruction in the delivery tube
B. A reversible airway ob- struction
4/
110
