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Description:
Updated TMC Exit Exam resource for 2025 with verified correct answers. Covers
respiratory care essentials, advanced clinical reasoning, therapeutic interventions, and
patient safety. Ideal for respiratory therapy students preparing for graduation and
licensure readiness.
Keywords:
TMC Exit Exam 2025
TMC respiratory therapy exit questions
TMC exam verified answers
respiratory care exit exam prep
TMC final exam 2025 solutions
1. Patient Assessment
Question:
A 48-year-old female presents to the emergency department with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are most consistent with:
A) Liver failure
B) Pulmonary embolism
C) Heart failure
D) Electrolyte imbalances
Answer:
C) Heart failure
Rationale:
The combination of diaphoresis, jugular venous distension, and pitting edema suggests right-
sided heart failure, which leads to systemic venous congestion. This clinical presentation is
characteristic of heart failure. Stuvia
2. Arterial Blood Gas Interpretation
,Question:
A patient is receiving oxygen via nasal cannula at 2 L/min and has the following ABG results: pH
7.40, PaCO₂ 42 mmHg, PaO₂ 80 mmHg, HCO₃⁻ 24 mEq/L. The most likely explanation for these
results is that:
A) The sample was not iced properly
B) There was excess heparin in the syringe
C) The numbers were not reported correctly
D) The patient is adequately oxygenated
Answer:
D) The patient is adequately oxygenated
Rationale:
The ABG values fall within normal ranges, indicating that the patient is receiving sufficient
oxygenation. The PaO₂ of 80 mmHg is appropriate for a patient on 2 L/min nasal cannula.
Studocu
3. Mechanical Ventilation
Question:
A mechanically ventilated patient exhibits a sudden increase in peak inspiratory pressure (PIP)
and decreased tidal volume. The most likely cause is:
A) Endotracheal tube displacement
B) Pneumothorax
C) Mucous plugging
D) Pulmonary embolism
Answer:
C) Mucous plugging
Rationale:
Mucous plugging can obstruct the airway, leading to increased airway resistance and elevated
PIP. This is a common cause of sudden changes in ventilator parameters.
4. Pulmonary Function Testing
, Question:
Which of the following pulmonary function test results is most indicative of restrictive lung
disease?
A) Decreased forced vital capacity (FVC) with normal forced expiratory volume in 1 second
(FEV₁)
B) Decreased FVC with decreased FEV₁
C) Normal FVC with decreased FEV₁
D) Increased FVC with normal FEV₁
Answer:
A) Decreased FVC with normal FEV₁
Rationale:
Restrictive lung diseases are characterized by a reduction in lung volume, leading to a decreased
FVC. The FEV₁/FVC ratio typically remains normal or increased.
5. Airway Management
Question:
A patient with a history of chronic obstructive pulmonary disease (COPD) presents with
increased shortness of breath and wheezing. The most appropriate initial treatment is:
A) Intubation and mechanical ventilation
B) Administration of inhaled bronchodilators
C) High-flow oxygen therapy
D) Non-invasive positive pressure ventilation
Answer:
B) Administration of inhaled bronchodilators
Rationale:
Inhaled bronchodilators are the first-line treatment for acute exacerbations of COPD, as they
help relieve bronchospasm and improve airflow. Mometrix
6. Mechanical Ventilation
Question:
A 70 kg (154 lb) patient is being mechanically ventilated with the following settings: VC, A/C; VT
500 mL, respiratory rate 12/min, FIO₂ 1.0, and 10 cm H₂O PEEP. The patient's peak airway