C&S TMC Exam 1 Questions and Answers
Latest
Question 1
- A victim of smoke inhalation from a house fire has just been admitted to the ED. The
patient is breaking spontaneously and effortlessly with supplemental oxygen via
nonrebreathing mask. Laboratory data reveal the following:
pH: 7.41
PaCO2: 41 mmHg
HCO3: 25 mEq/L
PaO2: 377 mmHg
SaO2: 78%
On the basis of this information, the respiratory therapist should recommend:
Correct Answer
Continuation of the present oxygen saturation
Question 2
- A patient has inadvertently been given an excessive amount of Ringer's Lactate. This
patient should be carefully monitored for the development of which of the following?
Correct Answer
Pulmonary edema
Question 3
- While caring for a patient with severe acute respiratory syndrome (SARS), the
respiratory therapists face shield becomes contaminated. When ready to leave the
patient area, the respiratory therapist should do which of the following?
Correct Answer
Remove the face shield by handling only the portion that secures it to the head and
then dispose of it properly
Page 1 of 47
,Question 4
The fiberoptic bronchoscope is usually the preferred device during a bronchoscopy
because of its:
Correct Answer
Flexibility
Question 5
- When initiating mask CPAP for an adult patient, the flow rate should be set at which
of the following?
Correct Answer
Set to achieve minimal fluctuation in the CPAP pressure
Question 6
- Which of the following data would be helpful in determining the course of therapy
for an 82-year-old patient admitted for acute exacerbation of emphysema?
History of present illness
Current meds
Marital status
Resuscitative status
Correct Answer
History of present illness: YES
Current meds: YES
Marital status: NO
Resuscitative status: YES
Question 7
- A respiratory therapist is performing a chest examination on an adult male patient.
The therapist notes the trachea is deviated to the right with flatness to percussion on
the right. Which of the following best explains these findings?
Correct Answer
Right sided atelectasis
Page 2 of 47
,Question 8
- In which of the following situations would it be appropriate for the respiratory
therapist to terminate a bronchodilator treatment?
Correct Answer
Worsening of bronchospasm
Question 9
- A slightly obese 30-year-old female has been admitted to the hospital after being
seen in the outpatient clinic for recurrent symptoms of back pain. On physical exam
the respiratory rate is 24/min, while the rest of the vitals are normal.
She is in moderate distress secondary to pain, She has a friction rub at the right base,
but the remainder of her examination is unremarkable. Room air arterial blood gas
values are pH 7.41, PaCO2 35 mmHg, and PaO2 91 mmHg. The ECG is normal, and the
chest x-ray shows infiltrates in the left lower lobe. The right side, where the rub is
heard, is normal. Lower extremity dopplers are obtained and are normal.
To further evaluate the patient's condition, the respiratory therapist should
recommend which of the following?
Correct Answer
Ventilatory/Perfusion scan
Question 10
- The standard objective behind quality control procedures for respiratory equipment
is that:
Correct Answer
All equipment should perform within stated accuracies
Page 3 of 47
, Question 11
- Mechanical ventilation has been initiated on a patient with respiratory failure
secondary to acute exacerbation of COPD. Thirty minutes later, the patient is having
convulsions. Arterial blood gas values are as follows:
pH : 7.56
PaCO2: 44 mmHg
PaO2: 67 mmHg
On the basis of this information, which of the following should the respiratory
therapist recommend?
Correct Answer
Decrease the ventilator rate
Question 12
- A mechanically ventilated patient is receiving mechanical ventilation in the A/C
mode with a rate of 14/min, tidal volume 480 mL, FiO2 0.35 and PEEP 5cmH2O. The
physician has written an order to begin weaning. Which of the following would the
respiratory therapist do first?
Correct Answer
Switch to SIMV at a lower rate
Page 4 of 47
Latest
Question 1
- A victim of smoke inhalation from a house fire has just been admitted to the ED. The
patient is breaking spontaneously and effortlessly with supplemental oxygen via
nonrebreathing mask. Laboratory data reveal the following:
pH: 7.41
PaCO2: 41 mmHg
HCO3: 25 mEq/L
PaO2: 377 mmHg
SaO2: 78%
On the basis of this information, the respiratory therapist should recommend:
Correct Answer
Continuation of the present oxygen saturation
Question 2
- A patient has inadvertently been given an excessive amount of Ringer's Lactate. This
patient should be carefully monitored for the development of which of the following?
Correct Answer
Pulmonary edema
Question 3
- While caring for a patient with severe acute respiratory syndrome (SARS), the
respiratory therapists face shield becomes contaminated. When ready to leave the
patient area, the respiratory therapist should do which of the following?
Correct Answer
Remove the face shield by handling only the portion that secures it to the head and
then dispose of it properly
Page 1 of 47
,Question 4
The fiberoptic bronchoscope is usually the preferred device during a bronchoscopy
because of its:
Correct Answer
Flexibility
Question 5
- When initiating mask CPAP for an adult patient, the flow rate should be set at which
of the following?
Correct Answer
Set to achieve minimal fluctuation in the CPAP pressure
Question 6
- Which of the following data would be helpful in determining the course of therapy
for an 82-year-old patient admitted for acute exacerbation of emphysema?
History of present illness
Current meds
Marital status
Resuscitative status
Correct Answer
History of present illness: YES
Current meds: YES
Marital status: NO
Resuscitative status: YES
Question 7
- A respiratory therapist is performing a chest examination on an adult male patient.
The therapist notes the trachea is deviated to the right with flatness to percussion on
the right. Which of the following best explains these findings?
Correct Answer
Right sided atelectasis
Page 2 of 47
,Question 8
- In which of the following situations would it be appropriate for the respiratory
therapist to terminate a bronchodilator treatment?
Correct Answer
Worsening of bronchospasm
Question 9
- A slightly obese 30-year-old female has been admitted to the hospital after being
seen in the outpatient clinic for recurrent symptoms of back pain. On physical exam
the respiratory rate is 24/min, while the rest of the vitals are normal.
She is in moderate distress secondary to pain, She has a friction rub at the right base,
but the remainder of her examination is unremarkable. Room air arterial blood gas
values are pH 7.41, PaCO2 35 mmHg, and PaO2 91 mmHg. The ECG is normal, and the
chest x-ray shows infiltrates in the left lower lobe. The right side, where the rub is
heard, is normal. Lower extremity dopplers are obtained and are normal.
To further evaluate the patient's condition, the respiratory therapist should
recommend which of the following?
Correct Answer
Ventilatory/Perfusion scan
Question 10
- The standard objective behind quality control procedures for respiratory equipment
is that:
Correct Answer
All equipment should perform within stated accuracies
Page 3 of 47
, Question 11
- Mechanical ventilation has been initiated on a patient with respiratory failure
secondary to acute exacerbation of COPD. Thirty minutes later, the patient is having
convulsions. Arterial blood gas values are as follows:
pH : 7.56
PaCO2: 44 mmHg
PaO2: 67 mmHg
On the basis of this information, which of the following should the respiratory
therapist recommend?
Correct Answer
Decrease the ventilator rate
Question 12
- A mechanically ventilated patient is receiving mechanical ventilation in the A/C
mode with a rate of 14/min, tidal volume 480 mL, FiO2 0.35 and PEEP 5cmH2O. The
physician has written an order to begin weaning. Which of the following would the
respiratory therapist do first?
Correct Answer
Switch to SIMV at a lower rate
Page 4 of 47
