C&S TMC EXAM TWO QUESTIONS AND
ANSWERS LATEST
Question 1
A physician has ordered pulmonary function testing for a 73 year-old male who
presents with complaints of dyspnea and orthopnea. The PFT results are as follows:
Actual Predicted %Predicted FVC(L): 1.42 3.55 40 FEV1(L): 0.81 2.70 30 FEV1/FEV% 57
76 RV(L): 1.92 2.60 74 TLC(L): 3.61 6.50 55 Which of the following is consistent with
these results?
Correct Answer
-Severe obstructive defect with moderate restrictive defect
Question 2
A 75 kg male patient is being mechanically ventilated following cardiac surgery.
Current ventilator settings are: SIMV mode, rate 12/min, tidal volume 400 mL, FI02
0.35, PEEP 5 cm H20. Arterial blood gases are obtained and the results are: pH 7.28,
Pac02 39 mmHg, HC03 26 mEq/L, Pa02 78 mmHg. Which of the following should the
respiratory therapist INITIALLY recommend?
Correct Answer
Setting the tidal volume @ 600 mL
Question 3
A critically ill pt with hypovolemic shock is being monitored in the ICU. Measurement
of which of the following would indicate if tissue hypoxia is present?
Correct Answer
-SVO2
Page 1 of 39
,Question 4
Following a laryngeal node biopsy, the pt complains of SOB and a "tight" throat.
Which of the following recommendations would be appropriate?
Correct Answer
-heliox therapy via nonrebreathing mask
Question 5
The standard objective behind quality control procedures for pulmonary function
equipment is that
Correct Answer
-All equipment should perform within stated accuracies
Question 6
A pt has just been admitted to the ED following a gunshot wound to the head. During
assessment, the RT observes that the pts pupils remain fixed and dilated when a light
is shined on them. This indicates that:
Correct Answer
-the brain is probably hypoxic
Question 7
The RT noticed that the CPAP pressure indicated on the low pressure monitor is
consistently less than the preset CPAP of an infant's nasal CPAP system. Which of the
following should the therapist do FIRST to correct this problem?
Correct Answer
-tighten all connections
Question 8
Shortly after administration of a sedative to a struggling and combative mechanically
ventilated pt, the RT noticed a significant decrease in pulmonary compliance. Which
of the following could explain the change?
Correct Answer
-a pneumothorax has occurred
Page 2 of 39
,Question 9
A physician has ordered pulmonary function testing as part of a routine health
screening for a 67-year -old male. He has no pulmonary complaints, is a non-smoker,
and has an unremarkable health history. Environmental history is significant for
asbestos exposure while serving in the Navy. the PFT results are as follows: Actual
Predicted %Predicted FVC (L): 3.92 3.88 101 FEV 1 (L): 2.92 3.01 97 FEV1/FVC (%) 75 78
FRC (L): 3.49 3.56 98 RV (L): 2.74 2.51 109 TLC (L): 7.14 6.74 106 Which of the following
is consistent with these results?
Correct Answer
-normal results
Question 10
Data recorded for 4 pts who are being weaned from mechanical ventilation are below:
Qs/Qt VD/VT MIP Mr.Keys: 0.14 0.43 -38 cm H2O Mrs. Dean: 0.18 0.49 -46 cm H2O
Mr. Pride: 0.26 0.27 -29 cm H2O Mrs. Ahrens: 0.11 0.33 -32 cm H2O Which pt should
NOT be weaned at this time?
Correct Answer
-Mr. Pride
Question 11
Which of the following best explains the results of the chest x-ray shown to the right?
Correct Answer
-There is a right-sided tension pneumothorax with mediastinal deviation to the left
Question 12
Which of the following is NOT used to determine the degree of lung dysfunction due
to emphysema?
Correct Answer
-Measuring carboxyhemoglobin
Page 3 of 39
, Question 13
A 49-year-old, 5'11 tall, 81 kg male with ARDS secondary to sepsis is nasally intubated
and receiving volume-control A/C ventilation. Pertinent data are as follows: VT: 450
mL Rate: 18/min FIO2: 0.90 PEEP: 18 cm H2O PIP: 62 cm H2O Pplat: 36 cm H2O The
respiratory therapist should recommend
Correct Answer
Decreasing VT in 1 mL/kg steps to a minimum of 4 mL/kg
Question 14
A pt is brought to the ED by paramedics following a motor vehicle accident. The pt is
complaining of acute left sided pleuritic chest pain. A chest x-ray is obtained which
reveals hyperlucency of the left lung. Which of the following physical findings would
be expected?
Correct Answer
-tympany over the left chest
Question 15
Following a boating accident, a ot has difficulty in remembering the date and time.
The therapist would conclude that the pt is most likely:
Correct Answer
-disoriented
Question 16
The RT has just suctioned blue, creamy secretions from a pt with a tracheostomy that
wears the mask intermittent tube feedings. Which of the following actions would be
appropriate?
Correct Answer
-check the integrity of the tracheostomy cuff
Page 4 of 39
ANSWERS LATEST
Question 1
A physician has ordered pulmonary function testing for a 73 year-old male who
presents with complaints of dyspnea and orthopnea. The PFT results are as follows:
Actual Predicted %Predicted FVC(L): 1.42 3.55 40 FEV1(L): 0.81 2.70 30 FEV1/FEV% 57
76 RV(L): 1.92 2.60 74 TLC(L): 3.61 6.50 55 Which of the following is consistent with
these results?
Correct Answer
-Severe obstructive defect with moderate restrictive defect
Question 2
A 75 kg male patient is being mechanically ventilated following cardiac surgery.
Current ventilator settings are: SIMV mode, rate 12/min, tidal volume 400 mL, FI02
0.35, PEEP 5 cm H20. Arterial blood gases are obtained and the results are: pH 7.28,
Pac02 39 mmHg, HC03 26 mEq/L, Pa02 78 mmHg. Which of the following should the
respiratory therapist INITIALLY recommend?
Correct Answer
Setting the tidal volume @ 600 mL
Question 3
A critically ill pt with hypovolemic shock is being monitored in the ICU. Measurement
of which of the following would indicate if tissue hypoxia is present?
Correct Answer
-SVO2
Page 1 of 39
,Question 4
Following a laryngeal node biopsy, the pt complains of SOB and a "tight" throat.
Which of the following recommendations would be appropriate?
Correct Answer
-heliox therapy via nonrebreathing mask
Question 5
The standard objective behind quality control procedures for pulmonary function
equipment is that
Correct Answer
-All equipment should perform within stated accuracies
Question 6
A pt has just been admitted to the ED following a gunshot wound to the head. During
assessment, the RT observes that the pts pupils remain fixed and dilated when a light
is shined on them. This indicates that:
Correct Answer
-the brain is probably hypoxic
Question 7
The RT noticed that the CPAP pressure indicated on the low pressure monitor is
consistently less than the preset CPAP of an infant's nasal CPAP system. Which of the
following should the therapist do FIRST to correct this problem?
Correct Answer
-tighten all connections
Question 8
Shortly after administration of a sedative to a struggling and combative mechanically
ventilated pt, the RT noticed a significant decrease in pulmonary compliance. Which
of the following could explain the change?
Correct Answer
-a pneumothorax has occurred
Page 2 of 39
,Question 9
A physician has ordered pulmonary function testing as part of a routine health
screening for a 67-year -old male. He has no pulmonary complaints, is a non-smoker,
and has an unremarkable health history. Environmental history is significant for
asbestos exposure while serving in the Navy. the PFT results are as follows: Actual
Predicted %Predicted FVC (L): 3.92 3.88 101 FEV 1 (L): 2.92 3.01 97 FEV1/FVC (%) 75 78
FRC (L): 3.49 3.56 98 RV (L): 2.74 2.51 109 TLC (L): 7.14 6.74 106 Which of the following
is consistent with these results?
Correct Answer
-normal results
Question 10
Data recorded for 4 pts who are being weaned from mechanical ventilation are below:
Qs/Qt VD/VT MIP Mr.Keys: 0.14 0.43 -38 cm H2O Mrs. Dean: 0.18 0.49 -46 cm H2O
Mr. Pride: 0.26 0.27 -29 cm H2O Mrs. Ahrens: 0.11 0.33 -32 cm H2O Which pt should
NOT be weaned at this time?
Correct Answer
-Mr. Pride
Question 11
Which of the following best explains the results of the chest x-ray shown to the right?
Correct Answer
-There is a right-sided tension pneumothorax with mediastinal deviation to the left
Question 12
Which of the following is NOT used to determine the degree of lung dysfunction due
to emphysema?
Correct Answer
-Measuring carboxyhemoglobin
Page 3 of 39
, Question 13
A 49-year-old, 5'11 tall, 81 kg male with ARDS secondary to sepsis is nasally intubated
and receiving volume-control A/C ventilation. Pertinent data are as follows: VT: 450
mL Rate: 18/min FIO2: 0.90 PEEP: 18 cm H2O PIP: 62 cm H2O Pplat: 36 cm H2O The
respiratory therapist should recommend
Correct Answer
Decreasing VT in 1 mL/kg steps to a minimum of 4 mL/kg
Question 14
A pt is brought to the ED by paramedics following a motor vehicle accident. The pt is
complaining of acute left sided pleuritic chest pain. A chest x-ray is obtained which
reveals hyperlucency of the left lung. Which of the following physical findings would
be expected?
Correct Answer
-tympany over the left chest
Question 15
Following a boating accident, a ot has difficulty in remembering the date and time.
The therapist would conclude that the pt is most likely:
Correct Answer
-disoriented
Question 16
The RT has just suctioned blue, creamy secretions from a pt with a tracheostomy that
wears the mask intermittent tube feedings. Which of the following actions would be
appropriate?
Correct Answer
-check the integrity of the tracheostomy cuff
Page 4 of 39
