TMC PRACTICE EXAM
LATEST ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)
|ALREADY GRADED A+
This Exam Contains.
TMC PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
MULTIPLE CHOICES (A-D)
150 Q’S & A’S
,1. A 52 year-old post-operative cholecystectomy patient's breath sounds be- come
more coarse upon completion of postural drainage with percussion. The respiratory
therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
Answer: deep breathing and coughing to clear secretions.
2. A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
Answer: IPPB with normal saline
3. A patient on VC ventilation has demonstrated auto-PEEP on ventilator graph- ics.
Which of the following controls, when adjusted independently, would in- crease
,expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Answer: 1, 2, and 3 only
4. Which of the following would be the most appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
Answer: Insert a chest tube
5. A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
, C. heart failure.
D. electrolyte imbalances:
Answer Heart failure
6. A patient is admitted to the ED following a motor vehicle accident. On physical exam,
the respiratory therapist discovers that breath sounds are absent in the left chest
with a hyperresonant percussion note. The trachea is shifted to the right. The
patient's heart rate is 45/min, respiratory rate is 30/min, and blood pressure is
60/40 mm Hg. What action should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
Answer: Needle aspirate the 2nd left intercostal space.
7. All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
LATEST ACTUAL EXAM TEST BANK
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)
|ALREADY GRADED A+
This Exam Contains.
TMC PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
MULTIPLE CHOICES (A-D)
150 Q’S & A’S
,1. A 52 year-old post-operative cholecystectomy patient's breath sounds be- come
more coarse upon completion of postural drainage with percussion. The respiratory
therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
Answer: deep breathing and coughing to clear secretions.
2. A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
Answer: IPPB with normal saline
3. A patient on VC ventilation has demonstrated auto-PEEP on ventilator graph- ics.
Which of the following controls, when adjusted independently, would in- crease
,expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Answer: 1, 2, and 3 only
4. Which of the following would be the most appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
Answer: Insert a chest tube
5. A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
, C. heart failure.
D. electrolyte imbalances:
Answer Heart failure
6. A patient is admitted to the ED following a motor vehicle accident. On physical exam,
the respiratory therapist discovers that breath sounds are absent in the left chest
with a hyperresonant percussion note. The trachea is shifted to the right. The
patient's heart rate is 45/min, respiratory rate is 30/min, and blood pressure is
60/40 mm Hg. What action should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
Answer: Needle aspirate the 2nd left intercostal space.
7. All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
