C&S TMC EXAM TWO Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
A RT is asked to administer a pentamidine (NebPent) treatment to a pt just
admitted to the medical floor. The RT should provide which of the following
instructions to the pt? - ---answer---;-"Inhale and exhale only through the
mouthpiece"
A 14-year old female admitted to the ED for acute exacerbation of asthma is
treated with 0.5 mL of albuterol via small volume neb. After the treatment, the RT
notes a decrease in the RR, but an increase in the HR. On auscultation, breath
sounds are markedly diminished throughout all the lung fields where previously
there has been bilateral inspiratory/expiratory wheezes. Which of the following
should the therapist do? - ---answer---;-notify the physician that the pts condition
is worsening
The pressure and flow curves shown to the right were recorded from a
mechanically ventilated pt receiving PCV. Using the pressure and flow curves
represented in "A" as the reference , which of the following best explains the
change in the pressure and flow curves represented in "B"? - ---answer---;-the pts
spontaneous effort is more aggressive
Which of the following positions is contraindicated in a head injury pt? - ---
answer---;-trendelenburg
,Which of the following may benefit from a lung recruitment maneuver? - ---
answer---;-a pt with severe ARDS
Following a laryngeal node biopsy, the pt complains of SOB and a "tight" throat.
Which of the following recommendations would be appropriate? - ---answer---;-
heliox therapy via nonrebreathing mask
Which of the following may be administered via the ET route if vascular access is
unavailable? Lidocaine Epi Atropine Naloxone
1 YES YES YES YES
2 NO YES NO YES
3 YES NO YES NO
4 YES YES YES NO - ---answer---;NUMBER 1
A postoperative 72 year old, 80kg pt is receiving volume-controlled SIMV
ventilation with a rate of 8/min, VT of 600 mL, FiO2 of 0.4, and PEEP of 5 cm H2O.
The ABG were obtained on these settings pH: 7.28 PaCO2: 61 mm Hg PaO2: 75
mm Hg HCO3: 28 mEq/L To ventilation the pt at a PaCO2 of approximately 40 mm
Hg, the rate should be set at which of the following? - ---answer---;-12/min
The pressure and flow curves shown to the right were recorded from a pt
receiving mechanical ventilation via volume ventilator. Using the pressure and
flow curves represented in "A" as the reference, which of the following best
explains the change in the pressure and flow curves representation in "B"? - ---
answer---;-the inspiratory flow has been decreased
, The data below are weaning parameters obtained from an intubated,
mechanically ventilated adult pt. Spont. VT: 350 mL Spontrespirations: 12/min
Maximum inspiratory pressure: -42 cm H2O VC: 0.85 L Based on this info, the RT
should do what? - ---answer---;-try to obtained a more accurate VC
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? - ---answer---;-Mr. Pride
The ABG results of a pt being mechanically ventilated in the assist/control mode
reveal respiratory alkalosis. All of the following would be appropriate action
EXCEPT: - ---answer---;decreasing the inspiratory flow rate
In which of the following situations would NPPV NOT be appropriate? - ---answer-
--;post operative open heart surgery
An elderly male who has a history of symptomaytic CHF presents to the ED
complaining of dyspnea and a bothersome cough. VS are: pulse 110/min and
irregular, respirations 24/min and shallow, BP 178/112 mm Hg. Bibasal crackles
with fine expiratory wheezes notes on auscultation. O2 therapy is initiated with a
nonrebreathing mask of 12 L/min. Which of the following should the RT
recommend next? - ---answer---;-furosemide (Lasix)
Activation of which of the following ventilator alarms would alert the RT that a pts
pulmonary compliance has worsened? - ---answer---;-high pressure limit
After taking one puff of a MDI with salmeroral (Serevent), the pt complains of
shakiness and muscle tremors and refuses to finish the treatment. Which of the
With Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
A RT is asked to administer a pentamidine (NebPent) treatment to a pt just
admitted to the medical floor. The RT should provide which of the following
instructions to the pt? - ---answer---;-"Inhale and exhale only through the
mouthpiece"
A 14-year old female admitted to the ED for acute exacerbation of asthma is
treated with 0.5 mL of albuterol via small volume neb. After the treatment, the RT
notes a decrease in the RR, but an increase in the HR. On auscultation, breath
sounds are markedly diminished throughout all the lung fields where previously
there has been bilateral inspiratory/expiratory wheezes. Which of the following
should the therapist do? - ---answer---;-notify the physician that the pts condition
is worsening
The pressure and flow curves shown to the right were recorded from a
mechanically ventilated pt receiving PCV. Using the pressure and flow curves
represented in "A" as the reference , which of the following best explains the
change in the pressure and flow curves represented in "B"? - ---answer---;-the pts
spontaneous effort is more aggressive
Which of the following positions is contraindicated in a head injury pt? - ---
answer---;-trendelenburg
,Which of the following may benefit from a lung recruitment maneuver? - ---
answer---;-a pt with severe ARDS
Following a laryngeal node biopsy, the pt complains of SOB and a "tight" throat.
Which of the following recommendations would be appropriate? - ---answer---;-
heliox therapy via nonrebreathing mask
Which of the following may be administered via the ET route if vascular access is
unavailable? Lidocaine Epi Atropine Naloxone
1 YES YES YES YES
2 NO YES NO YES
3 YES NO YES NO
4 YES YES YES NO - ---answer---;NUMBER 1
A postoperative 72 year old, 80kg pt is receiving volume-controlled SIMV
ventilation with a rate of 8/min, VT of 600 mL, FiO2 of 0.4, and PEEP of 5 cm H2O.
The ABG were obtained on these settings pH: 7.28 PaCO2: 61 mm Hg PaO2: 75
mm Hg HCO3: 28 mEq/L To ventilation the pt at a PaCO2 of approximately 40 mm
Hg, the rate should be set at which of the following? - ---answer---;-12/min
The pressure and flow curves shown to the right were recorded from a pt
receiving mechanical ventilation via volume ventilator. Using the pressure and
flow curves represented in "A" as the reference, which of the following best
explains the change in the pressure and flow curves representation in "B"? - ---
answer---;-the inspiratory flow has been decreased
, The data below are weaning parameters obtained from an intubated,
mechanically ventilated adult pt. Spont. VT: 350 mL Spontrespirations: 12/min
Maximum inspiratory pressure: -42 cm H2O VC: 0.85 L Based on this info, the RT
should do what? - ---answer---;-try to obtained a more accurate VC
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? - ---answer---;-Mr. Pride
The ABG results of a pt being mechanically ventilated in the assist/control mode
reveal respiratory alkalosis. All of the following would be appropriate action
EXCEPT: - ---answer---;decreasing the inspiratory flow rate
In which of the following situations would NPPV NOT be appropriate? - ---answer-
--;post operative open heart surgery
An elderly male who has a history of symptomaytic CHF presents to the ED
complaining of dyspnea and a bothersome cough. VS are: pulse 110/min and
irregular, respirations 24/min and shallow, BP 178/112 mm Hg. Bibasal crackles
with fine expiratory wheezes notes on auscultation. O2 therapy is initiated with a
nonrebreathing mask of 12 L/min. Which of the following should the RT
recommend next? - ---answer---;-furosemide (Lasix)
Activation of which of the following ventilator alarms would alert the RT that a pts
pulmonary compliance has worsened? - ---answer---;-high pressure limit
After taking one puff of a MDI with salmeroral (Serevent), the pt complains of
shakiness and muscle tremors and refuses to finish the treatment. Which of the
