1|Page
C&S TMC EXAM THREE NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED
A+||BRAND NEW VERSION!!
A 36 weeks gestation, 4 hour post-delivery neonate has the following
ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend:
----Solution----
Maintain current therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention of
Pneumocystis carinii pneumonia. Which of the following is most
appropriate therapy for this pt?
----Solution----
Pentamidine (NebuPent) via Respigard once every 4 weeks
,2|Page
An intubated pt is being mechanically ventilated via a volume neb. The
physician has asked the RT to begin weaning the pt. Which of the
following modes would be appropriate?
----Solution----
2 (A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5 L/m.
Over the last hour, the pt's respirations have become irregular and
shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation:
----Solution----
Decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2 retention & air
trapping. The pt complains that he has become increasingly SOB and is
having difficulty coughing up secretions. Upon auscultation, the
therapist notes scattered coarse crackles and an occasional expiratory
wheeze. Most appropriate?
----Solution----
Aerosol bronchodilator with PEP therapy
, 3|Page
28 week gestation neonate is being manually ventilated following
delivery. Chest excursion is poor despite respiratory ventilation with
high peak pressures. Most appropriate action?
----Solution----
Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely
from the nasopharynx. The RT should:
----Solution----
Keep the NT tubes cuff inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which
the sample was analyzed is calibrated to a PaO2 of 150 mmHg. Most
acceptable action?
----Solution----
Recalibrate the analyzer to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While
performing a routine cuff pressure measurement, the RT observes that
the cuff pressure monometer's indicator needle continuously reads zero.
No vent alarms are activated and the pt appears to be resting. The RT
should do:
----Solution----
Replace cuff manometer
C&S TMC EXAM THREE NEWEST
ACTUAL EXAM PREPARATION
WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED
A+||BRAND NEW VERSION!!
A 36 weeks gestation, 4 hour post-delivery neonate has the following
ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend:
----Solution----
Maintain current therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention of
Pneumocystis carinii pneumonia. Which of the following is most
appropriate therapy for this pt?
----Solution----
Pentamidine (NebuPent) via Respigard once every 4 weeks
,2|Page
An intubated pt is being mechanically ventilated via a volume neb. The
physician has asked the RT to begin weaning the pt. Which of the
following modes would be appropriate?
----Solution----
2 (A/C-NO, SIMV-YES, IRV-NO PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC at 5 L/m.
Over the last hour, the pt's respirations have become irregular and
shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation:
----Solution----
Decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2 retention & air
trapping. The pt complains that he has become increasingly SOB and is
having difficulty coughing up secretions. Upon auscultation, the
therapist notes scattered coarse crackles and an occasional expiratory
wheeze. Most appropriate?
----Solution----
Aerosol bronchodilator with PEP therapy
, 3|Page
28 week gestation neonate is being manually ventilated following
delivery. Chest excursion is poor despite respiratory ventilation with
high peak pressures. Most appropriate action?
----Solution----
Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely
from the nasopharynx. The RT should:
----Solution----
Keep the NT tubes cuff inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which
the sample was analyzed is calibrated to a PaO2 of 150 mmHg. Most
acceptable action?
----Solution----
Recalibrate the analyzer to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While
performing a routine cuff pressure measurement, the RT observes that
the cuff pressure monometer's indicator needle continuously reads zero.
No vent alarms are activated and the pt appears to be resting. The RT
should do:
----Solution----
Replace cuff manometer
