C&S TMC Exam 1 Questions and
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- A patient with a chronic hypercapnia is receiving home oxygen therapy by
transtracheal catheter at 1 LPM. He calls the respiratory clinic and informs the
respiratory therapist that he has had increasing episodes of rice-sized mucus balls
lodging in his catheter. Which of the following would NOT be appropriate advice for the
therapist to give the patient? - CORRECT ANSWER-Increase the frequency of
suctioning through the catheter
- A respiratory therapist is asked to assess a COPD patient who is in a pulmonary
rehabilitation program. During the interview, the patient tells the therapist that he has
been working with a resistive training device for two weeks and that he is able to
tolerate the device for 15 minutes. What should the therapist do? - CORRECT
ANSWER-Insert a smaller restrictive orifice into the device
- A home care patent receiving continuous oxygen therapy via nasal cannula has
become increasingly non-compliant in her oxygen therapy and states she is concerned
about appearance. Which of the following would be most appropriate for the respiratory
therapist to suggest? - CORRECT ANSWER-A transtracheal oxygen catheter
- Immediately after assisting with a transtracheal aspiration, the therapist should: -
CORRECT ANSWER-Apply firm pressure to the puncture site for at least 5 to 10
minutes
- A respiratory therapist is assisting the physician with needle aspiration to relieve a
tension pneumothorax. The procedure has been successful. Which of the following
should be done next? - CORRECT ANSWER-Proceed with chest tube placement
- A respiratory therapist has been asked to assist during a bronchoscopy procedure.
The therapist would assess and monitor all of the following except: - CORRECT
ANSWER-PetCO2
- A respiratory therapist is assisting the physician with an elective cardioversion. During
the procedure, the patient experiences a sudden attack of severe seizures. The first
priority of the therapist at this time is to: - CORRECT ANSWER-Maintain a patent
airway
A 42-year-old man who sustained a knife stab wound to the left chest during an assault
has been brought to the E.D. by paramedics. On arrival, the patient is pulseless with a
,wide complex rhythm at a rate of approximately 20 beats per minute. He is immediately
orotracheally intubated and an anterolateral left thoracotomy is done. The pericardial
sac was found to be dilated and filled with blood. Pericardiocentesis is then performed
for pericardium decompression. The next step in the treatment of this patient should be
to: - CORRECT ANSWER-Begin open cardiac massage
While performing high-quality CPR on a patient, the above ECG rhythm is observed on
the cardiac monitor. Which of the following should be done or recommended? -
CORRECT ANSWER-Immediate defibrillation
- High quality CPR is being performed on a post-operative open-heart patient. Chest
compressions are stopped and the above ECG rhythm is noted on the cardiac monitor.
The patient has no palpable pulse. Which of the following should be done or
recommended? - CORRECT ANSWER-Continue high-quality CPR
- An infant is being mechanically ventilated via a time-cycled, pressure-limited ventilator.
Which of the following would occur if PEEP were increased without a corresponding
increase in peak pressure? - CORRECT ANSWER-The tidal volume would decrease
- A physician requests the respiratory therapist to assess the upper airway function of a
patient with a fenestrated tracheostomy tube. The therapist should: - CORRECT
ANSWER-Remove the inner cannula, deflate the cuff, plug the outer cannula
- A patient receiving sustained maximal inspiratory (SMI) treatments with a volume-
oriented incentive spirometer device begins to inhale through the device 18 times per
minute. Which of the following best explains this situation? - CORRECT ANSWER-The
patient needs re-instruction regarding the SMI therapy
- After initiating mechanical ventilation in the A/C mode for an adult male patient, the
respiratory therapist observes that the patient is agitated and having difficulty in cycling
the ventilator. Which of the following should the therapist do? - CORRECT ANSWER-
Increase the sensitivity setting
- Data recorded for a 52 kg (110 lb) mechanically ventilated patient who has a long
standing history of chronic hypercapnia are as follows:
Ventilator Settings Arterial Blood Gases
Mode: SIMV
pH: 7.36
VT: 400 mL
PaCO2: 62 mmHg
Rate: 8/min
HCO3: 34 mEq/L
FiO2: 0.35
PaO2: 61 mmHg
, On the basis of this information, the respiratory therapist should: - CORRECT
ANSWER-Maintain current settings
- A respiratory therapist is manually ventilating a patient during a cardiopulmonary
resuscitation attempt. An arterial blood gas is drawn and the results are as follows:
pH: 7.27
PaCO2: 38 mmHg
HCO3: 17 mEq/L
PaO2: 44 mmHg
Based on this information, the respiratory therapist should do which of the following? -
CORRECT ANSWER-Ensure that the manual resuscitator is connected to an oxygen
source
- A COPD patient is brought to the ED after several days of increasing respiratory
distress. Baseline blood gases are drawn and the patient is placed on oxygen at 2 LPM
via nasal cannula. Data from the original and a subsequent arterial blood sample are as
follows:
Room Air Sample
pH: 7.23
PaCO2: 82 mmHg
HCO3: 33 mEq/L
PaO2: 49 mmHg
2L nasal O2
pH: 7.33
PaCO2: 66 mmHg
HCO3: 34 mEq/L
PaO2: 54 mmHg
Based on the above information, the respiratory therapist should: - CORRECT
ANSWER-Increase the oxygen flow to 3L/min and continue to monitor.
- A 16-year-old female has just been admitted to the ED following a bicycling accident.
She is receiving supplemental oxygen via nonrebreathing mask. While standing at the
bedside, the respiratory therapist notes the onset of ataxic breathing. Which of the
following should the therapist do? - CORRECT ANSWER-Begin manual ventilation
- 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
Answers Best rated A+ Guaranteed
Success Latest Update
- A patient with a chronic hypercapnia is receiving home oxygen therapy by
transtracheal catheter at 1 LPM. He calls the respiratory clinic and informs the
respiratory therapist that he has had increasing episodes of rice-sized mucus balls
lodging in his catheter. Which of the following would NOT be appropriate advice for the
therapist to give the patient? - CORRECT ANSWER-Increase the frequency of
suctioning through the catheter
- A respiratory therapist is asked to assess a COPD patient who is in a pulmonary
rehabilitation program. During the interview, the patient tells the therapist that he has
been working with a resistive training device for two weeks and that he is able to
tolerate the device for 15 minutes. What should the therapist do? - CORRECT
ANSWER-Insert a smaller restrictive orifice into the device
- A home care patent receiving continuous oxygen therapy via nasal cannula has
become increasingly non-compliant in her oxygen therapy and states she is concerned
about appearance. Which of the following would be most appropriate for the respiratory
therapist to suggest? - CORRECT ANSWER-A transtracheal oxygen catheter
- Immediately after assisting with a transtracheal aspiration, the therapist should: -
CORRECT ANSWER-Apply firm pressure to the puncture site for at least 5 to 10
minutes
- A respiratory therapist is assisting the physician with needle aspiration to relieve a
tension pneumothorax. The procedure has been successful. Which of the following
should be done next? - CORRECT ANSWER-Proceed with chest tube placement
- A respiratory therapist has been asked to assist during a bronchoscopy procedure.
The therapist would assess and monitor all of the following except: - CORRECT
ANSWER-PetCO2
- A respiratory therapist is assisting the physician with an elective cardioversion. During
the procedure, the patient experiences a sudden attack of severe seizures. The first
priority of the therapist at this time is to: - CORRECT ANSWER-Maintain a patent
airway
A 42-year-old man who sustained a knife stab wound to the left chest during an assault
has been brought to the E.D. by paramedics. On arrival, the patient is pulseless with a
,wide complex rhythm at a rate of approximately 20 beats per minute. He is immediately
orotracheally intubated and an anterolateral left thoracotomy is done. The pericardial
sac was found to be dilated and filled with blood. Pericardiocentesis is then performed
for pericardium decompression. The next step in the treatment of this patient should be
to: - CORRECT ANSWER-Begin open cardiac massage
While performing high-quality CPR on a patient, the above ECG rhythm is observed on
the cardiac monitor. Which of the following should be done or recommended? -
CORRECT ANSWER-Immediate defibrillation
- High quality CPR is being performed on a post-operative open-heart patient. Chest
compressions are stopped and the above ECG rhythm is noted on the cardiac monitor.
The patient has no palpable pulse. Which of the following should be done or
recommended? - CORRECT ANSWER-Continue high-quality CPR
- An infant is being mechanically ventilated via a time-cycled, pressure-limited ventilator.
Which of the following would occur if PEEP were increased without a corresponding
increase in peak pressure? - CORRECT ANSWER-The tidal volume would decrease
- A physician requests the respiratory therapist to assess the upper airway function of a
patient with a fenestrated tracheostomy tube. The therapist should: - CORRECT
ANSWER-Remove the inner cannula, deflate the cuff, plug the outer cannula
- A patient receiving sustained maximal inspiratory (SMI) treatments with a volume-
oriented incentive spirometer device begins to inhale through the device 18 times per
minute. Which of the following best explains this situation? - CORRECT ANSWER-The
patient needs re-instruction regarding the SMI therapy
- After initiating mechanical ventilation in the A/C mode for an adult male patient, the
respiratory therapist observes that the patient is agitated and having difficulty in cycling
the ventilator. Which of the following should the therapist do? - CORRECT ANSWER-
Increase the sensitivity setting
- Data recorded for a 52 kg (110 lb) mechanically ventilated patient who has a long
standing history of chronic hypercapnia are as follows:
Ventilator Settings Arterial Blood Gases
Mode: SIMV
pH: 7.36
VT: 400 mL
PaCO2: 62 mmHg
Rate: 8/min
HCO3: 34 mEq/L
FiO2: 0.35
PaO2: 61 mmHg
, On the basis of this information, the respiratory therapist should: - CORRECT
ANSWER-Maintain current settings
- A respiratory therapist is manually ventilating a patient during a cardiopulmonary
resuscitation attempt. An arterial blood gas is drawn and the results are as follows:
pH: 7.27
PaCO2: 38 mmHg
HCO3: 17 mEq/L
PaO2: 44 mmHg
Based on this information, the respiratory therapist should do which of the following? -
CORRECT ANSWER-Ensure that the manual resuscitator is connected to an oxygen
source
- A COPD patient is brought to the ED after several days of increasing respiratory
distress. Baseline blood gases are drawn and the patient is placed on oxygen at 2 LPM
via nasal cannula. Data from the original and a subsequent arterial blood sample are as
follows:
Room Air Sample
pH: 7.23
PaCO2: 82 mmHg
HCO3: 33 mEq/L
PaO2: 49 mmHg
2L nasal O2
pH: 7.33
PaCO2: 66 mmHg
HCO3: 34 mEq/L
PaO2: 54 mmHg
Based on the above information, the respiratory therapist should: - CORRECT
ANSWER-Increase the oxygen flow to 3L/min and continue to monitor.
- A 16-year-old female has just been admitted to the ED following a bicycling accident.
She is receiving supplemental oxygen via nonrebreathing mask. While standing at the
bedside, the respiratory therapist notes the onset of ataxic breathing. Which of the
following should the therapist do? - CORRECT ANSWER-Begin manual ventilation
- 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
