C&S TMC LATEST ACTUAL UPDATED QUESTIONS
AND ANSWERS SURE A+
✔✔A pt who is receiving an aerosol treatment with cromolyn sodium (Intal) becomes
dyspneic and complains of chest tightness. Which of the following is an appropriate
treatment for this pt's problem? - ✔✔Add albuterol (Proventil) to the aerosol mixture
✔✔A pt with COPD is being MV in the SIMV mode with a rate of 7/min, Vt 425 mL, and
an FiO2 of 0.45. ABG on these settings are pH: 7.37, PaCO2: 58, HCO3: 33, and PaO2
of 62. Breath sounds reveal expiratory wheezes, more on the left than the right. The RT
should recommend: - ✔✔Administering an in-line albuterol treatment
✔✔During the administration of a nebulized treatment, the pt complains of tingling and
numbing sensation in his fingers. The RT notices a slight trembling of his hands. The
RT should: - ✔✔Temporarily stop the treatment
✔✔Which of the following positions would be a contraindicated in a pt with left lung
abscess. - ✔✔Right lateral decubitus
✔✔2 mL (20 mg) cromolyn sodium (Intal) by neb. q4 has been ordered for a 7 year old
asthmatic child. After verifying the order in the pt's medical record, the RT should -
✔✔Assess pt and administer therapy as ordered
, ✔✔Which of the following breathing patterns help optimize aerosol drug deposition to
the deeper recesses of the lungs? - ✔✔3 (MOUTH BREATHING-YES. RAPID DEEP
INSPIRATION-NO. INSPIRATORY PAUSE-YES. PURSED-LIP BREATHING-YES)
✔✔Which of the following represents a primary indication for ET instillment of
surfactant? - ✔✔Prophylactically for neonates <24 weeks gestational age
✔✔All of the following are true regarding He/O2 therapy EXCEPT: - ✔✔It has been
shown to stimulate deep breathing
✔✔Which of the following are acceptable alterations in a pt's status during weaning
trials? - ✔✔1 (An increase in the PaCO2 of 3 mmHg-YES, An increase in the pulse of
20/min-NO, An increase in the RR of 5/min-YES, the development of occasional PVCs-
NO)
✔✔The RT has been called to assess a 42 year old male pt who is being mechanically
ventilated via volume neb. Upon entering the room, the therapist finds an agitated pt in
obvious respiratory distress. The therapist observes that the SpO2 is 89% and the end-
tidal CO2 is 52 mmHg. The respiratory mechanics waveform is shown to the right.
Which of the following do you recommend? - ✔✔Suction the patient
✔✔A 60 yr old 70 kg male pt is being MV via volume ventilator. Vent settings are: SIMV;
rate 14/min; Vt 525 mL; FiO2 0.70; PEEP 10 cm H2O. ABG results on these settings
are: pH 7.39, PaO2 82, PaCO2 43, HCO3 25. Over the last hours, the pt's BP has
decreased from 120/76 mmHg to 100/60 mmHg. Respiratory mechanics has been
initiated. The pressure and flow curves are shown on the right. The most appropriate
action is: - ✔✔Increasing the inspiratory flow rate
✔✔After initiating MV in the AC mode for an adult male pt, the RT observes that the pt
is agitated and having difficulty cycling the vent. Which of the following should the RT
do? - ✔✔Increase the sensitivity setting
✔✔Which of the following would activate the high pressure limit alarm on a volume
vent? - ✔✔The pt coughs during a mechanical breath
✔✔A comatose pt who is being MV in the VC SIMV mode occasionally becomes
restless and agitated. Which of the following alarms should the therapist set to ensure
that an alarm sounds if the pt should become disconnected? - ✔✔3 (Low exhaled Vt-
YES, Apnea-NO, Low insp. Pressure-YES, I:E ratio-NO)
✔✔An infant is being MV via HFJV. Which of the following would occur if PEEP were
increased without a corresponding increase in PIP - ✔✔Vt would decrease
AND ANSWERS SURE A+
✔✔A pt who is receiving an aerosol treatment with cromolyn sodium (Intal) becomes
dyspneic and complains of chest tightness. Which of the following is an appropriate
treatment for this pt's problem? - ✔✔Add albuterol (Proventil) to the aerosol mixture
✔✔A pt with COPD is being MV in the SIMV mode with a rate of 7/min, Vt 425 mL, and
an FiO2 of 0.45. ABG on these settings are pH: 7.37, PaCO2: 58, HCO3: 33, and PaO2
of 62. Breath sounds reveal expiratory wheezes, more on the left than the right. The RT
should recommend: - ✔✔Administering an in-line albuterol treatment
✔✔During the administration of a nebulized treatment, the pt complains of tingling and
numbing sensation in his fingers. The RT notices a slight trembling of his hands. The
RT should: - ✔✔Temporarily stop the treatment
✔✔Which of the following positions would be a contraindicated in a pt with left lung
abscess. - ✔✔Right lateral decubitus
✔✔2 mL (20 mg) cromolyn sodium (Intal) by neb. q4 has been ordered for a 7 year old
asthmatic child. After verifying the order in the pt's medical record, the RT should -
✔✔Assess pt and administer therapy as ordered
, ✔✔Which of the following breathing patterns help optimize aerosol drug deposition to
the deeper recesses of the lungs? - ✔✔3 (MOUTH BREATHING-YES. RAPID DEEP
INSPIRATION-NO. INSPIRATORY PAUSE-YES. PURSED-LIP BREATHING-YES)
✔✔Which of the following represents a primary indication for ET instillment of
surfactant? - ✔✔Prophylactically for neonates <24 weeks gestational age
✔✔All of the following are true regarding He/O2 therapy EXCEPT: - ✔✔It has been
shown to stimulate deep breathing
✔✔Which of the following are acceptable alterations in a pt's status during weaning
trials? - ✔✔1 (An increase in the PaCO2 of 3 mmHg-YES, An increase in the pulse of
20/min-NO, An increase in the RR of 5/min-YES, the development of occasional PVCs-
NO)
✔✔The RT has been called to assess a 42 year old male pt who is being mechanically
ventilated via volume neb. Upon entering the room, the therapist finds an agitated pt in
obvious respiratory distress. The therapist observes that the SpO2 is 89% and the end-
tidal CO2 is 52 mmHg. The respiratory mechanics waveform is shown to the right.
Which of the following do you recommend? - ✔✔Suction the patient
✔✔A 60 yr old 70 kg male pt is being MV via volume ventilator. Vent settings are: SIMV;
rate 14/min; Vt 525 mL; FiO2 0.70; PEEP 10 cm H2O. ABG results on these settings
are: pH 7.39, PaO2 82, PaCO2 43, HCO3 25. Over the last hours, the pt's BP has
decreased from 120/76 mmHg to 100/60 mmHg. Respiratory mechanics has been
initiated. The pressure and flow curves are shown on the right. The most appropriate
action is: - ✔✔Increasing the inspiratory flow rate
✔✔After initiating MV in the AC mode for an adult male pt, the RT observes that the pt
is agitated and having difficulty cycling the vent. Which of the following should the RT
do? - ✔✔Increase the sensitivity setting
✔✔Which of the following would activate the high pressure limit alarm on a volume
vent? - ✔✔The pt coughs during a mechanical breath
✔✔A comatose pt who is being MV in the VC SIMV mode occasionally becomes
restless and agitated. Which of the following alarms should the therapist set to ensure
that an alarm sounds if the pt should become disconnected? - ✔✔3 (Low exhaled Vt-
YES, Apnea-NO, Low insp. Pressure-YES, I:E ratio-NO)
✔✔An infant is being MV via HFJV. Which of the following would occur if PEEP were
increased without a corresponding increase in PIP - ✔✔Vt would decrease
