TMC Exam A – Actual Questions &
Answers 100% Guarantee Pass
A 5-ft, 2-inch (157-cm), 208-lb (95-kg) male patient has just been diagnosed
with obstructive and central sleep apnea. Which of the following will provide
most help to the patient?
a. Nasal CPAP
b. Tracheostomy
c. Bi-level therapy with a back up rate
d. Weight loss - ------------ANS: c. Bi-level therapy with a back up rate
A 5-year-old child is brought to the emergency room (ER) with a fever and
difficulty breathing. The patient is drooling but is making no vocal sounds.
Which of the following procedures should the respiratory therapist
recommend?
a. Bronchoscopy
b. Lateral neck radiograph
c. CBC
d. Inspection of the pharyngeal area with a tongue depressor - ------------ANS:
b. Lateral neck radiograph
A 6-year-old male is brought to the emergency room with uncontrollable
coughing. Auscultation reveals unilateral wheezing. SpO2 is 88%. Which of
the following would be most helpful at resolving the underlying problem?
a. Bronchoscope
b. Albuterol
c. Supplemental oxygen
d. Sedation and cough suppression - ------------ANS: a. Bronchoscope
A 7-year old female patient is receiving PEP therapy by mouthpiece. In spite
of repeated coaching, the child does not keep the mouthpiece in her mouth.
The therapist should respond by doing which of the following?
a. Switch to aerosolized Albuterol
b. Add a mask to the PEP device
c. Help support the patient's lip closure around the mouthpiece
d. Discontinue therapy - ------------ANS: b. Add a mask to the PEP device
,A 10-year-old child does not seem to be performing incentive spirometry well
with a flow-oriented device. The patient says the device is boring and difficult
to get all three balls floating. The respiratory therapist should
a. Replace the device with a volume-oriented incentive spirometer
b. Obtain a new incentive spirometer with lighter balls
c. Test the incentive spirometer with a clean mouthpiece
d. Provide encouragement and instruct the patient to continue efforts -
------------ANS: a. Replace the device with a volume-oriented incentive
spirometer
A 24-year-old patient is receiving mechanical ventilation. The following
pressure - volume graph is available. What can accurately be stated about this
information?
a. Sensitivity is set too high
b. This breath was patient-triggered
c. This breathing was machine-initiated
d. Inspiratory flow is set too high - ------------ANS: b. This breath was
patient-triggered
A 32-week-gestional age infant is in respiratory distress following a cesarean
section birth. A chest x-ray shows a reticulogranular pattern. Which of the
following would be most helpful to the patient?
a. Theophylline
b. Subcutaneous epinephrine 1:1000 strength
c. Atropine sulfate
d. Exosurf - ------------ANS: d. Exosurf
A 38-year-old male presents in the emergency department (ED) complaining
of frequent vomiting. The following laboratory data is available: Arterial blood
gases
pH 7.55 / PaCo2 42 / PaO2 85 / HCO3 31 / BE +7
FiO2: 0.21
K+ 3.0
Cl- 95
Na+ 135
Which of the following should the respiratory therapist recommend?
a. Administer volume-expanding fluids
b. Administer NaCL
c. Administer KCL
d. Administer NaHCO3- - ------------ANS: c. Administer KCL
,A 42-year-old patient has undergone a laryngectomy for the removal of
laryngeal cancer. A laryngectomy tube is in place. For the first 12 hours after
surgery, the therapist should expect which of the following?
a. Atelectasis
b. Periodic expectoration of blood
c. Slight hypoventilation
d. Decreased RAW - ------------ANS: b. Periodic expectoration of blood
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the
following settings:
Mode: assist/control
Mandatory rate: 14
Total rate: 14
VT: 500 mL
FiO2: 0.55
PEEP: 12 cmH2O
Arterial blood gases revel
pH 7.49 / PaCO2 32 / PaO2 109 / HCO3 24 / BE 0
The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP - ------------ANS: d. Decrease PEEP
A 70-kg (154-lb) male patient is receiving mechanical ventilation. After
increasing PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
c. Remove 100 mL of deadspace
d. Decrease FIO2 - ------------ANS: c. Remove 100 mL of deadspace
, A 74-kg (166-lb) 5-ft 8-in (173-cm) female is receiving mechanical ventilation
by a volume-controlled ventilator in the assist/control mode on the following
settings:
Mandatory rate: 12/min
VT: 500 mL
FIO2: 0.50
PEEP: 5 cmH2O
Arterial blood gas results:
pH 7.47 / PaCO2 34 / PO2 80 / HCO3 23 / BE -1
Which of the following represents the most appropriate action?
a. Decrease tidal volume
b. Increase FIO2 to 0.6
c. Increase rate to 16
d. Add 100 mL deadspace - ------------ANS: d. Add 100 mL deadspace
A 74-year-old male in the intensive care unit has the following arterial blood
gas results while receiving volume-controlled ventilation at an FIO2 of 1.0 with
PEEP of 10 cm H2O.
pH 7.33 / PaCO2 50 / PaO2 220 / HCO3 22 / BE -2
The respiratory therapist should conclude which of the following regarding the
patient's condition?
a. Ventilation/perfusion mismatch
b. Metabolic acidosis
c. Increased system vascular resistance
d. Venous admixture - ------------ANS: d. Venous admixture
A 75-kg (165-lb) male is receiving mechanical ventilation by a
volume-controlled ventilator in the assist/control mode on the following
settings:
Mandatory rate: 14/min
VT: 450 mL
FIO2: 0.50
PEEP: 5 cmH2O
ABG results:
ph 7.32 / PaCO2 48 / PO2 76 / HCO3 23 / BE -1
Which of the following represents the most appropriate action?
a. Increase VT to 550 mL
Answers 100% Guarantee Pass
A 5-ft, 2-inch (157-cm), 208-lb (95-kg) male patient has just been diagnosed
with obstructive and central sleep apnea. Which of the following will provide
most help to the patient?
a. Nasal CPAP
b. Tracheostomy
c. Bi-level therapy with a back up rate
d. Weight loss - ------------ANS: c. Bi-level therapy with a back up rate
A 5-year-old child is brought to the emergency room (ER) with a fever and
difficulty breathing. The patient is drooling but is making no vocal sounds.
Which of the following procedures should the respiratory therapist
recommend?
a. Bronchoscopy
b. Lateral neck radiograph
c. CBC
d. Inspection of the pharyngeal area with a tongue depressor - ------------ANS:
b. Lateral neck radiograph
A 6-year-old male is brought to the emergency room with uncontrollable
coughing. Auscultation reveals unilateral wheezing. SpO2 is 88%. Which of
the following would be most helpful at resolving the underlying problem?
a. Bronchoscope
b. Albuterol
c. Supplemental oxygen
d. Sedation and cough suppression - ------------ANS: a. Bronchoscope
A 7-year old female patient is receiving PEP therapy by mouthpiece. In spite
of repeated coaching, the child does not keep the mouthpiece in her mouth.
The therapist should respond by doing which of the following?
a. Switch to aerosolized Albuterol
b. Add a mask to the PEP device
c. Help support the patient's lip closure around the mouthpiece
d. Discontinue therapy - ------------ANS: b. Add a mask to the PEP device
,A 10-year-old child does not seem to be performing incentive spirometry well
with a flow-oriented device. The patient says the device is boring and difficult
to get all three balls floating. The respiratory therapist should
a. Replace the device with a volume-oriented incentive spirometer
b. Obtain a new incentive spirometer with lighter balls
c. Test the incentive spirometer with a clean mouthpiece
d. Provide encouragement and instruct the patient to continue efforts -
------------ANS: a. Replace the device with a volume-oriented incentive
spirometer
A 24-year-old patient is receiving mechanical ventilation. The following
pressure - volume graph is available. What can accurately be stated about this
information?
a. Sensitivity is set too high
b. This breath was patient-triggered
c. This breathing was machine-initiated
d. Inspiratory flow is set too high - ------------ANS: b. This breath was
patient-triggered
A 32-week-gestional age infant is in respiratory distress following a cesarean
section birth. A chest x-ray shows a reticulogranular pattern. Which of the
following would be most helpful to the patient?
a. Theophylline
b. Subcutaneous epinephrine 1:1000 strength
c. Atropine sulfate
d. Exosurf - ------------ANS: d. Exosurf
A 38-year-old male presents in the emergency department (ED) complaining
of frequent vomiting. The following laboratory data is available: Arterial blood
gases
pH 7.55 / PaCo2 42 / PaO2 85 / HCO3 31 / BE +7
FiO2: 0.21
K+ 3.0
Cl- 95
Na+ 135
Which of the following should the respiratory therapist recommend?
a. Administer volume-expanding fluids
b. Administer NaCL
c. Administer KCL
d. Administer NaHCO3- - ------------ANS: c. Administer KCL
,A 42-year-old patient has undergone a laryngectomy for the removal of
laryngeal cancer. A laryngectomy tube is in place. For the first 12 hours after
surgery, the therapist should expect which of the following?
a. Atelectasis
b. Periodic expectoration of blood
c. Slight hypoventilation
d. Decreased RAW - ------------ANS: b. Periodic expectoration of blood
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the
following settings:
Mode: assist/control
Mandatory rate: 14
Total rate: 14
VT: 500 mL
FiO2: 0.55
PEEP: 12 cmH2O
Arterial blood gases revel
pH 7.49 / PaCO2 32 / PaO2 109 / HCO3 24 / BE 0
The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP - ------------ANS: d. Decrease PEEP
A 70-kg (154-lb) male patient is receiving mechanical ventilation. After
increasing PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
c. Remove 100 mL of deadspace
d. Decrease FIO2 - ------------ANS: c. Remove 100 mL of deadspace
, A 74-kg (166-lb) 5-ft 8-in (173-cm) female is receiving mechanical ventilation
by a volume-controlled ventilator in the assist/control mode on the following
settings:
Mandatory rate: 12/min
VT: 500 mL
FIO2: 0.50
PEEP: 5 cmH2O
Arterial blood gas results:
pH 7.47 / PaCO2 34 / PO2 80 / HCO3 23 / BE -1
Which of the following represents the most appropriate action?
a. Decrease tidal volume
b. Increase FIO2 to 0.6
c. Increase rate to 16
d. Add 100 mL deadspace - ------------ANS: d. Add 100 mL deadspace
A 74-year-old male in the intensive care unit has the following arterial blood
gas results while receiving volume-controlled ventilation at an FIO2 of 1.0 with
PEEP of 10 cm H2O.
pH 7.33 / PaCO2 50 / PaO2 220 / HCO3 22 / BE -2
The respiratory therapist should conclude which of the following regarding the
patient's condition?
a. Ventilation/perfusion mismatch
b. Metabolic acidosis
c. Increased system vascular resistance
d. Venous admixture - ------------ANS: d. Venous admixture
A 75-kg (165-lb) male is receiving mechanical ventilation by a
volume-controlled ventilator in the assist/control mode on the following
settings:
Mandatory rate: 14/min
VT: 450 mL
FIO2: 0.50
PEEP: 5 cmH2O
ABG results:
ph 7.32 / PaCO2 48 / PO2 76 / HCO3 23 / BE -1
Which of the following represents the most appropriate action?
a. Increase VT to 550 mL
