Respiratory Therapist TMC exam
1. Page 1
Recognized
Text
During an incentive spirometry treatment, a patient complains of
lightheadedness. Which of the following is the most likely cause?
A. hypercarbia
B. hyperventilation
C. hyperoxia
D. hypercalcemia
2. Page 2
Recognized
Text
A 49-year-old female with a tracheostomy is receiving mechanical ventilation
because of respiratory failure due to Guillain-Barré syndrome. While
suctioning the patient, a respiratory therapist notes the aspirate is thick and
copious with a dark yellow color. The therapist should recommend.
A. obtaining a sputum culture.
B. implementing passive humidification.
C. administering albuterol.
D. replacing the tracheostomy tube.
3. Page 3
Recognized
Text
,To properly visualize the epiglottis while using a curved laryngoscope blade,
a respiratory therapist should
A. place the blade lateral to the tongue and lift.
B. rotate the handle side-to-side until the epiglottis is exposed.
C. extend the blade posterior to the epiglottis and lift up.
D. advance the blade and place the tip in the vallecula.
4. Page 4
Recognized
Text
A respiratory therapist obtains the following hemodynamic results for a
postoperative patient in an intensive care unit:
BP 100/50 mm Hg
HR 120/min
CVP 1 mm Hg
PAP 18/7 mm Hg
PCWP 3 mm Hg
C.I. 1.8 L/min/m2
The therapist should recommend.
A. initiating a nitroprusside sodium (Nipride) infusion.
B. adding intravenous norepinephrine (Levophed).
C. starting furosemide (Lasix) therapy.
D. administering a normal saline bolus.
, 5. Page 5
Recognized
Text
Following cardiac arrest, a 70-kg (PBW) male receives bag-valve-mask
ventilation. A #5 laryngeal mask airway is inserted. Decreased chest
expansion, a decline in exhaled CO2, and air leak are observed after
restarting bag-valve ventilation. The most likely cause of these findings is
A. reduced airway resistance.
B. resuscitation bag failure.
C. the cuff is underinflated.
D. increased chest compliance.
6. Page 6
Recognized
Text
A 168-cm (5-ft 6-in),59-kg(130-Ib) female patient is receiving VC, A/C
ventilation with the following settings.
Mandatory rate 10
VT 450 mL
Inspiratory flow 60 L/min
PEEP 5 cm H2O
Over the past hour, the PIP has increased from 30 to 40 cm H2O and the
plateau pressure has remained at 20 cm H2O. Minimal secretions are
obtained with suctioning. Which of the following is most appropriate?
A. Increase the peak flow.
B. Change to SIMV.
C. Administer a bronchodilator.
D. Recommend a corticosteroid.
, 7. Page 7
Recognized
Text
The following chest radiograph is obtained for a patient who has a history of
coronary artery disease:
A respiratory therapist should conclude the patient has
A. pneumonia.
B. a pneumothorax
C. pulmonary edema.
D. hyperinflation.
8. Page 8
Recognized
Text
Which of the following should be used to measure carboxyhemoglobin
concentration?
A. hemoximetry (CO-oximetry)
B. blood gas analysis
C. exhaled CO monitoring
D. pulse oximetry
9. Page 9
Recognized
Text
1. Page 1
Recognized
Text
During an incentive spirometry treatment, a patient complains of
lightheadedness. Which of the following is the most likely cause?
A. hypercarbia
B. hyperventilation
C. hyperoxia
D. hypercalcemia
2. Page 2
Recognized
Text
A 49-year-old female with a tracheostomy is receiving mechanical ventilation
because of respiratory failure due to Guillain-Barré syndrome. While
suctioning the patient, a respiratory therapist notes the aspirate is thick and
copious with a dark yellow color. The therapist should recommend.
A. obtaining a sputum culture.
B. implementing passive humidification.
C. administering albuterol.
D. replacing the tracheostomy tube.
3. Page 3
Recognized
Text
,To properly visualize the epiglottis while using a curved laryngoscope blade,
a respiratory therapist should
A. place the blade lateral to the tongue and lift.
B. rotate the handle side-to-side until the epiglottis is exposed.
C. extend the blade posterior to the epiglottis and lift up.
D. advance the blade and place the tip in the vallecula.
4. Page 4
Recognized
Text
A respiratory therapist obtains the following hemodynamic results for a
postoperative patient in an intensive care unit:
BP 100/50 mm Hg
HR 120/min
CVP 1 mm Hg
PAP 18/7 mm Hg
PCWP 3 mm Hg
C.I. 1.8 L/min/m2
The therapist should recommend.
A. initiating a nitroprusside sodium (Nipride) infusion.
B. adding intravenous norepinephrine (Levophed).
C. starting furosemide (Lasix) therapy.
D. administering a normal saline bolus.
, 5. Page 5
Recognized
Text
Following cardiac arrest, a 70-kg (PBW) male receives bag-valve-mask
ventilation. A #5 laryngeal mask airway is inserted. Decreased chest
expansion, a decline in exhaled CO2, and air leak are observed after
restarting bag-valve ventilation. The most likely cause of these findings is
A. reduced airway resistance.
B. resuscitation bag failure.
C. the cuff is underinflated.
D. increased chest compliance.
6. Page 6
Recognized
Text
A 168-cm (5-ft 6-in),59-kg(130-Ib) female patient is receiving VC, A/C
ventilation with the following settings.
Mandatory rate 10
VT 450 mL
Inspiratory flow 60 L/min
PEEP 5 cm H2O
Over the past hour, the PIP has increased from 30 to 40 cm H2O and the
plateau pressure has remained at 20 cm H2O. Minimal secretions are
obtained with suctioning. Which of the following is most appropriate?
A. Increase the peak flow.
B. Change to SIMV.
C. Administer a bronchodilator.
D. Recommend a corticosteroid.
, 7. Page 7
Recognized
Text
The following chest radiograph is obtained for a patient who has a history of
coronary artery disease:
A respiratory therapist should conclude the patient has
A. pneumonia.
B. a pneumothorax
C. pulmonary edema.
D. hyperinflation.
8. Page 8
Recognized
Text
Which of the following should be used to measure carboxyhemoglobin
concentration?
A. hemoximetry (CO-oximetry)
B. blood gas analysis
C. exhaled CO monitoring
D. pulse oximetry
9. Page 9
Recognized
Text
