Kettering TMC Modules exam with correct
answers
Abballoon-tipped,bflow-
directedbcatheterbisbpositionedbinbthebpulmonarybarterybwithbthebballoonbdeflated.bWhichbofbthebfollowin
gbpressuresbwillbbebmeasuredbbybthebproximalblumen?
A)bCVP
B)bPAP
C)bPWP
D)bMAPb-bcorrectbanswer-A.bCVP
Swansbgansbcatheterbforbhemodynamicbmonitoring.bDistalbdeflatedbisbPAP,bDistalbinflatedbisbPWP
Allbofbthebfollowingbcouldbcausebabcapnographybreadingbtobchangebfromb36btorrbtob30btorrbEXCEPT
A)bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus
B)bhyperventilation
C)bpulmonarybemboli
D)bhypovolemiab-bcorrectbanswer-A.bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus.
ThisbwillbcausebPeTCObtobincrease
Abpatientbinbthebintensivebcarebunitbhasbthebfollowingbhemodynamicbmeasurements:
CVP:b9bmmHg
MeanbPAP:b24bmmHg
PCWP:b9bmmHg
MAPb93bmmHg
CardiacbOutputb(QT):b5.4bL/min
,Cardiacbindexb(QI):b2.9bLmin/m2
A)brightbheartbfailure
B)bleftbheartbfailure
C)bpulmonarybembolism
D)bnormalbcardiacbfuctionb-bcorrectbanswer-C.bpulmonarybembolism
CVP-High,bMeanbPAP-High(lungs),bPCWP-Normalb(rulesboutbleftbheartbproblem),bMAP-normal,bQT-
normal,bQI-normal
AllbofbthebfollowingbwillbaffectbthebaccuracybofbabcapnographbEXCEPT
A)blongbsamplingbline
B)blowbsamplingbflow
C)bcondensationbinbthebtubing
D)busebofbabdesiccantb-bcorrectbanswer-D.busebofbabdesiccant-
chemicalbthatbremovesbmoisturebfrombthebgasbcreatingbabmorebaccuratebmeasurement
Longbsamplingblinebwillbtakeblongerbforbgasbtobpassbthrubtobreachbanalyzer,blowbsamplingbflowbwontbgiveben
oughbinfobforbgoodbreading,bcondensationbinbthebtubingbcanbcausebobstructionbinbline
Ab1000bgbneonatebisbstablebinbthebNICU.bWhichbofbthebfollowingbshouldbthebrespiratorybtherapistbusebtobm
onitorbthebneonate'sboverallbcardiopulmonarybstatus?
A)bTcPCO2bandbTcPO2bmonitor
B)bArterialbbloodbgasbanalysisbQ4bhours
C)bSpO2bmonitor
D)bCapillarybgasbanalysisbQ8bhoursb-bcorrectbanswer-
A.bTcPCO2bandbTcPO2bmonitorbisbnoninvasivebandbcontinuouslybmonitoringbventilation/O2
ABGbisbinvasivebandbQ4,bSpO2bmonitorbonlybmeasuresbO2,bCapbGasesbnotbaccurate(worstbanswer)
,Abunilateralbwheezbwouldbmostblikelybindicatebwhichbofbthebfollowing?
A)basthma
B)batelectasis
C)bforeignbbodybaspiration
D)bepiglotitisb-bcorrectbanswer-C.bforeignbbodybaspiration
Asthmabisbbilateralbwheeze,batelectasisbisbdiminished,bepiglotitsbisbstridor
AllbofbthebfollowingbwouldbbebassociatedbwithbthebpresencebofbabpnewumothoraxbEXCEPT:
A)btrachealbdeviation
B)bdullbpercussion
C)babsentbbreathbsounds
D)brespiratorybdistressb-bcorrectbanswer-B.bdullbpercussion-bmakesbabhighbpitchedbtympanicbsound
trachealbdeviationbpushedbawaybfrombPNX
Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpattern:
A)bNormalbsinusbrhythm
B)bLeftbbundlebbranchbblock
C)bNormalbsinusbrhythmbw/multifocalbPVC
D)bNormalbsinusbrhythmbw/artifactb-bcorrectbanswer-C.bNormalbsinusbrhythmbw/multifocalbPVC
B.bAdministerb100%boxygen
, lidocainebcanbtreatbPVCbbutbnotb1st,batropinebforbbradycardia,bepinephrine-ERbdrugbforbpulselessbVtachb-
bcorrectbanswer-
Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpatternbonbthebmonitor:
A)bAdministerblidocaine
B)badministerb100%bO2
C)badministerbatropine
D)badministerbepinephrine
Whatbisbthebnormalbrangebforbthebmeanbpulmonarybarterybpressurebinbanbadult?b
A)b2-6bmmbHg
B)b4-12bmmbHg
C)b9-18bmmbHg
D)b21-28bmmbHgb-bcorrectbanswer-C.b9-18bmmHg
Ab44-year-
oldbwomanbhasbjustbundergonebabcholecystectomy.bOverbtheblastb48bhoursbthebpatientbhasbthebfollowingbl
aboratorybfindings:
K+:b2bmEq/L
b
Na+:b135bmEq/L
b
Cl-:b100bmEq/L
b
HCO3-:b32bmEq/L
b
Urineboutput:b40bmL/hour
b
Basedbuponbthisbinformation,bthebrespiratorybtherapistbwouldbconcludebthatbthebpatientb-bcorrectbanswer-
D.bmetabolicbalkalosis
K(low),bNa(normal),bCl(normal),bHCO3(high)bconfirmingbanswer
answers
Abballoon-tipped,bflow-
directedbcatheterbisbpositionedbinbthebpulmonarybarterybwithbthebballoonbdeflated.bWhichbofbthebfollowin
gbpressuresbwillbbebmeasuredbbybthebproximalblumen?
A)bCVP
B)bPAP
C)bPWP
D)bMAPb-bcorrectbanswer-A.bCVP
Swansbgansbcatheterbforbhemodynamicbmonitoring.bDistalbdeflatedbisbPAP,bDistalbinflatedbisbPWP
Allbofbthebfollowingbcouldbcausebabcapnographybreadingbtobchangebfromb36btorrbtob30btorrbEXCEPT
A)bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus
B)bhyperventilation
C)bpulmonarybemboli
D)bhypovolemiab-bcorrectbanswer-A.bendotrachealbtubebpositionedbinbthebrightbmainstembbronchus.
ThisbwillbcausebPeTCObtobincrease
Abpatientbinbthebintensivebcarebunitbhasbthebfollowingbhemodynamicbmeasurements:
CVP:b9bmmHg
MeanbPAP:b24bmmHg
PCWP:b9bmmHg
MAPb93bmmHg
CardiacbOutputb(QT):b5.4bL/min
,Cardiacbindexb(QI):b2.9bLmin/m2
A)brightbheartbfailure
B)bleftbheartbfailure
C)bpulmonarybembolism
D)bnormalbcardiacbfuctionb-bcorrectbanswer-C.bpulmonarybembolism
CVP-High,bMeanbPAP-High(lungs),bPCWP-Normalb(rulesboutbleftbheartbproblem),bMAP-normal,bQT-
normal,bQI-normal
AllbofbthebfollowingbwillbaffectbthebaccuracybofbabcapnographbEXCEPT
A)blongbsamplingbline
B)blowbsamplingbflow
C)bcondensationbinbthebtubing
D)busebofbabdesiccantb-bcorrectbanswer-D.busebofbabdesiccant-
chemicalbthatbremovesbmoisturebfrombthebgasbcreatingbabmorebaccuratebmeasurement
Longbsamplingblinebwillbtakeblongerbforbgasbtobpassbthrubtobreachbanalyzer,blowbsamplingbflowbwontbgiveben
oughbinfobforbgoodbreading,bcondensationbinbthebtubingbcanbcausebobstructionbinbline
Ab1000bgbneonatebisbstablebinbthebNICU.bWhichbofbthebfollowingbshouldbthebrespiratorybtherapistbusebtobm
onitorbthebneonate'sboverallbcardiopulmonarybstatus?
A)bTcPCO2bandbTcPO2bmonitor
B)bArterialbbloodbgasbanalysisbQ4bhours
C)bSpO2bmonitor
D)bCapillarybgasbanalysisbQ8bhoursb-bcorrectbanswer-
A.bTcPCO2bandbTcPO2bmonitorbisbnoninvasivebandbcontinuouslybmonitoringbventilation/O2
ABGbisbinvasivebandbQ4,bSpO2bmonitorbonlybmeasuresbO2,bCapbGasesbnotbaccurate(worstbanswer)
,Abunilateralbwheezbwouldbmostblikelybindicatebwhichbofbthebfollowing?
A)basthma
B)batelectasis
C)bforeignbbodybaspiration
D)bepiglotitisb-bcorrectbanswer-C.bforeignbbodybaspiration
Asthmabisbbilateralbwheeze,batelectasisbisbdiminished,bepiglotitsbisbstridor
AllbofbthebfollowingbwouldbbebassociatedbwithbthebpresencebofbabpnewumothoraxbEXCEPT:
A)btrachealbdeviation
B)bdullbpercussion
C)babsentbbreathbsounds
D)brespiratorybdistressb-bcorrectbanswer-B.bdullbpercussion-bmakesbabhighbpitchedbtympanicbsound
trachealbdeviationbpushedbawaybfrombPNX
Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpattern:
A)bNormalbsinusbrhythm
B)bLeftbbundlebbranchbblock
C)bNormalbsinusbrhythmbw/multifocalbPVC
D)bNormalbsinusbrhythmbw/artifactb-bcorrectbanswer-C.bNormalbsinusbrhythmbw/multifocalbPVC
B.bAdministerb100%boxygen
, lidocainebcanbtreatbPVCbbutbnotb1st,batropinebforbbradycardia,bepinephrine-ERbdrugbforbpulselessbVtachb-
bcorrectbanswer-
Whilebsuctioningbabpatientbwhobisbbeingbmechanicallybventilated,bthebrespiratorybtherapistbnotesbthebfollo
wingbECGbpatternbonbthebmonitor:
A)bAdministerblidocaine
B)badministerb100%bO2
C)badministerbatropine
D)badministerbepinephrine
Whatbisbthebnormalbrangebforbthebmeanbpulmonarybarterybpressurebinbanbadult?b
A)b2-6bmmbHg
B)b4-12bmmbHg
C)b9-18bmmbHg
D)b21-28bmmbHgb-bcorrectbanswer-C.b9-18bmmHg
Ab44-year-
oldbwomanbhasbjustbundergonebabcholecystectomy.bOverbtheblastb48bhoursbthebpatientbhasbthebfollowingbl
aboratorybfindings:
K+:b2bmEq/L
b
Na+:b135bmEq/L
b
Cl-:b100bmEq/L
b
HCO3-:b32bmEq/L
b
Urineboutput:b40bmL/hour
b
Basedbuponbthisbinformation,bthebrespiratorybtherapistbwouldbconcludebthatbthebpatientb-bcorrectbanswer-
D.bmetabolicbalkalosis
K(low),bNa(normal),bCl(normal),bHCO3(high)bconfirmingbanswer
