TMC Practice Exam Questions With
Verified Answers
A d48 dyear-old dfemale dis dadmitted dto dthe dED dwith ddiaphoresis, djugular dvenous ddistension, dand d3+
dpitting dedema din dthe dankles. dThese dfindings dare dconsistent dwith
A. dliver dfailure.
B. dpulmonary dembolism.
C. dheart dfailure.
D. delectrolyte dimbalances d- dAnswer d- dHeart dfailure
A dpatient dis dadmitted dto dthe dED dfollowing da dmotor dvehicle daccident. dOn dphysical dexam, dthe
drespiratory dtherapist ddiscovers dthat dbreath dsounds dare dabsent din dthe dleft dchest dwith da dhyperresonant
dpercussion dnote. dThe dtrachea dis dshifted dto dthe dright. dThe dpatient's dheart drate dis d45/min, drespiratory
drate dis d30/min, dand dblood dpressure dis d60/40 dmm dHg. dWhat daction dshould dthe dtherapist drecommend
dfirst?
A. dCall dfor da dSTAT dchest dx-ray.
B. dInsert da dchest dtube dinto dthe dleft dchest.
C. dNeedle daspirate dthe d2nd dleft dintercostal dspace.
D. dActivate dthe dmedical demergency dteam dto dintubate dthe dpatient. d- dAnswer d- dNeedle daspirate dthe d2nd
dleft dintercostal dspace.
All dof dthe dfollowing dstrategies dare dlikely dto ddecrease dthe dlikelihood dof ddamage dto dthe dtracheal dmucosa
dEXCEPT
A. dmaintaining dcuff dpressures dbetween d20 dand d25 dmm dHg.
B. dusing dthe dminimal dleak dtechnique dfor dinflation.
,C. dusing da dlow-residual-volume, dlow-compliance dcuff.
D. dmonitoring dintracuff dpressures. d- dAnswer d- dmonitoring dintracuff dpressures.
A d52 dyear-old dpost-operative dcholecystectomy dpatient's dbreath dsounds dbecome dmore dcoarse dupon
dcompletion dof dpostural ddrainage dwith dpercussion. dThe drespiratory dtherapist dshould drecommend
A. dcontinuing dthe dtherapy duntil dbreath dsounds dimprove.
B. dadministering ddornase dalpha.
C. dadministering dalbuterol dtherapy.
D. ddeep dbreathing dand dcoughing dto dclear dsecretions. d- dAnswer d- ddeep dbreathing dand dcoughing dto dclear
dsecretions.
A d65 dkg dspinal dcord dinjured dpatient dhas ddeveloped datelectasis. dHis dinspiratory dcapacity dis d30% dof dhis
dpredicted dvalue. dWhat dbronchial dhygiene dtherapy dwould dbe dmost dappropriate dinitially?
A. dIS d/ dSMI
B. dIPPB dwith dnormal dsaline
C. dpostural ddrainage dand dpercussion
D. dPEP dtherapy d- dAnswer d- dIPPB dwith dnormal dsaline
A dpatient don dVC dventilation dhas ddemonstrated dauto-PEEP don dventilator dgraphics. dWhich dof dthe
dfollowing dcontrols, dwhen dadjusted dindependently, dwould dincrease dexpiratory dtime?
d1. dTidal dvolume
d2. dRespiratory dRate
d3. dInspiratory dflow
d4. dSensitivity d- dAnswer d- d1, d2, dand d3 donly
Which dof dthe dfollowing dwould dbe dthe dmost dappropriate dtherapy dfor da ddyspneic dpatient dwho dhas
dcrepitus dwith dtracheal ddeviation dto dthe dleft dand dabsent dbreath dsounds don dthe dright?
,A. dPerform dchest dphysiotherapy
B. dAdminister dan dIPPB dtreatment
C. dInsert dan dendotracheal dtube
D. dInsert da dchest dtube d- dAnswer d- dInsert da dchest dtube
A d55 dyear-old dpost dcardiac dsurgery dpatient dhas dthe dfollowing dABG dresults: dpH d7.50, dPaCO2 d30 dtorr,
dPaO2 d62 dtorr, dHCO3 d25 dmEq/L, dSaO2 d92%, dHB d14 dg/dL, dBE d+2. dVenous dblood dgas dresults dare dpH d7.39,
dPvCO2 d43 dtorr, dPvO2 d37 dtorr, dand dSvO2 d66%. dCalculate dthe dpatient's dC(a-v)O2.
A. d2.5 dvol%
B. d4.0 dvol%
C. d5.0 dvol%
D. d5.5 dvol% d- dAnswer d- d5.0 dvol%
A dpatient don dVC, dSIMV dwith da dVT dof d500 dmL dhas da dPIP dof d25 dcm dH2O, dPplat dof d15 dcm dH2O dand dPEEP
dof d5 dcm dH2O. dWhat dis dthe dpatient's dstatic dlung dcompliance
A. d25 dmL/cm dH2O
B. d35 dmL/cm dH2O
C. d45 dmL/cm dH2O
D. d50 dmL/cm dH2O d- dAnswer d- d50 dmL/cm dH2O
Immediately dafter dextubation dof da dpatient din dthe dICU, dthe drespiratory dtherapist dobserves dincreasing
drespiratory ddistress dwith dintercostal dretractions dand dmarked dstridor. dThe dSpO2 don d40% doxygen dis
dnoted dto dbe d86%. dWhich dof dthe dfollowing dwould dbe dmost dappropriate dat dthis dtime?
A. dcool dmist daerosol dtreatment
B. daerosolized dracemic depinephrine
C. dmanual dventilation dwith dresuscitation dbag dand dmask
D. dreintubation d- dAnswer d- dreintubation
, Which dof dthe dfollowing dpatients dwould dmost dlikely dbenefit dfrom dpressure dsupport dventilation?
A. dAn dintubated dpatient dwith dan dabsent drespiratory ddrive.
B. dA dpatient don dSIMV dwith da dset drate dof d12/min dand dtotal drate dof d24/min.
C. dA dpatient dwith dacute dlung dinjury.
D. dA dpatient dwho drequires dshort-term dpost-operative dventilatory dsupport. d- dAnswer d- dA dpatient don
dSIMV dwith da dset drate dof d12/min dand dtotal drate dof d24/min.
A dpatient dreceiving dmechanical dventilation dhas ddeveloped da dtemperature dof d99.9° dF dwith dpurulent
dsecretions dover dthe dlast d12 dhours. dThe drespiratory dtherapist dhas dalso dnoted da dsteady dincrease din dpeak
dinspiratory dpressure. dWhat dinitial drecommendation dshould dbe dmade dto daddress dthese dchanges?
A. dInitiate dbronchial dhygiene dtherapy.
B. dObtain da dsputum dgram dstain.
C. dAdminister dIPV.
D. dInsert da dCASS dtube. d- dAnswer d- dObtain da dsputum dgram dstain.
Which dof dthe dfollowing dinformation dmay dbe dobtained dfrom da dFVC dmaneuver dduring dbedside
dpulmonary dfunction dtesting?
1. dFEV1
d
2. dPEFR
d
3. dFRC
d
4. dRV d- dAnswer d- d1 dand d2 donly
d
The drespiratory dtherapist dis dproviding dpatient deducation dfor da dpatient dwho dis dbeing ddischarged dhome
don daerosol dtherapy. dThe dmost dimportant dreason dfor dthe dpatient dto dfollow dthe drecommended dcleaning
dprocedures dusing da dvinegar/water dsolution dis dthat dthis dsolution dwill
A. dsterilize dthe dequipment.
B. dretard dbacterial dgrowth.
C. dkill dall dmicro-organisms dand dspores.
D. dextend dthe dequipment dlife. d- dAnswer d- dRetard dbacterial dgrowth
Verified Answers
A d48 dyear-old dfemale dis dadmitted dto dthe dED dwith ddiaphoresis, djugular dvenous ddistension, dand d3+
dpitting dedema din dthe dankles. dThese dfindings dare dconsistent dwith
A. dliver dfailure.
B. dpulmonary dembolism.
C. dheart dfailure.
D. delectrolyte dimbalances d- dAnswer d- dHeart dfailure
A dpatient dis dadmitted dto dthe dED dfollowing da dmotor dvehicle daccident. dOn dphysical dexam, dthe
drespiratory dtherapist ddiscovers dthat dbreath dsounds dare dabsent din dthe dleft dchest dwith da dhyperresonant
dpercussion dnote. dThe dtrachea dis dshifted dto dthe dright. dThe dpatient's dheart drate dis d45/min, drespiratory
drate dis d30/min, dand dblood dpressure dis d60/40 dmm dHg. dWhat daction dshould dthe dtherapist drecommend
dfirst?
A. dCall dfor da dSTAT dchest dx-ray.
B. dInsert da dchest dtube dinto dthe dleft dchest.
C. dNeedle daspirate dthe d2nd dleft dintercostal dspace.
D. dActivate dthe dmedical demergency dteam dto dintubate dthe dpatient. d- dAnswer d- dNeedle daspirate dthe d2nd
dleft dintercostal dspace.
All dof dthe dfollowing dstrategies dare dlikely dto ddecrease dthe dlikelihood dof ddamage dto dthe dtracheal dmucosa
dEXCEPT
A. dmaintaining dcuff dpressures dbetween d20 dand d25 dmm dHg.
B. dusing dthe dminimal dleak dtechnique dfor dinflation.
,C. dusing da dlow-residual-volume, dlow-compliance dcuff.
D. dmonitoring dintracuff dpressures. d- dAnswer d- dmonitoring dintracuff dpressures.
A d52 dyear-old dpost-operative dcholecystectomy dpatient's dbreath dsounds dbecome dmore dcoarse dupon
dcompletion dof dpostural ddrainage dwith dpercussion. dThe drespiratory dtherapist dshould drecommend
A. dcontinuing dthe dtherapy duntil dbreath dsounds dimprove.
B. dadministering ddornase dalpha.
C. dadministering dalbuterol dtherapy.
D. ddeep dbreathing dand dcoughing dto dclear dsecretions. d- dAnswer d- ddeep dbreathing dand dcoughing dto dclear
dsecretions.
A d65 dkg dspinal dcord dinjured dpatient dhas ddeveloped datelectasis. dHis dinspiratory dcapacity dis d30% dof dhis
dpredicted dvalue. dWhat dbronchial dhygiene dtherapy dwould dbe dmost dappropriate dinitially?
A. dIS d/ dSMI
B. dIPPB dwith dnormal dsaline
C. dpostural ddrainage dand dpercussion
D. dPEP dtherapy d- dAnswer d- dIPPB dwith dnormal dsaline
A dpatient don dVC dventilation dhas ddemonstrated dauto-PEEP don dventilator dgraphics. dWhich dof dthe
dfollowing dcontrols, dwhen dadjusted dindependently, dwould dincrease dexpiratory dtime?
d1. dTidal dvolume
d2. dRespiratory dRate
d3. dInspiratory dflow
d4. dSensitivity d- dAnswer d- d1, d2, dand d3 donly
Which dof dthe dfollowing dwould dbe dthe dmost dappropriate dtherapy dfor da ddyspneic dpatient dwho dhas
dcrepitus dwith dtracheal ddeviation dto dthe dleft dand dabsent dbreath dsounds don dthe dright?
,A. dPerform dchest dphysiotherapy
B. dAdminister dan dIPPB dtreatment
C. dInsert dan dendotracheal dtube
D. dInsert da dchest dtube d- dAnswer d- dInsert da dchest dtube
A d55 dyear-old dpost dcardiac dsurgery dpatient dhas dthe dfollowing dABG dresults: dpH d7.50, dPaCO2 d30 dtorr,
dPaO2 d62 dtorr, dHCO3 d25 dmEq/L, dSaO2 d92%, dHB d14 dg/dL, dBE d+2. dVenous dblood dgas dresults dare dpH d7.39,
dPvCO2 d43 dtorr, dPvO2 d37 dtorr, dand dSvO2 d66%. dCalculate dthe dpatient's dC(a-v)O2.
A. d2.5 dvol%
B. d4.0 dvol%
C. d5.0 dvol%
D. d5.5 dvol% d- dAnswer d- d5.0 dvol%
A dpatient don dVC, dSIMV dwith da dVT dof d500 dmL dhas da dPIP dof d25 dcm dH2O, dPplat dof d15 dcm dH2O dand dPEEP
dof d5 dcm dH2O. dWhat dis dthe dpatient's dstatic dlung dcompliance
A. d25 dmL/cm dH2O
B. d35 dmL/cm dH2O
C. d45 dmL/cm dH2O
D. d50 dmL/cm dH2O d- dAnswer d- d50 dmL/cm dH2O
Immediately dafter dextubation dof da dpatient din dthe dICU, dthe drespiratory dtherapist dobserves dincreasing
drespiratory ddistress dwith dintercostal dretractions dand dmarked dstridor. dThe dSpO2 don d40% doxygen dis
dnoted dto dbe d86%. dWhich dof dthe dfollowing dwould dbe dmost dappropriate dat dthis dtime?
A. dcool dmist daerosol dtreatment
B. daerosolized dracemic depinephrine
C. dmanual dventilation dwith dresuscitation dbag dand dmask
D. dreintubation d- dAnswer d- dreintubation
, Which dof dthe dfollowing dpatients dwould dmost dlikely dbenefit dfrom dpressure dsupport dventilation?
A. dAn dintubated dpatient dwith dan dabsent drespiratory ddrive.
B. dA dpatient don dSIMV dwith da dset drate dof d12/min dand dtotal drate dof d24/min.
C. dA dpatient dwith dacute dlung dinjury.
D. dA dpatient dwho drequires dshort-term dpost-operative dventilatory dsupport. d- dAnswer d- dA dpatient don
dSIMV dwith da dset drate dof d12/min dand dtotal drate dof d24/min.
A dpatient dreceiving dmechanical dventilation dhas ddeveloped da dtemperature dof d99.9° dF dwith dpurulent
dsecretions dover dthe dlast d12 dhours. dThe drespiratory dtherapist dhas dalso dnoted da dsteady dincrease din dpeak
dinspiratory dpressure. dWhat dinitial drecommendation dshould dbe dmade dto daddress dthese dchanges?
A. dInitiate dbronchial dhygiene dtherapy.
B. dObtain da dsputum dgram dstain.
C. dAdminister dIPV.
D. dInsert da dCASS dtube. d- dAnswer d- dObtain da dsputum dgram dstain.
Which dof dthe dfollowing dinformation dmay dbe dobtained dfrom da dFVC dmaneuver dduring dbedside
dpulmonary dfunction dtesting?
1. dFEV1
d
2. dPEFR
d
3. dFRC
d
4. dRV d- dAnswer d- d1 dand d2 donly
d
The drespiratory dtherapist dis dproviding dpatient deducation dfor da dpatient dwho dis dbeing ddischarged dhome
don daerosol dtherapy. dThe dmost dimportant dreason dfor dthe dpatient dto dfollow dthe drecommended dcleaning
dprocedures dusing da dvinegar/water dsolution dis dthat dthis dsolution dwill
A. dsterilize dthe dequipment.
B. dretard dbacterial dgrowth.
C. dkill dall dmicro-organisms dand dspores.
D. dextend dthe dequipment dlife. d- dAnswer d- dRetard dbacterial dgrowth
