THERAPIST MULTIPLE-CHOICE (TMC)
EXAM WITH ANSWERS 2024/2025 LATEST
UPDATED GRADED A+.
A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient - Answer *B. conscious patient with an ineffective
cough*
A 43-week gestational age infant has just been delivered and is stained
with meconium. The physician has asked that the baby be intubated and
suctioned immediately. The respiratory therapist should recommend
intubating the baby with which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
C. 3.0 mm
D. 4.0 mm - Answer *C. 3.0 mm*
An 8-month-old infant admitted to the pediatric unit is playing with marbles.
The infant suddenly develops violent coughing and is unable to cry. The
respiratory therapist administered series of back blows and chest thrusts,
and the infant is now unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
,C. perform a blind finger sweep.
D. prepare to intubate. - Answer *B. initiate CPR*
Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180
degrees
B. insert the airway in the opposite direction of its shape and rotate 90
degrees
C. insert the airway in the same direction of its shape into the airway and
do not rotate
D. insert the airway in the same direction of its shape and rotate 180
degrees - Answer *C. insert the airway in the same direction of its shape
and into the airway and do not rotate.*
Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the
endotracheal tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff - Answer *A.
The distal end should be recessed at least 1 cm from the tip of the
endotracheal tube*
When using a flow-inflating resuscitation bag during manual ventilation of a
neonate, the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
B. the size of the oxygen reservoir.
,C. the oxygen flow rate.
D. how much the bag is compressed. - Answer *A. The F02 of the gas
delivered to the bag.*
patient being mechanically ventilated requires endotracheal suctioning. The
patient is on high levels of PEEP therapy and has periods of hypotension.
The respiratory therapist hyperoxygenates the patient before beginning the
procedure. As the therapist disconnects the patient from the ventilator
circuit, the following pattern is seen on the ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning - Answer *A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right lung.
The physician has requested that the right lung be ventilated at a pressure
10 cmH2O lower than the left lung. The respiratory therapist should
recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter - Answer *B. Double-lumen
endobronchial tube*
A patient has been intubated in order to receive volume control ventilation.
To inflate the endotracheal tube cuff, the respiratory therapist should add
air to the cuff
A. until no leak is heard during inspiration.
, B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
D. to establish a pressure of 40 cmH20. - Answer *C. to establish a
pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents to
the ER with massive maxillary and nasal trauma. Which of the following
devices would be most appropriate for maintaining the patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube - Answer *B. fenestrated tracheostomy tube*
Shortly after extubating a patient, the therapist notes an increase in the
patient's work of breathing, intercostal retractions, marked stridor and a
decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
C. CPAP therapy with 40% oxygen
D. Reintubate orally - Answer *D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still
unconscious. Vital signs are all stable and the SpO2 is 95%. Which of the
following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
EXAM WITH ANSWERS 2024/2025 LATEST
UPDATED GRADED A+.
A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient - Answer *B. conscious patient with an ineffective
cough*
A 43-week gestational age infant has just been delivered and is stained
with meconium. The physician has asked that the baby be intubated and
suctioned immediately. The respiratory therapist should recommend
intubating the baby with which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
C. 3.0 mm
D. 4.0 mm - Answer *C. 3.0 mm*
An 8-month-old infant admitted to the pediatric unit is playing with marbles.
The infant suddenly develops violent coughing and is unable to cry. The
respiratory therapist administered series of back blows and chest thrusts,
and the infant is now unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
,C. perform a blind finger sweep.
D. prepare to intubate. - Answer *B. initiate CPR*
Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180
degrees
B. insert the airway in the opposite direction of its shape and rotate 90
degrees
C. insert the airway in the same direction of its shape into the airway and
do not rotate
D. insert the airway in the same direction of its shape and rotate 180
degrees - Answer *C. insert the airway in the same direction of its shape
and into the airway and do not rotate.*
Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the
endotracheal tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff - Answer *A.
The distal end should be recessed at least 1 cm from the tip of the
endotracheal tube*
When using a flow-inflating resuscitation bag during manual ventilation of a
neonate, the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
B. the size of the oxygen reservoir.
,C. the oxygen flow rate.
D. how much the bag is compressed. - Answer *A. The F02 of the gas
delivered to the bag.*
patient being mechanically ventilated requires endotracheal suctioning. The
patient is on high levels of PEEP therapy and has periods of hypotension.
The respiratory therapist hyperoxygenates the patient before beginning the
procedure. As the therapist disconnects the patient from the ventilator
circuit, the following pattern is seen on the ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning - Answer *A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right lung.
The physician has requested that the right lung be ventilated at a pressure
10 cmH2O lower than the left lung. The respiratory therapist should
recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter - Answer *B. Double-lumen
endobronchial tube*
A patient has been intubated in order to receive volume control ventilation.
To inflate the endotracheal tube cuff, the respiratory therapist should add
air to the cuff
A. until no leak is heard during inspiration.
, B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
D. to establish a pressure of 40 cmH20. - Answer *C. to establish a
pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents to
the ER with massive maxillary and nasal trauma. Which of the following
devices would be most appropriate for maintaining the patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube - Answer *B. fenestrated tracheostomy tube*
Shortly after extubating a patient, the therapist notes an increase in the
patient's work of breathing, intercostal retractions, marked stridor and a
decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
C. CPAP therapy with 40% oxygen
D. Reintubate orally - Answer *D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still
unconscious. Vital signs are all stable and the SpO2 is 95%. Which of the
following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
