TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER-
H H H H H H H
A 60 kg (132 lb) patient is being mechanically ventilated with the following s
H H H H H H H H H H H H H
ettings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H
H H H H H H H H H H H H H H
2O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 i
H H H H H H H H H H H H H H
s 85%. A current chest x-
H H H H H
ray shows diffuse bilateral infiltrates. Which of the following is the most appr
H H H H H H H H H H H H
opriate action in order to reduce peak airway pressure?
H H H H H H H H
2, 3 & 4 - ANSWER-
H H H H H
While performing diagnostic chest percussion, the respiratory therapist n
H H H H H H H H
otes decreased resonance to percussion. Which of the following are pote
H H H H H H H H H H
ntial causes of this finding?.
H H H H
1. pneumothorax
2. pleural effusion H
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-
H H H H H
operative patient on volume- H H H
control ventilation has a chest tube in the left pleural space. While inspecti
H H H H H H H H H H H H
ng the chest drainage system, the respiratory therapist notes
H H H H H H H H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
bubbling in the water seal chamber during the inspiratory phase. The ther
H H H H H H H H H H H
apist should report this to the physician:
H H H H H H
Increase the FiO2 - ANSWER-A post-
H H H H H
operative patient is receiving mechanical ventilation in the ICU at the followi
H H H H H H H H H H H
ng settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 10
H H H H H H H H H H H H H
cm H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is 33
H H H H H H H H H H H
mm Hg and the SpO2 is 90%. The patient is alert and oriented with stable v
H H H H H H H H H H H H H H H H
ital signs. Which of the following should the respiratory therapist recommen
H H H H H H H H H H
d?
1, 2 & 3 - ANSWER-
H H H H H
After assisting with bronchoalveolar lavage and lung biopsy on a mechanica
H H H H H H H H H H
lly ventilated patient, the respiratory therapist notes the activation of a high p
H H H H H H H H H H H H
ressure alarm. Peak inspiratory pressure has increased from 32 cm H2O be
H H H H H H H H H H H
fore the procedure to 45 cm H2O after the procedure. Possible causes for th
H H H H H H H H H H H H H
e increased pressure include
H H H
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage. H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
H H H H H H H H
year-
H
old male is orally intubated and continuous mechanical ventilation is initiat
H H H H H H H H H H
ed. Physical assessment of the neck and chest reveal a midline trachea a
H H H H H H H H H H H H
nd significant reduction in thoracic expansion of the left chest.
H H H H H H H H H
There are diminished breath sounds in the left lung compared to the right l
H H H H H H H H H H H H H
ung. These findings most likely indicate which of the following?
H H H H H H H H H
Tube is not of the appropriate size - ANSWER-A 42 year-
H H H H H H H H H H
old trauma patient in the ED has been intubated with a 6.5 mm oral endotra
H H H H H H H H H H H H H H
cheal tube equipped with a high-residual-volume, low-
H H H H H H
pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm
H H H H H H H H H H H H H
H2O is necessary to achieve a minimal occluding volume. This would indica
H H H H H H H H H H H
te that the:
H H
Recalibrate the blood analyzer - ANSWER- H H H H H
A new blood gas analyzer is calibrated by the manufacturer at sea level. U
H H H H H H H H H H H H H
pon receiving the new analyzer at a higher altitude, a respiratory therapist
H H H H H H H H H H H H
should:
Mean Airway Pressure - ANSWER-
H H H H
While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume-
H H H H H H H H H H H H H H
controlled ventilation, a 60-kg (132- H H H H
lb) patient is having difficulty achieving adequate oxygenation. To improve
H H H H H H H H H H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
oxygenation, a respiratory therapist should manipulate ventilator settings to i
H H H H H H H H H
ncrease which of the following?
H H H H
Increase the IPAP - ANSWER- H H H H
A patient is receiving noninvasive positive pressure ventilation. Pulmonary c
H H H H H H H H H
ompliance has decreased over the past 4 hours. To increase the patient's ti
H H H H H H H H H H H H
dal volume, it would be most appropriate to:
H H H H H H H
Fifth intercostal space in mid-axillary line - ANSWER-
H H H H H H H
A respiratory therapist is reviewing a chest radiograph and notes the presen
H H H H H H H H H H H
ce of a chest tube.
H H H H
The patient has a hemothorax. Which of the following locations is most ap
H H H H H H H H H H H H
propriate for this chest tube to be placed?
H H H H H H H
Administering ipratropium bromide (atrovent) - ANSWER- H H H H H
A patient with COPD is receiving mechanical ventilation. The patient continu
H H H H H H H H H H
es to wheeze despite treatment with albuterol. Peak airway pressure is incre
H H H H H H H H H H H
ased with no change in plateau pressure. A respiratory therapist should rec
H H H H H H H H H H H
ommend:
MIP - ANSWER-H H
Which of the following should be used to determine the return of a postope
H H H H H H H H H H H H H
rative patient's ability to breathe adequately after anesthesia?
H H H H H H H
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER-
H H H H H H H
A 60 kg (132 lb) patient is being mechanically ventilated with the following s
H H H H H H H H H H H H H
ettings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H
H H H H H H H H H H H H H H
2O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 i
H H H H H H H H H H H H H H
s 85%. A current chest x-
H H H H H
ray shows diffuse bilateral infiltrates. Which of the following is the most appr
H H H H H H H H H H H H
opriate action in order to reduce peak airway pressure?
H H H H H H H H
2, 3 & 4 - ANSWER-
H H H H H
While performing diagnostic chest percussion, the respiratory therapist n
H H H H H H H H
otes decreased resonance to percussion. Which of the following are pote
H H H H H H H H H H
ntial causes of this finding?.
H H H H
1. pneumothorax
2. pleural effusion H
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-
H H H H H
operative patient on volume- H H H
control ventilation has a chest tube in the left pleural space. While inspecti
H H H H H H H H H H H H
ng the chest drainage system, the respiratory therapist notes
H H H H H H H H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
bubbling in the water seal chamber during the inspiratory phase. The ther
H H H H H H H H H H H
apist should report this to the physician:
H H H H H H
Increase the FiO2 - ANSWER-A post-
H H H H H
operative patient is receiving mechanical ventilation in the ICU at the followi
H H H H H H H H H H H
ng settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 10
H H H H H H H H H H H H H
cm H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is 33
H H H H H H H H H H H
mm Hg and the SpO2 is 90%. The patient is alert and oriented with stable v
H H H H H H H H H H H H H H H H
ital signs. Which of the following should the respiratory therapist recommen
H H H H H H H H H H
d?
1, 2 & 3 - ANSWER-
H H H H H
After assisting with bronchoalveolar lavage and lung biopsy on a mechanica
H H H H H H H H H H
lly ventilated patient, the respiratory therapist notes the activation of a high p
H H H H H H H H H H H H
ressure alarm. Peak inspiratory pressure has increased from 32 cm H2O be
H H H H H H H H H H H
fore the procedure to 45 cm H2O after the procedure. Possible causes for th
H H H H H H H H H H H H H
e increased pressure include
H H H
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage. H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
H H H H H H H H
year-
H
old male is orally intubated and continuous mechanical ventilation is initiat
H H H H H H H H H H
ed. Physical assessment of the neck and chest reveal a midline trachea a
H H H H H H H H H H H H
nd significant reduction in thoracic expansion of the left chest.
H H H H H H H H H
There are diminished breath sounds in the left lung compared to the right l
H H H H H H H H H H H H H
ung. These findings most likely indicate which of the following?
H H H H H H H H H
Tube is not of the appropriate size - ANSWER-A 42 year-
H H H H H H H H H H
old trauma patient in the ED has been intubated with a 6.5 mm oral endotra
H H H H H H H H H H H H H H
cheal tube equipped with a high-residual-volume, low-
H H H H H H
pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm
H H H H H H H H H H H H H
H2O is necessary to achieve a minimal occluding volume. This would indica
H H H H H H H H H H H
te that the:
H H
Recalibrate the blood analyzer - ANSWER- H H H H H
A new blood gas analyzer is calibrated by the manufacturer at sea level. U
H H H H H H H H H H H H H
pon receiving the new analyzer at a higher altitude, a respiratory therapist
H H H H H H H H H H H H
should:
Mean Airway Pressure - ANSWER-
H H H H
While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume-
H H H H H H H H H H H H H H
controlled ventilation, a 60-kg (132- H H H H
lb) patient is having difficulty achieving adequate oxygenation. To improve
H H H H H H H H H H
, TMC EXAM LATEST 2023-2024 ACTUAL EXAM TES
TBANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
oxygenation, a respiratory therapist should manipulate ventilator settings to i
H H H H H H H H H
ncrease which of the following?
H H H H
Increase the IPAP - ANSWER- H H H H
A patient is receiving noninvasive positive pressure ventilation. Pulmonary c
H H H H H H H H H
ompliance has decreased over the past 4 hours. To increase the patient's ti
H H H H H H H H H H H H
dal volume, it would be most appropriate to:
H H H H H H H
Fifth intercostal space in mid-axillary line - ANSWER-
H H H H H H H
A respiratory therapist is reviewing a chest radiograph and notes the presen
H H H H H H H H H H H
ce of a chest tube.
H H H H
The patient has a hemothorax. Which of the following locations is most ap
H H H H H H H H H H H H
propriate for this chest tube to be placed?
H H H H H H H
Administering ipratropium bromide (atrovent) - ANSWER- H H H H H
A patient with COPD is receiving mechanical ventilation. The patient continu
H H H H H H H H H H
es to wheeze despite treatment with albuterol. Peak airway pressure is incre
H H H H H H H H H H H
ased with no change in plateau pressure. A respiratory therapist should rec
H H H H H H H H H H H
ommend:
MIP - ANSWER-H H
Which of the following should be used to determine the return of a postope
H H H H H H H H H H H H H
rative patient's ability to breathe adequately after anesthesia?
H H H H H H H
