TMC EXAM LATEST ACTUAL EXAM TEST BANK
A patient with a history of chronic bronchitis is post-operative for an exploratory
laparotomy. Review of the medical record suggests the physician has concern about
difficulty clearing secretions after the procedure. To assist the patient with
mobilization and removal of secretions, the respiratory therapist should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER: d. Instruction
on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER: a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the cap on
the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - ANSWER: b. The inner
cannula is removed and the cuff deflated
A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical
ventilatory support, the patient is to be orally intubated. Which of the following
artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER: a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER: c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a
size 8.0 mm ET tube. While transporting the patient from CT scan back to the
intensive care unit, the respiratory therapist notices oxygen saturation has dropped
,to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-
positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER: d. Examine chest rise
and auscultate breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on volume-
controlled ventilation. The respiratory therapist should do which of the following to
best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER: d. Obtain a chest radiograph
After 20 minutes into a spontaneous breathing trial (SBT) a mechanically ventilated
female patient becomes anxious. Her baseline heart rate has increased by 20 /min.
What should the respiratory therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER: d. Return to full mechanical
ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER: b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema.
Which of the following would be experienced with this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER: c. Elevated left ventricular filling pressure
with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER: d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
, b. Frequent PVCs
c. Asystole
d. Ventricular fibrillation - ANSWER: a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER: d. PaCO2 from an arterial
blood gas analysis
A 32-gestational week newborn is receiving mechanical ventilation via a 3.0 mm
endotracheal tube. Which of the following are associated with ongoing assessment
of renal function?
a. Diaper weight and blood draw volumes are recorded
b. mPAP
c. PCWP
d. Humidification is maintained at a non-invasive temperature - ANSWER: a. Diaper
weight and blood draw volumes are recorded
A patient with ARDS and asthma could benefit from which of the following
medications?
a. Tobramycin and albuterol
b. Exogenous surfactant
c. Cromolyn sodium
d. Spiriva and Decadron - ANSWER: b. Exogenous surfactant
The respiratory therapist should look to which of the following clinical data to
determine the effectiveness of incentive spirometry?
a. Arterial blood gas analysis pre and post treatment
b. Inspiratory capacity predicted volume
c. Maximum voluntary ventilation done periodically
d. Breath sounds before and after every treatment - ANSWER: d. Breath sounds
before and after every treatment
Which of the following cannot be measured or evaluated in a comatose patient?
a. Pupillary response
b. Tidal volume
c. Objective information
d. Symptoms - ANSWER: d. Symptoms
A patient with a tracheostomy is receiving supplemental oxygen via tracheostomy
collar connected to a large volume nebulizer set at 40%. The respiratory therapist
analyzes the FIO2 at the tracheostomy collar with a galvanic fuel cell analyzer. The
analysis shows the FIO2 to be 55%. Which of the following could be the cause of the
increase in FIO2?
a. The aerosol tubing is too short
A patient with a history of chronic bronchitis is post-operative for an exploratory
laparotomy. Review of the medical record suggests the physician has concern about
difficulty clearing secretions after the procedure. To assist the patient with
mobilization and removal of secretions, the respiratory therapist should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER: d. Instruction
on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER: a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the cap on
the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - ANSWER: b. The inner
cannula is removed and the cuff deflated
A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical
ventilatory support, the patient is to be orally intubated. Which of the following
artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER: a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER: c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a
size 8.0 mm ET tube. While transporting the patient from CT scan back to the
intensive care unit, the respiratory therapist notices oxygen saturation has dropped
,to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-
positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER: d. Examine chest rise
and auscultate breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on volume-
controlled ventilation. The respiratory therapist should do which of the following to
best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER: d. Obtain a chest radiograph
After 20 minutes into a spontaneous breathing trial (SBT) a mechanically ventilated
female patient becomes anxious. Her baseline heart rate has increased by 20 /min.
What should the respiratory therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER: d. Return to full mechanical
ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER: b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema.
Which of the following would be experienced with this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER: c. Elevated left ventricular filling pressure
with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER: d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
, b. Frequent PVCs
c. Asystole
d. Ventricular fibrillation - ANSWER: a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER: d. PaCO2 from an arterial
blood gas analysis
A 32-gestational week newborn is receiving mechanical ventilation via a 3.0 mm
endotracheal tube. Which of the following are associated with ongoing assessment
of renal function?
a. Diaper weight and blood draw volumes are recorded
b. mPAP
c. PCWP
d. Humidification is maintained at a non-invasive temperature - ANSWER: a. Diaper
weight and blood draw volumes are recorded
A patient with ARDS and asthma could benefit from which of the following
medications?
a. Tobramycin and albuterol
b. Exogenous surfactant
c. Cromolyn sodium
d. Spiriva and Decadron - ANSWER: b. Exogenous surfactant
The respiratory therapist should look to which of the following clinical data to
determine the effectiveness of incentive spirometry?
a. Arterial blood gas analysis pre and post treatment
b. Inspiratory capacity predicted volume
c. Maximum voluntary ventilation done periodically
d. Breath sounds before and after every treatment - ANSWER: d. Breath sounds
before and after every treatment
Which of the following cannot be measured or evaluated in a comatose patient?
a. Pupillary response
b. Tidal volume
c. Objective information
d. Symptoms - ANSWER: d. Symptoms
A patient with a tracheostomy is receiving supplemental oxygen via tracheostomy
collar connected to a large volume nebulizer set at 40%. The respiratory therapist
analyzes the FIO2 at the tracheostomy collar with a galvanic fuel cell analyzer. The
analysis shows the FIO2 to be 55%. Which of the following could be the cause of the
increase in FIO2?
a. The aerosol tubing is too short
