FORM B TMC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

FORM B TMC QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas
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analysis results are: O O


O




FIO2 0.70 O




Mandatory rate 14 O O




VT 350 mL O O




PEEP 5 cm H2O O O O



O




pH 7.35 O




PaCO2 35 mm Hg O O O




PaO2 40 mm Hg O O O




HCO3- 19 mEq/L O O




BE - 6 mEq/LO O O




SO2 (calc) 74% O O



O




A respiratory therapist should recommend
O O O O




A. changing to SIMV mode.
O O O O




B. increasing to 10 cm H2O PEEP.
O O O O O O




C. changing to 5 cm H2O CPAP.
O O O O O O




D. increasing to 400 mL VT. - ANSWER B. increasing to 10 cm H2O PEEP.
O O O O O O O O O O O O O O




When instructing a patient on the administration of umeclidinium/vilanterol (Anoro Ellipta), which of th
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e following is most important to emphasize?
O O O O O O




A. Gargle immediately after use.
O O O O




B. Inhale slowly with a breath hold.
O O O O O O




C. Breathe in fast and deep.
O O O O O




D. Shake medication vigorously before use. - ANSWER C. Breathe in fast and deep
O O O O O O O O O O O O O

,Umeclidinium/vilanterol (Anoro Ellipta) is a DPI that requires rapid inhalation. O O O O O O O O O




Following placement of a tracheostomy tube for long-
O O O O O O O


term mechanical ventilation, which of the following patient positions best prevents ventilator-
O O O O O O O O O O O


associated pneumonia? O



O




A. O




prone

B. O




Trendelenburg

C. O




supine

D. O




semi-Fowler - ANSWER D. semi-Fowler O O O O




Routine use of semi-Fowler positioning with the head of the bed elevated at an angle of 30-
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45 degrees has been shown to decrease rates of ventilator-associated pneumonia.
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Which of the following is used to monitor the partial pressure of transcutaneous carbon dioxide?
O O O O O O O O O O O O O O



O




A. O




red-light absorption sensor
O O




B. O




electromechanical transducer O




C. O




infrared analyzer O




D.Stow-Severinghaus electrode - ANSWER D.Stow-Severinghaus electrode O O O O O




An adult patient requires frequent blood sampling and medication administrations through an IV for 1 m
O O O O O O O O O O O O O O O


onth. The preferred vascular access is a
O O O O O O


O

,A. O




peripherally inserted central catheter. O O O




B. O




subclavian central vascular line. O O O




C. O




standard peripheral IV line. O O O




D. O




internal jugular catheter. - ANSWER A. peripherally inserted central catheter.
O O O O O O O O O O




A PICC is the best choice for long-term IV access and allows for blood sampling.
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A 170-cm (5-ft 7-in), 69-kg (152-lb) male with ARDS has the following ABG analysis results:
O O O O O O O O O O O O O O



O




pH 7.37 O




PCO2 43 mm Hg O O O




PO2 95 mm Hg O O O




HCO3- 25 mEq/L O O




BE -1 mEq/L
O O




SO2 (calc) 97% O O



O




The patient is receiving VC, A/C ventilation with the following settings:
O O O O O O O O O O


O




FIO2 0.70 O




Mandatory rate 12 O O




VT 450 mLO O




PEEP 8 cm H2O O O O



O




Which of the following is most appropriate?
O O O O O O



O




A. O




Decrease the FIO2 to 0.60. O O O O

, B. O




Change the PEEP to 5 cm H2O.
O O O O O O




C. O




Increase the minute ventilation.
O O O




D. O




Maintain the current settings. - ANSWER A. Decrease the FIO2 to 0.60.
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Since the PaO2 is adequate, it is now appropriate to decrease the FIO2 .
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Following an emergent C-section, a 35 year old is receiving VC, A/C ventilation. The following pressure-
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volume loop is observed: O O O



O




O




Which of the following ventilator settings should be adjusted?
O O O O O O O O


O




A. O




PEEP

B. O




flow rate O




C. O




tidal volume O




D. O




trigger sensitivity - ANSWER D. trigger sensitivity
O O O O O O




The patient is having difficultly triggering the breath, which is shown by the significant negative force cre
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ated before the breath is delivered. The trigger should be adjusted to be more sensitive to improve the
O O O O O O O O O O O O O O O O O O


patient's ability to trigger a breath.
O O O O O




Which of the following techniques is preferred for a quadriplegic patient having difficulty expectorating s
O O O O O O O O O O O O O O


ecretions?
O