TMC

A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? a. Meperidine b. Valium c. Romazicon (Flumazenil) d. Morphine Sulfate >>>>c. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. Which of the following is needed...

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27 pages

Written in 2022/2023

Grade A+

AmazingGrace

A 70-kg (154-lb) COPD patient who was started on mechanical ventilation due to a severe pulmonary infection has the following weaning parameters & clinical data three days after initiation of mechanical ventilation: MIP -25 cmH20 Spont VT 360 mL RR 27 WBC 8,000 per cu mmHb 16 gm/dL Based on the calculated RSBI, the respiratory therapist should recommend - discontinuing mechanical ventilation RSBI= RR/VT Which of the following patient conditions would CONTRAINDICATE the use of Trendele...

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14 pages

Written in 2022/2023

Grade A+

AmazingGrace

TMC PRACTICE EXAM 100 QUESTIONS WITH 100% CORRECT ANSWERS COMPLETE SOLUTION Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC Correct Answer: c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume Cor...

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18 pages

Written in 2023/2024

Grade A+

EWLindy

TMC PRACTICE EXAM A 150 QUESTIONS WITH 100% CORRECT ANSWERS COMPLETE SOLUTION/A+ GRADE GUARANTEED A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist should recommend: A. Continuing the therapy until breath sounds improve. B. administering dornase alpha. C. administering albuterol therapy. D. deep breathing and coughing to clear secretions. - Correct answer-D. deep bre...

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19 pages

Written in 2023/2024

Grade A+

EWLindy

TMC PRACTICE EXAM 150 QUESTIONS WITH 100% CORRECT ANSWERS COMPLETE SOLUTION/A+ GRADE GUARANTEED A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistentwith A. liver failure. B. pulmonary embolism. C. heart failure. D. electrolyte imbalances Correct Ans Heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discover...

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38 pages

Written in 2023/2024

Grade A+

EWLindy

Bundle for TMC Tests Compilation | Verified

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13 items

AmazingGrace

Which of the following equipment is most helpful at measuring FRC in a patient who has significant non-ventilated lung spaces? A. nitrogen analyzer for a nitrogen washout test B. helium analyzer for a helium dilution test C. plethysmograph D. peak flow meter - The correct answer is : C Explanation : You can determine FRC in three different ways - body box, nitrogen washout, or helium dilution. If someone has non-ventilated lung space, nitrogen washout and helium dilution are not helpful ...

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49 pages

Written in 2022/2023

Grade A+

AmazingGrace

d. Instruction on deep breathing and coughing techniques - 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 ...

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29 pages

Written in 2022/2023

Grade A+

AmazingGrace

A patient with CHF has the following input/output history Yesterday Today IN 1900 mL 2100 mL OUT 1000 mL 1100 mL Which of the following clinical findings is most likely to be observed? A. bronchial wheezing B. friction rub C. decreased egophony D. moist crepitant rales - The correct answer is : D Explanation : This CHF patient is obviously retaining fluid because he is receiving more fluid in that he is putting out. The clinical finding most associated with fluid retention is moist cr...

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47 pages

Written in 2022/2023

AmazingGrace

If a patient is on 8-12L/min, what would be the fio2? - 50% If minute ventilation stays the same but dead-space is added, what will increases? - PaCO2 What is the static compliance equation? - Exhaled Vt/(Pplat - PEEP) Before chest physiotherapy is done, what should the respiratory therapy do FIRST? - Review patient chart history What should a therapist do when a family is asking to put the patient on the mechanical ventilator when they have a DNI order in place? - Start with NPPV What p...

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8 pages

Written in 2022/2023

Grade A+

AmazingGrace

a. manual dexterity - The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency d. bronchoscopy - Which of the following would be most beneficial in resolving microatelectasis? a. chest tubes b. percutaneous ventilation c. thoracentesis d. bronchoscopy b. oropharyngeal airw...

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28 pages

Written in 2022/2023

Grade A+

AmazingGrace

After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A. empyema. B. congestive heart failure. C. lung carcinoma. D. hemothorax. - B. congestive heart failure. Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program? A. Height B. Smoking history C. Weight D. Diet - B. Smoking history The respirat...

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38 pages

Written in 2022/2023

Grade A+

AmazingGrace

A 96 kg (211 Ib), 174 cm (5 ft. 10 in) 66 year-old male patient is receiving ventilatory support via a volume ventilator in the pressure support (PSV) mode. ventilator settings and arterial blood gas results are as follows: Ventilator Settings PSV: 12 cmH2O FIO2: 0.45 CPAP: 5 cmH2O Arterial Blood Gases pH: 7.41 PaCO2: 36 mmHg HCO3: 22 mEq/L PaO2: 81 mmHg On the basis of this information, the respiratory therapist should: - continue current therapy The respiratory therapist is asked...

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12 pages

Written in 2022/2023

Grade A+

AmazingGrace

Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the RT ensure that: - -the transducer is properly leveled and zeroed The fiberoptic bronchoscope is usually preferred device during bronchoscopy b/c its: - -flexibility The capnograph tracing above was obtained from a mechanically ventilated pt. On the basis of this tracing, the RT should: - -check the exhalation valve A RT is performing nasotracheal suctioning. During the procedure, the therapist occludes the catheter's t...

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17 pages

Written in 2022/2023

Grade A+

AmazingGrace

A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with - >>>>heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist discovers that breath sounds are absent in the left chest with a hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate is 45/min, respiratory rate is 3...

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18 pages

Written in 2022/2023

Grade A+

AmazingGrace

Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35-50% of the FVC B. 50-70% of the FVC C. 70-83% of the FVC D. 84-93% of the FVC - >>>>c. 70-83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume - >>>>b. residual volume Which of the following approaches can be used to ...

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17 pages

Written in 2022/2023

Grade A+

AmazingGrace