TMC PRACTICE EXAM TEST BANK PREPARATION
TMC PRACTICE EXAM TEST BANK PREPARATION FOR 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
Immediately after extubation of a patient in the ICU, the respiratory therapist
observes increasing respiratory distress with intercostal retractions and marked
stridor. The SpO2 on 40% oxygen is noted to be 76%. Which of the following
would be most appropriate at this time?
A.Cool mist aerosol treatment
B.Aerosolized racemic epinephrine
C.Manual ventilation with resuscitation bag and mask
D.Reintubation - Correct Answer-d
Which of the following patients would most likely benefit from pressure support
ventilation?
A.An intubated patient with an absent respiratory drive.
B.A patient on SIMV with a mandatory rate of 12/min and total rate of 24/min.
C.A patient with acute lung injury.
D.A patient who requires short-term post-operative ventilatory support. - Correct
Answer-b
A patient receiving mechanical ventilation has developed a temperature of 99.9° F
with purulent secretions over the last 12 hours. The respiratory therapist has also
noted a steady increase in peak inspiratory pressure. What initial
recommendation should be made to address these changes?
A.Initiate bronchial hygiene therapy.
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, TMC PRACTICE EXAM TEST BANK PREPARATION
B.Obtain a sputum gram stain.
C.Administer IPV.
D.Insert a CASS tube. - Correct Answer-b
Which of the following information may be obtained from a FVC maneuver during
bedside pulmonary function testing?1. FEV12. PEFR3. FRC4. RV
A.1 and 2 only
B.1 and 3 only
C.2 and 4 only
D.3 and 4 only - Correct Answer-a
The respiratory therapist provides education for a patient who is being discharged
home on aerosol therapy. The most important reason for the patient to follow the
recommended cleaning procedures using a vinegar/water solution is that this
solution will
A.sterilize the equipment.
B.retard bacterial growth.
C.kill all micro-organisms and spores.
D.extend the equipment life. - Correct Answer-b
A patient who complains of dyspnea is noted to have a dry, non-productive cough.
On physical examination, breath sounds are diminished on the right, tactile
fremitus is decreased and there is dullness to percussion over the right lower
lobe. The respiratory therapist should suspect that the patient is suffering from
A.pneumonia.
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, TMC PRACTICE EXAM TEST BANK PREPARATION
B.pulmonary embolism.
C.pleural effusion.
D.bronchiolitis. - Correct Answer-c
Which of the following suction catheters would be appropriate to use for a patient
with a size 8.0 mm ID endotracheal tube?
A.8 Fr
B.10 Fr
C.12 Fr
D.14 Fr - Correct Answer-c
A patient who is receiving continuous mechanical ventilation is fighting the
ventilator. His breath sounds are markedly diminished on the left, there is dullness
to percussion on the left, and the trachea is shifted to the left. The most likely
explanation for the problem is that
A.the patient is disconnected from the ventilator.
B.the patient is experiencing diffuse bronchospasm.
C.the endotracheal tube has slipped into the right main stem bronchus.
D.the patient has developed a left tension pneumothorax. - Correct Answer-c
The respiratory therapist notes a developing hematoma after an arterial blood gas
was drawn from the right radial artery. The immediate response is to
A.notify the charge nurse.
B.apply a pressure dressing.
C.apply pressure to the site.
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, TMC PRACTICE EXAM TEST BANK PREPARATION
D.perform a modified Allen's test. - Correct Answer-c
A patient's breathing pattern irregularly increases and decreases and is
interspersed with periods of apnea up to 1 minute. Which of the following
conditions is the most likely cause of this problem?
A.Diabetes insipidus
B.Renal failure
C.Metabolic acidosis
D.Elevated intracranial pressure - Correct Answer-d
What value for the apnea-hypopnea index (AHI) is consistent with mild obstructive
sleep apnea?
A.Less than 5
B.5 to 15
C.16 to 30
D.Greater than 30 - Correct Answer-b
While monitoring a newborn utilizing a transcutaneous monitor, the respiratory
therapist notices a change in PtcO2 from 60 to 142 torr and simultaneously the
PtcCO2 changes from 37 to 2 torr. What is the most likely explanation for these
changes?
A.Upper airway obstruction
B.Poor peripheral perfusion
C.Air leak around the sensor
D.Device is out of range - Correct Answer-c
4|Page
TMC PRACTICE EXAM TEST BANK PREPARATION FOR 2025/2026 WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |BRAND NEW VERSION!!
Immediately after extubation of a patient in the ICU, the respiratory therapist
observes increasing respiratory distress with intercostal retractions and marked
stridor. The SpO2 on 40% oxygen is noted to be 76%. Which of the following
would be most appropriate at this time?
A.Cool mist aerosol treatment
B.Aerosolized racemic epinephrine
C.Manual ventilation with resuscitation bag and mask
D.Reintubation - Correct Answer-d
Which of the following patients would most likely benefit from pressure support
ventilation?
A.An intubated patient with an absent respiratory drive.
B.A patient on SIMV with a mandatory rate of 12/min and total rate of 24/min.
C.A patient with acute lung injury.
D.A patient who requires short-term post-operative ventilatory support. - Correct
Answer-b
A patient receiving mechanical ventilation has developed a temperature of 99.9° F
with purulent secretions over the last 12 hours. The respiratory therapist has also
noted a steady increase in peak inspiratory pressure. What initial
recommendation should be made to address these changes?
A.Initiate bronchial hygiene therapy.
1|Page
, TMC PRACTICE EXAM TEST BANK PREPARATION
B.Obtain a sputum gram stain.
C.Administer IPV.
D.Insert a CASS tube. - Correct Answer-b
Which of the following information may be obtained from a FVC maneuver during
bedside pulmonary function testing?1. FEV12. PEFR3. FRC4. RV
A.1 and 2 only
B.1 and 3 only
C.2 and 4 only
D.3 and 4 only - Correct Answer-a
The respiratory therapist provides education for a patient who is being discharged
home on aerosol therapy. The most important reason for the patient to follow the
recommended cleaning procedures using a vinegar/water solution is that this
solution will
A.sterilize the equipment.
B.retard bacterial growth.
C.kill all micro-organisms and spores.
D.extend the equipment life. - Correct Answer-b
A patient who complains of dyspnea is noted to have a dry, non-productive cough.
On physical examination, breath sounds are diminished on the right, tactile
fremitus is decreased and there is dullness to percussion over the right lower
lobe. The respiratory therapist should suspect that the patient is suffering from
A.pneumonia.
2|Page
, TMC PRACTICE EXAM TEST BANK PREPARATION
B.pulmonary embolism.
C.pleural effusion.
D.bronchiolitis. - Correct Answer-c
Which of the following suction catheters would be appropriate to use for a patient
with a size 8.0 mm ID endotracheal tube?
A.8 Fr
B.10 Fr
C.12 Fr
D.14 Fr - Correct Answer-c
A patient who is receiving continuous mechanical ventilation is fighting the
ventilator. His breath sounds are markedly diminished on the left, there is dullness
to percussion on the left, and the trachea is shifted to the left. The most likely
explanation for the problem is that
A.the patient is disconnected from the ventilator.
B.the patient is experiencing diffuse bronchospasm.
C.the endotracheal tube has slipped into the right main stem bronchus.
D.the patient has developed a left tension pneumothorax. - Correct Answer-c
The respiratory therapist notes a developing hematoma after an arterial blood gas
was drawn from the right radial artery. The immediate response is to
A.notify the charge nurse.
B.apply a pressure dressing.
C.apply pressure to the site.
3|Page
, TMC PRACTICE EXAM TEST BANK PREPARATION
D.perform a modified Allen's test. - Correct Answer-c
A patient's breathing pattern irregularly increases and decreases and is
interspersed with periods of apnea up to 1 minute. Which of the following
conditions is the most likely cause of this problem?
A.Diabetes insipidus
B.Renal failure
C.Metabolic acidosis
D.Elevated intracranial pressure - Correct Answer-d
What value for the apnea-hypopnea index (AHI) is consistent with mild obstructive
sleep apnea?
A.Less than 5
B.5 to 15
C.16 to 30
D.Greater than 30 - Correct Answer-b
While monitoring a newborn utilizing a transcutaneous monitor, the respiratory
therapist notices a change in PtcO2 from 60 to 142 torr and simultaneously the
PtcCO2 changes from 37 to 2 torr. What is the most likely explanation for these
changes?
A.Upper airway obstruction
B.Poor peripheral perfusion
C.Air leak around the sensor
D.Device is out of range - Correct Answer-c
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