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TMC PRACTICE EXAM 2026 UPDATED EXAM
WITH 100% PASS ASSURED SOLUTIONS.
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
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances - correct answer- 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 30/min, and blood pressure is 60/40
mm Hg. What action should the therapist recommend
first?
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A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient. - correct answer- Needle aspirate the 2nd left
intercostal space.
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - correct answer-
monitoring intracuff pressures.
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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- deep breathing and coughing to clear
secretions.
A 65 kg spinal cord injured patient has developed
atelectasis. His inspiratory capacity is 30% of his
predicted value. What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
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C. postural drainage and percussion
D. PEP therapy - correct answer- IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - correct answer- 1, 2, and 3 only
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with
tracheal deviation to the left and absent breath sounds
on the right?
TMC PRACTICE EXAM 2026 UPDATED EXAM
WITH 100% PASS ASSURED SOLUTIONS.
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
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances - correct answer- 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 30/min, and blood pressure is 60/40
mm Hg. What action should the therapist recommend
first?
,2 | Page
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient. - correct answer- Needle aspirate the 2nd left
intercostal space.
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - correct answer-
monitoring intracuff pressures.
,3 | Page
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- deep breathing and coughing to clear
secretions.
A 65 kg spinal cord injured patient has developed
atelectasis. His inspiratory capacity is 30% of his
predicted value. What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
, 4 | Page
C. postural drainage and percussion
D. PEP therapy - correct answer- IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - correct answer- 1, 2, and 3 only
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with
tracheal deviation to the left and absent breath sounds
on the right?
