KETTERING TMC [2026/2027] UPDATED VERSION 100%
VERIFIED QUESTIONS & DETAILED RATIONALES GRADED A+
A patient being mechanically ventilated requires endotracheal
suctioning. The patient is on high levels of peep therapy and
has periods of hypotension. The respiratory therapist
hyperoxygenates the patient before beginning the procedure.
As the therapist disconnects the patient from the ventilator
circuit, the above pattern is seen on the ecg monitor. Which of
the following could the respiratory therapist recommend to
prevent the patient's ecg pattern?
A. Increase the oxygenation time
B. Utilize an inline suction catheter
C. Perform nasotracheal suctioning
D. Discontinue suctioning the patient
B. Utilize an inline suction catheter
Which of the following is the best way to determine the
patency of a nasopharyngeal airway?
A. Instill 5ml of normal saline into the airway
B. Attempt to pass a suction catheter through the airway
,C. Listen for air flow through the airway
D. Recommend a sinus x-ray
B. Attempt to pass a suction catheter through the airway
While performing orotracheal intubation for a patient in
respiratory arrest, the respiratory therapist notices that the
stylet has advanced from its original position. The respiratory
therapist should
A. Continue with the intubation procedure.
B. Stop the procedure, manually ventilate the patient, and
reposition the stylet.
C. Retract the stylet immediately.
D. Remove the stylet and continue with the procedure.
B. Stop the procedure, manually ventilate the patient, and
reposition the stylet.
Which of the following is the best method to minimize damage
to the tracheal wall caused by an endotracheal tube cuff?
,A. Measuring the volume used to inflate the cuff
B. Palpating the inflation of the pilot balloon
C. Utilizing a cuff pressure manometer
D. Using minimal occluding volume to seal the airway
C. Utilizing a cuff pressure manometer
Which of the following statements is/are true regarding an
esophageal tracheal combitube?
1. Used for pre-hospital airway management.
2. Placed in the trachea with a laryngoscope.
3. It should be replaced with an endotracheal tube as soon as
possible.
A. 3 only
B. 2 and 3 only
C. 1 and 3 only
D. 1 and 2 only
C. 1 and 3 only
, All of the following could cause a capnography reading to
change from 36 torr to 30 torr except
A. Endotracheal tube positioned in the right mainstem
bronchus
B. Hyperventilation
C. Pulmonary emboli
D. Hypovolemia
A. Endotracheal tube positioned in the right mainstem
bronchus
A balloon-tipped, flow-directed catheter is positioned in the
pulmonary artery with the balloon deflated. Which of the
following pressures will be measured by the proximal lumen?
A. Cvp
B. Pap
C. Pwp
VERIFIED QUESTIONS & DETAILED RATIONALES GRADED A+
A patient being mechanically ventilated requires endotracheal
suctioning. The patient is on high levels of peep therapy and
has periods of hypotension. The respiratory therapist
hyperoxygenates the patient before beginning the procedure.
As the therapist disconnects the patient from the ventilator
circuit, the above pattern is seen on the ecg monitor. Which of
the following could the respiratory therapist recommend to
prevent the patient's ecg pattern?
A. Increase the oxygenation time
B. Utilize an inline suction catheter
C. Perform nasotracheal suctioning
D. Discontinue suctioning the patient
B. Utilize an inline suction catheter
Which of the following is the best way to determine the
patency of a nasopharyngeal airway?
A. Instill 5ml of normal saline into the airway
B. Attempt to pass a suction catheter through the airway
,C. Listen for air flow through the airway
D. Recommend a sinus x-ray
B. Attempt to pass a suction catheter through the airway
While performing orotracheal intubation for a patient in
respiratory arrest, the respiratory therapist notices that the
stylet has advanced from its original position. The respiratory
therapist should
A. Continue with the intubation procedure.
B. Stop the procedure, manually ventilate the patient, and
reposition the stylet.
C. Retract the stylet immediately.
D. Remove the stylet and continue with the procedure.
B. Stop the procedure, manually ventilate the patient, and
reposition the stylet.
Which of the following is the best method to minimize damage
to the tracheal wall caused by an endotracheal tube cuff?
,A. Measuring the volume used to inflate the cuff
B. Palpating the inflation of the pilot balloon
C. Utilizing a cuff pressure manometer
D. Using minimal occluding volume to seal the airway
C. Utilizing a cuff pressure manometer
Which of the following statements is/are true regarding an
esophageal tracheal combitube?
1. Used for pre-hospital airway management.
2. Placed in the trachea with a laryngoscope.
3. It should be replaced with an endotracheal tube as soon as
possible.
A. 3 only
B. 2 and 3 only
C. 1 and 3 only
D. 1 and 2 only
C. 1 and 3 only
, All of the following could cause a capnography reading to
change from 36 torr to 30 torr except
A. Endotracheal tube positioned in the right mainstem
bronchus
B. Hyperventilation
C. Pulmonary emboli
D. Hypovolemia
A. Endotracheal tube positioned in the right mainstem
bronchus
A balloon-tipped, flow-directed catheter is positioned in the
pulmonary artery with the balloon deflated. Which of the
following pressures will be measured by the proximal lumen?
A. Cvp
B. Pap
C. Pwp
