TMC Exam E 2026 Exam
Questions and Verified Answers
| Already Graded A+
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 sodium
d. Instruction on deep breathing and coughing techniques - 🧠ANSWER
✔✔d. Instruction on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - 🧠ANSWER ✔✔a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the
cap on the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - 🧠ANSWER ✔✔b.
The inner cannula is removed and the cuff deflated
,A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for
mechanical ventilatory support, the patient is to be orally intubated. Which
of the following artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - 🧠ANSWER ✔✔a. Size 7.0 mm ET tube
with a large volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway
resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - 🧠ANSWER ✔✔c. Body box
A patient is receiving manual ventilatory support with a bag-valve
connected to a size 8.0 mm ET tube. While transporting the patient from
CT scan back to the intensive care unit, the respiratory therapist notices
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, oxygen saturation has dropped to 88% and that the bag-valve is easier to
squeeze than normal. Suspecting mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - 🧠ANSWER ✔✔d.
Examine chest rise and auscultate breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on
volume-controlled ventilation. The respiratory therapist should do which of
the following to best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - 🧠ANSWER ✔✔d. Obtain a chest radiograph
Questions and Verified Answers
| Already Graded A+
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 sodium
d. Instruction on deep breathing and coughing techniques - 🧠ANSWER
✔✔d. Instruction on deep breathing and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - 🧠ANSWER ✔✔a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the
cap on the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - 🧠ANSWER ✔✔b.
The inner cannula is removed and the cuff deflated
,A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for
mechanical ventilatory support, the patient is to be orally intubated. Which
of the following artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - 🧠ANSWER ✔✔a. Size 7.0 mm ET tube
with a large volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway
resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - 🧠ANSWER ✔✔c. Body box
A patient is receiving manual ventilatory support with a bag-valve
connected to a size 8.0 mm ET tube. While transporting the patient from
CT scan back to the intensive care unit, the respiratory therapist notices
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, oxygen saturation has dropped to 88% and that the bag-valve is easier to
squeeze than normal. Suspecting mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - 🧠ANSWER ✔✔d.
Examine chest rise and auscultate breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on
volume-controlled ventilation. The respiratory therapist should do which of
the following to best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - 🧠ANSWER ✔✔d. Obtain a chest radiograph
