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TMC Practice Exam B 2026 – 300 Questions & Answers on Ventilation, ABGs & Critical Care (TMC-B2026) – Respiratory Therapy

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This document provides a comprehensive set of approximately 300 exam-style multiple-choice questions with 100% correct answers for TMC Practice Exam B 2026, focusing on advanced respiratory therapy concepts and clinical decision-making. It covers key topics such as mechanical ventilation, arterial blood gas (ABG) interpretation, oxygen delivery systems, pulmonary diagnostics, and emergency patient management, as clearly presented throughout . For example, the content on page 1 introduces clinical reasoning through a thoracentesis scenario involving pleural fluid analysis, while subsequent sections include ventilator troubleshooting, neonatal care, and hemodynamic monitoring. The material is closely aligned with core respiratory care textbooks such as Egan’s Fundamentals of Respiratory Care and Pilbeam’s Mechanical Ventilation. It includes in-depth coverage of ventilator modes (VC, SIMV, A/C), waveform analysis, compliance and resistance changes, and troubleshooting alarms. The document also explores cardiopulmonary assessment concepts such as pulse pressure, cardiac output, CVP, PAP, and PCWP, along with diagnostic procedures including spirometry, capnography, ECG interpretation, and imaging techniques. Additionally, it addresses critical care scenarios such as pulmonary embolism, pneumothorax, atelectasis, ARDS, and postoperative complications, as well as pharmacologic interventions (bronchodilators, diuretics, vasopressors). This resource is highly relevant for students enrolled in Respiratory Therapy, Cardiopulmonary Sciences, Critical Care, Nursing, and Emergency Medicine programs. It is particularly beneficial for those preparing for the NBRC TMC exam, as well as courses focused on mechanical ventilation, pulmonary diagnostics, and intensive care management. It is suitable for both undergraduate and advanced-level students, as well as healthcare professionals seeking a rigorous and exam-focused review. Overall, this document serves as a complete and in-depth study guide, helping learners strengthen clinical reasoning, master respiratory therapy concepts, and confidently prepare for high-stakes certification exams. Keywords: mechanical ventilation, ABG interpretation, oxygen therapy devices, pulmonary diagnostics, hemodynamic monitoring, ventilator modes, compliance resistance, capnography, ECG interpretation, critical care scenarios, pulmonary embolism, pneumothorax management, spirometry testing, respiratory pharmacology, TMC exam prep

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TMC Practice Exam B 2026
Exam Questions with 100%
Correct Answers | Latest Update



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. - 🧠ANSWER ✔✔B.


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 - 🧠ANSWER ✔✔B.


The respiratory therapist is calibrating a spirometer and checking the

volume with a 3.0 liter super syringe. The volumes recorded are: 2.85 L,

2.8 L, and 2.8 L. Based upon the information obtained which of the

following is a correct statement?

,A. Another syringe needs to be used

B. Spirometer is accurate

C. The plunger was advanced too slowly


D. Spirometer may have a leak - 🧠ANSWER ✔✔D.


Which of the following is an indication for high frequency jet ventilation?




A. Bronchopleural fistula

B. Wilson Mikity syndrome

C. Necrotizing lesion of right lung


D. Centrilobular emphysema - 🧠ANSWER ✔✔A.


A 43-year-old female patient has just undergone a total abdominal

hysterectomy. The patient arrives in the post anesthesia care unit obtunded

with minimal response to painful stimulus. What treatment should the

respiratory therapist recommend for this patient?




A. Initiate assisted ventilation

B. Insert oropharyngeal airway

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, C. Obtain positron emission tomography


D. Initiate noninvasive capnography - 🧠ANSWER ✔✔B.


A 44 week gestational age infant has just been delivered via C-section and

is gasping, grunting, and has tachycardia and tachypnea. At one minute his

Apgar score is 4 and at 5 minutes the score is 5. The infant is most likely

suffering from




A. transient tachypnea of the newborn.

B. meconium aspiration.

C. bronchopulmonary dysplasia.


D. apnea of prematurity. - 🧠ANSWER ✔✔B


What is the normal VD/VT ratio for a patient breathing room air?




A. 5 - 15%

B. 20 - 40%

C. 45 - 55%

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