KETTERING TMC TEST NUMBER 2 QUESTIONS AND CORRECT VERIFIED ANSWERS

KETTERING TMC TEST NUMBER 2
QUESTIONS AND CORRECT VERIFIED
ANSWERS
WhatA2isA2theA2normalA2VD/VTA2ratioA2forA2aA2patientA2breathingA2roomA2air?A2-A2Ans--
20A2-A240A2percent

TheA2respiratoryA2therapistA2calibratesA2aA2spirometerA2andA2checksA2theA2volumeA2withA2
aA23.0A2literA2superA2syringe.A2TheA2volumesA2recordedA2are:A22.85A2L,A22.8A2L,A2andA22.8
A2L.A2BasedA2uponA2theA2informationA2obtainedA2whichA2ofA2theA2followingA2isA2aA2correctA
2statement?A2-A2Ans--SpirometerA2mayA2haveA2aA2leak


WhichA2ofA2theA2followingA2isA2anA2indicationA2forA2highA2frequencyA2jetA2ventilation?A2-
A2Ans--BronchopleuralA2fistula


AA244-weekA2gestationalA2ageA2infantA2isA2deliveredA2viaA2C-
sectionA2andA2isA2gasping,A2grunting,A2andA2hasA2tachycardiaA2andA2tachypnea.A2AtA2one
A2minuteA2hisA2ApgarA2scoreA2isA24A2andA2atA25A2minutesA2theA2scoreA2isA25.A2TheA2infantA2
isA2mostA2likelyA2sufferingA2fromA2-A2Ans--meconiumA2aspiration.

AA2patientA2inA2theA2intensiveA2careA2unitA2hasA2theA2followingA2hemodynamicA2measure
ments:
CVPA2(mmA2Hg)5
PAPA2(mmA2Hg)29/8
PCWPA2(mmA2Hg)8
BPA2(mmA2Hg)130/70
CardiacA2outputA2(L/min)5.1
CardiacA2indexA2(L/min/m2)2.7

WhatA2isA2theA2pulseA2pressure?A2-A2Ans--60A2mmA2Hg

AA22-year-
oldA2childA2withA2croupA2hasA2beenA2intubatedA2forA24A2daysA2withA2aA24A2mmA2IDA2uncuffe
dA2endotrachealA2tube.A2HeatedA2aerosolA2atA2anA2FIO2A2ofA20.30A2hasA2beenA2deliveredA
2toA2theA2patient.A2TheA2physicianA2asksA2theA2respiratoryA2therapistA2toA2evaluateA2theA2p
atientA2forA2possibleA2extubation.A2WhichA2ofA2theA2followingA2wouldA2mostA2likelyA2indicat
eA2thatA2theA2patientA2isA2readyA2forA2extubation?A2-A2Ans--
BreathA2soundsA2areA2heardA2aroundA2theA2tubeA2onA2auscultation.

WhileA2instructingA2aA2patientA2priorA2toA2aA2vitalA2capacityA2maneuver,A2theA2respiratoryA2
therapistA2shouldA2directA2theA2patientA2toA2-A2Ans--
B.inhaleA2toA2totalA2lungA2capacityA2thenA2exhaleA2toA2residualA2volume.

, WhatA2isA2theA2totalA2flowA2deliveredA2toA2aA2patientA2receivingA2oxygenA2viaA228%A2Ventu
riA2maskA2withA2theA2oxygenA2flowmeterA2setA2atA26A2L/min?A2-A2Ans--66A2L/min

AA2patientA2withA2end-stageA2pulmonaryA2fibrosisA2receivesA2oxygenA2atA22A2L/
minA2viaA2transtrachealA2oxygenA2catheter.A2TheA2patientA2complainsA2ofA2increasedA2wor
kA2ofA2breathingA2andA2shortnessA2ofA2breath.A2TheA2respiratoryA2therapistA2shouldA2-
A2Ans--flushA2theA2transtrachealA2deviceA2withA2saline.


DuringA2bedsideA2monitoring,A2theA2respiratoryA2therapistA2noticesA2aA2dampenedA2wavef
ormA2onA2theA2arterialA2lineA2graphic.A2ToA2restoreA2theA2graphicA2toA2normal,A2theA2thera
pistA2shouldA2firstA2-A2Ans--attemptA2toA2drawA2bloodA2fromA2theA2arterialA2line.

TheA2respiratoryA2therapistA2isA2inA2chargeA2ofA2transportingA2aA2patientA2withA2multipleA2tr
aumaA2toA2aA2regionalA2traumaA2centerA2inA2aA2fixedA2wingA2aircraft.A2WhichA2ofA2theA2foll
owingA2shouldA2theA2therapistA2beA2mostA2concernedA2aboutA2duringA2theA2transport?A2-
A2Ans--TissueA2oxygenation


WhatA2isA2theA2air-to-
oxygenA2ratioA2forA2anA2airA2entrainmentA2deviceA2deliveringA260%A2oxygen?A2-A2Ans--
10:1

FollowingA2surgeryA2toA2correctA2anA2abdominalA2aorticA2aneurysm,A2aA254-year-
oldA2femaleA2patientA2suddenlyA2developsA2intenseA2substernalA2chestA2painA2withA2sever
eA2dyspnea.A2TheA2painA2doesA2notA2appearA2toA2beA2aggravatedA2byA2herA2respirations.A
2AuscultationA2revealsA2bilateral,A2basilar,A2moist,A2crepitantA2rales.A2TheA2patientA2appea
rsA2pale,A2coldA2andA2clammy.A2WhichA2ofA2theA2followingA2shouldA2theA2respiratoryA2ther
apistA2recommendA2forA2initialA2assessmentA2ofA2thisA2patient?A2-A2Ans--
Electrocardiograph

WhileA2examiningA2theA2chestA2drainageA2systemA2ofA2aA2mechanically-
ventilatedA2patientA2followingA2thoracotomy,A2theA2respiratoryA2therapistA2observesA2bubb
lingA2inA2theA2water-sealA2chamberA2duringA2inspiration.A2ThisA2wouldA2indicateA2-A2Ans--
A.aA2leakA2inA2theA2chestA2drainageA2system.

*A2B.airA2leavingA2theA2pleuralA2space

AdjustingA2theA2inspiratoryA2flowA2duringA2IPPBA2willA2primarilyA2resultA2inA2aA2changeA2inA
2-A2Ans--inspiratoryA2time.


AA2patientA2withA2aA2flailA2chestA2isA2intubatedA2andA2mechanicallyA2ventilatedA2withA2PEE
PA2therapy.A2PancuroniumA2bromideA2hasA2beenA2administered.A2WhichA2ofA2theA2followi
ngA2ventilatorA2alarmsA2wouldA2beA2mostA2importantA2toA2setA2correctlyA2forA2thisA2patient
?A2-A2Ans--LowA2pressureA2alarm

DuringA2recoveryA2fromA2resectionA2ofA2anA2aorticA2aneurysm,A2aA265-year-
oldA2femaleA2patientA2suddenlyA2developsA2severeA2substernalA2chestA2painA2withA2grave