1|Page
Kettering TMC Exam comprehensive questions and
verified answers ACTUAL EXAM 2026 TEST!! Graded A+
| 2026|2027 EXAM UPDATE
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 following pattern is seen on the
ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning ......ANSWER......*A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right
lung. The physician has requested that the right lung be ventilated at a
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,2|Page
pressure 10 cmH2O lower than the left lung. The respiratory therapist
should recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter ......ANSWER......*B. Double-lumen
endobronchial tube*
A patient has been intubated in order to receive volume control
ventilation. To inflate the endotracheal tube cuff, the respiratory
therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
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D. to establish a pressure of 40 cmH20. ......ANSWER......*C. to establish
a pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents
to the ER with massive maxillary and nasal trauma. Which of the
following devices would be most appropriate for maintaining the
patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube ......ANSWER......*B. fenestrated tracheostomy
tube*
Shortly after extubating a patient, the therapist notes an increase in the
patient's work of breathing, intercostal retractions, marked stridor and
a decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
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, 4|Page
C. CPAP therapy with 40% oxygen
D. Reintubate orally ......ANSWER......*D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still
unconscious. Vital signs are all stable and the SpO2 is 95%. Which of the
following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Laryngeal mask airway
D. Esophageal obturator airway ......ANSWER......*A. Oropharyngeal
airway*
Which of the following factors would increase the difficulty of
performing oral endotracheal intubation?
1. Small mouth opening
pg. 4
Kettering TMC Exam comprehensive questions and
verified answers ACTUAL EXAM 2026 TEST!! Graded A+
| 2026|2027 EXAM UPDATE
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 following pattern is seen on the
ECG monitor:
Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning ......ANSWER......*A. loss of PEEP*
A patient is diagnosed with a necrotizing pulmonary fistula in the right
lung. The physician has requested that the right lung be ventilated at a
pg. 1
,2|Page
pressure 10 cmH2O lower than the left lung. The respiratory therapist
should recommend providing this type of ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter ......ANSWER......*B. Double-lumen
endobronchial tube*
A patient has been intubated in order to receive volume control
ventilation. To inflate the endotracheal tube cuff, the respiratory
therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
pg. 2
,3|Page
D. to establish a pressure of 40 cmH20. ......ANSWER......*C. to establish
a pressure of 20 mmHg*
A 16-year-old male patient involved in a motorcycle accident presents
to the ER with massive maxillary and nasal trauma. Which of the
following devices would be most appropriate for maintaining the
patient's airway?
A. nasal endotracheal tube
B. fenestrated tracheostomy tube
C. oral pharyngeal airway
D. oral endotracheal tube ......ANSWER......*B. fenestrated tracheostomy
tube*
Shortly after extubating a patient, the therapist notes an increase in the
patient's work of breathing, intercostal retractions, marked stridor and
a decreased Sp02. The therapist should recommend:
A. Cool aerosol therapy with 50% oxygen
B. Assisted ventilation with resuscitation bag and mask
pg. 3
, 4|Page
C. CPAP therapy with 40% oxygen
D. Reintubate orally ......ANSWER......*D. Reintubate orally*
A 48-year-old postoperative patient in the recovery room is still
unconscious. Vital signs are all stable and the SpO2 is 95%. Which of the
following should the therapist recommend to prevent a soft tissue
obstruction from occurring?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Laryngeal mask airway
D. Esophageal obturator airway ......ANSWER......*A. Oropharyngeal
airway*
Which of the following factors would increase the difficulty of
performing oral endotracheal intubation?
1. Small mouth opening
pg. 4
