Page 1 of 73
TMC 2026 EXAM A COMPLETE (140) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
TMC
Maximize your success with this TMC Exam A, designed to
assess essential knowledge in respiratory care. It focuses on
patient assessment, oxygen delivery, ventilator management,
and critical care interventions. The exam strengthens clinical
reasoning and readiness for credentialing exams. Suitable for
respiratory therapy students preparing for the TMC examination.
A 74-kg (166-lb) 5-ft 8-in (173-cm) female is receiving
mechanical ventilation by a volume-controlled ventilator in
the assist/control mode on the following settings:
Mandatory rate: 12/min
VT: 500 mL
FIO2: 0.50
PEEP: 5 cmH2O
Arterial blood gas results:
pH 7.47 / PaCO2 34 / PO2 80 / HCO3 23 / BE -1
, Page 2 of 73
Which of the following represents the most appropriate
action?
a. Decrease tidal volume
b. Increase FIO2 to 0.6
c. Increase rate to 16
d. Add 100 mL deadspace ✓ ✓ ...... ANSWER ....... . d.
Add 100 mL deadspace
A patient with a 90-pack-year smoking history is receiving
volume-controlled ventilation in the SIMV mode. Sedation
has been discontinued to facilitate weaning. The patient
seems increasingly anxious. Which of the following would be
most beneficial to the patient?
a. Administer Morphine sulfate, IV
b. Discontinue weaning
c. Apply a nicotine dermal patch to the patient
d. Switch to assist/control mode ✓ ✓ ...... ANSWER ....... .
c. Apply a nicotine dermal patch to the patient
, Page 3 of 73
A chest radiograph indicates the presence of fluffy infiltrates.
This finding is most closely associated with which of the
following?
a. Asbestosis
b. Pulmonary edema
c. Pleural effusion
d. Pneumonia ✓ ✓ ...... ANSWER ....... . b. Pulmonary
edema
A physician orders a chest radiograph on a comatose patient
in the intensive care unit to confirm proper ET tube
placement. Which of the following should be ordered?
a. PA radiograph
b. Lateral neck radiograph
c. AP radiograph
d. Lateral decubitus radiograph ✓ ✓ ...... ANSWER ....... .
c. AP radiograph
Under which of the following circumstances should a
respiratory therapist consider discontinuing a PEP therapy
treatment of a child?
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a. Bronchitis and epistaxis
b. Epistaxis and middle ear infection
c. Lingular lobe pneumonia and ear infection
d. Cystic fibrosis and asthma ✓ ✓ ...... ANSWER ....... . b.
Epistaxis and middle ear infection
The chest radiograph of a post-operative abdominal surgery
patient shows pneumonia in the lower right lobe. The
respiratory therapist should recommend which of the
following?
a. Pulmonary rehabilitation
b. Albuterol and Atrovent (Ipratropium Bromide) metered
dose inhaler
c. Diagnostic chest percussion
d. PEP therapy ✓ ✓ ...... ANSWER ....... . d. PEP therapy
A patient has the following arterial blood gas results:
pH 7.35 / PaCO2 59 / PaO2 62 / HCO3 28 / BE +4
Which of the following can be respiratory therapists correctly
conclude?
a. Acute ventilatory failure
TMC 2026 EXAM A COMPLETE (140) CURRENT
TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS|GUARANTEED PASS.
TMC
Maximize your success with this TMC Exam A, designed to
assess essential knowledge in respiratory care. It focuses on
patient assessment, oxygen delivery, ventilator management,
and critical care interventions. The exam strengthens clinical
reasoning and readiness for credentialing exams. Suitable for
respiratory therapy students preparing for the TMC examination.
A 74-kg (166-lb) 5-ft 8-in (173-cm) female is receiving
mechanical ventilation by a volume-controlled ventilator in
the assist/control mode on the following settings:
Mandatory rate: 12/min
VT: 500 mL
FIO2: 0.50
PEEP: 5 cmH2O
Arterial blood gas results:
pH 7.47 / PaCO2 34 / PO2 80 / HCO3 23 / BE -1
, Page 2 of 73
Which of the following represents the most appropriate
action?
a. Decrease tidal volume
b. Increase FIO2 to 0.6
c. Increase rate to 16
d. Add 100 mL deadspace ✓ ✓ ...... ANSWER ....... . d.
Add 100 mL deadspace
A patient with a 90-pack-year smoking history is receiving
volume-controlled ventilation in the SIMV mode. Sedation
has been discontinued to facilitate weaning. The patient
seems increasingly anxious. Which of the following would be
most beneficial to the patient?
a. Administer Morphine sulfate, IV
b. Discontinue weaning
c. Apply a nicotine dermal patch to the patient
d. Switch to assist/control mode ✓ ✓ ...... ANSWER ....... .
c. Apply a nicotine dermal patch to the patient
, Page 3 of 73
A chest radiograph indicates the presence of fluffy infiltrates.
This finding is most closely associated with which of the
following?
a. Asbestosis
b. Pulmonary edema
c. Pleural effusion
d. Pneumonia ✓ ✓ ...... ANSWER ....... . b. Pulmonary
edema
A physician orders a chest radiograph on a comatose patient
in the intensive care unit to confirm proper ET tube
placement. Which of the following should be ordered?
a. PA radiograph
b. Lateral neck radiograph
c. AP radiograph
d. Lateral decubitus radiograph ✓ ✓ ...... ANSWER ....... .
c. AP radiograph
Under which of the following circumstances should a
respiratory therapist consider discontinuing a PEP therapy
treatment of a child?
, Page 4 of 73
a. Bronchitis and epistaxis
b. Epistaxis and middle ear infection
c. Lingular lobe pneumonia and ear infection
d. Cystic fibrosis and asthma ✓ ✓ ...... ANSWER ....... . b.
Epistaxis and middle ear infection
The chest radiograph of a post-operative abdominal surgery
patient shows pneumonia in the lower right lobe. The
respiratory therapist should recommend which of the
following?
a. Pulmonary rehabilitation
b. Albuterol and Atrovent (Ipratropium Bromide) metered
dose inhaler
c. Diagnostic chest percussion
d. PEP therapy ✓ ✓ ...... ANSWER ....... . d. PEP therapy
A patient has the following arterial blood gas results:
pH 7.35 / PaCO2 59 / PaO2 62 / HCO3 28 / BE +4
Which of the following can be respiratory therapists correctly
conclude?
a. Acute ventilatory failure
