TMC EXAM 2 2026 QUESTIONS AND CORRECT
ANSWERS GRADED A+
A 43-year-old female patient undergoes 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
C.Obtain positron emission tomography
D.Initiate noninvasive capnography
B.Insert oropharyngeal airway
A 44-week gestational age infant is 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.
B.meconium aspiration.
What is the normal VD/VT ratio for a patient breathing room air?
A.5 - 15%
B.20 - 40%
,C.45 - 55%
D.65 - 75%
B.20 - 40%
A heat moisture exchanger is indicated for humidification in which of the
following situations?
A.Mechanical ventilation in a long-term care facility.
B.Transport to a tertiary care center.
C.Patient with tenacious secretions.
D.Delivery of aerosolized bronchodilators.
B.Transport to a tertiary care center.
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
A.right lower lobe atelectasis.
B.right side hyperlucency, absent vascular markings.
C.hepatomegaly.
D.right lower lobe consolidation with air bronchograms.
B.right side hyperlucency, absent vascular markings.
A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent
(differential) lung ventilation following thoracotomy and right lower lobectomy.
Which of the following setting combinations would be most appropriate for this
patient?
,A.Right lung 50 mL; left lung 450 mL
B.Right lung 150 mL; left lung 350 mL
C.Right lung 250 mL; left lung 250 mL
D.Right lung 350 mL; left lung 150 mL
B.Right lung 150 mL; left lung 350 mL
A patient in the intensive care unit has the following hemodynamic
measurements:CVP (mm Hg)5PAP (mm Hg)29/8PCWP (mm Hg)8BP (mm
Hg)130/70Cardiac output (L/min)5.1Cardiac index (L/min/m2)2.7What is the
pulse pressure?
A.15 mm Hg
B.21 mm Hg
C.60 mm Hg
D.90 mm Hg
C.60 mm Hg
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID
uncuffed endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered
to the patient. The physician asks the respiratory therapist to evaluate the patient
for possible extubation. Which of the following would most likely indicate that the
patient is ready for extubation?
A.The patient is making normal quiet ventilatory efforts.
B.A negative sputum culture and sensitivity has been reported.
C.The patient's ABG are within normal range.
D.Breath sounds are heard around the tube on auscultation.
D.Breath sounds are heard around the tube on auscultation.
, A patient is seen in the Emergency Department for complaints of nausea and
vomiting. A nasogastric tube has been inserted and the patient is started on lasix.
Which of the following should the respiratory therapist monitor?
A.Cardiac enzymes
B.Serum electrolytes
C.Arterial blood gases
D.Cell hydration level
B.Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory
therapist should direct the patient to
A.exhale to residual volume and inhale to inspiratory capacity.
B.inhale to total lung capacity then exhale to residual volume.
C.exhale normally then inhale to total lung capacity.
D.inhale normally then exhale to functional residual capacity.
B.inhale to total lung capacity then exhale to residual volume.
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.
ANSWERS GRADED A+
A 43-year-old female patient undergoes 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
C.Obtain positron emission tomography
D.Initiate noninvasive capnography
B.Insert oropharyngeal airway
A 44-week gestational age infant is 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.
B.meconium aspiration.
What is the normal VD/VT ratio for a patient breathing room air?
A.5 - 15%
B.20 - 40%
,C.45 - 55%
D.65 - 75%
B.20 - 40%
A heat moisture exchanger is indicated for humidification in which of the
following situations?
A.Mechanical ventilation in a long-term care facility.
B.Transport to a tertiary care center.
C.Patient with tenacious secretions.
D.Delivery of aerosolized bronchodilators.
B.Transport to a tertiary care center.
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
A.right lower lobe atelectasis.
B.right side hyperlucency, absent vascular markings.
C.hepatomegaly.
D.right lower lobe consolidation with air bronchograms.
B.right side hyperlucency, absent vascular markings.
A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent
(differential) lung ventilation following thoracotomy and right lower lobectomy.
Which of the following setting combinations would be most appropriate for this
patient?
,A.Right lung 50 mL; left lung 450 mL
B.Right lung 150 mL; left lung 350 mL
C.Right lung 250 mL; left lung 250 mL
D.Right lung 350 mL; left lung 150 mL
B.Right lung 150 mL; left lung 350 mL
A patient in the intensive care unit has the following hemodynamic
measurements:CVP (mm Hg)5PAP (mm Hg)29/8PCWP (mm Hg)8BP (mm
Hg)130/70Cardiac output (L/min)5.1Cardiac index (L/min/m2)2.7What is the
pulse pressure?
A.15 mm Hg
B.21 mm Hg
C.60 mm Hg
D.90 mm Hg
C.60 mm Hg
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID
uncuffed endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered
to the patient. The physician asks the respiratory therapist to evaluate the patient
for possible extubation. Which of the following would most likely indicate that the
patient is ready for extubation?
A.The patient is making normal quiet ventilatory efforts.
B.A negative sputum culture and sensitivity has been reported.
C.The patient's ABG are within normal range.
D.Breath sounds are heard around the tube on auscultation.
D.Breath sounds are heard around the tube on auscultation.
, A patient is seen in the Emergency Department for complaints of nausea and
vomiting. A nasogastric tube has been inserted and the patient is started on lasix.
Which of the following should the respiratory therapist monitor?
A.Cardiac enzymes
B.Serum electrolytes
C.Arterial blood gases
D.Cell hydration level
B.Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory
therapist should direct the patient to
A.exhale to residual volume and inhale to inspiratory capacity.
B.inhale to total lung capacity then exhale to residual volume.
C.exhale normally then inhale to total lung capacity.
D.inhale normally then exhale to functional residual capacity.
B.inhale to total lung capacity then exhale to residual volume.
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.
