TMC EXAM LATEST 2026-2027 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER: A 60 kg (132 lb)
patient is being mechanically ventilated with the following settings: VC, A/C; VT
500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2O PEEP. The patient's
peak airway pressure is 60 cm H2O and his SpO2 is 85%. A current chest x-ray
shows diffuse bilateral infiltrates. Which of the following is the most
appropriate action in order to reduce peak airway pressure?
2, 3 & 4 - ANSWER: While performing diagnostic chest percussion, the
respiratory therapist notes decreased resonance to percussion. Which of the
following are potential causes of this finding?.
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER: A post-operative patient on
volume-control ventilation has a chest tube in the left pleural space. While
inspecting the chest drainage system, the respiratory therapist notes bubbling
in the water seal
,chamber during the inspiratory phase. The therapist should report this to the
physician:
Increase the FiO2 - ANSWER: A post-operative patient is receiving mechanical
ventilation in the ICU at the following settings: VC, A/C; VT550 mL, respiratory
rate 14/min, FIO2 0.50 and 10 cm H2O PEEP. Bedside monitoring results
demonstrate that the PvO2 is 33 mm Hg and the SpO2 is 90%. The patient is
alert and oriented with stable vital signs. Which of the following should the
respiratory therapist
recommend?
1, 2 & 3 - ANSWER: After assisting with bronchoalveolar lavage and lung biopsy
on a mechanically ventilated patient, the respiratory therapist notes the
activation of a high pressure alarm. Peak inspiratory pressure has increased
from 32 cm H2O before the procedure to 45 cm H2O after the procedure.
Possible causes for the
increased pressure include
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage.
,Endobronchial intubation - ANSWER: Following blunt chest trauma, a 35year-old
male is orally intubated and continuous mechanical ventilation is initiated.
Physical assessment of the neck and chest reveal a midline trachea and
significant reduction in thoracic expansion of the left chest. There are
diminished breath sounds in the left lung compared to the right lung. These
findings most likely
indicate which of the following?
Tube is not of the appropriate size - ANSWER: A 42 year-old trauma patient in
the ED has been intubated with a 6.5 mm oral endotracheal tube equipped with
a high-residual-volume, low-pressure cuff. The respiratory therapist notes that a
cuff pressure of 42 cm H2O is necessary to achieve a minimal occluding volume.
This would indicate that the:
Recalibrate the blood analyzer - ANSWER: A new blood gas analyzer is calibrated
by the manufacturer at sea level. Upon receiving the new analyzer at a higher
altitude, a respiratory therapist should:
Mean Airway Pressure - ANSWER: While receiving an FIO2 of 1.0 and a
tidal volume of 400 mL during volume-controlled ventilation, a 60-kg (132lb)
patient is having difficulty achieving adequate oxygenation. To improve
, oxygenation, a respiratory therapist should manipulate ventilator settings to
increase which of the following?
Increase the IPAP - ANSWER: A patient is receiving noninvasive positive
pressure ventilation. Pulmonary compliance has decreased over the past 4
hours. To
increase the patient's tidal volume, it would be most appropriate to:
Fifth intercostal space in mid-axillary line - ANSWER: A respiratory therapist is
reviewing a chest radiograph and notes the presence of a chest tube. The
patient has a hemothorax. Which of the following locations is most appropriate
for this chest tube to be placed?
Administering ipratropium bromide (atrovent) - ANSWER: A patient with COPD
is receiving mechanical ventilation. The patient continues to wheeze despite
treatment with albuterol. Peak airway pressure is increased with no change in
plateau pressure. A respiratory therapist should recommend:
MIP - ANSWER: Which of the following should be used to determine the return
of a postoperative patient's ability to breathe adequately after anesthesia?
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Change to airway pressure release ventilation - ANSWER: A 60 kg (132 lb)
patient is being mechanically ventilated with the following settings: VC, A/C; VT
500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2O PEEP. The patient's
peak airway pressure is 60 cm H2O and his SpO2 is 85%. A current chest x-ray
shows diffuse bilateral infiltrates. Which of the following is the most
appropriate action in order to reduce peak airway pressure?
2, 3 & 4 - ANSWER: While performing diagnostic chest percussion, the
respiratory therapist notes decreased resonance to percussion. Which of the
following are potential causes of this finding?.
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER: A post-operative patient on
volume-control ventilation has a chest tube in the left pleural space. While
inspecting the chest drainage system, the respiratory therapist notes bubbling
in the water seal
,chamber during the inspiratory phase. The therapist should report this to the
physician:
Increase the FiO2 - ANSWER: A post-operative patient is receiving mechanical
ventilation in the ICU at the following settings: VC, A/C; VT550 mL, respiratory
rate 14/min, FIO2 0.50 and 10 cm H2O PEEP. Bedside monitoring results
demonstrate that the PvO2 is 33 mm Hg and the SpO2 is 90%. The patient is
alert and oriented with stable vital signs. Which of the following should the
respiratory therapist
recommend?
1, 2 & 3 - ANSWER: After assisting with bronchoalveolar lavage and lung biopsy
on a mechanically ventilated patient, the respiratory therapist notes the
activation of a high pressure alarm. Peak inspiratory pressure has increased
from 32 cm H2O before the procedure to 45 cm H2O after the procedure.
Possible causes for the
increased pressure include
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage.
,Endobronchial intubation - ANSWER: Following blunt chest trauma, a 35year-old
male is orally intubated and continuous mechanical ventilation is initiated.
Physical assessment of the neck and chest reveal a midline trachea and
significant reduction in thoracic expansion of the left chest. There are
diminished breath sounds in the left lung compared to the right lung. These
findings most likely
indicate which of the following?
Tube is not of the appropriate size - ANSWER: A 42 year-old trauma patient in
the ED has been intubated with a 6.5 mm oral endotracheal tube equipped with
a high-residual-volume, low-pressure cuff. The respiratory therapist notes that a
cuff pressure of 42 cm H2O is necessary to achieve a minimal occluding volume.
This would indicate that the:
Recalibrate the blood analyzer - ANSWER: A new blood gas analyzer is calibrated
by the manufacturer at sea level. Upon receiving the new analyzer at a higher
altitude, a respiratory therapist should:
Mean Airway Pressure - ANSWER: While receiving an FIO2 of 1.0 and a
tidal volume of 400 mL during volume-controlled ventilation, a 60-kg (132lb)
patient is having difficulty achieving adequate oxygenation. To improve
, oxygenation, a respiratory therapist should manipulate ventilator settings to
increase which of the following?
Increase the IPAP - ANSWER: A patient is receiving noninvasive positive
pressure ventilation. Pulmonary compliance has decreased over the past 4
hours. To
increase the patient's tidal volume, it would be most appropriate to:
Fifth intercostal space in mid-axillary line - ANSWER: A respiratory therapist is
reviewing a chest radiograph and notes the presence of a chest tube. The
patient has a hemothorax. Which of the following locations is most appropriate
for this chest tube to be placed?
Administering ipratropium bromide (atrovent) - ANSWER: A patient with COPD
is receiving mechanical ventilation. The patient continues to wheeze despite
treatment with albuterol. Peak airway pressure is increased with no change in
plateau pressure. A respiratory therapist should recommend:
MIP - ANSWER: Which of the following should be used to determine the return
of a postoperative patient's ability to breathe adequately after anesthesia?
