TMC PRACTICE EXAM 150 QUESTIONS WITH
CORRECT VERIFIED
SOLUTIONS LATEST EXAM UPDATE
Which of the following patients would most likely benefit from pressuresupport
ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support. Correct
Ans ➡ A patient on SIMV with a set rate of 12/min and total rate of24/min.
A patient receiving mechanical ventilation has developed a temperature of 99.9° F
with purulent secretions over the last 12 hours. The respiratory therapist has also
noted a steady increase in peak inspiratory pressure. Whatinitial recommendation
should be made to address these changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. Correct Ans ➡ Obtain a sputum gram stain.
Page 1 of 63
,Which of the following information may be obtained from a FVC maneuverduring
bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV Correct Ans ➡ 1 and 2 only
The respiratory therapist is providing patient education for a patient who isbeing
discharged home on aerosol therapy. The most important reason for the patient to
follow the recommended cleaning procedures using a vinegar/water solution is that
this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. Correct Ans ➡ Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-productive cough.
On physical examination, breath sounds are diminished on the right,tactile
fremitus is decreased and there isdullness to percussion over the right lower lobe.
The respiratory therapist should suspect that the patient issuffering from A.
pneumonia.
B. pulmonary embolism.
C. pleural effusion.
Page 2 of 63
,D. bronchiolitis. Correct Ans ➡ pleural effusion
Which of the following suction catheters would be appropriate to use for apatient
with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr Correct Ans ➡ 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting
theventilator. His breath sounds are markedly diminished on the left, there is
dullness to percussion on the left, and the trachea is shifted to the left. Themost
likely explanation for the problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax. Correct Ans ➡ the
endotracheal tube has slipped into the right main stem bronchus
The respiratory therapist notes a developing hematoma after an arterial blood gas
was drawn from the right radial artery. The immediate response isto
A. notify the charge nurse.
B. apply a pressure dressing.
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, C. apply pressure to the site.
D. perform a modified Allen's test. Correct Ans ➡ apply pressure to thesite.
A patient's breathing pattern irregularly increases and decreases and is
interspersed with periods of apnea up to 1 minute. Which of the followingconditions
is the most likely cause of this problem?
A. Diabetes insipidus
B. Renal failure
C. Metabolic acidosis
D. Elevated intracranial pressure Correct Ans ➡ Elevated intracranial
pressure
What value for the apnea-hypopnea index (AHI) is consistent with mildobstructive
sleep apnea?
A. Less than 5
B. 5 to 15
C. 16 to 30
D. Greater than 30 Correct Ans ➡ 5 to 15
While monitoring a newborn utilizing a transcutaneous monitor, you notice
achange in PtcO2 from 60 to 142 torr and simultaneously the (PtcCO2) changes
from 37 to 2 torr. What is the most likely explanation for these changes?
A. Upper airway obstruction
Page 4 of 63
CORRECT VERIFIED
SOLUTIONS LATEST EXAM UPDATE
Which of the following patients would most likely benefit from pressuresupport
ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support. Correct
Ans ➡ A patient on SIMV with a set rate of 12/min and total rate of24/min.
A patient receiving mechanical ventilation has developed a temperature of 99.9° F
with purulent secretions over the last 12 hours. The respiratory therapist has also
noted a steady increase in peak inspiratory pressure. Whatinitial recommendation
should be made to address these changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube. Correct Ans ➡ Obtain a sputum gram stain.
Page 1 of 63
,Which of the following information may be obtained from a FVC maneuverduring
bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV Correct Ans ➡ 1 and 2 only
The respiratory therapist is providing patient education for a patient who isbeing
discharged home on aerosol therapy. The most important reason for the patient to
follow the recommended cleaning procedures using a vinegar/water solution is that
this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life. Correct Ans ➡ Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-productive cough.
On physical examination, breath sounds are diminished on the right,tactile
fremitus is decreased and there isdullness to percussion over the right lower lobe.
The respiratory therapist should suspect that the patient issuffering from A.
pneumonia.
B. pulmonary embolism.
C. pleural effusion.
Page 2 of 63
,D. bronchiolitis. Correct Ans ➡ pleural effusion
Which of the following suction catheters would be appropriate to use for apatient
with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr Correct Ans ➡ 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting
theventilator. His breath sounds are markedly diminished on the left, there is
dullness to percussion on the left, and the trachea is shifted to the left. Themost
likely explanation for the problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax. Correct Ans ➡ the
endotracheal tube has slipped into the right main stem bronchus
The respiratory therapist notes a developing hematoma after an arterial blood gas
was drawn from the right radial artery. The immediate response isto
A. notify the charge nurse.
B. apply a pressure dressing.
Page 3 of 63
, C. apply pressure to the site.
D. perform a modified Allen's test. Correct Ans ➡ apply pressure to thesite.
A patient's breathing pattern irregularly increases and decreases and is
interspersed with periods of apnea up to 1 minute. Which of the followingconditions
is the most likely cause of this problem?
A. Diabetes insipidus
B. Renal failure
C. Metabolic acidosis
D. Elevated intracranial pressure Correct Ans ➡ Elevated intracranial
pressure
What value for the apnea-hypopnea index (AHI) is consistent with mildobstructive
sleep apnea?
A. Less than 5
B. 5 to 15
C. 16 to 30
D. Greater than 30 Correct Ans ➡ 5 to 15
While monitoring a newborn utilizing a transcutaneous monitor, you notice
achange in PtcO2 from 60 to 142 torr and simultaneously the (PtcCO2) changes
from 37 to 2 torr. What is the most likely explanation for these changes?
A. Upper airway obstruction
Page 4 of 63
