C&S TMC UPDATED EXAMS TEST PAPER
QUESTIONS AND ANSWERS SURE A+
✔✔A comatose patient has an oropharyngeal airway in place due to upper airway
obstruction from the hypopharynx. Over the last 2 hrs, the patient has become semi-
alert and is experiencing intermittent gagging episodes. Which of the following is the
most appropriate action at this time? - ✔✔Replace the oropharyngeal airway with a
nasopharyngeal airway.
✔✔Which of the following may result if a patient with a tracheostomy tube receives
inadequate humidification? - ✔✔Tracheitis
✔✔Which of the following best explains : the use of heat and moisture exchangers (
except where contraindicated), rather than heated humidifiers, in reducing the incidence
of ventilator associated pneumonia (VAP) - ✔✔They generate less condensate
✔✔Upon entering the room of a spontaneously breathing intubated patient, the RT
observes that the endotracheal tube is 4 cm displaced from its correct placement and
that the patient is able to verbally communicate. The RT should do which of the
following? - ✔✔Remove the endotracheal tube and manually ventilate, as needed
, ✔✔A 45 yr old male has been admitted to the ED following a bee stinging to the back of
the throat. The patient is intensely cyanotic with severe suprasternal retractions.
Attempts at oral intubation have been unsuccessful. Which of the following would be
appropriate for this situation? - ✔✔Cricothyroidotomy with placement of an endotracheal
tube in the opening.
✔✔Where cervical spine injury is not a concern, which of the following head positions is
considered optimal for direct laryngoscopy? - ✔✔Neck flexed and head extended
✔✔Calibrating an electronic spirometer is best performed by calibrating the primary
signal: flow. The procedure, however, is complex and not easily performed. Which of
the following is a satisfactory alternative? - ✔✔Volume calibration
✔✔A RT is reviewing the quality control chart, shown to the right, obtained from the pH
electrode of a blood gas analyzer. From the information contained on the chart, the
therapist should: - ✔✔Do nothing, the data collected is within the acceptable range
✔✔A RT is calibrating a tcPO2 electrode. After 5 minutes, the electrode still has not
completed a successful calibration. The therapist should - ✔✔Replace the electrode
membrane
✔✔A patient with severe acute respiratory syndrome (SARS) requires mechanical
ventilation. To ensure maximum infection control, which of the following would NOT be
used? - ✔✔Sterile heated water humidifier.
✔✔Which of the following best describes the reasons why masks are worn by
practitioners who care for hospitalized patients that have a contagious airborne
disease? - ✔✔They are designed to filter more airborne species of bacteria.
✔✔If the transducer of an arterial pressure monitoring system is set below the reference
point ( below mid-chest level or catheter tip level), the pressure reading: - ✔✔Will be too
high
✔✔To continuously monitor the exhaled carbon dioxide level of a mechanically
ventilated patient, the gas sampling device should be connected: - ✔✔At the proximal
end of the endotracheal or tracheostomy tube
✔✔Which of the following best explains the reason why there are several eyelets in the
distal end of the chest tube? - ✔✔They promote drainage from the pleural space
✔✔A vane-type respirometer has been placed in-line at the end of the main expiratory
tubing of a volume ventilator. After 24 hrs of continuous in-line use, the respirometer
would: - ✔✔Record volumes that are lower than actual
QUESTIONS AND ANSWERS SURE A+
✔✔A comatose patient has an oropharyngeal airway in place due to upper airway
obstruction from the hypopharynx. Over the last 2 hrs, the patient has become semi-
alert and is experiencing intermittent gagging episodes. Which of the following is the
most appropriate action at this time? - ✔✔Replace the oropharyngeal airway with a
nasopharyngeal airway.
✔✔Which of the following may result if a patient with a tracheostomy tube receives
inadequate humidification? - ✔✔Tracheitis
✔✔Which of the following best explains : the use of heat and moisture exchangers (
except where contraindicated), rather than heated humidifiers, in reducing the incidence
of ventilator associated pneumonia (VAP) - ✔✔They generate less condensate
✔✔Upon entering the room of a spontaneously breathing intubated patient, the RT
observes that the endotracheal tube is 4 cm displaced from its correct placement and
that the patient is able to verbally communicate. The RT should do which of the
following? - ✔✔Remove the endotracheal tube and manually ventilate, as needed
, ✔✔A 45 yr old male has been admitted to the ED following a bee stinging to the back of
the throat. The patient is intensely cyanotic with severe suprasternal retractions.
Attempts at oral intubation have been unsuccessful. Which of the following would be
appropriate for this situation? - ✔✔Cricothyroidotomy with placement of an endotracheal
tube in the opening.
✔✔Where cervical spine injury is not a concern, which of the following head positions is
considered optimal for direct laryngoscopy? - ✔✔Neck flexed and head extended
✔✔Calibrating an electronic spirometer is best performed by calibrating the primary
signal: flow. The procedure, however, is complex and not easily performed. Which of
the following is a satisfactory alternative? - ✔✔Volume calibration
✔✔A RT is reviewing the quality control chart, shown to the right, obtained from the pH
electrode of a blood gas analyzer. From the information contained on the chart, the
therapist should: - ✔✔Do nothing, the data collected is within the acceptable range
✔✔A RT is calibrating a tcPO2 electrode. After 5 minutes, the electrode still has not
completed a successful calibration. The therapist should - ✔✔Replace the electrode
membrane
✔✔A patient with severe acute respiratory syndrome (SARS) requires mechanical
ventilation. To ensure maximum infection control, which of the following would NOT be
used? - ✔✔Sterile heated water humidifier.
✔✔Which of the following best describes the reasons why masks are worn by
practitioners who care for hospitalized patients that have a contagious airborne
disease? - ✔✔They are designed to filter more airborne species of bacteria.
✔✔If the transducer of an arterial pressure monitoring system is set below the reference
point ( below mid-chest level or catheter tip level), the pressure reading: - ✔✔Will be too
high
✔✔To continuously monitor the exhaled carbon dioxide level of a mechanically
ventilated patient, the gas sampling device should be connected: - ✔✔At the proximal
end of the endotracheal or tracheostomy tube
✔✔Which of the following best explains the reason why there are several eyelets in the
distal end of the chest tube? - ✔✔They promote drainage from the pleural space
✔✔A vane-type respirometer has been placed in-line at the end of the main expiratory
tubing of a volume ventilator. After 24 hrs of continuous in-line use, the respirometer
would: - ✔✔Record volumes that are lower than actual
