C&S TMC STUDY EXAMS GUIDED QUESTIONS
AND ANSWERS SURE A+
✔✔Following abdominal surgery, a pt has developed a productive cough and a temp of
103.3 degrees F (39.6 degrees Celcius) Auscultation of the chest reveals fine crackles
throughout the left lower lung field. These findings are consistent with: - ✔✔Pneumonia
✔✔Which of the following is true regarding the 4th heart sound (S4)? - ✔✔May be a
sign of diastolic heart failure
✔✔Which of the following pathological conditions would cause tracheal deviation toward
the diseased side: - ✔✔4. Yes, Yes, Yes, No
✔✔An RT has been asked to initiate O2 therapy for a 33 year old female pt. While
reviewing the physician's orders, the therapist notes that the physician ordered oxygen
via simple mask at 3 L/m. Which of the following should the therapist do? - ✔✔Clarify
the order with the physician
✔✔An RT is asked to evaluate and recommend care for a 79 yr old female who has
end-stage COPD and who has just been brought to the ED by her daughter. Which of
the following should the therapist consider first before recommending aggressive care
for this pt? - ✔✔DNR/DNI status
, ✔✔An RT is asked to assess a COPD pt is in a pulmonary rehab program. During the
interview, the pt tells the therapist that he has been working with a resistive training
device for 2 weeks and that he is able to tolerate the device for 15 mins. What should
the therapist do? - ✔✔Insert a smaller restrictive orifice in the device
✔✔A physician has requested that the RT instruct an outpatient who is enrolled in a
pulmonary rehab program on the proper cleaning and disinfection of his RT equipment.
The therapist should explain to the pt that the primary purpose for - ✔✔Reduce the
spread of infection
✔✔A home care pt receiving continuous O2 via NC has become increasingly
noncompliant in her O2 therapy and states she is concerned about appearance. Which
of the following would be most appropriate for the RT to suggest? - ✔✔Transtracheal
oxygen catheter
✔✔An RT is discussing discharge orders with a pt who has a long standing history of
chronic obstructive pulmonary disease and who has a 78 pack year smoking history.
Important aspects of the discharge orders regarding the pt's pulmonary status include
all of the following except: - ✔✔Avoiding public restaurants that serve alcoholic
beverages
✔✔An RT is assisting the physician with an elective cardioversion. During the
procedure, the patient experiences a sudden attack of severe seizures. The 1st priority
of the RT is: - ✔✔Maintain a patent airway
✔✔An RT is assisting the physician with needle aspiration to relieve a tension
pneumothorax. The procedure has been successful. Which of the following should be
done next? - ✔✔Proceed with chest tube placement
✔✔While prepping a pt for a thoracentesis, the pt asks the RT why he must be sitting
upright. The RT would explain to the pt that sitting upright: - ✔✔Lowers the diaphragm
and reduces the possibility of its puncture.
✔✔While assisting a physician during the bronch procedure, the RT notes blood
streaked secretions in the suction container. Which of the following agents would be
most helpful in controlling the bleeding? - ✔✔Epi
✔✔All of the following would be important in the management of a trauma pt during air-
transport except: - ✔✔ABG sampling/analysis
✔✔A physician has written an order for a respiratory treatment that appears to
contradict a hospital policy. The RT should: - ✔✔Contact physician ask for clarification
AND ANSWERS SURE A+
✔✔Following abdominal surgery, a pt has developed a productive cough and a temp of
103.3 degrees F (39.6 degrees Celcius) Auscultation of the chest reveals fine crackles
throughout the left lower lung field. These findings are consistent with: - ✔✔Pneumonia
✔✔Which of the following is true regarding the 4th heart sound (S4)? - ✔✔May be a
sign of diastolic heart failure
✔✔Which of the following pathological conditions would cause tracheal deviation toward
the diseased side: - ✔✔4. Yes, Yes, Yes, No
✔✔An RT has been asked to initiate O2 therapy for a 33 year old female pt. While
reviewing the physician's orders, the therapist notes that the physician ordered oxygen
via simple mask at 3 L/m. Which of the following should the therapist do? - ✔✔Clarify
the order with the physician
✔✔An RT is asked to evaluate and recommend care for a 79 yr old female who has
end-stage COPD and who has just been brought to the ED by her daughter. Which of
the following should the therapist consider first before recommending aggressive care
for this pt? - ✔✔DNR/DNI status
, ✔✔An RT is asked to assess a COPD pt is in a pulmonary rehab program. During the
interview, the pt tells the therapist that he has been working with a resistive training
device for 2 weeks and that he is able to tolerate the device for 15 mins. What should
the therapist do? - ✔✔Insert a smaller restrictive orifice in the device
✔✔A physician has requested that the RT instruct an outpatient who is enrolled in a
pulmonary rehab program on the proper cleaning and disinfection of his RT equipment.
The therapist should explain to the pt that the primary purpose for - ✔✔Reduce the
spread of infection
✔✔A home care pt receiving continuous O2 via NC has become increasingly
noncompliant in her O2 therapy and states she is concerned about appearance. Which
of the following would be most appropriate for the RT to suggest? - ✔✔Transtracheal
oxygen catheter
✔✔An RT is discussing discharge orders with a pt who has a long standing history of
chronic obstructive pulmonary disease and who has a 78 pack year smoking history.
Important aspects of the discharge orders regarding the pt's pulmonary status include
all of the following except: - ✔✔Avoiding public restaurants that serve alcoholic
beverages
✔✔An RT is assisting the physician with an elective cardioversion. During the
procedure, the patient experiences a sudden attack of severe seizures. The 1st priority
of the RT is: - ✔✔Maintain a patent airway
✔✔An RT is assisting the physician with needle aspiration to relieve a tension
pneumothorax. The procedure has been successful. Which of the following should be
done next? - ✔✔Proceed with chest tube placement
✔✔While prepping a pt for a thoracentesis, the pt asks the RT why he must be sitting
upright. The RT would explain to the pt that sitting upright: - ✔✔Lowers the diaphragm
and reduces the possibility of its puncture.
✔✔While assisting a physician during the bronch procedure, the RT notes blood
streaked secretions in the suction container. Which of the following agents would be
most helpful in controlling the bleeding? - ✔✔Epi
✔✔All of the following would be important in the management of a trauma pt during air-
transport except: - ✔✔ABG sampling/analysis
✔✔A physician has written an order for a respiratory treatment that appears to
contradict a hospital policy. The RT should: - ✔✔Contact physician ask for clarification
