C&S TMC CORE MAIN EXAMS ALL QUESTIONS
AND ANSWERS SURE A+
✔✔A 51 year old female presents to the ED complaining of weakness, muscle cramps,
fatigue, and palpations. An ECG is obtained. The RT should recommend: - ✔✔IV
potassium
✔✔A physician has ordered a PFT for a 44 year old female who presented with a
complaint of dyspnea with mild exertion. She has a 21 year pack history of smoking a
history of IV methylphenidate (Ritalin). The PFT results are as follows: - ✔✔2. very
obstructive-YES, Significant air-trapping-YES, Significant response to bronchodilator-
NO
✔✔A 68 year old female presents to her physician with complaints of dyspnea on
exertion and having to sleep with 2 pillows for breathing comfort. She has a 45 pack
year history of smoking and is a retired cashier. The physician orders PFT and the
results are as follows:
FVC: 46
FEV1: 33
RV: 194
TLC: 106
Which of the following is consistent with these results: - ✔✔Severe obstructive defect
, ✔✔At which of the following periods should the RT recommend the placement of a trach
tube for an orally intubated pt? - ✔✔Placement is individualized based on the pt's
clinical situation
✔✔A 34 week old neonate is receiving CPAP at 2 cm with an FiO2 of 0.30. ABG values
are as follows:
pH: 7.37
PaCO2: 40
PaO2: 76
HCO3: 22
Which should the therapist recommend? - ✔✔Extubating and administration of 30% O2
✔✔2 hours after being admitted to the ICU, an asthmatic pt has become severely
obtunded and cyanotic. SVT with frequent PVCs are noted on the cardiac monitor.
Auscultation reveals markedly diminished air bilaterally. Which of the following is
priority? - ✔✔Intubation and MV with 100% O2.
✔✔Measurement of which of the following would be most useful in evaluating the
effectiveness of fluid replacement therapy in a critically ill pt? - ✔✔CVP
✔✔A pt with a history of moderate COPD has an order for NPPV with IPAP 10, EPAP 5,
backup rate 12/min, and FiO2 0.35. Prior to the initiation of NPPV, ABG results while
breathing O2 via NC at 3 L/min showed a pH of 7.29, PaCO2 of 62, and PaO2 of 48.
One hour after the initiative of NPPV, ABG results are obtained and the results are pH
7.36, PaCO2 51, and PaO2 74. The RT should recommend? - ✔✔Maintaining preset
settings
✔✔In which of the following situations would it be appropriate for the RT to terminate a
bronchodilator treatment? - ✔✔Worsening of bronchospasm
✔✔12 hours following a spontaneous breathing, orally intubated pt admitted for narcotic
overdose regains consciousness, becomes extremely agitated and needs restraining. At
this time, the RT should recommend which of the following? - ✔✔Removal of ET
✔✔A pt with cardiovascular depression is being MV via a volume neb. Which of the
following I:E ratios would most likely lead to further depression of this pt's
cardiovascular system? - ✔✔1:1
✔✔An RT is asked to initiate MV on a 67 year old, 55 kg female pt who has a long
standing history of COPD. The RT should suggest: - ✔✔SIMV; rate 8/min, Vt 400 mL,
FiO2 0.30
✔✔70 kg (154 lb) male pt with COPD is being MV:
AND ANSWERS SURE A+
✔✔A 51 year old female presents to the ED complaining of weakness, muscle cramps,
fatigue, and palpations. An ECG is obtained. The RT should recommend: - ✔✔IV
potassium
✔✔A physician has ordered a PFT for a 44 year old female who presented with a
complaint of dyspnea with mild exertion. She has a 21 year pack history of smoking a
history of IV methylphenidate (Ritalin). The PFT results are as follows: - ✔✔2. very
obstructive-YES, Significant air-trapping-YES, Significant response to bronchodilator-
NO
✔✔A 68 year old female presents to her physician with complaints of dyspnea on
exertion and having to sleep with 2 pillows for breathing comfort. She has a 45 pack
year history of smoking and is a retired cashier. The physician orders PFT and the
results are as follows:
FVC: 46
FEV1: 33
RV: 194
TLC: 106
Which of the following is consistent with these results: - ✔✔Severe obstructive defect
, ✔✔At which of the following periods should the RT recommend the placement of a trach
tube for an orally intubated pt? - ✔✔Placement is individualized based on the pt's
clinical situation
✔✔A 34 week old neonate is receiving CPAP at 2 cm with an FiO2 of 0.30. ABG values
are as follows:
pH: 7.37
PaCO2: 40
PaO2: 76
HCO3: 22
Which should the therapist recommend? - ✔✔Extubating and administration of 30% O2
✔✔2 hours after being admitted to the ICU, an asthmatic pt has become severely
obtunded and cyanotic. SVT with frequent PVCs are noted on the cardiac monitor.
Auscultation reveals markedly diminished air bilaterally. Which of the following is
priority? - ✔✔Intubation and MV with 100% O2.
✔✔Measurement of which of the following would be most useful in evaluating the
effectiveness of fluid replacement therapy in a critically ill pt? - ✔✔CVP
✔✔A pt with a history of moderate COPD has an order for NPPV with IPAP 10, EPAP 5,
backup rate 12/min, and FiO2 0.35. Prior to the initiation of NPPV, ABG results while
breathing O2 via NC at 3 L/min showed a pH of 7.29, PaCO2 of 62, and PaO2 of 48.
One hour after the initiative of NPPV, ABG results are obtained and the results are pH
7.36, PaCO2 51, and PaO2 74. The RT should recommend? - ✔✔Maintaining preset
settings
✔✔In which of the following situations would it be appropriate for the RT to terminate a
bronchodilator treatment? - ✔✔Worsening of bronchospasm
✔✔12 hours following a spontaneous breathing, orally intubated pt admitted for narcotic
overdose regains consciousness, becomes extremely agitated and needs restraining. At
this time, the RT should recommend which of the following? - ✔✔Removal of ET
✔✔A pt with cardiovascular depression is being MV via a volume neb. Which of the
following I:E ratios would most likely lead to further depression of this pt's
cardiovascular system? - ✔✔1:1
✔✔An RT is asked to initiate MV on a 67 year old, 55 kg female pt who has a long
standing history of COPD. The RT should suggest: - ✔✔SIMV; rate 8/min, Vt 400 mL,
FiO2 0.30
✔✔70 kg (154 lb) male pt with COPD is being MV:
