TMC Respiratory Care Exam Review
4th Edition Questions and Answers
Top Rated Latest Version
Question>> 1
The most effective method for determination of ET tube location
after intubation is which of the following?
A. Auscultation of breath sounds
B. Direct visualization during intubation
C. Observance on chest radiograph film
D. Listening for air flow at the tube outlet
Answer>>
C. Observance on chest radiograph film
Question>> 2
During O2 rounds, the respiratory therapist notices a nebulizer
delivering very little mist to the patient's aerosol mask. Which of
the following could cause this problem?
1. Inadequate flow from the flowmeter.
2. A plugged capillary tube.
3. Excessive H2O in the aerosol tubing.
A. 1 only
B. 1 and 2 only
C. 2 and 3 only
D. 1, 2, and 3
Answer>>
Page 1 of 76
,D. 1, 2, and 3
Question>> 3
A ventilator patient's cardiac index decreases from 3.5 to 2.2
L/min/m2. This may occur in which of the following situations?
A. Decreased vascular resistance
B. Hypervolemia
C. Excessive level of PEEP
D. Dopamine administration
Answer>>
C. Excessive level of PEEP
Question>> 4
Which of the values below represents the normal value for CVP?
A. 2 to 6 mm Hg
B. 8 to 10 mm Hg
C. 10 to 15 mm Hg
D. 15 to 18 mm Hg
Answer>>
A. 2 to 6 mm Hg
Question>> 5
The following pulmonary function values are obtained from a
patient:
Predicted Observed %Predicted FVC (L) 5.6 3.1 55
FEV1 (L) 3.7 1.3 35
FEV1/FVC (%)70 42 —
TLC (L) 7.0 7.9 113
Which of the following is the most likely interpretation of these
Page 2 of 76
,results?
A. Severe obstructive pattern
B. Mild obstructive pattern
C. Severe restrictive pattern
D. Mild restrictive pattern
Answer>>
A. Severe obstructive pattern
Question>> 6
The following electrocardiographic (ECG) rhythm is observed on
the patient's oscilloscope monitor after endotracheal (ET)
suctioning:
Which of the following is the most appropriate action to help
prevent this from occurring?
A. Decrease the suction pressure.
B. Hyperoxygenate the patient.
C. Use a larger suction catheter.
D. Limit the time that the catheter is in the airway to 15 sec.
Answer>>
Page 3 of 76
, B. Hyperoxygenate the patient.
Question>> 7
A 3-month-old infant with respiratory syncytial virus (RSV) has the
following capillary blood gas results on a 60% O2 hood:
pH: 7.37
PaCO2: 43 mm Hg
PaO2: 60 mm Hg
On the basis of this information, the most appropriate action is
which of the following?
A. Increase FIO2 to 0.70.
B. Place on nasal CPAP of 4 cm H2O and FIO2 of 0.50.
C. Decrease FIO2 to 0.50.
D. Intubate the patient and institute mechanical ventilation
Answer>>
C. Decrease FIO2 to 0.50.
Question>> 8
The respiratory therapist is administering IPPB to a patient with a
tracheostomy tube who is having difficulty cycling the machine
into the expiratory phase. Which of the following could be done
to correct this problem?
A. Increase the sensitivity.
B. Decrease the flow.
C. Check for air in the tracheostomy tube cuff.
D. Increase the inspiratory pressure.
Answer>>
C. Check for air in the tracheostomy tube cuff.
Question>> 9
Page 4 of 76
4th Edition Questions and Answers
Top Rated Latest Version
Question>> 1
The most effective method for determination of ET tube location
after intubation is which of the following?
A. Auscultation of breath sounds
B. Direct visualization during intubation
C. Observance on chest radiograph film
D. Listening for air flow at the tube outlet
Answer>>
C. Observance on chest radiograph film
Question>> 2
During O2 rounds, the respiratory therapist notices a nebulizer
delivering very little mist to the patient's aerosol mask. Which of
the following could cause this problem?
1. Inadequate flow from the flowmeter.
2. A plugged capillary tube.
3. Excessive H2O in the aerosol tubing.
A. 1 only
B. 1 and 2 only
C. 2 and 3 only
D. 1, 2, and 3
Answer>>
Page 1 of 76
,D. 1, 2, and 3
Question>> 3
A ventilator patient's cardiac index decreases from 3.5 to 2.2
L/min/m2. This may occur in which of the following situations?
A. Decreased vascular resistance
B. Hypervolemia
C. Excessive level of PEEP
D. Dopamine administration
Answer>>
C. Excessive level of PEEP
Question>> 4
Which of the values below represents the normal value for CVP?
A. 2 to 6 mm Hg
B. 8 to 10 mm Hg
C. 10 to 15 mm Hg
D. 15 to 18 mm Hg
Answer>>
A. 2 to 6 mm Hg
Question>> 5
The following pulmonary function values are obtained from a
patient:
Predicted Observed %Predicted FVC (L) 5.6 3.1 55
FEV1 (L) 3.7 1.3 35
FEV1/FVC (%)70 42 —
TLC (L) 7.0 7.9 113
Which of the following is the most likely interpretation of these
Page 2 of 76
,results?
A. Severe obstructive pattern
B. Mild obstructive pattern
C. Severe restrictive pattern
D. Mild restrictive pattern
Answer>>
A. Severe obstructive pattern
Question>> 6
The following electrocardiographic (ECG) rhythm is observed on
the patient's oscilloscope monitor after endotracheal (ET)
suctioning:
Which of the following is the most appropriate action to help
prevent this from occurring?
A. Decrease the suction pressure.
B. Hyperoxygenate the patient.
C. Use a larger suction catheter.
D. Limit the time that the catheter is in the airway to 15 sec.
Answer>>
Page 3 of 76
, B. Hyperoxygenate the patient.
Question>> 7
A 3-month-old infant with respiratory syncytial virus (RSV) has the
following capillary blood gas results on a 60% O2 hood:
pH: 7.37
PaCO2: 43 mm Hg
PaO2: 60 mm Hg
On the basis of this information, the most appropriate action is
which of the following?
A. Increase FIO2 to 0.70.
B. Place on nasal CPAP of 4 cm H2O and FIO2 of 0.50.
C. Decrease FIO2 to 0.50.
D. Intubate the patient and institute mechanical ventilation
Answer>>
C. Decrease FIO2 to 0.50.
Question>> 8
The respiratory therapist is administering IPPB to a patient with a
tracheostomy tube who is having difficulty cycling the machine
into the expiratory phase. Which of the following could be done
to correct this problem?
A. Increase the sensitivity.
B. Decrease the flow.
C. Check for air in the tracheostomy tube cuff.
D. Increase the inspiratory pressure.
Answer>>
C. Check for air in the tracheostomy tube cuff.
Question>> 9
Page 4 of 76
