TMC Exam C| 140 QUESTIONS| 100%
CORRECT ANSWERS(28 PAGES)
a. manual dexterity Correct Answer: The respiratory therapist should evaluate which of the
following to develop a teaching plan for a patient who will be using a small volume nebulizer at
home?
a. manual dexterity
b. highest grade level achieved in school
c. spousal support
d. English speaking proficiency
d. bronchoscopy Correct Answer: Which of the following would be most beneficial in resolving
microatelectasis?
a. chest tubes
b. percutaneous ventilation
c. thoracentesis
d. bronchoscopy
b. oropharyngeal airway Correct Answer: A 45 year-old patient is recovering in the intensive
care unit after undergoing a surgical procedure to repair a hernia. The patient remains
unconscious. To prevent soft tissue obstruction, the respiratory therapist should recommend a(n)
a. double-lumen endobronchial tube
b. oropharyngeal airway
c. bite block
d. nasopharyngeal airway
d. Run 2 only Correct Answer: Quality control material has published values for pH of 7.20,
PO2 of 65 mmHg. Documentation indicates the range of pH is 0.5% and is 3% for PO2. Machine
results are as follows:
Run 1: pH 7.19, PO2 64
Run 2: pH 7.10, PO2 69
Run 3: pH 7.21, PO2 65
Which quality control run(s) indicate the machine is out of control?
a. Run 1 and 2
b. Run 2 and 3
c. Run 3 only
d. Run 2 only
a. ABG and alveolar oxygen tension Correct Answer: A respiratory therapist is considering a
patient's readiness to wean from mechanical ventilation. To determine the A-aDO2, the therapist
will need which of the following?
a. ABG and alveolar oxygen tension
b. VD/VT and PAO2
c. CaO2 and PAO2
,d. VD/VT and ABG
c. heliox therapy Correct Answer: A patient with increased airway resistance from a fixed upper
airway obstruction would benefit most from which of the following?
a. bronchodilator therapy
b. epinephrine
c. heliox therapy
d. aerosolized atropine
d. inspiratory muscle strength Correct Answer: Evaluating MIP (maximum inspiratory pressure)
is most useful in evaluating which of the following?
a. presence of a restrictive pulmonary defect
b. effectiveness of cough
c. presence of obstructive pulmonary defect
d. inspiratory muscle strength
b. excess water in the tubing Correct Answer: An air-entrainment jet nebulizer is set at 50%.
The respiratory therapist analyzes the oxygen coming from the end of the tubing and finds it is
60%. Which of the following most likely explains this finding?
a. poorly calibrate analyzer
b. excess water in the tubing
c. low flow through the jet orifice
d. leak in the tubing
a. examine the ventilator circuit for proper connections Correct Answer: During a preoperational
test of the ventilator with a test lung, the respiratory therapist notes a return tidal volume of 600
cc. Ventilator settings are:
Mode: Assist/control
FiO2: 0.50
Mandatory rate: 10
VT: 750 mL
What action should the therapist take?
a. examine the ventilator circuit for proper connections
b. obtain a larger test lung
c. increase the set tidal volume to 900 mL
d. obtain a smaller test lung
d. change the fuel cell Correct Answer: During the preoperational test of the ventilator, the
respiratory therapist notices the galvanic analyzer on the ventilator is reading erroneously low.
Which of the following can the respiratory therapist do to correct the problem?
a. replace the analyzer batteries
b. replace the electrolyte solution in the analyzer
c. tag the ventilator as non-functional and avoid placing it in service
d. change the fuel cell
, b. poor hand washing among staff Correct Answer: Which of the following is most likely to
increase nosocomial infection in a hospital?
a. use of an HME for 48 hours
b. poor hand washing among staff
c. frequent disconnection in the ventilator circuit
d. use of alcohol-based hand cleaners
b. disconnected thermistor line Correct Answer: While monitoring a patient receiving
mechanical ventilation, the respiratory therapist notices the low-pressure and low exhaled
volume alarms are sounding. Which of the following could be the cause?
a. kinked endotracheal tube
b. disconnected thermistor line
c. excess water in the inspiratory limb of the circuit
d. herniated endotracheal tube cuff
a. a fracture in the plastic wye Correct Answer: A patient receiving positive pressure ventilation
has a low-pressure alarm sounding. Which of the following could be the cause?
a. a fracture in the plastic wye
b. herniated cuff
c. excess secretions in the airway
d. kinked ET tube
a. provide manual ventilation Correct Answer: The high pressure alarm is sounding on a patient
receiving volume controlled ventilation. The respiratory therapist should FIRST
a. provide manual ventilation
b. suction the patient
c. observe the alarm panel to determine source
d. cancel the alarm
d. Anectine (succinylcholine chloride) Correct Answer: Which of the following medications is
shown to have sufficient affect when facial muscle twitching is observed?
a. Halcion
b. Curare (d-turbo curare)
c. Romazicon
d. Anectine (succinylcholine chloride)
d. respirometer Correct Answer: A respiratory therapist is preparing to measure SVC on a
patient in the emergency department. Which of the following equipment is required?
a. Collins water-seal spirometer
b. Geissler tube
c. Wheatstone bridge
d. respirometer
b. pressure manometer Correct Answer: A respiratory therapist is asked to determine a patient's
inspiratory muscle strength. Which of the following equipment is required for this evaluation?
a. Fleisch pneumotrachometer
CORRECT ANSWERS(28 PAGES)
a. manual dexterity Correct Answer: The respiratory therapist should evaluate which of the
following to develop a teaching plan for a patient who will be using a small volume nebulizer at
home?
a. manual dexterity
b. highest grade level achieved in school
c. spousal support
d. English speaking proficiency
d. bronchoscopy Correct Answer: Which of the following would be most beneficial in resolving
microatelectasis?
a. chest tubes
b. percutaneous ventilation
c. thoracentesis
d. bronchoscopy
b. oropharyngeal airway Correct Answer: A 45 year-old patient is recovering in the intensive
care unit after undergoing a surgical procedure to repair a hernia. The patient remains
unconscious. To prevent soft tissue obstruction, the respiratory therapist should recommend a(n)
a. double-lumen endobronchial tube
b. oropharyngeal airway
c. bite block
d. nasopharyngeal airway
d. Run 2 only Correct Answer: Quality control material has published values for pH of 7.20,
PO2 of 65 mmHg. Documentation indicates the range of pH is 0.5% and is 3% for PO2. Machine
results are as follows:
Run 1: pH 7.19, PO2 64
Run 2: pH 7.10, PO2 69
Run 3: pH 7.21, PO2 65
Which quality control run(s) indicate the machine is out of control?
a. Run 1 and 2
b. Run 2 and 3
c. Run 3 only
d. Run 2 only
a. ABG and alveolar oxygen tension Correct Answer: A respiratory therapist is considering a
patient's readiness to wean from mechanical ventilation. To determine the A-aDO2, the therapist
will need which of the following?
a. ABG and alveolar oxygen tension
b. VD/VT and PAO2
c. CaO2 and PAO2
,d. VD/VT and ABG
c. heliox therapy Correct Answer: A patient with increased airway resistance from a fixed upper
airway obstruction would benefit most from which of the following?
a. bronchodilator therapy
b. epinephrine
c. heliox therapy
d. aerosolized atropine
d. inspiratory muscle strength Correct Answer: Evaluating MIP (maximum inspiratory pressure)
is most useful in evaluating which of the following?
a. presence of a restrictive pulmonary defect
b. effectiveness of cough
c. presence of obstructive pulmonary defect
d. inspiratory muscle strength
b. excess water in the tubing Correct Answer: An air-entrainment jet nebulizer is set at 50%.
The respiratory therapist analyzes the oxygen coming from the end of the tubing and finds it is
60%. Which of the following most likely explains this finding?
a. poorly calibrate analyzer
b. excess water in the tubing
c. low flow through the jet orifice
d. leak in the tubing
a. examine the ventilator circuit for proper connections Correct Answer: During a preoperational
test of the ventilator with a test lung, the respiratory therapist notes a return tidal volume of 600
cc. Ventilator settings are:
Mode: Assist/control
FiO2: 0.50
Mandatory rate: 10
VT: 750 mL
What action should the therapist take?
a. examine the ventilator circuit for proper connections
b. obtain a larger test lung
c. increase the set tidal volume to 900 mL
d. obtain a smaller test lung
d. change the fuel cell Correct Answer: During the preoperational test of the ventilator, the
respiratory therapist notices the galvanic analyzer on the ventilator is reading erroneously low.
Which of the following can the respiratory therapist do to correct the problem?
a. replace the analyzer batteries
b. replace the electrolyte solution in the analyzer
c. tag the ventilator as non-functional and avoid placing it in service
d. change the fuel cell
, b. poor hand washing among staff Correct Answer: Which of the following is most likely to
increase nosocomial infection in a hospital?
a. use of an HME for 48 hours
b. poor hand washing among staff
c. frequent disconnection in the ventilator circuit
d. use of alcohol-based hand cleaners
b. disconnected thermistor line Correct Answer: While monitoring a patient receiving
mechanical ventilation, the respiratory therapist notices the low-pressure and low exhaled
volume alarms are sounding. Which of the following could be the cause?
a. kinked endotracheal tube
b. disconnected thermistor line
c. excess water in the inspiratory limb of the circuit
d. herniated endotracheal tube cuff
a. a fracture in the plastic wye Correct Answer: A patient receiving positive pressure ventilation
has a low-pressure alarm sounding. Which of the following could be the cause?
a. a fracture in the plastic wye
b. herniated cuff
c. excess secretions in the airway
d. kinked ET tube
a. provide manual ventilation Correct Answer: The high pressure alarm is sounding on a patient
receiving volume controlled ventilation. The respiratory therapist should FIRST
a. provide manual ventilation
b. suction the patient
c. observe the alarm panel to determine source
d. cancel the alarm
d. Anectine (succinylcholine chloride) Correct Answer: Which of the following medications is
shown to have sufficient affect when facial muscle twitching is observed?
a. Halcion
b. Curare (d-turbo curare)
c. Romazicon
d. Anectine (succinylcholine chloride)
d. respirometer Correct Answer: A respiratory therapist is preparing to measure SVC on a
patient in the emergency department. Which of the following equipment is required?
a. Collins water-seal spirometer
b. Geissler tube
c. Wheatstone bridge
d. respirometer
b. pressure manometer Correct Answer: A respiratory therapist is asked to determine a patient's
inspiratory muscle strength. Which of the following equipment is required for this evaluation?
a. Fleisch pneumotrachometer
