TMC practice questions and answers
already graded A+
A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has
tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5.
The infant is most likely suffering from
transient tachypnea of the newborn
meconium aspiration
bronchopulmonary dysplasia
apnea of prematurity ✔✔meconium aspiration
All of the following could cause a patient's right-hemidiaphragm to be elevated, Except...
right lower lobe atelectasis
,right side hyperlucency, absent vascular markings
hepatomegaly
right lower lobe consolidation with air bronchograms ✔✔right side hyperlucency, absent
vascular markings
A 64 year old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung
ventilation following thoracotomy and right lower lobectomy. Which of the following setting
combinations would be most appropriate for this patient?
Right Lung 50 mL, left lung 459 mL
Right lung 159 ml, left lung 359 ml
Right lung 250, left lung 250 ml
Right lung 350 ml, left lung 150 ml ✔✔Right lung 150, left lung 350 ml
,A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The
physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of
the following would most likely indicate that the patient is ready for extubation?
The patient is making normal quiet ventilatory efforts
A negative sputum culture and sensitivity has been reported
The patients ABG are within normal range
Breath sounds are heard around the tube on auscultation ✔✔Breath sounds are heard around the
tube on auscultation
When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should
direct the patient to....
exhale to residual volume and inhale to inspiratory capacity
, inhale to total lung capacity then exhale to residual volume
exhale normally then inhale to TLC
inhale normally then exhale to FRC ✔✔inhale to TLC then exhale to RV
A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of breath.
The RT should...
Manually ventilate the patient with a resusitation bag
increase the flow to the transtracheal catheter to 6 lpm
evaluate the SpO2 with a pulse oximeter
flush the transtracheal device with saline ✔✔flush the transtracheal device with saline
already graded A+
A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has
tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5.
The infant is most likely suffering from
transient tachypnea of the newborn
meconium aspiration
bronchopulmonary dysplasia
apnea of prematurity ✔✔meconium aspiration
All of the following could cause a patient's right-hemidiaphragm to be elevated, Except...
right lower lobe atelectasis
,right side hyperlucency, absent vascular markings
hepatomegaly
right lower lobe consolidation with air bronchograms ✔✔right side hyperlucency, absent
vascular markings
A 64 year old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung
ventilation following thoracotomy and right lower lobectomy. Which of the following setting
combinations would be most appropriate for this patient?
Right Lung 50 mL, left lung 459 mL
Right lung 159 ml, left lung 359 ml
Right lung 250, left lung 250 ml
Right lung 350 ml, left lung 150 ml ✔✔Right lung 150, left lung 350 ml
,A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The
physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of
the following would most likely indicate that the patient is ready for extubation?
The patient is making normal quiet ventilatory efforts
A negative sputum culture and sensitivity has been reported
The patients ABG are within normal range
Breath sounds are heard around the tube on auscultation ✔✔Breath sounds are heard around the
tube on auscultation
When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should
direct the patient to....
exhale to residual volume and inhale to inspiratory capacity
, inhale to total lung capacity then exhale to residual volume
exhale normally then inhale to TLC
inhale normally then exhale to FRC ✔✔inhale to TLC then exhale to RV
A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal
oxygen catheter. The patient complains of increased work of breathing and shortness of breath.
The RT should...
Manually ventilate the patient with a resusitation bag
increase the flow to the transtracheal catheter to 6 lpm
evaluate the SpO2 with a pulse oximeter
flush the transtracheal device with saline ✔✔flush the transtracheal device with saline
