TMC Exam C Questions and Answers
100% Pass
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 ✔✔a. manual dexterity
Which of the following would be most beneficial in resolving microatelectasis?
a. chest tubes
b. percutaneous ventilation
c. thoracentesis
d. bronchoscopy ✔✔d. bronchoscopy
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 ✔✔b. oropharyngeal airway
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 ✔✔d. Run 2 only
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 ✔✔a. ABG and alveolar oxygen tension
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 ✔✔c. heliox therapy
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 ✔✔d. inspiratory muscle strength
, 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 ✔✔b. excess water in the tubing
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 ✔✔a. examine the ventilator circuit for proper connections
100% Pass
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 ✔✔a. manual dexterity
Which of the following would be most beneficial in resolving microatelectasis?
a. chest tubes
b. percutaneous ventilation
c. thoracentesis
d. bronchoscopy ✔✔d. bronchoscopy
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 ✔✔b. oropharyngeal airway
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 ✔✔d. Run 2 only
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 ✔✔a. ABG and alveolar oxygen tension
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 ✔✔c. heliox therapy
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 ✔✔d. inspiratory muscle strength
, 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 ✔✔b. excess water in the tubing
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 ✔✔a. examine the ventilator circuit for proper connections
