TMC Practice Questions A-
Kettering(Latest Exam 2024)
A 48 year-old female is admitted to the ED with
diaphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances. - correct answers✅C.
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist
discovers that breath sounds are absent in the left chest
with a hyperresonant percussion note. The trachea is
shifted to the right. The patient's heart rate is 45/min,
respiratory rate is 30/min, and blood pressure is 60/40
mm Hg. What action should the therapist recommend
first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient. - correct answers✅C.
,TMC Practice Questions A-
Kettering(Latest Exam 2024)
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - correct answers✅C.
A 52 year-old post-operative cholecystectomy patient's
breath sounds become more coarse upon completion of
postural drainage with percussion. The respiratory
therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. -
correct answers✅D.
A 65 kg spinal cord injured patient has developed
atelectasis. His inspiratory capacity is 30% of his
predicted value. What bronchial hygiene therapy would
be most appropriate initially?
,TMC Practice Questions A-
Kettering(Latest Exam 2024)
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - correct answers✅B.
A healthy adult female can exhale what portion of her
forced vital capacity in the first second?
A. 50%
B. 60%
C. 70%
D. 80% - correct answers✅C.
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
, TMC Practice Questions A-
Kettering(Latest Exam 2024)
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - correct answers✅A.
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with
tracheal deviation to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - correct answers✅D.
A 55 year-old post cardiac surgery patient has the
following ABG results: pH 7.50, PaCO2 30 torr, PaO2 62
torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-
v)O2.
A. 2.5 vol%
B. 4.0 vol%
Kettering(Latest Exam 2024)
A 48 year-old female is admitted to the ED with
diaphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances. - correct answers✅C.
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist
discovers that breath sounds are absent in the left chest
with a hyperresonant percussion note. The trachea is
shifted to the right. The patient's heart rate is 45/min,
respiratory rate is 30/min, and blood pressure is 60/40
mm Hg. What action should the therapist recommend
first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the
patient. - correct answers✅C.
,TMC Practice Questions A-
Kettering(Latest Exam 2024)
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - correct answers✅C.
A 52 year-old post-operative cholecystectomy patient's
breath sounds become more coarse upon completion of
postural drainage with percussion. The respiratory
therapist should recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. -
correct answers✅D.
A 65 kg spinal cord injured patient has developed
atelectasis. His inspiratory capacity is 30% of his
predicted value. What bronchial hygiene therapy would
be most appropriate initially?
,TMC Practice Questions A-
Kettering(Latest Exam 2024)
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - correct answers✅B.
A healthy adult female can exhale what portion of her
forced vital capacity in the first second?
A. 50%
B. 60%
C. 70%
D. 80% - correct answers✅C.
A patient on VC ventilation has demonstrated auto-PEEP
on ventilator graphics. Which of the following controls,
when adjusted independently, would increase expiratory
time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
, TMC Practice Questions A-
Kettering(Latest Exam 2024)
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - correct answers✅A.
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with
tracheal deviation to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - correct answers✅D.
A 55 year-old post cardiac surgery patient has the
following ABG results: pH 7.50, PaCO2 30 torr, PaO2 62
torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's C(a-
v)O2.
A. 2.5 vol%
B. 4.0 vol%
