TMC A EXAM LATEST 2023-2024 ACTUAL EXAM
TEST BANK 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIO NALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of
the medical record suggests the physician has concern about difficulty clearing secretions after the
procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist
should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER-d. Instruction on deep breathing
and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER-a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated tracheostomy tube in
preparation for speech therapy. Prior to applying the cap on the end of the tube, the therapist should
also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - ANSWER-b. The inner cannula is removed and the
cuff deflated
,A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical ventilatory support,
the patient is to be orally intubated. Which of the following artificial airways would be most appropriate
for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER-a. Size 7.0 mm ET tube with a large volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER-c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a size 8.0 mm ET tube.
While transporting the patient from CT scan back to the intensive care unit, the respiratory therapist
notices oxygen saturation has dropped to 88% and that the bag-valve is easier to squeeze than normal.
Suspecting mal-positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER-d. Examine chest rise and auscultate
breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on volume-controlled
ventilation. The respiratory therapist should do which of the following to best confirm proper placement
of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER-d. Obtain a chest radiograph
,After 20 minutes into a spontaneous breathing trial (SBT) a mechanically ventilated female patient
becomes anxious. Her baseline heart rate has increased by 20 /min. What should the respiratory
therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER-d. Return to full mechanical ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER-b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema. Which of the following
would be experienced with this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER-c. Elevated left ventricular filling pressure with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER-d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
b. Frequent PVCs
, c. Asystole
d. Ventricular fibrillation - ANSWER-a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER-d. PaCO2 from an arterial blood gas analysis
A 32-gestational week newborn is receiving mechanical ventilation via a 3.0 mm endotracheal tube.
Which of the following are associated with ongoing assessment of renal function?
a. Diaper weight and blood draw volumes are recorded
b. mPAP
c. PCWP
d. Humidification is maintained at a non-invasive temperature - ANSWER-a. Diaper weight and blood
draw volumes are recorded
A patient with ARDS and asthma could benefit from which of the following medications?
a. Tobramycin and albuterol
b. Exogenous surfactant
c. Cromolyn sodium
d. Spiriva and Decadron - ANSWER-b. Exogenous surfactant
The respiratory therapist should look to which of the following clinical data to determine the
effectiveness of incentive spirometry?
a. Arterial blood gas analysis pre and post treatment
b. Inspiratory capacity predicted volume
c. Maximum voluntary ventilation done periodically
d. Breath sounds before and after every treatment - ANSWER-d. Breath sounds before and after every
treatment
TEST BANK 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIO NALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of
the medical record suggests the physician has concern about difficulty clearing secretions after the
procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist
should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques - ANSWER-d. Instruction on deep breathing
and coughing techniques
Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs - ANSWER-a. Untreated pneumothorax
The respiratory therapist has an order to cap a patient with a fenestrated tracheostomy tube in
preparation for speech therapy. Prior to applying the cap on the end of the tube, the therapist should
also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated - ANSWER-b. The inner cannula is removed and the
cuff deflated
,A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical ventilatory support,
the patient is to be orally intubated. Which of the following artificial airways would be most appropriate
for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube - ANSWER-a. Size 7.0 mm ET tube with a large volume, low pressure cuff
Which of the following devices is needed to determine a patient's airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer - ANSWER-c. Body box
A patient is receiving manual ventilatory support with a bag-valve connected to a size 8.0 mm ET tube.
While transporting the patient from CT scan back to the intensive care unit, the respiratory therapist
notices oxygen saturation has dropped to 88% and that the bag-valve is easier to squeeze than normal.
Suspecting mal-positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds - ANSWER-d. Examine chest rise and auscultate
breath sounds
A 48-year-old patient has just been orally intubated prior to being placed on volume-controlled
ventilation. The respiratory therapist should do which of the following to best confirm proper placement
of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph - ANSWER-d. Obtain a chest radiograph
,After 20 minutes into a spontaneous breathing trial (SBT) a mechanically ventilated female patient
becomes anxious. Her baseline heart rate has increased by 20 /min. What should the respiratory
therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation - ANSWER-d. Return to full mechanical ventilation
What is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio - ANSWER-b. Hemoglobin level
A patient presents to the emergency room with fulminating pulmonary edema. Which of the following
would be experienced with this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr - ANSWER-c. Elevated left ventricular filling pressure with low QT
Which of the following conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax - ANSWER-d. Small pneumothorax
Which of the following conditions would benefit most from cardioversion?
a. Ventricular tachycardia with a pulse
b. Frequent PVCs
, c. Asystole
d. Ventricular fibrillation - ANSWER-a. Ventricular tachycardia with a pulse
Which of the following is the best indicator of the adequacy of alveolar ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis - ANSWER-d. PaCO2 from an arterial blood gas analysis
A 32-gestational week newborn is receiving mechanical ventilation via a 3.0 mm endotracheal tube.
Which of the following are associated with ongoing assessment of renal function?
a. Diaper weight and blood draw volumes are recorded
b. mPAP
c. PCWP
d. Humidification is maintained at a non-invasive temperature - ANSWER-a. Diaper weight and blood
draw volumes are recorded
A patient with ARDS and asthma could benefit from which of the following medications?
a. Tobramycin and albuterol
b. Exogenous surfactant
c. Cromolyn sodium
d. Spiriva and Decadron - ANSWER-b. Exogenous surfactant
The respiratory therapist should look to which of the following clinical data to determine the
effectiveness of incentive spirometry?
a. Arterial blood gas analysis pre and post treatment
b. Inspiratory capacity predicted volume
c. Maximum voluntary ventilation done periodically
d. Breath sounds before and after every treatment - ANSWER-d. Breath sounds before and after every
treatment
