3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
TMClPRACTICElEXAMl2024lNEWESTlACTUALlEXAMlVERIFIEDlQ
UESTIONSlANDlGUARANTEEDl ANSWERSlALREADYlA+.
Al60l year-
oldl malel hasl justl beenl extubatedl followingl coronaryl arteryl bypassl grafting.lHisl chestl X-
rayl demonstratesl platelikel infiltratesl withl scatteredl densitiesl andl hel islnotedl tol havel decr
easedl chestl expansionl withl anl increasedl respiratorylrate.l Whichl oflthelfollowingl treatmen
tslshouldlbelrecommendedlforlthislpatient?
A. diuretics
B. antibiotics
C. lungl expansionl therapy
D. thoracentesisl -lANSWER-l lungl expansionl therapy
Al42lyear-
oldltraumalpatientlinl thelEDlhaslbeenlintubatedl withlal6.5lmmlorallendotrachealltubel equip
pedl withl al high-residual-volume,l low-
pressurel cuff.lThelrespiratoryl therapistl notesl thatl al cuffl pressurel ofl 42l cml H2Ol isl necessa
ryl tol achievel alminimalloccludinglvolume.lThislwouldlindicatelthatlthe
A. tubel isl notl ofl thel appropriatel size.
B. pilotl balloonl andl linel arel obstructed.
C. pressurel manometerl isl defective.
D. cuffl hasl herniatedl overl thel tipl ofl thel tube.l -lANSWER-
l tubel isl notl ofl thel appropriatelsize.
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,3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
Alpatientl isl receivingl oxygenl vial nasall cannulal atl 2l L/minl andl hasl thel followinglABGlres
ults:lpHl7.37,lPaCO2l42ltorr,lPaO2l80,lHCO3l38lmEq/L.lThelmostllikelylexplanationlforlt
heselresultslislthat
A. thelsamplelwasl notlicedlproperly.
B. therel wasl excessl heparinl inl thel syringe.
C. thel numbersl werel notl reportedl correctly.
D. Thel samplel containsl venousl blood.l -lANSWER-
l thel numbersl werel notl reportedlcorrectly.
Thel respiratoryl therapistl isl completingl oxygenl roundsl onl thel wardl andl checkingl oxygenlsat
urationslonlal numberloflpatients.lWhatl solutionl wouldlbel mostlappropriatelforldisinfectinglth
elsurfaceloflthelpulseloximeterlbetweenlpatients?
A. 70%l ethyll alchohol
B. Warml soapyl water
C. Bleach
D. Acidl glutaraldehydel -lANSWER-l 70%l ethyll alchohol
Evaluationl ofl al spontaneouslyl breathingl patientl revealsl tachypnea,l tracheall deviationl tolthe
l rightl andl anl absencel ofl breathl soundsl onlthel left.l Thel mostl likelyl etiologyl wouldl be
A.l bronchiectasis.
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,3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
about:blank 3/62
, 3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
C.l Needlel aspiratel thel 2ndl leftl intercostall space.
D.lActivatel thel medicall emergencyl teaml tol intubatel thel patient.l -lANSWER-
l Needlelaspiratelthel2ndlleftlintercostallspace.
Alll ofl thel followingl strategiesl arel likelyl tol decreasel thel likelihoodl ofl damagel tol theltrac
heallmucosalEXCEPT
A. maintainingl cuffl pressuresl betweenl 20l andl 25l mml Hg.
B. usingl thel minimall leakl techniquel forl inflation.
C. usingl al low-residual-volume,l low-compliancel cuff.
D. monitoringl intracuffl pressures.l -lANSWER-l monitoringl intracuffl pressures.
Al52l year-oldl post-
operativel cholecystectomyl patient'sl breathl soundsl becomel morelcoarsel uponl completion
l ofl posturall drainagel withl percussion.l Thel respiratoryl therapistlshouldlrecommend
A. continuingl thel therapyl untill breathl soundsl improve.
B. administeringl dornasel alpha.
C. administeringl albuteroll therapy.
D. deepl breathingl andl coughingl tol clearl secretions.l -lANSWER-
l deepl breathingl andlcoughingltolclearlsecretions.
about:blank 4/62
TMClPRACTICElEXAMl2024lNEWESTlACTUALlEXAMlVERIFIEDlQ
UESTIONSlANDlGUARANTEEDl ANSWERSlALREADYlA+.
Al60l year-
oldl malel hasl justl beenl extubatedl followingl coronaryl arteryl bypassl grafting.lHisl chestl X-
rayl demonstratesl platelikel infiltratesl withl scatteredl densitiesl andl hel islnotedl tol havel decr
easedl chestl expansionl withl anl increasedl respiratorylrate.l Whichl oflthelfollowingl treatmen
tslshouldlbelrecommendedlforlthislpatient?
A. diuretics
B. antibiotics
C. lungl expansionl therapy
D. thoracentesisl -lANSWER-l lungl expansionl therapy
Al42lyear-
oldltraumalpatientlinl thelEDlhaslbeenlintubatedl withlal6.5lmmlorallendotrachealltubel equip
pedl withl al high-residual-volume,l low-
pressurel cuff.lThelrespiratoryl therapistl notesl thatl al cuffl pressurel ofl 42l cml H2Ol isl necessa
ryl tol achievel alminimalloccludinglvolume.lThislwouldlindicatelthatlthe
A. tubel isl notl ofl thel appropriatel size.
B. pilotl balloonl andl linel arel obstructed.
C. pressurel manometerl isl defective.
D. cuffl hasl herniatedl overl thel tipl ofl thel tube.l -lANSWER-
l tubel isl notl ofl thel appropriatelsize.
about:blank 1/62
,3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
Alpatientl isl receivingl oxygenl vial nasall cannulal atl 2l L/minl andl hasl thel followinglABGlres
ults:lpHl7.37,lPaCO2l42ltorr,lPaO2l80,lHCO3l38lmEq/L.lThelmostllikelylexplanationlforlt
heselresultslislthat
A. thelsamplelwasl notlicedlproperly.
B. therel wasl excessl heparinl inl thel syringe.
C. thel numbersl werel notl reportedl correctly.
D. Thel samplel containsl venousl blood.l -lANSWER-
l thel numbersl werel notl reportedlcorrectly.
Thel respiratoryl therapistl isl completingl oxygenl roundsl onl thel wardl andl checkingl oxygenlsat
urationslonlal numberloflpatients.lWhatl solutionl wouldlbel mostlappropriatelforldisinfectinglth
elsurfaceloflthelpulseloximeterlbetweenlpatients?
A. 70%l ethyll alchohol
B. Warml soapyl water
C. Bleach
D. Acidl glutaraldehydel -lANSWER-l 70%l ethyll alchohol
Evaluationl ofl al spontaneouslyl breathingl patientl revealsl tachypnea,l tracheall deviationl tolthe
l rightl andl anl absencel ofl breathl soundsl onlthel left.l Thel mostl likelyl etiologyl wouldl be
A.l bronchiectasis.
about:blank 2/62
,3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
about:blank 3/62
, 3/6/24,l1:37lPM TMClPracticelEXAMl2024lNewestlActuallEXAMlVerifiedlQuestionslANDlGu…
C.l Needlel aspiratel thel 2ndl leftl intercostall space.
D.lActivatel thel medicall emergencyl teaml tol intubatel thel patient.l -lANSWER-
l Needlelaspiratelthel2ndlleftlintercostallspace.
Alll ofl thel followingl strategiesl arel likelyl tol decreasel thel likelihoodl ofl damagel tol theltrac
heallmucosalEXCEPT
A. maintainingl cuffl pressuresl betweenl 20l andl 25l mml Hg.
B. usingl thel minimall leakl techniquel forl inflation.
C. usingl al low-residual-volume,l low-compliancel cuff.
D. monitoringl intracuffl pressures.l -lANSWER-l monitoringl intracuffl pressures.
Al52l year-oldl post-
operativel cholecystectomyl patient'sl breathl soundsl becomel morelcoarsel uponl completion
l ofl posturall drainagel withl percussion.l Thel respiratoryl therapistlshouldlrecommend
A. continuingl thel therapyl untill breathl soundsl improve.
B. administeringl dornasel alpha.
C. administeringl albuteroll therapy.
D. deepl breathingl andl coughingl tol clearl secretions.l -lANSWER-
l deepl breathingl andlcoughingltolclearlsecretions.
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