TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
ADY GRADED A+ m m
Change to airway pressure release ventilation - ANSWER-
m m m m m m m
A 60 kg (132 lb) patient is being mechanically ventilated with the following
m m m m m m m m m m m m m
settings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm
m m m m m m m m m m m m m
m H2O PEEP. The patient's peak airway pressure is 60 cm H2O and his Sp
m m m m m m m m m m m m m
O2 is 85%. A current chest x-
m m m m m m
ray shows diffuse bilateral infiltrates. Which of the following is the most app
m m m m m m m m m m m m
ropriate action in order to reduce peak airway pressure?
m m m m m m m m
2, 3 & 4 - ANSWER-
m m m m m
While performing diagnostic chest percussion, the respiratory therapist n
m m m m m m m m
otes decreased resonance to percussion. Which of the following are pot
m m m m m m m m m m
ential causes of this finding?.
m m m m
1. pneumothorax
2. pleural effusion m
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-
m m m m m
operative patient on volume- m m m
control ventilation has a chest tube in the left pleural space. While inspect
m m m m m m m m m m m m
ing the chest drainage system, the respiratory therapist notes
m m m m m m m m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
bubbling in the water sealADY GRADED
chamber
m during theA+
minspiratory phase. The ther
m m m m m m m m m m m
apist should report this to the physician:
m m m m m m
Increase the FiO2 - ANSWER-A post-
m m m m m
operative patient is receiving mechanical ventilation in the ICU at the follow
m m m m m m m m m m m
ing settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 1
m m m m m m m m m m m m
0 cm H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is
m m m m m m m m m m m
m 33 mm Hg and the SpO2 is 90%. The patient is alert and oriented with sta
m m m m m m m m m m m m m m m
ble vital signs. Which of the following should the respiratory therapist reco
m m m m m m m m m m m
mmend?
1, 2 & 3 - ANSWER-
m m m m m
After assisting with bronchoalveolar lavage and lung biopsy on a mechanic
m m m m m m m m m m
ally ventilated patient, the respiratory therapist notes the activation of a hig
m m m m m m m m m m m
h pressure alarm. Peak inspiratory pressure has increased from 32 cm H2
m m m m m m m m m m m
O before the procedure to 45 cm H2O after the procedure. Possible cause
m m m m m m m m m m m m
s for the increased pressure include
m m m m m
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage. m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
Endobronchial intubationADY GRADED A+
- ANSWER- m m m m m
Following blunt chest trauma, a 35- year-
m m m m m m
old male is orally intubated and continuous mechanical ventilation is initi
m m m m m m m m m m
ated. Physical assessment of the neck and chest reveal a midline trache
m m m m m m m m m m m
a and significant reduction in thoracic expansion of the left chest.
m m m m m m m m m m
There are diminished breath sounds in the left lung compared to the right
m m m m m m m m m m m m
m lung. These findings most likely indicate which of the following?
m m m m m m m m m
Tube is not of the appropriate size - ANSWER-A 42 year-
m m m m m m m m m m
old trauma patient in the ED has been intubated with a 6.5 mm oral endotr
m m m m m m m m m m m m m m
acheal tube equipped with a high-residual-volume, low-
m m m m m m
pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm
m m m m m m m m m m m m m
H2O is necessary to achieve a minimal occluding volume. This would indic
m m m m m m m m m m m
ate that the:
m m
Recalibrate the blood analyzer - ANSWER- m m m m m
A new blood gas analyzer is calibrated by the manufacturer at sea level.
m m m m m m m m m m m m m
Upon receiving the new analyzer at a higher altitude, a respiratory therap
m m m m m m m m m m m
ist should:
m
Mean Airway Pressure - ANSWER-
m m m m
While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume
m m m m m m m m m m m m m m
-controlled ventilation, a 60-kg (132- m m m m
m lb) patient is having difficulty achieving adequate oxygenation. To improve
m m m m m m m m m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
oxygenation, a respiratoryADY GRADED
therapistm A+
should manipulate
m ventilator settings to m m m m m m m m
m increase which of the following?
m m m m
Increase the IPAP - ANSWER-
m m m m
A patient is receiving noninvasive positive pressure ventilation. Pulmonary
m m m m m m m m m
compliance has decreased over the past 4 hours. To increase the patient's
m m m m m m m m m m m m
tidal volume, it would be most appropriate to:
m m m m m m m
Fifth intercostal space in mid-axillary line - ANSWER-
m m m m m m m
A respiratory therapist is reviewing a chest radiograph and notes the prese
m m m m m m m m m m m
nce of a chest tube.
m m m m
The patient has a hemothorax. Which of the following locations is most a
m m m m m m m m m m m m
ppropriate for this chest tube to be placed?
m m m m m m m
Administering ipratropium bromide (atrovent) - ANSWER-
m m m m m
A patient with COPD is receiving mechanical ventilation. The patient contin
m m m m m m m m m m
ues to wheeze despite treatment with albuterol. Peak airway pressure is in
m m m m m m m m m m m
creased with no change in plateau pressure. A respiratory therapist should
m m m m m m m m m m m
recommend:
MIP - ANSWER-
m m
Which of the following should be used to determine the return of a postop
m m m m m m m m m m m m m
erative patient's ability to breathe adequately after anesthesia?
m m m m m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
ADY GRADED A+ m m
Change to airway pressure release ventilation - ANSWER-
m m m m m m m
A 60 kg (132 lb) patient is being mechanically ventilated with the following
m m m m m m m m m m m m m
settings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm
m m m m m m m m m m m m m
m H2O PEEP. The patient's peak airway pressure is 60 cm H2O and his Sp
m m m m m m m m m m m m m
O2 is 85%. A current chest x-
m m m m m m
ray shows diffuse bilateral infiltrates. Which of the following is the most app
m m m m m m m m m m m m
ropriate action in order to reduce peak airway pressure?
m m m m m m m m
2, 3 & 4 - ANSWER-
m m m m m
While performing diagnostic chest percussion, the respiratory therapist n
m m m m m m m m
otes decreased resonance to percussion. Which of the following are pot
m m m m m m m m m m
ential causes of this finding?.
m m m m
1. pneumothorax
2. pleural effusion m
3. pneumonia
4. atelectasis
Persistent bronchopleural fistula - ANSWER-A post-
m m m m m
operative patient on volume- m m m
control ventilation has a chest tube in the left pleural space. While inspect
m m m m m m m m m m m m
ing the chest drainage system, the respiratory therapist notes
m m m m m m m m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
bubbling in the water sealADY GRADED
chamber
m during theA+
minspiratory phase. The ther
m m m m m m m m m m m
apist should report this to the physician:
m m m m m m
Increase the FiO2 - ANSWER-A post-
m m m m m
operative patient is receiving mechanical ventilation in the ICU at the follow
m m m m m m m m m m m
ing settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 1
m m m m m m m m m m m m
0 cm H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is
m m m m m m m m m m m
m 33 mm Hg and the SpO2 is 90%. The patient is alert and oriented with sta
m m m m m m m m m m m m m m m
ble vital signs. Which of the following should the respiratory therapist reco
m m m m m m m m m m m
mmend?
1, 2 & 3 - ANSWER-
m m m m m
After assisting with bronchoalveolar lavage and lung biopsy on a mechanic
m m m m m m m m m m
ally ventilated patient, the respiratory therapist notes the activation of a hig
m m m m m m m m m m m
h pressure alarm. Peak inspiratory pressure has increased from 32 cm H2
m m m m m m m m m m m
O before the procedure to 45 cm H2O after the procedure. Possible cause
m m m m m m m m m m m m
s for the increased pressure include
m m m m m
1. bronchospasm
2. pneumothorax.
3. pulmonary hemorrhage. m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
Endobronchial intubationADY GRADED A+
- ANSWER- m m m m m
Following blunt chest trauma, a 35- year-
m m m m m m
old male is orally intubated and continuous mechanical ventilation is initi
m m m m m m m m m m
ated. Physical assessment of the neck and chest reveal a midline trache
m m m m m m m m m m m
a and significant reduction in thoracic expansion of the left chest.
m m m m m m m m m m
There are diminished breath sounds in the left lung compared to the right
m m m m m m m m m m m m
m lung. These findings most likely indicate which of the following?
m m m m m m m m m
Tube is not of the appropriate size - ANSWER-A 42 year-
m m m m m m m m m m
old trauma patient in the ED has been intubated with a 6.5 mm oral endotr
m m m m m m m m m m m m m m
acheal tube equipped with a high-residual-volume, low-
m m m m m m
pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm
m m m m m m m m m m m m m
H2O is necessary to achieve a minimal occluding volume. This would indic
m m m m m m m m m m m
ate that the:
m m
Recalibrate the blood analyzer - ANSWER- m m m m m
A new blood gas analyzer is calibrated by the manufacturer at sea level.
m m m m m m m m m m m m m
Upon receiving the new analyzer at a higher altitude, a respiratory therap
m m m m m m m m m m m
ist should:
m
Mean Airway Pressure - ANSWER-
m m m m
While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume
m m m m m m m m m m m m m m
-controlled ventilation, a 60-kg (132- m m m m
m lb) patient is having difficulty achieving adequate oxygenation. To improve
m m m m m m m m m
, TMC EXAM LATEST 2023- m m m
2024 ACTUAL EXAM TEST BANK QUESTIONS AND
m m m m m m m
CORRECT ANSWERS (VERIFIED ANSWERS) |ALRE m m m m
oxygenation, a respiratoryADY GRADED
therapistm A+
should manipulate
m ventilator settings to m m m m m m m m
m increase which of the following?
m m m m
Increase the IPAP - ANSWER-
m m m m
A patient is receiving noninvasive positive pressure ventilation. Pulmonary
m m m m m m m m m
compliance has decreased over the past 4 hours. To increase the patient's
m m m m m m m m m m m m
tidal volume, it would be most appropriate to:
m m m m m m m
Fifth intercostal space in mid-axillary line - ANSWER-
m m m m m m m
A respiratory therapist is reviewing a chest radiograph and notes the prese
m m m m m m m m m m m
nce of a chest tube.
m m m m
The patient has a hemothorax. Which of the following locations is most a
m m m m m m m m m m m m
ppropriate for this chest tube to be placed?
m m m m m m m
Administering ipratropium bromide (atrovent) - ANSWER-
m m m m m
A patient with COPD is receiving mechanical ventilation. The patient contin
m m m m m m m m m m
ues to wheeze despite treatment with albuterol. Peak airway pressure is in
m m m m m m m m m m m
creased with no change in plateau pressure. A respiratory therapist should
m m m m m m m m m m m
recommend:
MIP - ANSWER-
m m
Which of the following should be used to determine the return of a postop
m m m m m m m m m m m m m
erative patient's ability to breathe adequately after anesthesia?
m m m m m m m
