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