TMC Mock Exam | 2025 LATEST UPDATED| 121 COMPLETE QUESTIONS AND
ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY GRADED
A+|GET A+
1. Although treated with several antiarrhythmic drugs, a patient with
ventricular tachycardia begins to exhibit hypotension and decreased
consciousness. Which of the following actions would you recommend at this
time?
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient: apply cardioversion
*If drug management fails, if the ventricular rate exceeds 150/min, or if the
patient becomes hemodynamically unstable, synchronous cardioversion is
indicated. 2. A physician orders intubation and volume-controlled A/C
ventilation for a 6-foot, 3-inch tall 190-lb (86-kg) adult male patient with
,ARDS. Which of the following ventilator settings would you aim for to
support this patient?
rate/min: 10; VT (mL): 800 rate/min: 15; VT (mL):
500 rate/min: 20; VT (mL): 900 rate/min: 8; VT
(mL): 1200: rate/min: 15; VT (mL): 500
Tidal volume 6ml/kg IBW
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
3. A doctor institutes volume-controlled ventilation for a 70-kg ARDS
patient with a targeted tidal volume of 420 mL To maintain adequate
ventilation with this tidal volume, the maximum respiratory rate you would
allow is:
25/min
35/min
20/min
30/min: 35/min
,4. Which of the following PaCO2 levels would be considered a positive
result for brain death determination at the end of an apnea test?
-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
-at least 55 mm Hg: at least 60 mm Hg
or 20+ from baseline CO2
5. A COPD patient receiving volume-controlled A/C ventilation at a rate of
15 and a VT of 650 mL exhibits signs of air trapping (auto-PEEP). Which of
the following alternatives would you recommend to help overcome this
problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
, 1 and 2 only: 2 and 3 only
* Adding an end-inspiratory pause would cause more airtrapping
6. A patient who just underwent major thoracic surgery is placed on pressure-
controlled A/C ventilation with 10 cmH2O PEEP. You observe continuous
bubbling in the water seal chamber of his pleural drainage system. Which of
the following is the most likely cause of this observation?
-the patient has a pleural effusion
-the suction/ vacuum pressure is too low
-the drainage system is obstructed
-the patient has a bronchopleural fistula: the patient has a bronchopleural
fistula
* Constant bubbling indicates a leak; either in the patient or in the tubing/chamber
system.
7. To measure the amount of auto-PEEP present in a patient receiving
ventilatory support, you would:
-measure pressure during an end-expiratory pause
-measure expiratory flow before and after bronchodilator
ANSWERS | 100% RATED CORRECT | 100% VERFIED | ALREADY GRADED
A+|GET A+
1. Although treated with several antiarrhythmic drugs, a patient with
ventricular tachycardia begins to exhibit hypotension and decreased
consciousness. Which of the following actions would you recommend at this
time?
immediately initiate CPR
apply cardioversion
administer epinephrine
defibrillate the patient: apply cardioversion
*If drug management fails, if the ventricular rate exceeds 150/min, or if the
patient becomes hemodynamically unstable, synchronous cardioversion is
indicated. 2. A physician orders intubation and volume-controlled A/C
ventilation for a 6-foot, 3-inch tall 190-lb (86-kg) adult male patient with
,ARDS. Which of the following ventilator settings would you aim for to
support this patient?
rate/min: 10; VT (mL): 800 rate/min: 15; VT (mL):
500 rate/min: 20; VT (mL): 900 rate/min: 8; VT
(mL): 1200: rate/min: 15; VT (mL): 500
Tidal volume 6ml/kg IBW
6ft 3= 85kg IBW
Vt= 500
Rate= 10 to 20
3. A doctor institutes volume-controlled ventilation for a 70-kg ARDS
patient with a targeted tidal volume of 420 mL To maintain adequate
ventilation with this tidal volume, the maximum respiratory rate you would
allow is:
25/min
35/min
20/min
30/min: 35/min
,4. Which of the following PaCO2 levels would be considered a positive
result for brain death determination at the end of an apnea test?
-at least 50 mm Hg
-at least 45 mm Hg
-at least 60 mm Hg
-at least 55 mm Hg: at least 60 mm Hg
or 20+ from baseline CO2
5. A COPD patient receiving volume-controlled A/C ventilation at a rate of
15 and a VT of 650 mL exhibits signs of air trapping (auto-PEEP). Which of
the following alternatives would you recommend to help overcome this
problem?
1. add an end-inspiratory pause
2. switch to SIMV and decrease the rate
3. increase the inspiratory flow
2 and 3 only
1, 2, and 3
1 and 3 only
, 1 and 2 only: 2 and 3 only
* Adding an end-inspiratory pause would cause more airtrapping
6. A patient who just underwent major thoracic surgery is placed on pressure-
controlled A/C ventilation with 10 cmH2O PEEP. You observe continuous
bubbling in the water seal chamber of his pleural drainage system. Which of
the following is the most likely cause of this observation?
-the patient has a pleural effusion
-the suction/ vacuum pressure is too low
-the drainage system is obstructed
-the patient has a bronchopleural fistula: the patient has a bronchopleural
fistula
* Constant bubbling indicates a leak; either in the patient or in the tubing/chamber
system.
7. To measure the amount of auto-PEEP present in a patient receiving
ventilatory support, you would:
-measure pressure during an end-expiratory pause
-measure expiratory flow before and after bronchodilator
