TMC Exam A&B Exam
TMC EXAM A&B EXAM NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the
following settings:
Mode: assist/control
Mandatory rate: 14
Total rate: 14
VT: 500 mL
FiO2: 0.55
PEEP: 12 cmH2O
Arterial blood gases revel
pH 7.49 / PaCO2 32 / PaO2 109 / HCO3 24 / BE 0
The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP
d. Decrease PEEP
Prior to the removal of chest tubes, which of the following should be done?
a. The chest tube should be expose to normal atmospheric pressure
b. Clamp the chest tube for 24 hours
c. Flush the chest tube with normal saline
d. Suction pressure should be increased temporarily
b. Clamp the chest tube for 24 hours
1|Page
, TMC Exam A&B Exam
Which of the following will help a patent to speak while intubated with a
tracheostomy tube?
a. Pass-Muir valve
b. Inner cannula
c. Double lumen endotracheal tube
d. Obturator
a. Pass-Muir valve
Prior to obtaining an MEP value with a pressure manometer, the respiratory
therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to
the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The
therapist should
a. Report the problem to the medical director
b. Record an MEP of -28 cmH2O
c. Record an MEP of 28 cmH2O
d. Record an MEP of 36 cmH2O
d. Record an MEP of 36 cmH2O
A 70-kg (154-lb) male patient is receiving mechanical ventilation. After increasing
PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
c. Remove 100 mL of deadspace
d. Decrease FIO2
2|Page
, TMC Exam A&B Exam
c. Remove 100 mL of deadspace
What would occur on a time-cycled ventilator with a fixed rate if the inspiratory
flow rate were increased?
a. Decrease in tidal volume
b. Increase in inspiratory time
c. Decrease in inspiratory time
d. Increase in tidal volume
d. Increase in tidal volume
Why should a respiratory therapist FIRST open the airway of a patient who is
apneic?
a. To protect the neck if the patient has experience physical trauma
b. The patient may be experiencing upper airway occlusion
c. The physical contact may help to trigger a spontaneous breath
d. To facilitate the placement of an oropharyngeal airway
b. The patient may be experiencing upper airway occlusion
Which of the following is a strategy that may help reduce or prevent autoPEEP in a
patient with ARDS?
a. Sedation of the patient
b. Increasing minute ventilation
c. Matching PEEP
d. High flow rates
d. High flow rates
A pediatric patient has a non-productive cough. A chest radiograph reveals a
foreign body in the right mainstem bronchi. Which of the following should be
3|Page
, TMC Exam A&B Exam
used to alleviate the problem?
a. Tonsil suction device
b. Bronchoscope
c. Suction catheter
d. Laryngoscope
b. Bronchoscope
An adult male is being suctioned though an 8.0-mm ET tube with a 12 Fr. suction
catheter at a pressure of 90 mmHg. Secretion removal has been ineffective. Which
of the following modifications should be recommended?
a. Decrease suction pressure to 80 mmHg
b. Increase suction catheter size to 14 FR
c. Increase suction pressure to 110 mmHg
d. Change to a 10-mm ET tube
c. Increase suction pressure to 110 mmHg
Which of the following is the most significant complication of bronchoscopy?
a. Laryngospasms
b. Coughing
c. Hypotension
d. Vagal nerve stimulation
a. Laryngospasms
Which of the following can be instructed to a COPD patient to help reduce FRC?
a. Serial coughing
b. Autogenic drainage
c. Pursed-lip breathing
d. Incentive spirometry
4|Page
TMC EXAM A&B EXAM NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A 70-kg (154-lb) female patient is receiving mechanical ventilation on the
following settings:
Mode: assist/control
Mandatory rate: 14
Total rate: 14
VT: 500 mL
FiO2: 0.55
PEEP: 12 cmH2O
Arterial blood gases revel
pH 7.49 / PaCO2 32 / PaO2 109 / HCO3 24 / BE 0
The respiratory therapist should
a. Decrease mandatory rate
b. Decrease FIO2
c. Increase mandatory rate
d. Decrease PEEP
d. Decrease PEEP
Prior to the removal of chest tubes, which of the following should be done?
a. The chest tube should be expose to normal atmospheric pressure
b. Clamp the chest tube for 24 hours
c. Flush the chest tube with normal saline
d. Suction pressure should be increased temporarily
b. Clamp the chest tube for 24 hours
1|Page
, TMC Exam A&B Exam
Which of the following will help a patent to speak while intubated with a
tracheostomy tube?
a. Pass-Muir valve
b. Inner cannula
c. Double lumen endotracheal tube
d. Obturator
a. Pass-Muir valve
Prior to obtaining an MEP value with a pressure manometer, the respiratory
therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to
the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The
therapist should
a. Report the problem to the medical director
b. Record an MEP of -28 cmH2O
c. Record an MEP of 28 cmH2O
d. Record an MEP of 36 cmH2O
d. Record an MEP of 36 cmH2O
A 70-kg (154-lb) male patient is receiving mechanical ventilation. After increasing
PEEP, the following data is available:
Arterial blood gases reveal
pH 7.32 / PaCO2 47 / PaO2 80 / HCO3 26 / BE+2
C.I. 2.5 / PAP 14 / CVP 4 / PCWP 8
The respiratory therapist should do which of the following?
a. Administer sodium bicarbonate
b. Decrease mandatory rate
c. Remove 100 mL of deadspace
d. Decrease FIO2
2|Page
, TMC Exam A&B Exam
c. Remove 100 mL of deadspace
What would occur on a time-cycled ventilator with a fixed rate if the inspiratory
flow rate were increased?
a. Decrease in tidal volume
b. Increase in inspiratory time
c. Decrease in inspiratory time
d. Increase in tidal volume
d. Increase in tidal volume
Why should a respiratory therapist FIRST open the airway of a patient who is
apneic?
a. To protect the neck if the patient has experience physical trauma
b. The patient may be experiencing upper airway occlusion
c. The physical contact may help to trigger a spontaneous breath
d. To facilitate the placement of an oropharyngeal airway
b. The patient may be experiencing upper airway occlusion
Which of the following is a strategy that may help reduce or prevent autoPEEP in a
patient with ARDS?
a. Sedation of the patient
b. Increasing minute ventilation
c. Matching PEEP
d. High flow rates
d. High flow rates
A pediatric patient has a non-productive cough. A chest radiograph reveals a
foreign body in the right mainstem bronchi. Which of the following should be
3|Page
, TMC Exam A&B Exam
used to alleviate the problem?
a. Tonsil suction device
b. Bronchoscope
c. Suction catheter
d. Laryngoscope
b. Bronchoscope
An adult male is being suctioned though an 8.0-mm ET tube with a 12 Fr. suction
catheter at a pressure of 90 mmHg. Secretion removal has been ineffective. Which
of the following modifications should be recommended?
a. Decrease suction pressure to 80 mmHg
b. Increase suction catheter size to 14 FR
c. Increase suction pressure to 110 mmHg
d. Change to a 10-mm ET tube
c. Increase suction pressure to 110 mmHg
Which of the following is the most significant complication of bronchoscopy?
a. Laryngospasms
b. Coughing
c. Hypotension
d. Vagal nerve stimulation
a. Laryngospasms
Which of the following can be instructed to a COPD patient to help reduce FRC?
a. Serial coughing
b. Autogenic drainage
c. Pursed-lip breathing
d. Incentive spirometry
4|Page
