1|Page | © copyright 2024/2025 | Grade A+
TMC Practice Exam A + B Questions
and Answers (Rated 100%)
A 52 year-old post-operative cholecystectomy patient's breath sounds
become more coarse upon completion of postural drainage with percussion.
The respiratory therapist should recommend:
A. Continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
✓ D. deep breathing and coughing to clear secretions.
✓
✓ See Patient Assessment
A healthy adult female can exhale what portion of her forced vital capacity
in the first second?
✓ 70%
Following cardiac surgery, a 55 year-old patient has the following ABG
results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
g/dL, BE +2. Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr,
and SvO2 66%. Calculate the patient's C(a-v)O2.
✓ 5% volume
What value for the apnea-hypopnea index (AHI) is consistent with mild
obstructive sleep apnea?
✓ 5 to 15
The respiratory therapist is asked to evaluate the presence of Auto-PEEP on a
patient receiving mechanical ventilation. In order to do this, what should the
RT do?
✓ Initiate an expiratory hold just prior to the next ventilator-delivered
breath
What do bronchial breath sounds heard over the lung periphery indicate?
✓ lung consolidation (pneumonia)
✓
✓ Rationale: should be vesicular in periphery
A 60 kg (132 lb) patient is mechanically ventilated at the following settings:
VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm H2O PEEP.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
The patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A
current chest x-ray shows diffuse bilateral infiltrates. Which of the following is
the most appropriate action in order to reduce peak airway pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O.
✓ B. Change to airway pressure release ventilation.
A 19-year-old patient is brought to the Emergency Department after taking a
handful of pills. The patient is obtunded but is making regular, sonorous
respiratory efforts. Auscultation reveals coarse rhonchi bilaterally. Which of
the following should be done FIRST to assess this patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score.
Master01 | October, 2024/2025 | Latest update
TMC Practice Exam A + B Questions
and Answers (Rated 100%)
A 52 year-old post-operative cholecystectomy patient's breath sounds
become more coarse upon completion of postural drainage with percussion.
The respiratory therapist should recommend:
A. Continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
✓ D. deep breathing and coughing to clear secretions.
✓
✓ See Patient Assessment
A healthy adult female can exhale what portion of her forced vital capacity
in the first second?
✓ 70%
Following cardiac surgery, a 55 year-old patient has the following ABG
results: pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
g/dL, BE +2. Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr,
and SvO2 66%. Calculate the patient's C(a-v)O2.
✓ 5% volume
What value for the apnea-hypopnea index (AHI) is consistent with mild
obstructive sleep apnea?
✓ 5 to 15
The respiratory therapist is asked to evaluate the presence of Auto-PEEP on a
patient receiving mechanical ventilation. In order to do this, what should the
RT do?
✓ Initiate an expiratory hold just prior to the next ventilator-delivered
breath
What do bronchial breath sounds heard over the lung periphery indicate?
✓ lung consolidation (pneumonia)
✓
✓ Rationale: should be vesicular in periphery
A 60 kg (132 lb) patient is mechanically ventilated at the following settings:
VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm H2O PEEP.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
The patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A
current chest x-ray shows diffuse bilateral infiltrates. Which of the following is
the most appropriate action in order to reduce peak airway pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O.
✓ B. Change to airway pressure release ventilation.
A 19-year-old patient is brought to the Emergency Department after taking a
handful of pills. The patient is obtunded but is making regular, sonorous
respiratory efforts. Auscultation reveals coarse rhonchi bilaterally. Which of
the following should be done FIRST to assess this patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score.
Master01 | October, 2024/2025 | Latest update
