1|Page | © copyright 2024/2025 | Grade A+
TMC Practice Exam Questions and
Answers (Rated 100%)
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent
with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
✓ Heart failure
A patient is admitted to the ED following a motor vehicle accident. On
physical exam, the respiratory therapist discovers that breath sounds are
absent in the left chest with a hyperresonant percussion note. The trachea is
shifted to the right. The patient's heart rate is 45/min, respiratory rate is 30/min,
and blood pressure is 60/40 mm Hg. What action should the therapist
recommend first?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
✓ Needle aspirate the 2nd left intercostal space.
All of the following strategies are likely to decrease the likelihood of damage
to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures.
✓ monitoring intracuff pressures.
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
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
✓ deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy
would be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
✓ IPPB with normal saline
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A patient on VC ventilation has demonstrated auto-PEEP on ventilator
graphics. Which of the following controls, when adjusted independently,
would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
✓ 1, 2, and 3 only
Which of the following would be the most appropriate therapy for a dyspneic
patient who has crepitus with tracheal deviation to the left and absent breath
sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
Master01 | October, 2024/2025 | Latest update
TMC Practice Exam Questions and
Answers (Rated 100%)
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the ankles. These findings are consistent
with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
✓ Heart failure
A patient is admitted to the ED following a motor vehicle accident. On
physical exam, the respiratory therapist discovers that breath sounds are
absent in the left chest with a hyperresonant percussion note. The trachea is
shifted to the right. The patient's heart rate is 45/min, respiratory rate is 30/min,
and blood pressure is 60/40 mm Hg. What action should the therapist
recommend first?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient.
✓ Needle aspirate the 2nd left intercostal space.
All of the following strategies are likely to decrease the likelihood of damage
to the tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures.
✓ monitoring intracuff pressures.
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
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
✓ deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy
would be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
✓ IPPB with normal saline
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
A patient on VC ventilation has demonstrated auto-PEEP on ventilator
graphics. Which of the following controls, when adjusted independently,
would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
✓ 1, 2, and 3 only
Which of the following would be the most appropriate therapy for a dyspneic
patient who has crepitus with tracheal deviation to the left and absent breath
sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
Master01 | October, 2024/2025 | Latest update
