TMC EXAM A 2026 EXAM
QUESTIONS AND ANSWERS |
100% PASS
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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔using a low
residual volume, low compliance cuff
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 - 🧠ANSWER
✔✔deep breathing & coughing to clear secretions
A 65 kg spinal cord injured patient develops atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy
would be most appropriate initially? - 🧠ANSWER ✔✔IPPB
A healthy adult female can exhale what portion of her forced vital capacity
in the first second? - 🧠ANSWER ✔✔70%
,A patient on VC ventilation demonstrates 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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔insert a chest tube
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 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. -
🧠ANSWER ✔✔5.0 vol %
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat
of 15 cm H2O and PEEP of 5 cm H2O. What is the patient's static lung
compliance? - 🧠ANSWER ✔✔50 mL/cm H2O
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
76%. Which of the following would be most appropriate at this time? -
🧠ANSWER ✔✔Reintubation
Which of the following patients would most likely benefit from pressure
support ventilation? - 🧠ANSWER ✔✔A patient on SIMV with a mandatory
rate of 12/min and total rate of 24/min.
A patient receiving mechanical ventilation has developed a temperature of
99.9° F with purulent secretions over the last 12 hours. The respiratory
therapist has also noted a steady increase in peak inspiratory pressure.
What initial recommendation should be made to address these changes? -
🧠ANSWER ✔✔obtain a sputum gram stain
Which of the following information may be obtained from a FVC maneuver
during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
QUESTIONS AND ANSWERS |
100% PASS
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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔using a low
residual volume, low compliance cuff
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 - 🧠ANSWER
✔✔deep breathing & coughing to clear secretions
A 65 kg spinal cord injured patient develops atelectasis. His inspiratory
capacity is 30% of his predicted value. What bronchial hygiene therapy
would be most appropriate initially? - 🧠ANSWER ✔✔IPPB
A healthy adult female can exhale what portion of her forced vital capacity
in the first second? - 🧠ANSWER ✔✔70%
,A patient on VC ventilation demonstrates 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 - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔insert a chest tube
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 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. -
🧠ANSWER ✔✔5.0 vol %
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat
of 15 cm H2O and PEEP of 5 cm H2O. What is the patient's static lung
compliance? - 🧠ANSWER ✔✔50 mL/cm H2O
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, Immediately after extubation of a patient in the ICU, the respiratory
therapist observes increasing respiratory distress with intercostal
retractions and marked stridor. The SpO2 on 40% oxygen is noted to be
76%. Which of the following would be most appropriate at this time? -
🧠ANSWER ✔✔Reintubation
Which of the following patients would most likely benefit from pressure
support ventilation? - 🧠ANSWER ✔✔A patient on SIMV with a mandatory
rate of 12/min and total rate of 24/min.
A patient receiving mechanical ventilation has developed a temperature of
99.9° F with purulent secretions over the last 12 hours. The respiratory
therapist has also noted a steady increase in peak inspiratory pressure.
What initial recommendation should be made to address these changes? -
🧠ANSWER ✔✔obtain a sputum gram stain
Which of the following information may be obtained from a FVC maneuver
during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
