TMC Practice Exam
TMC PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A patient is seen in the Emergency Department for complaints of nausea and
vomiting. A nasogastric tube has been inserted and the patient is started on lasix.
Which of the following should the respiratory therapist monitor?
A. Cardiac enzymes
B. Serum electrolytes
C. Arterial blood gases
D. Cell hydration level
B. Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory
therapist should direct the patient to
A. exhale to residual volume and inhale to inspiratory capacity.
B. inhale to total lung capacity then exhale to residual volume.
C. exhale normally then inhale to total lung capacity.
D. inhale normally then exhale to functional residual capacity.
B. inhale to total lung capacity then exhale to residual volume.
A patient involved in an automobile accident is brought to the ED with tachypnea,
tracheal deviation to the right, splinting, asymmetrical chest movement, and
decreased breath sounds on the left side. The respiratory therapist should initially
A. insert a chest tube.
B. administer 100% oxygen via mask.
C. perform endotracheal intubation.
D. initiate non-invasive positive pressure ventilation.
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, TMC Practice Exam
B. administer 100% oxygen via mask.
A 77-year-old male patient is admitted to the emergency room with shortness of
breath, fine basilar crackles, +2 pitting edema and a chest radiogram with a
butterfly pattern. These results are most consistent with which of the following?
A. Pulmonary edema
B. Pulmonary interstitial emphysema
C. Pneumothorax
D. Emphysema
A. Pulmonary edema
Which of the following formulas will determine the total flow being delivered to a
patient with a 28% venturi mask running at 6 L/min?
A. total flow = 6 x 2
B. total flow = 6 x 4
C. total flow = 6 x 5
D. total flow = 6 x 11
D. total flow = 6 x 11
Fine crepitant crackles are most commonly associated with which of the following
conditions?
A. Bronchitis
B. Pulmonary edema
C. Pneumonia
D. Foreign body aspiration
B. Pulmonary edema
A patient with end-stage pulmonary fibrosis is receiving oxygen at 2 L/min via a
transtracheal oxygen catheter. The patient experiences an increased work of
breathing and shortness of breath. The respiratory therapist should
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, TMC Practice Exam
A. manually ventilate the patient with a resuscitation bag.
B. increase the flow to the transtracheal catheter to 6 L/min.
C. evaluate the SpO2 with a pulse oximeter.
D. flush the transtracheal device with isotonic saline.
D. flush the transtracheal device with isotonic saline.
During bedside monitoring the respiratory therapist notices a dampened
waveform on the arterial line graphic. To restore the graphic to normal, the
therapist should first
A. verify the position of the transducer.
B. check the transducer dome for air bubbles.
C. flush the catheter with heparin solution.
D. attempt to draw blood from the arterial line.
B. check the transducer dome for air bubbles.
An optimal PEEP study is initiated on a patient receiving mechanical ventilation.
The respiratory therapist first places the patient on a PEEP of 10 cm H2O for 20
minutes with no adverse effects. The PEEP is increased to 15 cm H2O and the
patient's heart rate rises significantly with a severe fall in the blood pressure.
Based upon the above information, the therapist should conclude that the patient
is suffering from
A. peripheral vasoconstriction.
B. hypovolemia.
C. increased venous return.
D. increased SVR
B. hypovolemia.
A post-operative thoracotomy patient is receiving incentive spirometry therapy
Q2H. Breath sounds are diminished in the bases of the lungs with scattered
crackles. The patient's inspiratory capacity has decreased over the past 2 days. A
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, TMC Practice Exam
chest radiograph indicates thin-layered basilar densities. Which of the following
has most likely occurred?
A. Atelectasis
B. Pneumonia
C. Pulmonary edema
D. Consolidation
A. Atelectasis
A patient is in full cardiopulmonary arrest and after several attempts, the patient
is orally intubated with a size 7 mm ID endotracheal tube. The nurse is unable to
establish IV access. The ECG monitor shows sinus bradycardia. Which of the
following drugs should be administered through the endotracheal tube?
A. Lidocaine
B. Epinephrine
C. Atropine
D. Dobutamine
C. Atropine
The results of a patient's spirometry are recorded as follows:
Predicted Observed
FVC (L) 3.5 2.1
FEV1 (L) 2.7 2.6
FRC (L) 2.5 1.7
TLC (L) 5.6 4.2
These results are indicative of
A. normal lung function.
B. sarcoidosis.
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TMC PRACTICE EXAM NEWEST ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A patient is seen in the Emergency Department for complaints of nausea and
vomiting. A nasogastric tube has been inserted and the patient is started on lasix.
Which of the following should the respiratory therapist monitor?
A. Cardiac enzymes
B. Serum electrolytes
C. Arterial blood gases
D. Cell hydration level
B. Serum electrolytes
While instructing a patient prior to a vital capacity maneuver, the respiratory
therapist should direct the patient to
A. exhale to residual volume and inhale to inspiratory capacity.
B. inhale to total lung capacity then exhale to residual volume.
C. exhale normally then inhale to total lung capacity.
D. inhale normally then exhale to functional residual capacity.
B. inhale to total lung capacity then exhale to residual volume.
A patient involved in an automobile accident is brought to the ED with tachypnea,
tracheal deviation to the right, splinting, asymmetrical chest movement, and
decreased breath sounds on the left side. The respiratory therapist should initially
A. insert a chest tube.
B. administer 100% oxygen via mask.
C. perform endotracheal intubation.
D. initiate non-invasive positive pressure ventilation.
1|Page
, TMC Practice Exam
B. administer 100% oxygen via mask.
A 77-year-old male patient is admitted to the emergency room with shortness of
breath, fine basilar crackles, +2 pitting edema and a chest radiogram with a
butterfly pattern. These results are most consistent with which of the following?
A. Pulmonary edema
B. Pulmonary interstitial emphysema
C. Pneumothorax
D. Emphysema
A. Pulmonary edema
Which of the following formulas will determine the total flow being delivered to a
patient with a 28% venturi mask running at 6 L/min?
A. total flow = 6 x 2
B. total flow = 6 x 4
C. total flow = 6 x 5
D. total flow = 6 x 11
D. total flow = 6 x 11
Fine crepitant crackles are most commonly associated with which of the following
conditions?
A. Bronchitis
B. Pulmonary edema
C. Pneumonia
D. Foreign body aspiration
B. Pulmonary edema
A patient with end-stage pulmonary fibrosis is receiving oxygen at 2 L/min via a
transtracheal oxygen catheter. The patient experiences an increased work of
breathing and shortness of breath. The respiratory therapist should
2|Page
, TMC Practice Exam
A. manually ventilate the patient with a resuscitation bag.
B. increase the flow to the transtracheal catheter to 6 L/min.
C. evaluate the SpO2 with a pulse oximeter.
D. flush the transtracheal device with isotonic saline.
D. flush the transtracheal device with isotonic saline.
During bedside monitoring the respiratory therapist notices a dampened
waveform on the arterial line graphic. To restore the graphic to normal, the
therapist should first
A. verify the position of the transducer.
B. check the transducer dome for air bubbles.
C. flush the catheter with heparin solution.
D. attempt to draw blood from the arterial line.
B. check the transducer dome for air bubbles.
An optimal PEEP study is initiated on a patient receiving mechanical ventilation.
The respiratory therapist first places the patient on a PEEP of 10 cm H2O for 20
minutes with no adverse effects. The PEEP is increased to 15 cm H2O and the
patient's heart rate rises significantly with a severe fall in the blood pressure.
Based upon the above information, the therapist should conclude that the patient
is suffering from
A. peripheral vasoconstriction.
B. hypovolemia.
C. increased venous return.
D. increased SVR
B. hypovolemia.
A post-operative thoracotomy patient is receiving incentive spirometry therapy
Q2H. Breath sounds are diminished in the bases of the lungs with scattered
crackles. The patient's inspiratory capacity has decreased over the past 2 days. A
3|Page
, TMC Practice Exam
chest radiograph indicates thin-layered basilar densities. Which of the following
has most likely occurred?
A. Atelectasis
B. Pneumonia
C. Pulmonary edema
D. Consolidation
A. Atelectasis
A patient is in full cardiopulmonary arrest and after several attempts, the patient
is orally intubated with a size 7 mm ID endotracheal tube. The nurse is unable to
establish IV access. The ECG monitor shows sinus bradycardia. Which of the
following drugs should be administered through the endotracheal tube?
A. Lidocaine
B. Epinephrine
C. Atropine
D. Dobutamine
C. Atropine
The results of a patient's spirometry are recorded as follows:
Predicted Observed
FVC (L) 3.5 2.1
FEV1 (L) 2.7 2.6
FRC (L) 2.5 1.7
TLC (L) 5.6 4.2
These results are indicative of
A. normal lung function.
B. sarcoidosis.
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