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TMC Practice State Board Exam 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC Practice State Board Exam 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC Practice State Board Exam.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Practice%20TMC Practice State Board Exam
1. What is normal urine output in an adult patient?
ANS 40 mL/hr
2. A spontaneous breathing term-71trial is initiated on an intubated, awake,and alert
70 kg (154 lb) patient.
After 40 minutes on an FIO2 of 0.30, ABG results are as follows
pH 7.39
PaCO2 44 torr
PaO2 85 torr
HCO3- 24 mEq/L.
The patient's vital signs remained stable throughout the trial.Which of thefollowing is the
most appropriate recommendation?
ANS Extubate
3. After assisting with bronchoalveolar lavage and lung biopsy on a mechani-cally
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ventilated patient, the respiratory therapist notes the activation of a highpressure alarm.
Peak inspiratory pressure has increased from 32 cm H2O before the procedure to 45 cm
H2O after the procedure. Possible causes for the increased pressure include
1. bronchospasm.
2. pneumothorax.
3. pulmonary hemorrhage.
ANS 1, 2, and 3
4. A 48 year-old female is admitted to the ED with diaphoresis, jugular venousdistension,
and 3+ pitting edema in the ankles. These findings are consistent with
ANS heart failure
5. A patient is admitted to the ED following a motor vehicle accident. On physical
exam, the respiratory therapist discovers that breath sounds areabsent in the left
chest with a hyperresonant percussion note.The tracheais 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?
ANS Needle aspirate into the 2nd left intercostal space
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6. All of the following strategies are likely to decrease the likelihood of damageto the
tracheal mucosa EXCEPT
-maintaining cuff pressures between 20 and 25 mm Hg.
- using the minimal leak technique for inflation.
- using a low-residual-volume, low-compliance cuff.
- monitoring intracuff pressures.
ANS using a low-residual-volume, low-compliancecuff.
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7. A 52 year-old post-operative cholecystectomy patient's breath sounds be-come more
coarse upon completion of postural drainage with percussion.Therespiratory therapist
should recommend
ANS deep breathing and coughing to clearsecretions.
8. A 65 kg spinal cord injured patient develops atelectasis. His inspiratory capacity is
30% of his predicted value.What bronchial hygiene therapy wouldbe most appropriate
initially?
ANS IPPB
9. A healthy adult female can exhale what portion of her forced vital capacityin the first
second?
ANS 70%
10. A patient on VC ventilation demonstrates auto-PEEP on ventilator graph-ics. Which
of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
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