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TMC Exam E 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC Exam E 2024 Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC Exam E.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20Exam%20ETMC Exam E
1. A patient with a history of chronic bronchitis is post-operative for an ex- ploratory
laparotomy. Review of the medical record suggests the physician has concern about
difficulty clearing secretions after the procedure.To assistthe patient with mobilization
and removal of secretions, the respiratory thera-pist should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques
ANS d. Instruction ondeep breathing and coughing techniques
2. Which of the following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs
ANS a. Untreated pneumothorax
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3. The respiratory therapist has an order to cap a patient with a fenestrated
tracheostomy tube in preparation for speech therapy. Prior to applying the capon the end of
the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated
ANS b. The inner cannula isremoved and the cuff deflated
4. A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical
ventilatory support, the patient is to be orally intubated.Which ofthe following artificial
airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube
ANS a. Size 7.0 mm ET tube with a large volume, lowpressure cuff
5. Which of the following devices is needed to determine a patient's airwayresistance?
a. Turbine pneumotachometer
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b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer
ANS c. Body box
6. A patient is receiving manual ventilatory support with a bag-valve connect-ed to a size
8.0 mm ET tube.While transporting the patient from CT scan back
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to the intensive care unit, the respiratory therapist notices oxygen saturationhas dropped
to 88% and that the bag-valve is easier to squeeze than normal.Suspecting mal-
positioning of the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds
ANS d. Examine chest rise andauscultate breath sounds
7. A 48-year-old patient has just been orally intubated prior to being placed on volume-
controlled ventilation. The respiratory therapist should do whichof the following to best
confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph
ANS d. Obtain a chest radiograph
8. After 20 minutes into a spontaneous breathing trial (SBT) a mechanicallyventilated
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