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TMC EXAM A Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC EXAM A Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TMC EXAM A-.pdf file:///C:/Users/HP/Desktop/TYPA%20NEW/TMC%20EXAM%20A-TMC EXAM A
1. 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
ANS heart failure
2. 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?
ANS Needle aspirate the 2nd left intercostal space
3. All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT
ANS using a low residual volume, low compliance cuff
4. A 52 year-old post-operative cholecystectomy patient's breath sounds be- come more
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coarse upon completion of postural drainage with percussion.The respiratory therapist
should recommend
ANS deep breathing & coughing to clear secretions
5. 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?
ANS IPPB
6. A healthy adult female can exhale what portion of her forced vital capacity in the first
second?
ANS 70%
7. 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
ANS 1, 2, and 3 only
8. Which of the following would be the most appropriate therapy for a dyspneic patient who
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has crepitus with tracheal deviation to the left and absent breath sounds on the right?
ANS insert a chest tube
9. Following cardiac surgery, a 55 year-old patient has the following ABG results
ANS 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.
ANS 5.0 vol %
10. 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?
ANS 50 mL/cm H2O
11. Immediately after extubation of a patient in the ICU, the respiratory thera- pist
observes increasing respiratory distress with intercostal retractions and
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marked stridor.The SpO2 on 40% oxygen is noted to be 76%.Which of the following
would be most appropriate at this time?
ANS Reintubation
12. Which of the following patients would most likely benefit from pressure support
ventilation?
ANS A patient on SIMV with a mandatory rate of 12/min and total rate of 24/min.
13. 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?
ANS obtain a sputum gram stain
14. Which of the following information may be obtained from a FVC maneuver during
bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV
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