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TMC Practice Exam Questions and answers | Latest 2024/25 RATED A+
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TMC Practice Exam Questions and answers | Latest 2024/25 RATED A+
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TMC Practice Exam Questions andanswers | Latest 2024/25 RATED A+
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension,
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and 3+ pitting edema in the ankles. These findings are consistent with
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A. liver failure.
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B. pulmonary embolism.
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C. heart failure.
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D. electrolyte imbalances - Heart failure
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A patient is admitted to the ED following a motor vehicle accident. On physical exam, the
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respiratory therapist discovers that breath sounds are absent in the left chest with a
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hyperresonant percussion note. The trachea is shifted to the right. The patient's heart rate
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is 45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What action
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should the therapist recommend first?
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A. Call for a STAT chest x-ray.
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B. Insert a chest tube into the left chest.
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C. Needle aspirate the 2nd left intercostal space.
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D. Activate the medical emergency team to intubate the patient. - Needle aspirate the 2nd
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left intercostal space.
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All of the following strategies are likely to decrease the likelihood of damage to the
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tracheal mucosa EXCEPT
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A. maintaining cuff pressures between 20 and 25 mm Hg.
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B. using the minimal leak technique for inflation.
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C. using a low-residual-volume, low-compliance cuff.
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D. monitoring intracuff pressures. - monitoring intracuff pressures.
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A 52 year-old post-operative cholecystectomy patient's breath sounds become more
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coarse upon completion of postural drainage with percussion. The respiratory therapist
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should recommend
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A. continuing the therapy until breath sounds improve.
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B. administering dornase alpha.
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C. administering albuterol therapy.
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,D. deep breathing and coughing to clear secretions. - deep breathing and coughing to
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clear secretions.
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A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is
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30% of his predicted value. What bronchial hygiene therapy would be most appropriate
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initially?
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A. IS / SMI
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B. IPPB with normal saline
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C. postural drainage and percussion
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D. PEP therapy - IPPB with normal saline
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A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics. Which of
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the following controls, when adjusted independently, would increase expiratory time?
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II 1. Tidal volume
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II 2. Respiratory Rate
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II 3. Inspiratory flow
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II 4. Sensitivity - 1, 2, and 3 only
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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?
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A. Perform chest physiotherapy
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B. Administer an IPPB treatment
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C. Insert an endotracheal tube
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D. Insert a chest tube - Insert a chest tube
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A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50, PaCO2
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30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous blood gas
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results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate the patient's
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C(a-v)O2.
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A. 2.5 vol%
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B. 4.0 vol%
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C. 5.0 vol%
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D. 5.5 vol% - 5.0 vol%
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A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cm H2O
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and PEEP of 5 cm H2O. What is the patient's static lung compliance
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A. 25 mL/cm H2O
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,B. 35 mL/cm H2O
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C. 45 mL/cm H2O
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D. 50 mL/cm H2O - 50 mL/cm H2O
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Immediately after extubation of a patient in the ICU, the respiratory therapist observes
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increasing respiratory distress with intercostal retractions and marked stridor. The SpO2
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on 40% oxygen is noted to be 86%. Which of the following would be most appropriate at
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this time?
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A. cool mist aerosol treatment
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B. aerosolized racemic epinephrine
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C. manual ventilation with resuscitation bag and mask
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D. reintubation - reintubation
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Which of the following patients would most likely benefit from pressure support
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ventilation?
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A. An intubated patient with an absent respiratory drive.
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B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
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C. A patient with acute lung injury.
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D. A patient who requires short-term post-operative ventilatory support. - A patient on
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SIMV with a set rate of 12/min and total rate of 24/min.
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A patient receiving mechanical ventilation has developed a temperature of 99.9° F with
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purulent secretions over the last 12 hours. The respiratory therapist has also noted a
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steady increase in peak inspiratory pressure. What initial recommendation should be
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made to address these changes?
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A. Initiate bronchial hygiene therapy.
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B. Obtain a sputum gram stain.
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C. Administer IPV.
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D. Insert a CASS tube. - Obtain a sputum gram stain.
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Which of the following information may be obtained from a FVC maneuver during bedside
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pulmonary function testing?
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II 1. FEV1
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II 2. PEFR
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II 4. RV - 1 and 2 only
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The respiratory therapist is providing patient education for a patient who is being
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discharged home on aerosol therapy. The most important reason for the patient to follow
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the recommended cleaning procedures using a vinegar/water solution is that this solution
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will
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, A. sterilize the equipment.
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B. retard bacterial growth.
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C. kill all micro-organisms and spores.
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D. extend the equipment life. - Retard bacterial growth
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A patient who complains of dyspnea is noted to have a dry, non-productive cough. On
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physical examination, breath sounds are diminished on the right, tactile fremitus is
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decreased and there is dullness to percussion over the right lower lobe. The respiratory
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therapist should suspect that the patient is suffering from
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A. pneumonia.
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B. pulmonary embolism.
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C. pleural effusion.
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D. bronchiolitis. - pleural effusion
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Which of the following suction catheters would be appropriate to use for a patient with a
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size 8.0 mm ID endotracheal tube?
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A. 8 Fr
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B. 10 Fr
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C. 12 Fr
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D. 14 Fr - 12 Fr
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A patient who is receiving continuous mechanical ventilation is fighting the ventilator. His
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breath sounds are markedly diminished on the left, there is dullness to percussion on the
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left, and the trachea is shifted to the left. The most likely explanation for the problem is that
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A. the patient is disconnected from the ventilator.
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B. the patient is experiencing diffuse bronchospasm.
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C. the endotracheal tube has slipped into the right main stem bronchus.
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D. the patient has developed a left tension pneumothorax. - the endotracheal tube has
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slipped into the right main stem bronchus
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The respiratory therapist notes a developing hematoma after an arterial blood gas was
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drawn from the right radial artery. The immediate response is to
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A. notify the charge nurse.
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B. apply a pressure dressing.
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C. apply pressure to the site.
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D. perform a modified Allen's test. - apply pressure to the site.
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A patient's breathing pattern irregularly increases and decreases and is interspersed with
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periods of apnea up to 1 minute. Which of the following conditions is the most likely cause
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of this problem?
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