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TMC EXAM Test Bank QUESTIONS | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE WITH 150+ QUESTIONS $25.99   Add to cart

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TMC EXAM Test Bank QUESTIONS | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE WITH 150+ QUESTIONS

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TMC EXAM Test Bank QUESTIONS | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE WITH 150+ QUESTIONS

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  • August 30, 2024
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TMC BANK TEST EXAM QUESTIONS | ACCURATE
QUESTIONS AND DETAILED ANSWERS |
GUARANTEED PASS | GRADED A | LATEST UPDATE
2024-2025WITH 150+ QUESTIONS

*A. repeating the arterial blood gas in 30 minutes.* - ANSWER
A post-operative thoracotomy patient is receiving mechanical ventilation in the recovery room
with a tidal volume of 750 mL, SIMV mandatory rate 8/min, FIO2 of 0.40.


Arterial blood gas results show:


pH: 7.36
Pa02: 89 torr
PaCO2: 45 torr
SaO2: 95%


The patient is breathing fast and shallow. Based upon this information, the respiratory therapist
should recommend


A. repeating the arterial blood gas in 30 minutes.


B. increase SIMV mandatory rate to 10/min.


C. sedating the patient.


D. paralyzing the patient with pancuronium bromide (Pavulon).

,*D. the PEEP should be increased.* - ANSWER
The respiratory therapist reviews the ventilator flow sheet for a post-op patient. The ventilator
settings have not been changed during the past 24 hours. The peak and plateau pressures were
recorded as follows:


This information would indicate that


A. airway resistance is increasing.


B. lung compliance is increasing.


C. the patient can begin weaning.


D. the PEEP should be increased.


*A. increased PaCO2.* - ANSWER
A post-operative craniotomy patient is receiving mechanical ventilation and has an increased
intracranial pressure reading. The goals of mechanical ventilation for this patient include all of
the following EXCEPT


A. increased PaCO2.


B. keep airway pressure to a minimum.


C. hyperoxygenate.


D. use minimum PEEP levels.

,*C. Change the IPAP to 15 cm H2O.* - ANSWER


A 10-year-old child with muscular dystrophy is receiving non-invasive ventilation at an IPAP of
10 cm H2O and an EPAP of 5 cm H2O. The set rate is 15 br/min. with the following arterial blood
gases:


pH: 7.34
PCO2: 52 torr
PO2: 58 torr
HCO3: 26 mEq/L


Which of the following should the respiratory therapist recommend?


A. Switch to invasive ventilation.


B. Decrease the set rate to 10 br/min.


C. Change the IPAP to 15 cm H2O.


D. Change the EPAP to 10 cm H2O.


*B. assisted ventilation* - ANSWER
A newborn infant born at 26 weeks is exhibiting signs of respiratory distress including nasal
flaring and retractions. Physical examination reveals heart rate 180/min., respiratory rate
72/min., blood pressure 60/50 mm Hg. The chest radiograph indicates a reticulonodular
appearance. The respiratory therapist should recommend:


A. nasal CPAP at 10 cmH2O

, B. assisted ventilation


C. 100% oxygen via hood


D. Q1H monitoring


*B. Add 6 cm H20 PEEP* - ANSWER
While performing routine ventilator parameter checks on a patient weighing 80 kg (176 Ib), the
respiratory therapist notes the following:


Mode: VC, SIMV
Set rate: 12 /min.
Total rate: 12 /min.
FIO2: 0.65
VT: 700 mL


The arterial blood gas results are as follows:


pH: 7.47
PaCO2: 34 torr
PaO2: 55 torr
HCO3: 23 mEq/L


Which of the following should the therapist recommend at this time?


A. Decrease rate to 10 /min.

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