Tmc test QUESTIONS | ACCURATE AND
VERIFIED FOR GUARANTEED PASS |
GUARANTEED PASS| LATEST UPDATE|2024-
2025 WITH 100 QUESTIONS
A patient coughs productively after receiving airway clearance therapy. You note
that the sputum sample is foul smelling and green. You would suspect that the
patient has:
Select one:
A.Pulmonary edema
B.Chronic bronchitis
C.Pneumococcal pneumonia
D.Lung abscess
- ANSWER Purulent sputum (yellow, green) usually indicates a pulmonary
infection. Foul-smelling or fetid purulent sputum is characteristic of lung abscess
or bronchiectasis.
The correct answer is: Lung abscess
In examining the neck of a patient, you note that the trachea is not positioned in
the midline. Which of the following conditions would be the mostly likely cause of
this observation?
Select one:
A.pulmonary fibrosis
B.chronic bronchitis
C.pleural effusion
D.pulmonary edema
,- ANSWER Any voumetric change to either side of the movable mediastinum will
cause a shift in the position of the trachea. In general, the mediastinum and
trachea are pulled toward areas of decreased lung volume (e.g., lobar collapse,
atelectasis, surgical resection) and pushed away from space occupying lesions
(e.g., tension pneumothorax, large pleural effusions or mass lesions). Diseases or
disorders that affect the lungs as a whole, such as chronic bronchitis or pulmonary
fibrosis do not normally cause a shift in the mediastinum and trachea.
The correct answer is: pleural effusion
To assess for normal diaphragm activity, you should look for which of the following
during inspiration?
Select one:
A.outward motion of the abdomen
B.supraclavicular retractions
C.intercostal retractions
D.inward motion of the abdomen
- ANSWER Normally as the diaphragm contract during inspiration, it drops and
displaces the abdominal contents, forcing the abdominal wall to move outward (in
men more than women). If this does not occur, or if it occurs out-of-phase with
inspiration, an abnormality exists. Failure of the diaphragm to descend normally
indicates either a neuromuscular disorder or advanced emphysema, (in which
'flattening' of this muscle impairs its function). Out-of-phase motion (aka
thoracoabdominal asynchrony or paradox) indicates increased work of breathing
and/or muscle fatigue.
The correct answer is: outward motion of the abdomen
A patient with an acute upper airway obstruction would have which of the
following physical signs?
Select one:
,A.inspiratory crackles
B.unilateral lung expansion
C.dullness to percussion
D.inspiratory stridor
- ANSWER Signs of acute upper airway obstruction include marked respiratory
distress, altered voice, dysphagia, stridor, decreased breath sounds, and
tachycardia. Conscious patients also may exhibit the 'hand-to-the-throat' choking
sign. If the obstruction is complete and not resolved by treatment, asphyxiation
will progress to cyanosis, bradycardia, hypotension, and cardiovascular collapse.
The correct answer is: inspiratory stridor
On examination of a normal patient's neck, the midline of the trachea should be
directly below the center of the:
Select one:
A.suprasternal notch
B.midclavicular line
C.midaxillary line
D.anterior axillary line
- ANSWER Normally, the trachea is located centrally in the neck of a forward
facing patient. The midline of the neck can be located by palpation of the
suprasternal notch at the base of the anterior neck. The midline of the trachea
should be directly below the center of the suprasternal notch.
The correct answer is: suprasternal notch
You and a nurse are performing a procedure on a 2-year-old child. To assess the
level of pain that the child is experiencing you would:
Select one:
, A.use a visual analog pain scale
B.ask the nurse's for her judgment
C.observe for crying or facial grimacing
D.confirm when last pain medication was give
- ANSWER A visual analog or numeric pain scale is not useful for young children or
patients who cannot express themselves. The best way to assess the pain level of
a young child is to get the input of a family member. Without such information,
you may have to rely on observing patient behaviors that indicate severe pain,
such as moaning, crying, or grimacing.
The correct answer is: observe for crying or facial grimacing
Which of the following would probably characterize the emotional state of a
patient with a tension pneumothorax?
Select one:
A.panic
B.anger
C.euphoria
D.depression
- ANSWER Since a tension pneumothorax is a life-threatening event, the most
common emotional response would be agitation and panic.
The correct answer is: panic
When inspecting a chest radiograph, you note that the heart is shifted to the
patient's left. Which of the following is the most likely cause of this finding?
Select one:
A.left sided atelectasis/lung collapse
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