TMC Test Practice BEST STUDYING MATERIAL
WITH VERIFIED ANSWERS LATEST VERSION
UPDATE 2024-2025 WITH 200 QUESTIONS
Carbon monoxide poisoning is suspected in a conscious patient who is breathing spontaneously. Which
of the following would be the most appropriate therapy?
Select one:
A. intubation followed by assisted ventilation with 100% O2
B. administration of 100% O2 via a nonrebreathing mask
C. intubation followed by the use of CPAP with 50% 02
D. close monitoring and O2 administration as indicated by PaO2
- ANSWER B. administration of 100% O2 via a nonrebreathing mask
A doctor wants to provide ventilatory support for a COPD patient in acute ventilatory failure but avoid
intubation. Which of the following modes of mechanical ventilation would you choose for this patient?
Select one:
A. CPAP
B. assist/control
C. BiPAP
D. SIMV
- ANSWER C. BiPAP
You are monitoring a patient receiving volume controlled SIMV and note an increased peak pressure and
bilateral wheezes. Which of the following would be appropriate?
Select one:
A. order a stat chest X-ray
,B. suction the patient
C. administer prescribed bronchodilators
D. check the cuff inflation pressure
- ANSWER C. administer prescribed bronchodilators
After completing an aerosol drug treatment, which of the following is the most appropriate chart
notation for you to make?
Select one:
A. Treatment given as ordered
B. Aerosol therapy given; pulse stable, no changes during therapy; well tolerated
C. Aerosol therapy given with 0.5 mL albuterol and 3 mL normal saline; vital signs stable; well tolerated
D. Aerosol therapy given with 0.5 mL albuterol and 3 mL normal saline; pulse stable at 72/min during
therapy; B.P. stable at 120/80; respiratory rate 10/min; therapy well tolerated; chest clear on
auscultation
- ANSWER D. Aerosol therapy given with 0.5 mL albuterol and 3 mL normal saline; pulse stable at 72/min
during therapy; B.P. stable at 120/80; respiratory rate 10/min; therapy well tolerated; chest clear on
auscultation
Which of the following would be the most important data utilized to assess a patient's ability to perform
metered dose inhaler (MDI) aerosol therapy?
Select one:
A. overall general appearance
B. stable vital signs
C. exercise tolerance
D. capacity to follow instructions
- ANSWER D. capacity to follow instructions
When administering aerosolized pentamidine (NebuPent) to an HIV-infected patient with a history of
Pneumocystis jiroveci pneumonia, you should be on guard for which of the following adverse reactions?
,Select one:
A. cough
B. hemoptysis
C. fever
D. bradycardia
- ANSWER A. cough
Which of the following is associated with the administration of aerosolized pentamidine isethionate
(NebuPent)?
Select one:
A. tachycardia
B. bradycardia
C. bronchospasm
D. hypotension
- ANSWER C. bronchospasm
A 60-year-old, 70 kg. (154 lb.) male patient with emphysema is being mechanically ventilated. Pertinent
data are below.
Ventilator Settings:
Mode Vol Ctrl SIMV
VT 600 mL
Set Rate 9
Spon Rate 0
FIO2 0.45
Blood Gases:
, pH = 7.36
PaCO2 = 71 torr
HCO3 = 39 mEq/L
PaO2 = 105 torr
SaO2 = 98%
To begin weaning this patient off the ventilator, which of the following should you recommend be
adjusted FIRST?
Select one:
A. mode
B. tidal volume
C. rate
D. FIO2
- ANSWER D. FIO2
You measure an SpO2 of 82% on a patient receiving oxygen at 3 L/min via nasal cannula. Which of the
following actions would be appropriate at this time?
Select one:
A. switch to a 28% air-entrainment mask
B. increase the cannula liter flow to 4 L/min
C. continue the oxygen therapy at 3 L/min
D. switch to a simple mask at 4 L/min - ANSWER B. increase the cannula liter flow to 4 L/min
A patient with a restrictive disorder develops hypercapnic respiratory failure. Prior to intubation, her
breathing rate is 28/min. After being placed on volume-control A/C ventilation, her blood gas indicate
respiratory alkalosis (pH=7.54). Which of the following would you recommend?
Select one:
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