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TMC EXAM A Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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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 -:- heart failure A patient is admitted to the ED following a motor vehicle accident. On physical exam, the respiratory therapist dis...

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  • September 3, 2024
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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



TMC EXAM A Questions & 100% Correct
Answers- Latest Test | Graded A+ | Passed
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


✓ -:- heart failure




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?


✓ -:- Needle aspirate the 2nd left intercostal space




All of the following strategies are likely to decrease the likelihood of damage to the tracheal

mucosa EXCEPT


✓ -:- using a low residual volume, low compliance cuff




A 52 year-old post-operative cholecystectomy patient's breath sounds become more

coarse upon completion of postural drainage with percussion. The respiratory therapist

should recommend




1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- deep breathing & coughing to clear secretions




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?


✓ -:- IPPB




A healthy adult female can exhale what portion of her forced vital capacity in the first

second?


✓ -:- 70%




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


✓ -:- 1, 2, and 3 only




Which of the following would be the most appropriate therapy for a dyspneic patient who

has crepitus with tracheal deviation to the left and absent breath sounds on the right?


2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- insert a chest tube




Following cardiac surgery, a 55 year-old patient has the following ABG results: 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.


✓ -:- 5.0 vol %




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?


✓ -:- 50 mL/cm H2O




Immediately after extubation of a patient in the ICU, the respiratory therapist observes

increasing respiratory distress with intercostal retractions and marked stridor. The SpO2 on

40% oxygen is noted to be 76%. Which of the following would be most appropriate at this

time?


✓ -:- Reintubation




Which of the following patients would most likely benefit from pressure support

ventilation?




3|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- A patient on SIMV with a mandatory rate of 12/min and total rate of 24/min.




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?


✓ -:- obtain a sputum gram stain




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


✓ -:- 1 & 2 only




The respiratory therapist provides education for a patient who is being discharged home on

aerosol therapy. The most important reason for the patient to follow the recommended

cleaning procedures using a vinegar/water solution is that this solution will




4|Page | Grade A+| 2024/2025

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