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TMC EXAM NEWEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | A+ GRADE

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TMC EXAM NEWEST ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | A+ GRADE

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  • September 6, 2024
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  • 2024/2025
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TUTORWAC
TMC EXAM NEWEST ACTUAL EXAM
2024-2025 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) | A+ GRADE

A respiratory therapist is ordered to do a bedside
assessment of the effectiveness of a bronchodilator on a
patient with an acute asthmatic episode. Which of the
following equipment will be needed to perform this
evaluation?
a. maximum inspiratory pressure manometer
b. peak flow meter
c. Collins water-seal spirometer
d. respirometer Correct Answer b. peak flow meter

Which of the following pressures is most consistent with a
normal pulmonary artery pressure (PAP)?
a. 25/8 mmHg
b. 12/8 mmHg
c. 120/80 mmHg
d. 25/4 mmHg Correct Answer a. 25/8 mmHg

A patient receiving heliox therapy at 70%/30% mixture by
non-rebreathing mask has the following arterial blood gas
results:
pH 7.35 / PaCO2 45 / PaO2 110 / HCO3 24 / BE 0
Which of the following actions is appropriate?
a. change to a heliox mixture of 60%/40%
b. discontinue heliox therapy

,c. switch to a partial rebreathing mask
d. change to an 80%/20% heliox mixture Correct Answer
d. change to an 80%/20% heliox mixture

A COPD patient complains of shortness of breath while
exercising with a 2 L/min nasal cannula. During exercise,
SPO2 is noted to fall to 84%. Which of the following would
be most helpful to the patient during exercise?
a. decrease flow to 1 L/min nasal cannula
b. avoid exercising
c. use an air-entrainment mask set at 28%
d. use a non-rebreathing mask Correct Answer c. use an
air-entrainment mask set at 28%

A patient in the emergency room is receiving oxygen by
nasal cannula at 3 L/min. Blood gases reveal the
following:
pH 7.53 / PaCO2 30 / PaO2 51 / HCO3 23 / BE -1
The respiratory therapist should immediately
a. place the patient on a non-rebreathing mask
b. decrease flow to 1 L/min
c. increase flow to 5 L/min
d. place the patient on a Venturi mask at 40% Correct
Answer a. place the patient on a non-rebreathing mask

An 80-kg (176-lb) female patient is receiving mechanical
ventilation on the following settings:
Mode: assist/control
Mandatory rate: 14/min
Total rate: 14/min
VT: 550 mL

,FiO2: 0.60
PEEP: 20 cmH2O

ABG:
pH 7.38 / PaCO2 42 / PaO2 62 / HCO3 26 / BE +2

The respiratory therapist should
a. increase the FIO2 to 0.7
b. order a chest radiograph
c. increase FiO2 to 1.0
d. increase PEEP to 22 cmH2O Correct Answer d.
increase PEEP to 22 cmH2O

A patient is showing signs of respiratory distress with a
respiratory rate to 30/min and a spontaneous tidal volume
of 800 mL. The patient is receiving oxygen at 60% by
large volume nebulizer with the flow set at 10 L/min. The
respiratory therapist should suggest to
a. increase FiO2 to 1.0 and the flow to 15 L/min
b. increase flow to 15 L/min
c. sedate the patient
d. decrease the FiO2 to 0.50 Correct Answer b. increase
flow to 15 L/min

The physician orders a change in I:E ratio from 1:2 to 1:4
for a COPD patient receiving volume-cycled mechanical
ventilation. Which of the following accommodates the
physician's request if the mandatory rate is not changed?
a. increase the inspiratory time
b. decrease the inspiratory flow rate
c. decrease expiratory time

, d. decrease inspiratory time Correct Answer d. decrease
inspiratory time

For a patient receiving volume-controlled ventilation in the
assist/control mode, the starting of the inhalation cycle
before the expiratory flow rate returns to zero would result
in which of the following?
a. autoPEEP
b. atelectasis
c. alveolar collapse
d. decreased FRC Correct Answer a. autoPEEP

While assisting a physician during a bronchoscopy
procedure, the therapist notices bright red blood in the
specimen tube. The therapist should prepare which of the
following NEXT?
a. Heparin
b. atropine
c. epinephrine
d. cold normal saline Correct Answer c. epinephrine

A respiratory therapist is asked to assist a physician with a
bronchoscopy procedure on a patient who is ventilator
dependent and requires high levels of PEEP. Which of the
following equipment should be used?
a. closed in-line suction catheter
b. manual PEEP valve
c. Magill forceps
d. Bodai adapter Correct Answer d. Bodai adapter

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