C&S TMC EXAM TWO(answered by expert tutors) Complete Latest Fall 2024/25solution guide
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Course
TMC
Institution
TMC
Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the RT ensure
that: - correct answer -the transducer is properly leveled and zeroed
The fiberoptic bronchoscope is usually preferred device during bronchoscopy b/c
its: - correct answer -flexibility
The capnograph tracing abo...
C&S TMC EXAM TWO(answered by expert tutors)
Complete Latest Fall 2024/25solution guide
Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the RT ensure
that: - correct answer ✔ -the transducer is properly leveled and zeroed
The fiberoptic bronchoscope is usually preferred device during bronchoscopy b/c
its: - correct answer ✔ -flexibility
The capnograph tracing above was obtained from a mechanically ventilated pt.
On the basis of this tracing, the RT should: - correct answer ✔ -check the
exhalation valve
A RT is performing nasotracheal suctioning. During the procedure, the therapist
occludes the catheter's thumb port; there is no vacuum. The therapist could do all
of the following EXCEPT - correct answer ✔ -use a longer suction catheter
The primary hazard of an oropharyngeal airway device is: - correct answer ✔ -the
ot may gag or fight the device
While manually ventilating a pt with a bag-valve resuscitator during
cardiopulmonary resuscitation (CPR), the RT notices that the oxygen reservoir is
missing. The therapist should conclude that: - correct answer ✔ -the FiO2 will
most likely be less than 1.0
A pt with a tracheostomy tube is producing moderate amounts of thick, tenacious
sputum. The best device for this pt would be: - correct answer ✔ -a heated large
reservoir air-entrainment jet nebulizer
Which of the following humidity devices is the most economical choice for use in
an intubated, mechanically ventilated pt who only needs short-term ventilation? -
correct answer ✔ -heat moisture exchanger
The RT noticed that the CPAP pressure indicated on the low pressure monitor is
consistently less than the preset CPAP of an infant's nasal CPAP system. Which of
the following should the therapist do FIRST to correct this problem? - correct
answer ✔ -tighten all connections
While the RT is checking the oxygen setup of a pt on a 2L/min nasal cannula, the
pt complains of not being able to detect any oxygen flow from the cannula. Which
of the following actions would be appropriate? - correct answer ✔ -tighten all
connections
Which of the following will alter the oxygen concentration of an air-entrainment
mask? 1 Increasing the flow setting-YES Occluding the air-entrainment ports-YES
Altering the size of the jet orifice-YES 2 Increasing the flow setting-NO Occluding
,C&S TMC EXAM TWO(answered by expert tutors)
Complete Latest Fall 2024/25solution guide
the air-entrainment ports-YES Altering the size of the jet orifice-NO 3 Increasing
the flow setting-YES Occluding the air-entrainment ports-NO Altering the size of
the jet orifice-YES - correct answer ✔ 4 Increasing the flow setting-NO Occluding
the air-entrainment ports-YES Altering the size of the jet orifice-YES
While assessing a pt who is receiving oxygen via transtracheal catheter, the ot
complains of a persistent, nonproductive cough and tracheal irritation. The
appropriate action at this time would be what? - correct answer ✔ -reposition
the catheter
A 65-year old asian female has just been admitted to the ED. Through an
interpreter, it is learned that the pt is complaining of palpitations and chest
discomfort. What would be indicated? - correct answer ✔ -12-lead ECG
A critically ill pt with hypovolemic shock is being monitored in the ICU.
Measurement of which of the following would indicate if tissue hypoxia is
present? - correct answer ✔ -SVO2
A 27 year old male has been admitted to the ED after he was found unconscious
in the bedroom closet of his home following a house fire. He is currently receiving
supplemental oxygen via a non rebreather mask. An arterial blood gas sample is
obtained. The values are as follows: pH 7.22 PaCO2 45 mm Hg PaO2 345 mm Hg
HCO3- 118 mEq/L SaO2 100% Which of the following would be most appropriate
at this time? - correct answer ✔ -analyze the blood sample using a CO-oximeter
Which of the following would be most helpful to evaluate the effectiveness of
secretion clearance therapy? - correct answer ✔ -chest x-ray
A 46 year old male is presented to the RT clinic with complaints of cough, night
sweats, and loss of appetite. The pt has a history of IV drug abuse and hep B. The
therapist recommended? - correct answer ✔ -tuberculin skin test
The PFT results of an adult female are as follows: Measured Predicted %Predicted
FVC(L): 2.63 3.11 84 FEV1(L): 1.58 2.28 69 FEV1/FVC(%): 60 73 FEF25%-
75%(L/Sec): 0.59 2.56 23 PEF (L/Sec): 4.90 5.78 85 On the basis of these data, the
correct interpretation is: - correct answer ✔ -small airway obstruction
A spontaneous breathing trial (SBT) should be terminated and the pt re-evaluated
if: - correct answer ✔ -the SpO2 decreases by 5%
Shortly after administration of a sedative to a struggling and combative
mechanically ventilated pt, the RT noticed a significant decrease in pulmonary
, C&S TMC EXAM TWO(answered by expert tutors)
Complete Latest Fall 2024/25solution guide
compliance. Which of the following could explain the change? - correct answer ✔
-a pneumothorax has occurred
Following the initiation of pulmonary artery pressure monitoring for an adult
male being mechanically ventilated, the following data is recorded: PAWP: 24 mm
Hg C(a-v)O2: 2-4 vol% These results are most likely associated with which of the
following? - correct answer ✔ hypovolemia
If the PETCO2 is 22 mm Hg and the dead space to tidal volume ratio (VD/VT) is ,
the resulting PaCO2 is approximately : - correct answer ✔ -45 mm Hg
Which of the following acid-base disorders would most likely be present in a pt
with renal failure who is receiving inadequate mechanical ventilation? - correct
answer ✔ -metabolic acidosis/respiratory acidosis
Pts with which of the following conditions are more likely to exhibit a lower than
predicted carbon monoxide diffusing capacity (DLCO)?
1 Idiopathic Pulmonary Fibrosis- YES COPD-YES Anemia-YES Pulmonary Vascular
disease-YES
2 Idiopathic Pulmonary Fibrosis- YES COPD-NO Anemia-YES Pulmonary Vascular
disease-NO
3 Idiopathic Pulmonary Fibrosis- NO COPD-YES Anemia-NO Pulmonary Vascular
disease-YES
4 Idiopathic Pulmonary Fibrosis-YES COPD-YES Anemia-YES Pulmonary Vascular
disease-NO - correct answer ✔ 1 Idiopathic Pulmonary Fibrosis- YES COPD-YES
Anemia-YES Pulmonary Vascular disease-YES
The results of a 12-lead ECG obtained from a 44 year old female reveal flattened T
waves with prominent U waves. The RT should suspect: - correct answer ✔ -
electrolyte deficiency
Which of the following best describes the RT response to metabolic alkalemia? -
correct answer ✔ -metabolic alkalemia depresses the respiratory center, causing
hypoventilation
The RT has just suctioned blue, creamy secretions from a pt with a tracheostomy
that wears the mask intermittent tube feedings. Which of the following actions
would be appropriate? - correct answer ✔ -check the integrity of the
tracheostomy cuff
8 During a CPAP titration during sleep procedure, the pt becomes agitated and
refuses to continue to wear the mask when the CPAP is increased from 15 cm
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