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TMC EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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TMC EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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TMC EXAM REVIEW QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A respiratory therapist is assisting a physician with endotracheal intubation. Which of the following shou
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ld be used INITIALLY to confirm tracheal intubation ?
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A. cm marking of ET tube
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B. observe condensation in the tube
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C. pulse oximetry
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D. Colorimetric capnography - ANSWER D. Colormetric capnography
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O
assesses the presence of CO2 and provides confirmation of tracheal intubation when CO2 is detected
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A respiratory therapist is asked to review a newborn's history. The following information is available abo
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ut the first few minutes after birth :
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1 min - acrocyanosis, 70/min, cough, weak muscle tone, RR 20
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5 min - pink - 110/min, cough, active motion, RR 40/min
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A. 4 & 8O O O
B. 5 & 8O O O
C. 6 & 10
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D. 7 & 10 - ANSWER C. 6 & 10
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acrocyanosis = 1, Hr of 70 = 1, cough = 2, weak activity = 1, RR of 20 = 1.
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pink = 2, HR of 110 = 2, cough = 2, active motion = 2, RR of 40 = 2
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A 58 year old female was diagnosed with bronchiectasis 3 years ago. She reports increased cough and di
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fficulty clearing secretions for the past 4 weeks. A chest radiograph shows no significant changes. Which
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of the following should the respiratory therapist recommend FIRST ?
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,a. transtracheal aspiration
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b. airway clearance therapy
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c. bronchodilator treatments
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d. respiratory isolation - ANSWER b. airway clearance therapy
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the history, clinical presentation, and chest radiograph findings suggest worsening bronchiectasis. the tr
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eatment of bronchiectasis includes techniques to loosen and mobilize viscid secretions. postural drainag
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e ( + HFCWO) enhances sputum clearance
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A 24 year old female is diagnosed with exercise-
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induced asthma and albuterol pro is ordered. A respiratory therapist should NEXT
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a. refer patient for allergy skin testing
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b. educate the patient on obtaining daily peak flow measurements
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c. instruct the patient to use albuterol 15 minutes before exercising
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d. suggest the patient use purse lip breathing while exercising -
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ANSWER C. instruct the patient to use albuterol 15 mins before exercising
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Patient understanding of their disease process and triggers is important part of patient education, as wel
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l as knowing when and which medication should be taken.
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In which of the following circumstances with tracheal secretions tend to dry in an intubated patients ?
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A. a water vapor pressure of 47 mmHg
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B. a relative humidity of 100% at 22*C ( 71.6* F)
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C. a dew point of 37*C (98.6*F)
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D. an absolute humidity of 44 mg/L - ANSWER B. absolute humidity at this temperature is inadequate
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,a water vapor pressure of 47 mmHg provides 100% humidity at body temperature
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a dew point of 37*C(98.6*F) indicates the gas is completely saturated at that temperature
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the absolute tracheal humidity must be grater than or equal to 30 mg/L
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Prior to suction the ET tube of an adult patient who is receiving ventilation with an Fio2 of 40%, a respir
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atory therapist should FIRST
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a. lubricate the catheter
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b. hyper oxygenate the patient
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c. cleanse the catheter with water
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d. administer an FiO2 of 40% by T-piece -
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ANSWER B. the FiO2 should be increased prior to each suctioning attempt to minimize hyperoxemia
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lubrication of catheter is not necessary unless nasotracheal suctioning will be performed
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sterile suction catheters do not need to be cleansed prior to use
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administration of the same fiO2 without positive pressure will compromise the patient's oxygenation an
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d ventilation
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A 25 year old patient with apnea is receiving PC ventilation. An ABG analysis results are as follows:
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pH 7.20 O
CO2 65 O
PO2 70 O
HCO3 25 O
BE -4 O O
, SO2 (calc) 94% O O
A respiratory therapist should recommend increasing the
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a. set inspiratory pressure
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b. expiratory time
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c. sensitivity
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d. peak flow - ANSWER a. set inspiratory pressure
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^--
Oin PC ventilation, increasing the inspiratory pressure will result in an increased tidal volume and minute
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ventilation, potentially causing a decrease in PCO2
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increasing expiratory time will decrease tidal volume and minute ventilation, potentially causing increas
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e in PCO2 and further decrease in pH
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increasing sensitivity will not increase ventilation in this patient
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peak flow cannot be set in PC ventilation
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a 68 year old patient who is post-
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CABG was extubated 4 hours ago and complains of increasing SOB. B/S are decreased over right lung fiel
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d. the following data are available while the patient receives 4L NC:
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HR 103 O
RR 27 O
BP 155/90 O
SpO2 90% O
Which of the following studies should a respiratory therapist recommend FIRST ?
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