C&S TMC 2 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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C&S TMC 2
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C&S TMC 2
C&S TMC 2 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
Which of the following would the respiratory therapist explain to a patient as the primary goal of his pulmonary rehabilitation? - Answer-It improves the quality of life
While interviewing a patient who has recently be...
C&S TMC 2 ACTUAL EXAM 100+
QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+
Which of the following would the respiratory therapist explain to a patient as the primary
goal of his pulmonary rehabilitation? - Answer-It improves the quality of life
While interviewing a patient who has recently been enrolled in a pulmonary
rehabilitation program, the patient tells the respiratory therapist that he has tried to quit
smoking several times but has been unsuccessful. Which of the following
pharmacologic agents should the respiratory therapist recommend for this patient? -
Answer-Transdermal nicotine patch (Nicoderm)
Which of the following would the respiratory therapist recommend to a home care
patient for disinfection of his small volume nebulizer? - Answer-A mixture of vinegar and
water
A patient's ECG rhythm consistently reverts to the rhythm shown above. The respiratory
therapist should recommend: - Answer-Cardioversion
A respiratory therapist is assisting the physician in placing a tracheostomy tube in an
orally intubated adolescent patient. At which point should the therapist be ready to
deflate the cuff and withdraw the endotracheal tube? - Answer-When the physician
begins inserting the tracheostomy tube into the stoma
A patient about to undergo bronchoscopy becomes fearful and anxious and indicates
she does not want the procedure done. The most appropriate action at this time is to -
Answer-Administer a sedative to relieve anxiety
During an air transport of a mechanically ventilated neonate, the respiratory therapist
encounters difficulty in maintaining adequate oxygen saturation. Which of the
following should the respiratory therapist do? - Answer-Manually ventilate the patient
with an FIO2 of 1.0
A patient just admitted to the respiratory ward appears fearful when the respiratory
therapist enters the room to initiate a nebulized albuterol treatment. The respiratory
therapist should: - Answer-Communicate the role of a respiratory therapist and goal of
therapy clearly to the patient
Following the administration of succinylcholine to facilitate intubation, the house resident
is unable to orally intubate the patient despite repeated attempts. He requests an
,antidote to reverse the succinylcholine effects. The respiratory therapist should: -
Answer-Resume manual ventilation
During insertion of a pulmonary artery catheter, ventricular asystole is observed on the
cardiac monitor. Which of the following actions is the FIRST priority in the management
of this patient? - Answer-Initiation of manual ventilation and closed chest compressions
Thirty minutes after the PEEP was increased from 7 cm H2O to 10 cm H2O, an infant
becomes agitated and develops extreme respiratory distress. A chest x-ray is obtained,
which is shown to the right. Which of the following would be the most appropriate
recommendation at this time? - Answer-Needle aspiration of the right lung
For which of the following patients receiving continuous mechanical ventilation would a
rapid weaning protocol NOT be appropriate? - Answer-A patient with acute
exacerbation of emphysema
A patient with moderately severe ARDS is receiving mechanical ventilation via ARDS
protocol. When PEEP is increased from 10 cm H2O to 15 cm H2O, the PvO2 increases
from 31 mm Hg to 39 mm Hg. Based on this change, the respiratory therapist should
conclude that: - Answer-Oxygenation at the tissue level has improved
A 49-year-old, 5'11 tall, 81 kg male with ARDS secondary to sepsis is nasally intubated
and receiving volume-control A/C ventilation. Pertinent data are as follows: VT: 450 mL
Rate: 18/min
FIO2: 0.90
PEEP: 18 cm H2O
PIP: 62 cm H2O
Pplat: 36 cm H2O
The respiratory therapist should recommend: - Answer-Decreasing VT in 1 mL/kg steps
to a minimum of 4 mL/kg
A 64-year-old male presented to the ED complaining of persistent right-sided chest pain
and a bothersome dry cough. He was subsequently admitted to the respiratory ward for
treatment of community-acquired pneumonia. Over the next 2 days his respiratory
status worsens and he is transferred to the ICU.
A chest x-ray taken at the time of admission to the ICU reveals diffuse bilateral fluffy
infiltrates, more on the right than the left. Arterial blood gases obtained while breathing
oxygen via nonrebreathing mask at 12 L/min reveals pH 7.29, PaCO2 56 mm Hg, PaO2
49 mm Hg. The decision is made to provide ventilatory support.
Which of the following would be appropriate for this patient? - Answer-Volume-control
A/C ventilation with tidal volume of 6 mL/kg
, A physician has ordered pulmonary function testing for a 73 year-old male who presents
with complaints of dyspnea and orthopnea. The PFT results are as follows: Actual
Predicted %Predicted
FVC(L): 1.42 3.55 40
FEV1(L): 0.81 2.70 30
FEV1/FEV% 57 76
RV(L): 1.92 2.60 74
TLC(L): 3.61 6.50 55
Which of the following is consistent with these results? - Answer-Severe obstructive
defect with moderate restrictive defect
An adult female patient has just been orally intubated and is now being manually
ventilated. On auscultation, the respiratory therapist notes the absence of breath
sounds, but hears gurgling over epigastrium. Which of the following is the most
appropriate action is the most appropriate action at this time? - Answer-Extubate and
prepare for reintubation
Following the successful placement of a nasotracheal tube, the respiratory therapist
resumes manual ventilation but notes that there is now minimal resistance to bag
compression and that air flow is exiting through the patient's mouth. After injecting 6 cc's
of air into the cuff, the problem still exists. Which of the following would be the most
appropriate action at this time? - Answer-Reintubate the patient
A patient is receiving intravenous KCI. Which of the following laboratory tests would be
helpful in providing information about the effectiveness of therapy? - Answer-Serum
electrolytes
The data below are obtained for a 57 kg (125 lb) adult female patient who is being
mechanically ventilated.
Mode: A/C
VT: 450 mL
Set rate: 10/min
FIO2: 0.40
PEEP: 5 cm H2O
BP: 82/56 mm Hg
Cardiac Output: 3.1 L/min
CVP: 0 mm Hg
PAP: 13/6 mm Hg
PCWP: 3 mm Hg
Based on these data, the respiratory therapist should recommend which of the
following? - Answer-Increase IV fluid administration
A 3-day old infant is experiencing respiratory distress with substernal retractions and
nasal flaring while receiving 40% oxygen via oxyhood. - Answer-Apply 5 cm H2O CPAP
by nasal prongs with an FIO2 of 0.50
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