TMC FINAL EXAM 2024 VERSION: 100% GRADED A+ QUESTIONS AND CORRECT ANSWERS
What is normal urine output in an adult patient?
40 mL/hr
A spontaneous breathing term-71trial is initiated on an intubated, awake, and alert 70 kg (154 lb) patient.
After 40 minutes on an FIO2 of 0.30, ABG result...
,What is normal urine output in an adult patient?
40 mL/hr
A
A spontaneous breathing term-71trial is initiated on an intubated, awake, and alert
70 kg (154 lb) patient.
VI
After 40 minutes on an FIO2 of 0.30, ABG results are as follows:
pH 7.39
TU
PaCO2 44 torr
PaO2 85 torr
HCO3- 24 mEq/L.
IS
The patient's vital signs remained stable throughout the trial. Which of the
following is the most appropriate recommendation?
Extubate
M
After assisting with bronchoalveolar lavage and lung biopsy on a mechanically
O
ventilated patient, the respiratory therapist notes the activation of a high pressure
alarm. Peak inspiratory pressure has increased from 32 cm H2O before the
A
procedure to 45 cm H2O after the procedure. Possible causes for the increased
pressure include
N
1. bronchospasm.
JP
2. pneumothorax.
3. pulmonary hemorrhage.
1, 2, and 3
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?
A
Needle aspirate into the 2nd left intercostal space
VI
All of the following strategies are likely to decrease the likelihood of damage to the
tracheal mucosa EXCEPT:
TU
-maintaining cuff pressures between 20 and 25 mm Hg.
- using the minimal leak technique for inflation.
- using a low-residual-volume, low-compliance cuff.
IS
- monitoring intracuff pressures.
using a low-residual-volume, low-compliance cuff.
M
A 52 year-old post-operative cholecystectomy patient's breath sounds become
O
more coarse upon completion of postural drainage with percussion. The respiratory
therapist should recommend
A
deep breathing and coughing to clear secretions.
N
A 65 kg spinal cord injured patient develops atelectasis. His inspiratory capacity is
JP
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%
, We have an expert-written solution to this problem!
A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which
of the following controls, when adjusted independently, would increase expiratory
time?
A
1. Tidal volume
2. Respiratory Rate
VI
3. Inspiratory flow
4. Sensitivity
1, 2, and 3
TU
We have an expert-written solution to this problem!
Which of the following would be the most appropriate therapy for a dyspneic
IS
patient who has crepitus with tracheal deviation to the left and absent breath
sounds on the right?
insert a chest tube
M
O
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,
A
BE +2.
N
Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2
66%.
JP
Calculate the patient's C(a-v)O2.
5.0%
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?
VT/Plat-PEEP
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