TMC EXAM 2024 AND PRACTICE
QUESTIONS |ACCURATE ANSWERS|
VERIFIED FOR GUARANTEED PASS
|GRADED A |NEW VERSION 200+
QUESTIONS
A 26-year-old patient complaining of shortness of breath is admitted to the emergency department.
The patient states that he was running in the park with a friend and could not catch his breath.
Bedside assessment reveals the following data:Pulse: 134 Respirations: 35Color: paleSpO2: 91% on
room airBreath sounds: diminished on the rightThe respiratory therapist should
A. request a STAT chest x-ray.
B. recommend a V/Q scan.
C. insert a large bore needle into the 2nd intercostal space on the right side in the midclavicular line.
D. insert a chest tube into the 2nd intercostal space on the right side in the midclavicular line. -
ANSWER a. request a STAT CXR
A 40-year-old patient has a history of smoking 2 packs of cigarettes per day. The patient's measured
carboxyhemoglobin level is 6.4%. These results are most consistent with
A. severe COPD.
B. history of dyspnea on exertion.
C. need for supplemental oxygen.
D. expected level for this patient.
- ANSWER d. expected level for this pt
*normal carboxyhemoglobin is < 1.5%*
Which of the following conditions would be associated with a pleural friction rub?
,A. Acute asthma attack
B. Subglottic swelling
C. Pulmonary edema
D. Right-sided pleurisy
- ANSWER d. right-sided pleurisy
Pleurisy is an inflammation of the lining of your lungs (pleura) that causes sharp chest pains.
The results of a patient's chest radiograph reveal the presence of a right side consolidation with a
concave-shape appearance and a mediastinal shift to the left. Physical examination of the chest
reveals decreased movement, flat percussion, and absent breath sounds over the right lower chest.
These results are consistent with which of the following conditions?
A. Right-side pleural effusion
B. Basilar pneumonia of the right lung
C. Atelectasis of the right lower lobe
D. Right side tension pneumothorax
- ANSWER A. right side pleural effusion
signs of a pleural effusion: blunting of the costophrenic angle and meniscus sign (concave shape
appearance)
The following data has been obtained from a 28-week gestational age infant who was born
premature:Color: CyanoticChest x-ray: Cardiac enlargementChest Sounds: Systolic murmurRespiratory
rate: 55 Br/min.SpO2: 80%Which of the following diagnostic tests should the respiratory therapist
recommend?
A. Pre- and post-ductal blood gas studies
B. L/S ratio
C. New Ballard Score
,D. Capillary blood gas
- ANSWER a. pre and post ductal blood gas studies
chances are the baby probably has a patent ductus; allows deoxygenated blood to go back to the body
without being oxygenated
While suctioning an adult patient, the respiratory therapist notes that the vacuum regulator is set at
120 mm Hg but only registers 70 mm Hg on the manometer. Which of the following is the LEAST likely
cause?
A. Leak in the system
B. Thumb not completely covering the port
C. Loose connection in the collection bottle
D. Additional length of suction tubing
- ANSWER d. additional length of suction tubing
it doesn't matter how long the tubing is the suction will stay the same as long as everything is secured
and tight
Which of the following items should the respiratory therapist select prior to performing orotracheal
intubation?
1. Various sizes of endotracheal tubes
2. Water-soluble lubricant
3. Stylet
4. Magill forceps
A. 1 and 2 only
B. 2 and 4 only
C. 1 and 3 only
, D. 3 and 4 only
- ANSWER c. 1 and 3 only
While performing nasotracheal suctioning on a 64-year-old patient with pneumonia, the respiratory
therapist notes that the patient's nares have developed redness and swelling. To prevent further
irritation, the therapist should recommend
A. switching to orotracheal suctioning.
B. inserting an orotracheal tube.
C. administering an antibiotic to the site.
D. inserting a nasopharyngeal airway.
- ANSWER d. inserting a nasopharyngeal airway
A 14-year-old patient is intubated with a size 7 mm oral endotracheal tube. While suctioning the
patient with a size 12 French catheter, the respiratory therapist meets resistance while attempting to
pass the suction catheter through the tube. The therapist should
A. extubate and reintubate with a size 8 mm endotracheal tube.
B. switch to a size 10 French catheter.
C. instill mucomyst down the endotracheal tube.
D. lubricate the catheter with K-Y jelly prior to suctioning.
- ANSWER b. switch to a size 10F catheter
7/2 x 3 = 10.5
Which of the following is an appropriate indication for utilizing a stylet?
A. Assist with phonation
B. Facilitate orotracheal intubation
C. Maintain a stoma opening
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