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TMC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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TMC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS
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TMC EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONSd. Instruction on deep breathing and coughing techniques - Precise
Answer ✔✔A patient with a history of chronic bronchitis is post-
operative for an exploratory laparotomy. Review of the medical record
suggests the physician has concern about difficulty clearing secretions
after the procedure. To assist the patient with mobilization and removal
of secretions, the respiratory therapist should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques
a. Untreated pneumothorax - Precise Answer ✔✔Which of the
following conditions would be a contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs
b. The inner cannula is removed and the cuff deflated - Precise Answer
✔✔The respiratory therapist has an order to cap a patient with a
fenestrated tracheostomy tube in preparation for speech therapy. Prior to
applying the cap on the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
,b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated
a. Size 7.0 mm ET tube with a large volume, low pressure cuff - Precise
Answer ✔✔A 75-kg (165-lbs) male is in acute ventilatory failure. In
preparation for mechanical ventilatory support, the patient is to be orally
intubated. Which of the following artificial airways would be most
appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube
c. Body box - Precise Answer ✔✔Which of the following devices is
needed to determine a patient's airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer
d. Examine chest rise and auscultate breath sounds - Precise Answer
✔✔A patient is receiving manual ventilatory support with a bag-valve
connected to a size 8.0 mm ET tube. While transporting the patient from
CT scan back to the intensive care unit, the respiratory therapist notices
oxygen saturation has dropped to 88% and that the bag-valve is easier to
,squeeze than normal. Suspecting mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds
d. Obtain a chest radiograph - Precise Answer ✔✔A 48-year-old patient
has just been orally intubated prior to being placed on volume-controlled
ventilation. The respiratory therapist should do which of the following to
best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph
d. Return to full mechanical ventilation - Precise Answer ✔✔After 20
minutes into a spontaneous breathing trial (SBT) a mechanically
ventilated female patient becomes anxious. Her baseline heart rate has
increased by 20 /min. What should the respiratory therapist do?
a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation
, b. Hemoglobin level - Precise Answer ✔✔What is needed to determine
arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio
c. Elevated left ventricular filling pressure with low QT - Precise
Answer ✔✔A patient presents to the emergency room with fulminating
pulmonary edema. Which of the following would be experienced with
this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr
d. Small pneumothorax - Precise Answer ✔✔Which of the following
conditions would benefit most from a thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax
a. Ventricular tachycardia with a pulse - Precise Answer ✔✔Which of
the following conditions would benefit most from cardioversion?
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