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RRT-TMC Practice Exam Questions And 100% Correct Answers
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RRT-TMC Practice Exam Questions And100% Correct Answers
After a patient has had a thoracentesis, the respiratory therapist observes that the
pleural fluid obtained is clear with a slight straw color. This fluid would most likely be the
result of
A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax. - ANSWER B. congestive heart failure.
Which of the following would be most important to evaluate for a patient who is entering
a smoking cessation program?
A. Height
B. Smoking history
C. Weight
D. Diet - ANSWER B. History of smoking
The respiratory therapist is calibration the spirometer and checking volume with a 3.0
liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
,D. Spirometer may have a leak - ANSWER D. Spirometer may have a leak
Which of the following is an indication for high frequency jet ventilation?
A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema - ANSWER A. Bronchopleural fistula
A 43-yr-old female patient has just undergone a total abdominal hysterectomy. The
patient is then taken to the post anesthesia care unit in an obtunded state, having
minimal response to painful stimulus. Which of the following treatments should the
respiratory therapist recommend for this patient?
A. Institute assisted ventilation
B. Insert oropharyngeal airway
C. Order positron emission tomography
D. Institute non-invasive capnography - ANSWER B. Insert oropharyngeal airway
A 44 week gestational age infant has just been delivered via C-section and is gasping,
grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at
5 minutes the score is 5. The infant is most likely suffering from
A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity. - ANSWER B. meconium aspiration.
What is the normal VD/VT ratio for a patient breathing room air?
,A. 5 - 15%
B. 20 - 40%
C. 45 - 55%
D. 65 - 75% - ANSWER B. 20 - 40%
A heat moisture exchanger is indicated for humidification in which of the following
situations?
A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Administration of aerosolized bronchodilators. - ANSWER B. Transfer to a tertiary
care facility.
All of the following might lead to an elevation of a patient's right-hemidiaphragm,
EXCEPT
A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms. - ANSWER B. right side
hyperlucency, absent vascular markings
A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent
(differential) lung ventilation following thoracotomy and right lower lobectomy. Which of
the following setting combinations would be most appropriate for this patient?
A. Right lung 50 mL; left lung 650 mL
B. Right lung 150 mL; left lung 550 mL
, C. Right lung 350 mL; left lung 350 mL
D. Right lung 550 mL; left lung 150 mL - ANSWER B. Right lung 150 mL; left lung 550 mL
A patient in the intensive care unit has the following hemodynamic measurements:
CVP (mm Hg) 5
PAP (mm Hg) 29/8
PCWP (mm Hg) 8
BP (mm Hg) 130/70
Cardiac output (L/min) 5.1
Cardiac index (L/min/m2) 2.7
What is the pulse pressure?
A. 15 mm Hg
B. 21 mm Hg
C. 60 mm Hg
D. 90 mm Hg - ANSWER C. 60 mm Hg
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the patient.
The physician asks the respiratory therapist to evaluate the patient for possible
extubation. Which of the following would most likely indicate that the patient is ready for
extubation?
A. The patient is making normal quiet ventilatory efforts.
B. A negative sputum culture and sensitivity has been reported.
C. The patient's ABG are within normal range
D. Breath sounds are heard around the tube on auscultation. ANSWER D. Breath sounds
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