2025 TMC LATEST EXAM WITH 300 REAL EXAM

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2025 TMC LATEST EXAM WITH 300 REAL EXAM

QUESTIONS AND CORRECT ANSWERS/ TMC

EXAM 2025 PREP TEST BANK WITH CORRECT

VERIFIED ANSWERS(BRAND NEW!)

• A 39-year-old female patient who is intubated was admitted to the emergency

department and the nurse was unable to start an intravenous line during CPR. It is believed that the patient is suffering from a narcotic overdose and the physician wants to administer Naloxone. Which of the following is an alternative route that can be used to deliver this medication?

• Through the feeding tube
• Aerosolized via SVN
• Through the nasogastric tube
• Through the endotracheal tube
• Through the endotracheal tube
• A 55 year-old male patient is being evaluated for pulmonary rehabilitation.

During a cycle ergometer cardiopulmonary stress procedure, the patient has a heart rate of 100/min and a respiratory rate of 20/min. He suddenly begins to complain of chest pain and severe shortness of breath. The respiratory therapist should

• reduce the speed of the bike.
• administer supplemental oxygen.
• gradually reduce the workload and monitor closely.
• terminate the procedure immediately.

terminate the procedure immediately.

• A 50-year-old male patient is intubated with a size 8 endotracheal tube and is

receiving volume-controlled A/C ventilation. Upon assessment, you note that the patient's cuff pressure is measured at 38 cm H2O. Which of the following would you recommend?

• Withdraw the tube 1-2 cm and reassess the patient's breath sounds 1 / 4

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• Recommend reintubation with a smaller endotracheal tube
• Lower the cuff pressure to < 30 cm H2O
• Recommend ventilation via a tracheostomy instead
• Lower the cuff pressure to < 30 cm H2O
• During the assessment of a 52-year-old female patient that is receiving oxygen

via nasal cannula at 4 L/min, you hear the bubble humidifier making a whistling noise. Which of the following is the most likely cause of this finding?

• There is an obstruction in the delivery tube
• The patient's ventilation has increased
• There is a clogged system diffuser
• The flowmeter pressure is set too high
• There is an obstruction in the delivery tube
• A pre and post bronchodilator test was ordered on a 48-year-old female patient.

The forced expiratory measurement that was obtained after the bronchodilator was given shows an increase in the patient's FEV1 from 60% to 80% of the predicted value. This finding suggests which of the following?

• A fixed airway obstruction
• A reversible airway obstruction
• A normal diffusion capacity
• A restrictive process
• A reversible airway obstruction
• A 58-year-old female patient is intubated and appears to be breathing

asynchronously with the ventilator. Her breath sounds are absent on the left side and the trachea appears to be shifted to the left. The patient has a dull percussion note on the left side as well. Which of the following is the most likely explanation of these findings?

• A tracheoesophageal fistula has developed
• A tension pneumothorax has developed on the left side
• The endotracheal tube is in the right mainstem bronchus
• The patient is experiencing diffuse bronchospasm
• The endotracheal tube is in the right mainstem bronchus 2 / 4

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• A 63-year-old female patient is intubated and receiving mechanical ventilation

in the pressure controlled A/C mode. If the patient's compliance were to decrease, which of the following would you expect to occur?

• Her delivered volume will decrease
• Her peak pressure will increase
• Her inspiratory time will increase
• Her PEEP level will decrease
• Her delivered volume will decrease
• A 70-year-old male patient is intubated and receiving mechanical ventilation in

the volume controlled A/C mode. After performing endotracheal suctioning, which of the following would indicate the effective clearance of retained secretions?

• An increased tidal volume
• A decreased inspiratory time
• A decreased plateau pressure
• A decreased peak pressure
• A decreased peak pressure
• An adult patient who is receiving mechanical ventilation suddenly started

showing signs of tachypnea. Upon assessment, you note tracheal deviation to the right and decreased breath sounds and hyperresonance on the left. Which of the following would you recommend?

• The patient needs suctioning
• The patient needs a bronchoscopy
• The insertion of a chest tube
• The patient needs a thoracentesis
• The insertion of a chest tube
• A 57-year-old female patient with acute pulmonary edema is dyspneic and

appears to be wheezing. The resident physician has ordered an albuterol breathing treatment via SVN. Which of the following would you recommend?

• Recommend acetylcysteine instead of albuterol
• Perform the therapy with supplemental oxygen 3 / 4

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• Perform the treatment as ordered
• Recommend a diuretic and oxygen therapy
• Recommend a diuretic and oxygen therapy
• During the assessment of a 64-year-old female patient, you note the following

signs: dyspnea, hypotension, and a tracheal shift to the right. The patient also has absent breath sounds, reduced chest expansion, and a hyperresonant percussion note all on the left side. These findings suggest which of the following?

• A pleural effusion on the left side
• A pneumothorax on the left side
• Atelectasis on the left side
• Consolidation on the left side
• A pneumothorax on the left side
• A 176 lb male patient is intubated and receiving volume control A/C

ventilation with the following settings: FiO2 of 40%, Rate of 12/min, and Tidal

Volume of 550 mL. An ABG was analyzed and the following results were

obtained:

pH 7.39 PaCO2 37

HCO3 23

PaO2 107

Which of the following would you recommend?

• Place the patient on a 40% T-piece and monitor closely
• Switch the patient to SIMV at a rate of 5/minute
• Place the patient on CPAP and monitor closely
• Maintain the current ventilator settings and re-evaluate later
• Maintain the current ventilator settings and re-evaluate later
• An adult patient was admitted to the emergency department after involvement

in a motor vehicle accident. The patient is hyperventilating and appears to have a flail chest. Which of the following ABG results would you expect for this patient?

• Increased pH and decreased SaO2
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