TMC Practice Exam A + B Latest Update 2024- 2025 Exam Questions and 100% Verified Correct Answers Guaranteed A+
A 13 year-old patient in the ED complains of dyspnea, chest tightness, and a loose productive cough. The patient has a respiratory rate of 33 breaths/minute and bilateral wheezing in the lungs. What treatment should the respiratory therapist initiate?
- Levalbuterol
- Oxygen
- Salmeterol
D. PEP - CORRECT ANSWER: B. Oxygen
A 19-year-old patient is brought to the Emergency Department after taking a handful of pills. The patient is obtunded but is making regular, sonorous respiratory efforts.Auscultation reveals coarse rhonchi bilaterally. Which of the following should be done FIRST to assess this patient?
- Obtain a sputum specimen.
- Obtain an ABG.
- Measure peak expiratory flow.
D. Determine the Glasgow Coma Score. - CORRECT ANSWER: B. Obtain an ABG.
A 30-year-old male who weighs 68 kg (150 lb) has a minute ventilation of 9 L/min. and a respiratory rate of 20/min. What is his alveolar minute volume?
- 4 L/min.
- 6 L/min.
- 8 L/min.
D. 12 L/min. - CORRECT ANSWER: B. 6 L/min.
Formula: (VT-VD) x RR
A 43-year-old female patient has just undergone a total abdominal hysterectomy. The patient arrives in the post anesthesia care unit obtunded with minimal response to painful stimulus. What treatment should the respiratory therapist recommend for this patient?
- Initiate assisted ventilation
- Insert oropharyngeal airway
- Obtain positron emission tomography
D. Initiate noninvasive capnography - CORRECT ANSWER: B. Insert oropharyngeal
airway
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A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse upon completion of postural drainage with percussion. The respiratory therapist
should recommend:
- Continuing the therapy until breath sounds improve.
- administering dornase alpha.
- administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - CORRECT ANSWER: D. deep
breathing and coughing to clear secretions.
See Patient Assessment
A 60 kg (132 lb) female patient with congestive heart failure receives NPPV with an IPAP of 16 cm H2O, EPAP of 10 cm H2O, and FIO2 of 0.70. Available laboratory data includes: pH 7.40, PaCO2 42 torr; PaO2 145 torr; HCO3 26 mEq/L, SaO2 99%, CVP 10 cm H2O. Breath sounds reveal a few fine bibasilar crackles. This situation should be
described as:
- shunting.
- hypoventilation.
- hyperoxygenation.
D. fluid overload. - CORRECT ANSWER: C. hyperoxygenation.
A 60 kg (132 lb) patient is mechanically ventilated at the following settings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm H2O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 is 85%. A current chest x-ray shows diffuse bilateral infiltrates. Which of the following is the most appropriate action in order to reduce peak airway pressure?
- Increase the frequency.
- Change to airway pressure release ventilation.
- Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - CORRECT ANSWER: B. Change to airway
pressure release ventilation.
A 72 year-old female post stem cell transplant patient in the ICU complains of difficulty breathing and is noted to have diffuse fluffy infiltrates on chest X-ray. The B-type Natriuretic Peptide (BNP) test result demonstrates 700 pg/mL. What is the patient's possible condition?
- Severe heart failure
- Respiratory distress syndrome
- Severe renal failure
D. Moderate heart failure - CORRECT ANSWER: D. Moderate heart failure
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