TMC Tests Compilation Bundle

The respiratory therapist should evaluate which of the following to develop a teaching plan for a patient who will be using a small volume nebulizer at home? a. manual dexterity b. highest grade level achieved in school c. spousal support d. English speaking proficiency correct answer: a. manua...

You note in the chart of a patient's who is receiving volume control ventilation that the plateau pressure has been increasing over the last 6 hours, while the PEEP levels remains constant. Which of the following would be the most likely cause of this change? Select one: A. development of pulmo...

A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is 20 bpm. The therapist should immediately. A. Confirm DNR status B. Go get help C. Begin rescue ven...

Which of the following tests would be most useful in diagnosing a pulmonary emboli? a. Chest x-ray b. PFT c. Ventilation-perfusion scan (V/Q) d. ABG correct answer: c. V/Q scan it would show a lack of blood flow in the affected region of the pulmonary circulation While examining a patie...

A patient Who has mild strider following endotracheal extubation would benefit most from which of the following? correct answer: Racemic epinephrine Which of the following is most indicative of a pulmonary embolism correct answer: Increase PAP, decreased PCWP A patient receiving mechanical v...

4 critical life functions correct answer: 1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion Findings that indicate patient's fluid intake exceeds urine output correct answer: 1. Weight gain 2. Electrolyte imbalance 3. Increased hemodynamic pressures 4. Decreased lung compliance ...

A patient with an ideal body weight of 80-kg (176-lb) is being evaluated for cessation of mechanical ventilation. The following weaning parameters and clinical data are available: Vital Capacity 1.2 L RSBI 50 Spont VT 400 mL Resp Rate 20/min Which of the parameters is the most reliable ind...

NBRC Mock TMC Exam Review QUESTIONS WITH COMPLETE SOLUTIONS

A 43-year-old male patient was admitted to the emergency department with a suspected drug overdose. The patient is receiving oxygen via nonrebreather but is unconscious and isn't making any respiratory efforts to breathe. The patient's body weight is 57 kg and his ABG results are as follows: pH 7...

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...

The physician orders a 35% aerosol mask to be set up for a patient who requires an inspiratory flow of 42 L/min. What is the minimum flow rate to which the flowmeter must be set to meet this patient's inspiratory flow demands? correct answer: 8 L/min A premature infant is receiving O2 via a 50%...

What formula is used to determine cardiac output? correct answer: Fick Equation What is the normal range for cardiac output? correct answer: 4-8 LPM What are the units that measure cardiac index? correct answer: L/min/m^2 (cardiac index = cardiac output / body surface area) [body surface ar...

A 36 weeks gestation, 4 hour post-delivery neonate has the following ABG results while on a 35% oxyhood: pH: 7.34 PaCO2: 47 mmHg PaO2: 57 mmHg HCO3: 25 mmHg The RT should recommend: correct answer: Maintain current therapy and continue to monitor A pt with AIDS is to be given treatment for ...

A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which of the following controls, when adjusted independently, would increase expiratory time? 1. Tidal volume 2. Respiratory Rate 3. Inspiratory flow 4. Sensitivity correct answer: *A. 1, 2, and 3 only B. 1, 2, an...

The physician orders a 35% aerosol mask to be set up for a patient who requires an inspiratory flow of 42 L/min. What is the minimum flow rate to which the flowmeter must be set to meet this patient's inspiratory flow demands? A. 6L/min B. 8L/min C. 10L/min D. 12L/min correct answer: *B*, Th...

A respiratory therapist is assisting a physician during a transtracheal bronchoscopy. As the bronchoscope is advanced in the airways, the above ECG tracing is observed on the patient's cardiac monitor. The RT should recommend? correct answer: Administration of lidocaine. After extubating a pati...

Prior to taking a pulmonary artery wedge pressure (PCWP) reading, the RT ensure that: correct answer: -the transducer is properly leveled and zeroed The fiberoptic bronchoscope is usually preferred device during bronchoscopy b/c its: correct answer: -flexibility The capnograph tracing above ...

A 96 kg (211 Ib), 174 cm (5 ft. 10 in) 66 year-old male patient is receiving ventilatory support via a volume ventilator in the pressure support (PSV) mode. ventilator settings and arterial blood gas results are as follows: Ventilator Settings PSV: 12 cmH2O FIO2: 0.45 CPAP: 5 cmH2O Arterial...

What is the range for normal pH? correct answer: 7.35 --> 7.45 What is the range for normal PaCO2? correct answer: 45 --> 35mmHg What is the range for normal HCO3? correct answer: 22 --> 24 or 26mmHg What do you think when pH is normal? correct answer: Fully compensated What...

Lung compliance decreases correct answer: PIP & PLATEAU increase Pathologies from decreased lung compliance correct answer: ARDS PULMONARY EDEMA ATELECTASIS How to correct decreased lung compliance pathologies correct answer: Add peep or correct disease Air resistance increasing correc...

HME's are not recommended with correct answer: infants as increased mechanical deadspace of the device exceeds the tidal volume of the infant, causing CO2 retention The gold standard test for diagnosing asthma correct answer: Methacholine Challenge test Considered positive for the disease if ...