TMC EXAM 1 Latest Actual Questions

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114 TMC EXAM 1 Latest Actual Questions & Verified Answers Correctly 1.1.A respiratory therapist is assisting a physician with endotracheal intubation. Which of the following should be used INITIALLY to confirm tracheal intubation?A.cm marking of the endotracheal tube B.observable condensation in the tube C.pulse oximetry D.colorimetric capnography

Answer: d. Colorimetric capnography assesses the presence of CO2 and

provides confirmation of tracheal intubation when CO2 is detected.

2.2.A respiratory therapist is asked to review a newborn's history. The follow- ing information is available about the first few minutes after birth

• minute5 minutes Appearance acrocyanosis pink Heart rate 70/min

110/min- Reflex cough, cough Muscle tone weak active motion Respiratory rate 20/min 40/min 1 / 4

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114 Which of the following APGAR scores should the therapist expect to see for this infant?1-minute 5-minute

1. 4 8

2. 5 8

3.6 10

4.7 10

A.1 B.2 C.3 D.4

Answer: c.

3.3.A 58-year-old female was diagnosed with bronchiectasis 3 years ago.She reports increased cough and difficulty clearing secretions for the past

• weeks. A chest radiograph shows no significant changes. Which of the

following should the respiratory therapist recommend FIRST?A.transtracheal aspiration 2 / 4

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114 B.airway clearance therapy C.bronchodilator treatments D.respiratory isolation

Answer: b. The history, clinical presentation, and chest radiograph

findings suggest worsening bronchiectasis. The treatment of bronchiectasis includes techniques to loosen and mobilize viscid secretions. Postural drainage enhances sputum clearance.

4.4.A 24-year-old female is diagnosed with exercise-induced asthma and albuterol prn is ordered. A respiratory therapist should NEXT A.refer the patient for allergy skin testing.B.educate the patient on obtaining daily peak flow measurements.C.instruct the patient to use albuterol 15 minutes before exercising.D.suggest the patient use pursed lip breathing while exercising.

Answer: c.Patient under- standing of their disease process and triggers

is important part of patient education, as well as knowing when and which medication should be taken. 3 / 4

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114 5.5.In which of the following circumstances will tracheal secretions tend to dry in an intubated patient?A.a water vapor pressure of 47 mm Hg B.a relative humidity of 100% at 22° C (71.6° F) C.a dew point of 37° C (98.6° F) D.an absolute humidity of 44 mg/L

Answer: b. The absolute humidity at this temperature is inadequate.

6.6.Prior to suctioning the endotracheal tube of an adult patient who is receiv- ing ventilation with an FIO2 of 0.40, a respiratory therapist should FIRST A.lubricate the catheter.B.hyperoxygenate the patient.C.cleanse the catheter with water.

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