TMC EXAM A Latest Actual Questions

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TMC EXAM A Latest Actual Questions & Verified Answers Correctly 1.A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaneous breath- ing trials to commence immediately. Which of the following medications would be most helpful to the patient?a.Meperidine b.Valium c.Romazicon (Flumazenil) d.Morphine Sulfate

Answer: c. Romazicon (Flumazenil)

2.In preparation for ventilator weaning the physician requests a VD/VT ra- tio assessment. Which of the following is needed to determine the dead- space-tidal volume ratio?a.Single breath nitrogen elimination and caponographic data b.Helium dilution study and an arterial blood gas c.Arterial blood gases and capnographic data d.Helium dilution study and single breath nitrogen elimination

Answer: c. Arterial blood gases and capnographic data

3.A respiratory therapist is determining a VD/VT ratio. Which of the 1 / 4

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following is needed to complete this analysis?a.VT and VA b.PetCO2 and PaCO2 c.FIO2 and PaO2 d.PECO2 and PaO2

Answer: b. PetCO2 and PaCO2

4.Which of the following is LEAST likely to promote the spread of nosocomial infection in a hospital?a.Poor hand washing among staff b.Frequent disconnection of a ventilator circuit c.Changing small volume nebulizer equipment every 48 hours d.Use of unit dose medication

Answer: d. Use of unit dose medication

5.Which of the following can be used to estimate the level of Hemoglobin?a.C (A-V) O2 b.PAO2 c.Theophylline level d.RBC

Answer: d. RBC

6.Which of the following alarms would be most important for a patient receiv- ing positive pressure ventilation by a pressure-cycled ventilator?a.Low volume 2 / 4

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b.I;E ratio c.Low FIO2 d.High pressure

Answer: a. Low volume

7.Patients with large necks who experience frequent dislodging of their tra- cheostomy tubes need (a) a.Longer tracheostomy tube b.Shorter tracheostomy tube c.Larger tracheostomy tube d.Nasal intubation

Answer: a. Longer tracheostomy tube

8.Which of the following would be most effective at resolving a humidity deficit for a patient who is intubated with an 8.0-mm endotracheal tube?a.Large volume nebulizer b.Concha heated humidifier c.HME d.Bubble humidifier

Answer: b. Concha heated humidifier

9.A patient with suspected myasthenia gravis in the emergency room should receive which of the following to confirm a diagnosis?a.Norcuron 3 / 4

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b.Edrophonium bromide c.Neostigmine d.Meperidine (Demerol)

Answer: b. Edrophonium bromide

10.Which of the following is an important action when drawing an arterial blood gas sample?a.Choose a radial site with adequate ulnar circulation b.Use a 16 gauge needle c.Compress the site prior to puncture d.Run the sample within 15 minutes

Answer: a. Choose a radial site with adequate ulnar circulation

11.Which of the following would be most helpful for a patient with fixed upper airway obstruction?a.Aerosolized epinephrine b.Beta II agonist medication c.Corticosteroids d.Heliox therapy

Answer: d. Heliox therapy

12.Which of the following oxygen modalities would be appropriate for a 220- lb (100-kg) male with diabetic ketoacidosis who requires 40% supplemental oxygen?a.Air-entrainment mask

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