TMC Exam B Questions Verified

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TMC Exam B Questions & Verified Answers 1.After a patient undergoes a thoracentesis, the respiratory therapist notes that the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of A.empyema.B.congestive heart failure.C.lung carcinoma.D.hemothorax.Answer B 2.Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program?A.Height B.Smoking history C.Weight D.Diet Answer B 3.The respiratory therapist calibrates a spirometer and checks the volume with a 3.0 liter super syringe. The volumes recorded are; 2.85 L, 2.8 L, and 2.8

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statement?A.Another syringe needs to be used B.Spirometer is accurate C.The plunger was advanced too slowly D.Spirometer may have a leak Answer D 4.Which of the following is an indication for high frequency jet ventilation? A.Bronchopleural fistula B.Wilson Mikity syndrome C.Necrotizing lesion of right lung D.Centrilobular emphysema Answer A 5.A 43-year-old female patient undergoes 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?A.Initiate assisted ventilation B.Insert oropharyngeal airway C.Obtain positron emission tomography D.Initiate noninvasive capnography Answer B 6.A 44-week gestational age infant is delivered via C-section and is gasping, 2 / 4

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grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at 5 minutes the score is 5. The infant is most likely suffering from A.transient tachypnea of the newborn.B.meconium aspiration.C.bronchopulmonary dysplasia. D.apnea of prematurity.Answer B 7.What is the normal VD/VT ratio for a patient breathing room air?

A.5 - 15%

B.20 - 40%

C.45 - 55%

D.65 - 75%

Answer B 8.A heat moisture exchanger is indicated for humidification in which of the following situations?A.Mechanical ventilation in a long-term care facility. B.Transport to a tertiary care center.C.Patient with tenacious secretions.D.Delivery of aerosolized bronchodilators.Answer B 9.All of the following could cause a patient's right-hemidiaphragm to 3 / 4

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be elevated, EXCEPT A.right lower lobe atelectasis.B.right side hyperlucency, absent vascular markings. C.hepatomegaly.D.right lower lobe consolidation with air bronchograms.Answer B 10.A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung ventilation following thoracotomy and right lower lobecto- my. Which of the following setting combinations would be most appropriate for this patient?A.Right lung 50 mL; left lung 450 mL B.Right lung 150 mL; left lung 350 mL C.Right lung 250 mL; left lung 250 mL D.Right lung 350 mL; left lung 150 mL Answer B 11.A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the patient. The physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of the following would most likely indicate that the patient is ready for extubation?A.The patient is making normal quiet ventilatory efforts.B.A negative sputum culture and sensitivity has been reported.

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