TMC Exam E Questions Verified

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TMC Exam E Questions & Verified Answers 1.A patient with a history of chronic bronchitis is post-operative for an ex- ploratory 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 thera- pist should recommend a.MDI therapy with an anti-inflammatory corticosteroid b.Administer tetracycline c.Administer cromolyn sodium d.Instruction on deep breathing and coughing techniques Answer d. Instruction on deep breathing and coughing techniques 2.Which of the following conditions would be a contraindication for IPPB?a.Untreated pneumothorax b.Pulmonary edema c.A patient requiring bronchodilation AND lung expansion d.Fractured ribs Answer a. Untreated pneumothorax 3.The respiratory therapist has an order to cap a patient with a fenestrated tracheostomy tube in preparation for speech therapy. Prior to applying the cap on the end of the tube, the therapist should also ensure 1 / 4

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a.The inner cannula is removed and the cuff inflated b.The inner cannula is removed and the cuff deflated c.The inner cannula is in place and the cuff deflated d.The inner cannula is in placed and the cuff inflated Answer b. The inner cannula is removed and the cuff deflated 4.A 75-kg (165-lbs) male is in acute ventilatory failure. In preparation for mechanical ventilatory support, the patient is to be orally intubated. Which of the following artificial airways would be most appropriate for this patient?a.Size 7.0 mm ET tube with a large volume, low pressure cuff b.Size 7.5 mm fenestrated tracheostomy tube c.Size 8.0 mm ET tube with a small volume, high pressure cuff d.Jackson tracheostomy tube Answer a. Size 7.0 mm ET tube with a large volume, low pressure cuff 5.Which of the following devices is needed to determine a patient's airway resistance?a.Turbine pneumotachometer b.Wheatstone bridge helium analyzer c.Body box d.Geissler tube nitrogen analyzer Answer c. Body box 6.A patient is receiving manual ventilatory support with a bag-valve connect- ed to a size 8.0 mm ET tube. While transporting the patient from CT 2 / 4

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scan back to the intensive care unit, the respiratory therapist notices oxygen saturation has dropped to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-positioning of the ET tube, the respiratory therapist should first a.Perform diagnostic chest percussion b.Obtain an arterial blood gas c.Call for a chest radiograph d.Examine chest rise and auscultate breath sounds Answer d. Examine chest rise and auscultate breath sounds 7.A 48-year-old patient has just been orally intubated prior to being placed on volume-controlled ventilation. The respiratory therapist should do which of the following to best confirm proper placement of the endotracheal tube?a.Auscultate breath sounds b.Assess chest rise symmetry c.Examine tube markings near the lips d.Obtain a chest radiograph Answer d. Obtain a chest radiograph 8.After 20 minutes into a spontaneous breathing trial (SBT) a mechanically ventilated female patient becomes anxious. Her baseline heart rate has in- creased by 20 /min. What should the respiratory therapist do? 3 / 4

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a.Calculate the RSBI b.Increase the FiO2 and continue to monitor c.Measure MIP d.Return to full mechanical ventilation Answer d. Return to full mechanical ventilation 9.What is needed to determine arterial oxygen content?a.PvO2 b.Hemoglobin level c.Oxygen index d.P/F ratio Answer b. Hemoglobin level 10.A patient presents to the emergency room with fulminating pulmonary edema. Which of the following would be experienced with this emergency?a.Hypovolemia b.A good response to supplemental O2 c.Elevated left ventricular filling pressure with low QT d.CVP 10 torr and PAP 10 torr Answer c. Elevated left ventricular filling pressure with low QT 11.Which of the following conditions would benefit most from a thoracente- sis?a.Pericardial contusion

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