TMC EXAM A FOR RESPIRATORY NEWEST ACTUAL
2024 EXAM WITH DETAILED ANSWERS
The respiratory therapist obtains a blood gas sample
from the patient's radial artery and applies pressure to
the site for 10 minutes. After removing any excess air
from the syringe, the next step for proper handling of the
blood sample is - placing the syringe in an ice bath
Which of the following findings is LEAST compatible with
hyperlucency as seen on a chest x-ray? - increased
fremitus
A spontaneous breathing trial is initiated on an
intubated, awake, and alert 70 kg (154 lb) patient. After
40 minutes on an FIO2 of 0.30, ABG results are as
follows: pH 7.39, PaCO2 44 torr, PaO2 85 torr, and HCO3-
24 mEq/L. The patient's vital signs remained stable
throughout the trial. Which of the following is the most
appropriate recommendation? - extubate the patient
After assisting with bronchoalveolar lavage and lung
biopsy on a mechanically ventilated patient, the
respiratory therapist notes the activation of a high
pressure alarm. Peak inspiratory pressure has increased
from 32 cm H2O before the procedure to 45 cm H2O
after the procedure. Possible causes for the increased
pressure include
1. bronchospasm.
2. pneumothorax.
3. pulmonary hemorrhage. - 1, 2 and 3
A 52 year-old post-operative patient's chest radiograph
demonstrates infiltrates in the posterior basal segments
of the lower lobes. Which of the following is the
appropriate postural drainage position? - Head down,
patient prone with a pillow under hips
A 72 year-old female post stem cell transplant patient in
the ICU complains of difficulty breathing and is noted to
have diffuse fluffy infiltrates on chest X-ray. The B-type
Natriuretic Peptide (BNP) test result demonstrates 700
pg/mL. What is the patient's possible condition? -
moderate heart failure
Following blunt chest trauma, a 35-year-old male is orally
intubated and continuous mechanical ventilation is
initiated. Physical assessment of the neck and chest
reveal a midline trachea and significant reduction in
thoracic expansion of the left chest. There are diminished
breath sounds in the left lung compared to the right lung.
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