A. Learn More Join our newsletter to get the study tips, test-taking strategies, and key insights that high-performing students use. Pass the TMC Exam with insider tips, tricks, and exam hacks. C. Aspiration Which of the following endotracheal tube malfunctions could require extubation and reintubation with a new tube to allow effective positive pressure ventilation of the patient? C. An ultrasonic nebulizer An internal diameter of 3.0 mm should be used for neonates over 3.5 kg and less than a year old. Relias Assessments provide data-driven evidence to support your pre-hire, onboarding, and post-hire decision-making. "COVID-19 affects the lung interstitium," Cahill said. B. ask your medical director to rewrite the prescription A. desaturation index (ODI). A neck X-ray will show a column of air around the epiglottis and a "thumbs up sign.". Neither initial nor repeat testing of persons You are monitoring a recent postoperative craniotomy patient who is being mechanically ventilated and has an ICP of 22 mm Ng_ The latest ABG results are as follows: Blood Gases pH 7.35 PaCO2 47 mm Hg HCO3 25 mEq/L BE 0 Pa02 89 mm Hg Sa02 96% Based on this information, which of the following is the most acceptable action? *C. contact the ordering physician to seek clarification Which of the following are acceptable changes in patient status during a traditional T-tube weaning trial? D. 20 L/min, 5. *B. 2 minutes B. *B. CO-oximetry C. Aspiration crackles (or rales). microorganisms, or chyle are found, or when a transudative effusion is present in patients with heart A. And when you have those, they are tied into hypoxemia." Whenever an air-entrainment system encounters 150 m 200 m Please consult with a physician with any questions that you may have regarding a medical condition. *D. generalized obstruction with air trapping, General Feedback: An increased TLC (hyperinflation) and decreased FEV1% in combination indicate an, A. away from their stationary liquid O2 reservoirs or concentrators. B. the development of paradoxical breathing All content on this website is Copyright 2023. Portable O2 can be provided by tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have What is your interpretation of this display data? C. major trauma Trauma, Obesity, Near Drowning, and Burns, Quality, Patient Safety, Communication, and Recordkeeping, Delivering Evidence-Based Respiratory Care, Intermittent Positive Pressure Breathing (IPPB), Ventilation vs Oxygenation vs Respiration, Mechanical Ventilation Practice Questions, Respiratory Multiple Choice Review Questions, Sample Practice Questions (with Rationales). weakened or flaccid diaphragm being "sucked up into the thorax, causing inward motion of the, abdomen. Abdominal paradox is a sign of generalized diaphragmatic dysfunction. B. Inspiration of fresh respiratory gas After you have provided your ID, your picture will be taken and your palm will be biometrically scanned for security purposes. Ventilator settings are as follows: FIO2 0.45 Rate 12 Tidal volume 600 mL PEEP 12 cm H20 While awaiting blood gas results, you obtain an Sp02 of 78%. C. The body of the tube normally must be positioned in the trachea C. This therapy will help you take deep breaths and expand your lungs Which of the following should be your first action? A COPD patient is receiving sustained-release theophylline Adverse effects of this therapy that you should be on guard for include all of the following EXCEPT: *C. be clearly opacified with smooth walls C. Pulmonary edema circuit and the patient's airway will increase mechanical deadspace and rebreathed volume, thereby Therapist Multiple-Choice (TMC) Examination, National Board for Respiratory Care (NBRC), Click Here to Access to the Correct Answers (Free), ABG Sample TMC Practice Questions (Arterial Blood Gases), Registered Respiratory Therapist (RRT) Practice Questions, List of 99 Example TMC Exam Practice Questions, Certified Respiratory Therapist (CRT) Practice Questions, What You MUST Know About Pharmacology for the TMC Exam. C. Keep the tube cuff pressure below 25-30 cm H20 2 and 4 only The patient is unable to compensate fully with the If severe, this can cause hypoventilation and respiratory acidosis. *C. CT pulmonary angiography Keep RR high to keep PaCO2 levels between 25 and 30 mmHg and PIP below 30 cmH2O to avoid suctioning and causing coughing which raises ICP. In analyzing overnight oximetry data, a desaturation event represents a decrease in SpO2 of what Water and Hydrogen Peroxide can be used to soak the inner cannula of a Trach to loosen dried and tenacious secretions and then cleanse it with a brush, but it does not disinfect the equipment. Provide 100% oxygen for 1-2 minute before extubation Ventilator Settings: Spontaneous Rate 23/min, Minute Ventilation 11.5 L/min, Vital Capacity 500 mL, MIP/NIF -15 cmH2O. 1 and 2 only (including SIRS), sepsis, major trauma (including burns), shivering, seizures, agitation/anxiety/pain, *A. gurgling *C. cardiomegaly 10th ed., Mosby, 2017. Which of the following statements regarding CENTRAL cyanosis is FALSE? All of the following would be essential medication history information to obtain for a patient admitted for an acute exacerbation of asthma EXCEPT: You must have at least two years of CRT experience, at least a baccalaureate degree in any area, and at least 62 college credit hours. You do not give the "correct" dose and then confirm the order afterwards. D. Nasal tubes are better tolerated by the patients, 38. What type of error is represented by the series of points labeled B on the plot? The normal apical impulse (PMI) usually is identified where? All the above. B. cuff compliance 1.diagnostics 2.chronic disease state management 3.evidence-based medicine and respiratory care protocols 4.patient assessment 5.leadership 6.emergency and critical care 7.therapeutics If the rate of breathing increases without any change in total minute ventilation (VE constant): concentrator Once your personal items are stored, you will be led into the testing room and given a short tutorial on the testing system. You note that the ventilator is triggering to inspiration as soon as exhalation ends, with the D. Bright ambient light, 44. A. Pleural effusion Wilkins Clinical Assessment in Respiratory Care. Acetic Acid soak for 20 minutes. B. A. into the gas, heat is lost and both the gas and the water are cooled. The proper positioning of an endotracheal tube in an adult is confirmed by which of the following? They are contraindicated for use with infants and children Bedside spirometry performed on a patient reveals the following: Respiratory rate = 22 Tidal volume = 360 mL Dead space = 150 mL Inspiratory capacity = 1.0 L Based on these data, what is the patients minute ventilation? of breathing, typically resulting in dyspnea and tachypnea, In addition, physiologic shunting causes severe The patients stomach contents should be aspirate through the #2 tube Copyright 2009-2022 Tests.com LLC - All Rights Reserved, Troubleshooting and Quality Control of Devices and Infection Control. Standardized TMC-Like Exam thick and yellow or green (mucopurulent) secretions, while those with pneumonia may have, A. flail chest In the sniffing position A. C. increased compliance respiratory acidosis (with a pH of 7). D. The large #1 pharyngeal cuff must be deflated before laryngoscopy, 54. According to the AARC, what are the seven major competencies required for Rts by the year 2015? B. D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed D. Displacing the soft palate and uvula posteriorly, 13. B. central vein B. an IgE-mediated allergic disorders 'a hyperresonant percussion note on the left.' The patients blood pressure is 95/60 mm Hg. Peter Rench joined Mometrix in 2009 and serves as Vice President of Product Development, responsible for overseeing all new product development and quality improvements. Medical Disclaimer: The information provided by Respiratory Therapy Zone is for educational and informational purposes only. RTBoardReview D. They should only be used by trained personnel, 50. occurs when chronic hypoxemia elevates the pulmonary vascular resistance and puts a strain on the right 1 CHE101 - Summary Chemistry: The Central Science, A&p exam 3 - Study guide for exam 3, Dr. Cummings, Fall 2016, ACCT 2301 Chapter 1 SB - Homework assignment, Quick Books Online Certification Exam Answers Questions, 446939196 396035520 Density Lab SE Key pdf, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Cecilia Guzman - Identifying Nutrients Gizmo Lab, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. D. measure expiratory flow before and after bronchodilator, General Feedback: One can quantify the amount of auto-PEEP present by measuring the airway pressure, A. However, the CXR takes time to order and to get the results back. C. 2 and 3 B. C. Inserting an oropharyngeal airway A. Cardiac arrhythmias Looking for TMC Practice Questions? Which of the following would you recommend? In general, an ODI 15 indicates the presence of sleep apnea-hypopnea, A. measuring maximum voluntary ventilation (MVV) ventricle to pump blood through the constricted pulmonary capillaries. Remember that the lungs are normally compliant. A wick humidifier During ventilation of a child with a bag-valve resuscitator, the pressure relief valve/pop-off The accumulation of condensate in a low-lying loop of the delivery tubing will have which of the performed on a patient in the supine position (normal position for CT angiography), the arteries will be, A. increased lung volumes If the Bradycardia persists or devolves to a heart block you may consider placing transthoracic pacing pads along with medication and oxygen. You can download them now for FREE! B. C. Cap the syringe quickly This will increase sensitivity decreasing the work of breathing. 5 L/min B. D. pleurisy, General Feedback: Short, discontinuous lung sounds that are crackling or bubbling in nature are termed respiratory muscles. either case, the accessory muscles of inspiration provide for most of the chest expansion, with the C. the patient has a large tension pneumothorax You note an SpO2 of 100% and measure an FIO2 of 0 at the T-tube. Creatinine is a waste by-product of the metabolizing of creatine phosphate which is a result of the breakdown of skeletal muscle. A "normal" chest wall would have no feelings of bubbling, cracking or vibration with speech beneath your hands or fingers. B. Pneumomediastinum If the FiO2 is already 60% or over, then gradually increase the PEEP. Troubleshooting and Quality Control of Devices, and Infection Control, Initiation and Modifications of Interventions, Evaluate Data in the Patient Record (10 questions), Perform a Clinical Assessment (10 questions), Perform Procedures to Gather Clinical Information (12 questions), Evaluate Procedure Results (10 questions), Reccomend Diagnostic Procedures (8 questions), Assemble/Troubleshoot Devices (15 questions), Ensure Infection Prevention (2 questions), Perform Quality Control Procedures (3 questions), Maintain a Patent Airway Including the Care of Artificial Airways (10 questions), Perform Airway Clearance and Lung Expansion Techniques (5 questions), Support Oxygenation and Ventilation (15 questions), Administer Medications and Specialty Gases (4 questions), Ensure Modifications are Made to the Respiratory Care Plan (18 questions), Utilize Evidence-Based Practice (6 questions), Provide Respiratory Care in High-Risk Situations (5 questions), Assist a Physician/Provider in Performing Procedures (4 questions), Conduct Patient and Family Education (3 questions), A desktop or laptop computer running at least a Windows 7 or Mac OS X operating system. Which result(s) give the best indication of the patients oxygenation? Based on the results of cardiopulmonary exercise testing, which of the following patients most likely To change the level of negative pressure delivered by a pleural drainage system, you would Of the two, CT pulmonary angiography (CTPA) is the most accurate modality Yes Yes No You need to determine if the patient has or had a history of cardiac issues, heart attacks or some form of lung disorder. Pneumonia The RSBI which is the Respiratory Shallow Breathing Index is used as well. The CT Angiogram is the last choice as it is expensive and takes longer to accomplish. A. A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate In general these devices provide longer flow durations, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Give Me Liberty! D. 7-8% or more, General Feedback: Most sleep disorder specialists agree that a desaturation event represents a decrease in C. 3 and 4 only Start Test There are four reasons why Creatinine is used to determine kidney function: the rate of production is fairly constant; it is eliminated only by the kidneys; it is not-protein bound so it is easily filtered by the kidneys and the rate of elimination is almost the same as the glomerular filtration rate. Pass the TMC Exam using practice questions, quizzes, and real-life practice exams. 12th ed., Mosby, 2020. *B. phrenic nerve paralysis A patient has a minute volume of 7.50 L/min and is breathing at a rate of 16 breaths/min. Test Incorrect placement can worsen airway obstruction C. Patient C Cardiomegaly exits when the cardiac-to-thoracic width ratio (CT ratio) exceeds 50% on a PA chest Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. A. measure pressure during an end-inspiratory pause In reviewing the chart of a 55 year old male patient, you note the following symptoms: obesity, loud snoring and insomnia. D. postpone the therapy until the following day, General Feedback: The minimum requirements for a proper drug prescription include the following: 1) When calculating the VT, calculate a high and low VT for ARDS. A. Incorrect answer. A. You can launch the examination up to 30 minutes before your scheduled appointment. You cannot leave the webcams view during your exam, use other monitors, or talk to anyone. Respiratory therapists are facing the relatively new challenge of evaluating patients with COVID-19. C. 2 and 3 only unknown origin. definitively establishes the cause of the pleural effusion. 1. a large leak in the cuff of the tube 2, obstruction of the tube that is unrelieved by suctioning 3. separation of the pilot tube from the endotracheal tube cuff C. Infection with pneumococcus C. Carboxyhemoglobin D. Metabolic alkalosis, 8. D. Standardized buffer solutions, 66. B. Nasal tubes offer less resistance to gas flow A. B. I, ll and Ill only C. the oxygen flowmeter setting is too high As compared to predicted normals, a patient has an increased TLC and a decreased FEV1%. If the patient were in difficulty, it would be more important to check the Oximetry first. D. 6-10 in, 56. D. 1, 2 and 3, 63. 0.7 - 1.3 mg/dL. D. CT scan, General Feedback: In general, thoracentesis should be performed on all patients with pleural effusions of You observe the following on the bedside capnograph display of a patient receiving ventilatory support. On a pneumatically-powered IPPB device, switching the air-mix control to 100% oxygen will have which of the following effects on flow? The patient most likely has: When assessing a patient, you observe inward motion of the abdomen as the rib cage uniformly D. Decreased Nor mal Decreased, *A. of the following is the most likely cause of the discrepancy between set and analyzed FIO2? A. Tonometered whole blood samples B. When you have a patient arrive in the ER you want to perform initial assessment procedures that take little time and give you valuable data almost immediately. D. Apneustic breathing, 39. D. I, II, Ill and IV, 42. the following additional tests would you recommend to determine the cause of the effusion? In reviewing a sleep study, you note 20 to 25 episodes per hour like that depicted in example 'A' in the A. Stack #121029 (7 . D. Patient D, General Feedback: When using the 6MWT to assess medical or surgical interventions, one should expect The decrease in lung volumes and compliance increases the patient's spontaneous work D. TLC, 22. D. diaphoresis, General Feedback: Normally, as secretions pool in the oropharynx, the cough reflex is stimulated to aid, General Feedback: On inspection of an adult, inspiration (I) should normally be shorter than expiration C. carbon monoxide diffusing capacity (DLco) If the hypoxemia is For the body as a whole, we need to wait until after all the blood from all the capillary beds, A. end of a maximum exhalation

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