TMC Practice Exam B Kettering Questions

TMC Practice Exam B Kettering Questions and Answers 100% Solved 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

• empyema.
• congestive heart failure.
• lung carcinoma.
• hemothorax. - ANS✓✓B. congestive heart failure.

Which of the following would be most important to evaluate for a patient who is entering a smoking cessation program?

• Height
• Smoking history
• Weight
• Diet - ANS✓✓B. Smoking history

The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0 liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the information obtained which of the following is a correct statement?

• Another syringe needs to be used 1 / 4

• Spirometer is accurate
• The plunger was advanced too slowly
• Spirometer may have a leak - ANS✓✓D. Spirometer may have a leak

Which of the following is an indication for high frequency jet ventilation?

• Bronchopleural fistula
• Wilson Mikity syndrome
• Necrotizing lesion of right lung
• Centrilobular emphysema - ANS✓✓A. Bronchopleural fistula

A 43-year-old female patient has just undergone 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?

• Initiate assisted ventilation
• Insert oropharyngeal airway
• Obtain positron emission tomography
• Initiate noninvasive capnography - ANS✓✓B. Insert oropharyngeal airway

A 44 week gestational age infant has just been delivered via C-section and is gasping, 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

• transient tachypnea of the newborn.
• meconium aspiration.
• bronchopulmonary dysplasia.
• apnea of prematurity. - ANS✓✓B. meconium aspiration.

What is the normal VD/VT ratio for a patient breathing room air? 2 / 4

A. 5 - 15%

B. 20 - 40%

C. 45 - 55%

D. 65 - 75% - ANS✓✓B. 20 - 40%

A heat moisture exchanger is indicated for humidification in which of the following situations?

• Mechanical ventilation in a long-term care facility.
• Transport to a tertiary care center.
• Patient with tenacious secretions.
• Delivery of aerosolized bronchodilators. - ANS✓✓B. Transport to a tertiary

care center.All of the following could cause a patient's right-hemidiaphragm to be elevated,

EXCEPT

• right lower lobe atelectasis.
• right side hyperlucency, absent vascular markings.
• hepatomegaly.
• right lower lobe consolidation with air bronchograms. - ANS✓✓B. right side

hyperlucency, absent vascular markings A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent (differential) lung ventilation following thoracotomy and right lower lobectomy.Which of the following setting combinations would be most appropriate for this patient?

• / 4

• Right lung 50 mL; left lung 650 mL
• Right lung 150 mL; left lung 550 mL
• Right lung 350 mL; left lung 350 mL
• Right lung 550 mL; left lung 150 mL - ANS✓✓B. Right lung 150 mL; left lung

550 mL A patient in the intensive care unit has the following hemodynamic measurements:

CVP (mm Hg) 5 PAP (mm Hg) 29/8 PCWP (mm Hg) 8 BP (mm Hg) 130/70 Cardiac output (L/min) 5.1 Cardiac index (L/min/m2) 2.7

What is the pulse pressure?

• 15 mm Hg
• 21 mm Hg
• 60 mm Hg
• 90 mm Hg - ANS✓✓C. 60 mm Hg

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?

• / 4