A 69-year-old male patient with tachypnea, dyspnea, and expiratory wheezes did not improve after receiving a bronchodilator treatment. The patient’s ABG results are as follows: Which of the following would you recommend? Which of the following changes would you make to the ventilator settings? HCO3 23 mEq/L Her blood gas results are as follows: But, just be forewarned, if you show up for a truck driving job orientation and fail a drug test they will put it on your DAC report and you will basically be black-balled from any trucking job from that point on. HCO3 31 mEq/L It’s also noted that the patient has a history of CHF. BE +1 20. What is the most likely cause of these findings? Thinking about getting a job at TMC Transportation Here's what you need to know about drug testing at TMC Transportation. A 57-year-old female patient with acute pulmonary edema is dyspneic and appears to be wheezing. For the TMC Exam, you need to remember that the cuff pressure normal range is between 20-30 cm H2O. 28. 119. Upon assessment, you note crepitus in the upper chest area. Upon auscultation, you note that the breath sounds are absent on the patient’s left side. Most THC drug tests yield a positive result when the concentration of marijuana in urine exceeds 50 ng/mL. After only a few minutes, the patient suddenly becomes dyspneic. HCO3- 32 mEq/L 133. It has also been reported that the patient has foul-smelling stools. The physician has requested to decrease the PaCO2 of a patient who is receiving high-frequency oscillation ventilation. A 51-year-old male patient is receiving volume-controlled A/C mechanical ventilation while being monitored with a continuous pulse oximeter. Which of the following would you expect to see in this case? 86. A 23-year-old male patient with a severe head cold is receiving oxygen via nasal cannula at 4 L/min. While reviewing the chest x-ray of a 57-year-old male patient, you note that there is blunting of the left costophrenic angle. 77. It’s not required to purchase but it’s definitely something I recommend to each student who takes the practice exam. 130. A premature newborn infant with an Apgar score of 3 is showing signs of hypoxemia, grunting, and intercostal retractions. Which of the following delivery methods would you recommend for this patient? While assisting with the delivery of a newborn infant, the physician asks for you to obtain an Apgar score on the patient. 61. 25. A 16-year-old male patient has been admitted to the emergency department and shows signs of poor body development. These … Upon assessment, the high-pressure alarm suddenly begins to sound. So, the best policy is to be clean and stay clean. A 52 kg female patient is receiving volume control A/C mechanical ventilation with a tidal volume of 400 mL, a set rate of 10/min, and an FiO2 of 35%. 117. A sweat chloride test can be used to diagnose which of the following conditions? After orally intubating an adult patient in the ICU, you are asked to confirm that the tube is in the correct place. Immediately after intubation, a 64-year-old female patient is showing signs of asymmetrical chest movement while being ventilated with a bag-valve resuscitator. Which of the following pulmonary function tests can be performed at this time? PaO2 82 torr A 58-year-old female patient has arrived in the emergency department with an extremely deep and fast breathing rate. A 63-year-old male patient with a tracheostomy is being mechanically ventilated in the ICU. Which of the following would you recommend? A premature infant who is receiving positive pressure ventilation appears to be in acute respiratory distress with signs of hypotension and asymmetrical chest movement. 125. While reviewing the medical record of a 55-year-old female patient, you note that her FEV1/FVC ratio was reported as being severely decreased. 100. An adult patient was admitted to the emergency department with chest trauma after a motor vehicle accident. Which of the following would you recommend? An adult patient has arrived to the emergency department in respiratory distress with diminished breath sounds. BE -3 mEq/L 56. A 58-year-old postoperative male who weighs 172 lbs is receiving volume control A/C ventilation at a rate of 16/min, tidal volume of 550 mL, and FiO2 of 40%. PaO2 46 mm Hg Which of the following best represents the status of this patient? We'll walk you through every step of the journey from the time you're considering a career at TMC Transportation & Help you learn how to evaluate and prepare for any future drug tests. The physician has ordered ribavirin (Virazole) to be administered via aerosol to an infant with severe RSV. It’s 100% free to take our practice exam. Rhonchal fremitus was felt over the central airways and wheezing was heard in all lung fields. While reviewing the chest x-ray of an adult patient, it shows that there is a shift of the trachea and mediastinum to the patient’s left side. The patient appears to be dyspneic and inspiratory crackles can be heard during auscultation. PaO2 54 torr The physician has ordered a short-acting bronchodilator medication that is available in both MDI and SVN doses. The first couple of days are spent gathering information both for you and for TMC. A 59-year-old male patient who weighs 75 kg is intubated and receiving mechanical ventilation. PaCO2 65 torr A 61-year-old female patient has an FEV1/FVC ratio that is lower than the predicted value. 138. These findings are consistent with which of the following? Which of the following would you recommend? A 58-year-old female is receiving volume control A/C ventilation at a rate of 12/min with a tidal volume of 450 mL. Which of the following is most likely the problem? 55. If so, set a 3-hour timer for yourself and start making your way through the questions. This change suggests which of the following? Tidal volume 480 mL An adult patient undergoing a mild asthma attack was admitted to the ER. Which of the following medications would you recommend? Which of the following ABG results would you expect for this patient? HCO3 24 mEq/L Do TMC do hair or urine drug testing Asked May 19, 2017 Both and also random urinalysis testing with no notice as well when at terminals. 160. 52. 89. 53. 116. PaO2 46 mm Hg 57. What action should you take at this time? A 64-year-old female patient has arrived to the emergency department with chest tightness and radiating left shoulder pain. Upon assessment, you note very thick secretions. If your pill has no imprint it could be a vitamin, diet, herbal, or energy pill, or an illicit or foreign drug. This most likely indicates which of the following: 65. Which of the following devices would you recommend? 142. Before another attempt is performed, which of the following instructions should you give the patient? appId : '160664087817742', fjs.parentNode.insertBefore(js, fjs); Which of the following would you recommend? A 61-year-old female was orally intubated and is now receiving positive pressure ventilatory support. 107. Do not close or refresh the page.). After re-checking with a CO-oximeter, it reveals that the patient’s SaO2 is 67%. During this test, an amount of hair is cut from your head, and tested as a sample. Plateau pressure 35 cmH2O A 60-year-old female patient who is orally intubated is going through a spontaneous breathing trial. (function(d, s, id){ 85. 144. Over the past three days, her fluid intake has stayed the same but her output fluid level measurements have been decreasing. You were called to obtain a forced vital capacity maneuver on an adult patient with normal lungs. Which of the following would you recommend in order to correct this problem? After making the adjustment, there is a rapid drop in the patient’s blood pressure and a significant increase in heart rate. That being said the further back they look the more expensive the test. While assessing a 51-year-old male patient, you note definitive use of the neck muscles during normal breathing. Which of the following would you recommend first? 32. 22.
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