(Note: this has been rewritten to reflect the comments below).
The answer to #1 is basically yes, because the proof that the Lindenbaum algebra above T is atomless is completely constructive. This assumes you replace Q with I-$\Sigma^0_1$ per my comment above. By luck I was just discussing this a few days ago so I have it in my head.
Start with T. Since Con(T) is not an atom, and assume that T + ~Con(T) is notconsistent. Then there is a coatom, and in particular the second incompleteness theorem showssentence S such that (TT + ~Con(T)) + Conneither proves nor disproves S (Tusing the first incompleteness theorem via Rosser's trick). So T + ~Con(T))$\land$S is stronger than T + ~Con(T), but is still consistent. So we just take the complement of this in the Lindenbaum algebra: let $T^H$ be This means that T + [Con~(Con(T)$\lor$~Con(T~S) is consistent, so T + ~ConCon(T))].
One cute application of this technique is to construct a concrete system strictly between RCA0 and RCA0 + "There$\lor$~S is at least one noncomputable set"stonger than T.
Note:
If T + Cont$\vdash$ (Con(T) is inconsistent, the theory $T^H$ here is still well defined but is equivalent to$\lor$S) $T$. The construction in this case just bounces back and forth between$\to$ Con(T) then T $T$ itself and the maximal element of the algebra$\vdash$ S $\to$ Con(the one corresponding to an inconsistent theoryT).
One way to resolve But this is to read the original question as only being about true theories,means T $\vdash$ ~Con(T) $\to$ ~S which is how I originally read itimpossible. If a true theory is consistent, then it is certainly consistent with This shows that T + (Con(T)$\lor$S) < T+ Con(T). Moreover, the theory $T^H$ constructed here is a true theory if.
So we can let TH be T + $T$ is(Con(T)$\lor$S).