RRT Clinical Simulations (CSE) – NBRC Practice
EXAM | {LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
Emphysema ......ANSWER......Weakening and permanent enlargement
of the air spaces distal to the terminal bronchioles
Etiology of Emphysema ......ANSWER......Cigarette smoking >80% of all
cases
Genetic predisposition
Occupational exposure
Atmospheric pollutants
Primary Assessment of Emphysema ......ANSWER......Past medical
history
Shortness of breath
Cough
Appearance of the chest
Respiratory Pattern
Color
Appearance of the nail beds
Diagnostic chest percussion
Breath sounds
pg. 1
,Secondary Assessment of Emphysema ......ANSWER......CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum
Appearance of CXR in patient with Emphysema
......ANSWER......Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema
......ANSWER......Mild to moderate Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with Emphysema
......ANSWER......Decreased flow rates and Decreased DLco
pg. 2
,CBC findings in a patient with Emphysema ......ANSWER......Increased
RBC, Hb, HCT
Sputum findings in a patient with Emphysema ......ANSWER......May
indicate bacterial infection
Treatment/Management of Emphysema ......ANSWER......Low Flow
(FiO2) oxygen therapy 1-2 L/min (.24-.28)
Antibiotics as indicated by sputum culture
Pulmonary Rehab and Home Care
Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
Annual Flu injection
Smoking cessation
Pulmonary Hygiene
Chronic Bronchitis ......ANSWER......Daily productive cough for at least 3
consecutive month each year for 2 years in a row
Etiology of Chronic Bronchitis ......ANSWER......Cigarette smoking
Pollution
Infection
GERD
pg. 3
, Primary Assessment of Chronic Bronchitis ......ANSWER......Past medical
history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Secondary Assessment of Chronic Bronchitis ......ANSWER......CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis ......ANSWER......Hyper
lucent lung fields
Depressed or flattened diaphragm
Enlarged or elongated heart
pg. 4
EXAM | {LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
Emphysema ......ANSWER......Weakening and permanent enlargement
of the air spaces distal to the terminal bronchioles
Etiology of Emphysema ......ANSWER......Cigarette smoking >80% of all
cases
Genetic predisposition
Occupational exposure
Atmospheric pollutants
Primary Assessment of Emphysema ......ANSWER......Past medical
history
Shortness of breath
Cough
Appearance of the chest
Respiratory Pattern
Color
Appearance of the nail beds
Diagnostic chest percussion
Breath sounds
pg. 1
,Secondary Assessment of Emphysema ......ANSWER......CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum
Appearance of CXR in patient with Emphysema
......ANSWER......Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema
......ANSWER......Mild to moderate Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with Emphysema
......ANSWER......Decreased flow rates and Decreased DLco
pg. 2
,CBC findings in a patient with Emphysema ......ANSWER......Increased
RBC, Hb, HCT
Sputum findings in a patient with Emphysema ......ANSWER......May
indicate bacterial infection
Treatment/Management of Emphysema ......ANSWER......Low Flow
(FiO2) oxygen therapy 1-2 L/min (.24-.28)
Antibiotics as indicated by sputum culture
Pulmonary Rehab and Home Care
Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
Annual Flu injection
Smoking cessation
Pulmonary Hygiene
Chronic Bronchitis ......ANSWER......Daily productive cough for at least 3
consecutive month each year for 2 years in a row
Etiology of Chronic Bronchitis ......ANSWER......Cigarette smoking
Pollution
Infection
GERD
pg. 3
, Primary Assessment of Chronic Bronchitis ......ANSWER......Past medical
history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Secondary Assessment of Chronic Bronchitis ......ANSWER......CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis ......ANSWER......Hyper
lucent lung fields
Depressed or flattened diaphragm
Enlarged or elongated heart
pg. 4
