RRT Clinical Simulations (CSE) – NBRC Practice
WITH CORRECT AND VERIFIED ANSWERS
2026!!
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
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
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
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
Arterial Blood gas in a patient with mild to moderate Chronic Bronchitis - ANSWER☑️⭐-Acute alveolar
hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis - ANSWER☑️⭐-Chronic ventilatory failure with
hypoxemia
Pulmonary Function test in a patient with Chronic Bronchitis - ANSWER☑️⭐-Decreased flow rates
CBC in a patient with Chronic Bronchitis - ANSWER☑️⭐-Increased Hb and HCT
Sputum findings in a patient with Chronic Bronchitis - ANSWER☑️⭐-May indicate infection
Electrolyte findings in a patient with Chronic Bronchitis - ANSWER☑️⭐-Increased HCO3 (chronic
ventilatory failure)
Treatment and Management of a patient with Chronic Bronchitis - ANSWER☑️⭐-Pulmonary Hygiene
therapy
Antibiotics for infection
Oxygen for hypoxemia
Aerosolized mediations
Consider NPPV for acute exacerbations
Smoking cessation
Reduce risk factors
What aerosolized medications should be considered for Chronic Bronchitis - ANSWER☑️⭐-Short acting
Beta 2 agonists
Anticholinergics
Long acting Beta 2 agonists
WITH CORRECT AND VERIFIED ANSWERS
2026!!
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
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
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
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
Arterial Blood gas in a patient with mild to moderate Chronic Bronchitis - ANSWER☑️⭐-Acute alveolar
hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis - ANSWER☑️⭐-Chronic ventilatory failure with
hypoxemia
Pulmonary Function test in a patient with Chronic Bronchitis - ANSWER☑️⭐-Decreased flow rates
CBC in a patient with Chronic Bronchitis - ANSWER☑️⭐-Increased Hb and HCT
Sputum findings in a patient with Chronic Bronchitis - ANSWER☑️⭐-May indicate infection
Electrolyte findings in a patient with Chronic Bronchitis - ANSWER☑️⭐-Increased HCO3 (chronic
ventilatory failure)
Treatment and Management of a patient with Chronic Bronchitis - ANSWER☑️⭐-Pulmonary Hygiene
therapy
Antibiotics for infection
Oxygen for hypoxemia
Aerosolized mediations
Consider NPPV for acute exacerbations
Smoking cessation
Reduce risk factors
What aerosolized medications should be considered for Chronic Bronchitis - ANSWER☑️⭐-Short acting
Beta 2 agonists
Anticholinergics
Long acting Beta 2 agonists
