RRT CLINICAL SIMULATIONS (CSE) – NBRC PRACTICE
SCENARIOS NEWEST ACTUAL EXAM WITH COMPLETE
VERIFIED QUESTIONS AND ANSWERS 2026
Appearance of CXR in patient with Emphysema
Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema
Mild to moderate Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with
Emphysema
Decreased flow rates and Decreased DLco
Page | 1
,CBC findings in a patient with Emphysema
Increased RBC, Hb, HCT
Sputum findings in a patient with Emphysema
May indicate bacterial infection
Treatment/Management of Emphysema
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
Page | 2
,Chronic Bronchitis
Daily productive cough for at least 3 consecutive month
each year for 2 years in a row
Etiology of Chronic Bronchitis
Cigarette smoking
Pollution
Infection
GERD
Primary Assessment of Chronic Bronchitis
Past medical history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Page | 3
, Secondary Assessment of Chronic Bronchitis
CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis
Hyper lucent lung fields
Depressed or flattened diaphragm
Enlarged or elongated heart
Arterial Blood gas in a patient with mild to moderate
Chronic Bronchitis
Acute alveolar hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis
Page | 4
SCENARIOS NEWEST ACTUAL EXAM WITH COMPLETE
VERIFIED QUESTIONS AND ANSWERS 2026
Appearance of CXR in patient with Emphysema
Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema
Mild to moderate Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with
Emphysema
Decreased flow rates and Decreased DLco
Page | 1
,CBC findings in a patient with Emphysema
Increased RBC, Hb, HCT
Sputum findings in a patient with Emphysema
May indicate bacterial infection
Treatment/Management of Emphysema
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
Page | 2
,Chronic Bronchitis
Daily productive cough for at least 3 consecutive month
each year for 2 years in a row
Etiology of Chronic Bronchitis
Cigarette smoking
Pollution
Infection
GERD
Primary Assessment of Chronic Bronchitis
Past medical history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Page | 3
, Secondary Assessment of Chronic Bronchitis
CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis
Hyper lucent lung fields
Depressed or flattened diaphragm
Enlarged or elongated heart
Arterial Blood gas in a patient with mild to moderate
Chronic Bronchitis
Acute alveolar hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis
Page | 4
