NBRC TMC Exam P a g e | 1
NBRC TMC Exam (2026/2027) – 200 Practice
Questions & Answers Exam VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. (A+
Guarantee) | | Updated Per Latest Guidelines |
Graded A+
The physician requests a recommendation for the delivery of surfactant therapy for a 32-week
gestational neonate weighing 1800 grams with IRDS. Which of the following should the respiratory
therapist recommend?
A. Provide one dose of Exosurf, turning the patient from side to side
B. Provide 2 doses of Survanta using 2.5 mL/kg
C. Review the APGAR scores prior to therapy
D. Intubate with a size 3.0mm endotracheal tube for the delivery of surfactant –
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, NBRC TMC Exam P a g e | 2
Correct Answer :The correct answer is : D
On a time-cycled, pressure-limited ventilator, modifications to the ventilator settings occurred that
resulted in an I:E of 1:6 becoming an I:E of 1:4. Which of the following is a possible setting change that
could have produced this new I:E?
A. development of autoPEEP
B. Increase in PEEP
C. an increase in I-Time
D. Decrease in the flowrate –
Correct Answer :The correct answer is : C
A radiographic image shows a right upper lobe cavitation. Which of the following conditions may be
associated with this finding?
A. Cancer
B. Lung Mass
C. Foreign body aspiration
D. Tuberculosis –
Correct Answer :The correct answer is : D
A radiographic image shows an upper lobe cavitation. Which of the following conditions is most
closely associated with this finding?
A. Pneumonia
B. Asbestosis
C. Bronchiectasis
D. Tuberculosis –
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, NBRC TMC Exam P a g e | 3
Correct Answer :The correct answer is : D
What radiographic finding would be most likely associated with a patient who is experiencing active
tuberculosis?
A. Mass in the left middle lobe
B. Atelectasis in the upper lobes
C. Pleural cavitation in the upper lobes
D. Cavitation in a lower lobe –
Correct Answer :The correct answer is : C
Which test results would NOT help determine whether a patient should receive Bi-level therapy with
supplemental oxygen?
A. pH 7.29
B. MVV 50 L in 12 seconds
C. MIP -22 cm H2O
D. VE 9.0 L/min –
Correct Answer :The correct answer is : B
The laboratory results of a sputum culture and sensitivity have returned for a patient who has bilateral
bacterial pneumonia. The culture reveals streptococcus, a gram-positive bacteria. The medical records
indicates the patient is allergic to penicillin. Which of the following should the respiratory therapist
recommend?
A. Nafcillin
B. Methacillin
C. Amoxicillin
D. Cephalexine (Keflex) - Correct Answer :The correct answer is : D
P a g e 3 | 216
, NBRC TMC Exam P a g e | 4
A morbidly obese patient who is trached with a fenestrated tracheostomy tube is experiencing
frequent dislodging with minor movement or cough. What should the respiratory therapist suggest?
A. Tie or suture the trach into place more securely.
B. Increase the length of the tracheostomy tube.
C. Replace with a Bivona-type tracheostomy tube with a foam cuff.
D. Inflate the cuff. –
Correct Answer :The correct answer is : B
Which device is most appropriate to send to the central processing department for sterilization after
use on an infectious patient?
A. Stylet
B. Fiber optic laryngoscope blade
C. Infant ventilator
D. Battery-powered laryngoscope handle –
Correct Answer :The correct answer is : D
A COPD patient who receives 2 lpm continuous oxygen therapy by nasal cannula is exercising in
conjunction with a monitored pulmonary rehabilitation program. The patient has begun breathing
quickly and deeply. To ensure consistent arterial oxygenation, the respiratory therapist should
A. use a nonrebreathing mask
B. use a partial rebreathing mask
C. decrease oxygen flow to 1 L/min
D. increase oxygen flow rate –
Correct Answer :The correct answer is : D
P a g e 4 | 216
NBRC TMC Exam (2026/2027) – 200 Practice
Questions & Answers Exam VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+. (A+
Guarantee) | | Updated Per Latest Guidelines |
Graded A+
The physician requests a recommendation for the delivery of surfactant therapy for a 32-week
gestational neonate weighing 1800 grams with IRDS. Which of the following should the respiratory
therapist recommend?
A. Provide one dose of Exosurf, turning the patient from side to side
B. Provide 2 doses of Survanta using 2.5 mL/kg
C. Review the APGAR scores prior to therapy
D. Intubate with a size 3.0mm endotracheal tube for the delivery of surfactant –
P a g e 1 | 216
, NBRC TMC Exam P a g e | 2
Correct Answer :The correct answer is : D
On a time-cycled, pressure-limited ventilator, modifications to the ventilator settings occurred that
resulted in an I:E of 1:6 becoming an I:E of 1:4. Which of the following is a possible setting change that
could have produced this new I:E?
A. development of autoPEEP
B. Increase in PEEP
C. an increase in I-Time
D. Decrease in the flowrate –
Correct Answer :The correct answer is : C
A radiographic image shows a right upper lobe cavitation. Which of the following conditions may be
associated with this finding?
A. Cancer
B. Lung Mass
C. Foreign body aspiration
D. Tuberculosis –
Correct Answer :The correct answer is : D
A radiographic image shows an upper lobe cavitation. Which of the following conditions is most
closely associated with this finding?
A. Pneumonia
B. Asbestosis
C. Bronchiectasis
D. Tuberculosis –
P a g e 2 | 216
, NBRC TMC Exam P a g e | 3
Correct Answer :The correct answer is : D
What radiographic finding would be most likely associated with a patient who is experiencing active
tuberculosis?
A. Mass in the left middle lobe
B. Atelectasis in the upper lobes
C. Pleural cavitation in the upper lobes
D. Cavitation in a lower lobe –
Correct Answer :The correct answer is : C
Which test results would NOT help determine whether a patient should receive Bi-level therapy with
supplemental oxygen?
A. pH 7.29
B. MVV 50 L in 12 seconds
C. MIP -22 cm H2O
D. VE 9.0 L/min –
Correct Answer :The correct answer is : B
The laboratory results of a sputum culture and sensitivity have returned for a patient who has bilateral
bacterial pneumonia. The culture reveals streptococcus, a gram-positive bacteria. The medical records
indicates the patient is allergic to penicillin. Which of the following should the respiratory therapist
recommend?
A. Nafcillin
B. Methacillin
C. Amoxicillin
D. Cephalexine (Keflex) - Correct Answer :The correct answer is : D
P a g e 3 | 216
, NBRC TMC Exam P a g e | 4
A morbidly obese patient who is trached with a fenestrated tracheostomy tube is experiencing
frequent dislodging with minor movement or cough. What should the respiratory therapist suggest?
A. Tie or suture the trach into place more securely.
B. Increase the length of the tracheostomy tube.
C. Replace with a Bivona-type tracheostomy tube with a foam cuff.
D. Inflate the cuff. –
Correct Answer :The correct answer is : B
Which device is most appropriate to send to the central processing department for sterilization after
use on an infectious patient?
A. Stylet
B. Fiber optic laryngoscope blade
C. Infant ventilator
D. Battery-powered laryngoscope handle –
Correct Answer :The correct answer is : D
A COPD patient who receives 2 lpm continuous oxygen therapy by nasal cannula is exercising in
conjunction with a monitored pulmonary rehabilitation program. The patient has begun breathing
quickly and deeply. To ensure consistent arterial oxygenation, the respiratory therapist should
A. use a nonrebreathing mask
B. use a partial rebreathing mask
C. decrease oxygen flow to 1 L/min
D. increase oxygen flow rate –
Correct Answer :The correct answer is : D
P a g e 4 | 216
