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NBRC Practice Test 2 2026/2027 – 100+ Questions & Verified Answers | Mechanical Ventilation, Patient Assessment, Airway Care, PFT, Oxygen Therapy & Respiratory Procedures | National Board for Respiratory Care

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This comprehensive NBRC Practice Test 2 2026/2027 contains 100+ respiratory care practice questions with answers across 38 pages, covering high-yield concepts in patient assessment, mechanical ventilation, airway management, oxygen therapy, pulmonary function testing, cardiopulmonary monitoring, respiratory equipment, neonatal care, and therapeutic procedures. The questions use clinical scenarios, calculations, equipment troubleshooting, and multiple-choice problems to reinforce the decision-making skills expected of respiratory therapy students and NBRC exam candidates. A major focus is mechanical ventilation and ventilator management. The material reviews pressure-cycled and volume-cycled ventilation, high-frequency jet ventilation, PEEP, inspiratory flow, I:E ratios, ventilator alarms, assisted breaths, pressure-limited ventilation, static and dynamic compliance, airway resistance, weaning parameters, respiratory muscle strength, tidal volume, and ventilator troubleshooting. Students also encounter clinical situations involving falling blood pressure and cardiac output after PEEP changes, ventilator failure to cycle, ruptured endotracheal tube cuffs, low exhaled volumes, and strategies for reducing barotrauma. The patient assessment and cardiopulmonary monitoring questions cover thoracentesis and pleural-fluid findings, congestive heart failure, pulmonary edema, pneumothorax, atelectasis, pneumonia, bronchospasm, pulmonary fibrosis, pulmonary embolism considerations, capnography, chest radiograph interpretation, arterial-line waveforms, pulmonary artery pressure, pulmonary capillary wedge pressure, CVP, systemic vascular resistance, cardiac index, hypovolemia, ECG assessment, and tissue oxygenation. Clinical findings such as butterfly-pattern infiltrates, hyperresonant percussion, bilateral wheezing, air bronchograms, and pleural-fluid characteristics are incorporated into the scenarios. The document provides substantial preparation in airway care and artificial airway management, including oropharyngeal airways, nasotracheal and endotracheal tubes, suction catheter selection, tracheostomy management, cuff pressures, cuff rupture, extubation assessment, nasal intubation equipment, secretion management, and airway complications. Questions require students to determine appropriate interventions when patients develop problems such as airway leaks, difficulty handling secretions, inadequate suctioning, or tracheostomy displacement. Students also receive practice with oxygen therapy and respiratory equipment. Topics include Venturi masks and air-entrainment devices, FiO2, air-to-oxygen ratios, oxygen concentrators, E-cylinder duration calculations, transtracheal oxygen catheters, large-volume nebulizers, ultrasonic nebulizers, humidification systems, heat-moisture exchangers, oxygen analyzers, home oxygen equipment, and oxygen delivery during transport. The guide includes calculations involving total flow, cylinder duration, and oxygen concentrations alongside equipment troubleshooting questions. The pulmonary function and diagnostic testing content includes spirometer calibration, vital capacity maneuvers, total lung capacity, helium dilution, body plethysmography, single-breath nitrogen testing, airway hyperreactivity, VD/VT ratios, pulmonary mechanics, and measurement of volume and flow. Questions also examine the use of equipment such as water-sealed spirometers, pneumotachometers, Wright respirometers, and dry-rolling spirometers. Additional clinical topics include incentive spirometry, bronchial hygiene, postural drainage, percussion, secretion mobilization, aerosol therapy, metered-dose inhalers, spacers and holding chambers, heliox therapy, obstructive sleep apnea, resuscitation equipment, infection control, and pulmonary rehabilitation-related care. The scenarios connect respiratory therapy equipment with the clinical conditions for which it may be selected or adjusted. The practice test also incorporates neonatal and pediatric respiratory care, including premature infant oxygenation, patent ductus arteriosus assessment using transcutaneous oxygen measurements, oxygen hoods, croup, pediatric extubation assessment, and high-frequency ventilation. This makes the material relevant for candidates reviewing both adult and neonatal/pediatric respiratory therapy concepts. Calculation-based material reinforces practical respiratory care skills, including static lung compliance using tidal volume divided by plateau pressure minus PEEP, oxygen-cylinder duration, air-to-oxygen ratios, total flow from air-entrainment systems, suction catheter sizing, and interpretation of ventilator measurements. The combination of calculations and bedside scenarios provides targeted practice for students preparing to apply respiratory care principles under exam conditions. Relevant Students This document is relevant for NBRC exam candidates, respiratory therapy students, respiratory care students, CRT candidates, RRT-track students, respiratory therapy graduates, cardiopulmonary science students, pulmonary function students, mechanical ventilation students, neonatal and pediatric respiratory care students, and practicing respiratory therapists reviewing examination concepts. It is particularly useful for students seeking focused practice in ventilator management, airway care, patient assessment, pulmonary diagnostics, oxygen delivery systems, cardiopulmonary monitoring, respiratory calculations, and clinical decision-making. Keywords NBRC Practice Test 2 2026/2027, NBRC practice questions and answers, National Board for Respiratory Care exam, NBRC exam preparation, NBRC respiratory therapy practice test, respiratory therapy exam questions, respiratory care practice questions, CRT exam preparation, RRT exam preparation, mechanical ventilation practice questions, ventilator management, ventilator troubleshooting, pressure cycled ventilation, volume cycled ventilation, high frequency ventilation, PEEP therapy, static lung compliance, dynamic lung compliance, airway resistance, ventilator weaning, patient assessment respiratory therapy, airway management, endotracheal tube care, tracheostomy care, suction catheter sizing, oxygen therapy, Venturi mask, air entrainment device, FiO2 calculations, oxygen cylinder calculations, E cylinder duration, oxygen concentrator, pulmonary function testing, spirometry, body plethysmography, helium dilution, lung volumes, capnography, cardiopulmonary monitoring, pulmonary artery pressure, PCWP, CVP, hypovolemia, pulmonary edema, pneumothorax, atelectasis, pneumonia, bronchospasm, thoracentesis, incentive spirometry, postural drainage, aerosol therapy, heliox therapy, neonatal respiratory care, respiratory therapy clinical scenarios

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NBRC Practice Test -2 -
National Board for Respiratory
Care EXAM LATEST
QUESTIONS AND Verified
ANSWERS 2026/2027

After a patient undergoes a thoracentesis, the respiratory therapist notes

that the obtained pleural fluid is clear with a slight straw color. This fluid

is most likely the result of




A. empyema.

B. congestive heart failure.

C. lung carcinoma.


D. hemothorax. - ANSWER ✔✔Congestive Heart Failure

,The respiratory therapist is calibrating a spirometer and checking the

volume with a 3.0 liter super syringe. the volumes recorded are 2.85L,

2.8L and 2.8L. Based upon the information obtained, which of the

following is a correct statement?




A. Another syringe needs to be used

B. Spirometer is accurate

C. The plunger was advanced too slowly


D. Spirometer may have a leak - ANSWER ✔✔D. Spirometer may

have a leak

Which of the following is an indication for high frequency jet ventilation?

A. Bronchopleural fistula

B. Wilson Mikity syndrome

C Necrotizing lesion of right lung


D. Centrilobular emphysema - ANSWER ✔✔Bronchopleural Fistula


**(because it uses mean airway pressures & low tidal volumes to

improve oxygenation and we do not want to worsen bp fistula)

,A 43 y/o female patient has just undergone a total abdominal

hysterectomy. The pt arrives in the post anesthesia care unit obtunded

with minimal response to painful stimulus. what treatment should the RT

recommend for this pt? - ANSWER ✔✔Insert OPA (b/c they are

unresponsive)

What is the normal VD/VT ratio for a patient breathing room air? -

ANSWER ✔✔20-40%


All of the following could cause a patient's right-hemidiaphragm to be

elevated, EXCEPT:




A. right lower lobe atelectasis

B. right side hyperlucency, absent vascular markings

C. hepatomegaly


D. right lower lobe consolidation with air bronchograms - ANSWER

✔✔B. right side hyperlucency, absent vascular markings (pneumothorax)


A 2 y/o child with croup has been intubated for 4 days with a 4mm ID

uncuffed ETT. Heated aerosol at an FiO2 of 30% has been delivered to

the patient. The physician asks the RT to evaluate the pt for possible


3
COPYRIGHT©JOSHCLAY 2026/2027. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, extubation. Which of the following would most likely indicate that the pt is

ready for extubation?




A. Pt is making normal quiet ventilatory efforts

B. Negative sputum culture and sensitivity has been reported

C. Pt's ABG are within normal range

D. Breath sounds are heard around the tube on auscultation -

ANSWER ✔✔D. Breath sounds are heard around the tube on

auscultation

A pt is senn inthe ER for complaints of nausea and vomiting. A NGT has

been inserted and the pt is started on lasix. Which of the following

should the RT monitor?




A. Cardiac enzymes

B. Serum electrolytes

C. ABG


D. Cell hydration level - ANSWER ✔✔B. Serum electrolytes (because

of loss of fluids)

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