NBRC TMC CRT RRT UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● 1. A patient with Guillain-Barre syndrome has a vital capacity of
625mL. An RT should recommend which of the following be performed
FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study
Answer: A. MIP
●● 2. A patient in the ICU complains of light headedness, nausea, and
chest pains. The patient is diaphoretic and has a blood pressure of
90/60mmHg. What should the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine
Answer: B. Cardioversion
,●● 3. A patient's sputum is purulent, green in appearance, has separated
into layers, and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis
Answer: D. Bronchiectasis
●● 4. Which of the following beside pulmonary function testing results
for a patient with multiple sclerosis most strongly indicates the need for
ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg
Answer: D. Vital capacity of 5mL/kg
●● 5. A 23-year-old patient is in moderate respiratory distress while
receiving oxygen.
ABG=7.42/ 31/ 38/ 20/ -3/ 71%
How should these results be interpreted?
Answer: Chronic Respiratory Alkalosis with severe hypoxemia
,●● 6. What is the patient's TLC?
Vital Capacity= 3.6L
FRC= 6.0 L
ERV = 1.0
Answer: 8.6
●● 7. A COPD patient becomes hypotensive following a drug overdose.
Following intubation VC A/C ventilation should be initiated with which
of the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0
Answer: D. 1.0
●● 8. A patient has been receiving VC ventilation for 24 hours. A
respiratory therapist is called to the bedside because the high pressure
alarm is sounding with each breath. What should the RT do first?
Answer: Manually ventilate the patient
, ●● 9. Just prior to removing the endotracheal tube, a respiratory
therapist should do what?
Answer: Deflate the cuff
●● 10. While preparing to assist with a chest tube insertion , an RT
learns that pleurodesis will follow. What equipment would the RT
provide?
Answer: Hemostat and 3-way stopcock
●● 11. What is the formula for dynamic compliance?
Answer: VT/ (PIP-PEEP)
●● 12. A 52-year-old patient with newly diagnosed OSA undergoes a
CPAP titration study. With a CPAP of 12cm H2O, the AHI is 3 and the
lowest observed oxygen saturation is 90%. The patient continues to
snore, what should the RT do?
Answer: Increase the CPAP level
●● 13. What is the target FiO2 range of nasal cannula in a patient with
normal minute ventilation?
Answer: 0.24-0.40
●● 14. An RT is called to the ED to assist with the intubation of an alert,
agitated patient in respiratory failure. 2 intubation attempts were
QUESTIONS AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● 1. A patient with Guillain-Barre syndrome has a vital capacity of
625mL. An RT should recommend which of the following be performed
FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study
Answer: A. MIP
●● 2. A patient in the ICU complains of light headedness, nausea, and
chest pains. The patient is diaphoretic and has a blood pressure of
90/60mmHg. What should the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine
Answer: B. Cardioversion
,●● 3. A patient's sputum is purulent, green in appearance, has separated
into layers, and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis
Answer: D. Bronchiectasis
●● 4. Which of the following beside pulmonary function testing results
for a patient with multiple sclerosis most strongly indicates the need for
ventilatory assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg
Answer: D. Vital capacity of 5mL/kg
●● 5. A 23-year-old patient is in moderate respiratory distress while
receiving oxygen.
ABG=7.42/ 31/ 38/ 20/ -3/ 71%
How should these results be interpreted?
Answer: Chronic Respiratory Alkalosis with severe hypoxemia
,●● 6. What is the patient's TLC?
Vital Capacity= 3.6L
FRC= 6.0 L
ERV = 1.0
Answer: 8.6
●● 7. A COPD patient becomes hypotensive following a drug overdose.
Following intubation VC A/C ventilation should be initiated with which
of the following oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0
Answer: D. 1.0
●● 8. A patient has been receiving VC ventilation for 24 hours. A
respiratory therapist is called to the bedside because the high pressure
alarm is sounding with each breath. What should the RT do first?
Answer: Manually ventilate the patient
, ●● 9. Just prior to removing the endotracheal tube, a respiratory
therapist should do what?
Answer: Deflate the cuff
●● 10. While preparing to assist with a chest tube insertion , an RT
learns that pleurodesis will follow. What equipment would the RT
provide?
Answer: Hemostat and 3-way stopcock
●● 11. What is the formula for dynamic compliance?
Answer: VT/ (PIP-PEEP)
●● 12. A 52-year-old patient with newly diagnosed OSA undergoes a
CPAP titration study. With a CPAP of 12cm H2O, the AHI is 3 and the
lowest observed oxygen saturation is 90%. The patient continues to
snore, what should the RT do?
Answer: Increase the CPAP level
●● 13. What is the target FiO2 range of nasal cannula in a patient with
normal minute ventilation?
Answer: 0.24-0.40
●● 14. An RT is called to the ED to assist with the intubation of an alert,
agitated patient in respiratory failure. 2 intubation attempts were
