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Clinical Simulation Examination (CSE) Practice Questions & Clinical Scenarios – NBRC Respiratory Therapy Exam Review

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Prepare for the NBRC Clinical Simulation Examination (CSE) with a comprehensive study set focused on realistic respiratory therapy clinical scenarios, information gathering, clinical reasoning, decision-making, patient assessment, treatment selection, and evaluation of patient responses. The CSE is designed around simulated respiratory-care situations and requires candidates to make clinical decisions as patient conditions develop.

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Clinical Simulation Exam – Comprehensive Study
Set, Clinical Scenarios & Practice Questions with
100% Verified Answers | 2026–2027

, Visuals (things you will always choose...) -general appearance
-appearance of chest
-respiratory pattern
-sensorium
-posture
-patient color
-pulse


Infant normals Pulse: 110 - 160
BP: 60/40 mm Hg
RR: 30 to 60
Birth Wt: 3000g
APGAR: 7 to 10


Hemodynamic Normals BP: 120/80 (90/60 to 140/90)
MAP: 93 to 94
CVP: 2 to 6 mm Hg (4 to 12 cmH2O)
PAP: 25/8 (mean 13 to 14)
PWP/PCWP: 4 to 12 mm Hg
CO: 4 to 8 LPM
CI: 2.5 to 4 L/min/sq m


UNACCEPTABLE bedside ventilatory parameters VC: < 10mL/kg (or < 2 x VT)
MIP/NIF: <20 cm H2O
RR: >20 bmp or < 8
Vt: < 5mL/kg
Ve: > 10 LPM
MEP: < 40 cm H2O


Vent Parameters... Tidal Volume: 5 to 10 mL/kg
-------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O
Rate: 10 to 20
FiO2: 40 to 60% or set to prior
PEEP: 2 to 6 or set to prior


Infant vent settings Vt: 4-6 mL/kg
PIP: 20 to 30
Rate: 20 to 30
FiO2: 40 to 60%
PEEP: 2 to 4


Airway resistance PIP-Plateau

Used to indicate the amount of pressure support neccessary to overcome airway
resistance

Body box is most accurate measurement


Acid-fast Bacillus (AFB) Staining (Ziehl-Neelsen)

Dx of TB

Organisms appear red against blue background

Takes 2-3 weeks


- Albumin Normal 3.5-5.0 g/dl

Decreased levels are seen in liver disease


Angiogram X-rays of vessels (veins and arteries)

Evaluates blood flow to the brain, heart, lungs, etc.

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