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TMC Exam 2025–2026 Test Bank – Therapist Multiple-Choice Exam Preparation

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TMC Exam 2025–2026 Test Bank is a study resource designed to help respiratory therapy students and candidates prepare for the National Board for Respiratory Care (NBRC) Therapist Multiple-Choice Examination. For examinations taken through December 31, 2026, the TMC consists of 160 multiple-choice items, including scored and pretest questions, with a three-hour testing period. This resource can support review of respiratory care fundamentals, patient assessment, airway management, oxygen therapy, mechanical ventilation, arterial blood gases, pulmonary function, cardiopulmonary disorders, pharmacology, neonatal and pediatric care, critical care, and clinical decision-making. Practice questions can help reinforce concepts, improve familiarity with exam-style questions, and identify topics requiring additional study. This resource is intended for exam preparation and should be used alongside official NBRC materials and current examination guidelines.

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TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+


Change to airway pressure release ventilation - ANSWER-
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A 60 kg (132 lb) patient is being mechanically ventilated with the following se
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ttings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H2
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O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 is
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85%. A current chest x-K K K K




ray shows diffuse bilateral infiltrates. Which of the following is the most appr
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opriate action in order to reduce peak airway pressure?
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2, 3 & 4 - ANSWER-
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While performing diagnostic chest percussion, the respiratory therapist no
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tes decreased resonance to percussion. Which of the following are potenti
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al causes of this finding?.
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1. pneumothorax

2. pleural effusion K




3. pneumonia

4. atelectasis



Persistent bronchopleural fistula - ANSWER-A post-
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operative patient on volume- K K K




control ventilation has a chest tube in the left pleural space. While inspecti
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ng the chest drainage system, the respiratory therapist notes
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,Tmc exam latest 2025 2026
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TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
bubbling in the water seal chamber during the inspiratory phase. The thera
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pist should report this to the physician:
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Increase the FiO2 - ANSWER-A post-
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operative patient is receiving mechanical ventilation in the ICU at the followi
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ng settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 10 c
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m H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is 33
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mm Hg and the SpO2 is 90%. The patient is alert and oriented with stable vit
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al signs. Which of the following should the respiratory therapist recommend?
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1, 2 & 3 - ANSWER-
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After assisting with bronchoalveolar lavage and lung biopsy on a mechanical
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ly ventilated patient, the respiratory therapist notes the activation of a high pr
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essure alarm. Peak inspiratory pressure has increased from 32 cm H2O bef
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ore the procedure to 45 cm H2O after the procedure. Possible causes for th
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e increased pressure include
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1. bronchospasm

2. pneumothorax.

3. pulmonary hemorrhage. K




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TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Endobronchial intubation - ANSWER-Following blunt chest trauma, a 35-
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Kyear-
old male is orally intubated and continuous mechanical ventilation is initiat
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ed. Physical assessment of the neck and chest reveal a midline trachea a
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nd significant reduction in thoracic expansion of the left chest.
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There are diminished breath sounds in the left lung compared to the right l
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ung. These findings most likely indicate which of the following?
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Tube is not of the appropriate size - ANSWER-A 42 year-
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old trauma patient in the ED has been intubated with a 6.5 mm oral endotrac
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heal tube equipped with a high-residual-volume, low-
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pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm H
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2O is necessary to achieve a minimal occluding volume. This would indicate
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that the: K




Recalibrate the blood analyzer - ANSWER- K K K K K




A new blood gas analyzer is calibrated by the manufacturer at sea level. U
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pon receiving the new analyzer at a higher altitude, a respiratory therapist
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should:



Mean Airway Pressure - ANSWER-
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While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume-
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controlled ventilation, a 60-kg (132- K K K K



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Klb) patient is having difficulty achieving adequate oxygenation. To improve
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TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
oxygenation, a respiratory therapist should manipulate ventilator settings to i
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ncrease which of the following?
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Increase the IPAP - ANSWER- K K K K




A patient is receiving noninvasive positive pressure ventilation. Pulmonary c
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ompliance has decreased over the past 4 hours. To increase the patient's tid
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al volume, it would be most appropriate to:
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Fifth intercostal space in mid-axillary line - ANSWER-
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A respiratory therapist is reviewing a chest radiograph and notes the presen
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ce of a chest tube.
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The patient has a hemothorax. Which of the following locations is most app
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ropriate for this chest tube to be placed?
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Administering ipratropium bromide (atrovent) - ANSWER- K K K K K




A patient with COPD is receiving mechanical ventilation. The patient continu
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es to wheeze despite treatment with albuterol. Peak airway pressure is incre
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ased with no change in plateau pressure. A respiratory therapist should reco
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mmend:



MIP - ANSWER-
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Which of the following should be used to determine the return of a postope
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rative patient's ability to breathe adequately after anesthesia?
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K
test bank.(ehttps://online2pdf.com/delete-header-and-footer-in-pdfxt)
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