, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Neonatal, Emergency &
Professional Practice Mastery Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Neonatal - Surfactant, RDS, Apgar, CPAP (Q001-Q050)
• Section II: Pediatrics - Croup, Epiglottitis, Bronchiolitis (Q051-Q100)
• Section III: Emergency - Code Blue, NRP, Capnography ETCO2 (Q101-Q140)
• Section IV: Transport, Infection Control & Emergency Preparedness (Q141-Q175)
• Section V: Professional Practice, Ethics, Documentation & Quality Improvement
(Q176-Q210)
• Answer Key Summary - Bundle Complete 1050Q
, NBRC TMC Exam - Neonatal, Emergency &
Professional Practice Mastery Examination
Instructions: Choose the BEST answer. Final exam of 5-exam bundle - zero overlap with previous
4 exams. 210 Questions. 1050 Total Bundle Complete.
[NBRC-TMC-NE-Q001] Q001. Case 17-2023: K. Thomas at Johns Hopkins Emergency
Response Unit - NRP resuscitation algorithm - Chart B801. Preterm neonate 28 weeks, 1100g,
Apgar 5 at 1 min, grunting, retractions, FiO2 0.60, ABG pH 7.25, PaCO2 58, PaO2 48, CXR
ground-glass, air bronchograms. Which intervention in Neonatal - Surfactant, RDS, Apgar,
Ventilation is priority?
A. Surfactant replacement therapy via ET tube, early CPAP 5-6 cmH2O to prevent atelectrauma,
maintain SpO2 90-95% preterm, thermoneutral environment, NRP algorithm
B. 100% O2 only without CPAP or surfactant for RDS
C. Intubate all preterm infants prophylactically regardless of distress
D. Withhold surfactant for 28-week RDS
Correct: A
Correct: Surfactant replacement therapy via ET tube, early CPAP 5-6 cmH2O to prevent atelectrauma,
maintain SpO2 90-95% preterm, thermoneutral environment, NRP algorithm. Case 2023 at Johns Hopkins
Emergency Response Unit during NRP resuscitation algorithm illustrates Neonatal - Surfactant, RDS,
Apgar, Ventilation for Chart B801. A) correct - preterm RDS ground-glass due to surfactant deficiency, early
surfactant + CPAP improves outcomes, maintain targeted SpO2 to avoid ROP/BPD, thermoregulation
critical. B) incorrect - routine intubation not needed for mild-moderate croup, medical management first. C)
incorrect - low ETCO2 does not confirm placement, normal ETCO2 35-45, during CPR >10 indicates
adequate perfusion. D) incorrect - transporting without monitoring violates safety, hypothermia risk, glucose
instability in neonates. Per NBRC TMC neonatal/peds, emergency, professional practice, NRP algorithm,
ethics, patient safety, quality improvement.
[NBRC-TMC-NE-Q002] Q002. Case 34-2026: P. Martin at UCLA NRP Training Centre - code blue
respiratory arrest - Chart C802. During code blue respiratory arrest at UCLA NRP Training
Centre (2026), 2-year-old with barky cough, inspiratory stridor, hoarseness, low-grade fever,
appears anxious but not toxic, steeple sign on neck X-ray. Which management in Pediatrics -
Bronchiolitis, Croup, Epiglottitis?
A. Croup - nebulized racemic epinephrine + dexamethasone, humidified O2, avoid agitation,
monitor stridor, epiglottitis toxic drooling tripod requires OR airway not ER exam
B. Croup requires immediate intubation in all cases
C. Epiglottitis and croup identical management
D. Bronchiolitis requires antibiotics routinely
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Neonatal, Emergency &
Professional Practice Mastery Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Neonatal - Surfactant, RDS, Apgar, CPAP (Q001-Q050)
• Section II: Pediatrics - Croup, Epiglottitis, Bronchiolitis (Q051-Q100)
• Section III: Emergency - Code Blue, NRP, Capnography ETCO2 (Q101-Q140)
• Section IV: Transport, Infection Control & Emergency Preparedness (Q141-Q175)
• Section V: Professional Practice, Ethics, Documentation & Quality Improvement
(Q176-Q210)
• Answer Key Summary - Bundle Complete 1050Q
, NBRC TMC Exam - Neonatal, Emergency &
Professional Practice Mastery Examination
Instructions: Choose the BEST answer. Final exam of 5-exam bundle - zero overlap with previous
4 exams. 210 Questions. 1050 Total Bundle Complete.
[NBRC-TMC-NE-Q001] Q001. Case 17-2023: K. Thomas at Johns Hopkins Emergency
Response Unit - NRP resuscitation algorithm - Chart B801. Preterm neonate 28 weeks, 1100g,
Apgar 5 at 1 min, grunting, retractions, FiO2 0.60, ABG pH 7.25, PaCO2 58, PaO2 48, CXR
ground-glass, air bronchograms. Which intervention in Neonatal - Surfactant, RDS, Apgar,
Ventilation is priority?
A. Surfactant replacement therapy via ET tube, early CPAP 5-6 cmH2O to prevent atelectrauma,
maintain SpO2 90-95% preterm, thermoneutral environment, NRP algorithm
B. 100% O2 only without CPAP or surfactant for RDS
C. Intubate all preterm infants prophylactically regardless of distress
D. Withhold surfactant for 28-week RDS
Correct: A
Correct: Surfactant replacement therapy via ET tube, early CPAP 5-6 cmH2O to prevent atelectrauma,
maintain SpO2 90-95% preterm, thermoneutral environment, NRP algorithm. Case 2023 at Johns Hopkins
Emergency Response Unit during NRP resuscitation algorithm illustrates Neonatal - Surfactant, RDS,
Apgar, Ventilation for Chart B801. A) correct - preterm RDS ground-glass due to surfactant deficiency, early
surfactant + CPAP improves outcomes, maintain targeted SpO2 to avoid ROP/BPD, thermoregulation
critical. B) incorrect - routine intubation not needed for mild-moderate croup, medical management first. C)
incorrect - low ETCO2 does not confirm placement, normal ETCO2 35-45, during CPR >10 indicates
adequate perfusion. D) incorrect - transporting without monitoring violates safety, hypothermia risk, glucose
instability in neonates. Per NBRC TMC neonatal/peds, emergency, professional practice, NRP algorithm,
ethics, patient safety, quality improvement.
[NBRC-TMC-NE-Q002] Q002. Case 34-2026: P. Martin at UCLA NRP Training Centre - code blue
respiratory arrest - Chart C802. During code blue respiratory arrest at UCLA NRP Training
Centre (2026), 2-year-old with barky cough, inspiratory stridor, hoarseness, low-grade fever,
appears anxious but not toxic, steeple sign on neck X-ray. Which management in Pediatrics -
Bronchiolitis, Croup, Epiglottitis?
A. Croup - nebulized racemic epinephrine + dexamethasone, humidified O2, avoid agitation,
monitor stridor, epiglottitis toxic drooling tripod requires OR airway not ER exam
B. Croup requires immediate intubation in all cases
C. Epiglottitis and croup identical management
D. Bronchiolitis requires antibiotics routinely
