NBRC TMC/CRT/RRT Exam |Actual Exam| Latest
Test Bank| +200 Questions And Correct Answers
With Rationale; 2024/2025|+A Grade| Version 4 (V4)
VERSION 4 (V4)| ACTUAL EXAM
1. A Physician Has Ordered A Copd Patient Who Is Currently On 1 Lpm Oxygen Therapy
Via A Nasal Cannula To Receive Ippb Therapy On Air-Mix With A Bird Mark Vii
Respirator. At The Beginning Of The Treatment, The Patient's Respiratory Rate Is 20 Bpm;
Five Minutes Into The Treatment, The Patient's Respiratory Rate Decreases To 7 Bpm. The
Respiratory Care Practitioner Should:
A) Increase The Peak Flow
B) Switch To 100% Source Gas And Continue The Therapy
C) Stop The Treatment And Notify The Physician
D) Encourage The Patient To Breathe Faster And Deeper
ANS: C)
Rationale: A Decrease In Respiratory Rate From 20 To 7 Bpm Indicates Potential
Respiratory Distress Or Failure. This Could Suggest That The Patient Is Not Tolerating The
Therapy Well, Possibly Leading To Hypoventilation. Stopping The Treatment And Notifying
The Physician Is Crucial To Ensure The Patient Receives Appropriate Medical Attention.
2. A Patient Has Just Finished An Ultrasonic Nebulizer Treatment With A 0.45% Saline
Solution. Breath Sounds Reveal Scattered Rhonchi And Bilateral Wheezing. You Would
Recommend Which Of The Following At This Time:
1. Encourage The Patient To Cough
2. Administering Oxygen Therapy
3. Bronchodilator Therapy
,A) 1 Only
B) 1 And 3 Only
C) 3 Only
D) All The Above
ANS: B)
Rationale: Encouraging The Patient To Cough Helps Clear Secretions That May Be Causing
Wheezing And Rhonchi. Bronchodilator Therapy Can Help Relieve Bronchospasm. Oxygen
Therapy May Be Necessary Depending On The Patient's Oxygen Saturation Levels, But It Is
Not Directly Indicated Here Without Further Assessment.
3. A Sixteen-Year-Old Conscious Patient Is In Severe Respiratory Distress Following A
Motorcycle Accident. The Er Physician Has Requested A Stat Chest X-Ray Film. The
Results Of The Chest X-Ray Show Multiple Rib Fractures On The Right Side. The Physician
Has Asked You To Palpate The Chest; Based Upon The X-Ray Results, You Would Expect
To Find:
A) Paradoxical Chest Movement On The Right Side
B) Tracheal Deviation To The Right Side
C) Symmetrical Chest Movement Bilaterally
D) Pleural Rub Fremitus
ANS: A)
Rationale: Paradoxical Chest Movement Occurs When A Segment Of The Chest Wall
Moves In The Opposite Direction To The Rest Of The Chest During Respiration, Commonly
Seen With Rib Fractures And Flail Chest.
4. All Of The Following Are Indications Of Upper Airway Obstruction, Except:
A) Dysphagia And Hoarseness
B) Increased Use Of Accessory Muscles
C) Intercostal And Substernal Retractions
,D) Sibilant Rhonchi On The Affected Side
ANS: D)
Rationale: Sibilant Rhonchi Indicate Bronchospasm Or Lower Airway Issues Rather Than
Upper Airway Obstruction. The Other Options Are Classic Signs Of Upper Airway
Obstruction.
5. A Patient Has Been Ordered To Receive Sustained Maximum Inspiratory Maneuvers Via
A Volume-Oriented Incentive Spirometer To Prevent Postoperative Atelectasis. The Patient
Has Asked You Why He Is Ordered To Receive This Therapy; You Would Explain The
Therapy To The Patient As:
A) "Your Doctor Has Ordered This Therapy To Treat Your Atelectasis."
B) "If You Become Short Of Breath, Slow Down But Don't Panic."
C) "Your Doctor Has Ordered This Therapy To Help You Take Deep Breaths And To
Keep Your Lungs Well Expanded."
D) "Your Doctor Has Ordered This Therapy To Prevent Lung Collapse."
ANS: C)
Rationale: This Explanation Accurately Describes The Purpose Of Incentive Spirometry,
Which Is To Promote Deep Breathing And Prevent Complications Like Atelectasis.
6. The Physician Is Concerned About A Patient Who Has Just Been Admitted To The Icu.
The Patient Has Been Diagnosed With Pulmonary Edema. The Physician Wants You To
Closely Monitor The Patient For Signs Of Peripheral Edema. The First Place You Would
Expect To See This Occur Is In:
A) Heart
B) Ankles
C) Hands
D) Lungs
, ANS: B)
Rationale: Peripheral Edema Commonly Presents In The Lower Extremities, Particularly
The Ankles, Due To Gravity And Fluid Accumulation.
7. A Patient Has Just Been Intubated; The Physician Has Asked You For The Best Way To
Assess Proper Endotracheal Tube Position. You Would Recommend:
A) Auscultation The Chest For Bilateral Breath Sounds
B) Performing Minimal Occluding Volume Measurements
C) Palpation Of Symmetrical Chest Movement
D) Obtaining An Anterior-Posterior Chest Film
ANS: D)
Rationale: While Auscultation For Breath Sounds Is Important, A Chest X-Ray Is The Most
Reliable Method For Confirming The Proper Position Of An Endotracheal Tube, Ensuring It
Is Neither Too High Nor Too Low.
8. All Of The Following Are Signs Of A Chronic Hypercapnic Patient, Except:
A) Cyanosis
B) Dyspnea
C) Clubbing
D) Barrel Chest
ANS: B)
Rationale: Dyspnea Is Common In Various Respiratory Conditions And Is Not A Specific
Indicator Of Chronic Hypercapnia. The Other Options Are More Characteristic Of Chronic
Hypercapnia.
9. All Of The Following Equipment Are Required For Oxygen Therapy Administration Via
A 32% Venturi Mask, Except:
Test Bank| +200 Questions And Correct Answers
With Rationale; 2024/2025|+A Grade| Version 4 (V4)
VERSION 4 (V4)| ACTUAL EXAM
1. A Physician Has Ordered A Copd Patient Who Is Currently On 1 Lpm Oxygen Therapy
Via A Nasal Cannula To Receive Ippb Therapy On Air-Mix With A Bird Mark Vii
Respirator. At The Beginning Of The Treatment, The Patient's Respiratory Rate Is 20 Bpm;
Five Minutes Into The Treatment, The Patient's Respiratory Rate Decreases To 7 Bpm. The
Respiratory Care Practitioner Should:
A) Increase The Peak Flow
B) Switch To 100% Source Gas And Continue The Therapy
C) Stop The Treatment And Notify The Physician
D) Encourage The Patient To Breathe Faster And Deeper
ANS: C)
Rationale: A Decrease In Respiratory Rate From 20 To 7 Bpm Indicates Potential
Respiratory Distress Or Failure. This Could Suggest That The Patient Is Not Tolerating The
Therapy Well, Possibly Leading To Hypoventilation. Stopping The Treatment And Notifying
The Physician Is Crucial To Ensure The Patient Receives Appropriate Medical Attention.
2. A Patient Has Just Finished An Ultrasonic Nebulizer Treatment With A 0.45% Saline
Solution. Breath Sounds Reveal Scattered Rhonchi And Bilateral Wheezing. You Would
Recommend Which Of The Following At This Time:
1. Encourage The Patient To Cough
2. Administering Oxygen Therapy
3. Bronchodilator Therapy
,A) 1 Only
B) 1 And 3 Only
C) 3 Only
D) All The Above
ANS: B)
Rationale: Encouraging The Patient To Cough Helps Clear Secretions That May Be Causing
Wheezing And Rhonchi. Bronchodilator Therapy Can Help Relieve Bronchospasm. Oxygen
Therapy May Be Necessary Depending On The Patient's Oxygen Saturation Levels, But It Is
Not Directly Indicated Here Without Further Assessment.
3. A Sixteen-Year-Old Conscious Patient Is In Severe Respiratory Distress Following A
Motorcycle Accident. The Er Physician Has Requested A Stat Chest X-Ray Film. The
Results Of The Chest X-Ray Show Multiple Rib Fractures On The Right Side. The Physician
Has Asked You To Palpate The Chest; Based Upon The X-Ray Results, You Would Expect
To Find:
A) Paradoxical Chest Movement On The Right Side
B) Tracheal Deviation To The Right Side
C) Symmetrical Chest Movement Bilaterally
D) Pleural Rub Fremitus
ANS: A)
Rationale: Paradoxical Chest Movement Occurs When A Segment Of The Chest Wall
Moves In The Opposite Direction To The Rest Of The Chest During Respiration, Commonly
Seen With Rib Fractures And Flail Chest.
4. All Of The Following Are Indications Of Upper Airway Obstruction, Except:
A) Dysphagia And Hoarseness
B) Increased Use Of Accessory Muscles
C) Intercostal And Substernal Retractions
,D) Sibilant Rhonchi On The Affected Side
ANS: D)
Rationale: Sibilant Rhonchi Indicate Bronchospasm Or Lower Airway Issues Rather Than
Upper Airway Obstruction. The Other Options Are Classic Signs Of Upper Airway
Obstruction.
5. A Patient Has Been Ordered To Receive Sustained Maximum Inspiratory Maneuvers Via
A Volume-Oriented Incentive Spirometer To Prevent Postoperative Atelectasis. The Patient
Has Asked You Why He Is Ordered To Receive This Therapy; You Would Explain The
Therapy To The Patient As:
A) "Your Doctor Has Ordered This Therapy To Treat Your Atelectasis."
B) "If You Become Short Of Breath, Slow Down But Don't Panic."
C) "Your Doctor Has Ordered This Therapy To Help You Take Deep Breaths And To
Keep Your Lungs Well Expanded."
D) "Your Doctor Has Ordered This Therapy To Prevent Lung Collapse."
ANS: C)
Rationale: This Explanation Accurately Describes The Purpose Of Incentive Spirometry,
Which Is To Promote Deep Breathing And Prevent Complications Like Atelectasis.
6. The Physician Is Concerned About A Patient Who Has Just Been Admitted To The Icu.
The Patient Has Been Diagnosed With Pulmonary Edema. The Physician Wants You To
Closely Monitor The Patient For Signs Of Peripheral Edema. The First Place You Would
Expect To See This Occur Is In:
A) Heart
B) Ankles
C) Hands
D) Lungs
, ANS: B)
Rationale: Peripheral Edema Commonly Presents In The Lower Extremities, Particularly
The Ankles, Due To Gravity And Fluid Accumulation.
7. A Patient Has Just Been Intubated; The Physician Has Asked You For The Best Way To
Assess Proper Endotracheal Tube Position. You Would Recommend:
A) Auscultation The Chest For Bilateral Breath Sounds
B) Performing Minimal Occluding Volume Measurements
C) Palpation Of Symmetrical Chest Movement
D) Obtaining An Anterior-Posterior Chest Film
ANS: D)
Rationale: While Auscultation For Breath Sounds Is Important, A Chest X-Ray Is The Most
Reliable Method For Confirming The Proper Position Of An Endotracheal Tube, Ensuring It
Is Neither Too High Nor Too Low.
8. All Of The Following Are Signs Of A Chronic Hypercapnic Patient, Except:
A) Cyanosis
B) Dyspnea
C) Clubbing
D) Barrel Chest
ANS: B)
Rationale: Dyspnea Is Common In Various Respiratory Conditions And Is Not A Specific
Indicator Of Chronic Hypercapnia. The Other Options Are More Characteristic Of Chronic
Hypercapnia.
9. All Of The Following Equipment Are Required For Oxygen Therapy Administration Via
A 32% Venturi Mask, Except:
