TMC NBRC ACTUAL EXAM LATEST 2025 WITH CORRECT
QUESTIONS AND DETAILED ANSWERS/ALREADY
GRADED A+
Tobacco use, smoking status - CORRECT ANSWER-# packs per day X # of years
smoked = pack years
Pysical inspection (IPPA) - CORRECT ANSWER-Inspection
Palpation
Percussion
Auscaltation
Normal urine output - CORRECT ANSWER-40mL/hr = 1L/day
Sensible water loss reasons - CORRECT ANSWER-urine, vomiting
Insensible water loss - CORRECT ANSWER-Lungs, skin
,Affects of intake exceeding output - CORRECT ANSWER-Weight gain, electrolyte
imbalance, increased hemodynamic pressures, decreased lung cst
4 life functions (in order) & assessment for them - CORRECT ANSWER-
Ventilation - RR, VT, BS, chest. movement, PaCO2, EtCO2
Oxygenation - HR, Skin Color, Sensorium, PaO2, SpO2
Circulation - HR & strength, CO
Perfusion - BP, sensorium, temp, urine output, hemodynamics
Normal CVP (central venous pressure) - CORRECT ANSWER-2-6 mmHg
Decreased CVP & indications - CORRECT ANSWER-< 2 mmHg = hypovolemia =
fluid therapy
Increased CVP & indications - CORRECT ANSWER-> 6 mmHg = diuretics
(furosemide aka Lasix)
Orientation x3 - CORRECT ANSWER-Time, Place, Person
Orthopnea is: - CORRECT ANSWER-difficulty breathing while lying down (CHF)
Dyspnea grades - CORRECT ANSWER-Grade I: unusual exertion
,Grade II: up hills or stairs
Grade III: walking at normal speed
Grade IV: slowly, walking short distance
Grade V: at rest, shaving, dressing, etc.
Proper interviewing techniques - CORRECT ANSWER-Open-ended questions
Patient education - CORRECT ANSWER-process of influencing the patient's
behavior to effect changes in knowledge, attitudes, & skills needed to maintain &
improve health
Effective education - CORRECT ANSWER-begins with an assessment of the
patient's & family's learning needs to determine what learning needs to occur &
how the learning can best occur.
Peripheral edema causes, locations - CORRECT ANSWER-CHF, renal failure; arms
& ankles
Acites - CORRECT ANSWER-accumulation of fluid in the abdomen, generally
caused by liver failure
Clubbing definition; causes - CORRECT ANSWER-When angle of the nail bed &
skin increases; chronic hypoxemia caused by COPD, CHF, CF, pulmonary diseases
, Cap refill - CORRECT ANSWER-Color should return within 3 seconds
JVD - CORRECT ANSWER-jugular venous distention
CHF (left-sided heart failure)
On exhalation in patients with air trapping (decrease venous return)
Diaphoretic - CORRECT ANSWER-profuse sweating
heart failure (diuretics, positive inotropics)
fever, infection (antibiotics)
anxiety, nervousness (sedatives)
TB (antitubercular drugs)
Erythema - CORRECT ANSWER-redness of the skin (flushed, cap congestion,
inflammation, infection)
Cyanosis (definition) - CORRECT ANSWER-5g decrease in hemoglobin
Pectus carinatum - CORRECT ANSWER-forward protrusion of the sternum
Pectus excavatum - CORRECT ANSWER-depression of part or all of the sternum
QUESTIONS AND DETAILED ANSWERS/ALREADY
GRADED A+
Tobacco use, smoking status - CORRECT ANSWER-# packs per day X # of years
smoked = pack years
Pysical inspection (IPPA) - CORRECT ANSWER-Inspection
Palpation
Percussion
Auscaltation
Normal urine output - CORRECT ANSWER-40mL/hr = 1L/day
Sensible water loss reasons - CORRECT ANSWER-urine, vomiting
Insensible water loss - CORRECT ANSWER-Lungs, skin
,Affects of intake exceeding output - CORRECT ANSWER-Weight gain, electrolyte
imbalance, increased hemodynamic pressures, decreased lung cst
4 life functions (in order) & assessment for them - CORRECT ANSWER-
Ventilation - RR, VT, BS, chest. movement, PaCO2, EtCO2
Oxygenation - HR, Skin Color, Sensorium, PaO2, SpO2
Circulation - HR & strength, CO
Perfusion - BP, sensorium, temp, urine output, hemodynamics
Normal CVP (central venous pressure) - CORRECT ANSWER-2-6 mmHg
Decreased CVP & indications - CORRECT ANSWER-< 2 mmHg = hypovolemia =
fluid therapy
Increased CVP & indications - CORRECT ANSWER-> 6 mmHg = diuretics
(furosemide aka Lasix)
Orientation x3 - CORRECT ANSWER-Time, Place, Person
Orthopnea is: - CORRECT ANSWER-difficulty breathing while lying down (CHF)
Dyspnea grades - CORRECT ANSWER-Grade I: unusual exertion
,Grade II: up hills or stairs
Grade III: walking at normal speed
Grade IV: slowly, walking short distance
Grade V: at rest, shaving, dressing, etc.
Proper interviewing techniques - CORRECT ANSWER-Open-ended questions
Patient education - CORRECT ANSWER-process of influencing the patient's
behavior to effect changes in knowledge, attitudes, & skills needed to maintain &
improve health
Effective education - CORRECT ANSWER-begins with an assessment of the
patient's & family's learning needs to determine what learning needs to occur &
how the learning can best occur.
Peripheral edema causes, locations - CORRECT ANSWER-CHF, renal failure; arms
& ankles
Acites - CORRECT ANSWER-accumulation of fluid in the abdomen, generally
caused by liver failure
Clubbing definition; causes - CORRECT ANSWER-When angle of the nail bed &
skin increases; chronic hypoxemia caused by COPD, CHF, CF, pulmonary diseases
, Cap refill - CORRECT ANSWER-Color should return within 3 seconds
JVD - CORRECT ANSWER-jugular venous distention
CHF (left-sided heart failure)
On exhalation in patients with air trapping (decrease venous return)
Diaphoretic - CORRECT ANSWER-profuse sweating
heart failure (diuretics, positive inotropics)
fever, infection (antibiotics)
anxiety, nervousness (sedatives)
TB (antitubercular drugs)
Erythema - CORRECT ANSWER-redness of the skin (flushed, cap congestion,
inflammation, infection)
Cyanosis (definition) - CORRECT ANSWER-5g decrease in hemoglobin
Pectus carinatum - CORRECT ANSWER-forward protrusion of the sternum
Pectus excavatum - CORRECT ANSWER-depression of part or all of the sternum
