NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal CO2 monitor
shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings - ( ANSWER) : A
Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O - ( ANSWER) : C
Which of the following data is needed to calculate minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT - ( ANSWER) : C
A respiratory therapist notes a pressure-volume loop on a patient receiving mechanical
ventilation has a pronounced beak. What strategy is useful in this case?
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow - ( ANSWER) : B
,NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
The respiratory therapist is making a plan of care for a patient with mycoplasma
pneumonia who needs assistance with airway clearance of secretions. In which order
should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing - ( ANSWER) : B
Which of the following is an appropriate strategy when caring for a patient with ARDS who is
receiving mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible - ( ANSWER) : D
Which of the following is an important strategy when caring for a patient with adult
respiratory distress syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60 - ( ANSWER) : C
Which of the following transdermal nicotine preparations might the respiratory therapist
recommend to help a patient stop smoking?
A. gum
B. MDI
C. patch
,NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
D. spray - ( ANSWER) : C
Which of the following is NOT normally part of a smoking cessation program?
A. information on the cost of cigarettes and tobacco products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking - ( ANSWER) : A
A patient is receiving an initial pulmonary rehabilitation visit to the clinic. To orient the
patient which of the following should be taught to the patient concerning the goals and
benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve performance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen - ( ANSWER) : A
An adult patient with asthma is receiving Xopenex by small volume nebulizer T.I.D. at a
dosage of 1.25 mg. The patient complains of dizziness, tingling in his fingers, and anxiety
with each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - ( ANSWER) : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
, NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
C. decreasing atelectasis
D. refractory hypoxemia - ( ANSWER) : C
Which of the following would be most helpful in determining if a patient regularly smokes
tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - ( ANSWER) : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a volume-controlled ventilator
in the assist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropriate action?
A. increase FIO2 to 1.0
B. increase rate to 14
C. increase PEEP to 10 cmH2O
D. increase tidal volume to 600 mL - ( ANSWER) : B
ANSWERS | A+ GRADE
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal CO2 monitor
shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings - ( ANSWER) : A
Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O - ( ANSWER) : C
Which of the following data is needed to calculate minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT - ( ANSWER) : C
A respiratory therapist notes a pressure-volume loop on a patient receiving mechanical
ventilation has a pronounced beak. What strategy is useful in this case?
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow - ( ANSWER) : B
,NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
The respiratory therapist is making a plan of care for a patient with mycoplasma
pneumonia who needs assistance with airway clearance of secretions. In which order
should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing - ( ANSWER) : B
Which of the following is an appropriate strategy when caring for a patient with ARDS who is
receiving mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible - ( ANSWER) : D
Which of the following is an important strategy when caring for a patient with adult
respiratory distress syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60 - ( ANSWER) : C
Which of the following transdermal nicotine preparations might the respiratory therapist
recommend to help a patient stop smoking?
A. gum
B. MDI
C. patch
,NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
D. spray - ( ANSWER) : C
Which of the following is NOT normally part of a smoking cessation program?
A. information on the cost of cigarettes and tobacco products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking - ( ANSWER) : A
A patient is receiving an initial pulmonary rehabilitation visit to the clinic. To orient the
patient which of the following should be taught to the patient concerning the goals and
benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve performance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen - ( ANSWER) : A
An adult patient with asthma is receiving Xopenex by small volume nebulizer T.I.D. at a
dosage of 1.25 mg. The patient complains of dizziness, tingling in his fingers, and anxiety
with each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - ( ANSWER) : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
, NBRC TMC Exam-Z, NBRC TMC Exam-S WITH 140 QUESTIONS AND CORRECT
ANSWERS | A+ GRADE
C. decreasing atelectasis
D. refractory hypoxemia - ( ANSWER) : C
Which of the following would be most helpful in determining if a patient regularly smokes
tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - ( ANSWER) : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a volume-controlled ventilator
in the assist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropriate action?
A. increase FIO2 to 1.0
B. increase rate to 14
C. increase PEEP to 10 cmH2O
D. increase tidal volume to 600 mL - ( ANSWER) : B
