NBRC PRACTICE EXAM 7 WITH ALL
NEEDED TO PASS
An gintubated gpatient gbegins gexhibiting gsevere grespiratory gdistress. gThe
grespiratory gtherapist gauscultates gno gbreath gsounds gand gdetermines gthere gis gno
ggas gflow gpassing gthrough gthe gend gof gthe gETT. gThe ghigh gpressure galarm gis
gsounding gon gthe gventilator. gWhich gof gthe gfollowing gshould gthe gtherapist gdo?
A. gInstill g5 gmL gof gsaline gdown gthe gETT gand gsuction
B. gExtubate gand gmanually gventilate gthe gpatient
C. gObtain gan gABG
D. gRecommend ga gstat gchest gx-ray g- gcorrect ganswers g-Extubate gand gmanually
gventilate gthe gpatient
A gpatient gis greceiving gIPPB gtherapy gat ga gPIP gof g20 gcmH2O. gThe gpatient
gbegins ghaving gbronchospasms gduring gthe gtreatment. gWhich gof gthe gfollowing gis
gtrue?
, 1. gThe gPIP gwill gincrease
2. gThe gtidal gvolume gwill gdecrease
3. gThe ginspiratory gtime gwill gincrease g- gcorrect ganswers g-2 gonly
During gthe gadministration gof gIPPB, gthe gRT gnotices gthe gmachine grepeatedly
gtriggers gon gshortly gafter gthe gpatient ghas gbegun gexpiration. gIn gorder gto gcorrect
gthis gproblem, gthe gtherapist gshould gcheck gwhich gof gthe gfollowing?
1. gSensitivity gcontrol
2. gFlow gcontrol
3. gInspiratory gpressure gcontrol
4. gRate gcontrol g(expiratory gtimer) g- gcorrect ganswers g-1 gand g4 gonly
The gfollowing gdata gis gcollected gfrom ga g4-day-old gneonate greceiving gPC
gventilation.
SIMV
Rate g- g30/min
PIP g- g20 gcmH2O
FiO2 g- g0.50
PEEP g- g4 gcmH2O
pH g- g7.29
PaCO2 g- g53 gtorr
PaO2 g- g46 gtorr
HCO3 g- g27 gmEq/L
BE g- g+2 gmEq/L
The gRT gshould grecommend gto gincrease gthe...
A. gFiO2
B. gPEEP
C. gPIP
D. gInspiratory gflow g- gcorrect ganswers g-PIP
The gphysician gasks gyou gto gevaluate gher gpatient gfor gweaning greadiness. gAfter
gobtaining gweaning gparameters, gyou gwould greport gwhich gof gthe gfollowing gas
gmeeting gthe gcriteria gfor gweaning gfrom gmechanical gventilation?
1. gVD/VT g= g0.50
2. gPaO2 g= g70 gtorr gon gan gFiO2 gof g40%
3. gRSBI g= g140
4. gSpontaneous gtidal gvolume g= g6 gmL/kg g- gcorrect ganswers g-1 gand g4 gonly
The gfollowing gdata gis gcollected gon ga g75 gkg g(165 glb) gpatient greceiving gPC
gventilation.
NEEDED TO PASS
An gintubated gpatient gbegins gexhibiting gsevere grespiratory gdistress. gThe
grespiratory gtherapist gauscultates gno gbreath gsounds gand gdetermines gthere gis gno
ggas gflow gpassing gthrough gthe gend gof gthe gETT. gThe ghigh gpressure galarm gis
gsounding gon gthe gventilator. gWhich gof gthe gfollowing gshould gthe gtherapist gdo?
A. gInstill g5 gmL gof gsaline gdown gthe gETT gand gsuction
B. gExtubate gand gmanually gventilate gthe gpatient
C. gObtain gan gABG
D. gRecommend ga gstat gchest gx-ray g- gcorrect ganswers g-Extubate gand gmanually
gventilate gthe gpatient
A gpatient gis greceiving gIPPB gtherapy gat ga gPIP gof g20 gcmH2O. gThe gpatient
gbegins ghaving gbronchospasms gduring gthe gtreatment. gWhich gof gthe gfollowing gis
gtrue?
, 1. gThe gPIP gwill gincrease
2. gThe gtidal gvolume gwill gdecrease
3. gThe ginspiratory gtime gwill gincrease g- gcorrect ganswers g-2 gonly
During gthe gadministration gof gIPPB, gthe gRT gnotices gthe gmachine grepeatedly
gtriggers gon gshortly gafter gthe gpatient ghas gbegun gexpiration. gIn gorder gto gcorrect
gthis gproblem, gthe gtherapist gshould gcheck gwhich gof gthe gfollowing?
1. gSensitivity gcontrol
2. gFlow gcontrol
3. gInspiratory gpressure gcontrol
4. gRate gcontrol g(expiratory gtimer) g- gcorrect ganswers g-1 gand g4 gonly
The gfollowing gdata gis gcollected gfrom ga g4-day-old gneonate greceiving gPC
gventilation.
SIMV
Rate g- g30/min
PIP g- g20 gcmH2O
FiO2 g- g0.50
PEEP g- g4 gcmH2O
pH g- g7.29
PaCO2 g- g53 gtorr
PaO2 g- g46 gtorr
HCO3 g- g27 gmEq/L
BE g- g+2 gmEq/L
The gRT gshould grecommend gto gincrease gthe...
A. gFiO2
B. gPEEP
C. gPIP
D. gInspiratory gflow g- gcorrect ganswers g-PIP
The gphysician gasks gyou gto gevaluate gher gpatient gfor gweaning greadiness. gAfter
gobtaining gweaning gparameters, gyou gwould greport gwhich gof gthe gfollowing gas
gmeeting gthe gcriteria gfor gweaning gfrom gmechanical gventilation?
1. gVD/VT g= g0.50
2. gPaO2 g= g70 gtorr gon gan gFiO2 gof g40%
3. gRSBI g= g140
4. gSpontaneous gtidal gvolume g= g6 gmL/kg g- gcorrect ganswers g-1 gand g4 gonly
The gfollowing gdata gis gcollected gon ga g75 gkg g(165 glb) gpatient greceiving gPC
gventilation.
