NBRC TMC EXAM-Z, NBRC TMC EXAM-S ACTUAL EXAM
QUESTIONS AND ANSWERS LATEST, UPDATED 2025 RATED A+ AND
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After attempting to pass a catheter down an oral ET tube, the respiratory therapist
feels strongly that the endotracheal tube cuff is herniated over the end of the ET
tube. The bag-valve remains difficult to squeeze and oxygen saturation is 86% and
falling. The therapist should do which of the following?
A. call the physician and report the finding
C
B. remove the ET tube and insert a new one
LE
C. switch to a high pressure demand valve
D. perform nasal intubation with the oral tube left in place –
ST
CORRECT ANSWER-The correct answer is : B
BE
Which of the following lung volume measurements is the largest? A. FRC
B. VC
C. IC
D. TLC –
CORRECT ANSWER-The correct answer is : D
, BESTLEC
Which of the following precautions should be taken when performing nasal
tracheal suctioning on a patient who has a tendency for mucosal bleeding?
A. Be gentle
B. Keep suctioning to no longer than 30 second
C. Stop all blood-thinning medication prior to suctioning
D. Apply intermittent suctioning during withdraw of the catheter –
CORRECT ANSWER-The correct answer is : A
C
Which of the following may be related to a fluid balance problem in a patient?
LE
A. ARDS
B. Pneumothorax
ST
C. Guillain-Barre Syndrome
D. Renal disease –
BE
CORRECT ANSWER-The correct answer is : D
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
, BESTLEC
D. change dose to 0.63 mg –
CORRECT ANSWER-The correct answer is : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia –
C
LE
CORRECT ANSWER-The correct answer is : C
Which of the following would be most helpful in determining if a patient regularly
smokes tobacco products?
ST
A. COHb
B. DLCO
BE
C. end-tidal carbon dioxide
D. pulse oximetery –
CORRECT ANSWER-The correct answer is : 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
, BESTLEC
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
C
D. increase tidal volume to 600 mL –
LE
CORRECT ANSWER-The correct answer is : B
ST
A pulmonary rehabilitation patient is having difficulty complying with a smoking
cessation program. A physical and psychological screen reveals a heavy
physiological dependence and a low psychological dependence on smoking. Which
BE
of the following is appropriate?
A. Versed
B. nicotine replacement therapy
C. psychological counseling
D. Valium –
CORRECT ANSWER-The correct answer is : B