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NBRC Exam (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NBRC Exam (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION A 2 y/o child with croup has been intubated for 4 days with a 4mm ID uncuffed ETT. Heated aerosol at an FiO2 of 30% has been delivered to the patient. The physician asks the RT to evaluate the pt for possible extubation. Which of the following would most likely indicate that the pt is ready for extubation? A. Pt is making normal quiet ventilatory efforts B. Negative sputum culture and sensitivity has been reported C. Pt's ABG are within normal range D. Breath sounds are heard around the tube on auscultation Answer: D. Breath sounds are heard around the tube on auscultation QUESTION A pt is senn inthe ER for complaints of nausea and vomiting. A NGT has been inserted and the pt is started on lasix. Which of the following should the RT monitor? A. Cardiac enzymes B. Serum electrolytes C. ABG D. Cell hydration level Answer: B. Serum electrolytes (because of loss of fluids) QUESTION While instructing a pt prior to a vital capacity maneuver, the RT should direct the pt to: A. exhale to RV and inhale to IC B. inhale to TLC then exhale to RV C. exhale normally then inhale to TLC D. inhale normally then exhale to FRC Answer: B. inhale to TLC then exhale to RV QUESTION A 77 y/o male patient is admitted to the ER with shortness of breath, fine basilar crackles, +2 pitting edema and a chest X-ray with a butterfly pattern. These results are most consistent with which of the following? A. Pulmonary edema B. Pulmonary interstitial emphysema C. Pneumothorax D. Emphysema Answer: A. Pulmonary edema (and CHF!) QUESTION Which of the formula will determine the total flow being delivered to a pt with a 28% venturi mask running at 6 L/min? Answer: Total flow = 6 x 11 (flow factor for 28% = 10:1 = 11) QUESTION A pt with end-stage pulmonary fibrosis is receiving O2 at 2L/min via a transtracheal oxygen catheter. The pt experiences an increased WOB and shortness of breath. The RT should do what? Answer: Flush the transtracheal device with isotonic saline QUESTION During bedside monitoring the RT notices a dampened waveform on the arterial line graphic. To restore the graphic to normal, what should the RT do? Answer: Check the transducer dome for air bubbles QUESTION An optimal PEEP study is initiated on a pt receiving mechanical ventilation. The RT first places the pt on a PEEP of 10 cm H20 for 20 mins with no adverse effects. The PEEP is increased to 15cm H20 and the pt's HR rises significantly with a severe fall in the BP. Based upon the above info, what should the RT conclude that the pt is suffering from? Answer: Hypovolemia QUESTION A post-op thoracotomy pt is receiving incentive spirometry therapy Q2H. Breath sounds are diminished in the bases of the lungs with scattered crackles. the pt's inspiratory capacity has decreased over the past 2 days. A chest X-ray indicates thin-layered basilar densities. Which of the following has most likely occured? A. Atelectasis B. Pneumonia C. Pulmonary Edema D. Consolidation Answer: A. Atelectasis QUESTION The RT is in charge of transporting a pt with multiple trauma to a regional trauma center in a fixed wing aircraft. Which of the following should the RT be most concerned about during the transport? A. Tissue oxygenation B. Pneumothorax C. Pulmonary embolus D. Humidification of the inspired gas Answer: Tissue oxygenation QUESTION Transcutaneous monitoring of PO2 values will correlate well with ABG PO2 values in which of the following situations? (Pick all that apply) A. Hypotension B. Hypothermia C. Pneumonia Answer: Pneumonia only QUESTION What is the air-to-oxygen ratio for an air entrainment device delivering 60% oxygen? Answer: 1:1 QUESTION Following surgery to correct an abdominal aortic aneurysm, a 54 y/o female pt suddenly develops intense substernal chest pain with severe dyspnea. the pain does not appear to be aggravated by her respiratioins. Auscultation reveals bilateral, basilar, moist, crepitant rales. The pt appears pale, cold and clammy. which of the following should the RT recommend for initial assessment of this pt? A. Serum electrolytes B. Chest X-ray

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NBRCl Examl (Latestl 2026/l 2027l Update)l
100%l Verifiedl Questionsl &l Answersl |l
Gradel A
Q:l Al 2l y/ol childl withl croupl hasl beenl intubatedl forl 4l daysl withl al 4mml IDl
uncuffedl ETT.l Heatedl aerosoll atl anl FiO2l ofl 30%l hasl beenl deliveredl tol thel patient.l
Thel physicianl asksl thel RTl tol evaluatel thel ptl forl possiblel extubation.l Whichl ofl thel
followingl wouldl mostl likelyl indicatel thatl thel ptl isl readyl forl extubation?

A.l Ptl isl makingl normall quietl ventilatoryl efforts
B.l Negativel sputuml culturel andl sensitivityl hasl beenl reported
C.l Pt'sl ABGl arel withinl normall range
D.l Breathl soundsl arel heardl aroundl thel tubel onl auscultation

Answer:
D.l Breathl soundsl arel heardl aroundl thel tubel onl auscultation



Q:l Al ptl isl sennl inthel ERl forl complaintsl ofl nauseal andl vomiting.l Al NGTl hasl beenl
insertedl andl thel ptl isl startedl onl lasix.l Whichl ofl thel followingl shouldl thel RTl monitor?

A.l Cardiacl enzymes
B.l Seruml electrolytes
C.l ABG
D.l Celll hydrationl level

Answer:
B.l Seruml electrolytesl (becausel ofl lossl ofl fluids)



Q:l Whilel instructingl al ptl priorl tol al vitall capacityl maneuver,l thel RTl shouldl directl
thel ptl to:

A.l exhalel tol RVl andl inhalel tol IC
B.l inhalel tol TLCl thenl exhalel tol RV
C.l exhalel normallyl thenl inhalel tol TLC

,D.l inhalel normallyl thenl exhalel tol FRC

Answer:
B.l inhalel tol TLCl thenl exhalel tol RV



Q:l Al 77l y/ol malel patientl isl admittedl tol thel ERl withl shortnessl ofl breath,l finel
basilarl crackles,l +2l pittingl edemal andl al chestl X-rayl withl al butterflyl pattern.l Thesel
resultsl arel mostl consistentl withl whichl ofl thel following?

A.l Pulmonaryl edema
B.l Pulmonaryl interstitiall emphysemal
C.l Pneumothorax
D.l Emphysema

Answer:
A.l Pulmonaryl edemal (andl CHF!)



Q:l Whichl ofl thel formulal willl determinel thel totall flowl beingl deliveredl tol al ptl withl
al 28%l venturil maskl runningl atl 6l L/min?

Answer:
Totall flowl =l 6l xl 11l (flowl factorl forl 28%l =l 10:1l =l 11)



Q:l Al ptl withl end-stagel pulmonaryl fibrosisl isl receivingl O2l atl 2L/minl vial al
transtracheall oxygenl catheter.l Thel ptl experiencesl anl increasedl WOBl andl shortnessl ofl
breath.l Thel RTl shouldl dol what?

Answer:
Flushl thel transtracheall devicel withl isotonicl saline



Q:l Duringl bedsidel monitoringl thel RTl noticesl al dampenedl waveforml onl thel arteriall
linel graphic.l Tol restorel thel graphicl tol normal,l whatl shouldl thel RTl do?

Answer:

,Checkl thel transducerl domel forl airl bubbles



Q:l Anl optimall PEEPl studyl isl initiatedl onl al ptl receivingl mechanicall ventilation.l Thel
RTl firstl placesl thel ptl onl al PEEPl ofl 10l cml H20l forl 20l minsl withl nol adversel effects.l
Thel PEEPl isl increasedl tol 15cml H20l andl thel pt'sl HRl risesl significantlyl withl al severel
falll inl thel BP.l Basedl uponl thel abovel info,l whatl shouldl thel RTl concludel thatl thel ptl isl
sufferingl from?

Answer:
Hypovolemia



Q:l Al post-opl thoracotomyl ptl isl receivingl incentivel spirometryl therapyl Q2H.l Breathl
soundsl arel diminishedl inl thel basesl ofl thel lungsl withl scatteredl crackles.l thel pt'sl
inspiratoryl capacityl hasl decreasedl overl thel pastl 2l days.l Al chestl X-rayl indicatesl thin-
layeredl basilarl densities.l Whichl ofl thel followingl hasl mostl likelyl occured?

A.l Atelectasis
B.l Pneumonia
C.l Pulmonaryl Edema
D.l Consolidation

Answer:
A.l Atelectasis



Q:l Thel RTl isl inl chargel ofl transportingl al ptl withl multiplel traumal tol al regionall
traumal centerl inl al fixedl wingl aircraft.l Whichl ofl thel followingl shouldl thel RTl bel mostl
concernedl aboutl duringl thel transport?

A.l Tissuel oxygenation
B.l Pneumothorax
C.l Pulmonaryl embolus
D.l Humidificationl ofl thel inspiredl gas

Answer:
Tissuel oxygenation

, Q:l Transcutaneousl monitoringl ofl PO2l valuesl willl correlatel welll withl ABGl PO2l
valuesl inl whichl ofl thel followingl situations?l (Pickl alll thatl apply)

A.l Hypotension
B.l Hypothermia
C.l Pneumonia

Answer:
Pneumonial only



Q:l Whatl isl thel air-to-oxygenl ratiol forl anl airl entrainmentl devicel deliveringl 60%l
oxygen?

Answer:
1:1



Q:l Followingl surgeryl tol correctl anl abdominall aorticl aneurysm,l al 54l y/ol femalel ptl
suddenlyl developsl intensel substernall chestl painl withl severel dyspnea.l thel painl doesl notl
appearl tol bel aggravatedl byl herl respiratioins.l Auscultationl revealsl bilateral,l basilar,l
moist,l crepitantl rales.l Thel ptl appearsl pale,l coldl andl clammy.l whichl ofl thel followingl
shouldl thel RTl recommendl forl initiall assessmentl ofl thisl pt?

A.l Seruml electrolytes
B.l Chestl X-ray
C.l Completel bloodl count
D.l Elecrocardiograph

Answer:
D.l Electrocardiograph



Q:l Anl adultl ptl isl intubatedl withl 7.0mml IDl ETT.l Whatl sizel suctionl catheterl shouldl
bel usedl tol suctionl thisl pt?

Answer:

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