TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
TMC NBRC ACTUAL PRACTICE EXAM AND
STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2025 ACTUAL EXAM COMPLETE 550
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
Which of the following would be the most effective, appropriate method for resolving
atelectasis in a spontaneously breathing, post operative patient who is under the influence of
sedation and will not respond to verbal stimuli?
A. IPPB
B. sustained maximal inhalation (incentive spirometer)
C. deep breathing coaching
D. intubation and mechanical ventilation
A+ TEST BANK 1
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
A.
A postoperative patient under sedation, and possibly in pain, may be tempted to breathe less,
causing respiratory acidosis and atelectasis. To correct this problem, IPPB therapy is most
appropriate. Incentive spirometry would also help but the patient is unable to respond to
verbal stimuli. This alone is an indication for IPPB therapy.
After performing minimum occluding volume technique with a 65-kg (143-lb) patient who is
orally intubated with a 7.0-mm ET tube, the respiratory therapist should NEXT
A. check ET tube cuff pressure
B. perform tracheal palpation
C. order a chest radiograph
D. document ET tube markings at the lips
A.
The ET tube cuff pressure may be adjusted correctly by several techniques including minimum
leak technique (also called minimum occluding volume, minimal seal technique, and the use
of a pressure manometer called a cuffalator. If minimum seal or minimal leak technique is
used, the respiratory therapist is still required to monitor the pressure after the technique is
performed. Although this is often not done in real life, it is technically part of the procedure.
The respiratory therapist observes an ECG wave form on a patient that is consistent with atrial
tachycardia. The patient is complaining of chest pain, dizziness, and nausea. The respiratory
therapist should recommend
A. unsynchronized defibrillation
B. Atropine sulfate
C. epinephrine
D. cardioversion
D.
Non-deadly arrhythmias, such as this one, may be addressed through cardioversion.
A+ TEST BANK 2
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
Cardioversion is a form of defibrillation with low wattage and with the synchronization set to
"active". This allows the shock to be synchronized to the R wave.
A 38-year-old male presents in the emergency department (ED) complaining of frequent
vomiting. The following laboratory data is available: Arterial blood gases
pH 7.55 PaCO2 42 torrPaO2 85 torrHCO3- 31 mEq/LBE +7 mEq/LFIO2 0.21K+ 3.0 mEq/LCl- 95
mEq/LNa+ 135 mEq/L
Which of the following should the respiratory therapist recommend?
A. administer NaCL
B. administer NaHCO3-
C. administer KCL
D. administer volume-expanding fluids
C.
This patient has a CO2 of 42 mmHg, which suggests adequate ventilation. However, the high
pH is associated with alkalosis. Because the CO2 is normal, the cause of the alkalosis must be
metabolic in nature. One treatment for metabolic alkalosis is to administer potassium chloride
or KCl.
A patient is receiving volume-controlled ventilation following bariatric surgery for obesity.
Which of the following medications should the respiratory therapist recommend to ensure
the patient's comfort and assist in ventilator management?
A. Pronestyl
B. morphine sulfate
C. vecuronium bromide (Norcuron)
D. Mestinon
B.
Morphine sulfate is one of the best medications to administer to patients receiving
A+ TEST BANK 3
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
mechanical ventilatory support to help the patient rest pain-free and to generally sedate and
relax the patient.
A patient has idiopathic pneumonia with consolidation in the right lower lobe. The physician
suspects a bacterial infection. Which of the following will provide conclusive data to rule out
the physician's suspicions?
A. WBC
B. color of sputum
C. sputum acid-fast stain
D. oral temperature
A.
A bacterial infection is diagnosed primarily by examining the white blood cell count, also
called the leukocyte count. An elevated temperature and yellow sputum indicate the
possibility of an infection but are not confirming in nature.
After making the universal sign of choking, a person collapses. The observer should FIRST
A. check for a pulse
B. call for help
C. perform abdominal thrusts
D. administer 2 rescue breaths
C.
When a person indicates the universal sign of choking, they are unable to verbalize because
there is likely something caught in their airway. The person responding must first focus on
removing the obstruction, which is done by performing abdominal thrusts. Administering
rescue breaths would not be appropriate because the airway is obstructed. Calling for help is
tempting but is only related to two-man CPR. The patient is not yet at that point. Performing
A+ TEST BANK 4
AND STUDYGUIDE
TMC NBRC ACTUAL PRACTICE EXAM AND
STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2025 ACTUAL EXAM COMPLETE 550
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
Which of the following would be the most effective, appropriate method for resolving
atelectasis in a spontaneously breathing, post operative patient who is under the influence of
sedation and will not respond to verbal stimuli?
A. IPPB
B. sustained maximal inhalation (incentive spirometer)
C. deep breathing coaching
D. intubation and mechanical ventilation
A+ TEST BANK 1
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
A.
A postoperative patient under sedation, and possibly in pain, may be tempted to breathe less,
causing respiratory acidosis and atelectasis. To correct this problem, IPPB therapy is most
appropriate. Incentive spirometry would also help but the patient is unable to respond to
verbal stimuli. This alone is an indication for IPPB therapy.
After performing minimum occluding volume technique with a 65-kg (143-lb) patient who is
orally intubated with a 7.0-mm ET tube, the respiratory therapist should NEXT
A. check ET tube cuff pressure
B. perform tracheal palpation
C. order a chest radiograph
D. document ET tube markings at the lips
A.
The ET tube cuff pressure may be adjusted correctly by several techniques including minimum
leak technique (also called minimum occluding volume, minimal seal technique, and the use
of a pressure manometer called a cuffalator. If minimum seal or minimal leak technique is
used, the respiratory therapist is still required to monitor the pressure after the technique is
performed. Although this is often not done in real life, it is technically part of the procedure.
The respiratory therapist observes an ECG wave form on a patient that is consistent with atrial
tachycardia. The patient is complaining of chest pain, dizziness, and nausea. The respiratory
therapist should recommend
A. unsynchronized defibrillation
B. Atropine sulfate
C. epinephrine
D. cardioversion
D.
Non-deadly arrhythmias, such as this one, may be addressed through cardioversion.
A+ TEST BANK 2
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
Cardioversion is a form of defibrillation with low wattage and with the synchronization set to
"active". This allows the shock to be synchronized to the R wave.
A 38-year-old male presents in the emergency department (ED) complaining of frequent
vomiting. The following laboratory data is available: Arterial blood gases
pH 7.55 PaCO2 42 torrPaO2 85 torrHCO3- 31 mEq/LBE +7 mEq/LFIO2 0.21K+ 3.0 mEq/LCl- 95
mEq/LNa+ 135 mEq/L
Which of the following should the respiratory therapist recommend?
A. administer NaCL
B. administer NaHCO3-
C. administer KCL
D. administer volume-expanding fluids
C.
This patient has a CO2 of 42 mmHg, which suggests adequate ventilation. However, the high
pH is associated with alkalosis. Because the CO2 is normal, the cause of the alkalosis must be
metabolic in nature. One treatment for metabolic alkalosis is to administer potassium chloride
or KCl.
A patient is receiving volume-controlled ventilation following bariatric surgery for obesity.
Which of the following medications should the respiratory therapist recommend to ensure
the patient's comfort and assist in ventilator management?
A. Pronestyl
B. morphine sulfate
C. vecuronium bromide (Norcuron)
D. Mestinon
B.
Morphine sulfate is one of the best medications to administer to patients receiving
A+ TEST BANK 3
, TMC NBRC ACTUAL EXAM, PRACTICE EXAM
AND STUDYGUIDE
mechanical ventilatory support to help the patient rest pain-free and to generally sedate and
relax the patient.
A patient has idiopathic pneumonia with consolidation in the right lower lobe. The physician
suspects a bacterial infection. Which of the following will provide conclusive data to rule out
the physician's suspicions?
A. WBC
B. color of sputum
C. sputum acid-fast stain
D. oral temperature
A.
A bacterial infection is diagnosed primarily by examining the white blood cell count, also
called the leukocyte count. An elevated temperature and yellow sputum indicate the
possibility of an infection but are not confirming in nature.
After making the universal sign of choking, a person collapses. The observer should FIRST
A. check for a pulse
B. call for help
C. perform abdominal thrusts
D. administer 2 rescue breaths
C.
When a person indicates the universal sign of choking, they are unable to verbalize because
there is likely something caught in their airway. The person responding must first focus on
removing the obstruction, which is done by performing abdominal thrusts. Administering
rescue breaths would not be appropriate because the airway is obstructed. Calling for help is
tempting but is only related to two-man CPR. The patient is not yet at that point. Performing
A+ TEST BANK 4
