NBRC TMC Practice Exam UPDATED
Study Guide QUESTIONS AND CORRET
ANSWSER
1. A patient's sputum is purulent, green in appearance, has separated into layers,
and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis - CORRECT ANSWERS D. Bronchiectasis
2. A patient in the ICU complains of light headedness, nausea, and chest pains.
The patient is diaphoretic and has a blood pressure of 90/60mmHg. What should
the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine - CORRECT ANSWERS B. Cardioversion
3. A patient with Guillain-Barre syndrome has a vital capacity of 625mL. An RT
should recommend which of the following be performed FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study - CORRECT ANSWERS A. MIP
,4. Which of the following beside pulmonary function testing results for a patient
with multiple sclerosis most strongly indicates the need for ventilatory
assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg - CORRECT ANSWERS D. Vital capacity
of 5mL/kg
5. A 23-year-old patient is in moderate respiratory distress while receiving
oxygen.
ABG=7.42/ 31/ 38/ 20/ -3/ 71%
How should these results be interpreted? - CORRECT ANSWERS
Chronic Respiratory Alkalosis with severe hypoxemia
6. What is the patient's TLC?
Vital Capacity= 3.6L
FRC= 6.0 L
ERV = 1.0 - CORRECT ANSWERS 8.6
7. A COPD patient becomes hypotensive following a drug overdose. Following
intubation VC A/C ventilation should be initiated with which of the following
oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0 - CORRECT ANSWERS D. 1.0
,8. A patient has been receiving VC ventilation for 24 hours. A respiratory
therapist is called to the bedside because the high pressure alarm is sounding
with each breath. What should the RT do first? - CORRECT ANSWERS
Manually ventilate the patient
9. Just prior to removing the endotracheal tube, a respiratory therapist should do
what? - CORRECT ANSWERS Deflate the cuff
10. While preparing to assist with a chest tube insertion , an RT learns that
pleurodesis will follow. What equipment would the RT provide? - CORRECT
ANSWERS Hemostat and 3-way stopcock
11. What is the formula for dynamic compliance? - CORRECT ANSWERS
VT/ (PIP-PEEP)
12. A 52-year-old patient with newly diagnosed OSA undergoes a CPAP
titration study. With a CPAP of 12cm H2O, the AHI is 3 and the lowest
observed oxygen saturation is 90%. The patient continues to snore, what should
the RT do? - CORRECT ANSWERS Increase the CPAP level
13. What is the target FiO2 range of nasal cannula in a patient with normal
minute ventilation? - CORRECT ANSWERS 0.24-0.40
14. An RT is called to the ED to assist with the intubation of an alert, agitated
patient in respiratory failure. 2 intubation attempts were unsuccessful. In
addition to a neuromuscular blockade, which of the following drugs will best
facilitate intubation?
A. Propranolol HCl (Inderal)
B. Midazolam HCl (Versed)
, C. Amlodipine (Norvasc)
D. Nitroprusside Sodium - CORRECT ANSWERS B. Midazolam HCl
(Versed)
15. A 14 year old male who is 163cm /5ft4in tall and weighs 51kg/112lbs is
brought to the ED for suspected drug overdose. He is intubated receiving VC
AC ventilation.
Mandatory Rate: 14
Tidal Volume: 300mL
Inspiratory Flow: 20L/min
Pressure limit: 50cm H2O
The physician wants the RT to adjust the I:E from 1:1.2 to 1:3
What should the RT increase? - CORRECT ANSWERS The inspiratory
flow
16.A 180-cm (5ft 11in) 75kg (165lb) male had a cardiac arrest and is admitted
to the ICU. The patient is apneic, receiving 100% O2 by a bag valve mask
resuscitator, and has an SpO2 of 94%. Which is the most appropriate ventilator
setting?
1. SIMV/FiO2 1.0/Rate 10/VT 400/PEEP +3
2. SIMV/FiO2 0.40/Rate 12/VT 750/PEEP +5
3. AC/ FiO2 1.0/Rate 12/VT 600/PEEP +5
4. AC/FiO2 0.40/Rate 10/VT 550/PEEP +3 - CORRECT ANSWERS 3.
AC/ FiO2 1.0/Rate 12/VT 600/PEEP +5
17. While instructing a 9-year-old with pneumonia in use of PEP therapy device
a respiratory therapist observes the child is consistently unable to keep the seal
Study Guide QUESTIONS AND CORRET
ANSWSER
1. A patient's sputum is purulent, green in appearance, has separated into layers,
and has a foul odor. What is the most likely cause?
A. Aspiration
B. Tuberculosis
C. Emphysema
D. Bronchiectasis - CORRECT ANSWERS D. Bronchiectasis
2. A patient in the ICU complains of light headedness, nausea, and chest pains.
The patient is diaphoretic and has a blood pressure of 90/60mmHg. What should
the RT recommend?
A. Lidocaine HCl
B. Cardioversion
C. Defibrillation
D. Epinephrine - CORRECT ANSWERS B. Cardioversion
3. A patient with Guillain-Barre syndrome has a vital capacity of 625mL. An RT
should recommend which of the following be performed FIRST?
A. MIP evaluation
B. Edrophonium Chloride (Tensilon) test
C. MVV test
D. EMG and nerve conduction study - CORRECT ANSWERS A. MIP
,4. Which of the following beside pulmonary function testing results for a patient
with multiple sclerosis most strongly indicates the need for ventilatory
assistance?
A. 5% decrease in peak expiratory flow
B. FEV1/FVC 85%
C. MIP of -23cmH2O
D. Vital Capacity of 5 mL/kg - CORRECT ANSWERS D. Vital capacity
of 5mL/kg
5. A 23-year-old patient is in moderate respiratory distress while receiving
oxygen.
ABG=7.42/ 31/ 38/ 20/ -3/ 71%
How should these results be interpreted? - CORRECT ANSWERS
Chronic Respiratory Alkalosis with severe hypoxemia
6. What is the patient's TLC?
Vital Capacity= 3.6L
FRC= 6.0 L
ERV = 1.0 - CORRECT ANSWERS 8.6
7. A COPD patient becomes hypotensive following a drug overdose. Following
intubation VC A/C ventilation should be initiated with which of the following
oxygen concentrations?
A. 0.21
B. 0.50
C. 0.70
D. 1.0 - CORRECT ANSWERS D. 1.0
,8. A patient has been receiving VC ventilation for 24 hours. A respiratory
therapist is called to the bedside because the high pressure alarm is sounding
with each breath. What should the RT do first? - CORRECT ANSWERS
Manually ventilate the patient
9. Just prior to removing the endotracheal tube, a respiratory therapist should do
what? - CORRECT ANSWERS Deflate the cuff
10. While preparing to assist with a chest tube insertion , an RT learns that
pleurodesis will follow. What equipment would the RT provide? - CORRECT
ANSWERS Hemostat and 3-way stopcock
11. What is the formula for dynamic compliance? - CORRECT ANSWERS
VT/ (PIP-PEEP)
12. A 52-year-old patient with newly diagnosed OSA undergoes a CPAP
titration study. With a CPAP of 12cm H2O, the AHI is 3 and the lowest
observed oxygen saturation is 90%. The patient continues to snore, what should
the RT do? - CORRECT ANSWERS Increase the CPAP level
13. What is the target FiO2 range of nasal cannula in a patient with normal
minute ventilation? - CORRECT ANSWERS 0.24-0.40
14. An RT is called to the ED to assist with the intubation of an alert, agitated
patient in respiratory failure. 2 intubation attempts were unsuccessful. In
addition to a neuromuscular blockade, which of the following drugs will best
facilitate intubation?
A. Propranolol HCl (Inderal)
B. Midazolam HCl (Versed)
, C. Amlodipine (Norvasc)
D. Nitroprusside Sodium - CORRECT ANSWERS B. Midazolam HCl
(Versed)
15. A 14 year old male who is 163cm /5ft4in tall and weighs 51kg/112lbs is
brought to the ED for suspected drug overdose. He is intubated receiving VC
AC ventilation.
Mandatory Rate: 14
Tidal Volume: 300mL
Inspiratory Flow: 20L/min
Pressure limit: 50cm H2O
The physician wants the RT to adjust the I:E from 1:1.2 to 1:3
What should the RT increase? - CORRECT ANSWERS The inspiratory
flow
16.A 180-cm (5ft 11in) 75kg (165lb) male had a cardiac arrest and is admitted
to the ICU. The patient is apneic, receiving 100% O2 by a bag valve mask
resuscitator, and has an SpO2 of 94%. Which is the most appropriate ventilator
setting?
1. SIMV/FiO2 1.0/Rate 10/VT 400/PEEP +3
2. SIMV/FiO2 0.40/Rate 12/VT 750/PEEP +5
3. AC/ FiO2 1.0/Rate 12/VT 600/PEEP +5
4. AC/FiO2 0.40/Rate 10/VT 550/PEEP +3 - CORRECT ANSWERS 3.
AC/ FiO2 1.0/Rate 12/VT 600/PEEP +5
17. While instructing a 9-year-old with pneumonia in use of PEP therapy device
a respiratory therapist observes the child is consistently unable to keep the seal
