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TMC Practice Exam B 2026 – Complete Questions & Verified Answers | Latest Update | Already Graded A+ | Study Guide

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Pass the Therapist Multiple Choice (TMC) Exam with confidence using this comprehensive 2026 Practice Exam B study guide. This resource features complete exam questions accompanied by detailed, verified answers covering all essential respiratory therapy topics including patient assessment, equipment setup and management, therapeutic procedures, critical care, mechanical ventilation, pharmacology, airway management, and clinical decision-making. Designed for respiratory therapy students, recent graduates, and candidates preparing for the National Board for Respiratory Care (NBRC) TMC examination, this guide provides accurate, up-to-date content aligned with the latest 2026 exam blueprint. Each answer includes clear rationales to reinforce key concepts and strengthen clinical judgment. Already graded A+, this practice exam is your essential tool for mastering the TMC and achieving success on your first attempt.

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Page | 1


TMC Practice Exam B (2026) Exam
Questions & Answers | Latest
Already Graded A+ UPDATE
|2026!! Study Guide Exam


After a patient undergoes a thoracentesis, the respiratory
therapist notes that the obtained pleural fluid is clear with a slight
straw color. This fluid is most likely the result of


A. empyema.
B. congestive heart failure.
C. lung carcinoma.
D. hemothorax. - ............ SOLUTION✔✔✔..........B.


Which of the following would be most important to evaluate for a
patient who is entering a smoking cessation program?




A. Height
B. Smoking history
C. Weight

, Page | 2


D. Diet - ............ SOLUTION✔✔✔..........B.


The respiratory therapist is calibrating a spirometer and checking
the volume with a 3.0 liter super syringe. The volumes recorded
are: 2.85 L, 2.8 L, and 2.8 L. Based upon the information obtained
which of the following is a correct statement?




A. Another syringe needs to be used
B. Spirometer is accurate
C. The plunger was advanced too slowly
D. Spirometer may have a leak - ............
SOLUTION✔✔✔..........D.


Which of the following is an indication for high frequency jet
ventilation?


A. Bronchopleural fistula
B. Wilson Mikity syndrome
C. Necrotizing lesion of right lung
D. Centrilobular emphysema - ............
SOLUTION✔✔✔..........A.

, Page | 3

A 43-year-old female patient has just undergone a total
abdominal hysterectomy. The patient arrives in the post
anesthesia care unit obtunded with minimal response to painful
stimulus. What treatment should the respiratory therapist
recommend for this patient?


A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography - ............
SOLUTION✔✔✔..........B.


A 44 week gestational age infant has just been delivered via C-
section and is gasping, grunting, and has tachycardia and
tachypnea. At one minute his Apgar score is 4 and at 5 minutes
the score is 5. The infant is most likely suffering from


A. transient tachypnea of the newborn.
B. meconium aspiration.
C. bronchopulmonary dysplasia.
D. apnea of prematurity. - ............ SOLUTION✔✔✔..........B


What is the normal VD/VT ratio for a patient breathing room air?


A. 5 - 15%

, Page | 4

B. 20 - 40%
C. 45 - 55%
D. 65 - 75% - ............ SOLUTION✔✔✔..........B.


A heat moisture exchanger is indicated for humidification in
which of the following situations?


A. Mechanical ventilation in a long-term care facility.
B. Transport to a tertiary care center.
C. Patient with tenacious secretions.
D. Delivery of aerosolized bronchodilators. - ............
SOLUTION✔✔✔..........B.


All of the following could cause a patient's right-hemidiaphragm
to be elevated, EXCEPT




A. right lower lobe atelectasis.
B. right side hyperlucency, absent vascular markings.
C. hepatomegaly.
D. right lower lobe consolidation with air bronchograms. - ............
SOLUTION✔✔✔..........B.

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