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NBRC TMC EXAM-Z, NBRC TMC
EXAM-S|WELL REVISED
QUESTIONS WITH VERIFIED
ANSWERS 2026
A physician suspects a patient has a restrictive pulmonary defect. Which of the
following tests would be most helpful in determining this?
A. Fev1.0
B. Slow vital capacity
C. Forced vital capacity
D. Fev1.0/FVC% - correct-answer - The correct answer is : B
A patient with cystic fibrosis complains of shortness of breath during postural
drainage and percussion treatment after the head of the bed is down for 10
minutes. A bronchogram has revealed consolidation of secretions in the lateral
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basal segment of the left lower lobe. Which way should the respiratory therapist
modify the therapy?
A. Use a pneumatic precursor
B. Reduce the time in Trendelenburg position
C. Switch to IPPB therapy
D. Utilize reverse Trendelenburg position - correct-answer - The correct answer is
:B
While administering an aerosolized bronchodilator with IPPB, the therapist
notices that the pressure manometer has a significant negative deflection with
each breath. The patient appears to be showing signs of fatigue. The respiratory
therapist should
A. increase sensitivity
B. decrease pressure
C. increase inspiratory flow rate
D. increase pressure - correct-answer - The correct answer is : A
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A 62-year-old man admitted to the emergency room with chest pain complains of
shortness of breath after a bronchodilator treatment. Further examination
reveals the patient is diaphoretic. The ECG wave form shows occasional PVCs.
Which of the following would be most helpful in further determining the cause of
the patient's condition?
A. 12-lead ECG
B. cardiac stress test with Adenosine
C. cardiac catheterization with fluoroscopy
D. arterial blood gas analysis - correct-answer - The correct answer is : A
Following abdominal surgery, a patient attempts to perform sustained maximal
inhalation (incentive spirometry) but repeatedly falls asleep during the procedure.
Which of the following ways should the therapist modify the therapy?
A. intubate and begin mechanical ventilation
B. hold therapy until the patient becomes more alert
C. administer Narcan
D. switch to IPPB with face mask - correct-answer - The correct answer is : D
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After two aerosolized Albuterol treatments with a small-volume jet nebulizer, the
patient's breathing sounds changed from diminished to profuse wheezing
bilaterally. The respiratory rate has decreased from 32 to 26. The respiratory
therapist should
A. discontinue current therapy
B. administer 80/20% Heliox gas mixture
C. continue with bronchodilator therapy
D. intubate the patient - correct-answer - The correct answer is : C
The respiratory therapist working in a clinic receives a call from a patient who has
asthma and is only able to achieve 60% of their normal baseline peak flow
measurement. The therapist should advise the patient to
A. check flows again in one hour, call if less than 50%of expected
B. take a rescue medication every 15 minutes for 2 hours, recheck flows
C. call the doctor immediately
D. take a rescue medication, check flows in one hour - correct-answer - The
correct answer is : C
NBRC TMC EXAM-Z, NBRC TMC
EXAM-S|WELL REVISED
QUESTIONS WITH VERIFIED
ANSWERS 2026
A physician suspects a patient has a restrictive pulmonary defect. Which of the
following tests would be most helpful in determining this?
A. Fev1.0
B. Slow vital capacity
C. Forced vital capacity
D. Fev1.0/FVC% - correct-answer - The correct answer is : B
A patient with cystic fibrosis complains of shortness of breath during postural
drainage and percussion treatment after the head of the bed is down for 10
minutes. A bronchogram has revealed consolidation of secretions in the lateral
,2|Page
basal segment of the left lower lobe. Which way should the respiratory therapist
modify the therapy?
A. Use a pneumatic precursor
B. Reduce the time in Trendelenburg position
C. Switch to IPPB therapy
D. Utilize reverse Trendelenburg position - correct-answer - The correct answer is
:B
While administering an aerosolized bronchodilator with IPPB, the therapist
notices that the pressure manometer has a significant negative deflection with
each breath. The patient appears to be showing signs of fatigue. The respiratory
therapist should
A. increase sensitivity
B. decrease pressure
C. increase inspiratory flow rate
D. increase pressure - correct-answer - The correct answer is : A
,3|Page
A 62-year-old man admitted to the emergency room with chest pain complains of
shortness of breath after a bronchodilator treatment. Further examination
reveals the patient is diaphoretic. The ECG wave form shows occasional PVCs.
Which of the following would be most helpful in further determining the cause of
the patient's condition?
A. 12-lead ECG
B. cardiac stress test with Adenosine
C. cardiac catheterization with fluoroscopy
D. arterial blood gas analysis - correct-answer - The correct answer is : A
Following abdominal surgery, a patient attempts to perform sustained maximal
inhalation (incentive spirometry) but repeatedly falls asleep during the procedure.
Which of the following ways should the therapist modify the therapy?
A. intubate and begin mechanical ventilation
B. hold therapy until the patient becomes more alert
C. administer Narcan
D. switch to IPPB with face mask - correct-answer - The correct answer is : D
, 4|Page
After two aerosolized Albuterol treatments with a small-volume jet nebulizer, the
patient's breathing sounds changed from diminished to profuse wheezing
bilaterally. The respiratory rate has decreased from 32 to 26. The respiratory
therapist should
A. discontinue current therapy
B. administer 80/20% Heliox gas mixture
C. continue with bronchodilator therapy
D. intubate the patient - correct-answer - The correct answer is : C
The respiratory therapist working in a clinic receives a call from a patient who has
asthma and is only able to achieve 60% of their normal baseline peak flow
measurement. The therapist should advise the patient to
A. check flows again in one hour, call if less than 50%of expected
B. take a rescue medication every 15 minutes for 2 hours, recheck flows
C. call the doctor immediately
D. take a rescue medication, check flows in one hour - correct-answer - The
correct answer is : C
