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TMC Exam 2026 by NBRC – Complete A+ Test Bank with 500+ Practice Questions, Verified Answers & Detailed Respiratory Therapy Rationales

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Ace your Therapist Multiple-Choice (TMC) Exam on the first attempt with this definitive and meticulously updated test bank for the exam cycle. This comprehensive resource is your ultimate study companion, featuring over 500 practice questions that mirror the exact format and difficulty of the official NBRC TMC examination. Covering every critical domain of respiratory care—from patient assessment, oxygen therapy, and airway management to mechanical ventilation (including volume control, pressure control, HFOV, and APRV), pharmacology (bronchodilators, corticosteroids, and mucolytics), ABG interpretation, hemodynamics, and neonatal/pediatric care—this guide leaves no stone unturned. Each question is paired with a verified, 100% correct answer and detailed, easy-to-understand rationales that explain the "why" behind every concept, ensuring you not only memorize facts but truly grasp the material. Whether you are a student in your final year, a graduate therapist preparing for the licensing exam, or a seasoned professional seeking a refresher, this Grade A resource will dramatically reduce your study time, boost your confidence, and secure the high score you need to launch or advance your career in respiratory therapy.

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TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | ALREADY GRADED A+


Change to airway pressure release ventilation -CORRECT ANSWER >>-
A 60 kg (132 lb) patient is being mechanically ventilated with the following s
ettings: VC, A/C; VT 500 mL, respiratory rate 12/min, FIO2 1.0 and 10 cm H
2O PEEP. The patient's peak airway pressure is 60 cm H2O and his SpO2 i
s 85%. A current chest x-
ray shows diffuse bilateral infiltrates. Which of the following is the most appr
opriate action in order to reduce peak airway pressure?



2, 3 & 4 -CORRECT ANSWER >>-
While performing diagnostic chest percussion, the respiratory therapist n
otes decreased resonance to percussion. Which of the following are pote
ntial causes of this finding?.

1. pneumothorax

2. pleural effusion

3. pneumonia

4. atelectasis




Persistent bronchopleural fistula -CORRECT

ANSWER >>-A post- operative patient on volume-
control ventilation has a chest tube in the left pleural space. While inspecti
ng the chest drainage system, the respiratory therapist notes

MEDSTUDY.COM

,TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | ALREADY GRADED A+
bubbling in the water seal chamber during the inspiratory phase. The ther
apist should report this to the physician:




Increase the FiO2 -CORRECT ANSWER >>-A post-
operative patient is receiving mechanical ventilation in the ICU at the followi
ng settings: VC, A/C; VT550 mL, respiratory rate 14/min, FIO2 0.50 and 10
cm H2O PEEP. Bedside monitoring results demonstrate that the PvO2 is 33
mm Hg and the SpO2 is 90%. The patient is alert and oriented with stable v
ital signs. Which of the following should the respiratory therapist recommen
d?



1, 2 & 3 -CORRECT ANSWER >>-
After assisting with bronchoalveolar lavage and lung biopsy on a mechanica
lly ventilated patient, the respiratory therapist notes the activation of a high p
ressure alarm. Peak inspiratory pressure has increased from 32 cm H2O be
fore the procedure to 45 cm H2O after the procedure. Possible causes for th
e increased pressure include

1. bronchospasm

2. pneumothorax.

3. pulmonary hemorrhage.




MEDSTUDY.COM

,TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | ALREADY GRADED A+
Endobronchial intubation -CORRECT ANSWER >>-Following blunt

chest trauma, a 35- year-
old male is orally intubated and continuous mechanical ventilation is initiat
ed. Physical assessment of the neck and chest reveal a midline trachea a
H




nd significant reduction in thoracic expansion of the left chest.
There are diminished breath sounds in the left lung compared to the right l H




ung. These findings most likely indicate which of the following?




Tube is not of the appropriate size -CORRECT ANSWER >>-A 42 year-
old trauma patient in the ED has been intubated with a 6.5 mm oral endotra
cheal tube equipped with a high-residual-volume, low-
pressure cuff. The respiratory therapist notes that a cuff pressure of 42 cm
H2O is necessary to achieve a minimal occluding volume. This would indica
te that the:



Recalibrate the blood analyzer -CORRECT ANSWER >>-
A new blood gas analyzer is calibrated by the manufacturer at sea level. U
pon receiving the new analyzer at a higher altitude, a respiratory therapist
should:



Mean Airway Pressure -CORRECT ANSWER >>-
While receiving an FIO2 of 1.0 and a tidal volume of 400 mL during volume-
controlled ventilation, a 60-kg (132-

MEDSTUDY.COM

, TMC EXAM LATEST 2025-2026 ACTUAL EXAM TEST
BANK QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | ALREADY GRADED A+
lb) patient is having difficulty achieving adequate oxygenation. To improve





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