, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Therapeutic
Procedures & Bronchial Hygiene Mastery
Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Oxygen Therapy - Devices, Titration, COPD CO2 Retainers (Q001-Q050)
• Section II: Bronchial Hygiene - CPT, Postural Drainage, ACBT, PEP, Flutter (Q051-Q100)
• Section III: Aerosol Therapy - SVN, MDI, DPI Technique & Education (Q101-Q140)
• Section IV: Incentive Spirometry, Lung Expansion & Airway Clearance (Q141-Q175)
• Section V: Pharmacology, Indications, Contraindications & Monitoring (Q176-Q210)
• Answer Key Summary
, NBRC TMC Exam - Therapeutic
Procedures & Bronchial Hygiene Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
overlap with previous exams.
[NBRC-TMC-TH-Q001] Q001. Case 9-2023: R. Harris at Johns Hopkins Aerosol Research Lab -
aerosol bronchodilator administration - Order B301. A COPD patient with PaO2 52 mmHg on
RA, PaCO2 58, on 2L NC with SpO2 89%. Needs increased O2 but at risk of CO2 retention.
Which O2 titration strategy in Oxygen Therapy - Devices, Titration, Hazards balances
oxygenation and hypoxic drive?
A. Titrate O2 to SpO2 88-92% for chronic CO2 retainer COPD, Venturi mask 24-28% precise,
monitor ABG, avoid over-oxygenation suppressing hypoxic drive
B. Increase O2 to 100% non-rebreather to achieve SpO2 100% regardless of CO2 retention risk
C. Withhold O2 to maintain hypoxic drive
D. Use nasal cannula 6L for all COPD patients
Correct: D
Correct: Use nasal cannula 6L for all COPD patients. Case 2023 at Johns Hopkins Aerosol Research Lab
during aerosol bronchodilator administration illustrates Oxygen Therapy - Devices, Titration, Hazards for
Order B301. A) incorrect - 100% O2 in chronic retainer risks worsening hypercapnia and acidosis via
Haldane effect and suppressing drive. B) incorrect - CPT not universally contraindicated but modified with
increased ICP and hemoptysis avoiding Trendelenburg and percussion over bleeding area. C) incorrect -
deep breathing is effective for atelectasis prevention post-op, should not withhold due to pain, use splinting
and analgesia. D) correct - correct MDI technique critical for lung deposition ~20%, spacer reduces
oropharyngeal deposition and coordination need, slow inspiration and breath hold improve distribution. Per
NBRC TMC therapeutic procedures domain, indication, contraindication, hazards, monitoring and patient
education are tested.
[NBRC-TMC-TH-Q002] Q002. Case 18-2026: C. Martinez at UCLA CPT & Postural Drainage
Group - asthma MDI education - Order C302. During asthma MDI education at UCLA CPT &
Postural Drainage Group (2026), CF patient with thick tenacious secretions, FEV1 48%
predicted, daily productive cough. Which airway clearance technique in Bronchial Hygiene -
CPT, Postural Drainage, ACBT is most effective for this patient?
A. PEP therapy, Flutter valve, high-frequency chest wall oscillation vest, ACBT cycle -
evidence-based for CF, bronchiectasis, thick secretions
B. CPT contraindicated in all patients with secretions
C. Postural drainage with Trendelenburg for all patients including increased ICP
D. Incentive spirometry for secretion clearance primary
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Therapeutic
Procedures & Bronchial Hygiene Mastery
Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Oxygen Therapy - Devices, Titration, COPD CO2 Retainers (Q001-Q050)
• Section II: Bronchial Hygiene - CPT, Postural Drainage, ACBT, PEP, Flutter (Q051-Q100)
• Section III: Aerosol Therapy - SVN, MDI, DPI Technique & Education (Q101-Q140)
• Section IV: Incentive Spirometry, Lung Expansion & Airway Clearance (Q141-Q175)
• Section V: Pharmacology, Indications, Contraindications & Monitoring (Q176-Q210)
• Answer Key Summary
, NBRC TMC Exam - Therapeutic
Procedures & Bronchial Hygiene Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
overlap with previous exams.
[NBRC-TMC-TH-Q001] Q001. Case 9-2023: R. Harris at Johns Hopkins Aerosol Research Lab -
aerosol bronchodilator administration - Order B301. A COPD patient with PaO2 52 mmHg on
RA, PaCO2 58, on 2L NC with SpO2 89%. Needs increased O2 but at risk of CO2 retention.
Which O2 titration strategy in Oxygen Therapy - Devices, Titration, Hazards balances
oxygenation and hypoxic drive?
A. Titrate O2 to SpO2 88-92% for chronic CO2 retainer COPD, Venturi mask 24-28% precise,
monitor ABG, avoid over-oxygenation suppressing hypoxic drive
B. Increase O2 to 100% non-rebreather to achieve SpO2 100% regardless of CO2 retention risk
C. Withhold O2 to maintain hypoxic drive
D. Use nasal cannula 6L for all COPD patients
Correct: D
Correct: Use nasal cannula 6L for all COPD patients. Case 2023 at Johns Hopkins Aerosol Research Lab
during aerosol bronchodilator administration illustrates Oxygen Therapy - Devices, Titration, Hazards for
Order B301. A) incorrect - 100% O2 in chronic retainer risks worsening hypercapnia and acidosis via
Haldane effect and suppressing drive. B) incorrect - CPT not universally contraindicated but modified with
increased ICP and hemoptysis avoiding Trendelenburg and percussion over bleeding area. C) incorrect -
deep breathing is effective for atelectasis prevention post-op, should not withhold due to pain, use splinting
and analgesia. D) correct - correct MDI technique critical for lung deposition ~20%, spacer reduces
oropharyngeal deposition and coordination need, slow inspiration and breath hold improve distribution. Per
NBRC TMC therapeutic procedures domain, indication, contraindication, hazards, monitoring and patient
education are tested.
[NBRC-TMC-TH-Q002] Q002. Case 18-2026: C. Martinez at UCLA CPT & Postural Drainage
Group - asthma MDI education - Order C302. During asthma MDI education at UCLA CPT &
Postural Drainage Group (2026), CF patient with thick tenacious secretions, FEV1 48%
predicted, daily productive cough. Which airway clearance technique in Bronchial Hygiene -
CPT, Postural Drainage, ACBT is most effective for this patient?
A. PEP therapy, Flutter valve, high-frequency chest wall oscillation vest, ACBT cycle -
evidence-based for CF, bronchiectasis, thick secretions
B. CPT contraindicated in all patients with secretions
C. Postural drainage with Trendelenburg for all patients including increased ICP
D. Incentive spirometry for secretion clearance primary
