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EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Equipment, Airway
Management & Infection Control 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: Equipment - O2 Devices, Flowmeters, Ventilator Alarms (Q001-Q050)
• Section II: Airway Management - ET Tube, Trach, Cuff Management (Q051-Q100)
• Section III: Suctioning - Open vs Closed, Complications (Q101-Q130)
• Section IV: Infection Control - Sterilization vs Disinfection Levels (Q131-Q170)
• Section V: Quality Control, Patient Safety & Difficult Airway (Q171-Q210)
• Answer Key Summary
, NBRC TMC Exam - Equipment, Airway
Management & Infection Control Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
overlap with Patient Assessment exam.
[NBRC-TMC-EA-Q001] Q001. Incident 11-2023: P. Jackson at Johns Hopkins Infection Control
Board - aerosol device malfunction - Device B201. During aerosol device malfunction at Johns
Hopkins Infection Control Board in 2023, ventilator shows high pressure alarm at 45 cmH2O,
plateau 22 cmH2O, exhaled Vt 350 mL (set 500). Patient biting tube, coarse crackles, SpO2
89%. What is most likely cause in Equipment - O2 Delivery Devices, Flowmeters and
immediate action?
A. Device recommendation for Equipment - O2 Delivery Devices, Flowmeters - Venturi mask
delivers precise 24-50% FiO2 via entrainment, ideal for COPD CO2 retainers
B. Non-rebreather delivers 60-80% but imprecise
C. Nasal cannula 24-44% approximate, FiO2 varies with breathing pattern
D. Simple mask 35-50% imprecise
Correct: B
Correct: Non-rebreather delivers 60-80% but imprecise. Incident 2023 at Johns Hopkins Infection Control
Board during aerosol device malfunction demonstrates Equipment - O2 Delivery Devices, Flowmeters for
Device B201. A) incorrect - decreased compliance would show increased plateau pressure, not isolated
peak pressure rise. B) correct - Grade III difficult airway requires alternative device: video laryngoscopy,
bougie, LMA, call anesthesia/ENT, prepare for surgical airway if cannot ventilate. C) incorrect - high
pressure and prolonged suction cause mucosal damage, hypoxia, vagal bradycardia. D) incorrect - low-level
insufficient for bronchoscope which contacts bronchial mucosa (semi-critical), requires HLD. Per NBRC
TMC Equipment, Airway, Infection Control content, equipment troubleshooting and patient safety priority.
[NBRC-TMC-EA-Q002] Q002. Incident 22-2026: B. Lewis at UCLA Airway Emergency Response
Team - tracheostomy suctioning procedure - Device C202. At UCLA Airway Emergency
Response Team in 2026, RT attempts ET intubation during tracheostomy suctioning
procedure. Cormack-Lehane Grade III view, unable to visualize cords after 2 attempts, SpO2
dropping to 82%. Which difficult airway step in Airway Management - ET Tube, Tracheostomy
Care is next?
A. Pre-oxygenate 100% 30-60 sec, closed suction system, 100-120 mmHg pressure, <15 sec,
sterile technique, monitor SpO2
B. Open suction with high pressure 200 mmHg, prolonged 30 sec, no pre-oxygenation
C. Routine saline instillation before suctioning to thin secretions
D. Suction q1h scheduled regardless of need
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Equipment, Airway
Management & Infection Control 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: Equipment - O2 Devices, Flowmeters, Ventilator Alarms (Q001-Q050)
• Section II: Airway Management - ET Tube, Trach, Cuff Management (Q051-Q100)
• Section III: Suctioning - Open vs Closed, Complications (Q101-Q130)
• Section IV: Infection Control - Sterilization vs Disinfection Levels (Q131-Q170)
• Section V: Quality Control, Patient Safety & Difficult Airway (Q171-Q210)
• Answer Key Summary
, NBRC TMC Exam - Equipment, Airway
Management & Infection Control Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
overlap with Patient Assessment exam.
[NBRC-TMC-EA-Q001] Q001. Incident 11-2023: P. Jackson at Johns Hopkins Infection Control
Board - aerosol device malfunction - Device B201. During aerosol device malfunction at Johns
Hopkins Infection Control Board in 2023, ventilator shows high pressure alarm at 45 cmH2O,
plateau 22 cmH2O, exhaled Vt 350 mL (set 500). Patient biting tube, coarse crackles, SpO2
89%. What is most likely cause in Equipment - O2 Delivery Devices, Flowmeters and
immediate action?
A. Device recommendation for Equipment - O2 Delivery Devices, Flowmeters - Venturi mask
delivers precise 24-50% FiO2 via entrainment, ideal for COPD CO2 retainers
B. Non-rebreather delivers 60-80% but imprecise
C. Nasal cannula 24-44% approximate, FiO2 varies with breathing pattern
D. Simple mask 35-50% imprecise
Correct: B
Correct: Non-rebreather delivers 60-80% but imprecise. Incident 2023 at Johns Hopkins Infection Control
Board during aerosol device malfunction demonstrates Equipment - O2 Delivery Devices, Flowmeters for
Device B201. A) incorrect - decreased compliance would show increased plateau pressure, not isolated
peak pressure rise. B) correct - Grade III difficult airway requires alternative device: video laryngoscopy,
bougie, LMA, call anesthesia/ENT, prepare for surgical airway if cannot ventilate. C) incorrect - high
pressure and prolonged suction cause mucosal damage, hypoxia, vagal bradycardia. D) incorrect - low-level
insufficient for bronchoscope which contacts bronchial mucosa (semi-critical), requires HLD. Per NBRC
TMC Equipment, Airway, Infection Control content, equipment troubleshooting and patient safety priority.
[NBRC-TMC-EA-Q002] Q002. Incident 22-2026: B. Lewis at UCLA Airway Emergency Response
Team - tracheostomy suctioning procedure - Device C202. At UCLA Airway Emergency
Response Team in 2026, RT attempts ET intubation during tracheostomy suctioning
procedure. Cormack-Lehane Grade III view, unable to visualize cords after 2 attempts, SpO2
dropping to 82%. Which difficult airway step in Airway Management - ET Tube, Tracheostomy
Care is next?
A. Pre-oxygenate 100% 30-60 sec, closed suction system, 100-120 mmHg pressure, <15 sec,
sterile technique, monitor SpO2
B. Open suction with high pressure 200 mmHg, prolonged 30 sec, no pre-oxygenation
C. Routine saline instillation before suctioning to thin secretions
D. Suction q1h scheduled regardless of need
