NBRC Exam Practice Questions With
Complete Solutions
A 15-year-old male patient who has been diagnosed with asthma
is in need of medication to help prevent future asthma attacks.
All of the following drugs would be helpful EXCEPT:
a. Cromolyn sodium
b. Zafirlukast
c. Epinephrine
d. Zileuton Correct Answers c
A 16-year-old male patient has been admitted to the emergency
department and shows signs of poor body development. Upon
assessment, you also note digital clubbing, hyperresonance to
percussion, and a productive cough. It has also been reported
that the patient has foul-smelling stools. These findings are
consistent in which of the following?
a. Acute respiratory distress syndrome
b. Bronchiectasis
c. Chronic bronchitis
d. Cystic fibrosis Correct Answers d
A 2-year-old girl is showing signs of a severe asthma attack. The
physician has ordered a short-acting bronchodilator medication
that is available in both MDI and SVN doses. Which of the
following delivery methods would you recommend for this
patient?
,a. An SVN using the "blow by" technique
b. An MDI with a holding chamber and mask
c. A small volume nebulizer with a mouthpiece
d. A breath-actuated MDI with a mask Correct Answers c
A 22-year-old female patient has been admitted to the
emergency department with acute bronchospasm. Which of the
following medications would you recommend?
a. Albuterol (Proventil)
b. Racemic epinephrine
c. Cromolyn sodium (lntal)
d. Acetylcysteine (Mucomyst) Correct Answers a
A 23-year-old male patient with a severe head cold is receiving
oxygen via nasal cannula at 4 L/min. The pulse oximeter reveals
an SpO2 of 85%. Which of the following would you
recommend?
a. Increase the oxygen flow until the SpO2 equals or exceeds
90%
b. Decrease the oxygen flow until the patient is more
comfortable
c. Switch to a simple mask
d. Recommend an ABG before considering any changes Correct
Answers c
A 26-year-old female patient was admitted to the emergency
department with signs of status asthmaticus. Which of the
following drugs would you recommend to be administered via
nebulization?
,a. Levalbuterol
b. Montelukast
c. Beclomethasone
d. Magnesium sulfate Correct Answers a
A 33-year-old male patient was admitted after escaping a house
fire. Which of the following would you recommend?
a. Nonrebreathing mask
b. CPAP mask at 8 cmH2O and 50% O2
c. Simple mask at 6 L/min
d. 60% air entrainment mask Correct Answers a
A 39-year-old male patient was admitted to the emergency
department with a fever and SpO2 of 87% on room air. Upon
auscultation, rhonchi is heard, and the patient has a productive
cough. Which of the following would you recommend?
a. Intubate and provide mechanical ventilation with 40% oxygen
b. Provide noninvasive positive pressure ventilation using a full
face mask
c. Implement postural drainage and percussion with directed
coughing
d. Provide oxygen therapy and obtain a sputum sample for
culture and sensitivity Correct Answers d
A 4-year-old child has been admitted to the emergency
department with wheezing and stridor. An AP x-ray shows an
area of prominent subglottic edema, but the lateral neck x-ray
, appears normal. Which of the following is most likely the
problem?
a. Cystic fibrosis
b. Foreign body
c. Epiglottitis
d. Croup Correct Answers d
A 41-year-old female patient is showing signs of wheezing.
Asthma is suspected; however, a diagnosis has not yet been
confirmed. Which of the following tests would you recommend
in order to obtain confirmation?
a. Airway resistance
b. Flow-volume loop
c. Bronchoprovocation study
d. Pre-and-post bronchodilator study Correct Answers c
A 43-year-old female patient in the emergency department was
just orally intubated with an endotracheal tube. Which of the
following would you INITIALLY recommend in order to
confirm that the tube is in the proper position?
a. Auscultate the patient's chest and abdomen
b. Perform a STAT chest x-ray
c. Use capnography to verify exhaled CO2
d. Observe chest wall movement Correct Answers a
A 43-year-old male patient was admitted to the emergency
department with a suspected drug overdose. The patient is
receiving oxygen via nonrebreather but is unconscious and isn't
Complete Solutions
A 15-year-old male patient who has been diagnosed with asthma
is in need of medication to help prevent future asthma attacks.
All of the following drugs would be helpful EXCEPT:
a. Cromolyn sodium
b. Zafirlukast
c. Epinephrine
d. Zileuton Correct Answers c
A 16-year-old male patient has been admitted to the emergency
department and shows signs of poor body development. Upon
assessment, you also note digital clubbing, hyperresonance to
percussion, and a productive cough. It has also been reported
that the patient has foul-smelling stools. These findings are
consistent in which of the following?
a. Acute respiratory distress syndrome
b. Bronchiectasis
c. Chronic bronchitis
d. Cystic fibrosis Correct Answers d
A 2-year-old girl is showing signs of a severe asthma attack. The
physician has ordered a short-acting bronchodilator medication
that is available in both MDI and SVN doses. Which of the
following delivery methods would you recommend for this
patient?
,a. An SVN using the "blow by" technique
b. An MDI with a holding chamber and mask
c. A small volume nebulizer with a mouthpiece
d. A breath-actuated MDI with a mask Correct Answers c
A 22-year-old female patient has been admitted to the
emergency department with acute bronchospasm. Which of the
following medications would you recommend?
a. Albuterol (Proventil)
b. Racemic epinephrine
c. Cromolyn sodium (lntal)
d. Acetylcysteine (Mucomyst) Correct Answers a
A 23-year-old male patient with a severe head cold is receiving
oxygen via nasal cannula at 4 L/min. The pulse oximeter reveals
an SpO2 of 85%. Which of the following would you
recommend?
a. Increase the oxygen flow until the SpO2 equals or exceeds
90%
b. Decrease the oxygen flow until the patient is more
comfortable
c. Switch to a simple mask
d. Recommend an ABG before considering any changes Correct
Answers c
A 26-year-old female patient was admitted to the emergency
department with signs of status asthmaticus. Which of the
following drugs would you recommend to be administered via
nebulization?
,a. Levalbuterol
b. Montelukast
c. Beclomethasone
d. Magnesium sulfate Correct Answers a
A 33-year-old male patient was admitted after escaping a house
fire. Which of the following would you recommend?
a. Nonrebreathing mask
b. CPAP mask at 8 cmH2O and 50% O2
c. Simple mask at 6 L/min
d. 60% air entrainment mask Correct Answers a
A 39-year-old male patient was admitted to the emergency
department with a fever and SpO2 of 87% on room air. Upon
auscultation, rhonchi is heard, and the patient has a productive
cough. Which of the following would you recommend?
a. Intubate and provide mechanical ventilation with 40% oxygen
b. Provide noninvasive positive pressure ventilation using a full
face mask
c. Implement postural drainage and percussion with directed
coughing
d. Provide oxygen therapy and obtain a sputum sample for
culture and sensitivity Correct Answers d
A 4-year-old child has been admitted to the emergency
department with wheezing and stridor. An AP x-ray shows an
area of prominent subglottic edema, but the lateral neck x-ray
, appears normal. Which of the following is most likely the
problem?
a. Cystic fibrosis
b. Foreign body
c. Epiglottitis
d. Croup Correct Answers d
A 41-year-old female patient is showing signs of wheezing.
Asthma is suspected; however, a diagnosis has not yet been
confirmed. Which of the following tests would you recommend
in order to obtain confirmation?
a. Airway resistance
b. Flow-volume loop
c. Bronchoprovocation study
d. Pre-and-post bronchodilator study Correct Answers c
A 43-year-old female patient in the emergency department was
just orally intubated with an endotracheal tube. Which of the
following would you INITIALLY recommend in order to
confirm that the tube is in the proper position?
a. Auscultate the patient's chest and abdomen
b. Perform a STAT chest x-ray
c. Use capnography to verify exhaled CO2
d. Observe chest wall movement Correct Answers a
A 43-year-old male patient was admitted to the emergency
department with a suspected drug overdose. The patient is
receiving oxygen via nonrebreather but is unconscious and isn't
