NBRC TMC Practice Exam #2 Answers
With Rationales| 100% Accurate| A+ Grade
2024-2025
During Nasotracheal Suctioning, A Patient Exhibits A Gag Reflex But Doesn't
Cough. Watery Secretions Are Aspirated Through The Catheter. Which Of The
Following Should The Respiratory Therapist Do Next?
A. Insert An Oropharyngeal Airway And Repeat The Procedure
B. Hyperextend The Patient's Next When Passing The Catheter
C. Ask The Patient To Swallow While Passing The Catheter
D. Increase The Suction Pressure And Repeat The Procedure
Feedback: Aspiration Of Watery Secretions Would Indicate Catheter Position In
Either The Oropharynx Or The Esophagus. Hyperextending The Neck Will Better
Direct The Catheter To The Trachea.
A 24-Year-Old Female Presents With A History Of Nasal Stuffiness, Episodes Of
Daytime Dyspnea, And A Cough That Occurs Every Summer. Which Of The
Following Drug Classifications Should A Respiratory Therapist Recommend To
Control The Patient's Symptoms?
A. Leukotriene Inhibitor
B. Ige Immunoglobulin Antagonist
,C. Beta-Adrenergic Agonist
D. Anticholinergic
Feedback: The Patient Has Allergic Rhinitis And, At Most, Mild Persistent Asthma.
A Leukotriene Inhibitor, Such As Montelukast (Singulair), Are Indicated To Control
Mild Asthma And Allergic Rhinitis.
A Patient With Pulmonary Edema Receives Furosemide (Lasix), Dopamine
(Intropin), And 02. Flattened T-Waves And Occasional PVC's Are Observed On The
Monitor. Which Of The Following Should A Respiratory Therapist Initially
Recommend To Evaluate The Effect Of These Medications?
1. End-Tidal C02
2. Pulse Oximetry
3. Echocardiogram
4. Electrolytes
Choose The Best Answer
A. 1 And 2 Only
B. 1 And 3 Only
C. 2 And 4 Only
D. 3 And 4 Only
Feedback:
,1. False. End-Tidal CO2 Would Not Be Related To Diuresis, Electrolyte Imbalance,
Or Hypoxemia.
2. True. Myocardial Hypoxia May Contribute To Cardiac Arrythmia.
3. False. An Echocardiogram May Document The Heart Failure But Does Not Relate
To The Consequences Of Diuresis.
4. True. Electrolytes Will Help Evaluate Any Changes Associated With Renal
Potassium Loss From The Use Of Furosemide (Lasix).
When Instructing A Patient On The Administration Of Umeclidinium/Vilanterol
(Anoro Ellipta), Which Of The Following Is Most Important To Emphasize?
A. Gargle Immediately After Use
B. Inhale Slowly With A Breath Hold
C. Breathe In Fast And Deep
D. Shake Medication Vigorously Before Use
Feedback: Breathing In Fast And Deep Is The Proper Method Of Administration For
Umeclidinium/Vilanterol (Anoro Ellipta).
Before A Respiratory Therapist Gives A New Patient A Breathing Treatment With
Formoterol (Perforomist), His Vital Signs Are Checked. The Patient's Initial HR Is 85
Bpm, And RR Is 16 Bpm. Halfway Into The Treatment, His Pulse Rate (HR) Is 115
Bpm, And The RR Is 22 Bpm. What Should Be Done?
, A. Continue The Treatment To Completion And Recheck Vital Signs
B. Substitute Olodaterol (Stiverdi Respimat) And Continue The Treatment
C. Stop The Treatment And Monitor The Patient
D. Stop The Treatment And Have The Nurse Give Medication Intravenously
Feedback: It Is Best To Stop The Treatment Because The Patient's Vital Signs Have
Increased By More Than 20%. Inform The Physician Or Nurse Of The Changes In
Vital Signs And Chart The Information.
Because Of Home Care Patient Requires An Increased O2 Flow, The Physician Has
Ordered A Change From An O2 Concentrator To 02 Cylinders. The Patient Should
Be Told The Following To Ensure A Safe Environment:
A. Wipe Off The 02 Outlet With Alcohol Everyday
B. Secure The Cylinder In A Stand Or Chain It To The Wall
C. Lay The Cylinder On Its Side So That It Can't Be Tipped Over
D. Connect The Cylinder And Concentrator To The Patient's 02 Mask
Feedback: Secure The Cylinder In A Stand Or Chain It To The Wall.
With Rationales| 100% Accurate| A+ Grade
2024-2025
During Nasotracheal Suctioning, A Patient Exhibits A Gag Reflex But Doesn't
Cough. Watery Secretions Are Aspirated Through The Catheter. Which Of The
Following Should The Respiratory Therapist Do Next?
A. Insert An Oropharyngeal Airway And Repeat The Procedure
B. Hyperextend The Patient's Next When Passing The Catheter
C. Ask The Patient To Swallow While Passing The Catheter
D. Increase The Suction Pressure And Repeat The Procedure
Feedback: Aspiration Of Watery Secretions Would Indicate Catheter Position In
Either The Oropharynx Or The Esophagus. Hyperextending The Neck Will Better
Direct The Catheter To The Trachea.
A 24-Year-Old Female Presents With A History Of Nasal Stuffiness, Episodes Of
Daytime Dyspnea, And A Cough That Occurs Every Summer. Which Of The
Following Drug Classifications Should A Respiratory Therapist Recommend To
Control The Patient's Symptoms?
A. Leukotriene Inhibitor
B. Ige Immunoglobulin Antagonist
,C. Beta-Adrenergic Agonist
D. Anticholinergic
Feedback: The Patient Has Allergic Rhinitis And, At Most, Mild Persistent Asthma.
A Leukotriene Inhibitor, Such As Montelukast (Singulair), Are Indicated To Control
Mild Asthma And Allergic Rhinitis.
A Patient With Pulmonary Edema Receives Furosemide (Lasix), Dopamine
(Intropin), And 02. Flattened T-Waves And Occasional PVC's Are Observed On The
Monitor. Which Of The Following Should A Respiratory Therapist Initially
Recommend To Evaluate The Effect Of These Medications?
1. End-Tidal C02
2. Pulse Oximetry
3. Echocardiogram
4. Electrolytes
Choose The Best Answer
A. 1 And 2 Only
B. 1 And 3 Only
C. 2 And 4 Only
D. 3 And 4 Only
Feedback:
,1. False. End-Tidal CO2 Would Not Be Related To Diuresis, Electrolyte Imbalance,
Or Hypoxemia.
2. True. Myocardial Hypoxia May Contribute To Cardiac Arrythmia.
3. False. An Echocardiogram May Document The Heart Failure But Does Not Relate
To The Consequences Of Diuresis.
4. True. Electrolytes Will Help Evaluate Any Changes Associated With Renal
Potassium Loss From The Use Of Furosemide (Lasix).
When Instructing A Patient On The Administration Of Umeclidinium/Vilanterol
(Anoro Ellipta), Which Of The Following Is Most Important To Emphasize?
A. Gargle Immediately After Use
B. Inhale Slowly With A Breath Hold
C. Breathe In Fast And Deep
D. Shake Medication Vigorously Before Use
Feedback: Breathing In Fast And Deep Is The Proper Method Of Administration For
Umeclidinium/Vilanterol (Anoro Ellipta).
Before A Respiratory Therapist Gives A New Patient A Breathing Treatment With
Formoterol (Perforomist), His Vital Signs Are Checked. The Patient's Initial HR Is 85
Bpm, And RR Is 16 Bpm. Halfway Into The Treatment, His Pulse Rate (HR) Is 115
Bpm, And The RR Is 22 Bpm. What Should Be Done?
, A. Continue The Treatment To Completion And Recheck Vital Signs
B. Substitute Olodaterol (Stiverdi Respimat) And Continue The Treatment
C. Stop The Treatment And Monitor The Patient
D. Stop The Treatment And Have The Nurse Give Medication Intravenously
Feedback: It Is Best To Stop The Treatment Because The Patient's Vital Signs Have
Increased By More Than 20%. Inform The Physician Or Nurse Of The Changes In
Vital Signs And Chart The Information.
Because Of Home Care Patient Requires An Increased O2 Flow, The Physician Has
Ordered A Change From An O2 Concentrator To 02 Cylinders. The Patient Should
Be Told The Following To Ensure A Safe Environment:
A. Wipe Off The 02 Outlet With Alcohol Everyday
B. Secure The Cylinder In A Stand Or Chain It To The Wall
C. Lay The Cylinder On Its Side So That It Can't Be Tipped Over
D. Connect The Cylinder And Concentrator To The Patient's 02 Mask
Feedback: Secure The Cylinder In A Stand Or Chain It To The Wall.
