TMC NBRC EXAM (ACTUAL EXAM )EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
Norm infant BP - ANSWERS-60/40
Preterm = 50/30
Norm infant weight - ANSWERS-> 3000g (3kg)
*28 wk GA = 1000g
Acrocyanosis - ANSWERS-Bluish extremities
*Not true cyanosis
Signs of infant resp distress - ANSWERS-Grunting, retractions, nasal flaring
,Silverman score - ANSWERS-0-10, assessment of resp distress
*The higher the score, the greater the distress
Dubowitz or Ballard score - ANSWERS-Assessment of GA
*differentiates between preterm infant & one that is small for their GA
New Ballard score - ANSWERS-Modified Ballard score
*estimates GA in very low birth weight infants
*do not choose if infant in severe distress
Pre & post ductal blood gas - ANSWERS-If pre-ductal (R radial artery) PaO2 is
15torr or higher than post-ductal umbillical then there is a PDA with R to L shunt
Increase in PetCO2 = ? - ANSWERS-Decrease in ventilation (ventilatory failure)
Decrease in PetCO2 = ? - ANSWERS-Increase in ventilation or decreased
perfusion (deadspace disease = PE, hypovolemia)
Pysical inspection (IPPA) - ANSWERS-Inspection
Palpation
Percussion
Auscaltation
,Normal urine output - ANSWERS-40mL/hr = 1L/day
Sensible water loss reasons - ANSWERS-urine, vomiting
Insensible water loss - ANSWERS-Lungs, skin
Affects of intake exceeding output - ANSWERS-Weight gain, electrolyte
imbalance, increased hemodynamic pressures, decreased lung cst
Normal CVP (central venous pressure) - ANSWERS-2-6 mmHg
Decreased CVP & indications - ANSWERS-< 2 mmHg = hypovolemia = fluid
therapy
Increased CVP & indications - ANSWERS-> 6 mmHg = diuretics (furosemide aka
Lasix)
Orientation x3 - ANSWERS-Time, Place, Person
Orthopnea is: - ANSWERS-difficulty breathing while lying down (CHF)
Dyspnea grades - ANSWERS-Grade I: unusual exertion
, Grade II: up hills or stairs
Grade III: walking at normal speed
Grade IV: slowly, walking short distance
Grade V: at rest, shaving, dressing, etc.
Proper interviewing techniques - ANSWERS-Open-ended questions
Patient education - ANSWERS-process of influencing the patient's behavior to
effect changes in knowledge, attitudes, & skills needed to maintain & improve
health
Effective education - ANSWERS-begins with an assessment of the patient's &
family's learning needs to determine what learning needs to occur & how the
learning can best occur.
Peripheral edema causes, locations - ANSWERS-CHF, renal failure; arms & ankles
Acites - ANSWERS-accumulation of fluid in the abdomen, generally caused by
liver failure
4 life functions (in order) & assessment for them - ANSWERS-Ventilation - RR,
VT, BS, chest. movement, PaCO2, EtCO2
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
Norm infant BP - ANSWERS-60/40
Preterm = 50/30
Norm infant weight - ANSWERS-> 3000g (3kg)
*28 wk GA = 1000g
Acrocyanosis - ANSWERS-Bluish extremities
*Not true cyanosis
Signs of infant resp distress - ANSWERS-Grunting, retractions, nasal flaring
,Silverman score - ANSWERS-0-10, assessment of resp distress
*The higher the score, the greater the distress
Dubowitz or Ballard score - ANSWERS-Assessment of GA
*differentiates between preterm infant & one that is small for their GA
New Ballard score - ANSWERS-Modified Ballard score
*estimates GA in very low birth weight infants
*do not choose if infant in severe distress
Pre & post ductal blood gas - ANSWERS-If pre-ductal (R radial artery) PaO2 is
15torr or higher than post-ductal umbillical then there is a PDA with R to L shunt
Increase in PetCO2 = ? - ANSWERS-Decrease in ventilation (ventilatory failure)
Decrease in PetCO2 = ? - ANSWERS-Increase in ventilation or decreased
perfusion (deadspace disease = PE, hypovolemia)
Pysical inspection (IPPA) - ANSWERS-Inspection
Palpation
Percussion
Auscaltation
,Normal urine output - ANSWERS-40mL/hr = 1L/day
Sensible water loss reasons - ANSWERS-urine, vomiting
Insensible water loss - ANSWERS-Lungs, skin
Affects of intake exceeding output - ANSWERS-Weight gain, electrolyte
imbalance, increased hemodynamic pressures, decreased lung cst
Normal CVP (central venous pressure) - ANSWERS-2-6 mmHg
Decreased CVP & indications - ANSWERS-< 2 mmHg = hypovolemia = fluid
therapy
Increased CVP & indications - ANSWERS-> 6 mmHg = diuretics (furosemide aka
Lasix)
Orientation x3 - ANSWERS-Time, Place, Person
Orthopnea is: - ANSWERS-difficulty breathing while lying down (CHF)
Dyspnea grades - ANSWERS-Grade I: unusual exertion
, Grade II: up hills or stairs
Grade III: walking at normal speed
Grade IV: slowly, walking short distance
Grade V: at rest, shaving, dressing, etc.
Proper interviewing techniques - ANSWERS-Open-ended questions
Patient education - ANSWERS-process of influencing the patient's behavior to
effect changes in knowledge, attitudes, & skills needed to maintain & improve
health
Effective education - ANSWERS-begins with an assessment of the patient's &
family's learning needs to determine what learning needs to occur & how the
learning can best occur.
Peripheral edema causes, locations - ANSWERS-CHF, renal failure; arms & ankles
Acites - ANSWERS-accumulation of fluid in the abdomen, generally caused by
liver failure
4 life functions (in order) & assessment for them - ANSWERS-Ventilation - RR,
VT, BS, chest. movement, PaCO2, EtCO2
