1|Page
TMC NBRC ACTUAL EXAM, PRACTICE EXAM AND STUDYGUIDE
(ALL IN ONE DOCUMENT) NEWEST 2025 ACTUAL EXAM COMPLETE
450 QUESTIONS AND CORRECT ANSWERS with detailed RATIONALES
GRADE A+ ACE YOUR TEST
After attempting to treat a patient's gram-positive bacteria infection with amoxicillin with
very little efficacy, the culture and sensitivity report from microbiology shows the patient is
penicillin-resistant. Which of the following agents is most likely to be more helpful in
eradicating the patient's bacterial infection?
A. Vancomycin
B. Cephalexin
C. Penicillin
D. Oxacillin - ANS :D.
Nafcillin, oxacillin, and methicillin are special "cillin" class antimicrobials that are more
effective when the patient is penicillin-resistant
Which of the following agents would be most helpful at controlling a gram-positive bacterial
infection in a patient who is allergic to penicillin?
A. Gentamycin
B. Cephalexin (Keflex)
C. Methicillin
D. Carbenicillin - ANS :B.
A 65-year-old patient with COPD and a significant, current, pulmonary infection has been
receiving antibiotic therapy with several different types of antibiotics, including amoxicillin,
carbenicillin, and methicillin with no effect or reduction in bacteria level. Which of the
following should the adult care specialist recommend?
,2|Page
A. Nystatin B
B. Levofloxacin (Levaquin)
C. Penicillin
D. Prostacyclin - ANS :B.
Levofloxacin is especially helpful for stubborn pulmonary infections and is appropriately
aggressive for a patient with COPD
A patient who reports engaging in same-sex sexual relationships is positive for pneumocystis
carinnii pneumonia. Which of the following agents would be most helpful in combating the
patient's pneumonia?
A. Nebulized Pentamadine (Nebupent)
B. Aerosolized Atropine (Sch 1000)
C. Inhaled tobramycin (TOBI)
D. Bronchoalveolar lavage with normal saline - ANS :A.
For which of the following medical conditions should the respiratory therapist consider using
an anticoagulant agent such as Lovenox?
A. A bleed in the large mainstem bronchus
B. CHF
C. Hemorrhagic stroke
D. Sepsis - ANS :B.
In CHF, the work of the heart should be decreased as much as possible by thinning the
blood.
,3|Page
During a full cardiopulmonary arrest, which of the following medications would be most
commonly used to increase systemic blood pressure?
A. Ipratropium bromide
B. Vasopressin
C. Azithromycin
D. Nitroprusside - ANS :B.
A patient is considered to be status asthmaticus after a lack of response to several
bronchodilator treatments. Which medication could be helpful?
A. Nitroglycerin
B. Keflex
C. Isoproterenol
D. Beclovent - ANS :C.
Which of the following medications is both a vasoconstrictor and an agent that increases the
strength of cardiac contraction (positive inotropic)?
A. Phenylephrine (neo-synephrine)
B. Atropine
C. Nitroprusside (Nipride)
D. Dobutamine (Dobutrex) - ANS :D.
The administration of vasoconstrictor medication would most likely result in:
A. Hypotension
, 4|Page
B. Decreased PVR
C. Increased SVR
D. Cardiac vessel dilation - ANS :C.
A patient with angina and suspected pulmonary hypertension should receive which of the
following medications that will also promote a decrease in SVR?
A. Rocuronium (Zemuron)
B. Sublingual nitroglycerin
C. Dobutamine (Dobutrex)
D. Fentanyl (Sublimaze) - ANS :B.
BID is a common frequency order for which of the following respiratory medications?
A. Albuterol
B. Flovent
C. Ativan
D. Xopenex - ANS :B.
Flovent (fluticasone) is a corticosteroid used generally to prevent and relieve inflammation of
airway walls. Inflammation is one of the components of asthma so corticosteroids are key in
treatment. The frequency is twice per day or b.i.d. Flovent may cause Candidiasis, (oral
yeast infection), which may be prevented by judiciously rinsing the mouth after inhaler use.
A high frequency jet ventilator system includes which of the following items?
A. Clark electrode
B. flow interrupter
C. nitrogen analyzer
D. pop-off spring valve - ANS :B.
TMC NBRC ACTUAL EXAM, PRACTICE EXAM AND STUDYGUIDE
(ALL IN ONE DOCUMENT) NEWEST 2025 ACTUAL EXAM COMPLETE
450 QUESTIONS AND CORRECT ANSWERS with detailed RATIONALES
GRADE A+ ACE YOUR TEST
After attempting to treat a patient's gram-positive bacteria infection with amoxicillin with
very little efficacy, the culture and sensitivity report from microbiology shows the patient is
penicillin-resistant. Which of the following agents is most likely to be more helpful in
eradicating the patient's bacterial infection?
A. Vancomycin
B. Cephalexin
C. Penicillin
D. Oxacillin - ANS :D.
Nafcillin, oxacillin, and methicillin are special "cillin" class antimicrobials that are more
effective when the patient is penicillin-resistant
Which of the following agents would be most helpful at controlling a gram-positive bacterial
infection in a patient who is allergic to penicillin?
A. Gentamycin
B. Cephalexin (Keflex)
C. Methicillin
D. Carbenicillin - ANS :B.
A 65-year-old patient with COPD and a significant, current, pulmonary infection has been
receiving antibiotic therapy with several different types of antibiotics, including amoxicillin,
carbenicillin, and methicillin with no effect or reduction in bacteria level. Which of the
following should the adult care specialist recommend?
,2|Page
A. Nystatin B
B. Levofloxacin (Levaquin)
C. Penicillin
D. Prostacyclin - ANS :B.
Levofloxacin is especially helpful for stubborn pulmonary infections and is appropriately
aggressive for a patient with COPD
A patient who reports engaging in same-sex sexual relationships is positive for pneumocystis
carinnii pneumonia. Which of the following agents would be most helpful in combating the
patient's pneumonia?
A. Nebulized Pentamadine (Nebupent)
B. Aerosolized Atropine (Sch 1000)
C. Inhaled tobramycin (TOBI)
D. Bronchoalveolar lavage with normal saline - ANS :A.
For which of the following medical conditions should the respiratory therapist consider using
an anticoagulant agent such as Lovenox?
A. A bleed in the large mainstem bronchus
B. CHF
C. Hemorrhagic stroke
D. Sepsis - ANS :B.
In CHF, the work of the heart should be decreased as much as possible by thinning the
blood.
,3|Page
During a full cardiopulmonary arrest, which of the following medications would be most
commonly used to increase systemic blood pressure?
A. Ipratropium bromide
B. Vasopressin
C. Azithromycin
D. Nitroprusside - ANS :B.
A patient is considered to be status asthmaticus after a lack of response to several
bronchodilator treatments. Which medication could be helpful?
A. Nitroglycerin
B. Keflex
C. Isoproterenol
D. Beclovent - ANS :C.
Which of the following medications is both a vasoconstrictor and an agent that increases the
strength of cardiac contraction (positive inotropic)?
A. Phenylephrine (neo-synephrine)
B. Atropine
C. Nitroprusside (Nipride)
D. Dobutamine (Dobutrex) - ANS :D.
The administration of vasoconstrictor medication would most likely result in:
A. Hypotension
, 4|Page
B. Decreased PVR
C. Increased SVR
D. Cardiac vessel dilation - ANS :C.
A patient with angina and suspected pulmonary hypertension should receive which of the
following medications that will also promote a decrease in SVR?
A. Rocuronium (Zemuron)
B. Sublingual nitroglycerin
C. Dobutamine (Dobutrex)
D. Fentanyl (Sublimaze) - ANS :B.
BID is a common frequency order for which of the following respiratory medications?
A. Albuterol
B. Flovent
C. Ativan
D. Xopenex - ANS :B.
Flovent (fluticasone) is a corticosteroid used generally to prevent and relieve inflammation of
airway walls. Inflammation is one of the components of asthma so corticosteroids are key in
treatment. The frequency is twice per day or b.i.d. Flovent may cause Candidiasis, (oral
yeast infection), which may be prevented by judiciously rinsing the mouth after inhaler use.
A high frequency jet ventilator system includes which of the following items?
A. Clark electrode
B. flow interrupter
C. nitrogen analyzer
D. pop-off spring valve - ANS :B.
