NBRC EXAM, Part I Questions With
Verified Answers
PATIENT fASSESSMENT:
All fthe ffollowing fcould fcause fcapnography fto fgo ffrom f3 f6 fto f30 fEXCEPT:
A. fEndotracheal ftube fpositioned fin fthe fright fmainstream fbronchus
B. fHyperventilation
C. fpulmonary femboli
D. fHypovolemia f- fAnswer f- fEndotracheal ftube fpositioned fin fright fmainstem fbronchus fis fa fproblem fbut
fthe fco2 freading fwould fnot fchange, fso f
ANSWER fis fA.
What fis fthe ftarget fVt ffor findividual fon fmechanical fventilation f- fAnswer f- f6-8 fml/kg f(of fideal fbody
fweight) fThis fis fnew fstrategy fas fof fJanuary f2015
Is fthe ffollowing fStatic fOR fDynamic fCompliance:
Means fflow fthroughout fthe frespiratory fsystem fhas fstopped fand fall fventilatory fmuscle factivity fis fabsent.
f_______ fconditions fcan fbe fimposed fwith fan finspiratory fpause fwhen fa fpatient fis fsedated fand
fmechanically fventilated. f- fAnswer f- fStatic fCompliance
Is fthe ffollowing fStatic fOR fDynamic fCompliance:
Flow fat fairway fopening fis fzero. fMechanics fare fevaluated funder f______ fconditions, fwhen fnon-intubated
fpatient fbreathes fspontaneously. f- fAnswer f- fDynamic fCompliance
A fballoon ftipped fflow fdirected fcatheter fis fpositioned fin fthe fpulmonary fartery fwith fthe fballoon fdeflated.
fWhich fof fthe ffollowing fpressures fwill fbe fmeasured fby fthe fproximal flumen:
a. fCvp
b. fPap
c. fPwp
d. fMap f- fAnswer f- fANSWER fis fA. fCvp f= fdeflated/proximal flumen
,Pap f= fdeflated/distal
Pwp f= finflated/wedged
All fof fthe ffollowing fwill faffect fthe faccuracy fof fa fcapnography fEXCEPT
a. fLong fsampling fline
b. fLow fsampling fflow
c. fCondensation fin fthe ftubing
d. fUse fof fdesiccant f- fAnswer f- fGas fwill fpass fthrough fand fout fof fa flong fsampling fline fbefore freaching
fanalyzer fso, flow fsampling fflow fwill fnot fgive fyou fenough finformation ffor fa fgood freading, fand
fcondensation fas fa frule fis falways fa fproblem fespecially fin fanalyzers. fDessicant fremoves fmoisture ffrom
fthe fgas, fwhich fis fa fgood fthing, fso f
ANSWER fis fD
A f1000 fg fneonate f(normal fbaby fis f3000 fg) fis fstable fin fnicu. fWhich fof fthe ffollowing fshould fthe
frespiratory ftherapist fuse fto fmonitor fthe fneonates foverall fcardiopulmonary fstatus.
a. fTcPCO2 fand fTcPO2 fmonitor
b. fArterial fblood fgas fanalysis fQ4
c. fSpO2 fmonitor
d. fCapillary fgas fanalysis fQ8 f- fAnswer f- fSince fthe fbaby fis fstable, fgo fless finvasive, falso fgo fcontinuous
fmonitoring f(not f4 fhour for f8 fhour), fTranscutaneous f(Tc) fcontinuous fmonitoring fof fCO2 fand fO2 fis fthe
fbest. fAnswer fis fA
A funilateral fwheeze fwould fmost flikely findicate fwhich fof fthe ffollowing.
a. fAsthma
b. fAtelectasis
c. fForeign fbody faspiration
d. fEpiglottitis f- fAnswer f- fYou fwouldn't fhave fasthma fon fjust fone fside f(unilateral), fatelectasis fwould fcause
fdiminished fbreath fsounds, fwith fepiglottitis fyou fwould fget fstridor, fsince fyou fare fonly fhearing fwheezing
fon fone fside, fyou fare fhearing fit fon fthe fside fwhere fyou faspirated fsomething, f
so fANSWER fis fC
All fof fthe ffollowing fwould fbe fassociated fwith fthe fpresence fof fa fpneumothorax fEXCEPT
a. fTracheal fdeviation
b. fDull fpercussion
c. fAbsent fbreath fsounds
,d. fRespiratory fdistress f- fAnswer f- fWith fpneumothorax fyou fwould fhear fa fhigh fpitch fhyperresonnance,
fbreath fsounds fwould fbe fabsent, fand frespiratory fdistress fcould fbe fpresent. fDull fpercussion fwould fNOT
fbe fpresent, f
so fANSWER fis fB.
What fshould fyou frecommend fFIRST ffor fa fpatient fwith fmultifocal fpvc's
a. fAdministration fof flidocaine
b. fAdministration fof f100% foxygen
c. fAdministration fof fatropine
d. fAdministration fof fepinephrine f- fAnswer f- fMultiple fpvc's fcoming ffrom fmultiple flocations f(multifocal) fis
fa freal fproblem fand fyou fshould fadminister foxygen fFIRST, fso fANSWER fis fB. flidocaine fwill fhelp freduce
firritability fof fheart fand fhelp fwith fpvc's fbut fwould fnot fbe ffirst foption, fatropine fis fused ffor fbradycardia
fand fcardiac firregularities fbut fnot fpvc's, fepinephrine fis femergency fdrug fnot ffor fpvc's fbut fmore ffor
fpulseless fventricular ftachycardia for fventricular ffibrilation fwhere fheart fis fnot fresponding f.
What fis fthe fnormal frange ffor fthe fmean fpulmonary fartery fpressure fin fan fadult
a. f2-6 fmm fHg
b. f4-12 fmmHg
c. f9-18 fmmHg
d. f21-28 fmmHg f- fAnswer f- fMean fpulmonary fartery fpressure fin fan fadult fshould fbe fin fthe fteens f
so fbest fANSWER fis fC
A fpatient fin fthe femergency fdept fhas ffrothy fsecretions, fmoist fcrackles, fand ftachypnea. fThe fpatient fhas
fmarked fdyspnea fand fa fhistory fof fheart fdisease. fWhich fof fthe ffollowing fshould fthe frespiratory ftherapist
frecommend.
1.suction fimmediately
2.administer f100% foxygen
3.place fin fFowlers fposition
4.administer ffurosemide f- fAnswer f- fThis fis fan femergency, fthey fare fhaving fheart fproblems, fdyspnea,
ffrothy fsecretions findicating fsevere fpulmonary fedema, fetc. fso f100% foxygen fimmediately, fhaving fthe
fpatient fin fthe fFowlers fposition f(an fupright fposition) fwill fhelp fpull ffluid fdown faway ffrom fthe flungs,
ffurosemide fis fa flasix f(loop fdiuretic) fwhich fgets frid fof fexcess ffluid. fYou fdo fNOT fsuction fsomeone fwith
ffrothy fsecretions fand fheart fproblems, fthis fjust fdelays fappropriate ftherapy. fSo fANSWER fis f2,3,4
Fine fcrepitant fcrackles fare fmost fcommonly fassociated fwith fwhich fof fthe ffollowing fconditions.
, a. fBronchiectasis
b. fCongestive fheart ffailure
c. fPneumonia
d. fCroup f- fAnswer f- fCrackles fare fassociated fwith ffluid fso fa, fb, fand fc fwould fbe fgood fanswers, fbut f"fine
fcrepitant" fcrackles findicates ffluid fentering falveoli f(pulmonary fedema) fwhich fis fmost foften fcaused fby
fheart ffailure fso fthe fbest fANSWER fis fB. f(with fcroup fyou fwould fhear fmore fof fa fstridor fsound).
A fpatient fis ffound fin ffull fcardiopulmonary farrest. fCPR fis fstarted fand fthe fpatient fis forally fintubated fwith
fan fEtCO2 fmonitor fattached. fWhich fof fthe ffollowing fEtCO2 fpatterns fwould fthe frespiratory ftherapist
fexpect fto fobserve fon fthe fmonitor?
a. fInitially fhigh, fthen ffalling
b. fInitially flow, fthen frising
c. fInitially fhigh, fstays fhigh
d. fInitially flow, fstays flow f- fAnswer f- fFull fcardiac farrest fwill fcause fthe fCO2 fin fthe flungs fto fslowly fdissipate
fout fbecause fno fblood fis fflowing, fthen fduring fCPR fwhen fyou fget fblood fflowing, fthe fCO2 fshould fslowly
frise fback fup; f
so fANSWER fis fB
If fthe fblood fpressure fobtained ffrom fthe farterial fline fis fhigher fthan fthe fblood fpressure fobtained ffrom fa
fsphygmomanometer f(cuff fpressure). fBased fupon fthis finformation, fthe frespiratory ftherapist fshould
fconclude fthat.
a. fNon-compliant ftubing fis fbeing fused
b. fTransducer fis fplaced ftoo flow
c. fPatient fwas flying fflat fduring fthe fmeasurement fof fthe farterial fline fpressure
d. fTransducer fdome fcontained fair fbubbles f- fAnswer f- fArterial fline fBP fand fcuff fpressure fshould fbe fthe
fsame, fso fthere fis fa fproblem. fNon-compliant ftubing fis fa fgood fthing fbecause fit's fa fstiff ftubing, fif
ftransducer fis fplaced ftoo fhigh f(above fthe fheart), fthe fflood fwill fhave fto fgo fuphill fand fyou fwill fget fa flower
fpressure; ftransducer fdome fcontained fair fbubbles fwould fgive fyou ferratic freadings fbut fnot fa fhigher
freading, fbut fif fthe ftransducer fis fplaced ftoo flow f(below fheart), fthe fblood fis fflowing fdownhill f& fwill fgive fa
fhigher fpressure freading, fso fANSWER fis fB
A f2-year fold fchild fenters fthe femergency froom. fThe fmother fstates fthat fthe fchild fwas fplaying fwith ffriends
fand fdeveloped fviolent fcoughing fand funilateral fwheezing. fPhysical fexamination freveals fa fhyperresonant
fpercussion fnote fon fthe fleft fand fresonant fpercussion fon fthe fright. fInspiratory fand fexpiratory fchest ffilms
findicate fair ftrapping fwith fno fforeign fbodies f"noted." fThe frespiratory ftherapist fshould fsuspect fthe fchild
fhas.
a.pneumothorax
b.orthopnea
Verified Answers
PATIENT fASSESSMENT:
All fthe ffollowing fcould fcause fcapnography fto fgo ffrom f3 f6 fto f30 fEXCEPT:
A. fEndotracheal ftube fpositioned fin fthe fright fmainstream fbronchus
B. fHyperventilation
C. fpulmonary femboli
D. fHypovolemia f- fAnswer f- fEndotracheal ftube fpositioned fin fright fmainstem fbronchus fis fa fproblem fbut
fthe fco2 freading fwould fnot fchange, fso f
ANSWER fis fA.
What fis fthe ftarget fVt ffor findividual fon fmechanical fventilation f- fAnswer f- f6-8 fml/kg f(of fideal fbody
fweight) fThis fis fnew fstrategy fas fof fJanuary f2015
Is fthe ffollowing fStatic fOR fDynamic fCompliance:
Means fflow fthroughout fthe frespiratory fsystem fhas fstopped fand fall fventilatory fmuscle factivity fis fabsent.
f_______ fconditions fcan fbe fimposed fwith fan finspiratory fpause fwhen fa fpatient fis fsedated fand
fmechanically fventilated. f- fAnswer f- fStatic fCompliance
Is fthe ffollowing fStatic fOR fDynamic fCompliance:
Flow fat fairway fopening fis fzero. fMechanics fare fevaluated funder f______ fconditions, fwhen fnon-intubated
fpatient fbreathes fspontaneously. f- fAnswer f- fDynamic fCompliance
A fballoon ftipped fflow fdirected fcatheter fis fpositioned fin fthe fpulmonary fartery fwith fthe fballoon fdeflated.
fWhich fof fthe ffollowing fpressures fwill fbe fmeasured fby fthe fproximal flumen:
a. fCvp
b. fPap
c. fPwp
d. fMap f- fAnswer f- fANSWER fis fA. fCvp f= fdeflated/proximal flumen
,Pap f= fdeflated/distal
Pwp f= finflated/wedged
All fof fthe ffollowing fwill faffect fthe faccuracy fof fa fcapnography fEXCEPT
a. fLong fsampling fline
b. fLow fsampling fflow
c. fCondensation fin fthe ftubing
d. fUse fof fdesiccant f- fAnswer f- fGas fwill fpass fthrough fand fout fof fa flong fsampling fline fbefore freaching
fanalyzer fso, flow fsampling fflow fwill fnot fgive fyou fenough finformation ffor fa fgood freading, fand
fcondensation fas fa frule fis falways fa fproblem fespecially fin fanalyzers. fDessicant fremoves fmoisture ffrom
fthe fgas, fwhich fis fa fgood fthing, fso f
ANSWER fis fD
A f1000 fg fneonate f(normal fbaby fis f3000 fg) fis fstable fin fnicu. fWhich fof fthe ffollowing fshould fthe
frespiratory ftherapist fuse fto fmonitor fthe fneonates foverall fcardiopulmonary fstatus.
a. fTcPCO2 fand fTcPO2 fmonitor
b. fArterial fblood fgas fanalysis fQ4
c. fSpO2 fmonitor
d. fCapillary fgas fanalysis fQ8 f- fAnswer f- fSince fthe fbaby fis fstable, fgo fless finvasive, falso fgo fcontinuous
fmonitoring f(not f4 fhour for f8 fhour), fTranscutaneous f(Tc) fcontinuous fmonitoring fof fCO2 fand fO2 fis fthe
fbest. fAnswer fis fA
A funilateral fwheeze fwould fmost flikely findicate fwhich fof fthe ffollowing.
a. fAsthma
b. fAtelectasis
c. fForeign fbody faspiration
d. fEpiglottitis f- fAnswer f- fYou fwouldn't fhave fasthma fon fjust fone fside f(unilateral), fatelectasis fwould fcause
fdiminished fbreath fsounds, fwith fepiglottitis fyou fwould fget fstridor, fsince fyou fare fonly fhearing fwheezing
fon fone fside, fyou fare fhearing fit fon fthe fside fwhere fyou faspirated fsomething, f
so fANSWER fis fC
All fof fthe ffollowing fwould fbe fassociated fwith fthe fpresence fof fa fpneumothorax fEXCEPT
a. fTracheal fdeviation
b. fDull fpercussion
c. fAbsent fbreath fsounds
,d. fRespiratory fdistress f- fAnswer f- fWith fpneumothorax fyou fwould fhear fa fhigh fpitch fhyperresonnance,
fbreath fsounds fwould fbe fabsent, fand frespiratory fdistress fcould fbe fpresent. fDull fpercussion fwould fNOT
fbe fpresent, f
so fANSWER fis fB.
What fshould fyou frecommend fFIRST ffor fa fpatient fwith fmultifocal fpvc's
a. fAdministration fof flidocaine
b. fAdministration fof f100% foxygen
c. fAdministration fof fatropine
d. fAdministration fof fepinephrine f- fAnswer f- fMultiple fpvc's fcoming ffrom fmultiple flocations f(multifocal) fis
fa freal fproblem fand fyou fshould fadminister foxygen fFIRST, fso fANSWER fis fB. flidocaine fwill fhelp freduce
firritability fof fheart fand fhelp fwith fpvc's fbut fwould fnot fbe ffirst foption, fatropine fis fused ffor fbradycardia
fand fcardiac firregularities fbut fnot fpvc's, fepinephrine fis femergency fdrug fnot ffor fpvc's fbut fmore ffor
fpulseless fventricular ftachycardia for fventricular ffibrilation fwhere fheart fis fnot fresponding f.
What fis fthe fnormal frange ffor fthe fmean fpulmonary fartery fpressure fin fan fadult
a. f2-6 fmm fHg
b. f4-12 fmmHg
c. f9-18 fmmHg
d. f21-28 fmmHg f- fAnswer f- fMean fpulmonary fartery fpressure fin fan fadult fshould fbe fin fthe fteens f
so fbest fANSWER fis fC
A fpatient fin fthe femergency fdept fhas ffrothy fsecretions, fmoist fcrackles, fand ftachypnea. fThe fpatient fhas
fmarked fdyspnea fand fa fhistory fof fheart fdisease. fWhich fof fthe ffollowing fshould fthe frespiratory ftherapist
frecommend.
1.suction fimmediately
2.administer f100% foxygen
3.place fin fFowlers fposition
4.administer ffurosemide f- fAnswer f- fThis fis fan femergency, fthey fare fhaving fheart fproblems, fdyspnea,
ffrothy fsecretions findicating fsevere fpulmonary fedema, fetc. fso f100% foxygen fimmediately, fhaving fthe
fpatient fin fthe fFowlers fposition f(an fupright fposition) fwill fhelp fpull ffluid fdown faway ffrom fthe flungs,
ffurosemide fis fa flasix f(loop fdiuretic) fwhich fgets frid fof fexcess ffluid. fYou fdo fNOT fsuction fsomeone fwith
ffrothy fsecretions fand fheart fproblems, fthis fjust fdelays fappropriate ftherapy. fSo fANSWER fis f2,3,4
Fine fcrepitant fcrackles fare fmost fcommonly fassociated fwith fwhich fof fthe ffollowing fconditions.
, a. fBronchiectasis
b. fCongestive fheart ffailure
c. fPneumonia
d. fCroup f- fAnswer f- fCrackles fare fassociated fwith ffluid fso fa, fb, fand fc fwould fbe fgood fanswers, fbut f"fine
fcrepitant" fcrackles findicates ffluid fentering falveoli f(pulmonary fedema) fwhich fis fmost foften fcaused fby
fheart ffailure fso fthe fbest fANSWER fis fB. f(with fcroup fyou fwould fhear fmore fof fa fstridor fsound).
A fpatient fis ffound fin ffull fcardiopulmonary farrest. fCPR fis fstarted fand fthe fpatient fis forally fintubated fwith
fan fEtCO2 fmonitor fattached. fWhich fof fthe ffollowing fEtCO2 fpatterns fwould fthe frespiratory ftherapist
fexpect fto fobserve fon fthe fmonitor?
a. fInitially fhigh, fthen ffalling
b. fInitially flow, fthen frising
c. fInitially fhigh, fstays fhigh
d. fInitially flow, fstays flow f- fAnswer f- fFull fcardiac farrest fwill fcause fthe fCO2 fin fthe flungs fto fslowly fdissipate
fout fbecause fno fblood fis fflowing, fthen fduring fCPR fwhen fyou fget fblood fflowing, fthe fCO2 fshould fslowly
frise fback fup; f
so fANSWER fis fB
If fthe fblood fpressure fobtained ffrom fthe farterial fline fis fhigher fthan fthe fblood fpressure fobtained ffrom fa
fsphygmomanometer f(cuff fpressure). fBased fupon fthis finformation, fthe frespiratory ftherapist fshould
fconclude fthat.
a. fNon-compliant ftubing fis fbeing fused
b. fTransducer fis fplaced ftoo flow
c. fPatient fwas flying fflat fduring fthe fmeasurement fof fthe farterial fline fpressure
d. fTransducer fdome fcontained fair fbubbles f- fAnswer f- fArterial fline fBP fand fcuff fpressure fshould fbe fthe
fsame, fso fthere fis fa fproblem. fNon-compliant ftubing fis fa fgood fthing fbecause fit's fa fstiff ftubing, fif
ftransducer fis fplaced ftoo fhigh f(above fthe fheart), fthe fflood fwill fhave fto fgo fuphill fand fyou fwill fget fa flower
fpressure; ftransducer fdome fcontained fair fbubbles fwould fgive fyou ferratic freadings fbut fnot fa fhigher
freading, fbut fif fthe ftransducer fis fplaced ftoo flow f(below fheart), fthe fblood fis fflowing fdownhill f& fwill fgive fa
fhigher fpressure freading, fso fANSWER fis fB
A f2-year fold fchild fenters fthe femergency froom. fThe fmother fstates fthat fthe fchild fwas fplaying fwith ffriends
fand fdeveloped fviolent fcoughing fand funilateral fwheezing. fPhysical fexamination freveals fa fhyperresonant
fpercussion fnote fon fthe fleft fand fresonant fpercussion fon fthe fright. fInspiratory fand fexpiratory fchest ffilms
findicate fair ftrapping fwith fno fforeign fbodies f"noted." fThe frespiratory ftherapist fshould fsuspect fthe fchild
fhas.
a.pneumothorax
b.orthopnea
