NBRC TMC/CRT/RRT EXAM REVIEW TEST BANK-
with latest solutions-2024-2025
A physician has ordered a 4 year old to receive 40% oxygen therapy. You would
recommend which of the following oxygen delivery devices:
A) Oxygen hood
B) Oxygen tent
C) 5LPM NC
D) an aerosol mask with a jet nebulizer
B) Oxygen tent
A water barometer is being used to record the barometric pressure. The water within
the barometer column has a meniscus formation. You would read the barometric
pressure at the:
A) Bottom of the meniscus
B) Top of the meniscus
C) Side of the meniscus
D) Top and side of the meniscus
A) Bottom of the meniscus
The respiratory care practitioner has receive an order to administer 35% oxygen to a
post-operative craniotomy patient. The patient is semi-conscious with an irregular
breathing pattern. The most appropriate oxygen administration device for this patient
would be:
A) A 4LPM Nasal cannula
B) intubation with a 35% aerosol blow-by
C) a simple mask at 4 LPM
D) a Venturi mask
D) a Venturi mask
A cuff pressure manometer is connected to the endotracheal tube of a patient
receiving continuous mechanical ventilation. The cuff pressure reading is 24 torr with
a small air leak auscultated during inspiration. Which of the following should be
done:
A) Increase the cuff pressure
B) Maintain this set-up and reassess in 1 hour
C) Recommend changing to a larger endotracheal tube
D) Decrease the cuff pressure and reassess the leak
C) Recommend changing to a larger endotracheal tube
A 12 year old conscious, spontaneously breathing female, weighing 40kg (88lb) is
brought into the ER with a sustained cervical spine injury without any evidence of
other trauma from a motor vehicle accident. The head is secured with sandbags and
arterial blood gas analysis shows respiratory failure. To maintain the patient's airway,
the respiratory care practitioner should recommend a:
A) 6.0mm nasal endotracheal tube
,B) 8.0 mm oral endotracheal tube
C) 7.0 mm tracheotomy tube
D) 8.0 mm esophageal obturator airway tube
A) 6.0mm nasal endotracheal tube
A 22 year old male is being ventilated with a microprocessor ventilator. You are
checking his cuff with a cuff inflator and as you connect the pilot balloon thecuff
inflator, the pressure measured reads 0 torr. Your first immediate response would be
to:
A) Add 10 ml of air to the pilot balloon
B) inflate the cuff till the manometer reads 20 torr
C) reconnect the pilot balloon to the cuff inflator tightly
D) deflate the cuff and reinflate with 10 ml of air
C) reconnect the pilot balloon to the cuff inflator tightly
Which of the following could be done to minimize mean airway pressure during an
IPPB treatment?
1. Decrease the peak pressure
2. Decrease the I time
3. Increase the E time
4. Increase inspiratory flow
A) 1 only
B) 2 and 3 only
C) 2 and 4 only
D) all the above
D) all the above
A patient is on 60% aerosol mask and their inspiratory flow rate is determined to be
28 LPM. What is the minimum flow rate setting required for this patient?
A) 8LPM
B) 10 LPM
C) 12 LPM
D) 15 LPM
D) 15 LPM
A chronic hypercapnic patient is in acute ventilatory failure. The physician has asked
for your recommendation in the care of this patient who is requiring assisted
ventilation. You would recommend:
A) A volume-cycled microprocessor controlled machine
B) BiPAP
C) Positive expiratory pressure mask (PEP)
D) A positive pressure cycled controlled machine
A) A volume-cycled microprocessor controlled machine
A chronic CO2 retainer patient enters the emergency room in moderate respiratory
distress. Which of the following would be the best initial oxygen delivery device for
the patient?
A) 32% venturi mask
B) 2 LPM NC
, C) 3 LPM simple mask
D) 8 LPM Partial-rebreathing mask
B) 2 LPM NC
When comparing the Wick humidifier system to other humidifier devices, the main
advantage of this device is:
A) The particle size and deposition
B) A relative body humidity of 100% can be obtained
C) a baffle is required to achieve body humidity
D) a heating unit is not required
B) A relative body humidity of 100% can be obtained
A patient is being ventilated with a volume cycle ventilator in the assist-control mode
with a HME humidifier device. The patient has developed thick, purulent secretions.
The respiratory care practitioner should recommend which of the following at this
time?
A) Change to Wick humidifier
B) replace the HME with a new HME
C) Change to a passover humidifier
D) Instill 5ml of saline when suctioning the patient
A) Change to Wick humidifier
A 26 week gestational infant has been born and is apneic and cyanotic. which of the
following equipment would be of value during the oral intubation procedure?
1. Magill forceps
2. A MacIntosh Blade
3. Stylet
4. A Miller Blade
5. A yankauer suction
A) 1, 2, 4 only
B) 2, 3, and 4 only
C) 2, 3, 4, and 5 only
D) all the above
C) 2, 3, 4, and 5 only
All the following would be an indication for use of HME except:
A) A patient requiring mechanical ventilation for a few hours
B) When 100% relative humidity is ordered
C) Transport of ventilator patients
D) When a humidification device is needed
B) When 100% relative humidity is ordered
Which of the following devices would allow tracheal suctioning and facilitate
phonation with the least amount of airway resistance?
A) Fenestrated tracheostomy tube
B) tracheal button
C) jackson trach tube
D) shiley tracheostomy tube
B) tracheal button
with latest solutions-2024-2025
A physician has ordered a 4 year old to receive 40% oxygen therapy. You would
recommend which of the following oxygen delivery devices:
A) Oxygen hood
B) Oxygen tent
C) 5LPM NC
D) an aerosol mask with a jet nebulizer
B) Oxygen tent
A water barometer is being used to record the barometric pressure. The water within
the barometer column has a meniscus formation. You would read the barometric
pressure at the:
A) Bottom of the meniscus
B) Top of the meniscus
C) Side of the meniscus
D) Top and side of the meniscus
A) Bottom of the meniscus
The respiratory care practitioner has receive an order to administer 35% oxygen to a
post-operative craniotomy patient. The patient is semi-conscious with an irregular
breathing pattern. The most appropriate oxygen administration device for this patient
would be:
A) A 4LPM Nasal cannula
B) intubation with a 35% aerosol blow-by
C) a simple mask at 4 LPM
D) a Venturi mask
D) a Venturi mask
A cuff pressure manometer is connected to the endotracheal tube of a patient
receiving continuous mechanical ventilation. The cuff pressure reading is 24 torr with
a small air leak auscultated during inspiration. Which of the following should be
done:
A) Increase the cuff pressure
B) Maintain this set-up and reassess in 1 hour
C) Recommend changing to a larger endotracheal tube
D) Decrease the cuff pressure and reassess the leak
C) Recommend changing to a larger endotracheal tube
A 12 year old conscious, spontaneously breathing female, weighing 40kg (88lb) is
brought into the ER with a sustained cervical spine injury without any evidence of
other trauma from a motor vehicle accident. The head is secured with sandbags and
arterial blood gas analysis shows respiratory failure. To maintain the patient's airway,
the respiratory care practitioner should recommend a:
A) 6.0mm nasal endotracheal tube
,B) 8.0 mm oral endotracheal tube
C) 7.0 mm tracheotomy tube
D) 8.0 mm esophageal obturator airway tube
A) 6.0mm nasal endotracheal tube
A 22 year old male is being ventilated with a microprocessor ventilator. You are
checking his cuff with a cuff inflator and as you connect the pilot balloon thecuff
inflator, the pressure measured reads 0 torr. Your first immediate response would be
to:
A) Add 10 ml of air to the pilot balloon
B) inflate the cuff till the manometer reads 20 torr
C) reconnect the pilot balloon to the cuff inflator tightly
D) deflate the cuff and reinflate with 10 ml of air
C) reconnect the pilot balloon to the cuff inflator tightly
Which of the following could be done to minimize mean airway pressure during an
IPPB treatment?
1. Decrease the peak pressure
2. Decrease the I time
3. Increase the E time
4. Increase inspiratory flow
A) 1 only
B) 2 and 3 only
C) 2 and 4 only
D) all the above
D) all the above
A patient is on 60% aerosol mask and their inspiratory flow rate is determined to be
28 LPM. What is the minimum flow rate setting required for this patient?
A) 8LPM
B) 10 LPM
C) 12 LPM
D) 15 LPM
D) 15 LPM
A chronic hypercapnic patient is in acute ventilatory failure. The physician has asked
for your recommendation in the care of this patient who is requiring assisted
ventilation. You would recommend:
A) A volume-cycled microprocessor controlled machine
B) BiPAP
C) Positive expiratory pressure mask (PEP)
D) A positive pressure cycled controlled machine
A) A volume-cycled microprocessor controlled machine
A chronic CO2 retainer patient enters the emergency room in moderate respiratory
distress. Which of the following would be the best initial oxygen delivery device for
the patient?
A) 32% venturi mask
B) 2 LPM NC
, C) 3 LPM simple mask
D) 8 LPM Partial-rebreathing mask
B) 2 LPM NC
When comparing the Wick humidifier system to other humidifier devices, the main
advantage of this device is:
A) The particle size and deposition
B) A relative body humidity of 100% can be obtained
C) a baffle is required to achieve body humidity
D) a heating unit is not required
B) A relative body humidity of 100% can be obtained
A patient is being ventilated with a volume cycle ventilator in the assist-control mode
with a HME humidifier device. The patient has developed thick, purulent secretions.
The respiratory care practitioner should recommend which of the following at this
time?
A) Change to Wick humidifier
B) replace the HME with a new HME
C) Change to a passover humidifier
D) Instill 5ml of saline when suctioning the patient
A) Change to Wick humidifier
A 26 week gestational infant has been born and is apneic and cyanotic. which of the
following equipment would be of value during the oral intubation procedure?
1. Magill forceps
2. A MacIntosh Blade
3. Stylet
4. A Miller Blade
5. A yankauer suction
A) 1, 2, 4 only
B) 2, 3, and 4 only
C) 2, 3, 4, and 5 only
D) all the above
C) 2, 3, 4, and 5 only
All the following would be an indication for use of HME except:
A) A patient requiring mechanical ventilation for a few hours
B) When 100% relative humidity is ordered
C) Transport of ventilator patients
D) When a humidification device is needed
B) When 100% relative humidity is ordered
Which of the following devices would allow tracheal suctioning and facilitate
phonation with the least amount of airway resistance?
A) Fenestrated tracheostomy tube
B) tracheal button
C) jackson trach tube
D) shiley tracheostomy tube
B) tracheal button
