NBRC TMC Exam Questions with Verified Answers – Latest 2025–2026 Edition | Guaranteed Pass Respiratory Therapy Prep

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NBRC TMC EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST UPDATE
(2025/2026) GUARANTEED PASS



Mallampati class I - ANS ✓Soft palate, uvula, fauces, pillars visible
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Mallampati Class II - ANS ✓Soft palate, uvula, fauces visible
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Mallampati class III - ANS ✓Soft palate, base ofiuvula visible
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Mallampati class IV - ANS ✓Hard palate only visible
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Normal pulse - ANS ✓60-100 bpm
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Tachycardia - ANS ✓> 100 bpm (hypoxemia, anxiety, stress, give O2)
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Bradycardia - ANS ✓< 60 bpm (heart failure, shock, code emergency, give atropine)
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Adverse reaction indicator - ANS ✓Change in HR ofimore than 20 beats/min
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Paradoxical pulse/pulsus paradoxus - ANS ✓Pulse/
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blood pressure varies with respiration. EMERGENT
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Paradoxical pulse/pulsus paradoxus symptom of... -
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ANS ✓May indicate severe air trapping (status asthmaticus, tension pneumothorax, cardic
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tampanade)-felt on exhalation EMERGENT
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Tracheal deviation (pulled) - ANS ✓Is PULLED to abnormal side (toward pathology) in...
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Atalectasis
Pneumonectomy
Diaphragmatic paralysis i




Tracheal deviation (pushed) - i i i



ANS ✓Is PUSHED to normal side (away from pathology) in...
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Massive pleural effusion i i




Tension pneumothorax Mediastinal mass
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Neck or thyroid tumors
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Tactile fremitus definition - ANS ✓Vibrations felt by hand on chest wall
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*Vocal fremitus - voice vibrations felt thru chest wall
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*Pleural rub fremitus - grating sensation felt, roughened pleural surfaces rubbing together
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*Rhonchal fremitus - palpable rhonchi i i i i




Crepitus - ANS ✓Air under the skin, subcutaneous emphysema
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Normal air filled lung percussion sound - ANS ✓Resonant, hollow sound
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Atelectactic lung percussion sound - ANS ✓Flat i i i i i i




Dull - pleural effusion or pneumonia can cause this
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Hyperinflated lung percussion sound - ANS ✓Tympanic, drum-like sound
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Hyperresonant, booming (emphysema, pneumothorax) i i i




Normal auscultation BS: - ANS ✓Vesicular - bilateral
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Normal bronchial sounds location: -
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ANS ✓Over trachea or bronchi (rhonchi in the bronchi) = secretions
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*Heard over parenchyma = consolidation
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Egophony - ANS ✓Pt says EEEE but what's heard is AAAA
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*Indicates consolidation, pneumonia i i




Bronchophony, whispered pectoriloquy definition - i i i i



ANS ✓Increased intensity or transmission ofithe pt's voice = consolidation & pneumonia
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Coarse crackles (rales) - ANS ✓Large airway secretions
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*SUCTION, COUGH i




Medium crackles/rales - ANS ✓Middle airway secretions
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*BRONCHIAL HYGIENE i




Fine crackles (rales) - ANS ✓Alveoli, fluid
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*Associated with CHF/pulmonary edema i i i




*OXYGEN, PPV, POS INOTROPIC AGENTS, DIURETICS i i i i i




Wheeze - ANS ✓High pitched whistle sound
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*Caused by bronchospasm = *BRONCHODILATOR THERAPY FOR DIFFUSE/
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BILATERAL
*UNILATERAL = FOREIGN BODY OBSTRUCTION -- i i i i i



> RIGID BRONCH TO REMOVE
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Stridor - ANS ✓High pitched or crowing sound
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*UPPER AIRWAY OBSTRUCTION i i




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