NBRC TMC Exam-Z & Exam-S – Actual Exam Questions and Correct Answers | Latest 2025–2026 Update | A+ Rated and 100% Pass Guarantee

NBRC TMC EXAM-Z, NBRC TMC EXAM-S ACTUAL
EXAM QUESTIONS AND ANSWERS LATEST
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After attempting to pass a catheter down an oral ET tube, the respiratory the
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rapist feels strongly that the endotracheal tube cuffiis herniated over the end
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ofithe ET tube. The bag-
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valve remains difficult to squeeze and oxygen saturation is 86% and falling.
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The therapist should do which ofithe following?
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A. call the physician and report the finding
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B. remove the ET tube and insert a new one
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C. switch to a high pressure demand valve
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D. perform nasal intubation with the oral tube left in place -
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CORRECT ANSWER-The correct answer is : B
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Which ofi the following lung volume measurements is the largest
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? A. FRCi i




B. VC i




C. IC i




D. TLC - CORRECT ANSWER-The correct answer is : D
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Which ofithe following precautions should be taken when performing nasa
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l tracheal suctioning on a patient who has a tendency for mucosal bleeding?
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A. Be gentle i

,B. Keep suctioning to no longer than 30 second
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C. Stop all blood-thinning medication prior to suctioning
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D. Apply intermittent suctioning during withdraw ofi the cathete
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r - CORRECT ANSWER-The correct answer is : A
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Which ofi the following may be related to a fluid balance problem
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in a patient?
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A. ARDS
B. Pneumothorax
C. Guillain-Barre Syndrome i




D. Renal disease - CORRECT ANSWER-The correct answer is : D
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An adult patient with asthma is receiving Xopenex by small volume nebuli
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zer T.I.D. at a dosage ofi1.25 mg. The patient complains ofi dizziness, tingli
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ng in his fingers, and anxiety with each treatment. The therapist should
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A. switch to Pulmicort 0.5 mg i i i i




B. decrease frequency to BID i i i




C. increase dose to 1.88 mg i i i i




D. change dose to 0.63 mg - CORRECT ANSWER-The correct answer is : D
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A decreasing A-aDO2 is most closely related to which ofi the following?
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A. Increased pulmonary shunting i i




B. increasing venous admixture i i




C. decreasing atelectasis i

,D. refractory hypoxemia - CORRECT ANSWER-The correct answer is : C i i i i i i i i i




Which ofi the following would be most helpful in determining ifia patient
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regularly smokes tobacco products? i i i




A. COHb
B. DLCO
C. end-tidal carbon dioxide i i




D. pulse oximetery - CORRECT ANSWER-The correct answer is : A
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A 75-kg (165-lb) male is receiving mechanical ventilation by a volume-
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controlled ventilator in the assist/control mode on the following settings:
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Mandatory rate 12/ i i




min VT 500 mL i i i




FIO2 0.6 i




PEEP 8 cm H2O i i i




Arterial blood gas results: i i i




pH 7.30 i




PaCO2 52 mm Hg P i i i i




O2 65 mm Hg HCO3
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- 27 mEq/L
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BE +3 mEq/L
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Which ofi the following represents the most appropriate action?
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A. increase FIO2 to 1.0 i i i




B. increase rate to 14 i i i




C. increase PEEP to 10 cmH2O i i i i

, D. increase tidal volume to 600 mL - CORRECT ANSWER- i i i i i i i i




The correct answer is : B
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A pulmonary rehabilitation patient is having difficulty complying with a s
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moking cessation program. A physical and psychological screen reveals a
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heavy physiological dependence and a low psychological dependence on s
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moking. Which ofi the following is appropriate?
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A. Versed
B. nicotine replacement therapy i i




C. psychological counseling i




D. Valium - CORRECT ANSWER-The correct answer is : B i i i i i i i i




A COPD patient is receiving oxygen at 2 L/min by a pulse-
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dose oxygen delivery device. The patient complains ofishortness ofibreath
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and feels she is not getting enough oxygen. The home care respiratory thera
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pist should
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A. switch to a Venturi mask at 40% i i i i i i




B. encourage the patient to relax and call her physician i i i i i i i i




C. increase the flow rate i i i




D. switch to a continuous oxygen regulator and normal nasal cannula -
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CORRECT ANSWER-The correct answer is : D
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A physician orders a chest radiograph on an ambulatory patient in the emer
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gency department (ED) in response to a suspicion ofipneumonia. Which o
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fithe following should be ordered?
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A. PA radiograph i




B. apical lordotic i