1|Page
NBRC TMC Exam-Z&S || LATEST AND
COMPLETE UPDATE WITH QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED
A+|| NEWEST VERSION
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal
CO2 monitor shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings - ANSWER: The correct
answer is : A
Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O - ANSWER: The correct answer is : C
Which of the following data is needed to calculate minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT - ANSWER: The correct answer is : C
A respiratory therapist notes a pressure-volume loop on a patient receiving
mechanical ventilation has a pronounced beak. What strategy is useful in this case?
,2|Page
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow - ANSWER: The correct answer is : B
The respiratory therapist is making a plan of care for a patient with mycoplasma
pneumonia who needs assistance with airway clearance of secretions. In which
order should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing - ANSWER:
The correct answer is : B
Which of the following is an appropriate strategy when caring for a patient with
ARDS who is receiving mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible - ANSWER: The correct answer is : D
Which of the following is an important strategy when caring for a patient with
adult respiratory distress syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60 - ANSWER: The correct answer is : C
,3|Page
Which of the following transdermal nicotine preparations might the respiratory
therapist recommend to help a patient stop smoking?
A. gum
B. MDI
C. patch
D. spray - ANSWER: The correct answer is : C
Which of the following is NOT normally part of a smoking cessation program?
A. information on the cost of cigarettes and tobacco products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking - ANSWER: The correct answer is : A
A patient is receiving an initial pulmonary rehabilitation visit to the clinic. To
orient the patient which of the following should be taught to the patient concerning
the goals and benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve performance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen - ANSWER: The correct answer is : A
An adult patient with asthma is receiving Xopenex by small volume nebulizer
T.I.D. at a dosage of 1.25 mg. The patient complains of dizziness, tingling in his
fingers, and anxiety with each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
, 4|Page
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - ANSWER: The correct answer is : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia - ANSWER: The correct answer is : C
Which of the following would be most helpful in determining if a patient regularly
smokes tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - ANSWER: The correct answer is : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a volume-controlled
ventilator in the assist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
NBRC TMC Exam-Z&S || LATEST AND
COMPLETE UPDATE WITH QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED
A+|| NEWEST VERSION
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal
CO2 monitor shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings - ANSWER: The correct
answer is : A
Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O - ANSWER: The correct answer is : C
Which of the following data is needed to calculate minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT - ANSWER: The correct answer is : C
A respiratory therapist notes a pressure-volume loop on a patient receiving
mechanical ventilation has a pronounced beak. What strategy is useful in this case?
,2|Page
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow - ANSWER: The correct answer is : B
The respiratory therapist is making a plan of care for a patient with mycoplasma
pneumonia who needs assistance with airway clearance of secretions. In which
order should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing - ANSWER:
The correct answer is : B
Which of the following is an appropriate strategy when caring for a patient with
ARDS who is receiving mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible - ANSWER: The correct answer is : D
Which of the following is an important strategy when caring for a patient with
adult respiratory distress syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60 - ANSWER: The correct answer is : C
,3|Page
Which of the following transdermal nicotine preparations might the respiratory
therapist recommend to help a patient stop smoking?
A. gum
B. MDI
C. patch
D. spray - ANSWER: The correct answer is : C
Which of the following is NOT normally part of a smoking cessation program?
A. information on the cost of cigarettes and tobacco products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking - ANSWER: The correct answer is : A
A patient is receiving an initial pulmonary rehabilitation visit to the clinic. To
orient the patient which of the following should be taught to the patient concerning
the goals and benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve performance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen - ANSWER: The correct answer is : A
An adult patient with asthma is receiving Xopenex by small volume nebulizer
T.I.D. at a dosage of 1.25 mg. The patient complains of dizziness, tingling in his
fingers, and anxiety with each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
, 4|Page
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - ANSWER: The correct answer is : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia - ANSWER: The correct answer is : C
Which of the following would be most helpful in determining if a patient regularly
smokes tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - ANSWER: The correct answer is : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a volume-controlled
ventilator in the assist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
