NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B) COMPLETE
240 QUESTIONS AND CORRECT DETAILED ANSWERS
Normal Urine Output - (answer) 40mL/hr (approximatley 1 Liter a day)
Intake exceeds output - (answer) -weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - (answer) can indicate changes in fluid balance
Normal CVP - (answer) 2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy - (answer) consider sleep apnea or excessive O2 therapy (COPD patient)
Semicomatose - (answer) responds only to painful stimuli
Obtunded - (answer) drowsy state, may have decreased cough or gag reflux (protect airway)
Coma - (answer) does not respond to painful stimuli
Electrolyte Imbalance Traits - (answer) anger, combative, irritable
Drug Overdose Traits - (answer) Euphoria-intense feelings of emotions (joy)
Panic Traits - (answer) severe hypoxemia, tension pnemothorax, status asthmaticus, or possibly AAA
(abdominal aortic anerysm)
,NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B) COMPLETE
240 QUESTIONS AND CORRECT DETAILED ANSWERS
Activites of Daily Living (ADL) Scoring - (answer) Katz Scoring System
0-dependent
6-independent
Orthopnea - (answer) difficulty breathing except in the upright position (CHF)
Genreal malaise - (answer) run down feeling, nausea, weakness, fatique, headache (consider
electrolyte imbalance)
COPD diet - (answer) high fats, low carbs (carbs causes higher CO2)
Edema - (answer) caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - (answer) accumulation of fluid in the abdomen generally caused by liver failure
Clubbing of fingers - (answer) caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD) - (answer) occurs with CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - (answer) indication of peripheral circulation
color should return within 3 seconds
Diaphoresis - (answer) heart failure (recommend diuretics, positive inotropic agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
, NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B) COMPLETE
240 QUESTIONS AND CORRECT DETAILED ANSWERS
tuberculosis/night sweats (recommend antitubercular drugs)
Cheyne-Stokes Breathing - (answer) gradually increasing then decreasing rate and depth in a cycle
lasting from 30-180 seconds, with periods of apnea lasting up to 60 seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
Biot's Breathing - (answer) increased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth
Cause: CNS problem
Kussmaul's breathing - (answer) increased respiratory rate (usually over 20 breaths/min), increased
depth, irregular rhythm, breathing sounds labored
Cause: metabolic acidosis, renal failure, diabetic ketoacidosis
Dry or nonproductive cough may indicate - (answer) a tumor in the lungs
Productive cough may indicate - (answer) an infection or chronic lung disease
Tachycardia indications - (answer) hypoxemia, anxiety, stress (recommend oxygen therapy)
Bradycardia indications - (answer) heart failure, shock, code/emergency (recommend atropine)
Paradoxical pulse/pulsus paradoxus - (answer) pulse/blood pressure varies with respiration. May
indicate severe air trapping (status asthmaticus, tension pneumothorax, cardica tampanade)-felt on
exhalation
Tracheal deviation pulled toward the abnormal side (same side of pathology) - (answer) -pulmonary
atelectasis
-pulmonary fibrosis
-pneumonectomy
240 QUESTIONS AND CORRECT DETAILED ANSWERS
Normal Urine Output - (answer) 40mL/hr (approximatley 1 Liter a day)
Intake exceeds output - (answer) -weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - (answer) can indicate changes in fluid balance
Normal CVP - (answer) 2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy - (answer) consider sleep apnea or excessive O2 therapy (COPD patient)
Semicomatose - (answer) responds only to painful stimuli
Obtunded - (answer) drowsy state, may have decreased cough or gag reflux (protect airway)
Coma - (answer) does not respond to painful stimuli
Electrolyte Imbalance Traits - (answer) anger, combative, irritable
Drug Overdose Traits - (answer) Euphoria-intense feelings of emotions (joy)
Panic Traits - (answer) severe hypoxemia, tension pnemothorax, status asthmaticus, or possibly AAA
(abdominal aortic anerysm)
,NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B) COMPLETE
240 QUESTIONS AND CORRECT DETAILED ANSWERS
Activites of Daily Living (ADL) Scoring - (answer) Katz Scoring System
0-dependent
6-independent
Orthopnea - (answer) difficulty breathing except in the upright position (CHF)
Genreal malaise - (answer) run down feeling, nausea, weakness, fatique, headache (consider
electrolyte imbalance)
COPD diet - (answer) high fats, low carbs (carbs causes higher CO2)
Edema - (answer) caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - (answer) accumulation of fluid in the abdomen generally caused by liver failure
Clubbing of fingers - (answer) caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD) - (answer) occurs with CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - (answer) indication of peripheral circulation
color should return within 3 seconds
Diaphoresis - (answer) heart failure (recommend diuretics, positive inotropic agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
, NBRC THERAPIST EXAM NEWEST 2024 ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B) COMPLETE
240 QUESTIONS AND CORRECT DETAILED ANSWERS
tuberculosis/night sweats (recommend antitubercular drugs)
Cheyne-Stokes Breathing - (answer) gradually increasing then decreasing rate and depth in a cycle
lasting from 30-180 seconds, with periods of apnea lasting up to 60 seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
Biot's Breathing - (answer) increased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth
Cause: CNS problem
Kussmaul's breathing - (answer) increased respiratory rate (usually over 20 breaths/min), increased
depth, irregular rhythm, breathing sounds labored
Cause: metabolic acidosis, renal failure, diabetic ketoacidosis
Dry or nonproductive cough may indicate - (answer) a tumor in the lungs
Productive cough may indicate - (answer) an infection or chronic lung disease
Tachycardia indications - (answer) hypoxemia, anxiety, stress (recommend oxygen therapy)
Bradycardia indications - (answer) heart failure, shock, code/emergency (recommend atropine)
Paradoxical pulse/pulsus paradoxus - (answer) pulse/blood pressure varies with respiration. May
indicate severe air trapping (status asthmaticus, tension pneumothorax, cardica tampanade)-felt on
exhalation
Tracheal deviation pulled toward the abnormal side (same side of pathology) - (answer) -pulmonary
atelectasis
-pulmonary fibrosis
-pneumonectomy
