NBRC TMC STUDY GUIDE EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS

1
NBRC



NBRC TMC STUDY GUIDE EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS


When54assessing54the54airway54of54a54patient54prior54to54intubation,54a54M
allampati54score54of54454is54observed.54What54should54the54RT54recommen
d54to54facilitate54intubation?54-54ANS54✓Video54Laryngoscopy
(Bronchoscope)


An54adult54patient54who54weighs5462kg54(136lb)54requires54a54minute54ven
tilation54of5415L/min54to54maintain54a54PaCO254of5436mmHg54while54recei
ving54mechanical54ventilation.54What54could54explain54these54ventilatory54
requirements?54-54ANS54✓1.54Excessive54caloric54intake
2.54Increased54dead54space54ventilation
3.54Febrile54patient


While54performing54beside54spirometry54on54a54patient,54the54following54F
EV154values54are54obtained54from54354maneuvers:


3.13
3.75
2.85


What54should54the54RT54conclude54about54these54results?54-
54ANS54✓The54effort54was54inconsistent




An54RT54is54assisting54a54physician54with54a54needle54biopsy54of54a54lung54
mass54during54fiberoptic54bronchoscopy.54The54biopsy54site54begins54to54h




NBRC54TMC

, 2
NBRC
emorrhage.54What54should54the54RT54have54ready54for54instillation?54-
54ANS54✓Iced54saline




An54adult54patient54with54a54tracheostomy54tube54is54receiving54a54heated5
4aerosol54with54an54FiO254of540.3054by54T-

piece.54An54RT54observes54that54the54t-
piece54often54becomes54disconnected54from54the54tracheostomy54tube.54W
hat54should54the54the54therapist54do>54-54ANS54✓Exchange54the54T-
piece54for54a54tracheostomy54collar


An54RT54will54assist54a54physician54perform54cardioversion54for54a54sponta
neously54breathing54patient54with54supraventricular54tachycardia.54The54p
atient54is54alert54and54awake.54What54steps54should54be54performed54in54p
reparation54for54this54procedure?54-54ANS54✓1.54Supplemental54O2
2.54Gather54airway54equipment
3.54Sedate54the54patient


Do54NOT54intubate54the54patient


What54should54a54tracheostomy54stoma54site54be54cleaned54with?54-
54ANS54✓Normal54saline




Which54device54provides54100%54humidity54at54body54temperature?54-
54ANS54✓Heated-wick54humidifier




While54examining54a54chest54radiograph54from54an54adult54patient54an54RT
54notes54the54presence54of54air54bronchograms.54What54is54the54most54likel

y54cause?54-54ANS54✓Pneumonia


A54patient54who54is54188cm54(6ft2in)54tall54is54intubated54with54an548.0mm
54ID54endotracheal54tube54that54is54secured54with54a5418-

cm54mark54adjacent54to54the54incisor.54An54RT54hears54a54gurgling54sound5
4with54each54inhalation54and54observes54the54exhaled54VT54is54300mL54less




NBRC54TMC

, 3
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54than54the54inhaled54VT.54The54RT54increases54the54cuff54pressure54from54
16cm54to5424cm.54There54is54no54change54in54the54sound54or54exhaled54VT.
54What54should54the54RT54do?54-

54ANS54✓Deflate54the54cuff54before54advancing54the54tube544cm




According54to54the54ATS54Standards54a54patient's54FEV154must54increase54b
y54a54minimum54of54what54percent,54to54demonstrate54a54significant54postb
ronchodilator54improvement54-54ANS54✓12


A54patient54with54dyspnea,54tachypnea,54and54expiratory54wheeze54is54unr
esponsive54to54bronchodilator54therapy.54After54reviewing54the54CXR54the5
4RT54should54conclude54the54patient54has54what?54-

54ANS54✓Pulmonary54Edema




A54132kg54(291lb)54168cm(5ft6in)54female54who54underwent54a54tracheost
omy54254weeks54ago54remains54in54the54ICU54receiving54VC54ventilation.54Af
ter54the54patient54is54repositioned54in54the54bed,54the54high54pressure54alar
m54sounds54with54each54breath.54The54suction54catheter54can54be54passed54
only5410cm54into54the54tracheostomy54tube54and54no54secretions54are54evi
dent.54SpO254is5480%.54What54should54the54RT54do54first?54-
54ANS54✓Remove54the54tracheostomy54tube




A54patient54is54being54evaluated54for54blunt54chest54trauma.54An54RT54palp
ates54crepitus54near54the54patient's54right54clavicle.54What54does54this54mo
st54likely54indicate?54-54ANS54✓Subcutaneous54Emphysema


A5424-year-
old54male54is54admitted54to54the54ED54after54being54pulled54from54a54burni
ng54building.54The54patient54has542nd54degree54burns54on54the54face54and54
chest.54The54following54vital54signs54are54observed


HR54145/RR5432/SpO254100%
BP:54131/85




NBRC54TMC

, 4
NBRC
Skin54tone54is54normal.54What54should54the54RT54recommend54first?54-
54ANS54✓Carboxyhemoglobin54level




An54adult54patient54is54receiving54PC54AC54ventilation54and54has54a54blood54
pressure54of5464/42.
The54patient54is54currently54on54continuous54norepinephrine54infusion54an
d54the54SpO254monitor54does54not54consistently54display54a54waveform54or
54saturation54value.54What54should54the54RT54do54first?54-

54ANS54✓Change54to54a54forehead54sensor




The54RT54notes54a54prolonged54inspiratory54time54and54variable54cycling54t
o54exhalation54for54a54patient54receiving54PS54ventilation.54The54circuit54is5
4verified54to54be54intact.54What54should54the54RT54do54next?54-

54ANS54✓Check54for54the54integrity54of54the54endotracheal54tube54cuff




Results54of54a54sleep54study54reveal54a54patient54has54OSA54with54marked54
oxygen54desaturation.54What54therapy54should54be54recommended54for54th
e54patient54during54sleep?54-54ANS54✓Nasal54CPAP


554minutes54after54starting54a542.5mg54albuterol54nebulizer54treatment54a54
patient54complains54of54palpitations,54headache54and54tremors.54What54sh
ould54the54RT54do?54-54ANS54✓Terminate54the54treatment


A54suction54canister54from54the54bronchoscopy54suite54was54used54for54a54
patient54with54Hep54B.54How54should54the54canister54be54disposed?54-
54ANS54✓Place54it54in54a54biohazard54waste54bag




A54patient54with54cystic54fibrosis,54who54usually54expectorates54white54spu
tum,54complains54of54increased54cough54and54dark54yellow54sputum54prod
uction.54She54is54febrile54and54a54CXR54reveals54a54right54middle54lobe54infi
ltrate.54What54do54these54clinical54findings54suggest?54-54ANS54✓Pneumonia


A54patient54is54receiving54PC54AC54ventilation.54The54RT54is54assisting54with
54an54uncomplicated54thoracentesis54during54which541200mL54of54fluid54is5




NBRC54TMC