TMC NBRC FINAL EXAM A
COMPILATIONS, PRACTICE EXAM AND
STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2025 ACTUAL EXAM COMPLETE
ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- JUST
RELEASED
1. First sound (S1) lub - ANSWER ✓ Normal, closure of
the mitral & tricuspid valves, beginning of ventricular
contraction
2. You would want to increase this with a hemodynamically
unstable patient: - ANSWER ✓ PEEP
3. What you can do with a hyperventilating patient: -
ANSWER ✓ decrease vt and/or RR or add mechanical
deadspace
4. 2 ways to correct high CO2: - ANSWER ✓ increase RR
or Vt
,5. Normal range for VC: - ANSWER ✓ atleast 10
6. What to recommend for infants with RDS: - ANSWER
✓ surfactant (Survanta, Infasurf, Curosurf)
7. ABG for patient with diabetic ketoacidosis: - ANSWER
✓ (low pH & bicarb) Normal CO2 & O2
8. Possible diseases with expiratory crackles: - ANSWER
✓ air passing through secretions (CHF or pulmonary
edema)
9. Disease w a flat percussion note: - ANSWER ✓
atelectasis
10. Disease with dull percussion note: - ANSWER ✓
consolidation or pleural effusion
11. Recommendations for carbon monoxide: - ANSWER
✓ co-oximeter; 100% O2; nonrebreather; hyperbaric O2
,12. When to recommend inhaled nitric oxide: - ANSWER
✓ PPHN; pulmonary hypertension
13. Increased PCWP: - ANSWER ✓ fluid overload; heart
failure; cardiac tamponade
14. Decreased PCWP: - ANSWER ✓ vasodilation;
dehydration
15. Increased PAP: - ANSWER ✓ fluid overload; heart
failure; p. hypertension; P.E; PPTN
16. What is PVR and normal range: - ANSWER ✓
resistance that must be overcome in order to push blood
through the pulm. arteries (1-3)
17. Reasons for an increased PVR: - ANSWER ✓ COPD,
P.E, PPHN, pulm. hypertension, ARDS, increased PEEP
18. Recommend for chest pain: - ANSWER ✓ EKG
, 19. What is tactile fremitus: - ANSWER ✓ secretions felt
by the tough
20. Crepitus: - ANSWER ✓ indicates presence of
subcutaneous emphysema
21. Levels for exhaled carbon monoxide: - ANSWER ✓
Normal: 7
Light smoker: 7-10
Moderate smoker:11-20
Heavy smoker: 20 or more
22. Electrolytes can indicate: - ANSWER ✓ weakness,
nausea, mental changes
23. White sputum: - ANSWER ✓ bronchitis
24. Dark/brown sputum: - ANSWER ✓ old blood,
anaerobic lung infection
25. Temperature for transcutaneous monitoring:
Troubleshooting if cant calibrate: - ANSWER ✓ 43-45 C
COMPILATIONS, PRACTICE EXAM AND
STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2025 ACTUAL EXAM COMPLETE
ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- JUST
RELEASED
1. First sound (S1) lub - ANSWER ✓ Normal, closure of
the mitral & tricuspid valves, beginning of ventricular
contraction
2. You would want to increase this with a hemodynamically
unstable patient: - ANSWER ✓ PEEP
3. What you can do with a hyperventilating patient: -
ANSWER ✓ decrease vt and/or RR or add mechanical
deadspace
4. 2 ways to correct high CO2: - ANSWER ✓ increase RR
or Vt
,5. Normal range for VC: - ANSWER ✓ atleast 10
6. What to recommend for infants with RDS: - ANSWER
✓ surfactant (Survanta, Infasurf, Curosurf)
7. ABG for patient with diabetic ketoacidosis: - ANSWER
✓ (low pH & bicarb) Normal CO2 & O2
8. Possible diseases with expiratory crackles: - ANSWER
✓ air passing through secretions (CHF or pulmonary
edema)
9. Disease w a flat percussion note: - ANSWER ✓
atelectasis
10. Disease with dull percussion note: - ANSWER ✓
consolidation or pleural effusion
11. Recommendations for carbon monoxide: - ANSWER
✓ co-oximeter; 100% O2; nonrebreather; hyperbaric O2
,12. When to recommend inhaled nitric oxide: - ANSWER
✓ PPHN; pulmonary hypertension
13. Increased PCWP: - ANSWER ✓ fluid overload; heart
failure; cardiac tamponade
14. Decreased PCWP: - ANSWER ✓ vasodilation;
dehydration
15. Increased PAP: - ANSWER ✓ fluid overload; heart
failure; p. hypertension; P.E; PPTN
16. What is PVR and normal range: - ANSWER ✓
resistance that must be overcome in order to push blood
through the pulm. arteries (1-3)
17. Reasons for an increased PVR: - ANSWER ✓ COPD,
P.E, PPHN, pulm. hypertension, ARDS, increased PEEP
18. Recommend for chest pain: - ANSWER ✓ EKG
, 19. What is tactile fremitus: - ANSWER ✓ secretions felt
by the tough
20. Crepitus: - ANSWER ✓ indicates presence of
subcutaneous emphysema
21. Levels for exhaled carbon monoxide: - ANSWER ✓
Normal: 7
Light smoker: 7-10
Moderate smoker:11-20
Heavy smoker: 20 or more
22. Electrolytes can indicate: - ANSWER ✓ weakness,
nausea, mental changes
23. White sputum: - ANSWER ✓ bronchitis
24. Dark/brown sputum: - ANSWER ✓ old blood,
anaerobic lung infection
25. Temperature for transcutaneous monitoring:
Troubleshooting if cant calibrate: - ANSWER ✓ 43-45 C
