1
NBRC
NBRC TMC STUDY GUIDE EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS
A 22-year-old patient is being considered for extubation after being treated
with status asthmaticus for the last 48 hours. BS are clear and no current
distress is noted. While receiving FiO2 40%/PS 10/PEEP +5 her vital signs
are:
HR 87
RR 18
SpO2 96%
After breathing through a T-Piece for 30 minutes with an FiO2 of 40% vital
signs reveal:
HR 95
RR 20
SpO2 90%
What should the RT conclude? - ANS ✓The patient is ready for extubation
A 1400g, 28-week gestational age infant was delivered after a precipitous
vaginal delivery. The infant is receiving nasal CPAP with an FiO2 of 50% in
the delivery room and has an SpO2 of 85%. What is the most appropriate
next course of treatment? - ANS ✓Administer surfactant
NBRC TMC
, 2
NBRC
While performing MVV maneuvers a patient repeatedly terminates the test
between 8 to 10 seconds. What should the RT do? - ANS ✓Reschedule testing
at a later time
A 68-year old man with a history of COPD is admitted to the hospital for
increasing shortness of breath and a nonproductive cough. Chest
auscultation reveals expiratory wheezes. What the most appropriate choice
to improve the patient's clinical condition? - ANS ✓Ipratropium (Atrovent)
What is the best instruction for a patient receiving a small-volume
nebulizer bronchodilator therapy? - ANS ✓Breath normally with an occasional
deep inspiratory hold
What is the most simple method of preventing postoperative atelectasis in
a patient with no preoperative pulmonary problems? - ANS ✓Cough and
deep breathing
What are the potential complications associated with obtaining an ABG
through an indwelling radial arterial catheter? - ANS ✓1. Infection
2. Arteriospasm
3. Finger Ischemia
What is the amount of the air that can be forcibly exhaled from the lungs
after taking the deepest breath possible? - ANS ✓FVC
An 18-year old male with muscular dystrophy is receiving treatment for
recurrent pneumonia and atelectasis. What should the RT recommend in
addition to HFCWO? - ANS ✓Mechanical insufflation and exsufflation
An RT is checking a jet nebulizer with an entrainment setting 35%. A
properly calibrated oxygen analyzer measures the concentration at 45%.
What best explains this finding? - ANS ✓Water in the tubing
NBRC TMC
, 3
NBRC
Which of the following patients upon discharge should the RT recommend
apnea monitoring for home use?
1. Preterm neonate who has been treated with caffeine
2. Neonate who was diagnosed with cystic fibrosis
3. Term infant who exhibits intermittent acrocyanosis
4. 3 y/o following surgery for an intestinal obstruction - ANS ✓1. Preterm
neonate who has been treated with caffeine
While reading a chart, an RT notes that an 18-month-old with a history of
asthma was admitted with severe respiratory distress. Wheezing is
auscultated over the right lung only. What are these findings most
consistent with? - ANS ✓Foreign body aspiration
The following graphic is displayed for a patient receiving mechanical
ventilation in the SIMV mode.
Which type of breath does the graph represent?
1. Patient triggered mandatory
2. Spontaneous
3. Pressure supported
4. Pressure controlled - ANS ✓1. Patient triggered mandatory
A right heart catherization is scheduled to assess vaso-responsiveness in a
45-year-old patient with pulmonary hypertension. An RT should expect
titrate inhaled ____________ - ANS ✓Nitric Oxide
A 188-cm (6ft2in)male who weighs 100kg(220lb) is receiving SIMV with
the following settings:
NBRC TMC
, 4
NBRC
FiO2 80%
Mandatory Rate 10
Total Rate 32
Set VT 650
Spontaneous VT 100
PS 5
PEEP +12
What should the RT increase?
1. PEEP
2. VT
3. Mechanical Deadspace
4. Pressure Support - ANS ✓4. Pressure Support
A 56-year-old female with a diagnosis of bilateral basilar pneumonia is in
the ICU and receiving VC AC ventilation. A respiratory therapist observes
that her SpO2 has dropped from 95% to 84%. Her current FiO2 is 50% with
+12 PEEP. Her PaCO2 values have remained within normal range. What
should the RT increase first? - ANS ✓Increase the FiO2
A patient requires frequent nasotracheal suctioning. The patient begins to
cough violently after an RT places a nasopharyngeal airway. Which of the
following actions should the therapist recommend?
1. Wait 10 minutes for the patient to adapt to the airway
2. Wait until the patient falls asleep to insert an airway
3. Insert a nasal airway that is wider
4. Insert a nasal airway that has a shorter length - ANS ✓4. Insert a nasal
airway that has a shorter length
NBRC TMC
NBRC
NBRC TMC STUDY GUIDE EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS
A 22-year-old patient is being considered for extubation after being treated
with status asthmaticus for the last 48 hours. BS are clear and no current
distress is noted. While receiving FiO2 40%/PS 10/PEEP +5 her vital signs
are:
HR 87
RR 18
SpO2 96%
After breathing through a T-Piece for 30 minutes with an FiO2 of 40% vital
signs reveal:
HR 95
RR 20
SpO2 90%
What should the RT conclude? - ANS ✓The patient is ready for extubation
A 1400g, 28-week gestational age infant was delivered after a precipitous
vaginal delivery. The infant is receiving nasal CPAP with an FiO2 of 50% in
the delivery room and has an SpO2 of 85%. What is the most appropriate
next course of treatment? - ANS ✓Administer surfactant
NBRC TMC
, 2
NBRC
While performing MVV maneuvers a patient repeatedly terminates the test
between 8 to 10 seconds. What should the RT do? - ANS ✓Reschedule testing
at a later time
A 68-year old man with a history of COPD is admitted to the hospital for
increasing shortness of breath and a nonproductive cough. Chest
auscultation reveals expiratory wheezes. What the most appropriate choice
to improve the patient's clinical condition? - ANS ✓Ipratropium (Atrovent)
What is the best instruction for a patient receiving a small-volume
nebulizer bronchodilator therapy? - ANS ✓Breath normally with an occasional
deep inspiratory hold
What is the most simple method of preventing postoperative atelectasis in
a patient with no preoperative pulmonary problems? - ANS ✓Cough and
deep breathing
What are the potential complications associated with obtaining an ABG
through an indwelling radial arterial catheter? - ANS ✓1. Infection
2. Arteriospasm
3. Finger Ischemia
What is the amount of the air that can be forcibly exhaled from the lungs
after taking the deepest breath possible? - ANS ✓FVC
An 18-year old male with muscular dystrophy is receiving treatment for
recurrent pneumonia and atelectasis. What should the RT recommend in
addition to HFCWO? - ANS ✓Mechanical insufflation and exsufflation
An RT is checking a jet nebulizer with an entrainment setting 35%. A
properly calibrated oxygen analyzer measures the concentration at 45%.
What best explains this finding? - ANS ✓Water in the tubing
NBRC TMC
, 3
NBRC
Which of the following patients upon discharge should the RT recommend
apnea monitoring for home use?
1. Preterm neonate who has been treated with caffeine
2. Neonate who was diagnosed with cystic fibrosis
3. Term infant who exhibits intermittent acrocyanosis
4. 3 y/o following surgery for an intestinal obstruction - ANS ✓1. Preterm
neonate who has been treated with caffeine
While reading a chart, an RT notes that an 18-month-old with a history of
asthma was admitted with severe respiratory distress. Wheezing is
auscultated over the right lung only. What are these findings most
consistent with? - ANS ✓Foreign body aspiration
The following graphic is displayed for a patient receiving mechanical
ventilation in the SIMV mode.
Which type of breath does the graph represent?
1. Patient triggered mandatory
2. Spontaneous
3. Pressure supported
4. Pressure controlled - ANS ✓1. Patient triggered mandatory
A right heart catherization is scheduled to assess vaso-responsiveness in a
45-year-old patient with pulmonary hypertension. An RT should expect
titrate inhaled ____________ - ANS ✓Nitric Oxide
A 188-cm (6ft2in)male who weighs 100kg(220lb) is receiving SIMV with
the following settings:
NBRC TMC
, 4
NBRC
FiO2 80%
Mandatory Rate 10
Total Rate 32
Set VT 650
Spontaneous VT 100
PS 5
PEEP +12
What should the RT increase?
1. PEEP
2. VT
3. Mechanical Deadspace
4. Pressure Support - ANS ✓4. Pressure Support
A 56-year-old female with a diagnosis of bilateral basilar pneumonia is in
the ICU and receiving VC AC ventilation. A respiratory therapist observes
that her SpO2 has dropped from 95% to 84%. Her current FiO2 is 50% with
+12 PEEP. Her PaCO2 values have remained within normal range. What
should the RT increase first? - ANS ✓Increase the FiO2
A patient requires frequent nasotracheal suctioning. The patient begins to
cough violently after an RT places a nasopharyngeal airway. Which of the
following actions should the therapist recommend?
1. Wait 10 minutes for the patient to adapt to the airway
2. Wait until the patient falls asleep to insert an airway
3. Insert a nasal airway that is wider
4. Insert a nasal airway that has a shorter length - ANS ✓4. Insert a nasal
airway that has a shorter length
NBRC TMC
