NBRC TMC EXAM-V AND X ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
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A patient receiving volume-controlled ventilation in the assist/control mode has a
peak inspiratory pressure of 55 cm H2O. Both dynamic and static compliance have
decreased over the last few days. Which of the following will the patient benefit
most from?
A. pressure control ventilation (PCV)
B. pressure-cycled ventilation
C. Bi-level therapy
D. pressure support - ANSWER: The correct answer is : A
Which of the following is needed to calculate alveolar oxygen tension?
A. FIO2, PB, PH2O
B. FIO2 and RQ
C. PAO2, PaO2
D. A-aDO2, PAO2 - ANSWER: The correct answer is : A
A homeless patient reports to a clinic with hemoptysis and emaciation, as well as
other symptoms consistent with tuberculosis. Which of the following exams would
be most appropriate to assess the patient further?
A. FeNO exhaled gas analysis
B. eosinophil count
C. serum creatinine blood level
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D. Mantoux test - ANSWER: The correct answer is : D
According to the National Asthma Education and Prevention program (NAEPP), a
patient who is in the "yellow zone" of their personalized asthma action plan and
who has taken bronchodilator treatments more frequently than ordered over the last
24 hours should consider which of the following?
A. calling 911
B. contacting their healthcare provider
C. switching bronchodilator medication
D. reporting to the emergency room - ANSWER: The correct answer is : B
Five minutes after birth, the following is observed on a 38 weeks-of-gestation
infant:
HR 120/min Appearance pink all over
Activity some flexion of the extremities Grimace grimace noted Respiration weak
cry
What is the infant's 5-minute APGAR score?
A. 8
B. 7
C. 5
D. 6 - ANSWER: The correct answer is : B
A 12-year-old patient with asthma is taking Albuterol by MDI to treat
bronchoconstriction. Additionally, the patient is taking Beclovent
(beclomethasone). The Belcovent will serve which of the following purposes?
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A. as a systemic steroid
B. as a controller medication
C. as a short-term bronchodilator
D. to prevent the release of histamines - ANSWER: The correct answer is : B
Which of the following measures could be used to evaluate changes in symptoms
occurring among participants in a pulmonary rehabilitation program? A. changes in
sputum production
B. changes in O2 consumption
C. Changes in blood pressure
D. changes in O2 saturation - ANSWER: The correct answer is : A
An orally intubated patient has an oral pharyngeal airway (OPA) in place, which is
being used to prevent tube occlusion (as a bite block). While helping to bathe the
patient, the respiratory therapist observes the patient ejecting the OPA out onto the
bed covers. The therapist should
A. re-insert the used airway and secure it with tape to the patient's mouth.
B. sedate the patient and provide a new airway.
C. retrieve the airway and re-insert into the patient's mouth.
D. insert a new, sterile airway and secure it to the ET tube. - ANSWER: The
correct answer is : C
Which of the follow data obtained from a pulmonary artery catheter would suggest
impeded blood flow through the pulmonary vasculature?
A. increased CVP, mPAP, PCWP, and C.O.
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B. elevated CVP, normal mPAP and PCWP
C. elevated mPAP, normal or low PCWP
D. decreased C.O. with high PCWP - ANSWER: The correct answer is : C
When inspecting the X-ray of an outpatient with nephrotic syndrome, you note a
homogeneous area of increased density that obscures the left costophrenic angle.
Which of the following is the most likely problem?
A. pleural effusion
B. bacterial pneumonia
C. pulmonary edema
D. atelectasis - ANSWER: The correct answer is: A
During the performance of cardioversion, what setting on the defibrillator is
required?
A. bi-phasic mode selected
B. joules (power) set to 300 or higher
C. synchronization set to active
D. cardiac pacing turned on - ANSWER: The correct answer is : C
A patient with suspected spontaneous pneumothorax is placed on a non-rebreather
mask. After placing the mask, the respiratory therapist notices the reservoir bag
consistently collapses completely upon each breath. The therapist should
A. obtain an arterial blood gases.
B. tighten the straps on the mask.