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NBRC TMC EXAM-V AND X ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
A 'flat' sound is heard while performing diagnostic chest percussion. This sound is
mostly likely observed when percussion is done over
A. a fluid-filled space.
B. pulmonary consolidation.
C. fatty tissue.
D. bone. - ANSWER: D
What is the minute alveolar ventilation for a 200-lb (91-kg) patient with the
following parameters?
VT(spont) 600 mL
Respiratory rate 10 PetCO2 30 mm Hg
A. 4.0 L
B. 3.2 L
C. 5.7 L
D. 6.0 L - ANSWER: A
While performing chest physiotherapy on a patient who is spontaneously
breathing, you notice the presence of PVCs in lead II on the monitor when the head
of the bed is declined. Based on this observation, the respiratory therapist should
recommend
A. restrict CPT to semi-Fowler's position.
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B. administer Lidocaine, IV prior to future treatments.
C. employ intrapulmonary percussive ventilation.
D. switch to high-frequency chest wall oscillation. - ANSWER: D
Which of the following medication classifications will help thin secretions?
A. anti-fungal
B. proteolytic
C. decongestant
D. antimicrobial - ANSWER: B
The medication prostacyclin is used for which of the following purposes?
A. bronchodilate large airways
B. decrease systemic vascular resistance (SVR)
C. improve cardiac contractility
D. decrease pulmonary hypertension - ANSWER: D
Breath sounds on a patient with CHF are described as wet and crepitant. The
patient also has +3 pitting edema in the lower extremities. The respiratory therapist
should recommend
A. aerosolized racemic epinephrine.
B. furosemide (Lasix) administration IV.
C. intravenous atropine.
D. diltiazem (Cardizem) by mouth. - ANSWER: B
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?
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A. FeNO exhaled gas analysis
B. eosinophil count
C. serum creatinine blood level
D. Mantoux test - ANSWER: 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: 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
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D. 6 - ANSWER: 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?
A. as a systemic steroid
B. as a controller medication
C. as a short-term bronchodilator
D. to prevent the release of histamines - ANSWER: 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: 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: C
NBRC TMC EXAM-V AND X ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
A 'flat' sound is heard while performing diagnostic chest percussion. This sound is
mostly likely observed when percussion is done over
A. a fluid-filled space.
B. pulmonary consolidation.
C. fatty tissue.
D. bone. - ANSWER: D
What is the minute alveolar ventilation for a 200-lb (91-kg) patient with the
following parameters?
VT(spont) 600 mL
Respiratory rate 10 PetCO2 30 mm Hg
A. 4.0 L
B. 3.2 L
C. 5.7 L
D. 6.0 L - ANSWER: A
While performing chest physiotherapy on a patient who is spontaneously
breathing, you notice the presence of PVCs in lead II on the monitor when the head
of the bed is declined. Based on this observation, the respiratory therapist should
recommend
A. restrict CPT to semi-Fowler's position.
,2|Page
B. administer Lidocaine, IV prior to future treatments.
C. employ intrapulmonary percussive ventilation.
D. switch to high-frequency chest wall oscillation. - ANSWER: D
Which of the following medication classifications will help thin secretions?
A. anti-fungal
B. proteolytic
C. decongestant
D. antimicrobial - ANSWER: B
The medication prostacyclin is used for which of the following purposes?
A. bronchodilate large airways
B. decrease systemic vascular resistance (SVR)
C. improve cardiac contractility
D. decrease pulmonary hypertension - ANSWER: D
Breath sounds on a patient with CHF are described as wet and crepitant. The
patient also has +3 pitting edema in the lower extremities. The respiratory therapist
should recommend
A. aerosolized racemic epinephrine.
B. furosemide (Lasix) administration IV.
C. intravenous atropine.
D. diltiazem (Cardizem) by mouth. - ANSWER: B
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?
,3|Page
A. FeNO exhaled gas analysis
B. eosinophil count
C. serum creatinine blood level
D. Mantoux test - ANSWER: 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: 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
, 4|Page
D. 6 - ANSWER: 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?
A. as a systemic steroid
B. as a controller medication
C. as a short-term bronchodilator
D. to prevent the release of histamines - ANSWER: 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: 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: C
