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TMC NBRC - EXAM BANK 2025/2026 |
ACCURATE CURRENTLY TESTING EXAM
VERSIONS WITH 860 REAL EXAM QUESTIONS
AND ANSWERS WITH RATIONALES | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
CONTENTS……………………………………………….……………….…….1
NBRC TMC……………………………………………………………………... 2
NBRC TMC Pretest……………………………………………………….….. 40
NBRC TMC Exam-Z, NBRC TMC Exam-S………………………..………. 48
NBRC TMC Pharmacology…………………………….……………………..90
NBRC TMC B………………………………………………………...………….97
NBRC TMC Review…………………………………………………..……… 157
NOTE ✔✔ INDICATES THE ANSWER
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NBRC TMC 300 QUESTIONS [2 VERSIONS]
A 52 year-old post-operative cholecystectomy patient's breath sounds become more
coarse upon completion of postural drainage with percussion. The respiratory therapist
should recommend
A. continuing the therapy until breath sounds improve
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - ANSWER ✔✔- deep breathing
and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is
30% of his predicted value. What bronchial hygiene therapy would be most appropriate
initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - ANSWER ✔✔- IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics. Which
of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - ANSWER ✔✔- 1, 2, and 3 only
A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous
blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate
the patient's C(a-v)O2.
A. 2.5 vol%
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B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - ANSWER ✔✔- 5.0 vol%
Immediately after extubation of a patient in the ICU, the respiratory therapist observes
increasing respiratory distress with intercostal retractions and marked stridor. The SpO2
on 40% oxygen is noted to be 86%. Which of the following would be most appropriate at
this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - ANSWER ✔✔- reintubation
Which of the following information may be obtained from a FVC maneuver during
bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV - ANSWER ✔✔- 1 and 2 only
A patient who complains of dyspnea is noted to have a dry, non-productive cough. On
physical examination, breath sounds are diminished on the right, tactile fremitus is
decreased and there is dullness to percussion over the right lower lobe. The respiratory
therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis. - ANSWER ✔✔- pleural effusion
Which of the following suction catheters would be appropriate to use for a patient with a
size 8.0 mm ID endotracheal tube?
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A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr - ANSWER ✔✔- 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting the ventilator.
His breath sounds are markedly diminished on the left, there is dullness to percussion
on the left, and the trachea is shifted to the left. The most likely explanation for the
problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax. - ANSWER ✔✔- the
endotracheal tube has slipped into the right main stem bronchus.
What value for the apnea-hypopnea index (AHI) is consistent with mild obstructive sleep
apnea?
A. Less than 5
B. 5 to 15
C. 16 to 30
D. Greater than 30 - ANSWER ✔✔- 5 to 15
While monitoring a newborn utilizing a transcutaneous monitor, you notice a change in
PtcO2 from 60 to 142 torr and simultaneously the (PtcCO2) changes from 37 to 2 torr.
What is the most likely explanation for these changes?
A. Upper airway obstruction
B. Poor peripheral perfusion
C. Air leak around the sensor
D. Device is out of range - ANSWER ✔✔- Air leak around the sensor
TMC NBRC - EXAM BANK 2025/2026 |
ACCURATE CURRENTLY TESTING EXAM
VERSIONS WITH 860 REAL EXAM QUESTIONS
AND ANSWERS WITH RATIONALES | EXPERT
VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
CONTENTS……………………………………………….……………….…….1
NBRC TMC……………………………………………………………………... 2
NBRC TMC Pretest……………………………………………………….….. 40
NBRC TMC Exam-Z, NBRC TMC Exam-S………………………..………. 48
NBRC TMC Pharmacology…………………………….……………………..90
NBRC TMC B………………………………………………………...………….97
NBRC TMC Review…………………………………………………..……… 157
NOTE ✔✔ INDICATES THE ANSWER
,2|Page
NBRC TMC 300 QUESTIONS [2 VERSIONS]
A 52 year-old post-operative cholecystectomy patient's breath sounds become more
coarse upon completion of postural drainage with percussion. The respiratory therapist
should recommend
A. continuing the therapy until breath sounds improve
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - ANSWER ✔✔- deep breathing
and coughing to clear secretions.
A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is
30% of his predicted value. What bronchial hygiene therapy would be most appropriate
initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - ANSWER ✔✔- IPPB with normal saline
A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics. Which
of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity - ANSWER ✔✔- 1, 2, and 3 only
A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous
blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate
the patient's C(a-v)O2.
A. 2.5 vol%
,3|Page
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - ANSWER ✔✔- 5.0 vol%
Immediately after extubation of a patient in the ICU, the respiratory therapist observes
increasing respiratory distress with intercostal retractions and marked stridor. The SpO2
on 40% oxygen is noted to be 86%. Which of the following would be most appropriate at
this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation - ANSWER ✔✔- reintubation
Which of the following information may be obtained from a FVC maneuver during
bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV - ANSWER ✔✔- 1 and 2 only
A patient who complains of dyspnea is noted to have a dry, non-productive cough. On
physical examination, breath sounds are diminished on the right, tactile fremitus is
decreased and there is dullness to percussion over the right lower lobe. The respiratory
therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis. - ANSWER ✔✔- pleural effusion
Which of the following suction catheters would be appropriate to use for a patient with a
size 8.0 mm ID endotracheal tube?
, 4|Page
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr - ANSWER ✔✔- 12 Fr
A patient who is receiving continuous mechanical ventilation is fighting the ventilator.
His breath sounds are markedly diminished on the left, there is dullness to percussion
on the left, and the trachea is shifted to the left. The most likely explanation for the
problem is that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax. - ANSWER ✔✔- the
endotracheal tube has slipped into the right main stem bronchus.
What value for the apnea-hypopnea index (AHI) is consistent with mild obstructive sleep
apnea?
A. Less than 5
B. 5 to 15
C. 16 to 30
D. Greater than 30 - ANSWER ✔✔- 5 to 15
While monitoring a newborn utilizing a transcutaneous monitor, you notice a change in
PtcO2 from 60 to 142 torr and simultaneously the (PtcCO2) changes from 37 to 2 torr.
What is the most likely explanation for these changes?
A. Upper airway obstruction
B. Poor peripheral perfusion
C. Air leak around the sensor
D. Device is out of range - ANSWER ✔✔- Air leak around the sensor
