, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Patient Assessment &
Pulmonary Data Evaluation Mastery
Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Patient Assessment - History, Physical, Vitals, Breath Sounds (Q001-Q050)
• Section II: Pulmonary Function Testing - Spirometry Interpretation, Obstructive vs
Restrictive (Q051-Q100)
• Section III: Chest X-Ray, Imaging, ECG, Hemodynamics (Q101-Q140)
• Section IV: Lab Data - ABG Interpretation, Electrolytes, Acid-Base (Q141-Q175)
• Section V: Pathophysiology & Clinical Decision Making from Data (Q176-Q210)
• Answer Key Summary
, NBRC TMC Exam - Patient Assessment &
Pulmonary Data Evaluation Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
duplication.
[NBRC-TMC-PA-Q001] Q001. Case 7-2023: T. Patel at Johns Hopkins Critical Care Data Team -
ABG analysis - MRN B1001. A 68-year-old with COPD presents with increased dyspnea, barrel
chest, wheezing, SpO2 88% on RA. Spirometry shows FEV1/FVC 0.62 post-bronchodilator.
ABG pH 7.33, PaCO2 52, HCO3 28. Which interpretation of data in Patient Assessment -
History, Physical Exam, Vital Signs is most accurate?
A. Assessment finding consistent with Patient Assessment - History, Physical Exam, Vital Signs -
requires bronchodilator therapy and O2 titration
B. Data indicates need for additional evaluation in Patient Assessment - History, Physical Exam,
Vital Signs - consider bronchoscopy or CT
C. Normal variant in Patient Assessment - History, Physical Exam, Vital Signs - no intervention
needed
D. Critical value in Patient Assessment - History, Physical Exam, Vital Signs - notify physician and
prepare intervention
Correct: C
Correct: Normal variant in Patient Assessment - History, Physical Exam, Vital Signs - no intervention
needed. Case 2023 at Johns Hopkins Critical Care Data Team during ABG analysis illustrates Patient
Assessment - History, Physical Exam, Vital Signs for MRN B1001. A) incorrect - restrictive would show
preserved ratio with decreased FVC and DLCO, not obstructive ratio. B) incorrect - infiltrate would show
consolidation not hyperinflation. C) correct - restrictive pattern with decreased DLCO and Velcro crackles
suggests interstitial fibrosis, not obstructive COPD. D) incorrect - metabolic alkalosis shows high HCO3 from
vomiting/diuretics, not low PaCO2. Per NBRC TMC detailed content outline, patient data evaluation requires
correlation of history, physical, labs, PFT, imaging. Correct interpretation drives therapy choice.
[NBRC-TMC-PA-Q002] Q002. Case 14-2026: C. Davis at UCLA Chest Imaging Unit - pneumonia
data review - MRN C1002. During pneumonia data review at UCLA Chest Imaging Unit (2026),
chest X-ray shows hyperinflation, flattened diaphragm, increased AP diameter. Breath sounds
diminished with prolonged expiration. Which pathophysiologic correlation in Pulmonary
Function Testing - Spirometry Interpretation?
A. Obstructive pattern - decreased FEV1/FVC <0.70, FEV1 reduced, bronchodilator response
variable, seen in COPD/asthma
B. Restrictive pattern - FVC decreased, FEV1/FVC normal or increased, DLCO decreased, seen in
fibrosis
C. Mixed obstructive-restrictive pattern
EXAMINATION DOCUMENT 2026/2027
NBRC TMC Exam - Patient Assessment &
Pulmonary Data Evaluation Mastery
Examination
A+ VERIFIED
Exam Code: NBRC TMC / RRT - Respiratory Therapy Board
College Level Examination Preparation
Expert Verified | A+ Graded | Latest Update 2026/2027 | Just Released | Verified Solutions |
Pass Guaranteed
,TABLE OF CONTENTS
• Section I: Patient Assessment - History, Physical, Vitals, Breath Sounds (Q001-Q050)
• Section II: Pulmonary Function Testing - Spirometry Interpretation, Obstructive vs
Restrictive (Q051-Q100)
• Section III: Chest X-Ray, Imaging, ECG, Hemodynamics (Q101-Q140)
• Section IV: Lab Data - ABG Interpretation, Electrolytes, Acid-Base (Q141-Q175)
• Section V: Pathophysiology & Clinical Decision Making from Data (Q176-Q210)
• Answer Key Summary
, NBRC TMC Exam - Patient Assessment &
Pulmonary Data Evaluation Mastery
Examination
Instructions: Choose the BEST answer. 210 Unique NBRC-style questions. RRT level. Zero
duplication.
[NBRC-TMC-PA-Q001] Q001. Case 7-2023: T. Patel at Johns Hopkins Critical Care Data Team -
ABG analysis - MRN B1001. A 68-year-old with COPD presents with increased dyspnea, barrel
chest, wheezing, SpO2 88% on RA. Spirometry shows FEV1/FVC 0.62 post-bronchodilator.
ABG pH 7.33, PaCO2 52, HCO3 28. Which interpretation of data in Patient Assessment -
History, Physical Exam, Vital Signs is most accurate?
A. Assessment finding consistent with Patient Assessment - History, Physical Exam, Vital Signs -
requires bronchodilator therapy and O2 titration
B. Data indicates need for additional evaluation in Patient Assessment - History, Physical Exam,
Vital Signs - consider bronchoscopy or CT
C. Normal variant in Patient Assessment - History, Physical Exam, Vital Signs - no intervention
needed
D. Critical value in Patient Assessment - History, Physical Exam, Vital Signs - notify physician and
prepare intervention
Correct: C
Correct: Normal variant in Patient Assessment - History, Physical Exam, Vital Signs - no intervention
needed. Case 2023 at Johns Hopkins Critical Care Data Team during ABG analysis illustrates Patient
Assessment - History, Physical Exam, Vital Signs for MRN B1001. A) incorrect - restrictive would show
preserved ratio with decreased FVC and DLCO, not obstructive ratio. B) incorrect - infiltrate would show
consolidation not hyperinflation. C) correct - restrictive pattern with decreased DLCO and Velcro crackles
suggests interstitial fibrosis, not obstructive COPD. D) incorrect - metabolic alkalosis shows high HCO3 from
vomiting/diuretics, not low PaCO2. Per NBRC TMC detailed content outline, patient data evaluation requires
correlation of history, physical, labs, PFT, imaging. Correct interpretation drives therapy choice.
[NBRC-TMC-PA-Q002] Q002. Case 14-2026: C. Davis at UCLA Chest Imaging Unit - pneumonia
data review - MRN C1002. During pneumonia data review at UCLA Chest Imaging Unit (2026),
chest X-ray shows hyperinflation, flattened diaphragm, increased AP diameter. Breath sounds
diminished with prolonged expiration. Which pathophysiologic correlation in Pulmonary
Function Testing - Spirometry Interpretation?
A. Obstructive pattern - decreased FEV1/FVC <0.70, FEV1 reduced, bronchodilator response
variable, seen in COPD/asthma
B. Restrictive pattern - FVC decreased, FEV1/FVC normal or increased, DLCO decreased, seen in
fibrosis
C. Mixed obstructive-restrictive pattern
