NBRC TMC EXAM-Z QUESTIONS AND
VERIFIED ANSWERS; 100% CORRECT;
GRADE A
A 4-year old child was playing with toys when he suddenly
became tachypneic. Auscultation reveals wheezing on the right
side. Which of the following should the respiratory therapist
prepare?
A. aerosolized Lidocaine
B. racemic epinephrine
C. a bronchoscope
D. an Albuterol treatment - correct answer- The
correct answer is : C
A 12-year-old child is receiving IPPB therapy by mouthpiece. The
machine continually fails to cycle on both the inhalation and
exhalation phases. The first step the therapist should take to
resolve the problem is to
A. switch to a larger mouthpiece
B. decrease inspiratory pressure
C. decrease sensitivity
D. utilize nose clips - correct answer- The correct
answer is : D
,A 30-weeks of gestation infant is receiving mechanical
ventilatory support with a time-cycled, pressure-limited
ventilator at the following settings:
PIP 35 cm H2O
Rate 28
FIO2 0.4
PEEP 4 cm H2O
I-time 0.75 sec
The respiratory therapist notices the pressure manometer does
not rise to the set pressure during each inspiration. Which of the
following is the most likely cause?
A. the pressure-limiting pop-off valve is set to low
B. internal flow rate is too high
C. rate is insufficient
D. set pressure exceeds the pressure capability of the ventilator
- correct answer- The correct answer is : A
A 31-week-gestional age infant has a respiratory rate of 30/min
and a heart rate of 70/min while breathing room air. Five
minutes after birth, the infant is acrocyanotic and has a weak
cry. Following suctioning of the oropharynx the respiratory
therapist should
,A. place the infant in an oxyhood at FIO2 0.40
B. administer Atropine sulfate
C. begin chest compressions
D. provide manual ventilation with the bag-valve - correct
answer- The correct answer is : D
A 32-week gestational age infant is receiving supplemental
oxygen by oxyhood with an oxygen blender set at 40% and a
heated aerosol. The oxygen analyzer fuel cell is placed near the
infant's mouth and FIO2 is determined to be 35%. The physician
would like to confirm the patient's oxygenation status. The
respiratory therapist should evaluate
A. Capillary blood gas
B. PetCO2
C. Pulse oximetery
D. COHb - correct answer- The correct answer is : C
A 32-year-old 81-kg (178-lb) adult male is receiving mechanical
ventilatory support. Settings are as follows:
Mode Assist/control
Mandatory rate 10
Total rate 18
, Tidal volume 450 mL
FIO2 0.6
PEEP 5 cm H2O
The patient is cyanotic and anxious. Which of the following will
the respiratory therapist recommend?
A. increase FIO2
B. decrease mandatory rate
C. increase tidal volume
D. increase inspiratory flow rate - correct answer-
The correct answer is : C
A 38-week gestational age infant is to receive oxygen therapy by
a blender set at 100% with a heated large-volume nebulizer. To
ensure the delivery of the ordered FIO2, the respiratory
therapist should properly set the nebulizer FIO2 to
A. 100%
B. 50%
C. 0%
D. 21% - correct answer- The correct answer is : A
A 62-year-old man admitted to the emergency room with chest
pain complains of shortness of breath after a bronchodilator
VERIFIED ANSWERS; 100% CORRECT;
GRADE A
A 4-year old child was playing with toys when he suddenly
became tachypneic. Auscultation reveals wheezing on the right
side. Which of the following should the respiratory therapist
prepare?
A. aerosolized Lidocaine
B. racemic epinephrine
C. a bronchoscope
D. an Albuterol treatment - correct answer- The
correct answer is : C
A 12-year-old child is receiving IPPB therapy by mouthpiece. The
machine continually fails to cycle on both the inhalation and
exhalation phases. The first step the therapist should take to
resolve the problem is to
A. switch to a larger mouthpiece
B. decrease inspiratory pressure
C. decrease sensitivity
D. utilize nose clips - correct answer- The correct
answer is : D
,A 30-weeks of gestation infant is receiving mechanical
ventilatory support with a time-cycled, pressure-limited
ventilator at the following settings:
PIP 35 cm H2O
Rate 28
FIO2 0.4
PEEP 4 cm H2O
I-time 0.75 sec
The respiratory therapist notices the pressure manometer does
not rise to the set pressure during each inspiration. Which of the
following is the most likely cause?
A. the pressure-limiting pop-off valve is set to low
B. internal flow rate is too high
C. rate is insufficient
D. set pressure exceeds the pressure capability of the ventilator
- correct answer- The correct answer is : A
A 31-week-gestional age infant has a respiratory rate of 30/min
and a heart rate of 70/min while breathing room air. Five
minutes after birth, the infant is acrocyanotic and has a weak
cry. Following suctioning of the oropharynx the respiratory
therapist should
,A. place the infant in an oxyhood at FIO2 0.40
B. administer Atropine sulfate
C. begin chest compressions
D. provide manual ventilation with the bag-valve - correct
answer- The correct answer is : D
A 32-week gestational age infant is receiving supplemental
oxygen by oxyhood with an oxygen blender set at 40% and a
heated aerosol. The oxygen analyzer fuel cell is placed near the
infant's mouth and FIO2 is determined to be 35%. The physician
would like to confirm the patient's oxygenation status. The
respiratory therapist should evaluate
A. Capillary blood gas
B. PetCO2
C. Pulse oximetery
D. COHb - correct answer- The correct answer is : C
A 32-year-old 81-kg (178-lb) adult male is receiving mechanical
ventilatory support. Settings are as follows:
Mode Assist/control
Mandatory rate 10
Total rate 18
, Tidal volume 450 mL
FIO2 0.6
PEEP 5 cm H2O
The patient is cyanotic and anxious. Which of the following will
the respiratory therapist recommend?
A. increase FIO2
B. decrease mandatory rate
C. increase tidal volume
D. increase inspiratory flow rate - correct answer-
The correct answer is : C
A 38-week gestational age infant is to receive oxygen therapy by
a blender set at 100% with a heated large-volume nebulizer. To
ensure the delivery of the ordered FIO2, the respiratory
therapist should properly set the nebulizer FIO2 to
A. 100%
B. 50%
C. 0%
D. 21% - correct answer- The correct answer is : A
A 62-year-old man admitted to the emergency room with chest
pain complains of shortness of breath after a bronchodilator