NBRC TMC PRACTICE QUESTIONS
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
A 'flat' sound is heard when performing diagnostic chest
percussion. This sound is most closely associated with
A. empty, air-filled space.
B. fatty tissue.
C. bone.
D. consolidation. - correct answer- C.
A 'flat' sound is heard when percussing over bone.
A 5-year old patient with acute epiglottitis has just received a
tracheotomy and is returned to the emergency department for
monitoring. The patient is now breathing through a
tracheostomy tube. Which of the following is most important at
this time?
A. keep the tracheostomy tube cuff inflated
B. provide heated humidity
C. mechanical ventilatory support
D. provide cool aerosol therapy - correct answer- B.
,A patient who has a tracheostomy tube in place is unable to
naturally humidify inspired gases because the natural
humidification processes of the body, including the nasal
passages and oropharynx, are bypassed. In this case, providing
heated humidity, which can make up the entire humidity deficit,
is paramount.
A 5-year-old child is brought to the emergency room (ER) with a
fever and difficulty breathing. The patient is drooling but is
making no vocal sounds. Which of the following procedures
should the respiratory therapist recommend?
A. lateral neck radiograph
B. bronchoscopy
C. CBC
D. inspection of the pharyngeal area with a tongue depressor -
correct answer- A
A 6-ft, 2-in (188-cm) Caucasian male has inexplicably become
tachypneic. Tracheal deviation to the left is noted. A chest
radiograph confirms a pneumothorax and chest tube placement
is ordered. The respiratory therapist should recommend
placement of chest tubes in the
A. right side 5th interspace, mid-clavicular line.
B. right side, 2nd interspace, mid-clavicular line.
,C. left side, 2nd interspace, mid-axillary line.
D. left side, 5th interspace, mid-axillary line. - correct
answer- B.
Because the profile fits a spontaneous pneumothorax (white,
tall, male), the patient most likely does not have significant fluid
to drain from the pleural spaces. Thus, the tube may be placed
in a higher position - 2nd interspace, mid-clavicular line. Since
the trachea is deviated to the left, the pneumothorax is
indicated on the right.
A 6-minute walk test is used to evaluate
A. a patient's physical stamina and aerobic endurance.
B. pulmonary ventilatory ability.
C. PF ratio.
D. Oxygen desaturation tendency. - correct answer-
A.
A 6-minute walk test (6MWT) is a way of evaluating a patient's
physical performance ability, especially given certain
cardiopulmonary limitations. The test evaluates the distance a
person can walk in 6 minutes. This is known as a 6-minute walk
distance (6MWD).
, A 7-year-old patient in the emergency department (ED) has been
experiencing increased episodes of wheezing in the middle of
the night, disturbing the patient's sleep. Which of the following
could be prescribed for the patient PRN?
A. serevent (Salmeterol)
B. formoterol (Floradil)
C. albuterol
D. beclomethasone (Beclovent) - correct answer- C.
Of the options listed, only albuterol is considered to be an
appropriate short-term rescue medication that may be used to
treat bronchoconstriction PRN. The other medications listed are
long-term medicines and are not appropriate for PRN use.
A 9-year-old asthmatic patient has previously responded well to
Xopenex via small-volume nebulizer. The patient is intubated
and has been placed on mechanical ventilation for acute
respiratory failure. The physician orders Xopenex to be delivered
via SVN through the ventilator circuit. Which of the following is
an important consideration for effective medication delivery?
A. tachycardia is more likely
B. an alpha I response is increased
C. Placement of the nebulizer can result in variation of
medication delivery
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
A 'flat' sound is heard when performing diagnostic chest
percussion. This sound is most closely associated with
A. empty, air-filled space.
B. fatty tissue.
C. bone.
D. consolidation. - correct answer- C.
A 'flat' sound is heard when percussing over bone.
A 5-year old patient with acute epiglottitis has just received a
tracheotomy and is returned to the emergency department for
monitoring. The patient is now breathing through a
tracheostomy tube. Which of the following is most important at
this time?
A. keep the tracheostomy tube cuff inflated
B. provide heated humidity
C. mechanical ventilatory support
D. provide cool aerosol therapy - correct answer- B.
,A patient who has a tracheostomy tube in place is unable to
naturally humidify inspired gases because the natural
humidification processes of the body, including the nasal
passages and oropharynx, are bypassed. In this case, providing
heated humidity, which can make up the entire humidity deficit,
is paramount.
A 5-year-old child is brought to the emergency room (ER) with a
fever and difficulty breathing. The patient is drooling but is
making no vocal sounds. Which of the following procedures
should the respiratory therapist recommend?
A. lateral neck radiograph
B. bronchoscopy
C. CBC
D. inspection of the pharyngeal area with a tongue depressor -
correct answer- A
A 6-ft, 2-in (188-cm) Caucasian male has inexplicably become
tachypneic. Tracheal deviation to the left is noted. A chest
radiograph confirms a pneumothorax and chest tube placement
is ordered. The respiratory therapist should recommend
placement of chest tubes in the
A. right side 5th interspace, mid-clavicular line.
B. right side, 2nd interspace, mid-clavicular line.
,C. left side, 2nd interspace, mid-axillary line.
D. left side, 5th interspace, mid-axillary line. - correct
answer- B.
Because the profile fits a spontaneous pneumothorax (white,
tall, male), the patient most likely does not have significant fluid
to drain from the pleural spaces. Thus, the tube may be placed
in a higher position - 2nd interspace, mid-clavicular line. Since
the trachea is deviated to the left, the pneumothorax is
indicated on the right.
A 6-minute walk test is used to evaluate
A. a patient's physical stamina and aerobic endurance.
B. pulmonary ventilatory ability.
C. PF ratio.
D. Oxygen desaturation tendency. - correct answer-
A.
A 6-minute walk test (6MWT) is a way of evaluating a patient's
physical performance ability, especially given certain
cardiopulmonary limitations. The test evaluates the distance a
person can walk in 6 minutes. This is known as a 6-minute walk
distance (6MWD).
, A 7-year-old patient in the emergency department (ED) has been
experiencing increased episodes of wheezing in the middle of
the night, disturbing the patient's sleep. Which of the following
could be prescribed for the patient PRN?
A. serevent (Salmeterol)
B. formoterol (Floradil)
C. albuterol
D. beclomethasone (Beclovent) - correct answer- C.
Of the options listed, only albuterol is considered to be an
appropriate short-term rescue medication that may be used to
treat bronchoconstriction PRN. The other medications listed are
long-term medicines and are not appropriate for PRN use.
A 9-year-old asthmatic patient has previously responded well to
Xopenex via small-volume nebulizer. The patient is intubated
and has been placed on mechanical ventilation for acute
respiratory failure. The physician orders Xopenex to be delivered
via SVN through the ventilator circuit. Which of the following is
an important consideration for effective medication delivery?
A. tachycardia is more likely
B. an alpha I response is increased
C. Placement of the nebulizer can result in variation of
medication delivery
