NBRC TMC ACTUAL EXAM LATEST 2024/2025 WITH
DETAILED QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A ++
Test for carbon monoxide - ANSWER Arterial O2 content
Way to reduce CO2 - ANSWER Increase pressure support
How to lower mean airway pressure in ptr receiving VC - ANSWER
Decrease iT
How to adjust I:E ratio - ANSWER increase the flow
Calculation for static compliance: - ANSWER Pplat-PEEP/Vt
Calculation for dynamic compliance: - ANSWER PIP-PEEP/Vt
Used to calibrate bedside spirometer: - ANSWER 3L syringe
Evaluating ventilator-patient interface: - ANSWER capnography
In VC, if theres a decrease in expired volume & airway pressure, whats the
likely problem: - ANSWER leak
Best measuring for assessing resp muscles & mechanical properties of the
lungs & thorax: - ANSWER vital capacity
Test to determine what type of antibiotic patient needs: - ANSWER culture
& sensitivity
Green sputum: - ANSWER bronchiectasis (infection)
Pink sputum: - ANSWER pulmonary edema
Obstructive diseases: - ANSWER CBABE
C-Cystic fibrosis
B- Bronchiectasis
A-Asthma
B- Bronchitis (Chronic)
,E-Emphysema
Max flow for 8yr old receiving O2 via high flow nc: - ANSWER 20L
O2 analyzer reading 104%, pt receiving 100% O2: what is the cause: -
ANSWER needs calibration
3 ways to correct auto-PEEP: - ANSWER increase iT, decrease RR,
decrease Vt
Name a anxiety med: - ANSWER Versed
Drug used for difficult intubation: - ANSWER neuromuscular blocking agent
(Anectine)
Name paralysis medication (3) - ANSWER PTN
P-Pavulon
T-Tracrium
N-Norcuron
Low Vt alarm causes: - ANSWER cuff leak, biting the tube, tube kinks &
coughing
You would want to increase this with a hemodynamically unstable patient: -
ANSWER PEEP
What you can do with a hyperventilating patient: - ANSWER decrease vt
and/or RR or add mechanical deadspace
2 ways to correct high CO2: - ANSWER increase RR or Vt
Normal range for VC: - ANSWER atleast 10
What to recommend for infants with RDS: - ANSWER surfactant (Survanta,
Infasurf, Curosurf)
ABG for patient with diabetic ketoacidosis: - ANSWER (low pH & bicarb)
Normal CO2 & O2
,Possible diseases with expiratory crackles: - ANSWER air passing through
secretions (CHF or pulmonary edema)
Disease w a flat percussion note: - ANSWER atelectasis
Disease with dull percussion note: - ANSWER consolidation or pleural
effusion
Recommendations for carbon monoxide: - ANSWER co-oximeter; 100%
O2; nonrebreather; hyperbaric O2
When to recommend inhaled nitric oxide: - ANSWER PPHN; pulmonary
hypertension
Increased PCWP: - ANSWER fluid overload; heart failure; cardiac
tamponade
Decreased PCWP: - ANSWER vasodilation; dehydration
Increased PAP: - ANSWER fluid overload; heart failure; p. hypertension;
P.E; PPTN
What is PVR and normal range: - ANSWER resistance that must be
overcome in order to push blood through the pulm. arteries (1-3)
Reasons for an increased PVR: - ANSWER COPD, P.E, PPHN, pulm.
hypertension, ARDS, increased PEEP
Recommend for chest pain: - ANSWER EKG
What is tactile fremitus: - ANSWER secretions felt by the tough
Crepitus: - ANSWER indicates presence of subcutaneous emphysema
Levels for exhaled carbon monoxide: - ANSWER Normal: 7
Light smoker: 7-10
Moderate smoker:11-20
Heavy smoker: 20 or more
Electrolytes can indicate: - ANSWER weakness, nausea, mental changes
, White sputum: - ANSWER bronchitis
Dark/brown sputum: - ANSWER old blood, anaerobic lung infection
Temperature for transcutaneous monitoring:
Troubleshooting if cant calibrate: - ANSWER 43-45 C
check for torn membrane, poor connections
Airway for semi-conscious patient: - ANSWER nasopharyngeal
Patient w fenestrated trach tube and needs emergency ventilation, you
would replace the: - ANSWER don't use; place inner cannula
Position to increase oxygenation: - ANSWER prone for ARDS; fowlers for
CHF
Useful for neonates since theyre obligated nose breathers: - ANSWER
nasal CPAP
When to use a mechanical percussor: - ANSWER when patient doesn't
tolerate manual percussion
Troubleshooting bubble humidifier sounding: - ANSWER increase O2;
obstruction or kink; clogged
When to change HME: - ANSWER every 24 or 48hrs
How to instruct patient to breath using MDI: - ANSWER breathe slowly;
deep breath; exhale normally
Oxygen concentration for T-piece: - ANSWER .21 - 1.0 FiO2
Appropiate sites for ABG puncture: - ANSWER radial, brachial, femoral
You use bronchoscope bleeding: - ANSWER saline
is serious epinephrine
Give patient for coughing control during bronchoscope: - ANSWER
lidocaine
DETAILED QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A ++
Test for carbon monoxide - ANSWER Arterial O2 content
Way to reduce CO2 - ANSWER Increase pressure support
How to lower mean airway pressure in ptr receiving VC - ANSWER
Decrease iT
How to adjust I:E ratio - ANSWER increase the flow
Calculation for static compliance: - ANSWER Pplat-PEEP/Vt
Calculation for dynamic compliance: - ANSWER PIP-PEEP/Vt
Used to calibrate bedside spirometer: - ANSWER 3L syringe
Evaluating ventilator-patient interface: - ANSWER capnography
In VC, if theres a decrease in expired volume & airway pressure, whats the
likely problem: - ANSWER leak
Best measuring for assessing resp muscles & mechanical properties of the
lungs & thorax: - ANSWER vital capacity
Test to determine what type of antibiotic patient needs: - ANSWER culture
& sensitivity
Green sputum: - ANSWER bronchiectasis (infection)
Pink sputum: - ANSWER pulmonary edema
Obstructive diseases: - ANSWER CBABE
C-Cystic fibrosis
B- Bronchiectasis
A-Asthma
B- Bronchitis (Chronic)
,E-Emphysema
Max flow for 8yr old receiving O2 via high flow nc: - ANSWER 20L
O2 analyzer reading 104%, pt receiving 100% O2: what is the cause: -
ANSWER needs calibration
3 ways to correct auto-PEEP: - ANSWER increase iT, decrease RR,
decrease Vt
Name a anxiety med: - ANSWER Versed
Drug used for difficult intubation: - ANSWER neuromuscular blocking agent
(Anectine)
Name paralysis medication (3) - ANSWER PTN
P-Pavulon
T-Tracrium
N-Norcuron
Low Vt alarm causes: - ANSWER cuff leak, biting the tube, tube kinks &
coughing
You would want to increase this with a hemodynamically unstable patient: -
ANSWER PEEP
What you can do with a hyperventilating patient: - ANSWER decrease vt
and/or RR or add mechanical deadspace
2 ways to correct high CO2: - ANSWER increase RR or Vt
Normal range for VC: - ANSWER atleast 10
What to recommend for infants with RDS: - ANSWER surfactant (Survanta,
Infasurf, Curosurf)
ABG for patient with diabetic ketoacidosis: - ANSWER (low pH & bicarb)
Normal CO2 & O2
,Possible diseases with expiratory crackles: - ANSWER air passing through
secretions (CHF or pulmonary edema)
Disease w a flat percussion note: - ANSWER atelectasis
Disease with dull percussion note: - ANSWER consolidation or pleural
effusion
Recommendations for carbon monoxide: - ANSWER co-oximeter; 100%
O2; nonrebreather; hyperbaric O2
When to recommend inhaled nitric oxide: - ANSWER PPHN; pulmonary
hypertension
Increased PCWP: - ANSWER fluid overload; heart failure; cardiac
tamponade
Decreased PCWP: - ANSWER vasodilation; dehydration
Increased PAP: - ANSWER fluid overload; heart failure; p. hypertension;
P.E; PPTN
What is PVR and normal range: - ANSWER resistance that must be
overcome in order to push blood through the pulm. arteries (1-3)
Reasons for an increased PVR: - ANSWER COPD, P.E, PPHN, pulm.
hypertension, ARDS, increased PEEP
Recommend for chest pain: - ANSWER EKG
What is tactile fremitus: - ANSWER secretions felt by the tough
Crepitus: - ANSWER indicates presence of subcutaneous emphysema
Levels for exhaled carbon monoxide: - ANSWER Normal: 7
Light smoker: 7-10
Moderate smoker:11-20
Heavy smoker: 20 or more
Electrolytes can indicate: - ANSWER weakness, nausea, mental changes
, White sputum: - ANSWER bronchitis
Dark/brown sputum: - ANSWER old blood, anaerobic lung infection
Temperature for transcutaneous monitoring:
Troubleshooting if cant calibrate: - ANSWER 43-45 C
check for torn membrane, poor connections
Airway for semi-conscious patient: - ANSWER nasopharyngeal
Patient w fenestrated trach tube and needs emergency ventilation, you
would replace the: - ANSWER don't use; place inner cannula
Position to increase oxygenation: - ANSWER prone for ARDS; fowlers for
CHF
Useful for neonates since theyre obligated nose breathers: - ANSWER
nasal CPAP
When to use a mechanical percussor: - ANSWER when patient doesn't
tolerate manual percussion
Troubleshooting bubble humidifier sounding: - ANSWER increase O2;
obstruction or kink; clogged
When to change HME: - ANSWER every 24 or 48hrs
How to instruct patient to breath using MDI: - ANSWER breathe slowly;
deep breath; exhale normally
Oxygen concentration for T-piece: - ANSWER .21 - 1.0 FiO2
Appropiate sites for ABG puncture: - ANSWER radial, brachial, femoral
You use bronchoscope bleeding: - ANSWER saline
is serious epinephrine
Give patient for coughing control during bronchoscope: - ANSWER
lidocaine
