NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
1. A patient with ARDS is receiving mechanical ventilato- The correct answer is : A
ry support. An end-tidal CO2 monitor shows a PetCO2
of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings
2. Which of following parameters indicate a patient is The correct answer is : C
ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O
3. Which of the following data is needed to calculate The correct answer is : C
minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT
4. A respiratory therapist notes a pressure-volume loop The correct answer is : B
on a patient receiving mechanical ventilation has a
pronounced beak. What strategy is useful in this
case?
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow
5. The correct answer is : B
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
The respiratory therapist is making a plan of care for
a patient with mycoplasma pneumonia who needs as-
sistance with airway clearance of secretions. In which
order should therapy be performed?
A. percussion, postural drainage, bronchodilator,
coach coughing
B. bronchodilator, percussion, postural drainage,
coach coughing
C. coach coughing, bronchodilator, percussion, pos-
tural drainage
D. postural drainage, percussion, bronchodilator,
coach coughing
6. Which of the following is an appropriate strategy The correct answer is : D
when caring for a patient with ARDS who is receiving
mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible
7. Which of the following is an important strategy when The correct answer is : C
caring for a patient with adult respiratory distress syn-
drome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60
8. Which of the following transdermal nicotine prepara- The correct answer is : C
tions might the respiratory therapist recommend to
help a patient stop smoking?
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
A. gum
B. MDI
C. patch
D. spray
9. Which of the following is NOT normally part of a smok- The correct answer is : A
ing cessation program?
A. information on the cost of cigarettes and tobacco
products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking
10. A patient is receiving an initial pulmonary rehabilita- The correct answer is : A
tion visit to the clinic. To orient the patient which of the
following should be taught to the patient concerning
the goals and benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve perfor-
mance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen
11. An adult patient with asthma is receiving Xopenex by The correct answer is : D
small volume nebulizer T.I.D. at a dosage of 1.25 mg.
The patient complains of dizziness, tingling in his fin-
gers, and anxiety with each treatment. The therapist
should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
12. A decreasing A-aDO2 is most closely related to which The correct answer is : C
of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia
13. Which of the following would be most helpful in de- The correct answer is : A
termining if a patient regularly smokes tobacco prod-
ucts?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery
14. A 75-kg (165-lb) male is receiving mechanical ven- The correct answer is : B
tilation by a volume-controlled ventilator in the as-
sist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropri-
ate action?
A. increase FIO2 to 1.0
B. increase rate to 14
Study online at https://quizlet.com/_h8ibbb
1. A patient with ARDS is receiving mechanical ventilato- The correct answer is : A
ry support. An end-tidal CO2 monitor shows a PetCO2
of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings
2. Which of following parameters indicate a patient is The correct answer is : C
ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O
3. Which of the following data is needed to calculate The correct answer is : C
minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT
4. A respiratory therapist notes a pressure-volume loop The correct answer is : B
on a patient receiving mechanical ventilation has a
pronounced beak. What strategy is useful in this
case?
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow
5. The correct answer is : B
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
The respiratory therapist is making a plan of care for
a patient with mycoplasma pneumonia who needs as-
sistance with airway clearance of secretions. In which
order should therapy be performed?
A. percussion, postural drainage, bronchodilator,
coach coughing
B. bronchodilator, percussion, postural drainage,
coach coughing
C. coach coughing, bronchodilator, percussion, pos-
tural drainage
D. postural drainage, percussion, bronchodilator,
coach coughing
6. Which of the following is an appropriate strategy The correct answer is : D
when caring for a patient with ARDS who is receiving
mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible
7. Which of the following is an important strategy when The correct answer is : C
caring for a patient with adult respiratory distress syn-
drome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60
8. Which of the following transdermal nicotine prepara- The correct answer is : C
tions might the respiratory therapist recommend to
help a patient stop smoking?
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
A. gum
B. MDI
C. patch
D. spray
9. Which of the following is NOT normally part of a smok- The correct answer is : A
ing cessation program?
A. information on the cost of cigarettes and tobacco
products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking
10. A patient is receiving an initial pulmonary rehabilita- The correct answer is : A
tion visit to the clinic. To orient the patient which of the
following should be taught to the patient concerning
the goals and benefits of pulmonary rehabilitation?
A. increase exercise tolerance and improve perfor-
mance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen
11. An adult patient with asthma is receiving Xopenex by The correct answer is : D
small volume nebulizer T.I.D. at a dosage of 1.25 mg.
The patient complains of dizziness, tingling in his fin-
gers, and anxiety with each treatment. The therapist
should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg
, NBRC TMC Exam-Z, NBRC TMC Exam-S
Study online at https://quizlet.com/_h8ibbb
12. A decreasing A-aDO2 is most closely related to which The correct answer is : C
of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia
13. Which of the following would be most helpful in de- The correct answer is : A
termining if a patient regularly smokes tobacco prod-
ucts?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery
14. A 75-kg (165-lb) male is receiving mechanical ven- The correct answer is : B
tilation by a volume-controlled ventilator in the as-
sist/control mode on the following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropri-
ate action?
A. increase FIO2 to 1.0
B. increase rate to 14
