NBRC TMC EXAM WITH VERIFIED
SOLUTIONS
A t52 tyear-old tpost-operative tcholecystectomy tpatient's tbreath tsounds tbecome tmore
tcoarse tupon tcompletion tof tpostural tdrainage twith tpercussion. tThe trespiratory
ttherapist tshould trecommend
A. tcontinuing tthe ttherapy tuntil tbreath tsounds timprove
B. tadministering tdornase talpha.
C. tadministering talbuterol ttherapy.
D. tdeep tbreathing tand tcoughing tto tclear tsecretions. t- tcorrect tanswers t-deep
tbreathing tand tcoughing tto tclear tsecretions.
A t65 tkg tspinal tcord tinjured tpatient thas tdeveloped tatelectasis. tHis tinspiratory
tcapacity tis t30% tof this tpredicted tvalue. tWhat tbronchial thygiene ttherapy twould tbe
tmost tappropriate tinitially?
A. tIS t/ tSMI
B. tIPPB twith tnormal tsaline
, C. tpostural tdrainage tand tpercussion
D. tPEP ttherapy t- tcorrect tanswers t-IPPB twith tnormal tsaline
A tpatient ton tVC tventilation thas tdemonstrated tauto-PEEP ton tventilator tgraphics.
tWhich tof tthe tfollowing tcontrols, twhen tadjusted tindependently, twould tincrease
texpiratory ttime?
1. tTidal tvolume
2. tRespiratory tRate
3. tInspiratory tflow
4. tSensitivity t- tcorrect tanswers t-1, t2, tand t3 tonly
A t55 tyear-old tpost tcardiac tsurgery tpatient thas tthe tfollowing tABG tresults: tpH t7.50,
tPaCO2 t30 ttorr, tPaO2 t62 ttorr, tHCO3 t25 tmEq/L, tSaO2 t92%, tHB t14 tg/dL, tBE t+2.
tVenous tblood tgas tresults tare tpH t7.39, tPvCO2 t43 ttorr, tPvO2 t37 ttorr, tand tSvO2
t66%. tCalculate tthe tpatient's tC(a-v)O2.
A. t2.5 tvol%
B. t4.0 tvol%
C. t5.0 tvol%
D. t5.5 tvol% t- tcorrect tanswers t-5.0 tvol%
Immediately tafter textubation tof ta tpatient tin tthe tICU, tthe trespiratory ttherapist
tobserves tincreasing trespiratory tdistress twith tintercostal tretractions tand tmarked
tstridor. tThe tSpO2 ton t40% toxygen tis tnoted tto tbe t86%. tWhich tof tthe tfollowing
twould tbe tmost tappropriate tat tthis ttime?
A. tcool tmist taerosol ttreatment
B. taerosolized tracemic tepinephrine
C. tmanual tventilation twith tresuscitation tbag tand tmask
D. treintubation t- tcorrect tanswers t-reintubation
Which tof tthe tfollowing tinformation tmay tbe tobtained tfrom ta tFVC tmaneuver tduring
tbedside tpulmonary tfunction ttesting?
1. tFEV1
2. tPEFR
3. tFRC
4. tRV t- tcorrect tanswers t-1 tand t2 tonly
A tpatient twho tcomplains tof tdyspnea tis tnoted tto thave ta tdry, tnon-productive tcough.
tOn tphysical texamination, tbreath tsounds tare tdiminished ton tthe tright, ttactile tfremitus
tis tdecreased tand tthere tis tdullness tto tpercussion tover tthe tright tlower tlobe. tThe
trespiratory ttherapist tshould tsuspect tthat tthe tpatient tis tsuffering tfrom
A. tpneumonia.
B. tpulmonary tembolism.
C. tpleural teffusion.
D. tbronchiolitis. t- tcorrect tanswers t-pleural teffusion
SOLUTIONS
A t52 tyear-old tpost-operative tcholecystectomy tpatient's tbreath tsounds tbecome tmore
tcoarse tupon tcompletion tof tpostural tdrainage twith tpercussion. tThe trespiratory
ttherapist tshould trecommend
A. tcontinuing tthe ttherapy tuntil tbreath tsounds timprove
B. tadministering tdornase talpha.
C. tadministering talbuterol ttherapy.
D. tdeep tbreathing tand tcoughing tto tclear tsecretions. t- tcorrect tanswers t-deep
tbreathing tand tcoughing tto tclear tsecretions.
A t65 tkg tspinal tcord tinjured tpatient thas tdeveloped tatelectasis. tHis tinspiratory
tcapacity tis t30% tof this tpredicted tvalue. tWhat tbronchial thygiene ttherapy twould tbe
tmost tappropriate tinitially?
A. tIS t/ tSMI
B. tIPPB twith tnormal tsaline
, C. tpostural tdrainage tand tpercussion
D. tPEP ttherapy t- tcorrect tanswers t-IPPB twith tnormal tsaline
A tpatient ton tVC tventilation thas tdemonstrated tauto-PEEP ton tventilator tgraphics.
tWhich tof tthe tfollowing tcontrols, twhen tadjusted tindependently, twould tincrease
texpiratory ttime?
1. tTidal tvolume
2. tRespiratory tRate
3. tInspiratory tflow
4. tSensitivity t- tcorrect tanswers t-1, t2, tand t3 tonly
A t55 tyear-old tpost tcardiac tsurgery tpatient thas tthe tfollowing tABG tresults: tpH t7.50,
tPaCO2 t30 ttorr, tPaO2 t62 ttorr, tHCO3 t25 tmEq/L, tSaO2 t92%, tHB t14 tg/dL, tBE t+2.
tVenous tblood tgas tresults tare tpH t7.39, tPvCO2 t43 ttorr, tPvO2 t37 ttorr, tand tSvO2
t66%. tCalculate tthe tpatient's tC(a-v)O2.
A. t2.5 tvol%
B. t4.0 tvol%
C. t5.0 tvol%
D. t5.5 tvol% t- tcorrect tanswers t-5.0 tvol%
Immediately tafter textubation tof ta tpatient tin tthe tICU, tthe trespiratory ttherapist
tobserves tincreasing trespiratory tdistress twith tintercostal tretractions tand tmarked
tstridor. tThe tSpO2 ton t40% toxygen tis tnoted tto tbe t86%. tWhich tof tthe tfollowing
twould tbe tmost tappropriate tat tthis ttime?
A. tcool tmist taerosol ttreatment
B. taerosolized tracemic tepinephrine
C. tmanual tventilation twith tresuscitation tbag tand tmask
D. treintubation t- tcorrect tanswers t-reintubation
Which tof tthe tfollowing tinformation tmay tbe tobtained tfrom ta tFVC tmaneuver tduring
tbedside tpulmonary tfunction ttesting?
1. tFEV1
2. tPEFR
3. tFRC
4. tRV t- tcorrect tanswers t-1 tand t2 tonly
A tpatient twho tcomplains tof tdyspnea tis tnoted tto thave ta tdry, tnon-productive tcough.
tOn tphysical texamination, tbreath tsounds tare tdiminished ton tthe tright, ttactile tfremitus
tis tdecreased tand tthere tis tdullness tto tpercussion tover tthe tright tlower tlobe. tThe
trespiratory ttherapist tshould tsuspect tthat tthe tpatient tis tsuffering tfrom
A. tpneumonia.
B. tpulmonary tembolism.
C. tpleural teffusion.
D. tbronchiolitis. t- tcorrect tanswers t-pleural teffusion
