NBRCl TMCl Examl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Ifl thel bloodl pressurel obtainedl froml thel arteriall linel isl higherl thanl thel bloodl
pressurel obtainedl froml al sphygmomanometerl (cuffl pressure).l Basedl uponl thisl
information,l thel respiratoryl therapistl shouldl concludel that.l
a.l Non-compliantl tubingl isl beingl used
b.l Transducerl isl placedl tool low
c.l Patientl wasl lyingl flatl duringl thel measurementl ofl thel arteriall linel pressure
d.l Transducerl domel containedl airl bubbles
Answer:
Arteriall linel BPl andl cuffl pressurel shouldl bel thel same,l sol therel isl al problem.l Non-
compliantl tubingl isl al goodl thingl becausel it'sl al stiffl tubing,l ifl transducerl isl placedl tool
highl (abovel thel heart),l thel floodl willl havel tol gol uphilll andl youl willl getl al lowerl
pressure;l transducerl domel containedl airl bubblesl wouldl givel youl erraticl readingsl butl notl
al higherl reading,l butl ifl thel transducerl isl placedl tool lowl (belowl heart),l thel bloodl isl
flowingl downhilll &l willl givel al higherl pressurel reading,l sol ANSWERl isl B
Q:l Al 2-yearl oldl childl entersl thel emergencyl room.l Thel motherl statesl thatl thel childl
wasl playingl withl friendsl andl developedl violentl coughingl andl unilaterall wheezing.l
Physicall examinationl revealsl al hyperresonantl percussionl notel onl thel leftl andl resonantl
percussionl onl thel right.l Inspiratoryl andl expiratoryl chestl filmsl indicatel airl trappingl withl
nol foreignl bodiesl "noted.l "l Thel respiratoryl therapistl shouldl suspectl thel childl has.l
a.l pneumothorax
b.l orthopnea
c.l aspiratedl al foreignl object
d.l tachyphylaxis
Answer:
Unilaterall wheezingl indicatesl aspiratedl objectl andl factl thatl thel childl wasl playingl withl
friendsl causesl youl tol believel thel childl inhaledl al smalll toyl orl something,l hyperresonantl
percussionl indicatesl airl trapping,l sol youl arel thinkingl foreignl objectl butl x-rayl saysl nol
,foreignl bodiesl "noted.l "l Justl becausel itl saysl "noted"l doesl notl meanl somethingl isl notl
there,l itl justl meansl itl couldl notl bel seenl onl thel xray,l alsol ifl thel childl hadl swallowedl
al smalll plasticl toy,l "plastic"l doesl notl showl upl onl xraysl (radiolucent).l Thel ANSWERl isl
C
Q:l Al patientl isl admittedl tol thel ICUl complainingl ofl nauseal andl chestl pain.l Al
nasogastricl tubel hasl beenl insertedl tol helpl relievel thel nausea.l Thel patientl wasl startedl
onl Lasixl andl nitroglycerin.l Whichl ofl thel followingl shouldl bel monitoredl tol closelyl
identifyl sidel effectsl atl thisl time.l
a.l Cardiacl enzymes
b.l Seruml electrolytes
c.l Arteriall bloodl gases
d.l Digitalisl levels
Answer:
Sincel thel patientl receivedl Lasixl andl nasogastricl tube,l theyl arel losingl fluids,l andl al sidel
effectl ofl fluidl lossl isl al decreasel inl electrolytes,l sol ANSWERl isl Bl (therel isn'tl enoughl
evidencel ofl heartl attackl tol justifyl cardiacl enzymes,l alsol theyl arel usedl tol confirml al
heartl attack).l
Q:l Whichl ofl thel followingl willl determinel aorticl pulsel pressure.l
a.l systolicl +l systolicl +l diastolic/3
b.l diastolicl +l pulsel pressure/3
c.l systolicl pressurel -l diastolicl pressure
d.l strokel volumel xl heartl ratel xl 10.l
Answer:
Aorticl pulsel pressurel isl justl thel differencel betweenl systolicl andl diastolicl pressure,l sol
ANSWERl isl C
Q:l Al 32-weekl gestationall agel infantl isl receivingl mechanicall ventilationl forl hyalinel
membranel disease.l Thel patientl requiredl al chestl tubel forl al persistentl pneumothorax.l Twol
daysl laterl thel chestl radiographl revealsl bilaterall radiolucency,l midlinel mediastinum,l andl
thel rightl hemidiaphragml slightlyl elevated.l Thisl wouldl indicate
A.l atelectasis.l
B.l bronchopulmonaryl dysplasia.l
,C.l fluidl overload.l
D.l resolutionl ofl al pneumothorax.l
Answer:
bilaterall meansl bothl sides,l radiolucencyl refersl tol dark,l midlinel mediastinuml isl rightl
wherel isl shouldl be,l thel rightl hemidiaphragml slightlyl elevatedl isl normal;l sol thisl
actuallyl indicatesl everythingl isl normal.l Withl atelectasisl wel wouldl seel patchyl infiltrates,l
lossl ofl volume,l withl bronchopulmonaryl dysplasial itl wouldl lookl similarl tol ARDS,l withl
fluidl overloadl youl wouldl seel patternl similarl tol butterflyl orl batwingl similarl tol
pulmonaryl edema,l sol thel bestl
ANSWERl isl Dl andl thel pneumothoraxl hasl resolved.l
Q:l Al chestl X-rayl showsl increasedl retro-sternall air,l flatl hemidiaphram,l decreasedl
movement,l andl nol vascularl markingsl onl thel rightl side.l Thesel signsl wouldl bel mostl
likelyl associatedl with:
A.l pneumothorax
B.l pleurall effusion
C.l pneumonia
D.l flaill chest
Answer:
Thel flatl hemidiaphraml indicatesl pneumothorax,l sol thel ANSWERl isl A.l
Q:l Whatl isl thel normall rangel forl thel pulmonaryl arteryl systolicl pressurel inl anl adult?
A.l 2-6l mml Hg
B.l 4-12l mml Hg
C.l 9-18l mml Hg
D.l 21-28l mml Hg
Answer:
Thel normall pressurel isl 25l mml Hg,l sol thel ANSWERl isl Dl 21-28l mml Hg
Q:l Whilel assessingl al patient'sl breathl soundsl thel respiratoryl therapistl notesl thatl whenl
thel patientl isl instructedl tol sayl thel letterl "E",l itl comesl throughl thel stethescopel
, soundingl likel "aaaahhh".l Thisl changel inl thel soundl isl associatedl withl whichl ofl thel
followingl conditions?
A.l Pleuriticl inflammation
B.l Pneumonia
C.l Bronchospasm
D.l Epiglotitis
Answer:
Thel soundl aaaaahhhhhl isl egothenyl andl isl associatedl withl consolidationl inl thel lung,l sol
thel ANSWERl isl Bl pneumonia.l Pleurall inflammationl wouldl bel al cracklingl crunchingl
sound,l bronchospasml wouldl soundl likel wheezing,l andl epiglottitisl wouldl bel stridor.l
Q:l Anl 1800l gl neonatel inl thel NICUl isl beingl monitoredl withl al TcPO2l electrode.l Thel
TcPO2l electrodel isl readingl 42l torrl withl thel temperaturel setl atl 38oC.l Thel PO2l froml anl
umbilicall arteryl samplel isl 72l torr.l Whichl ofl thel followingl wouldl bestl explainl thel
differencel inl thesel readings?
A.l Therel wasl anl errorl inl thel arteriall bloodl gasl results.l
B.l Thel TcPO2l electrodel needsl tol bel repositioned.l
C.l Thel TcPO2l electrodel temperaturel settingl isl tool low.l
D.l Thel TcPO2l electrodel hasl beenl dislodged.l
Answer:
TcPO2l shouldl bel setl atl 43-45l Cl sol thel electrodel isl notl hotl enoughl tol makel thel
devicel work.l Therel isl notl enoughl profusionl withl thel electrodel sol youl needl tol raisel thel
temperaturel onl thel electrode,l sol thel ANSWERl isl C,l TcPO2l electrodel temperaturel
settingl isl tool low.l
Q:l Al multiplel traumal victiml withl internall hemorrhagel isl beingl monitoredl vial pulsel
oximetry.l Whichl ofl thel followingl conditionsl wouldl affectl thel accuracyl ofl herl SpO2l
readings?
A.l hypotension
B.l hyperoxia
C.l hypocarbia
D.l hyperthermia
Answer:
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Ifl thel bloodl pressurel obtainedl froml thel arteriall linel isl higherl thanl thel bloodl
pressurel obtainedl froml al sphygmomanometerl (cuffl pressure).l Basedl uponl thisl
information,l thel respiratoryl therapistl shouldl concludel that.l
a.l Non-compliantl tubingl isl beingl used
b.l Transducerl isl placedl tool low
c.l Patientl wasl lyingl flatl duringl thel measurementl ofl thel arteriall linel pressure
d.l Transducerl domel containedl airl bubbles
Answer:
Arteriall linel BPl andl cuffl pressurel shouldl bel thel same,l sol therel isl al problem.l Non-
compliantl tubingl isl al goodl thingl becausel it'sl al stiffl tubing,l ifl transducerl isl placedl tool
highl (abovel thel heart),l thel floodl willl havel tol gol uphilll andl youl willl getl al lowerl
pressure;l transducerl domel containedl airl bubblesl wouldl givel youl erraticl readingsl butl notl
al higherl reading,l butl ifl thel transducerl isl placedl tool lowl (belowl heart),l thel bloodl isl
flowingl downhilll &l willl givel al higherl pressurel reading,l sol ANSWERl isl B
Q:l Al 2-yearl oldl childl entersl thel emergencyl room.l Thel motherl statesl thatl thel childl
wasl playingl withl friendsl andl developedl violentl coughingl andl unilaterall wheezing.l
Physicall examinationl revealsl al hyperresonantl percussionl notel onl thel leftl andl resonantl
percussionl onl thel right.l Inspiratoryl andl expiratoryl chestl filmsl indicatel airl trappingl withl
nol foreignl bodiesl "noted.l "l Thel respiratoryl therapistl shouldl suspectl thel childl has.l
a.l pneumothorax
b.l orthopnea
c.l aspiratedl al foreignl object
d.l tachyphylaxis
Answer:
Unilaterall wheezingl indicatesl aspiratedl objectl andl factl thatl thel childl wasl playingl withl
friendsl causesl youl tol believel thel childl inhaledl al smalll toyl orl something,l hyperresonantl
percussionl indicatesl airl trapping,l sol youl arel thinkingl foreignl objectl butl x-rayl saysl nol
,foreignl bodiesl "noted.l "l Justl becausel itl saysl "noted"l doesl notl meanl somethingl isl notl
there,l itl justl meansl itl couldl notl bel seenl onl thel xray,l alsol ifl thel childl hadl swallowedl
al smalll plasticl toy,l "plastic"l doesl notl showl upl onl xraysl (radiolucent).l Thel ANSWERl isl
C
Q:l Al patientl isl admittedl tol thel ICUl complainingl ofl nauseal andl chestl pain.l Al
nasogastricl tubel hasl beenl insertedl tol helpl relievel thel nausea.l Thel patientl wasl startedl
onl Lasixl andl nitroglycerin.l Whichl ofl thel followingl shouldl bel monitoredl tol closelyl
identifyl sidel effectsl atl thisl time.l
a.l Cardiacl enzymes
b.l Seruml electrolytes
c.l Arteriall bloodl gases
d.l Digitalisl levels
Answer:
Sincel thel patientl receivedl Lasixl andl nasogastricl tube,l theyl arel losingl fluids,l andl al sidel
effectl ofl fluidl lossl isl al decreasel inl electrolytes,l sol ANSWERl isl Bl (therel isn'tl enoughl
evidencel ofl heartl attackl tol justifyl cardiacl enzymes,l alsol theyl arel usedl tol confirml al
heartl attack).l
Q:l Whichl ofl thel followingl willl determinel aorticl pulsel pressure.l
a.l systolicl +l systolicl +l diastolic/3
b.l diastolicl +l pulsel pressure/3
c.l systolicl pressurel -l diastolicl pressure
d.l strokel volumel xl heartl ratel xl 10.l
Answer:
Aorticl pulsel pressurel isl justl thel differencel betweenl systolicl andl diastolicl pressure,l sol
ANSWERl isl C
Q:l Al 32-weekl gestationall agel infantl isl receivingl mechanicall ventilationl forl hyalinel
membranel disease.l Thel patientl requiredl al chestl tubel forl al persistentl pneumothorax.l Twol
daysl laterl thel chestl radiographl revealsl bilaterall radiolucency,l midlinel mediastinum,l andl
thel rightl hemidiaphragml slightlyl elevated.l Thisl wouldl indicate
A.l atelectasis.l
B.l bronchopulmonaryl dysplasia.l
,C.l fluidl overload.l
D.l resolutionl ofl al pneumothorax.l
Answer:
bilaterall meansl bothl sides,l radiolucencyl refersl tol dark,l midlinel mediastinuml isl rightl
wherel isl shouldl be,l thel rightl hemidiaphragml slightlyl elevatedl isl normal;l sol thisl
actuallyl indicatesl everythingl isl normal.l Withl atelectasisl wel wouldl seel patchyl infiltrates,l
lossl ofl volume,l withl bronchopulmonaryl dysplasial itl wouldl lookl similarl tol ARDS,l withl
fluidl overloadl youl wouldl seel patternl similarl tol butterflyl orl batwingl similarl tol
pulmonaryl edema,l sol thel bestl
ANSWERl isl Dl andl thel pneumothoraxl hasl resolved.l
Q:l Al chestl X-rayl showsl increasedl retro-sternall air,l flatl hemidiaphram,l decreasedl
movement,l andl nol vascularl markingsl onl thel rightl side.l Thesel signsl wouldl bel mostl
likelyl associatedl with:
A.l pneumothorax
B.l pleurall effusion
C.l pneumonia
D.l flaill chest
Answer:
Thel flatl hemidiaphraml indicatesl pneumothorax,l sol thel ANSWERl isl A.l
Q:l Whatl isl thel normall rangel forl thel pulmonaryl arteryl systolicl pressurel inl anl adult?
A.l 2-6l mml Hg
B.l 4-12l mml Hg
C.l 9-18l mml Hg
D.l 21-28l mml Hg
Answer:
Thel normall pressurel isl 25l mml Hg,l sol thel ANSWERl isl Dl 21-28l mml Hg
Q:l Whilel assessingl al patient'sl breathl soundsl thel respiratoryl therapistl notesl thatl whenl
thel patientl isl instructedl tol sayl thel letterl "E",l itl comesl throughl thel stethescopel
, soundingl likel "aaaahhh".l Thisl changel inl thel soundl isl associatedl withl whichl ofl thel
followingl conditions?
A.l Pleuriticl inflammation
B.l Pneumonia
C.l Bronchospasm
D.l Epiglotitis
Answer:
Thel soundl aaaaahhhhhl isl egothenyl andl isl associatedl withl consolidationl inl thel lung,l sol
thel ANSWERl isl Bl pneumonia.l Pleurall inflammationl wouldl bel al cracklingl crunchingl
sound,l bronchospasml wouldl soundl likel wheezing,l andl epiglottitisl wouldl bel stridor.l
Q:l Anl 1800l gl neonatel inl thel NICUl isl beingl monitoredl withl al TcPO2l electrode.l Thel
TcPO2l electrodel isl readingl 42l torrl withl thel temperaturel setl atl 38oC.l Thel PO2l froml anl
umbilicall arteryl samplel isl 72l torr.l Whichl ofl thel followingl wouldl bestl explainl thel
differencel inl thesel readings?
A.l Therel wasl anl errorl inl thel arteriall bloodl gasl results.l
B.l Thel TcPO2l electrodel needsl tol bel repositioned.l
C.l Thel TcPO2l electrodel temperaturel settingl isl tool low.l
D.l Thel TcPO2l electrodel hasl beenl dislodged.l
Answer:
TcPO2l shouldl bel setl atl 43-45l Cl sol thel electrodel isl notl hotl enoughl tol makel thel
devicel work.l Therel isl notl enoughl profusionl withl thel electrodel sol youl needl tol raisel thel
temperaturel onl thel electrode,l sol thel ANSWERl isl C,l TcPO2l electrodel temperaturel
settingl isl tool low.l
Q:l Al multiplel traumal victiml withl internall hemorrhagel isl beingl monitoredl vial pulsel
oximetry.l Whichl ofl thel followingl conditionsl wouldl affectl thel accuracyl ofl herl SpO2l
readings?
A.l hypotension
B.l hyperoxia
C.l hypocarbia
D.l hyperthermia
Answer:
