NBRC/l CRT/l RRTl Examl (Latestl 2026/l
2027l Update)l Completel Guide|l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Rales
Answer:
-cracklesl
-secretions/fluid
Q:l Coarsel rales
Answer:
-rhonchi
-LARGEl airwayl secretions
-needsl suctioning
Q:l mediuml rales
Answer:
-middlel airwayl secretions
-needsl CPT
Q:l Finel rales
Answer:
-fluidl inl alveoli
-CHF,l pulmonaryl edema
-IPPB,l heartl drugs,l diureticsl andl O2
Q:l Wheeze
Answer:
-duel tol bronchospasm
,-bronchodilatorl Tx
-unilaterall wheezel indicativel ofl al foreignl bodyl obstruction
Q:l stridor
Answer:
-upperl airwayl obstruction
-supraglotticl swellingl (epiglottitis)l (thumbl sign)
-subglotticl swellingl (croup,l postextubation)l (steeplel sign)
-foreignl bodyl aspiration
-Racemicl epinephrine
-intubationl ifl MARKEDl stridor
-Laterall neckl Xrayl forl confirmation
Q:l Pleurall frictionl rub
Answer:
-coarsel gratingl orl crunchingl sound
-viscerall andl parietall pleural rubbingl together
-associatedl withl TB,l pneumonia,l pulmonaryl infarction,l cancer
-steroidsl andl antibiotics
Q:l Heartl Soundl S₁
Answer:
-closurel ofl thel mitrall andl tricuspidl valvesl atl thel beginningl ofl ventricularl contraction
Q:l Heartl Soundl S₂
Answer:
-closurel ofl pulmonicl andl aorticl valves
-occursl whenl systolel ends;l ventriclesl relax
Q:l Heartl Soundl S₃
Answer:
-abnormall andl mayl suggestl CHF
,Q:l Heartl Soundl S₄
Answer:
-abnormall andl indicativel ofl cardiacl abnormalityl suchl asl myocardiall infarctionl orl
cardiomegaly
Q:l Heartl murmurs
Answer:
-soundsl causedl byl turbulentl bloodl flow
-heartl valvel defectsl orl congenitall heartl abnormalities
-canl occurl whenl bloodl isl pushedl throughl anl abnormall openingl (ASD,l PDA)
Q:l Bruits
Answer:
-soundsl madel inl anl arteryl orl veinl whenl bloodl flowl becomesl turbulentl orl flowsl atl anl
abnormall speed.l
-usuallyl heardl vial stethoscopel overl thel identifiedl vessell (carotidl artery)
Q:l Bloodl pressure
Answer:
-systolicl andl diastolicl pressures
-sphygmomanometerl tol measurel cuffl pressures
-↑BPl =l cardiacl stressl =l hypoxemia
-↓BPl =l poorl perfusionl =l hypovolemia,l CHF
Q:l Costophrenicl Angle
Answer:
-anglel madel byl thel outerl curvel ofl thel diaphragml andl thel chestl wall
-obliteratedl byl pleurall effusionsl andl pneumonia
Q:l Diaphragm
Answer:
, -domel shapedl normally
-flattenedl withl COPD
-hemidiaphragmsl mayl shiftl downwardl withl pneumothorax
-rightl hemidiaphragml isl levell ofl 6thl anteriorl ribl andl slightlyl higherl thanl thel left
-rightl lung:l 55%l andl appearl largerl thanl leftl lung
Q:l Laterall decubitusl CXR
Answer:
-patientl lyingl onl affectedl side
-detectingl smalll pleurall effusions
Q:l Endl expiratoryl film
Answer:
-takenl whenl patientl isl atl end-exhalation
-detectingl smalll pneumothorax/foreignl bodyl aspirationl (FBA)
Q:l Positionl ofl ET/Tracheostomyl tube
Answer:
-tipl shouldl bel positionedl belowl thel vocall chordsl andl nol closerl thanl 2l cml orl 1l inchl
abovel thel carina.
-approxl samel levell ofl thel aorticl knob/arch
-observationl andl auscultationl willl quicklyl determinel adequatel ventilationl beforel CXRl isl
taken
-cuffl shouldl notl extendl overl thel endl ofl thel ETl orl tracheostomyl tube
Q:l Pacemaker,l catheters,l Etc.
Answer:
-pacemakerl shouldl bel positionedl inl thel rightl ventricle
-PACl shouldl appearl inl rightl lowerl lungl field
-centrall venousl cathetersl arel placedl inl thel rightl orl leftl subclavianl orl jugularl veinl andl
shouldl restl inl thel venal caval orl rightl atrium
-chestl tubesl shouldl bel locatedl inl thel pleurall spacel surroundingl thel lung
-NGl tubesl shouldl bel inl stomachl 2-5l cml belowl thel diaphragm
2027l Update)l Completel Guide|l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Rales
Answer:
-cracklesl
-secretions/fluid
Q:l Coarsel rales
Answer:
-rhonchi
-LARGEl airwayl secretions
-needsl suctioning
Q:l mediuml rales
Answer:
-middlel airwayl secretions
-needsl CPT
Q:l Finel rales
Answer:
-fluidl inl alveoli
-CHF,l pulmonaryl edema
-IPPB,l heartl drugs,l diureticsl andl O2
Q:l Wheeze
Answer:
-duel tol bronchospasm
,-bronchodilatorl Tx
-unilaterall wheezel indicativel ofl al foreignl bodyl obstruction
Q:l stridor
Answer:
-upperl airwayl obstruction
-supraglotticl swellingl (epiglottitis)l (thumbl sign)
-subglotticl swellingl (croup,l postextubation)l (steeplel sign)
-foreignl bodyl aspiration
-Racemicl epinephrine
-intubationl ifl MARKEDl stridor
-Laterall neckl Xrayl forl confirmation
Q:l Pleurall frictionl rub
Answer:
-coarsel gratingl orl crunchingl sound
-viscerall andl parietall pleural rubbingl together
-associatedl withl TB,l pneumonia,l pulmonaryl infarction,l cancer
-steroidsl andl antibiotics
Q:l Heartl Soundl S₁
Answer:
-closurel ofl thel mitrall andl tricuspidl valvesl atl thel beginningl ofl ventricularl contraction
Q:l Heartl Soundl S₂
Answer:
-closurel ofl pulmonicl andl aorticl valves
-occursl whenl systolel ends;l ventriclesl relax
Q:l Heartl Soundl S₃
Answer:
-abnormall andl mayl suggestl CHF
,Q:l Heartl Soundl S₄
Answer:
-abnormall andl indicativel ofl cardiacl abnormalityl suchl asl myocardiall infarctionl orl
cardiomegaly
Q:l Heartl murmurs
Answer:
-soundsl causedl byl turbulentl bloodl flow
-heartl valvel defectsl orl congenitall heartl abnormalities
-canl occurl whenl bloodl isl pushedl throughl anl abnormall openingl (ASD,l PDA)
Q:l Bruits
Answer:
-soundsl madel inl anl arteryl orl veinl whenl bloodl flowl becomesl turbulentl orl flowsl atl anl
abnormall speed.l
-usuallyl heardl vial stethoscopel overl thel identifiedl vessell (carotidl artery)
Q:l Bloodl pressure
Answer:
-systolicl andl diastolicl pressures
-sphygmomanometerl tol measurel cuffl pressures
-↑BPl =l cardiacl stressl =l hypoxemia
-↓BPl =l poorl perfusionl =l hypovolemia,l CHF
Q:l Costophrenicl Angle
Answer:
-anglel madel byl thel outerl curvel ofl thel diaphragml andl thel chestl wall
-obliteratedl byl pleurall effusionsl andl pneumonia
Q:l Diaphragm
Answer:
, -domel shapedl normally
-flattenedl withl COPD
-hemidiaphragmsl mayl shiftl downwardl withl pneumothorax
-rightl hemidiaphragml isl levell ofl 6thl anteriorl ribl andl slightlyl higherl thanl thel left
-rightl lung:l 55%l andl appearl largerl thanl leftl lung
Q:l Laterall decubitusl CXR
Answer:
-patientl lyingl onl affectedl side
-detectingl smalll pleurall effusions
Q:l Endl expiratoryl film
Answer:
-takenl whenl patientl isl atl end-exhalation
-detectingl smalll pneumothorax/foreignl bodyl aspirationl (FBA)
Q:l Positionl ofl ET/Tracheostomyl tube
Answer:
-tipl shouldl bel positionedl belowl thel vocall chordsl andl nol closerl thanl 2l cml orl 1l inchl
abovel thel carina.
-approxl samel levell ofl thel aorticl knob/arch
-observationl andl auscultationl willl quicklyl determinel adequatel ventilationl beforel CXRl isl
taken
-cuffl shouldl notl extendl overl thel endl ofl thel ETl orl tracheostomyl tube
Q:l Pacemaker,l catheters,l Etc.
Answer:
-pacemakerl shouldl bel positionedl inl thel rightl ventricle
-PACl shouldl appearl inl rightl lowerl lungl field
-centrall venousl cathetersl arel placedl inl thel rightl orl leftl subclavianl orl jugularl veinl andl
shouldl restl inl thel venal caval orl rightl atrium
-chestl tubesl shouldl bel locatedl inl thel pleurall spacel surroundingl thel lung
-NGl tubesl shouldl bel inl stomachl 2-5l cml belowl thel diaphragm
