NBRC
TMC EXAM
STUDY GUIDE:
Prepare for CRT Certification
and RRT Clinical Simulation
(CSE)
,A 48 year-old female is admitted to the Heart failure
ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the
ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
A patient is admitted to the ED following Needle aspirate the 2nd left intercostal space.
a motor vehicle accident. On physical
exam, the respiratory therapist discovers
that breath sounds are absent in the left
chest with a hyperresonant percussion
note. The trachea is shifted to the right.
The patient's heart rate is 45/min,
respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action
should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal
space.
D. Activate the medical emergency team
to intubate the patient.
All of the following strategies are likely to monitoring intracuff pressures.
decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20
,and 25 mm Hg.
B. using the minimal leak technique for
inflation.
C. using a low-residual-volume, low-
compliance cuff.
D. monitoring intracuff pressures.
A 52 year-old post-operative deep breathing and coughing to clear secretions.
cholecystectomy patient's breath sounds
become more coarse upon completion of
postural drainage with percussion. The
respiratory therapist should recommend
A. continuing the therapy until breath
sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear
secretions.
A 65 kg spinal cord injured patient has IPPB with normal saline
developed atelectasis. His inspiratory
capacity is 30% of his predicted value.
What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
A patient on VC ventilation has 1, 2, and 3 only
demonstrated auto-PEEP on ventilator
graphics. Which of the following controls,
when adjusted independently, would
increase expiratory time?
1. Tidal volume
2. Respiratory Rate
, 3. Inspiratory flow
4. Sensitivity
Which of the following would be the most Insert a chest tube
appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation
to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
A 55 year-old post cardiac surgery patient 5.0 vol%
has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25
mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39,
PvCO2 43 torr, PvO2 37 torr, and SvO2
66%. Calculate the patient's C(a-v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
A patient on VC, SIMV with a VT of 500 50 mL/cm H2O
mL has a PIP of 25 cm H2O, Pplat of 15
cm H2O and PEEP of 5 cm H2O. What is
the patient's static lung compliance
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
TMC EXAM
STUDY GUIDE:
Prepare for CRT Certification
and RRT Clinical Simulation
(CSE)
,A 48 year-old female is admitted to the Heart failure
ED with diaphoresis, jugular venous
distension, and 3+ pitting edema in the
ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
A patient is admitted to the ED following Needle aspirate the 2nd left intercostal space.
a motor vehicle accident. On physical
exam, the respiratory therapist discovers
that breath sounds are absent in the left
chest with a hyperresonant percussion
note. The trachea is shifted to the right.
The patient's heart rate is 45/min,
respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action
should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal
space.
D. Activate the medical emergency team
to intubate the patient.
All of the following strategies are likely to monitoring intracuff pressures.
decrease the likelihood of damage to the
tracheal mucosa EXCEPT
A. maintaining cuff pressures between 20
,and 25 mm Hg.
B. using the minimal leak technique for
inflation.
C. using a low-residual-volume, low-
compliance cuff.
D. monitoring intracuff pressures.
A 52 year-old post-operative deep breathing and coughing to clear secretions.
cholecystectomy patient's breath sounds
become more coarse upon completion of
postural drainage with percussion. The
respiratory therapist should recommend
A. continuing the therapy until breath
sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear
secretions.
A 65 kg spinal cord injured patient has IPPB with normal saline
developed atelectasis. His inspiratory
capacity is 30% of his predicted value.
What bronchial hygiene therapy would be
most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
A patient on VC ventilation has 1, 2, and 3 only
demonstrated auto-PEEP on ventilator
graphics. Which of the following controls,
when adjusted independently, would
increase expiratory time?
1. Tidal volume
2. Respiratory Rate
, 3. Inspiratory flow
4. Sensitivity
Which of the following would be the most Insert a chest tube
appropriate therapy for a dyspneic patient
who has crepitus with tracheal deviation
to the left and absent breath sounds on
the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
A 55 year-old post cardiac surgery patient 5.0 vol%
has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25
mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39,
PvCO2 43 torr, PvO2 37 torr, and SvO2
66%. Calculate the patient's C(a-v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
A patient on VC, SIMV with a VT of 500 50 mL/cm H2O
mL has a PIP of 25 cm H2O, Pplat of 15
cm H2O and PEEP of 5 cm H2O. What is
the patient's static lung compliance
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
