TMC NBRC ACTUAL PRACTICE EXAM, PRACTICE
EXAM AND STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2026-2027 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
A patient on VC, SIMV with a VT of 500 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
50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the respiratory therapist
observes
increasing respiratory distress with intercostal retractions and marked stridor.
The SpO2 on 40% oxygen is noted to be 86%. Which of the following would
be most appropriate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation
reintubation
,Which of the following patients would most likely benefit from pressure
support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support.
A patient on SIMV with a set rate of 12/min and total rate of 24/min.
A patient receiving mechanical ventilation has developed a temperature of
99.9° F with purulent secretions over the last 12 hours. The respiratory
therapist has also noted a steady increase in peak inspiratory pressure. What
initial recommendation should be made to address these changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
Obtain a sputum gram stain.
Which of the following information may be obtained from a FVC maneuver
during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV
1 and 2 only
,The respiratory therapist is providing patient education for a patient who is
being discharged home on aerosol therapy. The most important reason for the
patient to
follow the recommended cleaning procedures using a vinegar/water solution is
that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life.
Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-productive
cough. On physical examination, breath sounds are diminished on the right,
tactile fremitus is
decreased and there is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis.
pleural effusion
, Which of the following suction catheters would be appropriate to use for a
patient with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr
12 Fr
A patient who is receiving continuous mechanical ventilation is fighting the
ventilator. His breath sounds are markedly diminished on the left, there is
dullness to percussion on the left, and the trachea is shifted to the left. The
most likely explanation for the problem is
that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax.
the endotracheal tube has slipped into the right main stem bronchus
The respiratory therapist notes a developing hematoma after an arterial blood
gas was drawn from the right radial artery. The immediate response is to
A. notify the charge nurse.
B. apply a pressure dressing.
C. apply pressure to the site.
D. perform a modified Allen's test.
apply pressure to the site.
EXAM AND STUDYGUIDE (ALL IN ONE DOCUMENT)
NEWEST 2026-2027 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT ANSWERS with
DETAILED RATIONALES GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
A patient on VC, SIMV with a VT of 500 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
50 mL/cm H2O
Immediately after extubation of a patient in the ICU, the respiratory therapist
observes
increasing respiratory distress with intercostal retractions and marked stridor.
The SpO2 on 40% oxygen is noted to be 86%. Which of the following would
be most appropriate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and mask
D. reintubation
reintubation
,Which of the following patients would most likely benefit from pressure
support ventilation?
A. An intubated patient with an absent respiratory drive.
B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support.
A patient on SIMV with a set rate of 12/min and total rate of 24/min.
A patient receiving mechanical ventilation has developed a temperature of
99.9° F with purulent secretions over the last 12 hours. The respiratory
therapist has also noted a steady increase in peak inspiratory pressure. What
initial recommendation should be made to address these changes?
A. Initiate bronchial hygiene therapy.
B. Obtain a sputum gram stain.
C. Administer IPV.
D. Insert a CASS tube.
Obtain a sputum gram stain.
Which of the following information may be obtained from a FVC maneuver
during bedside pulmonary function testing?
1. FEV1
2. PEFR
3. FRC
4. RV
1 and 2 only
,The respiratory therapist is providing patient education for a patient who is
being discharged home on aerosol therapy. The most important reason for the
patient to
follow the recommended cleaning procedures using a vinegar/water solution is
that this solution will
A. sterilize the equipment.
B. retard bacterial growth.
C. kill all micro-organisms and spores.
D. extend the equipment life.
Retard bacterial growth
A patient who complains of dyspnea is noted to have a dry, non-productive
cough. On physical examination, breath sounds are diminished on the right,
tactile fremitus is
decreased and there is dullness to percussion over the right lower lobe. The
respiratory therapist should suspect that the patient is suffering from
A. pneumonia.
B. pulmonary embolism.
C. pleural effusion.
D. bronchiolitis.
pleural effusion
, Which of the following suction catheters would be appropriate to use for a
patient with a size 8.0 mm ID endotracheal tube?
A. 8 Fr
B. 10 Fr
C. 12 Fr
D. 14 Fr
12 Fr
A patient who is receiving continuous mechanical ventilation is fighting the
ventilator. His breath sounds are markedly diminished on the left, there is
dullness to percussion on the left, and the trachea is shifted to the left. The
most likely explanation for the problem is
that
A. the patient is disconnected from the ventilator.
B. the patient is experiencing diffuse bronchospasm.
C. the endotracheal tube has slipped into the right main stem bronchus.
D. the patient has developed a left tension pneumothorax.
the endotracheal tube has slipped into the right main stem bronchus
The respiratory therapist notes a developing hematoma after an arterial blood
gas was drawn from the right radial artery. The immediate response is to
A. notify the charge nurse.
B. apply a pressure dressing.
C. apply pressure to the site.
D. perform a modified Allen's test.
apply pressure to the site.
