NBRC TMC Exam-Y, NBRC TMC Test Bank Exam 2026 -2027
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A female patient who is morbidly obese has an 8.0 mm tracheostomy tube. She
has been placed on an ulcer prevention mattress in the Intensive Care Unit.
Following transport to the new bed, the nurse calls a respiratory therapist to
assess her because she is
complaining of air hunger. Diffuse dry crackles are auscultated with crepitus
noted upon palpation. These findings are most closely associated with
A. secretions in the airway
B. pneumothorax
C. atelectasis
D. subcutaneous emphysema
The correct answer is : D
When inspecting the X-ray of an outpatient with nephrotic syndrome, you note
a homogeneous area of increased density that obscures the left costophrenic
angle. Which of the following is the most likely problem?
A. Pleural effusion
B. Bacterial pneumonia
C. Pulmonary edema
D. Atelectasis
The correct answer is : A
,A patient has a serum potassium level of 3.5 mEq/L. Which of the following
diuretic would you recommend for this patient?
A. Amiloride (Midamor)
B. Chlorothiazide (Diuril)
C. Quinnethazone (Hydromax)
D. Acetazolamide (Diamox)
The correct answer is : A
Which pH level is expected for a COPD patient having an acute on chronic
exacerbation?
A. 7.35
B. 7.49
C. 7.44
D. 7.30
The correct answer is : C
A patient with a history of asthma reports to the emergency department after
self-
treating bronchoconstriction for the past 3 days. Periodic relief has been
achieved but the patient is in current distress and is wheezing bilaterally.
Which of the following
treatment actions would be most appropriate?
A. administer Sublimaze, PO
B. continuous aerosolized bronchodilator at 7 mg/hr
C. sildenafil, IV
D. full pulmonary function testing with DLCO measurement
The correct answer is : B
,While performing routine oxygen rounds, the respiratory therapist notes a
COPD patient who is receiving supplemental oxygen at 2 L/min is markedly
cyanotic and has a heart rate of 30/min. The therapist should FIRST
A. increase flow to 4 L/min by nasal cannula
B. obtain an arterial blood gas
C. go get help
D. switch to FIO2 1.0
The correct answer is : D
An oxygen-dependent COPD patient is brought to the emergency room on 4
L/min oxygen by nasal cannula. From the paramedic documentation it is
observed that
respiratory rate has changed from 30 to 18 bpm. Heart rate has decreased from
120 to
90. Saturation is 92% and the patient's color has also improved. The therapist
should do which of the following?
A. decrease flow to 1 lpm
B. discontinue oxygen therapy
C. maintain current therapy
D. switch to a partial rebreathing mask
The correct answer is : A
A respiratory therapist is having difficulty advancing a suction catheter down a
fenestrated tracheostomy tube while the inner cannula is removed. The
cannula appears to meet resistance within a few inches from insertion. The
therapist should
A. obtain a smaller suction catheter
B. remove the tracheostomy tube
C. inflate the cuff
D. twist the catheter while attempting to advance
The correct answer is : D
, A patient who requires 10 cmH2O of PEEP when mechanically ventilated is being
transported. A spring PEEP valve will be used in conjunction with the
resuscitation bag. Where should the PEEP valve be placed?
A. distal end of the reservoir
B. distal to the outlet valve
C. proximal to the inlet valve
D. between the bag and patient interface
The correct answer is : B
Which of the following values are required to determine a patient's inspiratory
capacity (IC)?
A. VC and RV
B. ERV and IRV
C. VT and IRV
D. RV and ERV
The correct answer is : C
A patient shows signs of hypoxemia while on a heated aerosol set at 40% with
the flow rate set to 8 L/min. The patient's minute ventilation is 38.0 L. Which of
the following changes should be made?
A. increase flow rate to 10 L/min
B. decrease FIO2 to 28%, maintain flow rate
C. increase FIO2 to 0.5, maintain flow rate
D. increase to FIO2 to 1.0 with a flow rate to 15 L/min
The correct answer is : A
\COMPLETE QUESTIONS AND CORRRECT ANSWERS\Most
Recent Exam Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam ||
A female patient who is morbidly obese has an 8.0 mm tracheostomy tube. She
has been placed on an ulcer prevention mattress in the Intensive Care Unit.
Following transport to the new bed, the nurse calls a respiratory therapist to
assess her because she is
complaining of air hunger. Diffuse dry crackles are auscultated with crepitus
noted upon palpation. These findings are most closely associated with
A. secretions in the airway
B. pneumothorax
C. atelectasis
D. subcutaneous emphysema
The correct answer is : D
When inspecting the X-ray of an outpatient with nephrotic syndrome, you note
a homogeneous area of increased density that obscures the left costophrenic
angle. Which of the following is the most likely problem?
A. Pleural effusion
B. Bacterial pneumonia
C. Pulmonary edema
D. Atelectasis
The correct answer is : A
,A patient has a serum potassium level of 3.5 mEq/L. Which of the following
diuretic would you recommend for this patient?
A. Amiloride (Midamor)
B. Chlorothiazide (Diuril)
C. Quinnethazone (Hydromax)
D. Acetazolamide (Diamox)
The correct answer is : A
Which pH level is expected for a COPD patient having an acute on chronic
exacerbation?
A. 7.35
B. 7.49
C. 7.44
D. 7.30
The correct answer is : C
A patient with a history of asthma reports to the emergency department after
self-
treating bronchoconstriction for the past 3 days. Periodic relief has been
achieved but the patient is in current distress and is wheezing bilaterally.
Which of the following
treatment actions would be most appropriate?
A. administer Sublimaze, PO
B. continuous aerosolized bronchodilator at 7 mg/hr
C. sildenafil, IV
D. full pulmonary function testing with DLCO measurement
The correct answer is : B
,While performing routine oxygen rounds, the respiratory therapist notes a
COPD patient who is receiving supplemental oxygen at 2 L/min is markedly
cyanotic and has a heart rate of 30/min. The therapist should FIRST
A. increase flow to 4 L/min by nasal cannula
B. obtain an arterial blood gas
C. go get help
D. switch to FIO2 1.0
The correct answer is : D
An oxygen-dependent COPD patient is brought to the emergency room on 4
L/min oxygen by nasal cannula. From the paramedic documentation it is
observed that
respiratory rate has changed from 30 to 18 bpm. Heart rate has decreased from
120 to
90. Saturation is 92% and the patient's color has also improved. The therapist
should do which of the following?
A. decrease flow to 1 lpm
B. discontinue oxygen therapy
C. maintain current therapy
D. switch to a partial rebreathing mask
The correct answer is : A
A respiratory therapist is having difficulty advancing a suction catheter down a
fenestrated tracheostomy tube while the inner cannula is removed. The
cannula appears to meet resistance within a few inches from insertion. The
therapist should
A. obtain a smaller suction catheter
B. remove the tracheostomy tube
C. inflate the cuff
D. twist the catheter while attempting to advance
The correct answer is : D
, A patient who requires 10 cmH2O of PEEP when mechanically ventilated is being
transported. A spring PEEP valve will be used in conjunction with the
resuscitation bag. Where should the PEEP valve be placed?
A. distal end of the reservoir
B. distal to the outlet valve
C. proximal to the inlet valve
D. between the bag and patient interface
The correct answer is : B
Which of the following values are required to determine a patient's inspiratory
capacity (IC)?
A. VC and RV
B. ERV and IRV
C. VT and IRV
D. RV and ERV
The correct answer is : C
A patient shows signs of hypoxemia while on a heated aerosol set at 40% with
the flow rate set to 8 L/min. The patient's minute ventilation is 38.0 L. Which of
the following changes should be made?
A. increase flow rate to 10 L/min
B. decrease FIO2 to 28%, maintain flow rate
C. increase FIO2 to 0.5, maintain flow rate
D. increase to FIO2 to 1.0 with a flow rate to 15 L/min
The correct answer is : A
