NBRC TMC/CRT/RRT CERTIFICATION TEST
2026 FULL QUESTIONS AND ANSWERS
GRADED A+
◉ Intake exceeds output. Answer-weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
◉ Central Venous Pressure (CVP). Answercan indicate changes in
fluid balance
◉ Normal CVP. Answer2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
◉ Stuporous, confused , sleepy. Answerconsider sleep apnea or
excessive O2 therapy (COPD patient)
◉ Semicomatose. Answerresponds only to painful stimuli
◉ Obtunded. Answerdrowsy state, may have decreased cough or gag
reflux (protect airway)
,◉ Coma. Answerdoes not respond to painful stimuli
◉ Electrolyte Imbalance Traits. Answeranger, combative, irritable
◉ Drug Overdose Traits. AnswerEuphoria-intense feelings of
emotions (joy)
◉ Panic Traits. Answersevere hypoxemia, tension pnemothorax,
status asthmaticus, or possibly AAA (abdominal aortic anerysm)
◉ Activites of Daily Living (ADL) Scoring. AnswerKatz Scoring System
0-dependent
6-independent
◉ Orthopnea. Answerdifficulty breathing except in the upright
position (CHF)
◉ Genreal malaise. Answerrun down feeling, nausea, weakness,
fatique, headache (consider electrolyte imbalance)
◉ COPD diet. Answerhigh fats, low carbs (carbs causes higher CO2)
◉ Edema. Answercaused by CHF and renal failure
, occurs primarily in arms and ankles
◉ Ascites. Answeraccumulation of fluid in the abdomen generally
caused by liver failure
◉ Clubbing of fingers. Answercaused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
◉ Venous distension or Jugular venous distension (JVD).
Answeroccurs with CHF
seen during exhalation in patients with obstructive lung disease
◉ Capillary refill. Answerindication of peripheral circulation
color should return within 3 seconds
◉ Diaphoresis. Answerheart failure (recommend diuretics, positive
inotropic agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)
◉ Cheyne-Stokes Breathing. Answergradually increasing then
decreasing rate and depth in a cycle lasting from 30-180 seconds,
with periods of apnea lasting up to 60 seconds
2026 FULL QUESTIONS AND ANSWERS
GRADED A+
◉ Intake exceeds output. Answer-weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
◉ Central Venous Pressure (CVP). Answercan indicate changes in
fluid balance
◉ Normal CVP. Answer2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
◉ Stuporous, confused , sleepy. Answerconsider sleep apnea or
excessive O2 therapy (COPD patient)
◉ Semicomatose. Answerresponds only to painful stimuli
◉ Obtunded. Answerdrowsy state, may have decreased cough or gag
reflux (protect airway)
,◉ Coma. Answerdoes not respond to painful stimuli
◉ Electrolyte Imbalance Traits. Answeranger, combative, irritable
◉ Drug Overdose Traits. AnswerEuphoria-intense feelings of
emotions (joy)
◉ Panic Traits. Answersevere hypoxemia, tension pnemothorax,
status asthmaticus, or possibly AAA (abdominal aortic anerysm)
◉ Activites of Daily Living (ADL) Scoring. AnswerKatz Scoring System
0-dependent
6-independent
◉ Orthopnea. Answerdifficulty breathing except in the upright
position (CHF)
◉ Genreal malaise. Answerrun down feeling, nausea, weakness,
fatique, headache (consider electrolyte imbalance)
◉ COPD diet. Answerhigh fats, low carbs (carbs causes higher CO2)
◉ Edema. Answercaused by CHF and renal failure
, occurs primarily in arms and ankles
◉ Ascites. Answeraccumulation of fluid in the abdomen generally
caused by liver failure
◉ Clubbing of fingers. Answercaused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
◉ Venous distension or Jugular venous distension (JVD).
Answeroccurs with CHF
seen during exhalation in patients with obstructive lung disease
◉ Capillary refill. Answerindication of peripheral circulation
color should return within 3 seconds
◉ Diaphoresis. Answerheart failure (recommend diuretics, positive
inotropic agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)
◉ Cheyne-Stokes Breathing. Answergradually increasing then
decreasing rate and depth in a cycle lasting from 30-180 seconds,
with periods of apnea lasting up to 60 seconds
