NBRC TMC A PRACTICE QUESTIONS AND
ANSWERS LATEST AND COMPREHENSIVE
VERSION WITH VERIFIED ANSWERS
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Three months after lung transplantation, a patient develops shortness of breath and requires
invasive mechanical ventilation. A chest radiograph shows diffuse alveolar infiltrates. Which of
the following diagnostic tests should a respiratory therapist recommend?
bronchoscopy with BAL
The accuracy of a spirometer should be assessed using a
3-liter syringe
A respiratory therapist is assessing a 168-cm (5-ft 6-in), 73-kg (161-lb), 41-year-old female who
was admitted 12 hours ago for an aspirin overdose. The following information is obtained as the
patient breathes air:
HR 89/min
RR 15/min
BP 110/70 mm Hg
SpO2 86%
A respiratory therapist should FIRST
A. validate the SpO2 reading at a different site
3 multiple choice options
,A respiratory therapist is caring for a patient who has ARDS. Blood pressure is 90/60 mm Hg.
The patient is receiving PC, A/C ventilation with the following settings:
FIO2 1.0
Mandatory rate 14
PIP 30 cm H2O
PEEP 18 cm H2O
ABG analysis shows the following:
pH 7.36
PCO2 44 mm Hg
PO2 50 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
SO2 (calc) 85%
A chest radiograph shows bilateral lower lobe infiltrates. Which of the following should the
therapist do?
D. Place the patient prone
3 multiple choice options
When following CDC droplet isolation precautions, which of the following must a patient don
before being transported within the hospital?
B. surgical mask
3 multiple choice options
,The following data are obtained for an adult patient who is receiving VC ventilation with a VT of
600 mL:
10 AM 12 PM
Peak airway pressure 38 cm H2O 45 cm H2O
Plateau pressure 34 cm H2O 34 cm H2O
These data indicate
B. increased airways resistance
3 multiple choice options
A 175-cm (5-ft 9-in), 113-kg (250-lb), 56-year-old male with a 48 pack-year smoking history is
being prepared for abdominal surgery. Which of the following should be done preoperatively to
assess the patient's risk for respiratory complications following abdominal surgery?
Perform spirometry
Immediately after intubation of an adult male, a respiratory therapist notices breath sounds are
present on the right lung fields, but extremely diminished on the left. Notes prior to the
intubation state that bilateral breath sounds were present. Which of the following is the most
appropriate action?
Withdraw the endotracheal tube until equal breath sounds are heard
A 4-year-old child is seen by a respiratory therapist for a follow-up asthma evaluation. The child
denies any dyspnea. The parents report giving the child albuterol by inhaler twice daily. The
therapist should
explain the purpose of the quick-relief medication
NPPV is best indicated for which of the following clinical diagnoses?
A. severe ARDS
B. drug overdose
, C. aspiration pneumonitis
D. COPD
COPD
A 27-year-old male patient has mild asthma. The patient's pulse is 80/min before administration
of an aerosolized bronchodilator. The patient's pulse rises and stabilizes at 92/min during the
treatment. Which of the following should a respiratory therapist do?
Continue the treatment as ordered.
A patient with COPD is receiving mechanical ventilation. The patient continues to wheeze
despite treatment with albuterol. A respiratory therapist should recommend
A. ordering a chest radiograph.
B. administering furosemide (Lasix).
C. obtaining an ABG analysis.
D. adding ipratropium (Atrovent).
D. adding ipratropium (Atrovent)
For a patient receiving noninvasive ventilation through a dual-limb circuit, an increase in which
of the following will decrease work of breathing associated with spontaneous breathing?
A. inspiratory time
B. ramp time
C. PEEP
D. pressure support
D. pressure support
ANSWERS LATEST AND COMPREHENSIVE
VERSION WITH VERIFIED ANSWERS
GUARANTEED PASS WITH INSTANT PDF
DOWNLOAD
Three months after lung transplantation, a patient develops shortness of breath and requires
invasive mechanical ventilation. A chest radiograph shows diffuse alveolar infiltrates. Which of
the following diagnostic tests should a respiratory therapist recommend?
bronchoscopy with BAL
The accuracy of a spirometer should be assessed using a
3-liter syringe
A respiratory therapist is assessing a 168-cm (5-ft 6-in), 73-kg (161-lb), 41-year-old female who
was admitted 12 hours ago for an aspirin overdose. The following information is obtained as the
patient breathes air:
HR 89/min
RR 15/min
BP 110/70 mm Hg
SpO2 86%
A respiratory therapist should FIRST
A. validate the SpO2 reading at a different site
3 multiple choice options
,A respiratory therapist is caring for a patient who has ARDS. Blood pressure is 90/60 mm Hg.
The patient is receiving PC, A/C ventilation with the following settings:
FIO2 1.0
Mandatory rate 14
PIP 30 cm H2O
PEEP 18 cm H2O
ABG analysis shows the following:
pH 7.36
PCO2 44 mm Hg
PO2 50 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
SO2 (calc) 85%
A chest radiograph shows bilateral lower lobe infiltrates. Which of the following should the
therapist do?
D. Place the patient prone
3 multiple choice options
When following CDC droplet isolation precautions, which of the following must a patient don
before being transported within the hospital?
B. surgical mask
3 multiple choice options
,The following data are obtained for an adult patient who is receiving VC ventilation with a VT of
600 mL:
10 AM 12 PM
Peak airway pressure 38 cm H2O 45 cm H2O
Plateau pressure 34 cm H2O 34 cm H2O
These data indicate
B. increased airways resistance
3 multiple choice options
A 175-cm (5-ft 9-in), 113-kg (250-lb), 56-year-old male with a 48 pack-year smoking history is
being prepared for abdominal surgery. Which of the following should be done preoperatively to
assess the patient's risk for respiratory complications following abdominal surgery?
Perform spirometry
Immediately after intubation of an adult male, a respiratory therapist notices breath sounds are
present on the right lung fields, but extremely diminished on the left. Notes prior to the
intubation state that bilateral breath sounds were present. Which of the following is the most
appropriate action?
Withdraw the endotracheal tube until equal breath sounds are heard
A 4-year-old child is seen by a respiratory therapist for a follow-up asthma evaluation. The child
denies any dyspnea. The parents report giving the child albuterol by inhaler twice daily. The
therapist should
explain the purpose of the quick-relief medication
NPPV is best indicated for which of the following clinical diagnoses?
A. severe ARDS
B. drug overdose
, C. aspiration pneumonitis
D. COPD
COPD
A 27-year-old male patient has mild asthma. The patient's pulse is 80/min before administration
of an aerosolized bronchodilator. The patient's pulse rises and stabilizes at 92/min during the
treatment. Which of the following should a respiratory therapist do?
Continue the treatment as ordered.
A patient with COPD is receiving mechanical ventilation. The patient continues to wheeze
despite treatment with albuterol. A respiratory therapist should recommend
A. ordering a chest radiograph.
B. administering furosemide (Lasix).
C. obtaining an ABG analysis.
D. adding ipratropium (Atrovent).
D. adding ipratropium (Atrovent)
For a patient receiving noninvasive ventilation through a dual-limb circuit, an increase in which
of the following will decrease work of breathing associated with spontaneous breathing?
A. inspiratory time
B. ramp time
C. PEEP
D. pressure support
D. pressure support
