NBRC TMC Practice
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
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1. Bronchial breath sounds heard over the lung periphery indicate
A. narrowed airways.
B. obstructed bronchi.
C. lung consolidation.
D. pulmonary edema. - Correct Answer: lung consolidation.
2. During a pre-operative evaluation, bedside spirometry results are as follows: FVC 88% of
predicted, FEV1 85% of predicted, FEV1/FVC 82% of predicted and FEF25-75 81% of predicted.
How should the respiratory therapist interpret these results?
A. a mild restrictive disorder
B. a mild obstructive disorder
C. normal lung function
D. mixed obstructive/restrictive disorder - Correct Answer: normal lung function
3. A 55 year-old male patient is being evaluated for pulmonary rehabilitation. During a cycle
ergometer cardiopulmonary stress procedure, the patient has a heart rate of 100/min and a
respiratory rate of 20/min. He suddenly begins to complain of chest pain and severe shortness
of breath. The respiratory therapist should
A. reduce the speed of the bike.
,B. administer supplemental oxygen.
C. gradually reduce the workload and monitor closely.
D. terminate the procedure immediately. - Correct Answer: terminate the procedure
immediately.
4. At 1 minute post-delivery, a newborn has blue extremities with a pink body, heart rate is
90/min, respiratory rate is 20/min with a weak cry, cough reflex is present, and there is some
flexion of the extremities. At 5 minutes post-delivery, the infant is completely pink, heart rate is
140/min, respiratory rate is 40/min, cough reflex is present, and the baby is active with a strong
cry. What APGAR scores should be assigned?
A. 4 & 8
B. 5 & 9
C. 5 & 10
D. 6 & 10 - Correct Answer: 6 & 10
5. The respiratory therapist is asked to administer 2.5 mg of albuterol to a patient via small
volume nebulizer. The medication is available in a 0.5% solution. What volume of albuterol
should be administered?
A. 0.25 mL
B. 0.50 mL
C. 1.25 mL
D. 2.5 mL - Correct Answer: 0.50 mL
6. After consulting on management of a patient with pneumonia and atelectasis, the
pulmonologist has documented in the Progress Notes a need to change the patient's treatment
regimen. The respiratory therapist should
A. continue the current treatment plan.
B. report the change in treatment plan to the next shift.
C. check the electronic medical record for new physician orders.
,D. disregard the information until notified by the shift supervisor. - Correct Answer: check
the electronic medical record for new physician orders.
7. A 60 kg (132 lb) patient is being mechanically ventilated with the following settings: VC, A/C;
VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm H2O PEEP. The patient's peak airway
pressure is 60 cm H2O and his SpO2 is 85%. A current chest x-ray shows diffuse bilateral
infiltrates. Which of the following is the most appropriate action in order to reduce peak airway
pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - Correct Answer: Change to airway pressure release
ventilation.
8. In order to verify the accuracy of a lab-based spirometer device, the respiratory therapist
should utilize a
A. rotameter.
B. 3.0 L syringe.
C. Wright respirometer.
D. pneumotachometer. - Correct Answer: 3.0 L syringe.
9. While performing diagnostic chest percussion, the respiratory therapist notes decreased
resonance to percussion. Which of the following are potential causes of this finding?
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis - Correct Answer: 2, 3, and 4 only
, 10. A 19-year-old patient is brought to the emergency department after taking a handful of
pills. The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation
reveals coarse rhonchi bilaterally. Which of the following should be done FIRST to assess this
patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score. - Correct Answer: Obtain an ABG.
11. A 60 year-old male is admitted to the ED with chest pain. The CBC and electrolytes are
normal. Troponin level is 0.4 ng/mL. The physician should report to the patient that he is
suffering from
A. pulmonary embolism.
B. gastroesophageal reflux.
C. myocardial infarction.
D. valvular stenosis. - Correct Answer: myocardial infarction.
12. A young healthy adult with complaints of intermittent wheezing is seen in the pulmonary
clinic. A pre/post bronchodilator spirometry reveals a normal study with no reversibility. Which
of the following should the RT recommend?
A. Helium dilution study
B. DLCO
C. Plethysmography
D. Bronchial provocation - Correct Answer: Bronchial provocation
13. Twenty-four hours after a patient was intubated, she develops a fever of 99.9°F, a right lower
lobe infiltrate, and her white blood cell count is 12,000 per mm3. The respiratory therapist
should recommend
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. Bronchial breath sounds heard over the lung periphery indicate
A. narrowed airways.
B. obstructed bronchi.
C. lung consolidation.
D. pulmonary edema. - Correct Answer: lung consolidation.
2. During a pre-operative evaluation, bedside spirometry results are as follows: FVC 88% of
predicted, FEV1 85% of predicted, FEV1/FVC 82% of predicted and FEF25-75 81% of predicted.
How should the respiratory therapist interpret these results?
A. a mild restrictive disorder
B. a mild obstructive disorder
C. normal lung function
D. mixed obstructive/restrictive disorder - Correct Answer: normal lung function
3. A 55 year-old male patient is being evaluated for pulmonary rehabilitation. During a cycle
ergometer cardiopulmonary stress procedure, the patient has a heart rate of 100/min and a
respiratory rate of 20/min. He suddenly begins to complain of chest pain and severe shortness
of breath. The respiratory therapist should
A. reduce the speed of the bike.
,B. administer supplemental oxygen.
C. gradually reduce the workload and monitor closely.
D. terminate the procedure immediately. - Correct Answer: terminate the procedure
immediately.
4. At 1 minute post-delivery, a newborn has blue extremities with a pink body, heart rate is
90/min, respiratory rate is 20/min with a weak cry, cough reflex is present, and there is some
flexion of the extremities. At 5 minutes post-delivery, the infant is completely pink, heart rate is
140/min, respiratory rate is 40/min, cough reflex is present, and the baby is active with a strong
cry. What APGAR scores should be assigned?
A. 4 & 8
B. 5 & 9
C. 5 & 10
D. 6 & 10 - Correct Answer: 6 & 10
5. The respiratory therapist is asked to administer 2.5 mg of albuterol to a patient via small
volume nebulizer. The medication is available in a 0.5% solution. What volume of albuterol
should be administered?
A. 0.25 mL
B. 0.50 mL
C. 1.25 mL
D. 2.5 mL - Correct Answer: 0.50 mL
6. After consulting on management of a patient with pneumonia and atelectasis, the
pulmonologist has documented in the Progress Notes a need to change the patient's treatment
regimen. The respiratory therapist should
A. continue the current treatment plan.
B. report the change in treatment plan to the next shift.
C. check the electronic medical record for new physician orders.
,D. disregard the information until notified by the shift supervisor. - Correct Answer: check
the electronic medical record for new physician orders.
7. A 60 kg (132 lb) patient is being mechanically ventilated with the following settings: VC, A/C;
VT 500 mL, respiratory rate 12/min, FIO2 1.00 and 10 cm H2O PEEP. The patient's peak airway
pressure is 60 cm H2O and his SpO2 is 85%. A current chest x-ray shows diffuse bilateral
infiltrates. Which of the following is the most appropriate action in order to reduce peak airway
pressure?
A. Increase the frequency.
B. Change to airway pressure release ventilation.
C. Decrease the inspiratory time.
D. Increase PEEP to 15 cm H2O. - Correct Answer: Change to airway pressure release
ventilation.
8. In order to verify the accuracy of a lab-based spirometer device, the respiratory therapist
should utilize a
A. rotameter.
B. 3.0 L syringe.
C. Wright respirometer.
D. pneumotachometer. - Correct Answer: 3.0 L syringe.
9. While performing diagnostic chest percussion, the respiratory therapist notes decreased
resonance to percussion. Which of the following are potential causes of this finding?
1. pneumothorax
2. pleural effusion
3. pneumonia
4. atelectasis - Correct Answer: 2, 3, and 4 only
, 10. A 19-year-old patient is brought to the emergency department after taking a handful of
pills. The patient is obtunded but is making regular, sonorous respiratory efforts. Auscultation
reveals coarse rhonchi bilaterally. Which of the following should be done FIRST to assess this
patient?
A. Obtain a sputum specimen.
B. Obtain an ABG.
C. Measure peak expiratory flow.
D. Determine the Glasgow Coma Score. - Correct Answer: Obtain an ABG.
11. A 60 year-old male is admitted to the ED with chest pain. The CBC and electrolytes are
normal. Troponin level is 0.4 ng/mL. The physician should report to the patient that he is
suffering from
A. pulmonary embolism.
B. gastroesophageal reflux.
C. myocardial infarction.
D. valvular stenosis. - Correct Answer: myocardial infarction.
12. A young healthy adult with complaints of intermittent wheezing is seen in the pulmonary
clinic. A pre/post bronchodilator spirometry reveals a normal study with no reversibility. Which
of the following should the RT recommend?
A. Helium dilution study
B. DLCO
C. Plethysmography
D. Bronchial provocation - Correct Answer: Bronchial provocation
13. Twenty-four hours after a patient was intubated, she develops a fever of 99.9°F, a right lower
lobe infiltrate, and her white blood cell count is 12,000 per mm3. The respiratory therapist
should recommend
