NBRC THERAPIST EXAM NEWEST 2024 ACTUAL
EXAM 2 LATEST VERSIONS (VERSION A AND B)
COMPLETE 240 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
PATIENT ASSESSMENT:
All of the following would be associated with the presence of a
pneumothorax EXCEPT
a. Tracheal deviation
b. Dull percussion
c. Absent breath sounds
d. Respiratory distress - ANSWER >>>>With pneumothorax
you would hear a high pitch hyperresonnance, breath sounds
would be absent, and respiratory distress could be present.
Dull percussion would NOT be present,
so ANSWER is B.
What should you recommend FIRST for a patient with
multifocal pvc's
a. Administration of lidocaine
b. Administration of 100% oxygen
c. Administration of atropine
d. Administration of epinephrine - ANSWER >>>>Multiple
pvc's coming from multiple locations (multifocal) is a real
problem and you should administer oxygen FIRST, so
ANSWER is B. lidocaine will help reduce irritability of heart
,and help with pvc's but would not be first option, atropine is
used for bradycardia and cardiac irregularities but not pvc's,
epinephrine is emergency drug not for pvc's but more for
pulseless ventricular tachycardia or ventricular fibrilation
where heart is not responding .
What is the normal range for the mean pulmonary artery
pressure in an adult
a. 2-6 mm Hg
b. 4-12 mmHg
c. 9-18 mmHg
d. 21-28 mmHg - ANSWER >>>>Mean pulmonary artery
pressure in an adult should be in the teens
so best ANSWER is C
A patient in the emergency dept has frothy secretions, moist
crackles, and tachypnea. The patient has marked dyspnea
and a history of heart disease. Which of the following should
the respiratory therapist recommend.
1.suction immediately
2.administer 100% oxygen
3.place in Fowlers position
4.administer furosemide - ANSWER >>>>This is an
emergency, they are having heart problems, dyspnea, frothy
secretions indicating severe pulmonary edema, etc. so 100%
oxygen immediately, having the patient in the Fowlers position
(an upright position) will help pull fluid down away from the
lungs, furosemide is a lasix (loop diuretic) which gets rid of
excess fluid. You do NOT suction someone with frothy
secretions and heart problems, this just delays appropriate
therapy. So ANSWER is 2,3,4
,Fine crepitant crackles are most commonly associated with
which of the following conditions.
a. Bronchiectasis
b. Congestive heart failure
c. Pneumonia
d. Croup - ANSWER >>>>Crackles are associated with fluid
so a, b, and c would be good answers, but "fine crepitant"
crackles indicates fluid entering alveoli (pulmonary edema)
which is most often caused by heart failure so the best
ANSWER is B. (with croup you would hear more of a stridor
sound).
All the following could cause capnography to go from 3 6 to
30 EXCEPT:
A. Endotracheal tube positioned in the right mainstream
bronchus
B. Hyperventilation
C. pulmonary emboli
D. Hypovolemia - ANSWER >>>>Endotracheal tube
positioned in right mainstem bronchus is a problem but the
co2 reading would not change, so
ANSWER is A.
What is the target Vt for individual on mechanical ventilation -
ANSWER >>>>6-8 ml/kg (of ideal body weight) This is new
strategy as of January 2015
Is the following Static OR Dynamic Compliance:
Means flow throughout the respiratory system has stopped
and all ventilatory muscle activity is absent. _______
conditions can be imposed with an inspiratory pause when a
, patient is sedated and mechanically ventilated. - ANSWER
>>>>Static Compliance
Is the following Static OR Dynamic Compliance:
Flow at airway opening is zero. Mechanics are evaluated
under ______ conditions, when non-intubated patient
breathes spontaneously. - ANSWER >>>>Dynamic
Compliance
A balloon tipped flow directed catheter is positioned in the
pulmonary artery with the balloon deflated. Which of the
following pressures will be measured by the proximal lumen:
a. Cvp
b. Pap
c. Pwp
d. Map - ANSWER >>>>ANSWER is A. Cvp =
deflated/proximal lumen
Pap = deflated/distal
Pwp = inflated/wedged
All of the following will affect the accuracy of a capnography
EXCEPT
a. Long sampling line
b. Low sampling flow
c. Condensation in the tubing
d. Use of desiccant - ANSWER >>>>Gas will pass through
and out of a long sampling line before reaching analyzer so,
low sampling flow will not give you enough information for a
good reading, and condensation as a rule is always a problem
especially in analyzers. Dessicant removes moisture from the
gas, which is a good thing, so
ANSWER is D
EXAM 2 LATEST VERSIONS (VERSION A AND B)
COMPLETE 240 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
PATIENT ASSESSMENT:
All of the following would be associated with the presence of a
pneumothorax EXCEPT
a. Tracheal deviation
b. Dull percussion
c. Absent breath sounds
d. Respiratory distress - ANSWER >>>>With pneumothorax
you would hear a high pitch hyperresonnance, breath sounds
would be absent, and respiratory distress could be present.
Dull percussion would NOT be present,
so ANSWER is B.
What should you recommend FIRST for a patient with
multifocal pvc's
a. Administration of lidocaine
b. Administration of 100% oxygen
c. Administration of atropine
d. Administration of epinephrine - ANSWER >>>>Multiple
pvc's coming from multiple locations (multifocal) is a real
problem and you should administer oxygen FIRST, so
ANSWER is B. lidocaine will help reduce irritability of heart
,and help with pvc's but would not be first option, atropine is
used for bradycardia and cardiac irregularities but not pvc's,
epinephrine is emergency drug not for pvc's but more for
pulseless ventricular tachycardia or ventricular fibrilation
where heart is not responding .
What is the normal range for the mean pulmonary artery
pressure in an adult
a. 2-6 mm Hg
b. 4-12 mmHg
c. 9-18 mmHg
d. 21-28 mmHg - ANSWER >>>>Mean pulmonary artery
pressure in an adult should be in the teens
so best ANSWER is C
A patient in the emergency dept has frothy secretions, moist
crackles, and tachypnea. The patient has marked dyspnea
and a history of heart disease. Which of the following should
the respiratory therapist recommend.
1.suction immediately
2.administer 100% oxygen
3.place in Fowlers position
4.administer furosemide - ANSWER >>>>This is an
emergency, they are having heart problems, dyspnea, frothy
secretions indicating severe pulmonary edema, etc. so 100%
oxygen immediately, having the patient in the Fowlers position
(an upright position) will help pull fluid down away from the
lungs, furosemide is a lasix (loop diuretic) which gets rid of
excess fluid. You do NOT suction someone with frothy
secretions and heart problems, this just delays appropriate
therapy. So ANSWER is 2,3,4
,Fine crepitant crackles are most commonly associated with
which of the following conditions.
a. Bronchiectasis
b. Congestive heart failure
c. Pneumonia
d. Croup - ANSWER >>>>Crackles are associated with fluid
so a, b, and c would be good answers, but "fine crepitant"
crackles indicates fluid entering alveoli (pulmonary edema)
which is most often caused by heart failure so the best
ANSWER is B. (with croup you would hear more of a stridor
sound).
All the following could cause capnography to go from 3 6 to
30 EXCEPT:
A. Endotracheal tube positioned in the right mainstream
bronchus
B. Hyperventilation
C. pulmonary emboli
D. Hypovolemia - ANSWER >>>>Endotracheal tube
positioned in right mainstem bronchus is a problem but the
co2 reading would not change, so
ANSWER is A.
What is the target Vt for individual on mechanical ventilation -
ANSWER >>>>6-8 ml/kg (of ideal body weight) This is new
strategy as of January 2015
Is the following Static OR Dynamic Compliance:
Means flow throughout the respiratory system has stopped
and all ventilatory muscle activity is absent. _______
conditions can be imposed with an inspiratory pause when a
, patient is sedated and mechanically ventilated. - ANSWER
>>>>Static Compliance
Is the following Static OR Dynamic Compliance:
Flow at airway opening is zero. Mechanics are evaluated
under ______ conditions, when non-intubated patient
breathes spontaneously. - ANSWER >>>>Dynamic
Compliance
A balloon tipped flow directed catheter is positioned in the
pulmonary artery with the balloon deflated. Which of the
following pressures will be measured by the proximal lumen:
a. Cvp
b. Pap
c. Pwp
d. Map - ANSWER >>>>ANSWER is A. Cvp =
deflated/proximal lumen
Pap = deflated/distal
Pwp = inflated/wedged
All of the following will affect the accuracy of a capnography
EXCEPT
a. Long sampling line
b. Low sampling flow
c. Condensation in the tubing
d. Use of desiccant - ANSWER >>>>Gas will pass through
and out of a long sampling line before reaching analyzer so,
low sampling flow will not give you enough information for a
good reading, and condensation as a rule is always a problem
especially in analyzers. Dessicant removes moisture from the
gas, which is a good thing, so
ANSWER is D
