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+
Normal Urine Output - ANSWER: 40mL/hr (approximatley 1 Liter a day)
Intake exceeds output - ANSWER: -weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - ANSWER: can indicate changes in fluid balance
Normal CVP - ANSWER: 2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy - ANSWER: consider sleep apnea or excessive O2
therapy (COPD patient)
Semicomatose - ANSWER: responds only to painful stimuli
Obtunded - ANSWER: drowsy state, may have decreased cough or gag reflux (protect
airway)
Coma - ANSWER: does not respond to painful stimuli
Electrolyte Imbalance Traits - ANSWER: anger, combative, irritable
Drug Overdose Traits - ANSWER: Euphoria-intense feelings of emotions (joy)
Panic Traits - ANSWER: severe hypoxemia, tension pnemothorax, status asthmaticus,
or possibly AAA (abdominal aortic anerysm)
Activites of Daily Living (ADL) Scoring - ANSWER: Katz Scoring System
0-dependent
6-independent
Orthopnea - ANSWER: difficulty breathing except in the upright position (CHF)
Genreal malaise - ANSWER: run down feeling, nausea, weakness, fatique, headache
(consider electrolyte imbalance)
COPD diet - ANSWER: high fats, low carbs (carbs causes higher CO2)
, Edema - ANSWER: caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - ANSWER: accumulation of fluid in the abdomen generally caused by liver
failure
Clubbing of fingers - ANSWER: caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD) - ANSWER: occurs with CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - ANSWER: indication of peripheral circulation
color should return within 3 seconds
Diaphoresis - ANSWER: heart failure (recommend diuretics, positive inotropic
agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)
Cheyne-Stokes Breathing - ANSWER: gradually increasing then decreasing rate and
depth in a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60
seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
Biot's Breathing - ANSWER: increased respiratory rate and depth with irregular
periods of apnea. Each breath has the same depth
Cause: CNS problem
Kussmaul's breathing - ANSWER: increased respiratory rate (usually over 20
breaths/min), increased depth, irregular rhythm, breathing sounds labored
Cause: metabolic acidosis, renal failure, diabetic ketoacidosis
Dry or nonproductive cough may indicate - ANSWER: a tumor in the lungs
Productive cough may indicate - ANSWER: an infection or chronic lung disease
Tachycardia indications - ANSWER: hypoxemia, anxiety, stress (recommend oxygen
therapy)
Bradycardia indications - ANSWER: heart failure, shock, code/emergency
(recommend atropine)
LATEST VERSIONS (VERSION A AND B) COMPLETE 240
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Normal Urine Output - ANSWER: 40mL/hr (approximatley 1 Liter a day)
Intake exceeds output - ANSWER: -weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - ANSWER: can indicate changes in fluid balance
Normal CVP - ANSWER: 2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy - ANSWER: consider sleep apnea or excessive O2
therapy (COPD patient)
Semicomatose - ANSWER: responds only to painful stimuli
Obtunded - ANSWER: drowsy state, may have decreased cough or gag reflux (protect
airway)
Coma - ANSWER: does not respond to painful stimuli
Electrolyte Imbalance Traits - ANSWER: anger, combative, irritable
Drug Overdose Traits - ANSWER: Euphoria-intense feelings of emotions (joy)
Panic Traits - ANSWER: severe hypoxemia, tension pnemothorax, status asthmaticus,
or possibly AAA (abdominal aortic anerysm)
Activites of Daily Living (ADL) Scoring - ANSWER: Katz Scoring System
0-dependent
6-independent
Orthopnea - ANSWER: difficulty breathing except in the upright position (CHF)
Genreal malaise - ANSWER: run down feeling, nausea, weakness, fatique, headache
(consider electrolyte imbalance)
COPD diet - ANSWER: high fats, low carbs (carbs causes higher CO2)
, Edema - ANSWER: caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - ANSWER: accumulation of fluid in the abdomen generally caused by liver
failure
Clubbing of fingers - ANSWER: caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD) - ANSWER: occurs with CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - ANSWER: indication of peripheral circulation
color should return within 3 seconds
Diaphoresis - ANSWER: heart failure (recommend diuretics, positive inotropic
agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)
Cheyne-Stokes Breathing - ANSWER: gradually increasing then decreasing rate and
depth in a cycle lasting from 30-180 seconds, with periods of apnea lasting up to 60
seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
Biot's Breathing - ANSWER: increased respiratory rate and depth with irregular
periods of apnea. Each breath has the same depth
Cause: CNS problem
Kussmaul's breathing - ANSWER: increased respiratory rate (usually over 20
breaths/min), increased depth, irregular rhythm, breathing sounds labored
Cause: metabolic acidosis, renal failure, diabetic ketoacidosis
Dry or nonproductive cough may indicate - ANSWER: a tumor in the lungs
Productive cough may indicate - ANSWER: an infection or chronic lung disease
Tachycardia indications - ANSWER: hypoxemia, anxiety, stress (recommend oxygen
therapy)
Bradycardia indications - ANSWER: heart failure, shock, code/emergency
(recommend atropine)
