NBRC Kettering Test A with correct
answers 2024
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and
3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalance. - C
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the
respiratory therapist discovers that breath sounds are absent in the left chest with a hyper-
resonant percussion note. The trachea is shifted to the right. The patient's heart rate is
45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What action should
the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
,NBRC Kettering Test A with correct
answers 2024
D. Activate the medical emergency team to intubate the patient. - C
All of the following strategies are likely to decrease the likelihood of damage to the tracheal
mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - C
A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse
upon completion of postural drainage with percussion. The respiratory therapist should
recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
,NBRC Kettering Test A with correct
answers 2024
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - D
A 65 kg spinal cord injured patient develops atelectasis. His inspiratory capacity is 30% of
his predicted value. What bronchial hygiene therapy would be most appropriate initially?
A. Incentive spirometry
B. IPPB
C. Postural drainage and percussion
D. PEP therapy - B
A healthy adult female can exhale what portion of her forced vital capacity in the first
second?
A. 50%
B. 60%
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
, NBRC Kettering Test A with correct
answers 2024
C. 70%
D. 80% - C
A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which of the
following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - A
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
answers 2024
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and
3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalance. - C
A patient is admitted to the ED following a motor vehicle accident. On physical exam, the
respiratory therapist discovers that breath sounds are absent in the left chest with a hyper-
resonant percussion note. The trachea is shifted to the right. The patient's heart rate is
45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What action should
the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
,NBRC Kettering Test A with correct
answers 2024
D. Activate the medical emergency team to intubate the patient. - C
All of the following strategies are likely to decrease the likelihood of damage to the tracheal
mucosa EXCEPT
A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures. - C
A 52 year-old post-operative cholecystectomy patient's breath sounds become more coarse
upon completion of postural drainage with percussion. The respiratory therapist should
recommend
A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
,NBRC Kettering Test A with correct
answers 2024
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - D
A 65 kg spinal cord injured patient develops atelectasis. His inspiratory capacity is 30% of
his predicted value. What bronchial hygiene therapy would be most appropriate initially?
A. Incentive spirometry
B. IPPB
C. Postural drainage and percussion
D. PEP therapy - B
A healthy adult female can exhale what portion of her forced vital capacity in the first
second?
A. 50%
B. 60%
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
, NBRC Kettering Test A with correct
answers 2024
C. 70%
D. 80% - C
A patient on VC ventilation demonstrates auto-PEEP on ventilator graphics. Which of the
following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - A
CONTRACTOR LICENSE EXAM WITH
CORRECT ANSWERS GRADED A+
