1
NBRC
NBRC EXAM QUESTIONS WITH CORRECT VERIFIED
ANSWERS LATEST UPDATE (2024/2025)
GUARANTEED PASS
Bilateral vesicular sounds - ANS ✓normal breath sounds in both lungs
Bronchial breath sounds - ANS ✓normal breath sounds over the trachea or
bronchi- these breath sounds are abnormal over the lungs and indicates lung
consolidation
Coarse crackles - ANS ✓rhonchi that clear with a cough-large airway secretions
(suction or have the patient cough)
Medium crackles - ANS ✓middle airway secretions (recommend bronchial
hygiene or CPT)
Fine crackles - ANS ✓alveoli, fluid.
-associated with CHF/pulmonary edema.
-recommend oxygen, positive pressure therapy, positive inotropic agents
(digoxin, digitial), diuretics (lasix)
Unilateral wheeze - ANS ✓indicated a foreign body obstruction, aspiration
-recommend rigid bronchoscopy
Bilateral wheeze - ANS ✓bronchospasm
-give SABA
Stridor - ANS ✓caused by upper airway obstruction
NBRC EXAM
, 2
NBRC
-supraglottic swelling (epiglottis)-thumb sign
-give racemic
-subglottic swelling (croup, post extubation)-church steeple/hour glass
-give racemic
-foreign body aspiration (solids or fluids)
-suction and/or bronchoscopy
**intubation for severe swelling and epiglottits
Pleural fricition rub - ANS ✓-a coarse grating, raspy or crunching sound
-caused by inflamed surface of the visceral and parietal pleura rubbing together
-may be associated with pleurisy, TB, pneumonia, pulmonary infarction, cancer,
etc.
-recommed steriods and antibiotics (if WBC is high)
Croup Steps - ANS ✓1. start out with humidified oxygen
2. racemic epinephrine
3. corticosteriod
Normal Blood Pressure in Adults - ANS ✓90-140mmHg/60-90mmHg
*Perfect- 120/80mmHg
Increased blood pressure - ANS ✓-hypertension, indicates cardiac stress-
hypoxemia
-hypotensiton, indicates poor perfusion-hypovalemia, CHF
Lateral decubitis position - ANS ✓-verifying pleural effusions
-pleural effusionw ill accumulate on the side laying on
-pneumonia will not accumulate
NBRC EXAM
, 3
NBRC
End expiration image - ANS ✓-valuable for detecting a small pneumothorax
-can measure diaphragmatic excursion
Position of endotracheal or tracheostomy tubes - ANS ✓-2-6cm above the
carina
-at the level of the aortic knob or aortic arch
Mediastinum xray - ANS ✓area between the lungs where the heart, lympathics,
blood vessels and major bronchi are found. May shift with plueral effusion or
pnemothorax
Costrophrenic angles xray - ANS ✓these angles may be obilerated by pleural
effusions
Diaphragm xray - ANS ✓dome shaped normally
-flattened with COPD
Vascular markings xray - ANS ✓blood vessels, lymphatics, lung tissue
Ribs xray - ANS ✓normally curved and spaced out
-crowding of ribs (close together) is associated with atelectasis
-straight or horizontal ribs are characteristics of air trapping
Lateral neck xray - ANS ✓diagnositc tool for identifying upper airway
obstruction in children
Croup xray - ANS ✓steeple sign
hourglass sign
Epiglottitis xray - ANS ✓thumb sign
NBRC EXAM
NBRC
NBRC EXAM QUESTIONS WITH CORRECT VERIFIED
ANSWERS LATEST UPDATE (2024/2025)
GUARANTEED PASS
Bilateral vesicular sounds - ANS ✓normal breath sounds in both lungs
Bronchial breath sounds - ANS ✓normal breath sounds over the trachea or
bronchi- these breath sounds are abnormal over the lungs and indicates lung
consolidation
Coarse crackles - ANS ✓rhonchi that clear with a cough-large airway secretions
(suction or have the patient cough)
Medium crackles - ANS ✓middle airway secretions (recommend bronchial
hygiene or CPT)
Fine crackles - ANS ✓alveoli, fluid.
-associated with CHF/pulmonary edema.
-recommend oxygen, positive pressure therapy, positive inotropic agents
(digoxin, digitial), diuretics (lasix)
Unilateral wheeze - ANS ✓indicated a foreign body obstruction, aspiration
-recommend rigid bronchoscopy
Bilateral wheeze - ANS ✓bronchospasm
-give SABA
Stridor - ANS ✓caused by upper airway obstruction
NBRC EXAM
, 2
NBRC
-supraglottic swelling (epiglottis)-thumb sign
-give racemic
-subglottic swelling (croup, post extubation)-church steeple/hour glass
-give racemic
-foreign body aspiration (solids or fluids)
-suction and/or bronchoscopy
**intubation for severe swelling and epiglottits
Pleural fricition rub - ANS ✓-a coarse grating, raspy or crunching sound
-caused by inflamed surface of the visceral and parietal pleura rubbing together
-may be associated with pleurisy, TB, pneumonia, pulmonary infarction, cancer,
etc.
-recommed steriods and antibiotics (if WBC is high)
Croup Steps - ANS ✓1. start out with humidified oxygen
2. racemic epinephrine
3. corticosteriod
Normal Blood Pressure in Adults - ANS ✓90-140mmHg/60-90mmHg
*Perfect- 120/80mmHg
Increased blood pressure - ANS ✓-hypertension, indicates cardiac stress-
hypoxemia
-hypotensiton, indicates poor perfusion-hypovalemia, CHF
Lateral decubitis position - ANS ✓-verifying pleural effusions
-pleural effusionw ill accumulate on the side laying on
-pneumonia will not accumulate
NBRC EXAM
, 3
NBRC
End expiration image - ANS ✓-valuable for detecting a small pneumothorax
-can measure diaphragmatic excursion
Position of endotracheal or tracheostomy tubes - ANS ✓-2-6cm above the
carina
-at the level of the aortic knob or aortic arch
Mediastinum xray - ANS ✓area between the lungs where the heart, lympathics,
blood vessels and major bronchi are found. May shift with plueral effusion or
pnemothorax
Costrophrenic angles xray - ANS ✓these angles may be obilerated by pleural
effusions
Diaphragm xray - ANS ✓dome shaped normally
-flattened with COPD
Vascular markings xray - ANS ✓blood vessels, lymphatics, lung tissue
Ribs xray - ANS ✓normally curved and spaced out
-crowding of ribs (close together) is associated with atelectasis
-straight or horizontal ribs are characteristics of air trapping
Lateral neck xray - ANS ✓diagnositc tool for identifying upper airway
obstruction in children
Croup xray - ANS ✓steeple sign
hourglass sign
Epiglottitis xray - ANS ✓thumb sign
NBRC EXAM
