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NBRC TMC EXAM-Z, NBRC TMC EXAM-S
ACTUAL EXAM QUESTIONS AND ANSWERS
LATEST UPDATED A+ GRADED AND 100%
GUARANTEE PASS
After attempting to pass a catheter down an oral ET tube, the
respiratory therapist feels strongly that the endotracheal tube
cuff is herniated over the end of the ET tube. The bag-valve
remains difficult to squeeze and oxygen saturation is 86% and
falling. The therapist should do which of the following?
A. call the physician and report the finding
B. remove the ET tube and insert a new one
C. switch to a high pressure demand valve
D. perform nasal intubation with the oral tube left in place -
CORRECT ANSWER-The correct answer is : B
Which of the following lung volume measurements is
the largest? A. FRC
B. VC
C. IC
D. TLC - CORRECT ANSWER-The correct answer is : D
Which of the following precautions should be taken when
performing nasal tracheal suctioning on a patient who has a
tendency for mucosal bleeding?
A. Be gentle
,Created By FutureBright
B. Keep suctioning to no longer than 30 second
C. Stop all blood-thinning medication prior to suctioning
D. Apply intermittent suctioning during withdraw of the
catheter - CORRECT ANSWER-The correct answer is : A
Which of the following may be related to a fluid balance
problem in a patient?
A. ARDS
B. Pneumothorax
C. Guillain-Barre Syndrome
D. Renal disease - CORRECT ANSWER-The correct answer is : D
An adult patient with asthma is receiving Xopenex by small
volume nebulizer T.I.D. at a dosage of 1.25 mg. The patient
complains of dizziness, tingling in his fingers, and anxiety with
each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - CORRECT ANSWER-The correct answer
is : D
A decreasing A-aDO2 is most closely related to which of the
following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
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D. refractory hypoxemia - CORRECT ANSWER-The correct answer is :
C
Which of the following would be most helpful in determining if
a patient regularly smokes tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - CORRECT ANSWER-The correct answer is : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a
volume-controlled ventilator in the assist/control mode on the
following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropriate action?
A. increase FIO2 to 1.0
B. increase rate to 14
C. increase PEEP to 10 cmH2O
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D. increase tidal volume to 600 mL - CORRECT ANSWER-The correct
answer is : B
A pulmonary rehabilitation patient is having difficulty
complying with a smoking cessation program. A physical and
psychological screen reveals a heavy physiological dependence
and a low psychological dependence on smoking. Which of the
following is appropriate?
A. Versed
B. nicotine replacement therapy
C. psychological counseling
D. Valium - CORRECT ANSWER-The correct answer is : B
A COPD patient is receiving oxygen at 2 L/min by a pulse-dose
oxygen delivery device. The patient complains of shortness of
breath and feels she is not getting enough oxygen. The home
care respiratory therapist should
A. switch to a Venturi mask at 40%
B. encourage the patient to relax and call her physician
C. increase the flow rate
D. switch to a continuous oxygen regulator and normal nasal
cannula - CORRECT ANSWER-The correct answer is : D
A physician orders a chest radiograph on an ambulatory patient
in the emergency department (ED) in response to a suspicion of
pneumonia. Which of the following should be ordered?
A. PA radiograph
B. apical lordotic
NBRC TMC EXAM-Z, NBRC TMC EXAM-S
ACTUAL EXAM QUESTIONS AND ANSWERS
LATEST UPDATED A+ GRADED AND 100%
GUARANTEE PASS
After attempting to pass a catheter down an oral ET tube, the
respiratory therapist feels strongly that the endotracheal tube
cuff is herniated over the end of the ET tube. The bag-valve
remains difficult to squeeze and oxygen saturation is 86% and
falling. The therapist should do which of the following?
A. call the physician and report the finding
B. remove the ET tube and insert a new one
C. switch to a high pressure demand valve
D. perform nasal intubation with the oral tube left in place -
CORRECT ANSWER-The correct answer is : B
Which of the following lung volume measurements is
the largest? A. FRC
B. VC
C. IC
D. TLC - CORRECT ANSWER-The correct answer is : D
Which of the following precautions should be taken when
performing nasal tracheal suctioning on a patient who has a
tendency for mucosal bleeding?
A. Be gentle
,Created By FutureBright
B. Keep suctioning to no longer than 30 second
C. Stop all blood-thinning medication prior to suctioning
D. Apply intermittent suctioning during withdraw of the
catheter - CORRECT ANSWER-The correct answer is : A
Which of the following may be related to a fluid balance
problem in a patient?
A. ARDS
B. Pneumothorax
C. Guillain-Barre Syndrome
D. Renal disease - CORRECT ANSWER-The correct answer is : D
An adult patient with asthma is receiving Xopenex by small
volume nebulizer T.I.D. at a dosage of 1.25 mg. The patient
complains of dizziness, tingling in his fingers, and anxiety with
each treatment. The therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - CORRECT ANSWER-The correct answer
is : D
A decreasing A-aDO2 is most closely related to which of the
following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
,Created By FutureBright
D. refractory hypoxemia - CORRECT ANSWER-The correct answer is :
C
Which of the following would be most helpful in determining if
a patient regularly smokes tobacco products?
A. COHb
B. DLCO
C. end-tidal carbon dioxide
D. pulse oximetery - CORRECT ANSWER-The correct answer is : A
A 75-kg (165-lb) male is receiving mechanical ventilation by a
volume-controlled ventilator in the assist/control mode on the
following settings:
Mandatory rate 12/min
VT 500 mL
FIO2 0.6
PEEP 8 cm H2O
Arterial blood gas results:
pH 7.30
PaCO2 52 mm Hg
PO2 65 mm Hg
HCO3- 27 mEq/L
BE +3 mEq/L
Which of the following represents the most appropriate action?
A. increase FIO2 to 1.0
B. increase rate to 14
C. increase PEEP to 10 cmH2O
, Created By FutureBright
D. increase tidal volume to 600 mL - CORRECT ANSWER-The correct
answer is : B
A pulmonary rehabilitation patient is having difficulty
complying with a smoking cessation program. A physical and
psychological screen reveals a heavy physiological dependence
and a low psychological dependence on smoking. Which of the
following is appropriate?
A. Versed
B. nicotine replacement therapy
C. psychological counseling
D. Valium - CORRECT ANSWER-The correct answer is : B
A COPD patient is receiving oxygen at 2 L/min by a pulse-dose
oxygen delivery device. The patient complains of shortness of
breath and feels she is not getting enough oxygen. The home
care respiratory therapist should
A. switch to a Venturi mask at 40%
B. encourage the patient to relax and call her physician
C. increase the flow rate
D. switch to a continuous oxygen regulator and normal nasal
cannula - CORRECT ANSWER-The correct answer is : D
A physician orders a chest radiograph on an ambulatory patient
in the emergency department (ED) in response to a suspicion of
pneumonia. Which of the following should be ordered?
A. PA radiograph
B. apical lordotic
