NBRC TMC EXAM-Z, NBRC TMC EXAM-S NEWEST ACTUAL
2025/2026 WITH COMPLETE QUESTIONS WITH ANSWERS
VERIFIED/GRADED A+
A postoperative patient is not progressing with sustained
maximal inspiration therapy and refuses to cough because of
pain along the incision site when doing so. The respiratory
therapist should instruct the patient to
A. attempt coughing 1 hour after pain medication has been
administered
B. avoid coughing until pain subsides
C. pause at the top of each inspiration
D. press a pillow against the incision site when coughing - ---
-Answers---=The correct answer is : D
A 31-week-gestional age infant has a respiratory rate of
30/min and a heart rate of 70/min while breathing room air.
Five minutes after birth, the infant is acrocyanotic and has a
weak cry. Following suctioning of the oropharynx the
respiratory therapist should
A. place the infant in an oxyhood at FIO2 0.40
B. administer Atropine sulfate
C. begin chest compressions
D. provide manual ventilation with the bag-valve - ----
Answers---=The correct answer is : D
,The respiratory therapist notes the following results of an
arterial blood gas:
pH 7.40
PaCO2 41 torr
PaO2 46 torr
HCO3 -24 mEq/L
BE 0 mEq/L
The patient reports no symptoms. Pulse rate, blood pressure,
and color are within normal limits. Which of the following can
the therapist appropriately conclude?
A. the analysis did not correct for temperature
B. results are consistent with a venous blood sample
C. the patient has sickle cell anemia
D. hemoglobin level is low - ----Answers---=The correct
answer is : B
An 18-year-old male patient is admitted to the emergency
department (ED) after being rescued from an area lake in the
middle of the winter. Their core body temperature is 32
degrees C. (90 degrees F). He has the following blood gas
values on room air. The blood gas values are not corrected for
temperature:
pH 7.33
PaCO2 46 mmHg
PaO2 60 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
,The respiratory therapist should
A. provide a warming blanket to the patient
B. provide manual resuscitation
C. start a heated aerosol by mask set at 45%
D. place the patient on mechanical ventilation - ----Answers-
--=The correct answer is : C
A patient in the intensive care unit has the following clinical
and laboratory data:
PB 747 mm Hg
PH2O 47 mm Hg
pH 7.28
PaCO2 52 mm Hg
PaO2 70 mm Hg
HCO3- 27 mEq/L
BE +2 mEq/L
FIO2 0.6
SaO2 1.0
CvO2 12 vol%
CaO2 17 vol%
Hb 15 gm/dL
Which of the following represents the C(a-v)O2?
A. 5 vol%
B. 200 vol%
C. 2 vol%
, D. 25 vol% - ----Answers---=The correct answer is : A
An infant remains cyanotic after the administration of high-
level supplemental oxygen. The physician is concerned about
the presence of a condition, patent ductus arteriosis, and asks
the respiratory therapist to gather data to confirm or rule out
that condition. Which of the following data will the therapist
require?
A. chest radiography
B. blood gases from the umbilical and radial arteries
C. CT scan with contrast
D. blood glucose - ----Answers---=The correct answer is : B
A patient has a balloon-tipped, flow-directed catheter in place
in the pulmonary artery. Which pressure can the respiratory
therapist expect to obtain from the distal lumen?
A. MAP
B. SVR
C. CVP
D. PAP - ----Answers---=The correct answer is : D
Over the last two hours, the respiratory therapist has noticed
that the peak pressure of a patient receiving volume-
controlled mechanical ventilatory support has risen from 22 to
31 cm H2O. Plateau pressures have remained steady at 14
cmH2O. Which of the following is the most likely explanation
for these changes?
2025/2026 WITH COMPLETE QUESTIONS WITH ANSWERS
VERIFIED/GRADED A+
A postoperative patient is not progressing with sustained
maximal inspiration therapy and refuses to cough because of
pain along the incision site when doing so. The respiratory
therapist should instruct the patient to
A. attempt coughing 1 hour after pain medication has been
administered
B. avoid coughing until pain subsides
C. pause at the top of each inspiration
D. press a pillow against the incision site when coughing - ---
-Answers---=The correct answer is : D
A 31-week-gestional age infant has a respiratory rate of
30/min and a heart rate of 70/min while breathing room air.
Five minutes after birth, the infant is acrocyanotic and has a
weak cry. Following suctioning of the oropharynx the
respiratory therapist should
A. place the infant in an oxyhood at FIO2 0.40
B. administer Atropine sulfate
C. begin chest compressions
D. provide manual ventilation with the bag-valve - ----
Answers---=The correct answer is : D
,The respiratory therapist notes the following results of an
arterial blood gas:
pH 7.40
PaCO2 41 torr
PaO2 46 torr
HCO3 -24 mEq/L
BE 0 mEq/L
The patient reports no symptoms. Pulse rate, blood pressure,
and color are within normal limits. Which of the following can
the therapist appropriately conclude?
A. the analysis did not correct for temperature
B. results are consistent with a venous blood sample
C. the patient has sickle cell anemia
D. hemoglobin level is low - ----Answers---=The correct
answer is : B
An 18-year-old male patient is admitted to the emergency
department (ED) after being rescued from an area lake in the
middle of the winter. Their core body temperature is 32
degrees C. (90 degrees F). He has the following blood gas
values on room air. The blood gas values are not corrected for
temperature:
pH 7.33
PaCO2 46 mmHg
PaO2 60 mmHg
HCO3- 24 mEq/L
BE 0 mEq/L
,The respiratory therapist should
A. provide a warming blanket to the patient
B. provide manual resuscitation
C. start a heated aerosol by mask set at 45%
D. place the patient on mechanical ventilation - ----Answers-
--=The correct answer is : C
A patient in the intensive care unit has the following clinical
and laboratory data:
PB 747 mm Hg
PH2O 47 mm Hg
pH 7.28
PaCO2 52 mm Hg
PaO2 70 mm Hg
HCO3- 27 mEq/L
BE +2 mEq/L
FIO2 0.6
SaO2 1.0
CvO2 12 vol%
CaO2 17 vol%
Hb 15 gm/dL
Which of the following represents the C(a-v)O2?
A. 5 vol%
B. 200 vol%
C. 2 vol%
, D. 25 vol% - ----Answers---=The correct answer is : A
An infant remains cyanotic after the administration of high-
level supplemental oxygen. The physician is concerned about
the presence of a condition, patent ductus arteriosis, and asks
the respiratory therapist to gather data to confirm or rule out
that condition. Which of the following data will the therapist
require?
A. chest radiography
B. blood gases from the umbilical and radial arteries
C. CT scan with contrast
D. blood glucose - ----Answers---=The correct answer is : B
A patient has a balloon-tipped, flow-directed catheter in place
in the pulmonary artery. Which pressure can the respiratory
therapist expect to obtain from the distal lumen?
A. MAP
B. SVR
C. CVP
D. PAP - ----Answers---=The correct answer is : D
Over the last two hours, the respiratory therapist has noticed
that the peak pressure of a patient receiving volume-
controlled mechanical ventilatory support has risen from 22 to
31 cm H2O. Plateau pressures have remained steady at 14
cmH2O. Which of the following is the most likely explanation
for these changes?
