NBRC TMC STUDY GUIDE EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
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When assessing the airway of a patient prior to intubation, a Mallampati
score of 4 is observed. What should the RT recommend to facilitate
intubation? - ANS ✓Video Laryngoscopy
(Bronchoscope)
An adult patient who weighs 62kg (136lb) requires a minute ventilation of
15L/min to maintain a PaCO2 of 36mmHg while receiving mechanical
ventilation. What could explain these ventilatory requirements? - ANS ✓1.
Excessive caloric intake
2. Increased dead space ventilation
3. Febrile patient
While performing beside spirometry on a patient, the following FEV1
values are obtained from 3 maneuvers:
3.13
3.75
2.85
What should the RT conclude about these results? - ANS ✓The effort was
inconsistent
An RT is assisting a physician with a needle biopsy of a lung mass during
fiberoptic bronchoscopy. The biopsy site begins to hemorrhage. What
should the RT have ready for instillation? - ANS ✓Iced saline
NBRC TMC
, 2
NBRC
An adult patient with a tracheostomy tube is receiving a heated aerosol
with an FiO2 of 0.30 by T-piece. An RT observes that the t-piece often
becomes disconnected from the tracheostomy tube. What should the the
therapist do> - ANS ✓Exchange the T-piece for a tracheostomy collar
An RT will assist a physician perform cardioversion for a spontaneously
breathing patient with supraventricular tachycardia. The patient is alert
and awake. What steps should be performed in preparation for this
procedure? - ANS ✓1. Supplemental O2
2. Gather airway equipment
3. Sedate the patient
Do NOT intubate the patient
What should a tracheostomy stoma site be cleaned with? - ANS ✓Normal
saline
Which device provides 100% humidity at body temperature? - ANS
✓Heated-wick humidifier
While examining a chest radiograph from an adult patient an RT notes the
presence of air bronchograms. What is the most likely cause? - ANS
✓Pneumonia
A patient who is 188cm (6ft2in) tall is intubated with an 8.0mm ID
endotracheal tube that is secured with a 18-cm mark adjacent to the
incisor. An RT hears a gurgling sound with each inhalation and observes the
exhaled VT is 300mL less than the inhaled VT. The RT increases the cuff
pressure from 16cm to 24cm. There is no change in the sound or exhaled
VT. What should the RT do? - ANS ✓Deflate the cuff before advancing the tube
4cm
NBRC TMC
, 3
NBRC
According to the ATS Standards a patient's FEV1 must increase by a
minimum of what percent, to demonstrate a significant postbronchodilator
improvement - ANS ✓12
A patient with dyspnea, tachypnea, and expiratory wheeze is unresponsive
to bronchodilator therapy. After reviewing the CXR the RT should conclude
the patient has what? - ANS ✓Pulmonary Edema
A 132kg (291lb) 168cm(5ft6in) female who underwent a tracheostomy 2
weeks ago remains in the ICU receiving VC ventilation. After the patient is
repositioned in the bed, the high pressure alarm sounds with each breath.
The suction catheter can be passed only 10cm into the tracheostomy tube
and no secretions are evident. SpO2 is 80%. What should the RT do first? -
ANS ✓Remove the tracheostomy tube
A patient is being evaluated for blunt chest trauma. An RT palpates crepitus
near the patient's right clavicle. What does this most likely indicate? - ANS
✓Subcutaneous Emphysema
A 24-year-old male is admitted to the ED after being pulled from a burning
building. The patient has 2nd degree burns on the face and chest. The
following vital signs are observed
HR 145/RR 32/SpO2 100%
BP: 131/85
Skin tone is normal. What should the RT recommend first? - ANS
✓Carboxyhemoglobin level
An adult patient is receiving PC AC ventilation and has a blood pressure of
64/42.
The patient is currently on continuous norepinephrine infusion and the
SpO2 monitor does not consistently display a waveform or saturation
value. What should the RT do first? - ANS ✓Change to a forehead sensor
NBRC TMC
, 4
NBRC
The RT notes a prolonged inspiratory time and variable cycling to
exhalation for a patient receiving PS ventilation. The circuit is verified to be
intact. What should the RT do next? - ANS ✓Check for the integrity of the
endotracheal tube cuff
Results of a sleep study reveal a patient has OSA with marked oxygen
desaturation. What therapy should be recommended for the patient during
sleep? - ANS ✓Nasal CPAP
5 minutes after starting a 2.5mg albuterol nebulizer treatment a patient
complains of palpitations, headache and tremors. What should the RT do? -
ANS ✓Terminate the treatment
A suction canister from the bronchoscopy suite was used for a patient with
Hep B. How should the canister be disposed? - ANS ✓Place it in a biohazard
waste bag
A patient with cystic fibrosis, who usually expectorates white sputum,
complains of increased cough and dark yellow sputum production. She is
febrile and a CXR reveals a right middle lobe infiltrate. What do these
clinical findings suggest? - ANS ✓Pneumonia
A patient is receiving PC AC ventilation. The RT is assisting with an
uncomplicated thoracentesis during which 1200mL of fluid is drained from
the patient's pleural space. What change should the RT expect to observe? -
ANS ✓Increased VT
A 58 year-old male who is 175cm (5ft9in) tall and weighs 85kg (187lb) is
receiving VC SIMV with the following settings
FiO2 40%
Mandatory Rate 8
Total Rate 12
NBRC TMC
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