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NBRC TMC Practice Exam #2 Answers With Rationales| 100% Accurate| A+ Grade

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NBRC TMC Practice Exam #2 Answers With Rationales| 100% Accurate| A+ Grade NBRC TMC Practice Exam #2 Answers With Rationales| 100% Accurate| A+ Grade

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  • October 19, 2024
  • 240
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nbrc tmc practice exam 2
  • nbrc tmc
  • nbrc
  • tmc

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NBRC TMC Practice Exam #2 Answers
With Rationales| 100% Accurate| A+ Grade
2024-2025


During Nasotracheal Suctioning, A Patient Exhibits A Gag Reflex But Doesn't

Cough. Watery Secretions Are Aspirated Through The Catheter. Which Of The

Following Should The Respiratory Therapist Do Next?



A. Insert An Oropharyngeal Airway And Repeat The Procedure

B. Hyperextend The Patient's Next When Passing The Catheter

C. Ask The Patient To Swallow While Passing The Catheter

D. Increase The Suction Pressure And Repeat The Procedure



Feedback: Aspiration Of Watery Secretions Would Indicate Catheter Position In

Either The Oropharynx Or The Esophagus. Hyperextending The Neck Will Better

Direct The Catheter To The Trachea.




A 24-Year-Old Female Presents With A History Of Nasal Stuffiness, Episodes Of

Daytime Dyspnea, And A Cough That Occurs Every Summer. Which Of The

Following Drug Classifications Should A Respiratory Therapist Recommend To

Control The Patient's Symptoms?



A. Leukotriene Inhibitor

B. Ige Immunoglobulin Antagonist

,C. Beta-Adrenergic Agonist

D. Anticholinergic



Feedback: The Patient Has Allergic Rhinitis And, At Most, Mild Persistent Asthma.

A Leukotriene Inhibitor, Such As Montelukast (Singulair), Are Indicated To Control

Mild Asthma And Allergic Rhinitis.




A Patient With Pulmonary Edema Receives Furosemide (Lasix), Dopamine

(Intropin), And 02. Flattened T-Waves And Occasional PVC's Are Observed On The

Monitor. Which Of The Following Should A Respiratory Therapist Initially

Recommend To Evaluate The Effect Of These Medications?



1. End-Tidal C02

2. Pulse Oximetry

3. Echocardiogram

4. Electrolytes



Choose The Best Answer

A. 1 And 2 Only

B. 1 And 3 Only

C. 2 And 4 Only

D. 3 And 4 Only



Feedback:

,1. False. End-Tidal CO2 Would Not Be Related To Diuresis, Electrolyte Imbalance,

Or Hypoxemia.

2. True. Myocardial Hypoxia May Contribute To Cardiac Arrythmia.

3. False. An Echocardiogram May Document The Heart Failure But Does Not Relate

To The Consequences Of Diuresis.

4. True. Electrolytes Will Help Evaluate Any Changes Associated With Renal

Potassium Loss From The Use Of Furosemide (Lasix).




When Instructing A Patient On The Administration Of Umeclidinium/Vilanterol

(Anoro Ellipta), Which Of The Following Is Most Important To Emphasize?



A. Gargle Immediately After Use

B. Inhale Slowly With A Breath Hold

C. Breathe In Fast And Deep

D. Shake Medication Vigorously Before Use



Feedback: Breathing In Fast And Deep Is The Proper Method Of Administration For

Umeclidinium/Vilanterol (Anoro Ellipta).




Before A Respiratory Therapist Gives A New Patient A Breathing Treatment With

Formoterol (Perforomist), His Vital Signs Are Checked. The Patient's Initial HR Is 85

Bpm, And RR Is 16 Bpm. Halfway Into The Treatment, His Pulse Rate (HR) Is 115

Bpm, And The RR Is 22 Bpm. What Should Be Done?

, A. Continue The Treatment To Completion And Recheck Vital Signs

B. Substitute Olodaterol (Stiverdi Respimat) And Continue The Treatment

C. Stop The Treatment And Monitor The Patient

D. Stop The Treatment And Have The Nurse Give Medication Intravenously



Feedback: It Is Best To Stop The Treatment Because The Patient's Vital Signs Have

Increased By More Than 20%. Inform The Physician Or Nurse Of The Changes In

Vital Signs And Chart The Information.




Because Of Home Care Patient Requires An Increased O2 Flow, The Physician Has

Ordered A Change From An O2 Concentrator To 02 Cylinders. The Patient Should

Be Told The Following To Ensure A Safe Environment:



A. Wipe Off The 02 Outlet With Alcohol Everyday

B. Secure The Cylinder In A Stand Or Chain It To The Wall

C. Lay The Cylinder On Its Side So That It Can't Be Tipped Over

D. Connect The Cylinder And Concentrator To The Patient's 02 Mask




Feedback: Secure The Cylinder In A Stand Or Chain It To The Wall.

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