NBRC TMC B 2024 -2025 EXAM |ACTUAL COMPLETE EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation.
Ventilator settings and blood gas analysis results are:
FIO2 0.70
Mandatory rate 14
VT 350 mL PEEP
5 cm H2O
pH 7.35
PaCO2 35 mm Hg
PaO2 40 mm Hg
HCO3- 19 mEq/L
BE -6 mEq/L
SO2 (calc) 74%
A respiratory therapist should recommend:
A. changing to SIMV mode.
B. Increasing to 10 cm H2O PEEP.
C. Changing to 5 cm H2O CPAP.
D. Increasing to 400 mL VT. - ANSWER-B. Increasing to 10 cm H2O
PEEP.
,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. - ANSWER-C. Breathe in
fast and deep.
Which of the following is used to monitor the partial pressure of
transcutaneous carbon dioxide?
A. Red-light absorption sensor
B. Electromechanical transducer
C. Infrared analyzer
D. Stow-Severinghaus electrode - ANSWER-D. Stow-Severinghaus
electrode
An adult patient requires frequent blood sampling and medication
administrations through an IV for 1 month.
The preferred vascular access is a
A. Peripherally inserted central catheter.
B. Subclavian central vascular line.
,C. Standard peripheral IV line.
D. Internal jugular catheter. - ANSWER-A. Peripherally inserted central
catheter.
Following placement of a tracheostomy tube for long-term mechanical
ventilation, which of the following patient positions best prevents
ventilator-associated pneumonia?
A. Prone
B. Trendelenburg
C. Supine
D. Semi-Fowler - ANSWER-D. Semi-Fowler
A 170-cm (5-ft 7-in), 69-kg (152-lb) male with ARDS has the following
ABG analysis results:
pH 7.37PCO2 43 mm HgPO2 95 mm HgHCO3- 25 mEq/LBE -1
mEq/LSO2 (calc) 97%
The patient is receiving VC, A/C ventilation with the following
settings:
FIO2 0.70
Mandatory rate 12
VT 450 mL
PEEP 8 cm H2O
, Which of the following is most appropriate?
A. Decrease the FIO2 to 0.60.
B. Change the PEEP to 5 cm H2O.
C. Increase the minute ventilation.
D. Maintain the current settings. - ANSWER-A. Decrease the FIO2 to
0.60.
Following an emergent C-section, a 35 year old is receiving VC, A/C
ventilation. The following pressure-volume loop is observed:
Which of the following ventilator settings should be adjusted?
A. PEEP
B. Flow rate
C. Tidal volume
D. Trigger sensitivity - ANSWER-D. Trigger sensitivity
Which of the following techniques is preferred for a quadriplegic
patient having difficulty expectorating secretions?
A. Pursed lip breathing
B. Abdominal thrust
C. PEP therapy
D. Inspiratory muscle training - ANSWER-B. Abdominal thrust
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