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TMC study guide NBRC Questions and Correct Answers the Latest Update and Recommended Version
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A patient's sputum is purulent, green in appearance, has separated into layers, and has a foul odor. What is the most likely cause? A. Aspiration B. Tuberculosis C. Emphysema D. Bronchiectasis • D. Bronchiectasis A patient in the ICU complains of light headedness, nausea, and chest pains....

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  • October 21, 2024
  • 46
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • tmc study guide nbrc questions and correct answer
  • a patients sputum is purulent green in appearanc

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TMC study guide NBRC Questions and
Correct Answers the Latest Update and
Recommended Version
A patient's sputum is purulent, green in appearance, has separated into layers, and has a foul

odor. What is the most likely cause?

A. Aspiration

B. Tuberculosis

C. Emphysema

D. Bronchiectasis

• D. Bronchiectasis


A patient in the ICU complains of light headedness, nausea, and chest pains. The patient is

diaphoretic and has a blood pressure of 90/60mmHg. What should the RT recommend?

A. Lidocaine HCl

B. Cardioversion

C. Defibrillation

D. Epinephrine

• B. Cardioversion


A patient with Guillain-Barre syndrome has a vital capacity of 625mL. An RT should

recommend which of the following be performed FIRST?

A. MIP evaluation

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B. Edrophonium Chloride (Tensilon) test

C. MVV test

D. EMG and nerve conduction study

• A. MIP


Which of the following beside pulmonary function testing results for a patient with multiple

sclerosis most strongly indicates the need for ventilatory assistance?

A. 5% decrease in peak expiratory flow

B. FEV1/FVC 85%

C. MIP of -23cmH2O

D. Vital Capacity of 5 mL/kg

• D. Vital capacity of 5mL/kg


A 23-year-old patient is in moderate respiratory distress while receiving oxygen.

ABG=7.42/ 31/ 38/ 20/ -3/ 71%

How should these results be interpreted?

• Chronic Respiratory Alkalosis with severe hypoxemia


What is the patient's TLC?




Vital Capacity= 3.6L



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FRC= 6.0 L

ERV = 1.0


• 8.6


A COPD patient becomes hypotensive following a drug overdose. Following intubation VC

A/C ventilation should be initiated with which of the following oxygen concentrations?




A. 0.21

B. 0.50

C. 0.70

D. 1.0

• D. 1.0


A patient has been receiving VC ventilation for 24 hours. A respiratory therapist is called to

the bedside because the high pressure alarm is sounding with each breath. What should the RT

do first?


• Manually ventilate the patient


Just prior to removing the endotracheal tube, a respiratory therapist should do what?

• Deflate the cuff


While preparing to assist with a chest tube insertion , an RT learns that pleurodesis will follow.

What equipment would the RT provide?

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• Hemostat and 3-way stopcock


What is the formula for dynamic compliance?


• VT/ (PIP-PEEP)


A 52-year-old patient with newly diagnosed OSA undergoes a CPAP titration study. With a

CPAP of 12cm H2O, the AHI is 3 and the lowest observed oxygen saturation is 90%. The

patient continues to snore, what should the RT do?

• Increase the CPAP level


What is the target FiO2 range of nasal cannula in a patient with normal minute ventilation?


• 0.24-0.40


An RT is called to the ED to assist with the intubation of an alert, agitated patient in

respiratory failure. 2 intubation attempts were unsuccessful. In addition to a neuromuscular

blockade, which of the following drugs will best facilitate intubation?




A. Propranolol HCl (Inderal)

B. Midazolam HCl (Versed)

C. Amlodipine (Norvasc)

D. Nitroprusside Sodium

• B. Midazolam HCl (Versed)




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