NBRC TMC Exam Questions & Answers 2024/2025
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal CO2 monitor shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continu...
A patient with ARDS is receiving mechanical ventilatory support. An end-tidal CO2 monitor shows a
PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings - ANSWERSThe correct answer is : A
Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O - ANSWERSThe correct answer is : C
Which of the following data is needed to calculate minute alveolar ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT - ANSWERSThe correct answer is : C
A respiratory therapist notes a pressure-volume loop on a patient receiving mechanical ventilation has a
pronounced beak. What strategy is useful in this case?
A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow - ANSWERSThe correct answer is : B
,The respiratory therapist is making a plan of care for a patient with mycoplasma pneumonia who needs
assistance with airway clearance of secretions. In which order should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing - ANSWERSThe correct answer is : B
Which of the following is an appropriate strategy when caring for a patient with ARDS who is receiving
mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible - ANSWERSThe correct answer is : D
Which of the following is an important strategy when caring for a patient with adult respiratory distress
syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60 - ANSWERSThe correct answer is : C
Which of the following transdermal nicotine preparations might the respiratory therapist recommend to
help a patient stop smoking?
A. gum
B. MDI
C. patch
D. spray - ANSWERSThe correct answer is : C
Which of the following is NOT normally part of a smoking cessation program?
, A. information on the cost of cigarettes and tobacco products
B. nicotine replacement therapy
C. source of emotional support
D. education on the hazards of smoking - ANSWERSThe correct answer is : A
A patient is receiving an initial pulmonary rehabilitation visit to the clinic. To orient the patient which of
the following should be taught to the patient concerning the goals and benefits of pulmonary
rehabilitation?
A. increase exercise tolerance and improve performance of ADLs
B. achieve normal pulmonary function
C. return to normal life
D. reduce the need for oxygen - ANSWERSThe correct answer is : A
An adult patient with asthma is receiving Xopenex by small volume nebulizer T.I.D. at a dosage of 1.25
mg. The patient complains of dizziness, tingling in his fingers, and anxiety with each treatment. The
therapist should
A. switch to Pulmicort 0.5 mg
B. decrease frequency to BID
C. increase dose to 1.88 mg
D. change dose to 0.63 mg - ANSWERSThe correct answer is : D
A decreasing A-aDO2 is most closely related to which of the following?
A. Increased pulmonary shunting
B. increasing venous admixture
C. decreasing atelectasis
D. refractory hypoxemia - ANSWERSThe correct answer is : C
Which of the following would be most helpful in determining if a patient regularly smokes tobacco
products?
A. COHb
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