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TMC STUDY GUIDE NBRC NEWEST ACTUAL EXAM COMPLETE ALL 140 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+$22.99
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TMC STUDY GUIDE NBRC NEWEST ACTUAL EXAM
COMPLETE ALL 140 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 56-year-old female with a diagnosis of bilateral basilar pneumonia is
in the ICU and receiving VC AC ventilation. A respiratory therapist
observes that her SpO2 has dropped from 95% to 84%. Her current FiO2
is 50% with +12 PEEP. Her PaCO2 values have remained within normal
range. What should the RT increase first? ✔✔CORRECT
ANSWER✔✔Increase the FiO2
A patient requires frequent nasotracheal suctioning. The patient begins
to cough violently after an RT places a nasopharyngeal airway. Which of
the following actions should the therapist recommend?
1. Wait 10 minutes for the patient to adapt to the airway
2. Wait until the patient falls asleep to insert an airway
3. Insert a nasal airway that is wider
4. Insert a nasal airway that has a shorter length ✔✔CORRECT
ANSWER✔✔4. Insert a nasal airway that has a shorter length
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 ✔✔CORRECT ANSWER✔✔D. Bronchiectasis
A 22-year-old patient is being considered for extubation after being
treated with status asthmaticus for the last 48 hours. BS are clear and
no current distress is noted. While receiving FiO2 40%/PS 10/PEEP +5
her vital signs are:
HR 87
RR 18
SpO2 96%
After breathing through a T-Piece for 30 minutes with an FiO2 of 40%
vital signs reveal:
HR 95
RR 20
SpO2 90%
What should the RT conclude? ✔✔CORRECT ANSWER✔✔The patient is
ready for extubation
,A 1400g, 28-week gestational age infant was delivered after a
precipitous vaginal delivery. The infant is receiving nasal CPAP with an
FiO2 of 50% in the delivery room and has an SpO2 of 85%. What is the
most appropriate next course of treatment? ✔✔CORRECT
ANSWER✔✔Administer surfactant
While performing MVV maneuvers a patient repeatedly terminates the
test between 8 to 10 seconds. What should the RT do? ✔✔CORRECT
ANSWER✔✔Reschedule testing at a later time
A 68-year old man with a history of COPD is admitted to the hospital for
increasing shortness of breath and a nonproductive cough. Chest
auscultation reveals expiratory wheezes. What the most appropriate
choice to improve the patient's clinical condition? ✔✔CORRECT
ANSWER✔✔Ipratropium (Atrovent)
What is the best instruction for a patient receiving a small-volume
nebulizer bronchodilator therapy? ✔✔CORRECT ANSWER✔✔Breath
normally with an occasional deep inspiratory hold
What is the most simple method of preventing postoperative atelectasis
in a patient with no preoperative pulmonary problems? ✔✔CORRECT
ANSWER✔✔Cough and deep breathing
, What are the potential complications associated with obtaining an ABG
through an indwelling radial arterial catheter? ✔✔CORRECT
ANSWER✔✔1. Infection
2. Arteriospasm
3. Finger Ischemia
What is the amount of the air that can be forcibly exhaled from the
lungs after taking the deepest breath possible? ✔✔CORRECT
ANSWER✔✔FVC
An 18-year old male with muscular dystrophy is receiving treatment for
recurrent pneumonia and atelectasis. What should the RT recommend
in addition to HFCWO? ✔✔CORRECT ANSWER✔✔Mechanical
insufflation and exsufflation
An RT is checking a jet nebulizer with an entrainment setting 35%. A
properly calibrated oxygen analyzer measures the concentration at 45%.
What best explains this finding? ✔✔CORRECT ANSWER✔✔Water in the
tubing
Which of the following patients upon discharge should the RT
recommend apnea monitoring for home use?
1. Preterm neonate who has been treated with caffeine
2. Neonate who was diagnosed with cystic fibrosis
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