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NBRC exam study guide questions & answers 2024/2025

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NBRC exam study guide questions & answers 2024/2025 A 28-year-old male who is 173 cm (5ft 8 in) tall and weighs 70 kg (155 pounds) is receiving VC, SIMV with the following settings: Fi02: 0.50 Mandatory Rate: 12 Tidal Volume: 500 mL The low volume alarm begins to sound, and the ventilator di...

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  • November 1, 2024
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  • 2024/2025
  • Exam (elaborations)
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NBRC exam study guide questions &
answers 2024/2025

A 28-year-old male who is 173 cm (5ft 8 in) tall and weighs 70 kg (155 pounds) is receiving VC,

SIMV with the following settings: Fi02: 0.50 Mandatory Rate: 12 Tidal Volume: 500 mL

The low volume alarm begins to sound, and the ventilator displays an inspiratory pressure of 5

cmH20. A respiratory therapist should:

a. Check the exhalation valve function

b. Straighten the inspiratory link kink (increases Volume)

c. Empty condensate from the breathing circuit

d. Switch to the A/C mode - ANSWERSAnswer: A.

It acts like a little diaphragm in the ventilator.



A respiratory therapist is caring for a 52-year-old male following surgical correction of a liver

laceration 1 day ago. An SBT is initiated per protocol with a pressure support of 5 cm H20 and a

PEEP of 5 cm H20. Fifteen minutes later, the patient is diaphoretic with a respiratory rate of

40/minute. Which of the following should the therapist do?

a. Return to the previous vent settings

b. Recommend sedating the patient

c. Increase the pressure support to 10 cm H20

d. Continue the SBT for another 15 minutes - ANSWERSAnswer: A.

Failed the SBT



A respiratory therapist observes the flow scalar on a patient's ventilator graphic. The RT notices

the flow during exhalation does not return to baseline. The therapist should conclude:

a. Auto PEEP is present

b. There is a leak in the circuit

, c. The exhalation valve is faulty

d. There is an expiratory hold - ANSWERSAnswer: A.



An ABG analysis for a 42-year-old male who is breathing room air reveals the following:

pH: 7.49 PC02: 29 mmHg P02: 70 mmHg HC03: 22mEq/L BE: 0 mEq/L S02 94%

Which of the following best describes these results?

a. Acute respiratory acidosis with moderate hypoxemia

b. Acute respiratory alkalosis with mild hypoxemia

c. Acute metabolic acidosis with mild hypoxemia

d. Compensated respiratory alkalosis with normal oxygenation - ANSWERSAnswer: B.



5. A 191-cm (6-ft-3-in), 70-kg (154 lb) postoperative male is receiving VC/AC ventilation. Pertinent

data are below:

Fio2 0.30

Mandatory Rate 12 pH 7.29

Total Rate 14 PaC02 51 mmHg

Tidal Volume 500 mL Pa02 86 mmHg

Insp Time 1.0 sec HC03 25 mEq/L

PEEP 5 cm H20 BE -2 mEq/L

Sa02 96%

Which of the following should a respiratory therapist recommend?

a. 10 cm PEEP

b. Inspiratory time of 1.5 seconds

c. Mandatory Rate of 14

d. Tidal volume of 600 mL - ANSWERSAnswer: D.



A patient with COPD is receiving PC ventilation with flow triggering and has significant air

trapping displayed on the ventilator graphics. The patient's spontaneous breathing efforts are

not always detected by the ventilator. Which of the following changes should a respiratory

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