NBRC TMCCRTRRT EXAM TEST BANK 2 VERSIONS WITH

NBRC TMC/CRT/RRT EXAM TEST BANK 2 VERSIONS WITH

QUESTIONS AND ANSWERS STUDY GUIDE- BEST FOR EXAM

PRACRICE 2024/2025 GRADE A

• After a client (patient) undergoes a thoracentesis, the respiratory therapist notes that the

obtained pleural fluid is clear with a slight straw color. This fluid is most likely the resultof

• empyema.
• congestive heart failure.
• lung carcinoma.
• hemothorax. –

ANSWER- B. congestive heart failure.

• Which of the following would be most important to evaluate for a client (patient) who is

enteringa smoking cessation program?

• Height
• Smoking history
• Weight
• Diet

ANSWER- B. Smoking history

• The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0liter

super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon theinformation obtained which of the following is a correct statement?

• Another syringe needs to be used
• Spirometer is accurate
• The plunger was advanced too slowly
• Spirometer may have a leak –

ANSWER- D. Spirometer may have a leak

• Which of the following is an indication for high frequency jet ventilation?

• Bronchopleural fistula
• Wilson Mikity syndrome
• Necrotizing lesion of right lung
• Centrilobular emphysema –

ANSWER- A. Bronchopleural fistula 1 / 4

• A 43-year-old female client (patient) has just undergone a total abdominal hysterectomy. The

client (patient) arrives in the post anesthesia care unit obtunded with minimal response to painful stimulus. What treatment should the respiratory therapist recommend for this client (patient)?

• Initiate assisted ventilation
• Insert oropharyngeal airway
• Obtain positron emission tomography
• Initiate noninvasive capnography –

ANSWER- B. Insert oropharyngeal airway

• A 44 week gestational age infant has just been delivered via C-section and is gasping,

grunting, and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at5 minutes the score is 5. The infant is most likely suffering from

• transient tachypnea of the newborn.
• meconium aspiration.
• bronchopulmonary dysplasia.
• apnea of prematurity. –

ANSWER- B. meconium aspiration.

• What is the normal VD/VT ratio for a client (patient) breathing room air?

A. 5 - 15%

B. 20 - 40%

C. 45 - 55%

D. 65 - 75% -

ANSWER- B. 20 - 40%

• A heat moisture exchanger is indicated for humidification in which of the following situations?

• Mechanical ventilation in a long-term care facility.
• Transport to a tertiary care center.
• Client (patient) with tenacious secretions.
• Delivery of aerosolized bronchodilators. –

ANSWER- B. Transport to a tertiary carecenter.

• All of the following could cause a client(patient)'s right-hemidiaphragm to be

elevated,EXCEPT

• right lower lobe atelectasis.
• right side hyperlucency, absent vascular markings.
• hepatomegaly.
• right lower lobe consolidation with air bronchograms. - ANSWER- B. right

side hyperlucency, absent vascular markings 2 / 4

• A 64-year-old, 70 kg (154 lb) man with severe COPD is receiving independent (differential)

lung ventilation following thoracotomy and right lower lobectomy. Which ofthe following setting combinations would be most appropriate for this client(patient)?

• Right lung 50 mL; left lung 650 mL
• Right lung 150 mL; left lung 550 mL
• Right lung 350 mL; left lung 350 mL
• Right lung 550 mL; left lung 150 mL - ANSWER- B. Right lung 150 mL; left lung 550mL

• A client(patient) in the intensive care unit has the following hemodynamic measurements:

CVP (mm Hg) 5 PAP (mm Hg) 29/8 PCWP (mm Hg) 8 BP (mm Hg) 130/70 Cardiac output (L/min) 5.1 Cardiac index (L/min/m2) 2.7

• What is the pulse pressure?

• 15 mm Hg
• 21 mm Hg
• 60 mm Hg
• 90 mm Hg - ANSWER- C. 60 mm Hg

• A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed

endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the client(patient).The physician asks the respiratory therapist to evaluate the client(patient) for possible extubation. Which of the following would most likely indicate that the client(patient) is ready forextubation?

• The client(patient) is making normal quiet ventilatory efforts.
• A negative sputum culture and sensitivity has been reported.
• The client(patient)'s ABG are within normal range.
• Breath sounds are heard around the tube on auscultation. - ANSWER- D.

Breathsounds are heard around the tube on auscultation.

• A client(patient) is seen in the Emergency Department for complaints of nausea and vomiting.

A nasogastric tube has been inserted and the client(patient) is started on lasix. Which of the following should the respiratory therapist monitor?

• Cardiac enzymes
• Serum electrolytes
• Arterial blood gases 3 / 4

• Cell hydration level - ANSWER- B. Serum electrolytes

• While instructing a client(patient) prior to a vital capacity maneuver, the respiratory therapist

should direct the client(patient) to

• exhale to residual volume and inhale to inspiratory capacity.
• inhale to total lung capacity then exhale to residual volume.
• exhale normally then inhale to total lung capacity.
• inhale normally then exhale to functional residual capacity. - ANSWER- B. inhale

tototal lung capacity then exhale to residual volume.

• A client(patient) involved in an automobile accident is brought to the ED with tachypnea,

tracheal deviation to the right, splinting, asymmetrical chest movement, and decreasedbreath sounds on the left side. The respiratory therapist should initially

• insert a chest tube.
• administer 100% oxygen via mask.C.

perform endotracheal intubation.

• initiate non-invasive positive pressure ventilation. - ANSWER- B. administer 100%

oxygen via mask.

• A 77-year-old male client(patient) is admitted to the emergency room with shortness of

breath,fine basilar crackles, +2 pitting edema and a chest radiogram with a butterfly pattern.These results are most consistent with which of the following?

• Pulmonary edema
• Pulmonary interstitial emphysemaC.

Pneumothorax

• Emphysema - ANSWER- A. Pulmonary edema

• Which of the following formulas will determine the total flow being delivered to a

client(patient)with a 28% venturi mask running at 6 L/min?

• total flow = 6 x 2
• total flow = 6 x 4
• total flow = 6 x 5
• total flow = 6 x 11 - ANSWER- D. total flow = 6 x 11

• Fine crepitant crackles are most commonly associated with which of the followingconditions?

• Bronchitis
• Pulmonary edema
• Pneumonia
• Foreign body aspiration - ANSWER- B. Pulmonary edema
• / 4