Pass the NBRC TMC Exam with Flying Colors!
Respiratory cram has prepared a series of FREE NBRC TMC exam review questions which includes full rationales for both correct and wrong answers. This content will help you improve efficiency, memory, comprehension skills, test-taking strategies, and reduce mistakes on the actual NBRC certification examination. For a complete review of the TMC and CSE exams checkout our monthly exam prep membership by clicking HERE.
Question 1 of 30
A patient receiving mechanical ventilation has increased peak inspiratory pressures, coarse rhonchi, and a fever. What should the respiratory therapist recommend?
- Sputum culture and gram stain
- Increase the tidal volume
- Chest physiotherapy
- Spontaneous breath trial
Explanations
- Correct. The patient’s fever and coarse rhonchi may indicate the presence of an infection. A sputum culture and gram stain will identify if there is gram positive, or gram negative bacteria present in the sputum.
- Increasing the tidal volume will not address the patient’s increased peak airway pressures, airway secretions, and fever.
- Chest physiotherapy may help if there is difficulty removing secretions. However, secretions alone are not an indication to begin chest physiotherapy.
- There is no evidence from the information given in the question that a spontaneous breathing trial is indicated.