10 free NBRC TMC practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
NBRC TMC Practice Test 11Tutor mode
Question 1 of 10
Depth of Clinical Judgment
A 39-year-old man with severe ARDS is ventilated in the ICU; his settings are shown. Despite deep sedation, most of his breaths now look like the second and third breaths in the ventilator graphics shown, and on those breaths the plateau pressure exceeds 35 cm H2O. What should the respiratory therapist recommend?
Ventilator settings and data
Parameter
Value
Mode
Volume control
VT (mL)
380 (6 mL/kg PBW)
Set rate (/min)
30
Inspiratory flow (L/min)
45, square wave
PEEP (cm H2O)
14
FiO2
0.80
P/F
95
Sedation
Deep, by continuous infusion
Pressure–time and flow–time waveforms (volume control)
Set rate 30/min, square-wave flow 45 L/min, PEEP 14 cm H2O.