2023 Edition

Respiratory Therapist Practice Exam

Take this free Respiratory Therapist practice exam to test your knowledge of respiratory therapy subjects.

The Therapist Multiple-Choice (TMC) exam is a standardized certification exam administered by the National Board for Respiratory Care and used to certify respiratory therapists.

The TMC exam sections below are based on actual exam sections: Patient Data, Trouble Shooting, Quality Control of Devices, Infection Control and Initiation and Modification of Interventions.


Patient Data

1. You have a patient who has just been admitted for a bronchoscopy. What are two specific parts of the chart you need to review:

1. Patient Consent for Procedure
2. Patient demographics
3. DNR status/Advance Directives
4. Religious Affiliation
2. You have a stable patient who has been admitted for Pneumonia. What is the important data to review on arrival to the floor?
3. You are performing a clinical assessment on a patient. You have placed your hands on each side of the patient's chest wall. You feel "bubbling" beneath your hands. What is this called?
4. A patient comes into the ER with shortness of breath. What initial tests would NOT benefit this patient most?
5. What size ETT tube is used in a 30-week neonate?
6. A patient arrives in the emergency room with chest pain and shortness of breath. What questions are important to ask at this time?
7. What parameters are included in weaning a patient from the ventilator?
8. A 2-year-old child is brought to an urgent care and diagnosed with Epiglottitis. What symptoms were presented to get this diagnosis?
9. What is the newborn's normal I:E ratio?
10. You have a patient in Sinus Bradycardia. What are the two treatments you will choose for this patient initially?
11. You have a patient with a pulmonary embolism. What diagnostic study is preferred?
12. What values in pulmonary testing results will be higher than normal predicted values in Obstructive Lung Disease?
13. What is the best method to confirm tube placement?
14. Your patient has an ABG of PH: 7.21, PCO2: 56 mmHg, HCO3: 23 mEq/L, what does the ABG demonstrate?
15. What is the normal Creatinine Level?

Troubleshooting and Quality Control of Devices and Infection Control

16. You are looking at the orders for a patient to receive 125 mg of Albuterol via HHN Q 4 hours. What is the FIRST thing you do?
17. What are the five parameters initially used to set up a ventilator?
18. When weaning the patient from the ventilator, what parameters do you lower first?
19. How do you calculate Compliance?
20. Which of the following is not used to describe Auto PEEP?
21. How do you fix auto-PEEP?
22. How does PEEP adversely affect the body?
23. If your patient is on a ventilator and the FiO2 is over 60%, but the patient remains hypoxic what can you do?
24. As Dynamic Compliance can vary at any point, what are three main reasons that Dynamic Compliance may be continually affected?
25. You have a patient who has a brain injury. It is important to keep the airway pressures low to avoid increased intracranial pressures. What is the best action to take?
26. When giving Acetylcysteine Concentrations of 10-20% how do you administer it?
27. You have a neonate who is ventilated. The physician wishes to increase the MAP. What two settings do you change?
28. A patient who is on nebulizers at home states that the nebulizer is no longer working. What can you do to help the patient?
29. How does a patient disinfect home equipment?
30. The patient is receiving bronchial hygiene therapy. What are the symptoms that would cause you to discontinue therapy?