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200+ Free NBRC CRT Practice Questions

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A patient has the following arterial blood gas results: pH 7.32, PaCO2 55 mmHg, PaO2 68 mmHg, HCO3- 28 mEq/L. What is the primary acid-base disturbance?

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B
C
D
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2026 Statistics

Key Facts: NBRC CRT Exam

160

Total Items

NBRC TMC structure

140

Scored Questions

NBRC TMC structure

3 hours

Time Limit

NBRC

$190

Exam Fee (new)

NBRC 2026

50%

Interventions Domain

TMC outline

Jan 2027

New RT Exam

NBRC transition

The NBRC CRT is earned by achieving the low cut score on the 160-item TMC examination (140 scored + 20 pretest). The TMC detailed content outline effective through December 31, 2026 tests three domains: Patient Data (50 items), Troubleshooting/QC/Infection Control (20 items), and Initiation/Modification of Interventions (70 items). The CRT is the foundation credential; candidates achieving the high cut score become eligible for the RRT credential and CSE examination.

Sample NBRC CRT Practice Questions

Try these sample questions to test your NBRC CRT exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 200+ question experience with AI tutoring.

1A patient has the following arterial blood gas results: pH 7.32, PaCO2 55 mmHg, PaO2 68 mmHg, HCO3- 28 mEq/L. What is the primary acid-base disturbance?
A.Respiratory acidosis
B.Metabolic acidosis
C.Respiratory alkalosis
D.Metabolic alkalosis
Explanation: The patient has respiratory acidosis. The pH is below 7.35 (acidic), and the PaCO2 is elevated above 45 mmHg, indicating hypoventilation and CO2 retention. The HCO3- is slightly elevated at 28 mEq/L, which represents metabolic compensation that has not fully corrected the acidosis. In respiratory acidosis, the primary problem is elevated CO2, and the kidneys compensate by retaining bicarbonate.
2A patient with COPD has a pulse oximetry reading of 88% on room air. What is the most appropriate initial action?
A.Administer 100% oxygen via non-rebreather mask
B.Apply nasal cannula at 2 L/min and titrate
C.Begin bag-valve-mask ventilation
D.Check arterial blood gas immediately
Explanation: For a COPD patient with mild hypoxemia (SpO2 88%), the appropriate initial action is to apply low-flow oxygen via nasal cannula at 1-2 L/min and titrate to maintain SpO2 between 88-92%. High-flow oxygen can suppress the hypoxic drive in COPD patients. While ABG verification is important, immediate oxygen therapy to correct hypoxemia takes priority.
3Which of the following is the most effective method for sterilizing respiratory therapy equipment?
A.Washing with soap and water
B.Glutaraldehyde immersion for 10 hours
C.Alcohol wipe down
D.Pasteurization at 60°C for 30 minutes
Explanation: Glutaraldehyde immersion for at least 10 hours is required for sterilization. Glutaraldehyde is a high-level disinfectant that, with sufficient contact time, achieves sterilization by destroying all microbial life including spores. Soap and water and alcohol are low-level disinfection methods. Pasteurization provides intermediate-level disinfection but does not achieve sterilization.
4A chest X-ray shows opacification of the left lower lobe with an air bronchogram. This finding is most consistent with:
A.Pneumothorax
B.Pleural effusion
C.Atelectasis
D.Pneumonia
Explanation: Air bronchograms are a classic radiographic sign of airspace consolidation, most commonly seen in pneumonia. The air-filled bronchi become visible against the background of opacified (consolidated) alveoli. Pneumothorax would show hyperlucency without lung markings, pleural effusion would show blunting of costophrenic angles or meniscus signs, and atelectasis would show volume loss with shifting structures.
5The normal range for arterial blood pH is:
A.7.25-7.35
B.7.35-7.45
C.7.45-7.55
D.7.50-7.60
Explanation: The normal range for arterial blood pH is 7.35-7.45. Values below 7.35 indicate acidosis, while values above 7.45 indicate alkalosis. This narrow range is maintained by the body's buffer systems, respiratory regulation of CO2, and renal regulation of bicarbonate.
6A patient's spirometry shows FEV1/FVC ratio of 68% with reduced FVC. This pattern is characteristic of:
A.Obstructive lung disease
B.Restrictive lung disease
C.Normal lung function
D.Mixed obstructive-restrictive disease
Explanation: An FEV1/FVC ratio below 70% (or 0.70) indicates obstructive lung disease. The reduced FVC in this case likely reflects air trapping and incomplete emptying rather than true restriction. In pure restrictive disease, both FEV1 and FVC are reduced proportionally, maintaining a normal or elevated ratio.
7Standard Precautions require respiratory therapists to:
A.Wear N95 respirators for all patient contact
B.Use hand hygiene and gloves when contact with bodily fluids is anticipated
C.Place all patients in private rooms
D.Wear gowns for all patient interactions
Explanation: Standard Precautions involve using hand hygiene and appropriate PPE (including gloves) when contact with blood, bodily fluids, secretions, excretions, non-intact skin, or mucous membranes is anticipated. N95 respirators are only needed for Airborne Precautions, not Standard Precautions. Private rooms and gowns are specific to certain transmission-based precautions.
8What is the normal range for PaO2 in arterial blood gas?
A.60-70 mmHg
B.80-100 mmHg
C.100-120 mmHg
D.120-140 mmHg
Explanation: The normal range for PaO2 in arterial blood is 80-100 mmHg for healthy adults breathing room air at sea level. Values below 80 mmHg indicate hypoxemia. The exact normal value varies with age and can be estimated using the formula: PaO2 = 100 - (age/3).
9A patient receiving mechanical ventilation has a sudden drop in SpO2 from 96% to 82%. The first action should be to:
A.Increase the FiO2 to 100%
B.Suction the endotracheal tube
C.Manually ventilate with 100% oxygen
D.Check tube position and circuit connections
Explanation: When a ventilated patient experiences sudden desaturation, the first step is to check for easily correctable causes: verify ET tube position, check circuit connections for disconnections, and ensure the oxygen supply is functioning. This systematic approach follows the "DOPE" mnemonic (Displacement, Obstruction, Pneumothorax, Equipment failure). Only after ruling these out should you proceed with interventions like suctioning.
10Which ECG finding is most suggestive of right ventricular hypertrophy?
A.Tall R waves in V5 and V6
B.Right axis deviation with tall R wave in V1
C.ST elevation in leads II, III, and aVF
D.Prolonged PR interval
Explanation: Right ventricular hypertrophy (RVH) is characterized by right axis deviation and a tall R wave in lead V1 (R wave > S wave in V1). This occurs because the hypertrophied right ventricle generates greater electrical forces. Tall R waves in V5-V6 indicate left ventricular hypertrophy. ST elevation in II, III, and aVF suggests inferior myocardial infarction, and prolonged PR interval indicates first-degree AV block.

About the NBRC CRT Exam

The NBRC Certified Respiratory Therapist (CRT) credential is the entry-level certification for respiratory care practitioners. Candidates take the Therapist Multiple-Choice (TMC) examination and must achieve the low cut score to earn the CRT credential. The exam tests competency in patient data evaluation, equipment manipulation, and therapeutic interventions across the lifespan.

Questions

160 scored questions

Time Limit

3 hours

Passing Score

Low cut score for CRT eligibility

Exam Fee

$190 new / $150 repeat (NBRC)

NBRC CRT Exam Content Outline

50 scored items (36%)

Patient Data Evaluation

Chart review, vital signs, physical assessment, diagnostic test interpretation (ABG, spirometry, imaging), and recommendations for respiratory care

20 scored items (14%)

Equipment and Quality Control

Oxygen delivery systems, ventilation equipment, aerosol generators, suction systems, calibration, troubleshooting, and infection control protocols

70 scored items (50%)

Therapeutic Interventions

Oxygen therapy, aerosol medication delivery, bronchial hygiene, lung expansion therapy, airway management, mechanical ventilation, and emergency care including CPR

How to Pass the NBRC CRT Exam

What You Need to Know

  • Passing score: Low cut score for CRT eligibility
  • Exam length: 160 questions
  • Time limit: 3 hours
  • Exam fee: $190 new / $150 repeat

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

NBRC CRT Study Tips from Top Performers

1Focus heavily on therapeutic interventions (50% of scored items) - this is the largest domain
2Master ABG interpretation including acid-base balance, oxygenation assessment, and clinical application
3Know oxygen delivery devices and how to calculate oxygen concentrations and flows
4Study mechanical ventilation modes, parameters, and weaning criteria thoroughly
5Practice equipment troubleshooting scenarios - know common alarms and their causes
6Review pharmacology for respiratory care including bronchodilators, corticosteroids, and mucolytics

Frequently Asked Questions

What is the difference between CRT and RRT?

The CRT (Certified Respiratory Therapist) is the entry-level credential earned by achieving the low cut score on the TMC exam. The RRT (Registered Respiratory Therapist) requires achieving the high cut score on the TMC, followed by passing the Clinical Simulation Examination (CSE). The RRT is the advanced credential preferred by many employers.

How many questions are on the CRT exam?

The TMC examination contains 160 multiple-choice items: 140 scored items and 20 unscored pretest items. You have 3 hours to complete the exam. The same TMC exam is used for both CRT and RRT eligibility - your score determines which credential you qualify for.

What content is covered on the CRT exam?

The TMC detailed content outline (effective through December 31, 2026) covers three domains: Patient Data Evaluation and Recommendations (50 scored items), Troubleshooting and Quality Control of Equipment and Infection Control (20 scored items), and Initiation and Modification of Interventions (70 scored items).

What is the passing score for the CRT?

NBRC uses a scaled scoring system with two cut scores. The low cut score qualifies candidates for the CRT credential. The high cut score qualifies candidates for RRT eligibility and the CSE. Exact cut scores are determined through standard-setting and are not published as raw percentages.

How much does the CRT exam cost?

The TMC exam fee is $190 for first-time applicants and $150 for repeat applicants. These fees are paid directly to the NBRC when you submit your application.

What are the eligibility requirements for the CRT?

To sit for the TMC exam, candidates must: 1) be at least 18 years old, 2) have a high school diploma or equivalent, and 3) have completed a CoARC-accredited respiratory care education program or equivalent. Graduates of international programs may have additional requirements.