RRT-ACCS Practice Questions - NBRC Adult Critical Care Specialist (RRT-ACCS) Exam - RRT-ACCS Practice Questions - NBRC Adult Critical Care Specialist (RRT-ACCS) Exam

Question 1

A 68-year-old intubated ICU patient with retained secretions cannot tolerate routine endotracheal suctioning because of severe oxygen desaturation. Which intervention best maintains oxygenation while clearing secretions?

Switch to open-circuit suctioning at 200 mm Hg Use a closed in-line (closed-circuit) suction catheter Increase suction duration to 30 seconds per pass Stop PEEP just before each suction pass

Correct Answer:

Use a closed in-line (closed-circuit) suction catheter

Question 2

An adult with anticipated difficult intubation has a Mallampati IV, restricted mouth opening, and limited neck extension. Which device is most appropriate to load on the endotracheal tube to aid first-pass success?

Stylet bent to a 35 degree hockey-stick Gum elastic bougie Magill forceps Laryngeal mask airway as a primary tube

Correct Answer:

Gum elastic bougie

Question 3

During rapid sequence intubation of a 90 kg adult, the operator asks for cricoid pressure. The most appropriate teaching point about cricoid (Sellick) maneuver is that it:

Should be applied with 30 to 40 N of force at the cricoid cartilage Should be applied at the thyroid cartilage Eliminates the need to confirm tube placement with capnography Should be released only after intubation if vomiting occurs

Correct Answer:

Should be applied with 30 to 40 N of force at the cricoid cartilage

Question 4

A patient who is mechanically ventilated requires ongoing sedation but is having frequent ventilator dyssynchrony with biting on the endotracheal tube. The team plans to exchange the standard oral ETT for a wire-reinforced (armored) tube. The primary advantage of a wire-reinforced tube is that it:

Resists kinking and external compression Has integrated subglottic suction Allows lung isolation Eliminates the need for cuff pressure monitoring

Correct Answer:

Resists kinking and external compression

Question 5

A patient is undergoing one-lung ventilation for a left thoracotomy with a left-sided double-lumen endobronchial tube. SpO2 falls to 85% on FiO2 1.0 with the right (nondependent) lung deflated. The most appropriate first respiratory therapist intervention is to:

Apply CPAP 5 to 10 cm H2O to the nondependent lung Increase tidal volume on the dependent lung to 12 mL/kg Re-inflate the nondependent lung and abandon one-lung ventilation Switch to volume-controlled ventilation with zero PEEP

Correct Answer:

Apply CPAP 5 to 10 cm H2O to the nondependent lung

Exam overview

About this Exam

Prepare with the RRT-ACCS Practice Questions - NBRC Adult Critical Care Specialist (RRT-ACCS) Exam practice quiz. This question bank includes 100 questions covering patient, ventilation, ards, pressure, and fio2. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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RRT-ACCS Practice Questions - NBRC Adult Critical Care Specialist (RRT-ACCS) Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, ventilation, ards, pressure, and fio2. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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About this Exam

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RRT-ACCS Practice Questions - NBRC Adult Critical Care Specialist (RRT-ACCS) Exam

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