Clinical Sims Exam Help

Taking an NBRC written exam without preparation is a bad deal that you are more than likely to lose. You cannot pass the NBRC TMC exam without good knowledge of its content. And good knowledge of the subject matter only comes with good preparation, as provided by 


Another common cause of failure is trying to memorize as many practice questions and answers as possible. Put plainly, this is a waste of your time. Instead, you should use practice questions and answers like those provided by  Respiratory Teacher to help identify what you know and especially what you still don't understand and need to work on.

Reviewing everything you learned in school is also a waste of precious time, as well as and a major cause of anxiety and confusion among test-takers. Instead, you should limit your review to the specific TMC exam content, as defined by the NBRC and as covered by the Respiratory Teacher content.

Cramming is perhaps the most common reason why candidates fail NBRC written exams. Besides causing even worse anxiety than trying to review everything ever learned, cramming typically results in a loss of sleep in the days leading up to the test. "Dazed and confused" best describes such candidates when they show up to take the test--and disappointed when they get their score report.

Anxiety is another a common cause of poor NBRC written exam performance. Of course, some anxiety prior to taking a test is natural and not necessarily a bad thing. Like getting "pumped-up" in anticipation of a sports contest, you need to learn how to channel the extra energy associated with test apprehension to help motivate you to excel.

The surest way to fail the NBRC TMC exam is not to finish it. The way the NBRC computes your score, every question you skip or fail to answer is counted against you. When every question counts, you simply can't afford to throw away points by omitting answers. To finish the NBRC TMC exam in the allotted 3 hours, you'll need to develop good pacing strategies, as discussed subsequently.

Respiratory Therapy Simulation Training

This video demonstrates one of the many kinds of training that takes place here: Training respiratory therapists. Using a robotic mannequin that realistically simulates a human patient, the respiratory team is able to rehearse a real-life situation without putting a human patient at risk.

TMC Boards

Our RRT Board exam series helps you study smarter, not harder. Instead of giving you information overload, we focus solely on the most recent NBRC TMC and clinical simulation exam matrix.

Start feeling more confident and prepared for the exam now, and get ready to add those coveted three letters after your name… RRT!

The truth is, one of the “secrets” to passing the board exams on the first attempt is to start studying smart and hard the earliest you can.

RRT Written Exam Details

RRT WRITTEN EXAM DETAILS • TWO-hour time limit • The system has a built-in timer; no cheating! • Less time, but fewer questions, too • One minute per question is still a good pace • Passing score • You must achieve 70% of the points available • 75% of 100 live questions is 70 questions • Questions again have different weights, possible to pass with fewer than 70 correct • Score is still NOT tracked during the exam; results are tallied only after completion Don't Panic! A Guide to National Board of Respiratory Care Credentialling Exams

Multiple Choice Exam 

MULTIPLE-CHOICE EXAM CONTENT/DESIGN • Candidates will face questions in three main content areas: • Patient data evaluations and recommendations • This includes obtaining information from the medical record, collecting other clinical data, and recommending further tests/exams) • Equipment manipulation, infection control, and quality control • This area includes proper usage of common RT equipment, appropriate infection control techniques, and ensuring quality control • Initiation and modification of therapeutic procedures •


RRT CLINICAL SIMULATION EXAM DETAILS • A completely different animal than the NBRC multiple-choice style exams • Can be taken before OR after the RRT-written, but both exams must be successfully completed to earn the RRT credential • 11-12 scenarios with multiple decision points • 10 “live” questions • 1 or 2 prototypes for potential future use • Candidates are once again blind to which is which • Computerized testing system • Same basic software as multiple-choice exam with similar interface.


RRT CLINICAL SIMULATION EXAM DETAILS • Four-hour time limit • The system has a built-in timer; no cheating! • Pace is still important; work to complete each scenario within 20 minutes • You can return to a previous scenario to review it, but NOT to change an answer • Choose carefully; unlike the multiple-choice exams, ALL ANSWERS ARE FINAL • Passing score • There is NO definite passing score for the clinical simulation exam • The pass score is set by the NBRC’s Examination Committee and varies from exam to exam • Total cumulative scores regarding information gathering and decision making are used to determine pass/fail, not the candidate’s performance on any individual simulation.

Exam Study

RRT CLINICAL SIMULATION EXAM DETAILS • Typical clinical simulation exams contain cases from all phases of respiratory care, including: • Evaluation or management of COPD patients • Adult trauma patient management (including burns and head injuries) • Adult patients with cardiovascular disease processes (CHF, CAD, etc.) • Management of adults with neuromuscular impairment (eg myasthenia gravis, drug overdose, etc.) • Common pediatric complaints (epiglottitis, asthma, foreign body aspiration, etc.) • Management of the neonate (resuscitaton, apnea, congenital heart defects) • Medical/surgical problems in adults (including carbon monoxide poisoning) 

Heart Rhythm Strip

The following questions are a good start to get you familiar with some of the cardiac topics that are tested on the NBRC TMC-RRT board exams and clinical simulations.


Practice Question 1

What is the estimated heart rate of this ECG?





The correct answer is 75. In the example above, there are about 4 large boxes between each R wave. To estimate the heart rate divide 300 by 4 to get the answer 75 beats per minute.

RRT Exam Tip: Counting the number of large boxes between each R wave is an easy way to tell if the ECG is brady, tachy, or normal.

Normal rate = 3 to 5 large boxes between R waves

Tachycardia = < 3 large boxes between R waves

Bradycardia = > 5 large boxes between R waves

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