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NBRC Registered Respiratory Therapist Exam Practice Test

61 questions available

Preparation for NBRC RRT covering patient assessment, mechanical ventilation, airway management, pulmonary function testing, cardiopulmonary rehabilitation, and neonatal/pediatric care. Administered by NBRC as a computer-based at psi testing centers format exam. Key domains include Airway Management, Mechanical Ventilation, Patient Data Evaluation and Recommendations and Therapeutic Procedures. The exam consists of 160 questions over 180 minutes.

Certification exam
160 Exam questions
3 hours Time Limit
Career Opportunities & Salary
Entry $58,588 - $85,588
Mid-Career $83,588 - $121,588
Senior $118,588 - $173,588
stable market
Why This Certification Opens Doors

Achieving the RRT credential directly impacts patient care and professional trajectory. In clinical practice, it validates the advanced competency needed to manage critically ill patients on ventilators, respond to medical emergencies, and make independent therapeutic decisions. This translates to tangible trust from physicians and nursing staff, greater autonomy in clinical settings, and the ability to directly influence positive patient outcomes. Professionally, the RRT credential is frequently tied to increased hiring eligibility, higher salary potential, and eligibility for promotions into leadership, education, or specialized clinical roles. It is the definitive standard for respiratory care excellence.

Exam Blueprint

Each domain is weighted to match the real certification exam, so a full practice simulation predicts your result.

01Airway Management
20%
02Mechanical Ventilation
20%
03Patient Data Evaluation and Recommendations
20%
04Therapeutic Procedures
20%
05Troubleshooting and Quality Control of Equipment
20%
Exam Details TMC | $200 USD | 3 hours
Exam Code TMC
Vendor NBRC
Exam Cost $200 USD
Passing Score Two cut scores for TMC (low = CRT, high = CSE eligibility); pass/fail for CSE
Time Limit 3 hours
Exam questions 160
Question Types Multiple Choice (TMC), Clinical Simulation (CSE)
Retake Policy Candidates may retake exams as needed; refer to NBRC website for current retake scheduling restrictions and fees.
Exam Format Computer-based at PSI testing centers
Study Resources
NBRC Examination Detailed Content OutlineOfficialexam_content_outline
NBRC$0
Detailed content outlines for both TMC and CSE available at nbrc.org
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Frequently Asked Questions

What is the difference between the CRT and RRT exams?

The CRT (Certified Respiratory Therapist) exam tests essential, entry-level competencies and is required for state licensure. The RRT exam is an advanced credential that builds upon the CRT, focusing on complex clinical decision-making, analysis of patient data, and management of critical care scenarios. You must pass the CRT before you can attempt the RRT.

What is the structure of the RRT exam?

The RRT credential is earned by passing two separate examinations: the Therapist Multiple-Choice (TMC) exam at a high-cut score, and the Clinical Simulation Examination (CSE). The TMC assesses knowledge, while the CSE presents dynamic patient management scenarios where your decisions affect subsequent questions and the simulated patient's outcome.

How should I prepare for the Clinical Simulation (CSE) portion?

Success on the CSE requires practice with simulation software to become familiar with the format. Focus on developing a systematic approach: assess the patient thoroughly, interpret all data (ABGs, waveforms, imaging), establish clear goals, initiate appropriate therapy, and continuously re-evaluate based on patient response. Time management and avoiding over-treatment are key skills to practice.

What is a passing score?

For the TMC exam, you must achieve the 'High-Cut Score' to qualify for the CSE. The CSE is scored on a scale, and you must meet or exceed the passing standard set by the NBRC. The NBRC uses a criterion-referenced method, meaning your score is based on a standard of competency, not a curve against other candidates.

How long is the credential valid, and how do I maintain it?

The RRT credential is valid for five years. You maintain it through the NBRC's Continuing Competency Program (CCP), which requires earning a specified number of continuing education credits or retaking the exam during each five-year cycle.

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