FREE SAMPLE QUESTIONS

CRT Emergency Practice Questions (20 Flashcards)

Want to test your emergency knowledge before the CRT exam? Below are free sample flashcards from the 20-card emergency section of our 1040-card CRT (Certified Respiratory Therapist) deck, which covers PEA, Pulseless Electrical Activity, TTM, Targeted Temperature Management and more.

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Sample CRT Practice Questions

Question 1

During CPR, the capnography monitor shows a PETCO2 of 8 mmHg. What is the most appropriate interpretation and immediate action for the respiratory therapist?

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Answer

A PETCO2 < 10 mmHg indicates poor quality chest compressions or low cardiac output. The RT must alert the team to improve compression depth (at least 2 inches) and allow full chest recoil. If PETCO2 remains low despite high-quality CPR, it may indicate a very poor prognosis. NBRC Strategy: The NBRC emphasizes PETCO2 as the gold standard for monitoring CPR quality and identifying ROSC. Distractor: Do not increase ventilation rate to fix a low CO2 during a code; this increases intrathoracic pressure and decreases coronary perfusion pressure.

Question 2

A patient presents with Pulseless Electrical Activity (PEA). The RT notes the monitor shows a narrow-complex rhythm at 50 bpm. What are the priority interventions for this non-shockable rhythm?

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Answer

1. Immediate high-quality CPR. 2. Epinephrine 1 mg every 3-5 minutes (given as soon as possible). 3. Identification and treatment of reversible causes (H's and T's). Note: PEA and Asystole are NOT shockable. Defibrillation is contraindicated. NBRC Strategy: RTs must distinguish between shockable (VF/pVT) and non-shockable (PEA/Asystole) rhythms. If you see a rhythm on the screen but no pulse is felt, it is PEA. Focus on the H's and T's, especially Hypoxia and Tension Pneumothorax, which are RT-focused causes.

Question 3

A post-arrest patient is undergoing Targeted Temperature Management (TTM) at 33°C. If an ABG is drawn but NOT temperature-corrected, how will the results compare to the patient's actual status?

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Answer

Standard ABG machines warm the blood to 37°C. If the patient is hypothermic (33°C), the uncorrected (37°C) results will show a HIGHER PaO2 and HIGHER PaCO2 than the patient's actual values, and a LOWER pH. Rationale: Gas solubility increases as temperature decreases. While the NBRC may not require complex Alpha-stat vs pH-stat calculations, you must know that hypothermia shifts the oxyhemoglobin dissociation curve to the left, making it harder for oxygen to release to the tissues. NBRC Strategy: Remember: Cold blood holds more gas. Heating it in the machine releases it, causing falsely high partial pressures.

Question 4

A term neonate has been undergoing resuscitation for 5 minutes. The pulse oximeter on the right wrist reads 78%. Based on NRP target pre-ductal oxygen saturation levels, is this value acceptable, and what is the target range at 5 minutes?

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Answer

Yes, the value is acceptable (it is near the lower limit). The target pre-ductal SpO2 at 5 minutes is 80%–85%. Rationale: NRP uses a gradual increase in target SpO2: 1 min: 60-65% 2 min: 65-70% 3 min: 70-75% 4 min: 75-80% 5 min: 80-85% 10 min: 85-95% NBRC Strategy: Always place the probe on the right hand/wrist (pre-ductal). Distractors often provide post-ductal values (left hand/feet) which are lower and inaccurate for cerebral oxygenation.

Question 5

Despite 60 seconds of coordinated chest compressions and PPV with 100% FiO2, the neonate's heart rate remains 40 bpm. What is the recommended IV dose of Epinephrine (1:10,000), and how often can it be repeated?

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Answer

Dose: 0.01 to 0.03 mg/kg (equivalent to 0.1 to 0.3 mL/kg of 1:10,000 solution). Repeat: Every 3 to 5 minutes if HR remains < 60 bpm. Rationale: IV (via umbilical venous catheter) or IO is the preferred route. Endotracheal (ET) dosing is higher (0.05 to 0.1 mg/kg) but less effective. NBRC Tip: Calculation questions often use 0.1 mL/kg for IV as the standard. If the ET route is used, it is a stop-gap until IV access is established; always follow an ET dose with an IV dose once access is ready.

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Frequently Asked Questions

How many CRT emergency practice questions are in the deck?

The full CRT deck contains 1040 flashcards, and 20 of them focus on emergency. This page shows 5 free samples.

How important is emergency for the CRT exam?

Our CRT deck dedicates 20 of 1040 cards (2%) to emergency — always cross-check the official NBRC exam outline for the current blueprint weighting.

Can I study these emergency flashcards for free?

Yes — the samples on this page are free, and the CRT preview page has 30 more free cards. Full access to all 1040 cards is a one-time $7.

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Official exam information

Eligibility rules, fees, question counts and passing standards are set by the certifying body and change over time. Always confirm them at the source before you apply or schedule your exam — our flashcards are practice material, not the official handbook.