Minnesota Respiratory Therapy — Requirements & Free Practice
US-MN · License preparation
517 free questions · Answer explanations · No signup required
Choose what to practice
Start with an exam below. Your examination requirements depend on your application pathway. View licensing requirements
Combined practice
Choose an exam or combined practice to begin.
Licenses, application pathways and examination requirements
Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.
Respiratory Therapist License
Ordinary Minnesota license to practice respiratory care. Existing NBRC credentials and licenses held elsewhere are applicant conditions on the reciprocity route.
Licensing authority: Minnesota Board of Medical Practice · Application information
New license after cancellation in good standing by general licensure
At least one of the following alternatives:
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Canadian examination
- Section 147C.01 subdivision 7 and the Board instructions also permit the Canadian Society for Respiratory Care examination/certification. This is a foreign examination and is an applicant condition, not a US examination leaf.
- Credential alternatives
- Minnesota accepts CRT or RRT. The Minnesota State college catalog identifies TMC at the CRT threshold for Minnesota licensure, or TMC at the RRT threshold followed by CSE for RRT. These are alternatives within one applicant pathway.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Education
- Complete an approved accredited respiratory therapy education program and submit its certificate, direct school verification, and diploma.
- Other board approved designation
- The statute permits another Board-approved national organization and another entry or advanced designation; it does not identify an additional examination by name.
- Passing score window
- Achieve a qualifying credentialing-examination score within five years before applying, as required by section 147C.15 subdivision 1(3). Earlier passing results for a currently offered registered examination remain examination references.
- Prior status
- The Board approved cancellation of the prior license in good standing; subdivision 14(c) requires a new application satisfying the initial requirements in existence when applying.
- Records release
- Authorize Board access to education and practice records.
New license after cancellation in good standing by reciprocity
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Board instructions
- The Board application instructions specifically request verification of an unrestricted license, an approved educational program underlying that license, valid current NBRC or CSRT certification, and eight weeks of employment in five years.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Examination clause
- Section 147C.15 subdivision 2 incorporates subdivision 1 clauses (1), (4), (5), (6), and (7), but not clause (3). It requires existing credentials and practice rather than a qualifying examination score or a new examination. The existing license and NBRC or Board-approved credential are applicant conditions.
- Existing license
- Provide a current, unrestricted respiratory therapy credential or license in another jurisdiction whose initial requirements are equivalent to or higher than Minnesota general requirements.
- Jurisdiction verification
- Provide government verification letters for each current credential or license, including identity, issuance date, disciplinary history, and terms of issuance.
- Practice
- Have worked at least eight weeks during the previous five years as a respiratory therapist.
- Prior status
- The Board approved cancellation of the prior license in good standing; subdivision 14(c) requires a new application satisfying the initial requirements in existence when applying.
- Records release
- Authorize Board access to education and practice records.
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 14(c)
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 2, complete reciprocity requirements
- Minnesota Board of Medical Practice — Respiratory Therapist Application Instructions
Page 1, Licensure by Reciprocity Requirements, RTinstruct 2/25
New license after cancellation for nonrenewal by general licensure
At least one of the following alternatives:
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Canadian examination
- Section 147C.01 subdivision 7 and the Board instructions also permit the Canadian Society for Respiratory Care examination/certification. This is a foreign examination and is an applicant condition, not a US examination leaf.
- Credential alternatives
- Minnesota accepts CRT or RRT. The Minnesota State college catalog identifies TMC at the CRT threshold for Minnesota licensure, or TMC at the RRT threshold followed by CSE for RRT. These are alternatives within one applicant pathway.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Education
- Complete an approved accredited respiratory therapy education program and submit its certificate, direct school verification, and diploma.
- Other board approved designation
- The statute permits another Board-approved national organization and another entry or advanced designation; it does not identify an additional examination by name.
- Passing score window
- Achieve a qualifying credentialing-examination score within five years before applying, as required by section 147C.15 subdivision 1(3). Earlier passing results for a currently offered registered examination remain examination references.
- Prior status
- The former Minnesota license lapsed and was not renewed within two annual renewal cycles; subdivision 13 requires a new application satisfying the initial requirements in existence when applying.
- Records release
- Authorize Board access to education and practice records.
New license after cancellation for nonrenewal by reciprocity
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Board instructions
- The Board application instructions specifically request verification of an unrestricted license, an approved educational program underlying that license, valid current NBRC or CSRT certification, and eight weeks of employment in five years.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Examination clause
- Section 147C.15 subdivision 2 incorporates subdivision 1 clauses (1), (4), (5), (6), and (7), but not clause (3). It requires existing credentials and practice rather than a qualifying examination score or a new examination. The existing license and NBRC or Board-approved credential are applicant conditions.
- Existing license
- Provide a current, unrestricted respiratory therapy credential or license in another jurisdiction whose initial requirements are equivalent to or higher than Minnesota general requirements.
- Jurisdiction verification
- Provide government verification letters for each current credential or license, including identity, issuance date, disciplinary history, and terms of issuance.
- Practice
- Have worked at least eight weeks during the previous five years as a respiratory therapist.
- Prior status
- The former Minnesota license lapsed and was not renewed within two annual renewal cycles; subdivision 13 requires a new application satisfying the initial requirements in existence when applying.
- Records release
- Authorize Board access to education and practice records.
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 13
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 2, complete reciprocity requirements
- Minnesota Board of Medical Practice — Respiratory Therapist Application Instructions
Page 1, Licensure by Reciprocity Requirements, RTinstruct 2/25
Lift suspension for failure to maintain name and address
- Other orders
- This release addresses the contact-information suspension only; other existing corrective or disciplinary orders remain applicant conditions.
- Petition
- Submit a petition together with the current name and address; the Board lifts the suspension pursuant to receipt of that information.
- Scope
- Section 147C.30 applies section 147.091 subdivision 2(d) to this license. The suspension is for missing current name and address during an investigation, contested case, corrective agreement, or disciplinary order.
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.30, disciplinary provisions apply to this profession
- Minnesota Statutes — Board of Medical Practice disciplinary provisions
147.091 subd. 2(d), suspension for missing name/address
Reinstatement after patient care felony suspension or revocation
- Petition and hearing
- Petition the Board and undergo its hearing. The Board may reinstate with or without restrictions.
- Rehabilitation
- Demonstrate clear and convincing rehabilitation under section 364.03, read with Laws 2026 chapter 97 article 9 section 2; the amended provision requires rehabilitation and present fitness. If a court overturns the conviction and previous public-risk findings, rehabilitation proof is excused and the Board reviews the suspension within 30 days after receipt of the decision.
- Scope
- Section 147C.30 applies sections 147.091-147.162 to respiratory therapists. This route is the specific reinstatement described in section 147.091 subdivision 2(b)-(c).
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.30, disciplinary provisions apply to this profession
- Minnesota Statutes — Board of Medical Practice disciplinary provisions
147.091 subd. 2(b)-(c), patient-care felony suspension and reinstatement
- Laws of Minnesota 2026 chapter 97, article 9, section 2
Article 9 section 2, rehabilitation and present fitness
General licensure
At least one of the following alternatives:
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Canadian examination
- Section 147C.01 subdivision 7 and the Board instructions also permit the Canadian Society for Respiratory Care examination/certification. This is a foreign examination and is an applicant condition, not a US examination leaf.
- Credential alternatives
- Minnesota accepts CRT or RRT. The Minnesota State college catalog identifies TMC at the CRT threshold for Minnesota licensure, or TMC at the RRT threshold followed by CSE for RRT. These are alternatives within one applicant pathway.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Education
- Complete an approved accredited respiratory therapy education program and submit its certificate, direct school verification, and diploma.
- Other board approved designation
- The statute permits another Board-approved national organization and another entry or advanced designation; it does not identify an additional examination by name.
- Passing score window
- Achieve a qualifying credentialing-examination score within five years before applying, as required by section 147C.15 subdivision 1(3). Earlier passing results for a currently offered registered examination remain examination references.
- Records release
- Authorize Board access to education and practice records.
Regain license after lapse of two years or less, with insufficient recent practice
At least one of the following alternatives:
- Address and deadline
- Maintain a current mailing address and report changes in writing within 30 days. File by the statutory July 1 deadline or the date determined by the Board. Failure to receive notice does not excuse renewal.
- Back fees
- Pay all fees for the period not licensed, including the late-renewal fee.
- Continuing education
- Document 24 Board-approved contact hours every two years; hours cannot be carried to a future period. The Board can audit supporting documentation.
- Education after lapse
- Document continuing-education compliance since initial licensure or the last renewal.
- Exam credit option
- Section 147C.25 subdivision 8 permits a qualifying score on one credentialing examination instead of the two-year continuing-education requirement. The TMC and CSE references represent those accepted examinations; a licensee who satisfies the education requirement otherwise is excused from this optional examination.
- Lapse
- The Minnesota license lapsed for two years or less. Apply under the renewal requirements of section 147C.15 subdivision 7.
- Practice condition
- Did not practice the equivalent of eight full weeks in the past five years; subdivision 7(b) requires a passing score on retaking the credentialing examination. Continuing education or optional specialty credit does not waive this retest.
- Renewal application
- Submit the annual or Board-determined renewal application and renewal fee. The Board currently offers online renewal beginning two months before expiration and paper forms on request.
- Requested information
- Supply additional information requested to clarify the renewal application within 30 days or the request is nullified.
- Specialty exam credit
- The statute also accepts an NBRC or other approved testing organization specialty credentialing examination and permits 12 hours for completing a specialty examination. It identifies no particular specialty examination; this is an unnamed examination slot and applicant condition, not an invented examination or a registration gap.
Regain license after lapse of two years or less, with recent practice
At least one of the following alternatives:
- Address and deadline
- Maintain a current mailing address and report changes in writing within 30 days. File by the statutory July 1 deadline or the date determined by the Board. Failure to receive notice does not excuse renewal.
- Back fees
- Pay all fees for the period not licensed, including the late-renewal fee.
- Continuing education
- Document 24 Board-approved contact hours every two years; hours cannot be carried to a future period. The Board can audit supporting documentation.
- Education after lapse
- Document continuing-education compliance since initial licensure or the last renewal.
- Exam credit option
- Section 147C.25 subdivision 8 permits a qualifying score on one credentialing examination instead of the two-year continuing-education requirement. The TMC and CSE references represent those accepted examinations; a licensee who satisfies the education requirement otherwise is excused from this optional examination.
- Lapse
- The Minnesota license lapsed for two years or less. Apply under the renewal requirements of section 147C.15 subdivision 7.
- Practice condition
- Practiced at least the equivalent of eight full weeks in the past five years; subdivision 7(b) mandatory retesting does not apply.
- Renewal application
- Submit the annual or Board-determined renewal application and renewal fee. The Board currently offers online renewal beginning two months before expiration and paper forms on request.
- Requested information
- Supply additional information requested to clarify the renewal application within 30 days or the request is nullified.
- Specialty exam credit
- The statute also accepts an NBRC or other approved testing organization specialty credentialing examination and permits 12 hours for completing a specialty examination. It identifies no particular specialty examination; this is an unnamed examination slot and applicant condition, not an invented examination or a registration gap.
Licensure by reciprocity
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Board instructions
- The Board application instructions specifically request verification of an unrestricted license, an approved educational program underlying that license, valid current NBRC or CSRT certification, and eight weeks of employment in five years.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Examination clause
- Section 147C.15 subdivision 2 incorporates subdivision 1 clauses (1), (4), (5), (6), and (7), but not clause (3). It requires existing credentials and practice rather than a qualifying examination score or a new examination. The existing license and NBRC or Board-approved credential are applicant conditions.
- Existing license
- Provide a current, unrestricted respiratory therapy credential or license in another jurisdiction whose initial requirements are equivalent to or higher than Minnesota general requirements.
- Jurisdiction verification
- Provide government verification letters for each current credential or license, including identity, issuance date, disciplinary history, and terms of issuance.
- Practice
- Have worked at least eight weeks during the previous five years as a respiratory therapist.
- Records release
- Authorize Board access to education and practice records.
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 2, complete reciprocity requirements
- Minnesota Board of Medical Practice — Respiratory Therapist Application Instructions
Page 1, Licensure by Reciprocity Requirements, RTinstruct 2/25
Annual renewal with insufficient recent practice
At least one of the following alternatives:
- Address and deadline
- Maintain a current mailing address and report changes in writing within 30 days. File by the statutory July 1 deadline or the date determined by the Board. Failure to receive notice does not excuse renewal.
- Continuing education
- Document 24 Board-approved contact hours every two years; hours cannot be carried to a future period. The Board can audit supporting documentation.
- Exam credit option
- Section 147C.25 subdivision 8 permits a qualifying score on one credentialing examination instead of the two-year continuing-education requirement. The TMC and CSE references represent those accepted examinations; a licensee who satisfies the education requirement otherwise is excused from this optional examination.
- Practice condition
- Did not practice the equivalent of eight full weeks in the past five years; subdivision 7(b) requires a passing score on retaking the credentialing examination. Continuing education or optional specialty credit does not waive this retest.
- Renewal application
- Submit the annual or Board-determined renewal application and renewal fee. The Board currently offers online renewal beginning two months before expiration and paper forms on request.
- Requested information
- Supply additional information requested to clarify the renewal application within 30 days or the request is nullified.
- Specialty exam credit
- The statute also accepts an NBRC or other approved testing organization specialty credentialing examination and permits 12 hours for completing a specialty examination. It identifies no particular specialty examination; this is an unnamed examination slot and applicant condition, not an invented examination or a registration gap.
Annual renewal with recent practice
At least one of the following alternatives:
- Address and deadline
- Maintain a current mailing address and report changes in writing within 30 days. File by the statutory July 1 deadline or the date determined by the Board. Failure to receive notice does not excuse renewal.
- Continuing education
- Document 24 Board-approved contact hours every two years; hours cannot be carried to a future period. The Board can audit supporting documentation.
- Exam credit option
- Section 147C.25 subdivision 8 permits a qualifying score on one credentialing examination instead of the two-year continuing-education requirement. The TMC and CSE references represent those accepted examinations; a licensee who satisfies the education requirement otherwise is excused from this optional examination.
- Practice condition
- Practiced at least the equivalent of eight full weeks in the past five years; subdivision 7(b) mandatory retesting does not apply.
- Renewal application
- Submit the annual or Board-determined renewal application and renewal fee. The Board currently offers online renewal beginning two months before expiration and paper forms on request.
- Requested information
- Supply additional information requested to clarify the renewal application within 30 days or the request is nullified.
- Specialty exam credit
- The statute also accepts an NBRC or other approved testing organization specialty credentialing examination and permits 12 hours for completing a specialty examination. It identifies no particular specialty examination; this is an unnamed examination slot and applicant condition, not an invented examination or a registration gap.
Respiratory Therapist Temporary Permit
Temporary authority while a completed and otherwise eligible general or reciprocity application awaits a Board decision; not a graduate permit pending an examination.
Licensing authority: Minnesota Board of Medical Practice · Application information
Temporary permit pending general licensure
At least one of the following alternatives:
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Board discretion
- The Board may issue the temporary permit only after the license application is complete and all applicable eligibility requirements have been met.
- Canadian examination
- Section 147C.01 subdivision 7 and the Board instructions also permit the Canadian Society for Respiratory Care examination/certification. This is a foreign examination and is an applicant condition, not a US examination leaf.
- Credential alternatives
- Minnesota accepts CRT or RRT. The Minnesota State college catalog identifies TMC at the CRT threshold for Minnesota licensure, or TMC at the RRT threshold followed by CSE for RRT. These are alternatives within one applicant pathway.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Education
- Complete an approved accredited respiratory therapy education program and submit its certificate, direct school verification, and diploma.
- Other board approved designation
- The statute permits another Board-approved national organization and another entry or advanced designation; it does not identify an additional examination by name.
- Passing score window
- Achieve a qualifying credentialing-examination score within five years before applying, as required by section 147C.15 subdivision 1(3). Earlier passing results for a currently offered registered examination remain examination references.
- Permit fee
- Pay the nonrefundable temporary-permit fee set by the Board.
- Permit term
- The permit remains valid only until the Board meeting deciding the underlying license application.
- Records release
- Authorize Board access to education and practice records.
Temporary permit pending reciprocity licensure
- Additional information
- Provide additional information the Board requests to establish reasonable skill and safety.
- Application
- Submit the completed Board application and applicable nonrefundable fees. Supply identity and contact information, Social Security number, education and training, five-year work history including average weekly hours, all professional credentials held, refusals and disciplinary actions, substance-abuse history, and misdemeanor or felony convictions under section 147C.15 subdivision 1(1).
- Application support
- Provide the affidavit with a recent notarized photograph, work history, government photo identification, and name-change evidence if the application and credential names differ; complete the criminal background check as instructed by the Board. These are applicant documentation, not examination leaves.
- Attestation
- Sign the statement that the application is true and correct.
- Board discretion
- The Board may issue the temporary permit only after the license application is complete and all applicable eligibility requirements have been met.
- Board instructions
- The Board application instructions specifically request verification of an unrestricted license, an approved educational program underlying that license, valid current NBRC or CSRT certification, and eight weeks of employment in five years.
- Current credential
- Submit direct verification of a valid, current NBRC CRT or RRT credential or another Board-approved entry or advanced credential under section 147C.15 subdivision 1(4). The Board instructions also accept CSRT certification.
- Direct verifications
- The February 2025 Board instructions require separate direct verifications from every jurisdiction where a health professional credential was ever held, including expired credentials.
- Examination clause
- Section 147C.15 subdivision 2 incorporates subdivision 1 clauses (1), (4), (5), (6), and (7), but not clause (3). It requires existing credentials and practice rather than a qualifying examination score or a new examination. The existing license and NBRC or Board-approved credential are applicant conditions.
- Existing license
- Provide a current, unrestricted respiratory therapy credential or license in another jurisdiction whose initial requirements are equivalent to or higher than Minnesota general requirements.
- Jurisdiction verification
- Provide government verification letters for each current credential or license, including identity, issuance date, disciplinary history, and terms of issuance.
- Permit fee
- Pay the nonrefundable temporary-permit fee set by the Board.
- Permit term
- The permit remains valid only until the Board meeting deciding the underlying license application.
- Practice
- Have worked at least eight weeks during the previous five years as a respiratory therapist.
- Records release
- Authorize Board access to education and practice records.
Official no-examination sources
Effective from 2026-09-22.
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 3
- Minnesota Statutes Chapter 147C — Respiratory Care Practitioners
147C.15 subd. 2, complete reciprocity requirements
- Minnesota Board of Medical Practice — Respiratory Therapist Application Instructions
Page 1, Licensure by Reciprocity Requirements, RTinstruct 2/25
Clinical Simulation Examination
- Provider
- The National Board for Respiratory Care (NBRC); administered Monday through Saturday at more than 300 assessment centers through the NBRC testing agency PSI
- Format
- Computer-based clinical simulation examination of patient-management problems with information-gathering and decision-making sections; each section of each problem is classified to a minor content heading of the Detailed Content Outline. Admission requires the CRT and a TMC pass at the high cut score; with the implementation of the Respiratory Therapy Examination the CSE is available only to those who passed the TMC at the high cut score by December 31, 2026, and it ends December 31, 2027
- Exam questions
- 22 problems: 20 scored and 2 pretest
- Time limit
- 4 hours
- Passing score
- Points associated with the candidate’s set of responses are summed across the whole examination into one score compared with a cut score linked to examination committee decisions on whether each positively-scored option is required as a demonstration of minimal competence
- Exam fee
- $200 for both new and repeat applicants
Examination outline
I. PATIENT DATA
- I.A. Evaluate Data in the Patient Record — 1. Patient history, for example, history of present illness (HPI), orders, medication reconciliation, progress notes, DNR status / advance directives, social, family, and medical history; 2. Physical examination relative to the cardiopulmonary system; 3. Lines, drains, and airways, for example, chest tube, vascular lines, artificial airway; 4. Laboratory results, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 5. Blood gas analysis and / or hemoximetry (CO-oximetry) results; 6. Pulmonary function testing results, for example spirometry, lung volumes, DLCO; 7. 6-minute walk test results; 8. Imaging study results, for example, chest radiograph, CT scan, ultrasonography and / or echocardiography, PET scan, ventilation / perfusion scan; 9. Maternal and perinatal / neonatal history, for example, Apgar scores, gestational age, L / S ratio; 10. Sleep study results, for example, apnea-hypopnea index (AHI); 11. Trends in monitoring results: a. fluid balance; b. vital signs; c. intracranial pressure; d. ventilator liberation parameters; e. pulmonary mechanics; f. noninvasive, for example, pulse oximetry, capnography, transcutaneous; g. cardiac evaluation / monitoring results, for example, ECG, hemodynamic parameters; 12. Determination of a patient's pathophysiological state
- I.B. Perform Clinical Assessment — 1. Interviewing a patient to assess a. level of consciousness and orientation, emotional state, and ability to cooperate; b. level of pain; c. shortness of breath, sputum production, and exercise tolerance; d. smoking history; e. environmental exposures; f. activities of daily living; g. learning needs, for example, literacy, preferred learning style, social / cultural; 2. Performing inspection to assess a. general appearance; b. characteristics of the airway, for example, patency, Mallampati classification, tracheal shift; c. cough, sputum amount and character; d. status of a neonate, for example, Apgar score, gestational age; e. skin integrity, for example, pressure ulcers, stoma site; 3. Palpating to assess a. pulse, rhythm, intensity; b. accessory muscle activity; c. asymmetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and / or tracheal deviation; 4. Performing diagnostic chest percussion; 5. Auscultating to assess a. breath sounds; b. heart sounds and rhythm; c. blood pressure; 6. Reviewing a chest radiograph to assess a. quality of imaging, for example, patient positioning, penetration, lung inflation; b. presence and position of airways, lines, and drains; c. presence of foreign bodies; d. heart size and position; e. presence of, or change in, (i) cardiopulmonary abnormalities, for example, pneumothorax, consolidation, pleural effusion, pulmonary edema, pulmonary artery size; (ii) diaphragm, mediastinum, and / or trachea
- I.C. Perform Procedures to Gather Clinical Information — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas sample collection; 6. Blood gas analysis and / or hemoximetry (CO-oximetry); 7. Oxygen titration with exercise; 8. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 9. Hemodynamic monitoring; 10. Pulmonary compliance and airways resistance; 11. Plateau pressure; 12. Auto-PEEP determination; 13. Spontaneous breathing trial (SBT); 14. Apnea monitoring; 15. Apnea test (brain death determination); 16. Overnight pulse oximetry; 17. CPAP / NPPV titration during sleep; 18. Cuff management, for example, tracheal, laryngeal; 19. Sputum induction; 20. Cardiopulmonary exercise testing; 21. 6-minute walk test; 22. Spirometry outside or inside a pulmonary function laboratory; 23. DLCO inside a pulmonary function laboratory; 24. Lung volumes inside a pulmonary function laboratory; 25. Tests of respiratory muscle strength - MIP and MEP; 26. Therapeutic bronchoscopy
- I.D. Evaluate Procedure Results — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas analysis and / or hemoximetry (CO-oximetry); 6. Oxygen titration with exercise; 7. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 8. Hemodynamic monitoring; 9. Pulmonary compliance and airways resistance; 10. Plateau pressure; 11. Auto-PEEP; 12. Spontaneous breathing trial (SBT); 13. Apnea monitoring; 14. Apnea test (brain death determination); 15. Overnight pulse oximetry; 16. CPAP / NPPV titration during sleep; 17. Cuff status, for example, laryngeal, tracheal; 18. Cardiopulmonary exercise testing; 19. 6-minute walk test; 20. Spirometry outside or inside a pulmonary function laboratory; 21. DLCO inside a pulmonary function laboratory; 22. Lung volumes inside a pulmonary function laboratory; 23. Tests of respiratory muscle strength - MIP and MEP
- I.E. Recommend Diagnostic Procedures — 1. Testing for tuberculosis; 2. Laboratory tests, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 3. Imaging studies; 4. Bronchoscopy a. diagnostic; b. therapeutic; 5. Bronchoalveolar lavage (BAL); 6. Pulmonary function testing; 7. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 8. Blood gas and/or hemoximetry (CO-oximetry); 9. ECG; 10. Exhaled gas analysis, for example, CO2, CO, FENO; 11. Hemodynamic monitoring; 12. Sleep studies; 13. Thoracentesis
II. TROUBLESHOOTING AND QUALITY CONTROL OF EQUIPMENT, AND INFECTION CONTROL
- II.A. Assemble /Troubleshoot Devices — 1. Medical gas delivery interfaces, for example, mask, cannula, heated high-flow nasal cannula; 2. Long-term oxygen therapy; 3. Medical gas delivery, metering, and /or clinical analyzing devices, for example, concentrator, liquid system, flowmeter, regulator, gas cylinder, blender, air compressor, gas analyzers; 4. CPAP / NPPV with patient interfaces; 5. Humidifiers; 6. Nebulizers; 7. Metered-dose inhalers, spacers, and valved holding chambers; 8. Dry-powder inhalers (DPI); 9. Resuscitation equipment, for example, self-inflating resuscitator, flow-inflating resuscitator, AED; 10. Mechanical ventilators; 11. Intubation equipment; 12. Artificial airways; 13. Suctioning equipment, for example, regulator, canister, tubing, catheter; 14. Blood analyzers, for example, hemoximetry (CO-oximetry), point-of-care, blood gas; 15. Patient breathing circuits; 16. Hyperinflation devices; 17. Secretion clearance devices; 18. Heliox delivery device; 19. Portable spirometer; 20. Testing equipment in a pulmonary function laboratory; 21. Pleural drainage; 22. Noninvasive monitoring, for example, pulse oximeter, capnometer, transcutaneous; 23. Bronchoscopes and light sources; 24. Hemodynamic monitoring a. pressure transducers; b. catheters, for example, arterial, pulmonary artery
- II.B. Ensure Infection Prevention — 1. Adhering to infection prevention policies and procedures, for example, Standard Precautions, donning/doffing, isolation; 2. Adhering to disinfection policies and procedures; 3. Proper handling of biohazardous materials
- II.C. Perform Quality Control Procedures — 1. Blood analyzers; 2. Gas analyzers; 3. Pulmonary function equipment for testing a. spirometry results; b. lung volumes; c. diffusing capacity (DLCO); 4. Mechanical ventilators; 5. Noninvasive monitors
III. INITIATION AND MODIFICATION OF INTERVENTIONS
- III.A. Maintain a Patent Airway Including the Care of Artificial Airways — 1. Proper positioning of a patient; 2. Recognition of a difficult airway; 3. Establishing and managing a patient's airway a. nasopharyngeal airway; b. oropharyngeal airway; c. esophagealtracheal tubes / supraglottic airways; d. endotracheal tube; e. tracheostomy tube; f. laryngectomy tube; g. speaking valves; h. devices that assist with intubation, for example, endotracheal tube exchanger, video laryngoscopy; 4. Performing tracheostomy care; 5. Exchanging artificial airways; 6. Maintaining adequate humidification; 7. Initiating protocols to prevent ventilator-associated infections; 8. Performing extubation
- III.B. Perform Airway Clearance and Lung Expansion Techniques — 1. Postural drainage, percussion, or vibration; 2. Suctioning, for example, nasotracheal, oropharyngeal; 3. Mechanical devices, for example, high-frequency chest wall oscillation, vibratory PEP, intrapulmonary percussive ventilation, insufflation / exsufflation device; 4. Assisted cough, for example, huff, abdominal thrust; 5. Hyperinflation therapy; 6. Inspiratory muscle training
- III.C. Support Oxygenation and Ventilation — 1. Initiating and adjusting oxygen therapy; 2. Minimizing hypoxemia, for example, patient positioning, secretion removal; 3. Initiating and adjusting mask or nasal CPAP; 4. Initiating and adjusting mechanical ventilation settings a. continuous mechanical ventilation; b. noninvasive ventilation; c. high-frequency ventilation; d. alarms; 5. Recognizing and correcting patient-ventilator dyssynchrony; 6. Utilizing ventilator graphics; 7. Performing lung recruitment maneuvers; 8. Liberating a patient from mechanical ventilation
- III.D. Administer Medications and Specialty Gases — 1. Aerosolized preparations a. antimicrobials; b. pulmonary vasodilators; c. bronchodilators; d. mucolytics / proteolytics; e. steroids; 2. Endotracheal instillation; 3. Specialty gases, for example, heliox, inhaled NO
- III.E. Ensure Modifications are Made to the Respiratory Care Plan — 1. Treatment termination, for example, life-threatening adverse event; 2. Recommendations a. starting treatment based on patient response; b. treatment of pneumothorax; c. adjustment of fluid balance; d. adjustment of electrolyte therapy; e. insertion or change of artificial airway; f. liberating from mechanical ventilation; g. extubation; h. discontinuing treatment based on patient response; i. consultation from a physician specialist; 3. Recommendations for changes a. patient position; b. oxygen therapy; c. humidification; d. airway clearance; e. hyperinflation; f. mechanical ventilation; 4. Recommendations for pharmacologic interventions a. bronchodilators; b. anti-inflammatory drugs; c. mucolytics and proteolytics; d. aerosolized antibiotics; e. inhaled pulmonary vasodilators; f. cardiovascular; g. antimicrobials; h. sedatives and hypnotics; i. analgesics; j. narcotic antagonists; k. benzodiazepine antagonists; l. neuromuscular blocking agents; m. diuretics; n. surfactants; o. changes to drug, dosage, administration frequency, mode, or concentration
- III.F. Utilize Evidence-Based Practice — 1. Classification of disease severity; 2. Recommendations for changes in a therapeutic plan when indicated; 3. Application of guidelines, for example, ARDSNet, NAEPP, GOLD
- III.G. Provide Respiratory Care Techniques in High-Risk Situations — 1. Emergency a. cardiopulmonary emergencies excluding CPR; b. disaster management; c. medical emergency team (MET) / rapid response team; 2. Interprofessional communication; 3. Patient transport a. land / air between hospitals; b. within a hospital
- III.H. Assist a Physician / Provider in Performing Procedures — 1. Intubation; 2. Bronchoscopy; 3. Specialized bronchoscopy, for example, EBUS, navigational bronchoscopy (ENB); 4. Thoracentesis; 5. Tracheotomy; 6. Chest tube insertion; 7. Insertion of arterial or venous catheters; 8. Moderate (conscious) sedation; 9. Cardioversion; 10. Withdrawal of life support
- III.I. Conduct Patient and Family Education — 1. Safety and infection control; 2. Home care and related equipment; 3. Lifestyle changes, for example, smoking cessation, exercise; 4. Pulmonary rehabilitation; 5. Disease / condition management, for example, asthma, COPD, CF, tracheostomy care, ventilator dependent
Examination sources
- NBRC Clinical Simulation Examination Detailed Content Outline
CSE Detailed Content Outline, page 1 header
- NBRC Clinical Simulation Examination Detailed Content Outline
CSE Detailed Content Outline, page 1 classification note
- NBRC Clinical Simulation Examination Detailed Content Outline
CSE Detailed Content Outline, final page, Test Form Assembly Specifications
- NBRC Content Outlines page
Credentialing Examinations Detailed Content Outlines list, CSE entry
- NBRC Clinical Simulation Examination (CSE) / RRT examination page
RRT/CSE page, CSE description
- NBRC Candidate Handbook
After You Finish the Examination, CSE cut score, p. 12
- NBRC Candidate Handbook
After You Finish the Examination, CSE positively-scored options, p. 12
- NBRC news: Examination Changes Coming in 2027 - New Details Added
FAQ: What if I pass the TMC at the high cut score and don’t complete the CSE before December 31, 2026?
- NBRC Clinical Simulation Examination (CSE) / RRT examination page
RRT/CSE page FAQ: What are the examination fees?
- NBRC Clinical Simulation Examination (CSE) / RRT examination page
RRT/CSE page, availability notice
- NBRC Candidate Handbook
Admission Policy - CSE heading, p. 4
Therapist Multiple-Choice Examination
- Provider
- The National Board for Respiratory Care (NBRC); administered Monday through Saturday at more than 300 assessment centers through the NBRC testing agency PSI
- Format
- Computer-based multiple-choice examination; each scored item is linked to a content area and cognitive level (recall, application, analysis); the TMC ends December 31, 2026 and the Respiratory Therapy Examination is used from January 1, 2027
- Exam questions
- 160 multiple-choice items: 140 scored and 20 pretest
- Time limit
- 3 hours
- Passing score
- Raw score (each item worth one point) compared with two cut scores: the low cut score earns the CRT credential; the high cut score earns the CRT credential and eligibility for the Clinical Simulation Examination for candidates eligible to earn the RRT
- Exam fee
- $190 new applicants; $150 repeat applicants
Examination outline
I. PATIENT DATA (50 of 140 scored items; Recall 15, Application 27, Analysis 8) (35.71%)
- I.A. Evaluate Data in the Patient Record (10 of 50 section items; Recall 4, Application 6, Analysis 0) — 1. Patient history, for example, history of present illness (HPI), orders, medication reconciliation, progress notes, DNR status / advance directives, social, family, and medical history; 2. Physical examination relative to the cardiopulmonary system; 3. Lines, drains, and airways, for example, chest tube, vascular lines, artificial airway; 4. Laboratory results, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 5. Blood gas analysis and / or hemoximetry (CO-oximetry) results; 6. Pulmonary function testing results, for example spirometry, lung volumes, DLCO; 7. 6-minute walk test results; 8. Imaging study results, for example, chest radiograph, CT scan, ultrasonography and / or echocardiography, PET scan, ventilation / perfusion scan; 9. Maternal and perinatal / neonatal history, for example, APGAR scores, gestational age, L / S ratio; 10. Sleep study results, for example, apnea-hypopnea index (AHI); 11. Trends in monitoring results: a. fluid balance; b. vital signs; c. intracranial pressure; d. ventilator liberation parameters; e. pulmonary mechanics; f. noninvasive, for example, pulse oximetry, capnography, transcutaneous; g. cardiac evaluation / monitoring results, for example, ECG, hemodynamic parameters; 12. Determination of a patient's pathophysiological state
- I.B. Perform Clinical Assessment (10 of 50 section items; Recall 3, Application 6, Analysis 1) — 1. Interviewing a patient to assess a. level of consciousness and orientation, emotional state, and ability to cooperate; b. level of pain; c. shortness of breath, sputum production, and exercise tolerance; d. smoking history; e. environmental exposures; f. activities of daily living; g. learning needs, for example, literacy, preferred learning style, social / cultural; 2. Performing inspection to assess a. general appearance; b. characteristics of the airway, for example, patency, Mallampati classification, tracheal shift; c. cough, sputum amount and character; d. status of a neonate, for example, APGAR score, gestational age; e. skin integrity, for example, pressure ulcers, stoma site; 3. Palpating to assess a. pulse, rhythm, intensity; b. accessory muscle activity; c. asymmetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and / or tracheal deviation; 4. Performing diagnostic chest percussion; 5. Auscultating to assess a. breath sounds; b. heart sounds and rhythm; c. blood pressure; 6. Reviewing a chest radiograph to assess a. quality of imaging, for example, patient positioning, penetration, lung inflation; b. presence and position of airways, lines, and drains; c. presence of foreign bodies; d. heart size and position; e. presence of, or change in, (i) cardiopulmonary abnormalities, for example, pneumothorax, consolidation, pleural effusion, pulmonary edema, pulmonary artery size; (ii) diaphragm, mediastinum, and / or trachea
- I.C. Perform Procedures to Gather Clinical Information (12 of 50 section items; Recall 4, Application 7, Analysis 1) — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas sample collection; 6. Blood gas analysis and / or hemoximetry (CO-oximetry); 7. Oxygen titration with exercise; 8. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 9. Hemodynamic monitoring; 10. Pulmonary compliance and airways resistance; 11. Plateau pressure; 12. Auto-PEEP determination; 13. Spontaneous breathing trial (SBT); 14. Apnea monitoring; 15. Apnea test (brain death determination); 16. Overnight pulse oximetry; 17. CPAP / NPPV titration during sleep; 18. Cuff management, for example, tracheal, laryngeal; 19. Sputum induction; 20. Cardiopulmonary stress testing; 21. 6-minute walk test; 22. Spirometry outside or inside a pulmonary function laboratory; 23. DLCO inside a pulmonary function laboratory; 24. Lung volumes inside a pulmonary function laboratory; 25. Tests of respiratory muscle strength - MIP and MEP; 26. Therapeutic bronchoscopy
- I.D. Evaluate Procedure Results (10 of 50 section items; Recall 2, Application 4, Analysis 4) — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas analysis and / or hemoximetry (CO-oximetry); 6. Oxygen titration with exercise; 7. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 8. Hemodynamic monitoring; 9. Pulmonary compliance and airways resistance; 10. Plateau pressure; 11. Auto-PEEP; 12. Spontaneous breathing trial (SBT); 13. Apnea monitoring; 14. Apnea test (brain death determination); 15. Overnight pulse oximetry; 16. CPAP / NPPV titration during sleep; 17. Cuff status, for example, laryngeal, tracheal; 18. Cardiopulmonary stress testing; 19. 6-minute walk test; 20. Spirometry outside or inside a pulmonary function laboratory; 21. DLCO inside a pulmonary function laboratory; 22. Lung volumes inside a pulmonary function laboratory; 23. Tests of respiratory muscle strength - MIP and MEP
- I.E. Recommend Diagnostic Procedures (8 of 50 section items; Recall 2, Application 4, Analysis 2) — 1. Testing for tuberculosis; 2. Laboratory tests, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 3. Imaging studies; 4. Bronchoscopy a. diagnostic; b. therapeutic; 5. Bronchoalveolar lavage (BAL); 6. Pulmonary function testing; 7. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 8. Blood gas and/or hemoximetry (CO-oximetry); 9. ECG; 10. Exhaled gas analysis, for example, CO2, CO, FENO; 11. Hemodynamic monitoring; 12. Sleep studies; 13. Thoracentesis
II. TROUBLESHOOTING AND QUALITY CONTROL OF DEVICES, AND INFECTION CONTROL (20 of 140 scored items; Recall 8, Application 9, Analysis 3) (14.29%)
- II.A. Assemble / Troubleshoot Devices (15 of 20 section items; Recall 4, Application 8, Analysis 3) — 1. Medical gas delivery interfaces, for example, mask, cannula, heated high-flow nasal cannula; 2. Long-term oxygen therapy; 3. Medical gas delivery, metering, and /or clinical analyzing devices, for example, concentrator, liquid system, flowmeter, regulator, gas cylinder, blender, air compressor, gas analyzers; 4. CPAP / NPPV with patient interfaces; 5. Humidifiers; 6. Nebulizers; 7. Metered-dose inhalers, spacers, and valved holding chambers; 8. Dry-powder inhalers (DPI); 9. Resuscitation equipment, for example, self-inflating resuscitator, flow-inflating resuscitator, AED; 10. Mechanical ventilators; 11. Intubation equipment; 12. Artificial airways; 13. Suctioning equipment, for example, regulator, canister, tubing, catheter; 14. Blood analyzers, for example, hemoximetry (CO-oximetry), point-of-care, blood gas; 15. Patient breathing circuits; 16. Hyperinflation devices; 17. Secretion clearance devices; 18. Heliox delivery device; 19. Portable spirometer; 20. Testing equipment in a pulmonary function laboratory; 21. Pleural drainage; 22. Noninvasive monitoring, for example, pulse oximeter, capnometer, transcutaneous; 23. Bronchoscopes and light sources; 24. Hemodynamic monitoring a. pressure transducers; b. catheters, for example, arterial, pulmonary artery
- II.B. Ensure Infection Prevention (2 of 20 section items; Recall 2, Application 0, Analysis 0) — 1. Adhering to infection prevention policies and procedures, for example, Standard Precautions, donning/doffing, isolation; 2. Adhering to disinfection policies and procedures; 3. Proper handling of biohazardous materials
- II.C. Perform Quality Control Procedures (3 of 20 section items; Recall 2, Application 1, Analysis 0) — 1. Blood analyzers; 2. Gas analyzers; 3. Pulmonary function equipment for testing a. spirometry results; b. lung volumes; c. diffusing capacity (DLCO); 4. Mechanical ventilators; 5. Noninvasive monitors
III. INITIATION AND MODIFICATION OF INTERVENTIONS (70 of 140 scored items; Recall 10, Application 30, Analysis 30) (50%)
- III.A. Maintain a Patent Airway Including the Care of Artificial Airways (10 of 70 section items; Recall 3, Application 4, Analysis 3) — 1. Proper positioning of a patient; 2. Recognition of a difficult airway; 3. Establishing and managing a patient's airway a. nasopharyngeal airway; b. oropharyngeal airway; c. esophagealtracheal tubes / supraglottic airways; d. endotracheal tube; e. tracheostomy tube; f. laryngectomy tube; g. speaking valves; h. devices that assist with intubation, for example, endotracheal tube exchanger, video laryngoscopy; 4. Performing tracheostomy care; 5. Exchanging artificial airways; 6. Maintaining adequate humidification; 7. Initiating protocols to prevent ventilator-associated infections; 8. Performing extubation
- III.B. Perform Airway Clearance and Lung Expansion Techniques (5 of 70 section items; Recall 2, Application 2, Analysis 1) — 1. Postural drainage, percussion, or vibration; 2. Suctioning, for example, nasotracheal, oropharyngeal; 3. Mechanical devices, for example, high-frequency chest wall oscillation, vibratory PEP, intrapulmonary percussive ventilation, insufflation / exsufflation; 4. Assisted cough, for example, huff, abdominal thrust; 5. Hyperinflation therapy; 6. Inspiratory muscle training
- III.C. Support Oxygenation and Ventilation (15 of 70 section items; Recall 1, Application 5, Analysis 9) — 1. Initiating and adjusting oxygen therapy; 2. Minimizing hypoxemia, for example, patient positioning, secretion removal; 3. Initiating and adjusting mask or nasal CPAP; 4. Initiating and adjusting mechanical ventilation settings a. continuous mechanical ventilation; b. noninvasive ventilation; c. high-frequency ventilation; d. alarms; 5. Recognizing and correcting patient-ventilator dyssynchrony; 6. Utilizing ventilator graphics; 7. Performing lung recruitment maneuvers; 8. Liberating a patient from mechanical ventilation
- III.D. Administer Medications and Specialty Gases (4 of 70 section items; Recall 1, Application 3, Analysis 0) — 1. Aerosolized preparations a. antimicrobials; b. pulmonary vasodilators; c. bronchodilators; d. mucolytics / proteolytics; e. steroids; 2. Endotracheal instillation; 3. Specialty gases, for example, heliox, inhaled NO
- III.E. Ensure Modifications are Made to the Respiratory Care Plan (18 of 70 section items; Recall 1, Application 7, Analysis 10) — 1. Treatment termination, for example, life-threatening adverse event; 2. Recommendations a. starting treatment based on patient response; b. treatment of pneumothorax; c. adjustment of fluid balance; d. adjustment of electrolyte therapy; e. insertion or change of artificial airway; f. liberating from mechanical ventilation; g. extubation; h. discontinuing treatment based on patient response; i. consultation from a physician specialist; 3. Recommendations for changes a. patient position; b. oxygen therapy; c. humidification; d. airway clearance; e. hyperinflation; f. mechanical ventilation; 4. Recommendations for pharmacologic interventions a. bronchodilators; b. anti-inflammatory drugs; c. mucolytics and proteolytics; d. aerosolized antibiotics; e. inhaled pulmonary vasodilators; f. cardiovascular; g. antimicrobials; h. sedatives and hypnotics; i. analgesics; j. narcotic antagonists; k. benzodiazepine antagonists; l. neuromuscular blocking agents; m. diuretics; n. surfactants; o. changes to drug, dosage, administration frequency, mode, or concentration
- III.F. Utilize Evidence-Based Practice (6 of 70 section items; Recall 0, Application 2, Analysis 4) — 1. Classification of disease severity; 2. Recommendations for changes in a therapeutic plan when indicated; 3. Application of guidelines, for example, ARDSNet, NAEPP, GOLD
- III.G. Provide Respiratory Care in High-Risk Situations (5 of 70 section items; Recall 0, Application 2, Analysis 3) — 1. Emergency a. cardiopulmonary emergencies, excluding CPR; b. disaster management; c. medical emergency team (MET) / rapid response team; 2. Interprofessional communication; 3. Patient transport a. land / air between hospitals; b. within a hospital
- III.H. Assist a Physician / Provider in Performing Procedures (4 of 70 section items; Recall 1, Application 3, Analysis 0) — 1. Intubation; 2. Bronchoscopy; 3. Specialized bronchoscopy, for example, endobronchial ultrasound (EBUS), navigational bronchoscopy (ENB); 4. Thoracentesis; 5. Tracheotomy; 6. Chest tube insertion; 7. Insertion of arterial or venous catheters; 8. Moderate (conscious) sedation; 9. Cardioversion; 10. Withdrawal of life support
- III.I. Conduct Patient and Family Education (3 of 70 section items; Recall 1, Application 2, Analysis 0) — 1. Safety and infection control; 2. Home care and related equipment; 3. Lifestyle changes, for example, smoking cessation, exercise; 4. Pulmonary rehabilitation; 5. Disease / condition management, for example, asthma, COPD, CF, tracheostomy care, ventilator dependent
Examination sources
- NBRC Therapist Multiple-Choice Examination Detailed Content Outline
TMC Detailed Content Outline, page 1 header
- NBRC Therapist Multiple-Choice Examination Detailed Content Outline
TMC Detailed Content Outline, page 1, domain I allocation row
- NBRC Therapist Multiple-Choice Examination Detailed Content Outline
TMC Detailed Content Outline, page 12, totals row and Additional Specifications
- NBRC Content Outlines page
Credentialing Examinations Detailed Content Outlines list, TMC entry
- NBRC Therapist Multiple-Choice Examination Detailed Content Outline
TMC Detailed Content Outline, pp. 1, 6, 8: scored-item totals 50/20/70; lettered topic totals throughout pp. 1–12; section and topic proportions converted from the original fixed counts
- NBRC Certified Respiratory Therapist (CRT) examination page
CRT page, Detailed Content Outline and examination description
- NBRC Certified Respiratory Therapist (CRT) examination page
CRT page FAQ: What do the cut scores mean?
- NBRC Candidate Handbook
After You Finish the Examination, p. 12
- NBRC Certified Respiratory Therapist (CRT) examination page
CRT page FAQ: What are the examination fees?
- NBRC Certified Respiratory Therapist (CRT) examination page
CRT page FAQ: When and where are NBRC examinations administered?
- NBRC Candidate Handbook
Special Accommodations request form, examination list