Difficulty Level: Moderate

The CRT is the entry-level respiratory therapy credential, designed to be achievable for graduates of accredited programs. It requires passing the TMC at the lower of two cut scores.

Why It’s Manageable

• •Entry-level focus: Tests foundational knowledge, not advanced clinical judgment
• •Single exam: Only the TMC — no simulation component
• •Well-prepared candidates: Most candidates have completed a CoARC-accredited program
• •Free practice exam: Available from NBRC to calibrate readiness

What Makes It Challenging

• •160 questions in 3 hours requires efficient pacing
• •Broad content covering adult, pediatric, and neonatal respiratory care
• •Clinical scenario questions require application, not just recall
• •Must achieve at least the low cut score (not just a percentage)

Pass Rate

NBRC does not publicly release specific pass rates. However, graduates of accredited programs are well-prepared, and the CRT is designed as an achievable entry-level credential.

Common Challenges

• •Mechanical ventilation basics
• •ABG interpretation
• •Pharmacology fundamentals
• •Patient assessment and evaluation
• •Neonatal/pediatric basics

Tips for Success

1. Use the NBRC free practice exam to identify weak areas
2. Focus on core competencies — don’t over-study advanced topics
3. Practice clinical scenario questions, not just fact recall
4. Review the TMC Detailed Content Outline for study guidance
5. Manage your time — 160 questions in 3 hours = ~67 seconds per question