Choose the prep course that matches your exam, whether you're taking the TMC, CSE, ACCS, NPS, or preparing for the new Respiratory Therapy Exam launching in 2027.
Select the course that aligns with your career path and exam timeline
Find your path based on your timeline and career goals
You'll take the current TMC and CSE exams. Get both courses in one comprehensive bundle.
You'll take the new single Respiratory Therapy Exam. Prepare with our updated course designed for the 2027 exam.
Advance your career with our Adult Critical Care Specialist exam preparation course.
Specialize in neonatal and pediatric care with our focused NPS exam preparation course.
Here's what you need to know about the upcoming changes
The NBRC is introducing a new single Respiratory Therapy Exam to replace the current TMC and CSE exams. This streamlined approach will combine both assessments into one comprehensive examination.
The TMC and CSE exams will remain available through December 2027, giving students and therapists time to complete their credentials under the current system if they prefer.
The specialty credentialing exams for Adult Critical Care (ACCS) and Neonatal/Pediatric (NPS) are not affected by these changes and will continue as they are.
Respiratory Cram is ready for both the current and new exam formats. Whether you're taking TMC/CSE before 2027 or the new Respiratory Therapy Exam after, we have focused, effective prep courses designed for your success.
Focused, effective exam prep designed to help you pass your NBRC exam
Study only what matters. We focus on the right material to help you pass without wasting time.
Practice questions and simulations written to match the format and difficulty of actual NBRC exams.
Get immediate feedback on practice questions with detailed rationales for every answer.
Practice as many times as you need. Take and retake exams and simulations without limits.
All courses are regularly updated to match current NBRC blueprints and testing standards.
Study 24/7 at your own pace. Cancel anytime with no long-term commitments.
Get answers to common questions about our courses and the NBRC exam changes
It depends on your graduation date. If you're graduating before January 2027, choose the TMC + CSE Bundle for the current exam format. If you're graduating in January 2027 or later, choose the Respiratory Therapy Exam Prep for the new single exam. For specialty credentials, select ACCS or NPS based on your career path.
The Respiratory Therapy Exam Prep course will launch in January 2027, aligned with the new NBRC exam rollout. You can currently access our TMC and CSE courses, which remain available through the end of 2027.
Yes. The TMC and CSE exams will remain available through December 2027. If you're already studying for these exams or plan to take them before the end of 2027, you can continue with the current format.
The ACCS and NPS specialty exams are not affected by the 2027 changes to the general credentialing exams. They will continue as separate specialty credentials for Adult Critical Care and Neonatal/Pediatric respiratory therapy.
Each course includes NBRC-style practice questions, real-time feedback, unlimited retakes, and focused content aligned to current exam blueprints. The TMC course has 200 questions across 7 modules, CSE has 40 practice simulations with audio lectures, and the bundle includes both. All courses are designed to be direct and focused, without unnecessary filler.
Yes. All Respiratory Cram subscriptions can be cancelled at any time with no long-term commitments or cancellation fees. Study at your own pace and cancel when you're done.
Absolutely. All course content is regularly updated to match the latest NBRC exam blueprints and testing standards. When the new Respiratory Therapy Exam launches in 2027, our new course will be fully aligned to its blueprint.
Most students benefit from 4-8 weeks of focused study, but this varies based on your schedule, background knowledge, and comfort level. Our performance analytics help you track your readiness and determine when you're prepared to take your exam with confidence.