Question 1

When would induced hypothermia be indicated?

Accepted Answer

A)  During brain surgery 
B)  During bowel surgery 
C)  To break a fever 
D)  To treat carbon monoxide poisoning 
A)  During brain surgery 
B)  During bowel surgery 
C)  To break a fever 
D)  To treat carbon monoxide poisoning A

Question 2

A patient with bronchiectasis has a productive cough. Which of the following should the respiratory therapist be evaluating about the patient's sputum?
1) Color
2) Odor
3) Amount
4) Consistency

Accepted Answer

A)  3 
B)  3, 4 
C)  1, 2 
D)  1, 2, 3, 4 
A)  3 
B)  3, 4 
C)  1, 2 
D)  1, 2, 3, 4 D

Question 3

A 50-year-old patient has a heart rate by palpation of 120 bpm. How should this be interpreted?

Accepted Answer

A)  Within the normal range for an adult 
B)  An error since a stethoscope was not used 
C)  Bradycardia 
D)  Tachycardia 
A)  Within the normal range for an adult 
B)  An error since a stethoscope was not used 
C)  Bradycardia 
D)  Tachycardia D

Question 4

Coarse crackles are associated with:
1) inspiration typically.
2) air passing through an airway intermittently occluded by mucus.
3) bronchial asthma.
4) expiration typically.

Accepted Answer

A)  2, 4 
B)  3, 4 
C)  2, 3, 4 
D)  1, 2, 3 
A)  2, 4 
B)  3, 4 
C)  2, 3, 4 
D)  1, 2, 3

Question 5

Tachypnea may be the result of:
1) hypoxemia.
2) hypothermia.
3) fever.
4) sedation.

Accepted Answer

A)  2, 4 
B)  1, 3 
C)  2, 3, 4 
D)  1, 2, 3, 4 
A)  2, 4 
B)  1, 3 
C)  2, 3, 4 
D)  1, 2, 3, 4

Question 6

While assessing an unconscious patient, the respiratory therapist observes that the patient's breathing becomes progressively faster and deeper and then progressively becomes slower and shallower. After that, there is a period of apnea before the cycle begins again. This breathing pattern would be identified as:

Accepted Answer

A)  Cheyne-Stokes. 
B)  tachypnea. 
C)  Kussmaul. 
D)  hyperventilation. 
A)  Cheyne-Stokes. 
B)  tachypnea. 
C)  Kussmaul. 
D)  hyperventilation.

Question 7

A 50-year-old patient would be said to have hypotension when her:

Accepted Answer

A)  blood pressure is 130/90 mm Hg. 
B)  blood pressure is 85/55 mm Hg. 
C)  heart rate is 55 bpm. 
D)  pulse pressure is 40 mm Hg. 
A)  blood pressure is 130/90 mm Hg. 
B)  blood pressure is 85/55 mm Hg. 
C)  heart rate is 55 bpm. 
D)  pulse pressure is 40 mm Hg.

Question 8

The respiratory therapist is monitoring the blood pressure of a patient in the emergency department and notes that the blood pressure is 15 mm Hg less on inspiration than on expiration. Which of the following would most likely result in this finding?

Accepted Answer

A)  The patient is hypovolemic. 
B)  The patient has a pulmonary embolism. 
C)  The patient is having a myocardial infarction. 
D)  The patient is having a severe exacerbation of asthma. 
A)  The patient is hypovolemic. 
B)  The patient has a pulmonary embolism. 
C)  The patient is having a myocardial infarction. 
D)  The patient is having a severe exacerbation of asthma.

Question 9

A patient comes into the emergency department with a complaint of centrally located, constant chest pain. What is his most likely problem?

Accepted Answer

A)  Pleurisy 
B)  Myocardial ischemia 
C)  Pneumothorax 
D)  Fractured rib 
A)  Pleurisy 
B)  Myocardial ischemia 
C)  Pneumothorax 
D)  Fractured rib

Question 10

Benefits of pursed-lip breathing include that it:
1) stabilizes airways.
2) offsets air trapping on exhalation.
3) generates a better gas mixing breathing pattern.
4) slows the respiratory rate.

Accepted Answer

A)  1 
B)  2, 3 
C)  1, 2, 3 
D)  1, 2, 3, 4 
A)  1 
B)  2, 3 
C)  1, 2, 3 
D)  1, 2, 3, 4

Question 11

The respiratory therapist is examining a patient in the medical ward and notes that the trachea is deviated to the left. All of the following may be causing the tracheal deviation to the left EXCEPT:

Accepted Answer

A)  a right-sided tension pneumothorax. 
B)  a right-sided pleural effusion. 
C)  a tumor mass on the right. 
D)  atelectasis of the right upper lobe. 
A)  a right-sided tension pneumothorax. 
B)  a right-sided pleural effusion. 
C)  a tumor mass on the right. 
D)  atelectasis of the right upper lobe.

Question 12

A dull percussion note would be heard in all of the following situations EXCEPT:

Accepted Answer

A)  atelectasis. 
B)  pleural thickening. 
C)  chronic obstructive pulmonary disease (COP
D) . 
D)  consolidation. 
A)  atelectasis. 
B)  pleural thickening. 
C)  chronic obstructive pulmonary disease (COP
D) . 
D)  consolidation.

Question 13

The respiratory therapist is performing palpation on a patient recently admitted to the medical ward. The therapist notes decreased tactile fremitus over the right lung. Which of the following could MOST likely be the cause for this physical exam finding?

Accepted Answer

A)  Right-sided atelectasis 
B)  Right-sided pneumothorax 
C)  Right-sided pleural effusion 
D)  Right-sided pleural tumor 
A)  Right-sided atelectasis 
B)  Right-sided pneumothorax 
C)  Right-sided pleural effusion 
D)  Right-sided pleural tumor

Exam 2: The Physical Examination and Its Basis in Physiology

When would induced hypothermia be indicated?

A patient with bronchiectasis has a productive cough. Which of the following should the respiratory therapist be evaluating about the patient's sputum? 1) Color 2) Odor 3) Amount 4) Consistency

A 50-year-old patient has a heart rate by palpation of 120 bpm. How should this be interpreted?

Coarse crackles are associated with: 1) inspiration typically. 2) air passing through an airway intermittently occluded by mucus. 3) bronchial asthma. 4) expiration typically.

Tachypnea may be the result of: 1) hypoxemia. 2) hypothermia. 3) fever. 4) sedation.

A 50-year-old patient would be said to have hypotension when her:

The respiratory therapist is monitoring the blood pressure of a patient in the emergency department and notes that the blood pressure is 15 mm Hg less on inspiration than on expiration. Which of the following would most likely result in this finding?

A patient comes into the emergency department with a complaint of centrally located, constant chest pain. What is his most likely problem?

Benefits of pursed-lip breathing include that it: 1) stabilizes airways. 2) offsets air trapping on exhalation. 3) generates a better gas mixing breathing pattern. 4) slows the respiratory rate.

The respiratory therapist is examining a patient in the medical ward and notes that the trachea is deviated to the left. All of the following may be causing the tracheal deviation to the left EXCEPT:

A dull percussion note would be heard in all of the following situations EXCEPT:

The respiratory therapist is performing palpation on a patient recently admitted to the medical ward. The therapist notes decreased tactile fremitus over the right lung. Which of the following could MOST likely be the cause for this physical exam finding?

The Patient Interview

Pulmonary Function Study Assessments

Arterial Blood Gas Assessments

Oxygenation Assessments

Cardiovascular System Assessments

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Respiratory Failure and the Mechanical Ventilation Protocol

Recording Skills: The Basis for Data Collection, Organization, Assessment Skill

Chronic Obstructive Pulmonary Disease (COPD), Chronic Bronchitis, and Emphysema

Asthma

Bronchiectasis

Cystic Fibrosis

Pneumonia

Lung Abscess

Tuberculosis

Fungal Diseases of the Lung

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Interstitial Lung Diseases

Cancer of the Lung

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Sleep Apnea

Clinical Manifestations Common with Newborn and Early Childhood Respiratory Dis

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndromes

Respiratory Syncytial Virus (Bronchiolitis or Pneumonitis)

Bronchopulmonary Dysplasia

Congenital Diaphragmatic Hernia

Congenital Heart Diseases

Croup Syndrome: Laryngotracheobronchitis and Acute Epiglottitis

Near Drowning/Wet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Atelectasis

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