Question 1

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

Question 2

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 B

Question 3

A dull percussion note would be heard in which of the following situations?
1) Atelectasis
2) Pleural thickening
3) Chronic obstructive pulmonary disease (COPD)
4) Consolidation

Accepted Answer

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

Question 4

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 examination 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

Question 5

The respiratory therapist is examining a patient in the medical ward and notes that the trachea is deviated to the right. Which of the following may be causing the tracheal deviation to the right?

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 6

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

Question 7

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 8

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 9

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

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) increases the respiratory rate.

Accepted Answer

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

Question 11

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) Frequency of cough
4) Consistency

Accepted Answer

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

Question 12

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 13

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 14

Moderate hypoxemia is indicated with an SpO2 value between ________ and _________.

Accepted Answer

A)  95%; 99% 
B)  91%; 94% 
C)  86%; 90% 
D)  80%; 85% 
A)  95%; 99% 
B)  91%; 94% 
C)  86%; 90% 
D)  80%; 85%

Exam 2: The Physical Examination

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

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

A dull percussion note would be heard in which of the following situations? 1) Atelectasis 2) Pleural thickening 3) Chronic obstructive pulmonary disease (COPD) 4) Consolidation

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 examination finding?

The respiratory therapist is examining a patient in the medical ward and notes that the trachea is deviated to the right. Which of the following may be causing the tracheal deviation to the right?

When would induced hypothermia be indicated?

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

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

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) increases the respiratory rate.

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) Frequency of cough 4) Consistency

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

Moderate hypoxemia is indicated with an SpO2 value between ________ and _________.

The Patient Interview

The Pathophysiologic Basis for Common Clinical Manifestations

Pulmonary Function Testing

Blood Gas Assessment

Assessment of Oxygenation

Assessment of the Cardiovascular System

Radiologic Examination of the Chest

Other Important Tests and Procedures

The Therapist-Driven Protocol Program

Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols

Recording Skills and Intra-Professional Communication

Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema

Asthma

Cystic Fibrosis

Bronchiectasis

Atelectasis

Pneumonia, Lung Abscess Formation, and Important Fungal Diseases

Tuberculosis

Pulmonary Edema

Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension

Flail Chest

Pneumothorax

Pleural Effusion and Empyema

Kyphoscoliosis

Cancer of the Lung, Prevention and Palliation

Interstitial Lung Diseases

Acute Respiratory Distress Syndrome

Guillain-Barré Syndrome

Myasthenia Gravis

Cardiopulmonary Assessment and Care of Patients With Neuromuscular Disease

Sleep Apnea

Newborn Assessment and Management

Pediatric Assessment, Protocols, and Pals Management

Meconium Aspiration Syndrome

Transient Tachypnea of the Newborn

Respiratory Distress Syndrome

Pulmonary Air Leak Syndrome

Respiratory Syncytial Virus Infection Bronchiolitis

Chronic Lung Disease of Infancy

Congenital Diaphragmatic Hernia

Congenital Heart Disease

Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis

Near Drowningwet Drowning

Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication

Filters

Moderate hypoxemia is indicated with an SpO₂ value between and _.