Question 1

The therapist is assessing a water seal and a collection chamber and observes bubbling in the water seal chamber.What should the therapist do at this time?

Accepted Answer

A) Nothing because bubbling indicates normal function 
B) Increase the suction pressure 
C) Reassess the patient because bubbling indicates presence of air leak 
D) Remove the chest tube 
A) Nothing because bubbling indicates normal function 
B) Increase the suction pressure 
C) Reassess the patient because bubbling indicates presence of air leak 
D) Remove the chest tube C

Question 2

Which of the following laboratory analyses would the respiratory therapist possibly conduct,using a sample of pleural fluid?

Accepted Answer

A) Determination of the causative microorganism 
B) pH determination 
C) Determination that the effusion is an exudate or a transudate 
D) Composition testing 
A) Determination of the causative microorganism 
B) pH determination 
C) Determination that the effusion is an exudate or a transudate 
D) Composition testing B

Question 3

Which of the following mechanisms explains the accumulation of fluid in the pleural space of patients with ARDS?

Accepted Answer

A) Increased capillary permeability 
B) Decreased osmotic pressure 
C) Increased hydrostatic pressure 
D) Obstructed lymphatic drainage 
A) Increased capillary permeability 
B) Decreased osmotic pressure 
C) Increased hydrostatic pressure 
D) Obstructed lymphatic drainage A

Question 4

Which of the following conditions is considered a complication of a thoracentesis?

Accepted Answer

A) Increased intracranial pressure 
B) Pneumothorax 
C) Pneumonia 
D) Consolidation 
A) Increased intracranial pressure 
B) Pneumothorax 
C) Pneumonia 
D) Consolidation

Question 5

Which of the following clinical symptoms is associated with a pleural effusion?

Accepted Answer

A) Chest pain 
B) Productive cough 
C) Dyspnea 
D) Dysphagia 
A) Chest pain 
B) Productive cough 
C) Dyspnea 
D) Dysphagia

Question 6

In which of the following body positions are radiographs generally taken to reveal the presence of excess fluid in the pleural space?

Accepted Answer

A) Anteroposterior (AP)recumbent 
B) Posteroanterior (P
A) recumbent 
C) Fowler 
D) Lateral decubitus 
A) Anteroposterior (AP)recumbent 
B) Posteroanterior (P
A) recumbent 
C) Fowler 
D) Lateral decubitus

Question 7

What type of auscultatory and percussion findings often reveal evidence of a pleural effusion?

Accepted Answer

A) Wheezing;hyperresonance 
B) Crackles;bronchovesicular 
C) Crackles;dull 
D) Diminished;dull 
A) Wheezing;hyperresonance 
B) Crackles;bronchovesicular 
C) Crackles;dull 
D) Diminished;dull

Question 8

Which of the following factors determines the amount of fluid present in the pleural space?

Accepted Answer

A) Intracapillary hydrostatic pressure 
B) Subatmospheric pressure in the pleural space 
C) Pleural pressure 
D) Intra-alveolar pressure 
A) Intracapillary hydrostatic pressure 
B) Subatmospheric pressure in the pleural space 
C) Pleural pressure 
D) Intra-alveolar pressure

Question 9

Excessive amounts of pleural fluid may require drainage through a chest tube.What is the normal amount of fluid present in the pleural space?

Accepted Answer

A) 1 L 
B) 5 to 10 L 
C) 10 to 50 mL 
D) 1 to 5 mL 
A) 1 L 
B) 5 to 10 L 
C) 10 to 50 mL 
D) 1 to 5 mL

Question 10

Which of the following are the most common symptoms associated with pneumothorax?

Accepted Answer

A) Cough and headache 
B) Shortness of breath and chest pain 
C) Hemoptysis and chest pain 
D) Dry cough and dyspnea 
A) Cough and headache 
B) Shortness of breath and chest pain 
C) Hemoptysis and chest pain 
D) Dry cough and dyspnea

Question 11

What is the most common cause of pleural effusion in the pediatric population?

Accepted Answer

A) Empyema 
B) Congestive heart failure 
C) Parapneumonic effusion 
D) Adenobacterial effusion 
A) Empyema 
B) Congestive heart failure 
C) Parapneumonic effusion 
D) Adenobacterial effusion

Question 12

Fluid drained from a thoracentesis has the appearance of pus.Which of the following microorganisms should the therapist typically suspect in children with empyema?

Accepted Answer

A) Staphylococcus aureus 
B) Streptococcus pneumoniae 
C) Klebsiella pneumoniae 
D) Mycoplasma pneumoniae 
A) Staphylococcus aureus 
B) Streptococcus pneumoniae 
C) Klebsiella pneumoniae 
D) Mycoplasma pneumoniae

Question 13

What procedure should the therapist suggest to relieve a tension pneumothorax while awaiting more definitive treatment?

Accepted Answer

A) Insertion of thoracostomy tubes 
B) Thoracotomy 
C) Thoracentesis with a large-bore needle 
D) Needle thoracostomy 
A) Insertion of thoracostomy tubes 
B) Thoracotomy 
C) Thoracentesis with a large-bore needle 
D) Needle thoracostomy

Question 14

Which of the following clinical conditions causes fluid to accumulate in the pleural space?

Accepted Answer

A) Congestive heart failure 
B) Asthma 
C) Cor pulmonale 
D) Chronic obstructive pulmonary disease 
A) Congestive heart failure 
B) Asthma 
C) Cor pulmonale 
D) Chronic obstructive pulmonary disease

Exam 32: Disorders of the Pleura

The therapist is assessing a water seal and a collection chamber and observes bubbling in the water seal chamber.What should the therapist do at this time?

Which of the following laboratory analyses would the respiratory therapist possibly conduct,using a sample of pleural fluid?

Which of the following mechanisms explains the accumulation of fluid in the pleural space of patients with ARDS?

Which of the following conditions is considered a complication of a thoracentesis?

Which of the following clinical symptoms is associated with a pleural effusion?

In which of the following body positions are radiographs generally taken to reveal the presence of excess fluid in the pleural space?

What type of auscultatory and percussion findings often reveal evidence of a pleural effusion?

Which of the following factors determines the amount of fluid present in the pleural space?

Excessive amounts of pleural fluid may require drainage through a chest tube.What is the normal amount of fluid present in the pleural space?

Which of the following are the most common symptoms associated with pneumothorax?

What is the most common cause of pleural effusion in the pediatric population?

Fluid drained from a thoracentesis has the appearance of pus.Which of the following microorganisms should the therapist typically suspect in children with empyema?

What procedure should the therapist suggest to relieve a tension pneumothorax while awaiting more definitive treatment?

Which of the following clinical conditions causes fluid to accumulate in the pleural space?

Fetal Lung Development

Fetal Gas Exchange and Circulation

Antenatal Assessment and High Risk Delivery

Exam and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Bronchoscopy

Invasive Blood Gas Analysis and Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Medication

Airway Clearance Techniques and Lung Volume Expansion

Airway Management

Surfactant Replacement

Non-Invasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Child

Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Life Support

Pharmacology

Thoracic Organ Transplantation

Neonatal Complications and Pulmonary Disorders

Congenital and Surgical Disorders That Affect Respiratory Care

Congenital Cardiac Defects

Sudden Infant Death Syndrome Sleep Disorders

Pediatric Airway Disorders and Pulmonary Infections

Asthma

Cystic Fibrosis

Acute Respiratory Distress Syndrome

Shock, Sepsis and Anaphylaxis

Pediatric Trauma

Neurologic and Neuromuscular Disorders

Transport of Infants and Children

Home Care

Quality and Safety

Filters