Question 1

In which of the following patient categories would the intensity of the point of maximal impulse (PMI) be most difficult to palpate?

Accepted Answer

A) chronic pulmonary hyperinflation 
B) mitral (bicuspid) stenosis 
C) left ventricular hypertrophy 
D) right ventricular hypertrophy 
A) chronic pulmonary hyperinflation 
B) mitral (bicuspid) stenosis 
C) left ventricular hypertrophy 
D) right ventricular hypertrophy A

Question 2

What is the normal range for pulse pressure?

Accepted Answer

A) 20 to 35 mm Hg 
B) 30 to 60 mm Hg. 
C) 30 to 40 mm Hg 
D) 30 to 60 mm Hg 
A) 20 to 35 mm Hg 
B) 30 to 60 mm Hg. 
C) 30 to 40 mm Hg 
D) 30 to 60 mm Hg C

Question 3

What is indicated by retractions?

Accepted Answer

A) an increase in PaCO2 
B) an increase in the work of breathing 
C) a decrease in blood flow to the lungs 
D) reduce lung volumes 
A) an increase in PaCO2 
B) an increase in the work of breathing 
C) a decrease in blood flow to the lungs 
D) reduce lung volumes B

Question 4

Your patient has an abnormal sensorium. Which of the following is most likely true?

Accepted Answer

A) He knows his name. 
B) He is confused about where he is. 
C) He is aware of the correct day. 
D) He knows the name of the hospital he has been taken to. 
A) He knows his name. 
B) He is confused about where he is. 
C) He is aware of the correct day. 
D) He knows the name of the hospital he has been taken to.

Question 5

Soft, muffled sounds heard mainly during inspiration over the peripheral lung parenchyma best describe which of the following breath sounds?

Accepted Answer

A) vesicular 
B) bronchovesicular 
C) bronchial 
D) tracheal 
A) vesicular 
B) bronchovesicular 
C) bronchial 
D) tracheal

Question 6

What does the presence of stridor indicate?

Accepted Answer

A) lower airway obstruction 
B) increased secretions in the large airways 
C) upper airway obstruction 
D) bronchial spasm 
A) lower airway obstruction 
B) increased secretions in the large airways 
C) upper airway obstruction 
D) bronchial spasm

Question 7

While palpating the thorax of a patient who repeats the words "ninety-nine," you note a localized area of decreased tactile fremitus on the lower right side. Which of the following could explain this finding?
I.atelectasis on the right
II.right-sided lower pneumothorax
III.right-sided lower pleural effusion
IV.obstruction of a bronchus in the right lung

Accepted Answer

A) II, III, and IV 
B) I and III 
C) III and IV 
D) I, III, and IV 
A) II, III, and IV 
B) I and III 
C) III and IV 
D) I, III, and IV

Question 8

Which of the following are potential causes of cardiac murmurs?
I.backflow of blood through an incompetent valve
II.forward flow through a stenotic valve
III.rapid flow through a normal valve

Accepted Answer

A) II and III 
B) I and II 
C) I, II, and III 
D) I and III 
A) II and III 
B) I and II 
C) I, II, and III 
D) I and III

Question 9

What artery is most often used to assess arterial blood pressure?

Accepted Answer

A) femoral 
B) radial 
C) ulnar 
D) brachial 
A) femoral 
B) radial 
C) ulnar 
D) brachial

Question 10

Right ventricular hypertrophy often produces a systolic thrust that can be felt and seen near which of the following?

Accepted Answer

A) lower left border of the sternum 
B) upper right border of the sternum 
C) left fifth intercostal space, midclavicular line 
D) lower right border of the sternum 
A) lower left border of the sternum 
B) upper right border of the sternum 
C) left fifth intercostal space, midclavicular line 
D) lower right border of the sternum

Question 11

Which of the following factors has minimal or no impact on the effectiveness of the patient's cough?

Accepted Answer

A) lung recoil 
B) airways resistance 
C) lung volume 
D) pulmonary vascular resistance 
A) lung recoil 
B) airways resistance 
C) lung volume 
D) pulmonary vascular resistance

Question 12

The second heart sound (S2) is created primarily by which of the following?

Accepted Answer

A) closure of the semilunar valves 
B) opening of the atrioventricular valves 
C) closure of the atrioventricular valves 
D) opening of the semilunar valves 
A) closure of the semilunar valves 
B) opening of the atrioventricular valves 
C) closure of the atrioventricular valves 
D) opening of the semilunar valves

Question 13

What is the advantage of COPD patients breathing through pursed-lips during exhalation?

Accepted Answer

A) helps the patient focus on their breathing 
B) promotes more complete emptying of the lungs 
C) reduces the patient's anxiety level 
D) improves arterial pH levels 
A) helps the patient focus on their breathing 
B) promotes more complete emptying of the lungs 
C) reduces the patient's anxiety level 
D) improves arterial pH levels

Question 14

Which of the following is an example of a leading question?

Accepted Answer

A) Is your breathing better now? 
B) How is your breathing now? 
C) When did your breathing change? 
D) Where is your pain located? 
A) Is your breathing better now? 
B) How is your breathing now? 
C) When did your breathing change? 
D) Where is your pain located?

Question 15

The first heart sound (S1) is created primarily by which of the following?

Accepted Answer

A) closure of the semilunar valves 
B) opening of the semilunar valves 
C) opening of the atrioventricular valves 
D) closure of the atrioventricular valves 
A) closure of the semilunar valves 
B) opening of the semilunar valves 
C) opening of the atrioventricular valves 
D) closure of the atrioventricular valves

Question 16

Which of the following terms is used to describe coughing up blood-streaked sputum?

Accepted Answer

A) hematemesis 
B) hemoptysis 
C) hemolysis 
D) hematoectasis 
A) hematemesis 
B) hemoptysis 
C) hemolysis 
D) hematoectasis

Question 17

What term is used to describe an abnormal anteroposterior curvature of the spine?

Accepted Answer

A) scoliosis 
B) pectus excavatum 
C) kyphosis 
D) pectus carinatum 
A) scoliosis 
B) pectus excavatum 
C) kyphosis 
D) pectus carinatum

Question 18

Where is the normal apical impulse (point of maximal impulse [PMI]) usually identified?

Accepted Answer

A) third right intercostal space, left sternal border 
B) fifth left intercostal space, midclavicular line 
C) third left intercostal space, anterior axillary line 
D) fifth right intercostal space, midclavicular line 
A) third right intercostal space, left sternal border 
B) fifth left intercostal space, midclavicular line 
C) third left intercostal space, anterior axillary line 
D) fifth right intercostal space, midclavicular line

Question 19

Which of the following is associated with tripodding?

Accepted Answer

A) severe pulmonary hyperinflation 
B) congestive heart disease 
C) pneumonia 
D) pulmonary fibrosis 
A) severe pulmonary hyperinflation 
B) congestive heart disease 
C) pneumonia 
D) pulmonary fibrosis

Question 20

Which of the following is TRUE of peripheral cyanosis?

Accepted Answer

A) reliable indicator of tissue hypoxia 
B) develops early in patients with anemia 
C) develops late in patients with polycythemia 
D) sign of inadequate tissue perfusion 
A) reliable indicator of tissue hypoxia 
B) develops early in patients with anemia 
C) develops late in patients with polycythemia 
D) sign of inadequate tissue perfusion

Exam 15: Bedside Assessment of the Patient

In which of the following patient categories would the intensity of the point of maximal impulse (PMI) be most difficult to palpate?

What is the normal range for pulse pressure?

What is indicated by retractions?

Your patient has an abnormal sensorium. Which of the following is most likely true?

Soft, muffled sounds heard mainly during inspiration over the peripheral lung parenchyma best describe which of the following breath sounds?

What does the presence of stridor indicate?

Which of the following are potential causes of cardiac murmurs? I.backflow of blood through an incompetent valve II.forward flow through a stenotic valve III.rapid flow through a normal valve

What artery is most often used to assess arterial blood pressure?

Right ventricular hypertrophy often produces a systolic thrust that can be felt and seen near which of the following?

Which of the following factors has minimal or no impact on the effectiveness of the patient's cough?

The second heart sound (S2) is created primarily by which of the following?

What is the advantage of COPD patients breathing through pursed-lips during exhalation?

Which of the following is an example of a leading question?

The first heart sound (S1) is created primarily by which of the following?

Which of the following terms is used to describe coughing up blood-streaked sputum?

What term is used to describe an abnormal anteroposterior curvature of the spine?

Where is the normal apical impulse (point of maximal impulse [PMI]) usually identified?

Which of the following is associated with tripodding?

Which of the following is TRUE of peripheral cyanosis?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

The second heart sound (S₂) is created primarily by which of the following?

The first heart sound (S₁) is created primarily by which of the following?