Question 1

What term is used to describe shortness of breath in the upright position?

Accepted Answer

A) orthopnea 
B) platypnea 
C) eupnea 
D) apnea 
A) orthopnea 
B) platypnea 
C) eupnea 
D) apnea

Question 2

During posterior thoracic palpation of an adult, you notice little or no movement on the right side during a full, deep breath. Which of the following conditions could explain this finding?
I.bilateral phrenic nerve paralysis
II.right-sided pleural effusion
III.atelectasis of the right lower lobe
IV.right lobar consolidation

Accepted Answer

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

Question 3

Which of the following conditions is most likely to cause a dry, nonproductive cough?

Accepted Answer

A) chronic bronchitis 
B) cystic fibrosis 
C) pulmonary fibrosis 
D) chronic obstructive pulmonary disease 
A) chronic bronchitis 
B) cystic fibrosis 
C) pulmonary fibrosis 
D) chronic obstructive pulmonary disease

Question 4

Which of the following is least likely to cause tachycardia?

Accepted Answer

A) fever 
B) severe pain 
C) hypotension 
D) hypothermia 
A) fever 
B) severe pain 
C) hypotension 
D) hypothermia

Question 5

What change in the patient's respiratory breathing pattern is commonly seen with significant fever?

Accepted Answer

A) slower rate 
B) more rapid rate 
C) more prolonged expiratory time 
D) more prolonged inspiratory time 
A) slower rate 
B) more rapid rate 
C) more prolonged expiratory time 
D) more prolonged inspiratory time

Question 6

What term is used to describe difficult breathing in the reclining position?

Accepted Answer

A) orthopnea 
B) platypnea 
C) eupnea 
D) apnea 
A) orthopnea 
B) platypnea 
C) eupnea 
D) apnea

Question 7

Which of the following is NOT a cause of hypotension?

Accepted Answer

A) heart failure 
B) hypovolemia 
C) mild tachycardia 
D) peripheral vasoconstriction 
A) heart failure 
B) hypovolemia 
C) mild tachycardia 
D) peripheral vasoconstriction

Question 8

What is the most common cause of jugular venous distention (JVD)?

Accepted Answer

A) right-sided heart failure 
B) arterial hypoxemia 
C) tension pneumothorax 
D) acute systemic hypertension 
A) right-sided heart failure 
B) arterial hypoxemia 
C) tension pneumothorax 
D) acute systemic hypertension

Question 9

Which of the following pulmonary disorders is most likely to result in hepatomegaly?

Accepted Answer

A) pulmonary atelectasis 
B) acute viral infections 
C) cor pulmonale 
D) acute asthma 
A) pulmonary atelectasis 
B) acute viral infections 
C) cor pulmonale 
D) acute asthma

Question 10

During examination of a patient's extremities, you press firmly for a brief period on a fingernail. You observe that it takes about 5 seconds for the color to return to the nail bed. This finding is most consistent with which of the following?

Accepted Answer

A) reduction in cardiac output or poor peripheral perfusion 
B) presence of a disorder causing chronic hypoxemia 
C) reduction in venous return to the right side of the heart 
D) presence of a disorder causing systemic hypertension 
A) reduction in cardiac output or poor peripheral perfusion 
B) presence of a disorder causing chronic hypoxemia 
C) reduction in venous return to the right side of the heart 
D) presence of a disorder causing systemic hypertension

Question 11

Which of the following represent proper chest auscultation technique?
I.The practitioner should begin auscultation at the lung bases.
II.The bell or diaphragm should be placed directly on the chest wall.
III.The patient should be instructed to breathe through an open mouth.
IV.The patient should be placed in a comfortable upright position.
V.The patient should be told to breathe more deeply than normal.

Accepted Answer

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

Question 12

In which of the following conditions would late inspiratory crackles be most likely to occur?
I.emphysema
II.pulmonary fibrosis
III.pneumonia
IV.pulmonary edema
V.atelectasis

Accepted Answer

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

Question 13

In which of the following disorders is digital clubbing a common physical sign?
I.congenital heart disease
II.lung cancer
III.chronic obstructive pulmonary disease
IV.bronchiectasis

Accepted Answer

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

Question 14

What structure in the body is responsible for regulating the body temperature?

Accepted Answer

A) pituitary gland 
B) thyroid gland 
C) hypothalamus 
D) thymus gland 
A) pituitary gland 
B) thyroid gland 
C) hypothalamus 
D) thymus gland

Question 15

The vibration created by percussion penetrates the lung to about what depth?

Accepted Answer

A) 1 to 2 cm 
B) 3 to 5 cm 
C) 5 to 7 cm 
D) 8 to 10 cm 
A) 1 to 2 cm 
B) 3 to 5 cm 
C) 5 to 7 cm 
D) 8 to 10 cm

Question 16

What is the normal range for diastolic blood pressure in the adult patient?

Accepted Answer

A) 40 to 80 mm Hg 
B) 60 to 90 mm Hg 
C) 80 to 110 mm Hg 
D) 60 to 110 mm Hg 
A) 40 to 80 mm Hg 
B) 60 to 90 mm Hg 
C) 80 to 110 mm Hg 
D) 60 to 110 mm Hg

Question 17

In palpating a patient's feet and hands, you note extreme coolness to the touch. This finding is most consistent with which of the following?

Accepted Answer

A) presence of a disorder causing chronic hypoxemia 
B) reduction in venous return to the right side of the heart 
C) peripheral vasoconstriction due to inadequate perfusion 
D) presence of a disorder causing systemic hypertension 
A) presence of a disorder causing chronic hypoxemia 
B) reduction in venous return to the right side of the heart 
C) peripheral vasoconstriction due to inadequate perfusion 
D) presence of a disorder causing systemic hypertension

Question 18

What is the most common cause of pedal edema?

Accepted Answer

A) liver failure 
B) kidney failure 
C) heart failure 
D) electrolyte imbalances 
A) liver failure 
B) kidney failure 
C) heart failure 
D) electrolyte imbalances

Question 19

Why should the respiratory therapist perform a blood pressure assessment fairly quickly?

Accepted Answer

A) The procedure is expensive. 
B) The procedure cuts off blood flow to the forearm temporarily. 
C) The respiratory therapist has other procedures to do. 
D) The procedure is billed by the time involved. 
A) The procedure is expensive. 
B) The procedure cuts off blood flow to the forearm temporarily. 
C) The respiratory therapist has other procedures to do. 
D) The procedure is billed by the time involved.

Question 20

What is the most common cause of hypothermia?

Accepted Answer

A) exposure to cold environment 
B) head injury 
C) stroke 
D) thyroid gland dysfunction 
A) exposure to cold environment 
B) head injury 
C) stroke 
D) thyroid gland dysfunction

Exam 15: Bedside Assessment of the Patient

What term is used to describe shortness of breath in the upright position?

Which of the following conditions is most likely to cause a dry, nonproductive cough?

Which of the following is least likely to cause tachycardia?

What change in the patient's respiratory breathing pattern is commonly seen with significant fever?

What term is used to describe difficult breathing in the reclining position?

Which of the following is NOT a cause of hypotension?

What is the most common cause of jugular venous distention (JVD)?

Which of the following pulmonary disorders is most likely to result in hepatomegaly?

During examination of a patient's extremities, you press firmly for a brief period on a fingernail. You observe that it takes about 5 seconds for the color to return to the nail bed. This finding is most consistent with which of the following?

In which of the following conditions would late inspiratory crackles be most likely to occur? I.emphysema II.pulmonary fibrosis III.pneumonia IV.pulmonary edema V.atelectasis

In which of the following disorders is digital clubbing a common physical sign? I.congenital heart disease II.lung cancer III.chronic obstructive pulmonary disease IV.bronchiectasis

What structure in the body is responsible for regulating the body temperature?

The vibration created by percussion penetrates the lung to about what depth?

What is the normal range for diastolic blood pressure in the adult patient?

In palpating a patient's feet and hands, you note extreme coolness to the touch. This finding is most consistent with which of the following?

What is the most common cause of pedal edema?

Why should the respiratory therapist perform a blood pressure assessment fairly quickly?

What is the most common cause of hypothermia?

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

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