Question 1

What term is used to describe sputum that has pus in it?

Accepted Answer

A) fetid 
B) mucoid 
C) purulent 
D) tenacious 
A) fetid 
B) mucoid 
C) purulent 
D) tenacious

Question 2

While observing a patient's breathing, you note that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following are potential causes of this abnormality?
I.central nervous system disorder
II.congestive heart failure
III.metabolic acidosis

Accepted Answer

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

Question 3

Which of the following is NOT a common cause of an increase in the drive to breathe which would increase the sensation of dyspnea?

Accepted Answer

A) hypoxemia 
B) acidosis 
C) high fever 
D) hypocarbia 
A) hypoxemia 
B) acidosis 
C) high fever 
D) hypocarbia

Question 4

High-pitched, loud, tubular breath sounds with an expiratory component equal to the inspiratory component best describes which of the following breath sounds?

Accepted Answer

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

Question 5

In auscultating the precordium of a patient, you hear a high-pitched "whooshing" noise occurring simultaneously with S1. This finding is most consistent with which of the following?

Accepted Answer

A) incompetent mitral valve 
B) stenotic tricuspid valve 
C) incompetent pulmonic valve 
D) stenotic mitral valve 
A) incompetent mitral valve 
B) stenotic tricuspid valve 
C) incompetent pulmonic valve 
D) stenotic mitral valve

Question 6

What two factors determine cardiac output?

Accepted Answer

A) ventricular filling and heart rate 
B) stroke volume and heart rate 
C) stroke volume and respiratory rate 
D) heart rate and tidal volume 
A) ventricular filling and heart rate 
B) stroke volume and heart rate 
C) stroke volume and respiratory rate 
D) heart rate and tidal volume

Question 7

While percussing a patient's chest wall, you detect an abnormal increase in resonance. Which of the following are possible causes of this finding?
I.asthma
II.pneumothorax
III.emphysema
IV.pneumonia

Accepted Answer

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

Question 8

Which of the following abnormalities should the practitioner be on the lookout for during inspection of the extremities?
I.digital clubbing
II.peripheral cyanosis
III.pedal edema
IV.impaired capillary refill
V.low peripheral skin temperature

Accepted Answer

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

Question 9

Diastolic murmurs are generally associated with which of the following?
I.stenotic semilunar valve
II.incompetent atrioventricular (AV) valve
III.incompetent semilunar valve
IV.stenotic atrioventricular valve

Accepted Answer

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

Question 10

What breathing pattern is associated with diabetic ketoacidosis?

Accepted Answer

A) Kussmaul breathing 
B) apneustic breathing 
C) Biot's breathing 
D) apnea 
A) Kussmaul breathing 
B) apneustic breathing 
C) Biot's breathing 
D) apnea

Question 11

Which of the following is/are advantages of the digital blood pressure measurement devices?

Accepted Answer

A) They reduce the risk of human error. 
B) They reduce the cost. 
C) They have an alarm. 
D) They measure blood pressure and stroke volume. 
A) They reduce the risk of human error. 
B) They reduce the cost. 
C) They have an alarm. 
D) They measure blood pressure and stroke volume.

Question 12

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

Accepted Answer

A) 90 to 140 mm Hg 
B) 80 to 100 mm Hg 
C) 75 to 100 mm Hg 
D) 60 to 100 mm Hg 
A) 90 to 140 mm Hg 
B) 80 to 100 mm Hg 
C) 75 to 100 mm Hg 
D) 60 to 100 mm Hg

Question 13

What is the area of the anterior chest wall overlying the heart is called?

Accepted Answer

A) epigastrium 
B) precordium 
C) pericardium 
D) axilla 
A) epigastrium 
B) precordium 
C) pericardium 
D) axilla

Question 14

Which of the following changes in the characteristics of wheezing indicate improvement in airway obstruction following bronchodilator therapy?

Accepted Answer

A) lower pitch, shorter duration 
B) higher pitch, shorter duration 
C) lower pitch, longer duration 
D) higher pitch, longer duration 
A) lower pitch, shorter duration 
B) higher pitch, shorter duration 
C) lower pitch, longer duration 
D) higher pitch, longer duration

Question 15

Which of the following is NOT a purpose of the interview?

Accepted Answer

A) to collect diagnostic information 
B) to establish a rapport with the patient 
C) to identify plans for payment 
D) to identify the effect of therapy 
A) to collect diagnostic information 
B) to establish a rapport with the patient 
C) to identify plans for payment 
D) to identify the effect of therapy

Question 16

Splitting of the second heart sound (S2) is normally most pronounced during which of the following?

Accepted Answer

A) exhalation 
B) breath holding 
C) inhalation 
D) forced exhalation 
A) exhalation 
B) breath holding 
C) inhalation 
D) forced exhalation

Question 17

In which of the following conditions might the intensity of the heart sounds be reduced?
I.heart failure
II.severe obesity
III.pneumothorax
IV.pleural effusion
V.pulmonary hyperinflation

Accepted Answer

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

Question 18

Which of the following is a TRUE statement about the cause of systemic hypertension in adult patients?

Accepted Answer

A) The cause is often unknown. 
B) The cause is often related to poor diet. 
C) The cause is often related to a lack of exercise. 
D) The cause is often related to sleep apnea. 
A) The cause is often unknown. 
B) The cause is often related to poor diet. 
C) The cause is often related to a lack of exercise. 
D) The cause is often related to sleep apnea.

Question 19

Which of the following causes decreased breath sounds?
I.air or fluid in the pleural space
II.hyperinflation of lung tissue
III.mucus plugging of the airways
IV.shallow or slow breathing

Accepted Answer

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

Question 20

What is indicated by the presence of central cyanosis?

Accepted Answer

A) respiratory failure 
B) circulatory failure 
C) anemia 
D) hypotension 
A) respiratory failure 
B) circulatory failure 
C) anemia 
D) hypotension

Exam 15: Bedside Assessment of the Patient

What term is used to describe sputum that has pus in it?

While observing a patient's breathing, you note that the depth and rate first increase, then decrease, followed by a period of apnea. Which of the following are potential causes of this abnormality? I.central nervous system disorder II.congestive heart failure III.metabolic acidosis

Which of the following is NOT a common cause of an increase in the drive to breathe which would increase the sensation of dyspnea?

High-pitched, loud, tubular breath sounds with an expiratory component equal to the inspiratory component best describes which of the following breath sounds?

In auscultating the precordium of a patient, you hear a high-pitched "whooshing" noise occurring simultaneously with S1. This finding is most consistent with which of the following?

What two factors determine cardiac output?

While percussing a patient's chest wall, you detect an abnormal increase in resonance. Which of the following are possible causes of this finding? I.asthma II.pneumothorax III.emphysema IV.pneumonia

Which of the following abnormalities should the practitioner be on the lookout for during inspection of the extremities? I.digital clubbing II.peripheral cyanosis III.pedal edema IV.impaired capillary refill V.low peripheral skin temperature

Diastolic murmurs are generally associated with which of the following? I.stenotic semilunar valve II.incompetent atrioventricular (AV) valve III.incompetent semilunar valve IV.stenotic atrioventricular valve

What breathing pattern is associated with diabetic ketoacidosis?

Which of the following is/are advantages of the digital blood pressure measurement devices?

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

What is the area of the anterior chest wall overlying the heart is called?

Which of the following changes in the characteristics of wheezing indicate improvement in airway obstruction following bronchodilator therapy?

Which of the following is NOT a purpose of the interview?

Splitting of the second heart sound (S2) is normally most pronounced during which of the following?

In which of the following conditions might the intensity of the heart sounds be reduced? I.heart failure II.severe obesity III.pneumothorax IV.pleural effusion V.pulmonary hyperinflation

Which of the following is a TRUE statement about the cause of systemic hypertension in adult patients?

Which of the following causes decreased breath sounds? I.air or fluid in the pleural space II.hyperinflation of lung tissue III.mucus plugging of the airways IV.shallow or slow breathing

What is indicated by the presence of central 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

In auscultating the precordium of a patient, you hear a high-pitched "whooshing" noise occurring simultaneously with S₁. This finding is most consistent with which of the following?

Splitting of the second heart sound (S₂) is normally most pronounced during which of the following?