Question 1

What is the movement of small volumes of air back and forth in the respiratory tract at high frequencies (12 to 25 Hz) called?

Accepted Answer

A) tidal breathing 
B) active cycle breathing 
C) oscillation 
D) huffing 
A) tidal breathing 
B) active cycle breathing 
C) oscillation 
D) huffing

Question 2

Which of the following airway clearance techniques would you recommend for a patient with a neurologic abnormality (bulbar palsy) and intact upper airway?
I.postural drainage, percussion, and vibration
II.positive expiratory pressure therapy
III.mechanical insufflation-exsufflation

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 3

For which of the following patients directed coughing might be contraindicated?
I.patient with poor coronary artery perfusion
II.postoperative upper-abdominal surgery patient
III.long-term care patient with retained secretions
IV.patient with an acute unstable spinal injury

Accepted Answer

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

Question 4

When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except:

Accepted Answer

A) patient's age and respiratory history 
B) nature and duration of current surgery 
C) number of prior surgical procedures 
D) type of anesthesia (e.g., local versus general) 
A) patient's age and respiratory history 
B) nature and duration of current surgery 
C) number of prior surgical procedures 
D) type of anesthesia (e.g., local versus general)

Question 5

All of the following laboratory data are essential in assessing a patient's need for bronchial hygiene therapy except:

Accepted Answer

A) chest radiograph 
B) pulmonary function tests (PFTs) 
C) hematology results 
D) ABGs/oxygen saturation 
A) chest radiograph 
B) pulmonary function tests (PFTs) 
C) hematology results 
D) ABGs/oxygen saturation

Question 6

The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?

Accepted Answer

A) breathing exercises 
B) postural drainage therapy 
C) hyperinflation therapy 
D) directed coughing 
A) breathing exercises 
B) postural drainage therapy 
C) hyperinflation therapy 
D) directed coughing

Question 7

Properly performed chest vibration is applied at what point?

Accepted Answer

A) throughout inspiration 
B) at the end of expiration 
C) at the start of inspiration 
D) throughout expiration 
A) throughout inspiration 
B) at the end of expiration 
C) at the start of inspiration 
D) throughout expiration

Question 8

All of the following are hazards of positive airway pressure therapies (EPAP, PEP, CPAP) except:

Accepted Answer

A) decreased venous return 
B) epistaxis 
C) pulmonary barotrauma 
D) increased intracranial pressure 
A) decreased venous return 
B) epistaxis 
C) pulmonary barotrauma 
D) increased intracranial pressure

Question 9

Which if the following is the only absolute contraindication to turning?

Accepted Answer

A) when the patient cannot or will not change body position 
B) when poor oxygenation is associated with unilateral lung disease 
C) when the patient has or is at high risk for atelectasis 
D) when the patient has unstable spinal cord injuries 
A) when the patient cannot or will not change body position 
B) when poor oxygenation is associated with unilateral lung disease 
C) when the patient has or is at high risk for atelectasis 
D) when the patient has unstable spinal cord injuries

Question 10

Which of the following parts are required to conduct high-frequency external chest wall compression?
I.variable air-pulse generator
II.expiratory flow resistor with one-way valve
III.nonstretch inflatable thoracic vest

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 11

When turning a critically ill patient, one should be on guard for which of the following "plumbing" problems?
I.aspiration of circuit condensate
II.disconnection of vascular lines
III.ventilator disconnection
IV.accidental extubation

Accepted Answer

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

Question 12

The airway clearance technique that uses a pneumatic device to deliver compressed gas minibursts to the airway at rates above 100/min best describes which of the following?

Accepted Answer

A) intrapulmonary percussive ventilation 
B) active cycle of breathing 
C) high-frequency external chest wall compression 
D) intermittent positive-pressure breathing 
A) intrapulmonary percussive ventilation 
B) active cycle of breathing 
C) high-frequency external chest wall compression 
D) intermittent positive-pressure breathing

Question 13

Under which of the following conditions would mechanical insufflation-exsufflation with an oronasal mask probably NOT be effective?
I.if the glottis collapses during exsufflation
II.presence of fixed airway obstruction
III.presence of a chronic neuromuscular disorder

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 14

Which of the following should be charted after completing a postural drainage treatment?
I.amount and consistency of sputum produced
II.patient tolerance of procedure
III.position(s) used (including time)IV.any untoward effects observed

Accepted Answer

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

Question 15

All of the following are considered bronchial hygiene therapies except:

Accepted Answer

A) postural drainage and percussion 
B) incentive spirometry 
C) positive airway pressure 
D) percussion, vibration, and oscillation 
A) postural drainage and percussion 
B) incentive spirometry 
C) positive airway pressure 
D) percussion, vibration, and oscillation

Question 16

What does phase 1 of autogenic drainage involve?

Accepted Answer

A) breathing at low to mid-lung volumes 
B) an inspiratory capacity maneuver, followed by breathing at low lung volumes 
C) vigorous coughing using the FET 
D) progressive breaths at higher and higher lung volumes 
A) breathing at low to mid-lung volumes 
B) an inspiratory capacity maneuver, followed by breathing at low lung volumes 
C) vigorous coughing using the FET 
D) progressive breaths at higher and higher lung volumes

Question 17

Which of the following are potential indications for positive airway pressure therapies?
I.reduce air-trapping in asthma or chronic obstructive pulmonary disease
II.help mobilize retained secretions
III.prevent or reverse atelectasis
IV.optimize bronchodilator delivery

Accepted Answer

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

Question 18

A patient with a neuromuscular disorder causing generalized muscle weakness is having difficulty developing an effective cough. Which of the following cough phases are primarily affected in this patient?

Accepted Answer

A) irritation 
B) inspiration 
C) compression 
D) expulsion 
A) irritation 
B) inspiration 
C) compression 
D) expulsion

Question 19

Which of the following determines effectiveness of high-frequency external chest wall compression therapy?
I.compression frequency
II.largest volumes
III.flow bias

Accepted Answer

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

Question 20

During autogenic drainage, when should patients be encouraged to cough?

Accepted Answer

A) throughout the procedure 
B) after phase 1 only 
C) after phase 2 only 
D) after phase 3 only 
A) throughout the procedure 
B) after phase 1 only 
C) after phase 2 only 
D) after phase 3 only

Exam 40: Bronchial Hygiene Therapy

What is the movement of small volumes of air back and forth in the respiratory tract at high frequencies (12 to 25 Hz) called?

Which of the following airway clearance techniques would you recommend for a patient with a neurologic abnormality (bulbar palsy) and intact upper airway? I.postural drainage, percussion, and vibration II.positive expiratory pressure therapy III.mechanical insufflation-exsufflation

For which of the following patients directed coughing might be contraindicated? I.patient with poor coronary artery perfusion II.postoperative upper-abdominal surgery patient III.long-term care patient with retained secretions IV.patient with an acute unstable spinal injury

When assessing the potential need for postoperative bronchial hygiene for a patient, all of the following factors are relevant except:

All of the following laboratory data are essential in assessing a patient's need for bronchial hygiene therapy except:

The application of gravity to achieve specific clinical objectives in respiratory care best describes which of the following?

Properly performed chest vibration is applied at what point?

All of the following are hazards of positive airway pressure therapies (EPAP, PEP, CPAP) except:

Which if the following is the only absolute contraindication to turning?

Which of the following parts are required to conduct high-frequency external chest wall compression? I.variable air-pulse generator II.expiratory flow resistor with one-way valve III.nonstretch inflatable thoracic vest

When turning a critically ill patient, one should be on guard for which of the following "plumbing" problems? I.aspiration of circuit condensate II.disconnection of vascular lines III.ventilator disconnection IV.accidental extubation

The airway clearance technique that uses a pneumatic device to deliver compressed gas minibursts to the airway at rates above 100/min best describes which of the following?

Under which of the following conditions would mechanical insufflation-exsufflation with an oronasal mask probably NOT be effective? I.if the glottis collapses during exsufflation II.presence of fixed airway obstruction III.presence of a chronic neuromuscular disorder

Which of the following should be charted after completing a postural drainage treatment? I.amount and consistency of sputum produced II.patient tolerance of procedure III.position(s) used (including time)IV.any untoward effects observed

All of the following are considered bronchial hygiene therapies except:

What does phase 1 of autogenic drainage involve?

Which of the following are potential indications for positive airway pressure therapies? I.reduce air-trapping in asthma or chronic obstructive pulmonary disease II.help mobilize retained secretions III.prevent or reverse atelectasis IV.optimize bronchodilator delivery

A patient with a neuromuscular disorder causing generalized muscle weakness is having difficulty developing an effective cough. Which of the following cough phases are primarily affected in this patient?

Which of the following determines effectiveness of high-frequency external chest wall compression therapy? I.compression frequency II.largest volumes III.flow bias

During autogenic drainage, when should patients be encouraged to cough?

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

Bedside Assessment of the Patient

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

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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