Question 1

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

Accepted Answer

A)  Head down, patient supine with a pillow under knees 
B)  Patient prone with a pillow under head, bed flat 
C)  Patient supine with a pillow under knees, bed flat 
D)  Head down, patient prone with a pillow under abdomen 
A)  Head down, patient supine with a pillow under knees 
B)  Patient prone with a pillow under head, bed flat 
C)  Patient supine with a pillow under knees, bed flat 
D)  Head down, patient prone with a pillow under abdomen

Question 2

Advantages of the flutter valve over other airway clearance methods include which of the following?
1) Good patient acceptance
2) Greater effectiveness
3) Full portability
4) Independent use

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 2 and 4 only 
D) 1, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 2 and 4 only 
D) 1, 3, and 4 only

Question 3

Absolute contraindications for postural drainage include which of the following?
1) Head and neck injury (until stabilized)
2) Active hemorrhage with hemodynamic instability
3) Uncontrolled airway at risk for aspiration

Accepted Answer

A) 1 and 2 only 
B) 2 and 3 only 
C) 1 and 3 only 
D) 1, 2, and 3 
A) 1 and 2 only 
B) 2 and 3 only 
C) 1 and 3 only 
D) 1, 2, and 3

Question 4

A patient recovering from anesthesia after abdominal surgery is having difficulty developing an effective cough. Which of the following phases of the cough reflex 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 5

In theory, how does positive expiratory pressure (PEP) help to move secretions into the larger airways?
1) Filling underaerated segments through collateral ventilation
2) Preventing airway collapse during expiration
3) Causing bronchodilation during inspiration

Accepted Answer

A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only 
A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only

Question 6

Which of the following clinical signs indicate that a patient is having a problem with retained secretions?
1) Copious amounts of sputum production
2) Labored breathing
3) Development of a fever
4) Increased inspiratory and expiratory crackles

Accepted Answer

A) 1 and 4 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 4 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 7

Partial airway obstruction can result in which of the following?
1) Increased work of breathing
2) Air trapping or overdistention
3) Increased expiratory flows
4) Ventilation/perfusion ratio (   ) imbalances

Accepted Answer

A) 1 and 2 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 2 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 8

Key consideration in teaching a patient to develop an effective cough regimen includes which of the following?
1) Strengthening of the expiratory muscles
2) Instruction in breathing control
3) Instruction in proper positioning

Accepted Answer

A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only 
A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only

Question 9

Which of the following would indicate a successful outcome for postural drainage therapy?
1) Decreased sputum production
2) Normalization in ABGs
3) Improved breath sounds
4) Improvement in chest radiograph

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 10

Which of the following responses indicate that postural drainage should be terminated?
1) Severe tachycardia
2) Complaint of discomfort
3) Irregular blood pressure
4) Severe bradycardia

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 2 and 4 only 
D) 1, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 2 and 4 only 
D) 1, 3, and 4 only

Exam 43: Airway Clearance Therapy Act

If a patient's chest radiograph shows infiltrates in the posterior basal segments of the lower lobes, what postural drainage position would you recommend?

Advantages of the flutter valve over other airway clearance methods include which of the following? 1) Good patient acceptance 2) Greater effectiveness 3) Full portability 4) Independent use

Absolute contraindications for postural drainage include which of the following? 1) Head and neck injury (until stabilized) 2) Active hemorrhage with hemodynamic instability 3) Uncontrolled airway at risk for aspiration

A patient recovering from anesthesia after abdominal surgery is having difficulty developing an effective cough. Which of the following phases of the cough reflex are primarily affected in this patient?

In theory, how does positive expiratory pressure (PEP) help to move secretions into the larger airways? 1) Filling underaerated segments through collateral ventilation 2) Preventing airway collapse during expiration 3) Causing bronchodilation during inspiration

Which of the following clinical signs indicate that a patient is having a problem with retained secretions? 1) Copious amounts of sputum production 2) Labored breathing 3) Development of a fever 4) Increased inspiratory and expiratory crackles

Partial airway obstruction can result in which of the following? 1) Increased work of breathing 2) Air trapping or overdistention 3) Increased expiratory flows 4) Ventilation/perfusion ratio ( ) imbalances

Key consideration in teaching a patient to develop an effective cough regimen includes which of the following? 1) Strengthening of the expiratory muscles 2) Instruction in breathing control 3) Instruction in proper positioning

Which of the following would indicate a successful outcome for postural drainage therapy? 1) Decreased sputum production 2) Normalization in ABGs 3) Improved breath sounds 4) Improvement in chest radiograph

Which of the following responses indicate that postural drainage should be terminated? 1) Severe tachycardia 2) Complaint of discomfort 3) Irregular blood pressure 4) Severe bradycardia

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring 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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