TEST BANK
,Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
jargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health history
form because each can impact the patient’s health. Health insurance provider information, while
needed for billing purposes, would not be found on the history form.
, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able to
interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. Closed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.
, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
he/she said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of silence
in which of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should pause (use
silence) before asking the next question. This pause allows the patient to add something else before
moving on. The patient may also choose to ask a question.
9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNB
. Tiratory tOherapist avoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
focus on specific areas and continues in his/her own way. Facilitation encourages patients to say
more, to continue with the story. The respiratory therapist should avoid giving advice, using
avoidance language, and using distancing language.
10. When closing the interview, the respiratory therapist should do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. Close the door behind himself/herself for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B
,To qend qthe qinterview qon qa qpositive qnote, qthe qrespiratory qtherapist qshould qthank qthe
qpatient qand qask qif qthe qpatient qhas qany qquestions. qIf qthere qis qno qneed qfor qthe qvital
qsigns qto qbe qchecked, qthey qshould qnot qbe. qThe qdoor qmay qbe qleft qopen qor qclosed,
qdepending qon qthe qsituation.
11. The qrespiratory qtherapist qshould qbe qaware qof qa qpatient’s qculture qand qreligious
qbeliefs qfor qwhich qof qthe qfollowing qreasons?
a. To qbe qable qto qengage qin qa qmeaningful qconversation
b. To qchange qany qmisguided qnotions qthe qpatient qhas qthat qmay qimpact qhis/her qhealth
c. To qexplain qto qthe qpatient qhow qthese qbeliefs qwill qlead qto
qdiscrimination qand qstereotyping
d. To qbetter qunderstand qhow qthe qpatient’s qbeliefs qmay qimpact qhow qthe
qpatient qthinks qand qbehaves
ANS: q D
Culture qand qreligious qbeliefs qmay qhave qa qprofound qeffect qon qhow qpatients qthink qand
qbehave, qand qthis qmay qimpact qtheir qhealth qor qhealth qcare qdecisions. qThe qrole qof qthe
qrespiratory
therapist qis qnot qto qchange qthe qpatient’s qbeliefs, qengage qin qsensitive qconversations, qor
qdiscuss qdiscrimination. qRather, qthe qrespiratory qtherapist qneeds qto qunderstand qhow qthese
qbeliefs qmay qimpact qthe qpatient’s qhealth qcare qdecisions.
12. Which qof qthe qfollowing qare qthe qmost qimportant qcomponents qof qa qsuccessful
qinterview?
a. Communication qand qunderstanding
b. Authority qand qthe quse qof qmedical qterminology
c. Providing qassurance qand qgiving qadvice
d. Asking qleading qquestions qand qanticipating qpatient qresponses qto qquestions
ANS: q A
N qR qI q G qB.C qM
Communication q and q understanding q are Ut he S
basiN
s qf oT
r q a q goodOpatient q interview. qAuthority, q the q use
q of
medical qjargon, qproviding qassurance, qgiving qadvice, qasking qleading qquestions, qand
qanticipating qare qall qtypes qof qnonproductive qcommunication qforms qand qcreate qbarriers qto
qpatient qcommunication.
13. The qrespiratory qtherapist qis qconducting qa qpatient qinterview qand qrecording
qresponses qin qthe qpatient’s qelectronic qhealth qrecord. qThe qrespiratory qtherapist
qshould qtake qwhich qof qthe qfollowing qinto qaccount qregarding qthe quse qof qthe
qcomputer qto qrecord qresponses?
a. The qtherapist’s qattention qmay qbe qshifted qfrom qthe qpatient qto qthe qcomputer.
b. The qpatient qwill qfeel qmore qimportant qthan qif qthe qinformation qis qrecorded qon
qpaper.
c. The qtherapist qwill qbe qless qlikely qto qmake qspelling qerrors qif qusing qa
qspell-check qprogram.
d. The qenvironment qwill qbe qmore qprofessional qand qthe qpatient qwill qbe
qmore qlikely qto qopen qup qif qthe qinterview qis qconducted qwith qpaper.
ANS: q A
The qtherapist’s quse qof qthe qcomputer qcan qbe qthreatening qand qmay, qin qsome qcases, qbe qa
qpotential qhazard qto qgood qpatient qcommunication. qThe qpatient qcan qbe qintimidated qto qthe
qpoint qof q“shutting qdown.” qIn qaddition, qthe qtherapist qwho qhas qto qshift qfocus qfrom qthe
qpatient qto qthe qcomputer qcan qmiss qimportant qverbal qand qnonverbal qmessages.
,Chapter q02: qThe qPhysical qExamination
MULTIPLE qCHOICE
1. When qwould qinduced qhypothermia qbe qindicated?
a. During qbrain qsurgery
b. During qbowel qsurgery
c. To qbreak qa qfever
d. To qtreat qcarbon qmonoxide qpoisoning
ANS: q A
Induced qhypothermia qmay qinvolve qonly qa qportion qof qthe qbody qor qthe qwhole qbody.
qInduced qhypothermia qis qoften qindicated qbefore qcertain qsurgeries, qsuch qas qheart qor qbrain
qsurgery, qor qafter qreturn qof q spontaneous qcirculation qafter qa qcardiac qarrest.
2. A q50-year-old qpatient qhas qa qheart qrate qby qpalpation qof q120 qbpm. qHow
qshould qthis qbe qinterpreted?
a. Within qthe qnormal qrange qfor qan qadult
b. An qerror qsince qa qstethoscope qwas qnot qused
c. Bradycardia
d. Tachycardia
ANS: q D
In q an q adult, q a qheart q rate
N qRof qgU
Iq reaSGN
q ter qt q han q 100 q /m q i q nute q is q considered q to
B .C
q be qtachycardia. qA qheart qrate qof qless qthan q60/minute qin qan qadult qis qconsidered qto qbe
qbradycardia. qPalpation qand
auscultation qare qboth qacceptable qto qcheck qheart qrate.
3. Tachypnea qmay qbe qthe qresult qof:
1. hypoxemia.
2. hypothermia.
3. fever.
4. sedation.
a. 2, q 4
b. 1, q3
c. 2, q3, q 4
d. 1, q2, q3
ANS: q B
Tachypnea qmay qbe qthe qresult qof qhypoxemia, qfever, qand qother qcauses. qHypothermia qand
qsedation qwill qusually qresult qin qbradycardia.
4. A q50-year-old qpatient qwould qbe qsaid qto qhave qhypotension qwhen qher:
a. blood qpressure qis q130/90 qmm qHg.
b. blood qpressure qis q85/55 qmm qHg.
c. heart qrate qis q55 qbpm.
d. pulse qpressure qis q40 qmm
qHg. qANS: q B
, Hypotension qis qsaid qto qbe qpresent qwhen qthe qpatient’s qblood qpressure qfalls qbelow
q90/60 qmm qHg. qA qheart qrate qof q55 qbpm qwould q be qbradycardia. qPulse qpressure qis
qnormally qabout q40 qmm qHg.
5. A qdull qpercussion qnote qwould qbe qheard qin qwhich qof qthe qfollowing qsituations?
1. Atelectasis
2. Pleural qthickening
3. Chronic qobstructive qpulmonary qdisease q(COPD)
4. Consolidation
a. 1, q 2
b. 3, q4
c. 2, q3, q 4
d. 1, q2, q4
ANS: q D
Because qof qhyperinflation, qa qpatient qwith qCOPD qwould qhave qa qhyperresonant
qpercussion qnote. qAll qof qthe qother qlisted qoptions qwould qresult qin qa qdull qpercussion
qnote.
6. Coarse qcrackles qare qassociated qwith:
1. inspiration qtypically.
2. air qpassing qthrough qan qairway qintermittently qoccluded qby qmucus.
3. bronchial qasthma.
4. expiration qtypically.
a. 2, q 4
b. 3, q4
c. 2, q3, q4
d. 1, q2,
q3
qANS:
qA
Coarse qcrackles qare qassociated qwith qair qpassing qthrough qan qairway qintermittently
qoccluded qby qmucus; qthey qare qmore qtypically qheard qduring qinspiration, qnot
qexpiration. qWheezes qare qan qexpiratory qsound qassociated qwith qbronchial qasthma.
7. While qassessing qan qunconscious qpatient, qthe qrespiratory qtherapist qobserves qthat
qthe qpatient’s qbreathing qbecomes qprogressively qfaster qand qdeeper qand qthen
qprogressively qbecomes qslower qand qshallower. qAfter qthat, qthere qis qa qperiod qof
qapnea q before qthe qcycle qbegins qagain. qThis qbreathing qpattern qwould qbe
qidentified qas:
a. Cheyne-Stokes.
b. Tachypnea.
c. Kussmaul.
d. Hyperventilation.
ANS: q A
The qabnormal qbreathing qpattern qcalled qCheyne-Stokes qis qidentified qby qprogressively qfaster
qand qdeeper qbreathing qthat qthen qprogressively qbecomes qslower qand qshallower. qAfter qthat
qthere qis qa qperiod qof qapnea qbefore qthe qcycle qbegins qagain. qTachypnea qis qrapid qbreathing.
qKussmaul qbreathing qis qconsistently qfast qand qdeep qbreathing. qHyperventilation qis qconfirmed
qby qa qlow qcarbon qdioxide q level.
,Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
jargon can sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health history
form because each can impact the patient’s health. Health insurance provider information, while
needed for billing purposes, would not be found on the history form.
, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able to
interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. Closed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.
, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
he/she said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of silence
in which of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should pause (use
silence) before asking the next question. This pause allows the patient to add something else before
moving on. The patient may also choose to ask a question.
9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNB
. Tiratory tOherapist avoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
focus on specific areas and continues in his/her own way. Facilitation encourages patients to say
more, to continue with the story. The respiratory therapist should avoid giving advice, using
avoidance language, and using distancing language.
10. When closing the interview, the respiratory therapist should do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. Close the door behind himself/herself for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B
,To qend qthe qinterview qon qa qpositive qnote, qthe qrespiratory qtherapist qshould qthank qthe
qpatient qand qask qif qthe qpatient qhas qany qquestions. qIf qthere qis qno qneed qfor qthe qvital
qsigns qto qbe qchecked, qthey qshould qnot qbe. qThe qdoor qmay qbe qleft qopen qor qclosed,
qdepending qon qthe qsituation.
11. The qrespiratory qtherapist qshould qbe qaware qof qa qpatient’s qculture qand qreligious
qbeliefs qfor qwhich qof qthe qfollowing qreasons?
a. To qbe qable qto qengage qin qa qmeaningful qconversation
b. To qchange qany qmisguided qnotions qthe qpatient qhas qthat qmay qimpact qhis/her qhealth
c. To qexplain qto qthe qpatient qhow qthese qbeliefs qwill qlead qto
qdiscrimination qand qstereotyping
d. To qbetter qunderstand qhow qthe qpatient’s qbeliefs qmay qimpact qhow qthe
qpatient qthinks qand qbehaves
ANS: q D
Culture qand qreligious qbeliefs qmay qhave qa qprofound qeffect qon qhow qpatients qthink qand
qbehave, qand qthis qmay qimpact qtheir qhealth qor qhealth qcare qdecisions. qThe qrole qof qthe
qrespiratory
therapist qis qnot qto qchange qthe qpatient’s qbeliefs, qengage qin qsensitive qconversations, qor
qdiscuss qdiscrimination. qRather, qthe qrespiratory qtherapist qneeds qto qunderstand qhow qthese
qbeliefs qmay qimpact qthe qpatient’s qhealth qcare qdecisions.
12. Which qof qthe qfollowing qare qthe qmost qimportant qcomponents qof qa qsuccessful
qinterview?
a. Communication qand qunderstanding
b. Authority qand qthe quse qof qmedical qterminology
c. Providing qassurance qand qgiving qadvice
d. Asking qleading qquestions qand qanticipating qpatient qresponses qto qquestions
ANS: q A
N qR qI q G qB.C qM
Communication q and q understanding q are Ut he S
basiN
s qf oT
r q a q goodOpatient q interview. qAuthority, q the q use
q of
medical qjargon, qproviding qassurance, qgiving qadvice, qasking qleading qquestions, qand
qanticipating qare qall qtypes qof qnonproductive qcommunication qforms qand qcreate qbarriers qto
qpatient qcommunication.
13. The qrespiratory qtherapist qis qconducting qa qpatient qinterview qand qrecording
qresponses qin qthe qpatient’s qelectronic qhealth qrecord. qThe qrespiratory qtherapist
qshould qtake qwhich qof qthe qfollowing qinto qaccount qregarding qthe quse qof qthe
qcomputer qto qrecord qresponses?
a. The qtherapist’s qattention qmay qbe qshifted qfrom qthe qpatient qto qthe qcomputer.
b. The qpatient qwill qfeel qmore qimportant qthan qif qthe qinformation qis qrecorded qon
qpaper.
c. The qtherapist qwill qbe qless qlikely qto qmake qspelling qerrors qif qusing qa
qspell-check qprogram.
d. The qenvironment qwill qbe qmore qprofessional qand qthe qpatient qwill qbe
qmore qlikely qto qopen qup qif qthe qinterview qis qconducted qwith qpaper.
ANS: q A
The qtherapist’s quse qof qthe qcomputer qcan qbe qthreatening qand qmay, qin qsome qcases, qbe qa
qpotential qhazard qto qgood qpatient qcommunication. qThe qpatient qcan qbe qintimidated qto qthe
qpoint qof q“shutting qdown.” qIn qaddition, qthe qtherapist qwho qhas qto qshift qfocus qfrom qthe
qpatient qto qthe qcomputer qcan qmiss qimportant qverbal qand qnonverbal qmessages.
,Chapter q02: qThe qPhysical qExamination
MULTIPLE qCHOICE
1. When qwould qinduced qhypothermia qbe qindicated?
a. During qbrain qsurgery
b. During qbowel qsurgery
c. To qbreak qa qfever
d. To qtreat qcarbon qmonoxide qpoisoning
ANS: q A
Induced qhypothermia qmay qinvolve qonly qa qportion qof qthe qbody qor qthe qwhole qbody.
qInduced qhypothermia qis qoften qindicated qbefore qcertain qsurgeries, qsuch qas qheart qor qbrain
qsurgery, qor qafter qreturn qof q spontaneous qcirculation qafter qa qcardiac qarrest.
2. A q50-year-old qpatient qhas qa qheart qrate qby qpalpation qof q120 qbpm. qHow
qshould qthis qbe qinterpreted?
a. Within qthe qnormal qrange qfor qan qadult
b. An qerror qsince qa qstethoscope qwas qnot qused
c. Bradycardia
d. Tachycardia
ANS: q D
In q an q adult, q a qheart q rate
N qRof qgU
Iq reaSGN
q ter qt q han q 100 q /m q i q nute q is q considered q to
B .C
q be qtachycardia. qA qheart qrate qof qless qthan q60/minute qin qan qadult qis qconsidered qto qbe
qbradycardia. qPalpation qand
auscultation qare qboth qacceptable qto qcheck qheart qrate.
3. Tachypnea qmay qbe qthe qresult qof:
1. hypoxemia.
2. hypothermia.
3. fever.
4. sedation.
a. 2, q 4
b. 1, q3
c. 2, q3, q 4
d. 1, q2, q3
ANS: q B
Tachypnea qmay qbe qthe qresult qof qhypoxemia, qfever, qand qother qcauses. qHypothermia qand
qsedation qwill qusually qresult qin qbradycardia.
4. A q50-year-old qpatient qwould qbe qsaid qto qhave qhypotension qwhen qher:
a. blood qpressure qis q130/90 qmm qHg.
b. blood qpressure qis q85/55 qmm qHg.
c. heart qrate qis q55 qbpm.
d. pulse qpressure qis q40 qmm
qHg. qANS: q B
, Hypotension qis qsaid qto qbe qpresent qwhen qthe qpatient’s qblood qpressure qfalls qbelow
q90/60 qmm qHg. qA qheart qrate qof q55 qbpm qwould q be qbradycardia. qPulse qpressure qis
qnormally qabout q40 qmm qHg.
5. A qdull qpercussion qnote qwould qbe qheard qin qwhich qof qthe qfollowing qsituations?
1. Atelectasis
2. Pleural qthickening
3. Chronic qobstructive qpulmonary qdisease q(COPD)
4. Consolidation
a. 1, q 2
b. 3, q4
c. 2, q3, q 4
d. 1, q2, q4
ANS: q D
Because qof qhyperinflation, qa qpatient qwith qCOPD qwould qhave qa qhyperresonant
qpercussion qnote. qAll qof qthe qother qlisted qoptions qwould qresult qin qa qdull qpercussion
qnote.
6. Coarse qcrackles qare qassociated qwith:
1. inspiration qtypically.
2. air qpassing qthrough qan qairway qintermittently qoccluded qby qmucus.
3. bronchial qasthma.
4. expiration qtypically.
a. 2, q 4
b. 3, q4
c. 2, q3, q4
d. 1, q2,
q3
qANS:
qA
Coarse qcrackles qare qassociated qwith qair qpassing qthrough qan qairway qintermittently
qoccluded qby qmucus; qthey qare qmore qtypically qheard qduring qinspiration, qnot
qexpiration. qWheezes qare qan qexpiratory qsound qassociated qwith qbronchial qasthma.
7. While qassessing qan qunconscious qpatient, qthe qrespiratory qtherapist qobserves qthat
qthe qpatient’s qbreathing qbecomes qprogressively qfaster qand qdeeper qand qthen
qprogressively qbecomes qslower qand qshallower. qAfter qthat, qthere qis qa qperiod qof
qapnea q before qthe qcycle qbegins qagain. qThis qbreathing qpattern qwould qbe
qidentified qas:
a. Cheyne-Stokes.
b. Tachypnea.
c. Kussmaul.
d. Hyperventilation.
ANS: q A
The qabnormal qbreathing qpattern qcalled qCheyne-Stokes qis qidentified qby qprogressively qfaster
qand qdeeper qbreathing qthat qthen qprogressively qbecomes qslower qand qshallower. qAfter qthat
qthere qis qa qperiod qof qapnea qbefore qthe qcycle qbegins qagain. qTachypnea qis qrapid qbreathing.
qKussmaul qbreathing qis qconsistently qfast qand qdeep qbreathing. qHyperventilation qis qconfirmed
qby qa qlow qcarbon qdioxide q level.
