NPTE Cardiopulmonary Exam Questions and Answers

NPTE Cardiopulmonary Exam Questions and Answers What factors lead to termination of Inpt exercise? - Answer-Rise in diastolic BP >110 Decrease in systolic BP >10 Dysrhythmias 2nd or complete heart block S/S exercise intolerance (angina, dyspnea, ECG changes) What criteria are entry level into Phase 3 Cardiac Rehab? - Answer-5 MET stable angina controlled arrhythmias What MET level is minimum for resistance training? - Answer-6 What is the most effective method of increasing blood flow for arterial dz pts? - Answer-calf exercises For lymphatic drainage, emphasis is in which direction? - Answer-proximal to distal What types of activities are contraindicated in lymphedema? - Answer-strenuous: jogging, ballistic Above what pressure is compression contraindicated for lymphedema? - Answer-45 How deep should the chest be depressed during CPR? - Answer-2" T/F: Before beginning CPR, "look, listen, and feel" - Answer-F What are the first 2 steps in caring for shock? - Answer-1. hx 2. airway, breathing, circulation, bleeding (ABCB) T/F: Once the shock victim is stable administer juice or crackers. - Answer-F What position is the diaphragm most adventagous in? - Answer-Supine What value is considered a normal ABI? - Answer->1.0 What value ABI is compression therapy contraindicated? - Answer-<0.8 What value ABI is considered severe arterial dz? - Answer-<0.5 How long of a delay in venous filling (pt supine legs elevated, then transitioned to dependent) is considered indicative of venous insufficiency? - Answer->15s What percentage SaO2 requires supplemental O2? - Answer-<88-90% Normal Lab values - PT contraindicated: WBC Hct Hb Platelets - Answer-4000-11,000 - <5000 45-50% - <25% 15 - <8 150,000-450,000 - <20,000 Nitroglycerine works to do what? - Answer-decrease preload thru peripheral and coronary artery vasodilation Beta-blockers work to do what? Give a drug example. - Answer-decrease HR and contractility propanolol Calcium-channel blockers work to do what? Give a drug example. - Answer-Decrease HR and contractility Cardizem Antiarrhythmics work to do what? Give a drug example. - Answer-Alter conductivity to improve cardiac output Quinidine In a healther person, what % of the FVC is exhaled w/in the first second (FEV1)? - Answer-70% PaO2 at sea level is... - Answer-159 PaO2 in arterial blood is... - Answer-100 At what PaO2 is supplemental O2 prescribed? - Answer-55 PaCO2 within arterial blood is... - Answer-35-45 Normal bicarb levels in arterial blood are... - Answer-22-28 Gravity-independent areas o the lung act as ___, whereas gravity-dependent areas act as___. - Answer-dead space shunts In ABGs: with respiratory conditions___ changes; in metabolic conditions ____ changes. - Answer-PaCO2 bicarb Anxiety, restlessness, dyspnea, HA would all suggest what type of Acid-Base balance? - Answer-Respiratory acidosis Dizziness, syncope, tingling, numbness, and tetany would all suggest what type of Acid-Base balance? - Answer-Respiratory alkalosis Vague weakness, mental dullness, and early tetany would all suggest what type of Acid-Base balance? - Answer-Metabolic alkalosis Hyperventilation, nausea, lethargy, and coma would all suggest what type of Acid-Base balance? - Answer-Metabolic acidosis What type of cough is associated with bacterial pneumonia? Viral pneumonia? - Answer-Productive, purulent, hemoptysis Dry