FINAL FRONTIER: NPTE PRACTICE EXAM 2
WITH CORRECT ANSWERS
supine v- vCORRECT✅✅___ vposition vaccentuates vthe vsymptoms vof van vabdominal
vaneurysm
respiratory vacidosis-->raises vblood vpH v- vCORRECT✅✅Intravenous vinjection vof
vsodium vbicarbonate vis vused vto vtreat
>40 v- vCORRECT✅✅A vrespiratory vrate vof v___ vfalls vunder vthe vcriteria vto
vterminate vexercise
respiratory vcondition v- vCORRECT✅✅a vlow vpCO2 vindicates va vpatient vhas va v___
vcondition
decrease vin vmore vthan v10 vbpm v- vCORRECT✅✅A v____ vin vHR vfalls vunder vthe
vcriteria vto vterminate vexercise vin va vpatient vwith vheart vfailure
S3 vsound
ventricular vgallop, vCHF v- vCORRECT✅✅A v____ vheart vsound vis va vcriteria vto
vterminate vexercise vfor va vpatient vwith vheart vfailure
Class v1 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vpatients vwill
vhave vno vlimitations vin vtheir vphysical vactivities
Class v2 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vHave vslight
vlimitations vin vtheir vphysical vactivities vand vare vable vto vcomplete vless vthan vordinary
vphysical vactivities
Class v3 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vhave vmarked
vlimitations vin vtheir vphysical vactivities. vThey vare vcomfortable vat vrest vand vless vthan
vordinary vphysical vactivities vcause vfatigue, vpalpitations, vdyspnea, vor vanginal vpain.
Class v4 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vare vunable
vto vcarry von vphysical vactivity vwithout vdiscomfort. vSymptoms vof vcardiac vinsufficiency
vor vanginal vsyndrome vmay vbe vpresent veven vat vrest.
hyperkalemia v- vCORRECT✅✅defined vas va vserum vor vplasma vpotassium vlevel
vabove vthe vupper vlimits vof vnormal, vusually vgreater vthan v5.0 vmEq/L vto v5.5 vmEq/L.
PCO2 vlevels v- vCORRECT✅✅Ventilatory vfailure vcan vbe vdiagnosed von vthe vbasis
vof v___ vlevels.
,high vPCO2 vlevels
low vblood vpH v- vCORRECT✅✅Ventilatory vfailure v= v____ vPCO2 vlevels vand v___
vblood vpH
contralateral vside v- vCORRECT✅✅A vpneumothorax vpushes vthe vtrachea vto vthe
v___ vside
ipsilateral vside v- vCORRECT✅✅A vmassive vatelectasis vwill vpull vthe vtrachea vto vthe
v___ vside
2 vradiographs, vin va vposterior-anterior vstanding vview v
a vleft vlateral vview v(unless vthe vpathology vis vsuspected von vthe vright vside) v-
vCORRECT✅✅Standard vfor vradiographs vexamining vpulmonary vpathologies:
___ vradiographs, vin va v___ vview v
a v___lateral vview v(unless vthe vpathology vis vsuspected von vthe v___ vside)
Pleural veffusion v- vCORRECT✅✅____: vpatients vusually vpresent vwith vdyspnea von
vexertion vthat vbecomes vprogressive. vStabbing, vsharp vchest vpain vexacerbated vby
vcoughing vor vbreathing vthat vchanges vin vposition.
Pleural veffusion v- vCORRECT✅✅___: vTachycardia, vdistant vheart vsounds, vfixed
vjugular vdistention, vedema vof vthe vextremities, vand va vparadoxical vpulse.
Pneumothorax v- vCORRECT✅✅An vaccumulation vof vair vor vgas vin vthe vpleural
vcavity vcaused vby va vdefect vin vthe vvisceral vpleura vor vchest vwall.
Pleural vfibrosis v- vCORRECT✅✅___: vmay vfollow vinflammation v(especially vfrom
vasbestos), vhemorrhagic veffusion, vand vinfection vof vthe vpleurae.
Atelectasis v- vCORRECT✅✅The vcollapse vof va vnormally vexpanded vand vaerated
vlung vtissue vat vany vstructural vlevel.
greater vor vequal vto v80% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity:
vmild vCOPD v= v___% vFEV1/FVC
50-79% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vmoderate
vCOPD v= v___% vFEV1/FVC
30-49% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vsevere vCOPD v=
v___% vFEV1/FVC
less vthan v30%
, or vless vthan v50% v+ vthe vpresence vof vchronic vrespiratory vfailure v-
vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vvery vsevere vCOPD v=
v___% vFEV1/FVC
Stage v2 v- vCORRECT✅✅Stage v___ vlymphedema: vpatient vdoes vnot vexperience
vany vchanges vof vswelling vduring varm velevation vand vinitial vsigns vof vfibrotic vchanges
vare vpresent.
Stage v1 v- vCORRECT✅✅Stage v___ vlymphedema: vElevation vof vthe varm vwill
vreduce vswelling
Stage v3 v- vCORRECT✅✅Stage v___ vlymphedema: vis vconsidered vlymphostatic
velephantiasis
Stage v1 v- vCORRECT✅✅Stage v___ vlymphedema: vis vconsidered vreversible
vlymphedema
Stage v3 v- vCORRECT✅✅Stage v___ vlymphedema: vhardening vof vdermal vtissues,
vpapillomas vof vthe vskin vwill vbe vnoticed.
Stage v0 v(preclinical vstage) v- vCORRECT✅✅Stage v___ vlymphedema: vpatient
vbegins vto vfeel vheaviness vof vthe vlimbs
5 vweeks v- vCORRECT✅✅Strength vtraining vcan vbegin vafter v___ vfor vpost-MI
vpatients
Hypokalemia v- vCORRECT✅✅ECG: vinverted vT vwaves vcan vbe vcaused vby v____
Hyperkalemia v- vCORRECT✅✅ECG: vhigh vpeaked vT vwaves vcan vbe vcaused vby
v____
inverted vT vwaves v- vCORRECT✅✅How vwould vhypokalemia vpresent vin va vECG?
high vpeaked vT vwaves v- vCORRECT✅✅How vwould vhyperkalemia vpresent vin va
vECG?
Hydrocholorothiazide v- vCORRECT✅✅A vside veffect vof v____ vis vhypokalemia vand
vtherefore vshould vnot vbe vprescribed vin va vpatient vthat valready vhas vinverted vT
vwaves von va vECG.
hypokalemia v- vCORRECT✅✅A vside veffect vof vhydrocholorothiazide vis v____
Beta vblockers v- vCORRECT✅✅____ vhelp vregulate vabnormal vheart vrhythms
continue vmonitoring vthe vECG vwithout vany vmodifications vto vexercise v-
vCORRECT✅✅PT vresponse vto va vfirst vdegree vheart vblock
WITH CORRECT ANSWERS
supine v- vCORRECT✅✅___ vposition vaccentuates vthe vsymptoms vof van vabdominal
vaneurysm
respiratory vacidosis-->raises vblood vpH v- vCORRECT✅✅Intravenous vinjection vof
vsodium vbicarbonate vis vused vto vtreat
>40 v- vCORRECT✅✅A vrespiratory vrate vof v___ vfalls vunder vthe vcriteria vto
vterminate vexercise
respiratory vcondition v- vCORRECT✅✅a vlow vpCO2 vindicates va vpatient vhas va v___
vcondition
decrease vin vmore vthan v10 vbpm v- vCORRECT✅✅A v____ vin vHR vfalls vunder vthe
vcriteria vto vterminate vexercise vin va vpatient vwith vheart vfailure
S3 vsound
ventricular vgallop, vCHF v- vCORRECT✅✅A v____ vheart vsound vis va vcriteria vto
vterminate vexercise vfor va vpatient vwith vheart vfailure
Class v1 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vpatients vwill
vhave vno vlimitations vin vtheir vphysical vactivities
Class v2 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vHave vslight
vlimitations vin vtheir vphysical vactivities vand vare vable vto vcomplete vless vthan vordinary
vphysical vactivities
Class v3 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vhave vmarked
vlimitations vin vtheir vphysical vactivities. vThey vare vcomfortable vat vrest vand vless vthan
vordinary vphysical vactivities vcause vfatigue, vpalpitations, vdyspnea, vor vanginal vpain.
Class v4 v- vCORRECT✅✅NY vheart vassociation vfunctional vclass v___: vare vunable
vto vcarry von vphysical vactivity vwithout vdiscomfort. vSymptoms vof vcardiac vinsufficiency
vor vanginal vsyndrome vmay vbe vpresent veven vat vrest.
hyperkalemia v- vCORRECT✅✅defined vas va vserum vor vplasma vpotassium vlevel
vabove vthe vupper vlimits vof vnormal, vusually vgreater vthan v5.0 vmEq/L vto v5.5 vmEq/L.
PCO2 vlevels v- vCORRECT✅✅Ventilatory vfailure vcan vbe vdiagnosed von vthe vbasis
vof v___ vlevels.
,high vPCO2 vlevels
low vblood vpH v- vCORRECT✅✅Ventilatory vfailure v= v____ vPCO2 vlevels vand v___
vblood vpH
contralateral vside v- vCORRECT✅✅A vpneumothorax vpushes vthe vtrachea vto vthe
v___ vside
ipsilateral vside v- vCORRECT✅✅A vmassive vatelectasis vwill vpull vthe vtrachea vto vthe
v___ vside
2 vradiographs, vin va vposterior-anterior vstanding vview v
a vleft vlateral vview v(unless vthe vpathology vis vsuspected von vthe vright vside) v-
vCORRECT✅✅Standard vfor vradiographs vexamining vpulmonary vpathologies:
___ vradiographs, vin va v___ vview v
a v___lateral vview v(unless vthe vpathology vis vsuspected von vthe v___ vside)
Pleural veffusion v- vCORRECT✅✅____: vpatients vusually vpresent vwith vdyspnea von
vexertion vthat vbecomes vprogressive. vStabbing, vsharp vchest vpain vexacerbated vby
vcoughing vor vbreathing vthat vchanges vin vposition.
Pleural veffusion v- vCORRECT✅✅___: vTachycardia, vdistant vheart vsounds, vfixed
vjugular vdistention, vedema vof vthe vextremities, vand va vparadoxical vpulse.
Pneumothorax v- vCORRECT✅✅An vaccumulation vof vair vor vgas vin vthe vpleural
vcavity vcaused vby va vdefect vin vthe vvisceral vpleura vor vchest vwall.
Pleural vfibrosis v- vCORRECT✅✅___: vmay vfollow vinflammation v(especially vfrom
vasbestos), vhemorrhagic veffusion, vand vinfection vof vthe vpleurae.
Atelectasis v- vCORRECT✅✅The vcollapse vof va vnormally vexpanded vand vaerated
vlung vtissue vat vany vstructural vlevel.
greater vor vequal vto v80% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity:
vmild vCOPD v= v___% vFEV1/FVC
50-79% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vmoderate
vCOPD v= v___% vFEV1/FVC
30-49% v- vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vsevere vCOPD v=
v___% vFEV1/FVC
less vthan v30%
, or vless vthan v50% v+ vthe vpresence vof vchronic vrespiratory vfailure v-
vCORRECT✅✅Gold vstaging vto vclassify vCOPD vseverity: vvery vsevere vCOPD v=
v___% vFEV1/FVC
Stage v2 v- vCORRECT✅✅Stage v___ vlymphedema: vpatient vdoes vnot vexperience
vany vchanges vof vswelling vduring varm velevation vand vinitial vsigns vof vfibrotic vchanges
vare vpresent.
Stage v1 v- vCORRECT✅✅Stage v___ vlymphedema: vElevation vof vthe varm vwill
vreduce vswelling
Stage v3 v- vCORRECT✅✅Stage v___ vlymphedema: vis vconsidered vlymphostatic
velephantiasis
Stage v1 v- vCORRECT✅✅Stage v___ vlymphedema: vis vconsidered vreversible
vlymphedema
Stage v3 v- vCORRECT✅✅Stage v___ vlymphedema: vhardening vof vdermal vtissues,
vpapillomas vof vthe vskin vwill vbe vnoticed.
Stage v0 v(preclinical vstage) v- vCORRECT✅✅Stage v___ vlymphedema: vpatient
vbegins vto vfeel vheaviness vof vthe vlimbs
5 vweeks v- vCORRECT✅✅Strength vtraining vcan vbegin vafter v___ vfor vpost-MI
vpatients
Hypokalemia v- vCORRECT✅✅ECG: vinverted vT vwaves vcan vbe vcaused vby v____
Hyperkalemia v- vCORRECT✅✅ECG: vhigh vpeaked vT vwaves vcan vbe vcaused vby
v____
inverted vT vwaves v- vCORRECT✅✅How vwould vhypokalemia vpresent vin va vECG?
high vpeaked vT vwaves v- vCORRECT✅✅How vwould vhyperkalemia vpresent vin va
vECG?
Hydrocholorothiazide v- vCORRECT✅✅A vside veffect vof v____ vis vhypokalemia vand
vtherefore vshould vnot vbe vprescribed vin va vpatient vthat valready vhas vinverted vT
vwaves von va vECG.
hypokalemia v- vCORRECT✅✅A vside veffect vof vhydrocholorothiazide vis v____
Beta vblockers v- vCORRECT✅✅____ vhelp vregulate vabnormal vheart vrhythms
continue vmonitoring vthe vECG vwithout vany vmodifications vto vexercise v-
vCORRECT✅✅PT vresponse vto va vfirst vdegree vheart vblock
