TEST BANK
Respirator
y Therapy
NBRC 500
Practice
Q&A
Exam
KINE 1164
Pulmonary Patient Assessment
1. The respiratory therapist is conducting an interview on a patient
who has just entered the emergency department. The patient states
that he has difficulty breathing when he is lying down and sleeps
with three pillows at night. This is indicative of which of the
following breathing conditions?
A. tachypnea
B. orthopnea
C. euthopnea
D. dyspnea
2. A 24-year-old comatose woman enters the emergency
department with the following arterial blood gases:
pH 7.21
PaCO2 23 torr
PaO2 65 torr
HCO3 8 mEq/L
Which of the following breathing patterns is this patient most likely
exhibiting?
A. Cheyne-Stokes
B. Biot’s
C. Kussmaul’s
D. hypopnea
1
,3. A patient is coughing up purulent secretions. This is an indication
of which of the following?
A. pleural effusion
B. pneumothorax
C. bacterial pneumonia
D. hemoptisis
2
,4. A hyperresonant lung sound is heard while the respiratory therapist
is percussing over the patient’s lower left lung field. This is
indicative of which of the following pulmonary conditions?
A. left lower lobe atelectasis
B. left-sided pneumothorax
C. pleural effusion
D. lobar pneumonia
5. While auscultating the chest of a patient in ICU you hear crackles in
both lung bases. This is most likely the result of which of the
following?
A. pulmonary edema
B. tracheal stenosis
C. bronchoconstriction
D. glottic edema
6. A ventilator patient suddenly becomes restless and agitated and the
high pressure alarm begins sounding. The respiratory therapist
auscultates diminished breath sounds in the left lung and palpates
the trachea right of mid- line. Which of the following has most likely
occurred?
A. right-sided pneumothorax
B. massive atelectasis of the left lung
C. ET tube slipped into right mainstem bronchus
D. left-sided tension pneumothorax
7. A patient states that she has been coughing up thick, green, foul-
smelling secretions. The respiratory care practitioner would
conclude this patient has
A. pulmonary edema.
B. a Pseudomonas infection.
C. hemoptysis.
D. bronchial asthma.
8. A patient who seems unconscious but will awaken when stimulated
is said to be
A. lethargic.
B. comatose.
C. obtunded.
D. disoriented.
3
, 9. The respiratory therapist is evaluating a patient and observes a
six second capillary refill time. This indicates the patient
A. has pulmonary edema.
B. has inadequate perfusion to the extremities.
C. has adequate pulmonary perfusion.
D. has an increased cardiac output.
10.While conducting a pulmonary evaluation on a patient, the
respiratory therapist auscultates diminished breath sounds on the
right side and palpates the trachea being shifted toward the right
side. The therapist should suspect which of the following?
A. right-sided tension pneumothorax
B. massive atelectasis of the right lung
C. left-sided pneumothorax
D. pleural effusion of the left lung
11.Which of the following muscles are utilized during normal breathing?
I. scalenes
II. diaphragm
III. sternomastoid
IV. external intercostals
A. II only
B. I and III only
C. I and IV only
D. II and IV only
12. A 38-year-old woman presents in ER complaining of shortness of
breath. A CBC reveals a hemoglobin level of 6 gm%. The
respiratory therapist determines her SpO2 is 99%. Which of the
following statements are true regarding this patient’s condition?
I. The patient is hypoxic.
II. The patient is most likely cyanotic.
III. Oxygen is not indicated at this time.
A. I only
B. III only
C. I and II only
D. I and III only
4
Respirator
y Therapy
NBRC 500
Practice
Q&A
Exam
KINE 1164
Pulmonary Patient Assessment
1. The respiratory therapist is conducting an interview on a patient
who has just entered the emergency department. The patient states
that he has difficulty breathing when he is lying down and sleeps
with three pillows at night. This is indicative of which of the
following breathing conditions?
A. tachypnea
B. orthopnea
C. euthopnea
D. dyspnea
2. A 24-year-old comatose woman enters the emergency
department with the following arterial blood gases:
pH 7.21
PaCO2 23 torr
PaO2 65 torr
HCO3 8 mEq/L
Which of the following breathing patterns is this patient most likely
exhibiting?
A. Cheyne-Stokes
B. Biot’s
C. Kussmaul’s
D. hypopnea
1
,3. A patient is coughing up purulent secretions. This is an indication
of which of the following?
A. pleural effusion
B. pneumothorax
C. bacterial pneumonia
D. hemoptisis
2
,4. A hyperresonant lung sound is heard while the respiratory therapist
is percussing over the patient’s lower left lung field. This is
indicative of which of the following pulmonary conditions?
A. left lower lobe atelectasis
B. left-sided pneumothorax
C. pleural effusion
D. lobar pneumonia
5. While auscultating the chest of a patient in ICU you hear crackles in
both lung bases. This is most likely the result of which of the
following?
A. pulmonary edema
B. tracheal stenosis
C. bronchoconstriction
D. glottic edema
6. A ventilator patient suddenly becomes restless and agitated and the
high pressure alarm begins sounding. The respiratory therapist
auscultates diminished breath sounds in the left lung and palpates
the trachea right of mid- line. Which of the following has most likely
occurred?
A. right-sided pneumothorax
B. massive atelectasis of the left lung
C. ET tube slipped into right mainstem bronchus
D. left-sided tension pneumothorax
7. A patient states that she has been coughing up thick, green, foul-
smelling secretions. The respiratory care practitioner would
conclude this patient has
A. pulmonary edema.
B. a Pseudomonas infection.
C. hemoptysis.
D. bronchial asthma.
8. A patient who seems unconscious but will awaken when stimulated
is said to be
A. lethargic.
B. comatose.
C. obtunded.
D. disoriented.
3
, 9. The respiratory therapist is evaluating a patient and observes a
six second capillary refill time. This indicates the patient
A. has pulmonary edema.
B. has inadequate perfusion to the extremities.
C. has adequate pulmonary perfusion.
D. has an increased cardiac output.
10.While conducting a pulmonary evaluation on a patient, the
respiratory therapist auscultates diminished breath sounds on the
right side and palpates the trachea being shifted toward the right
side. The therapist should suspect which of the following?
A. right-sided tension pneumothorax
B. massive atelectasis of the right lung
C. left-sided pneumothorax
D. pleural effusion of the left lung
11.Which of the following muscles are utilized during normal breathing?
I. scalenes
II. diaphragm
III. sternomastoid
IV. external intercostals
A. II only
B. I and III only
C. I and IV only
D. II and IV only
12. A 38-year-old woman presents in ER complaining of shortness of
breath. A CBC reveals a hemoglobin level of 6 gm%. The
respiratory therapist determines her SpO2 is 99%. Which of the
following statements are true regarding this patient’s condition?
I. The patient is hypoxic.
II. The patient is most likely cyanotic.
III. Oxygen is not indicated at this time.
A. I only
B. III only
C. I and II only
D. I and III only
4
