CRE Risk Assessment & Management 2

Question 1

A COPD patient reports waking up at night with breathlessness three times per week. Using the MRC Dyspnea Scale, which grade best reflects this level of functional impairment?

Accepted Answer

Grade 4 — stops for breath after walking about 100 yards

Answer

Nocturnal symptoms combined with significant activity limitation place the patient at MRC Grade 4, indicating severe dyspnea.

Question 2

Which spirometric criterion is the primary threshold used to confirm obstructive ventilatory defect in risk stratification for COPD?

Accepted Answer

FEV1/FVC ratio < 0.70 post-bronchodilator

Answer

A post-bronchodilator FEV1/FVC ratio below 0.70 is the GOLD standard criterion for diagnosing obstruction and initiating COPD risk stratification.

Question 3

A patient with asthma has used their rescue inhaler more than two days per week for the past month but has no nighttime awakenings and no activity limitation. According to NAEPP guidelines, how is asthma severity classified?

Accepted Answer

Mild persistent

Answer

More than two rescue inhaler uses per week with no other impairment criteria meets the definition of mild persistent asthma.

Question 4

When assessing fall risk in an elderly patient with COPD on supplemental oxygen, which factor most directly increases that risk?

Accepted Answer

Oxygen tubing on the floor

Answer

Oxygen tubing creates a physical tripping hazard and is a modifiable environmental fall risk factor for ambulatory patients.

Question 5

A respiratory educator discovers that a patient with home mechanical ventilation has no backup power plan. Which risk category does this situation represent?

Accepted Answer

High risk — life-sustaining equipment depends on continuous power

Answer

Dependence on mechanical ventilation without backup power constitutes a high-risk situation because interruption can be immediately life-threatening.

(CRE) Certified Respiratory Educator Practice Test

(CRE) Certified Respiratory Educator Practice Test

CRE Risk Assessment & Management 2