NAECB NAECB Pulmonary Rehabilitation 2 — Questions and Answers
Question 1: In pulmonary rehabilitation, psychosocial support is included primarily to address:
- Airway hyperresponsiveness
- Anxiety and depression that worsen dyspnea perception (Correct answer)
- Increased mucus production
- Bronchospasm triggers
Correct answer: Anxiety and depression that worsen dyspnea perception
Anxiety and depression are highly prevalent in chronic respiratory disease and independently worsen dyspnea perception and exercise avoidance.
Question 2: Which breathing technique taught in pulmonary rehabilitation helps reduce dynamic hyperinflation during exertion?
- Apical breathing
- Pursed-lip breathing (Correct answer)
- Paradoxical breathing
- Diaphragmatic suppression
Correct answer: Pursed-lip breathing
Pursed-lip breathing slows expiratory flow, reduces air trapping, and lowers dynamic hyperinflation during exertion.
Question 3: Nutritional assessment in pulmonary rehabilitation is important because low BMI in COPD patients is associated with:
- Improved FEV1
- Decreased mortality risk
- Increased mortality and worse exercise tolerance (Correct answer)
- Reduced inflammation
Correct answer: Increased mortality and worse exercise tolerance
Low BMI in COPD is an independent predictor of increased mortality and contributes to muscle wasting and poor exercise tolerance.
Question 4: Energy conservation techniques taught in pulmonary rehab are designed to:
- Replace aerobic exercise
- Help patients perform ADLs with less oxygen demand (Correct answer)
- Increase resting respiratory rate
- Improve spirometry values
Correct answer: Help patients perform ADLs with less oxygen demand
Energy conservation techniques reduce the metabolic cost of activities of daily living, helping patients remain independent despite limited lung function.
Question 5: Supplemental oxygen during pulmonary rehabilitation exercise sessions should be prescribed when SpO2 drops below:
- 95%
- 92%
- 88% (Correct answer)
- 85%
Correct answer: 88%
Supplemental oxygen is typically indicated during exercise when SpO2 falls below 88% to maintain safe oxygenation and enable higher training intensity.
Question 6: Which component of pulmonary rehabilitation addresses the patient's ability to manage exacerbations early at home?
- Aerobic training sessions
- Self-management education and action plans (Correct answer)
- Resistance band exercises
- Spirometry monitoring only
Correct answer: Self-management education and action plans
Self-management education and written action plans empower patients to recognize and respond to early exacerbation symptoms, reducing hospitalizations.
NAECB NAECB Pulmonary Rehabilitation 2
In pulmonary rehabilitation, psychosocial support is included primarily to address: