NPTE-PT Test Cardiopulmonary Assessment and Management Questions and Answers

Question 1

A physical therapist is auscultating the heart sounds of a patient and hears a distinct 'lub-dub' followed by a low-pitched sound early in diastole.
This extra sound is MOST likely which of the following?

Accepted Answer

S3

Answer

S1

Answer

S2

Answer

S4

Question 2

A patient is participating in Phase II cardiac rehabilitation following a coronary artery bypass graft (CABG) 6 weeks ago. The physical therapist is monitoring the patient's response to treadmill walking. Which of the following RPE values on the Borg 6-20 scale is the MOST appropriate target for the main workout portion of the session?

Accepted Answer

12-14

Answer

6-8

Answer

9-10

Answer

17-18

Question 3

A physical therapist is working with a patient diagnosed with moderate Chronic Obstructive Pulmonary Disease (COPD). The plan of care includes teaching the patient energy conservation and breathing techniques. Which of the following breathing techniques is MOST effective for reducing dyspnea during activities of daily living for this patient?

Accepted Answer

Pursed-lip breathing

Answer

Stacked breathing

Answer

Segmental breathing

Answer

Glossopharyngeal breathing

Question 4

A physical therapist is about to initiate an exercise session with a new patient in an outpatient setting. A review of the patient's chart reveals a recent diagnosis of symptomatic, severe aortic stenosis. Which of the following is the MOST appropriate action for the therapist to take?

Accepted Answer

Hold the exercise session and contact the referring physician.

Answer

Proceed with low-intensity aerobic exercise.

Answer

Begin with resistance training using light weights.

Answer

Perform active range of motion and stretching only.

Question 5

During a graded exercise test on a treadmill, a physical therapist observes the following changes on a patient's ECG: the R-R interval shortens, the P-R interval shortens, and the QRS complex duration remains unchanged. Which of the following is the BEST interpretation of these findings?

Accepted Answer

A normal physiological response to exercise.

Answer

Indicative of myocardial ischemia.

Answer

A sign of developing ventricular arrhythmia.

Answer

Evidence of a heart block.

Question 6

A physical therapist is performing a 6-Minute Walk Test (6MWT) on a 72-year-old male with chronic heart failure. The patient completes 250 meters before stopping due to fatigue. Which of the following is the MOST accurate interpretation of this result?

Accepted Answer

The distance walked is associated with a poor prognosis.

Answer

The patient's functional capacity is above average for his age and condition.

Answer

The result indicates a need for immediate hospitalization.

Answer

The patient should be progressed to a high-intensity interval training program.

A physical therapist is auscultating the heart sounds of a patient and hears a distinct 'lub-dub' followed by a low-pitched sound early in diastole.This extra sound is MOST likely which of the following?

A physical therapist is auscultating the heart sounds of a patient and hears a distinct 'lub-dub' followed by a low-pitched sound early in diastole.
This extra sound is MOST likely which of the following?