NPTE-PT Test Test Cardiopulmonary Assessment and Management 1

Question 1

A physical therapist is assessing a patient with left-sided heart failure. Which clinical finding would MOST likely be observed during auscultation of the lung fields?

Accepted Answer

Bilateral fine crackles at the lung bases

Answer

Pleural friction rub at the right base

Answer

Unilateral coarse rhonchi at the right apex

Answer

High-pitched inspiratory stridor over the trachea

Question 2

A patient recovering from a myocardial infarction is undergoing cardiac rehabilitation. Their resting heart rate is 72 bpm and resting blood pressure is 118/76 mmHg. Using the Karvonen formula with a heart rate reserve of 60%, what is the TARGET training heart rate if the maximum heart rate is 160 bpm?

Accepted Answer

126 bpm

Answer

115 bpm

Answer

125 bpm

Answer

138 bpm

Question 3

A physical therapist reviews a chest radiograph for a post-operative thoracotomy patient and notes tracheal deviation toward the affected side with ipsilateral lung opacity and decreased lung volume. This radiographic pattern is MOST consistent with which diagnosis?

Accepted Answer

Lobar atelectasis

Answer

Tension pneumothorax

Answer

Pleural effusion

Answer

Pulmonary embolism

Question 4

A patient with COPD is being assessed for home oxygen therapy. According to standard clinical guidelines, supplemental oxygen is indicated if resting SpO2 on room air is at or below which threshold?

Accepted Answer

88%

Answer

94%

Answer

92%

Answer

90%

Question 5

During assessment of a ventilated ICU patient, the physical therapist notes paradoxical inward movement of the abdomen during inspiration. This finding is MOST indicative of which condition?

Accepted Answer

Diaphragmatic fatigue or paralysis

Answer

Normal diaphragm function with high tidal volume

Answer

Accessory muscle overuse due to bronchospasm

Answer

Increased intra-abdominal pressure from ascites