NPTE-PT Cardiopulmonary Assessment and Management 2

Question 1

A patient with COPD has a PaCO2 of 55 mmHg and pH of 7.32. Which acid-base disturbance does this represent?

Accepted Answer

Respiratory acidosis

Answer

Respiratory alkalosis

Answer

Metabolic acidosis

Answer

Metabolic alkalosis

Question 2

During auscultation, a physical therapist hears a high-pitched, continuous musical sound during expiration. This is best described as:

Accepted Answer

Wheezing

Answer

Crackles

Answer

Rhonchi

Answer

Stridor

Question 3

A patient post-CABG is on day 2. The therapist notices the patient's SpO2 drops from 95% to 88% during ambulation. The MOST appropriate action is:

Accepted Answer

Stop activity, apply supplemental oxygen, and notify nursing

Answer

Continue ambulation and recheck in 5 minutes

Answer

Increase ambulation pace to improve cardiac output

Answer

Document and proceed with the session

Question 4

Which breathing pattern is characterized by alternating periods of hyperpnea and apnea, often seen in patients with heart failure or neurological damage?

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot's breathing

Answer

Apneustic breathing

Question 5

A physical therapist is treating a patient with left-sided heart failure. Which pulmonary finding is MOST expected on auscultation?

Accepted Answer

Bilateral basilar crackles

Answer

Expiratory wheezes bilaterally

Answer

Absent breath sounds at the apex

Answer

Pleural friction rub

Question 6

When performing airway clearance with postural drainage, which position is used to drain the right middle lobe?

Accepted Answer

Left side-lying with bed tilted head-down

Answer

Prone with pillow under abdomen

Answer

Right side-lying with bed flat

Answer

Supine with bed tilted head-down

Question 7

A patient's ECG shows a heart rate of 150 bpm with narrow QRS complexes and no identifiable P waves. This rhythm is MOST consistent with:

Accepted Answer

Atrial fibrillation

Answer

Ventricular tachycardia

Answer

Atrial flutter

Answer

Junctional tachycardia