Are you preparing to take the Patient Assessment Final Exam in Respiratory Therapy school? If so, good, because this is the right article for you. That’s because, below, you can get access to our study guide that lists out a variety of practice questions covering a wide range of topics all about Patient Assessment in respiratory care.
Now, of course, each and every Respiratory Therapy program is different, but still, this study guide will serve as a fantastic review for much of the information that you learned throughout the semester concerning most of the topics within your Patient Assessment course. So if you’re ready, let’s go ahead and dive right in!
Below you can find all of the practice questions that can help you study for your Patient Assessment Final Exam in Respiratory Therapy school. If you want the correct answers as well, you can get them (free) by Clicking Here. 🙂
Patient Assessment Final Exam Practice Questions:
1. The physician orders 28% oxygen to be administered to a COPD patient who is extremely short of breath. Which device will most accurately achieve this?
B. Simple oxygen mask at 2
C. Venturi mask at 28%
D. Nonrebreathing mask at 6
2. In which of the following conditions would you NOT recommend keeping the dependent (good) lung in the upright position for better oxygenation?
A. Left lower lobe pneumonia
B. Lung abscess
C. Neonatal diaphragmatic hernia
3. A patient with a tracheostomy tube is receiving humidity via a heated wick humidifier. What temperature should the heater be kept at in order to provide proper humidity to this patient?
A. 25 to 27 degrees C
B. 28 to 30 degrees C
C. 45 to 47 degrees C
D. 31 to 35 degrees C
4. A patient is admitted to the hospital with the diagnosis of Haemophilus influlenze type B. The best way to prevent the spread of this type of infection is to:
A. Place patient in a room with negative airflow ventilation
B. Wear gloves and gown when bathing the patient
C. Wear an isolation mask when administrating aerosol therapy
D. Use your own stethoscope when listening to breath sounds
5. Which of the following statements concerning aerosol particles are needed to ensure lower airway and alveolar deposition?
A. Particles of 2 to 5 microns are needed
B. Patients should be instructed to forcefully exhale after inspiration
C. Patients should be instructed to inhale slowly to inspiratory capacity
6. Which of the following cleaning methods sterilize equipment?
B. Ethylene oxide gas
C. Steam autoclave
7. A nasal cannula at a liter flow of 3 L/min applied to a patient with a normal ventilatory pattern delivers an oxygen concentration of approximately:
8. The physician has ordered an active 3-year-old to be placed on 40% oxygen. Which device would you recommend as being the most tolerable for this patient?
A. Venturi mask
B. Oxygen tent
C. Nasal cannula
D. Oxygen mask
9. An RCP is ensuring that a patient is receiving 40% from a nebulizer with an aerosol face mask. When analyzed, the reading is 65%. The RCP should do which of the following?
A. Open the air-entrainment port to a larger size
B. Drain any condensation from the large bore tubing
C. Analyze the O2 percentage near the patient
D. Decrease flow from the flowmeter
10. To protect yourself from contamination by a patient who coughs violently during endotracheal suctioning, which of the following should be done?
A. Wear a mask
B. Wear goggles
C. Restrain the patient
D. Wear gloves
11. As a general rule, most hospitals require that infectious waste and body fluids be placed in which container?
A. A yellow bag
B. A red bag
C. A white bag
D. A clear bag
12. Which of the following are true statements regarding needle and instrument precautions?
A. Needles and sharp instruments should be placed into puncture-resistant containers
B. Soiled needles and sharp instruments are considered infectious waste
C. Recapping of needles
13. A physician orders an ABG on a patient who is receiving O2 via a non-rebreather at 15 LPM. The RCP should record the O2 percentage on the ABG order form as:
A. NRB at 100%
B. NRB at 15 L/min
C. NRB at 10 L/min
D. PRB at 15 L/min
14. Which of the following O2 administration devices is capable of supplying all of the patients inspired gas?
A. Nasal cannula
B. Venturi mask
C. Simple mask
D. Aerosol trach collar at 40%
15. Which of the following are recommended guidelines to minimize the spread of infection by equipment or procedures?
A. Rainwater collected in tubing back into the reservoir so it won’t be left in the tubing
B. Unused portions of medications should be discarded after 24 hours or when recommended
C. Do not discard remaining water in a reservoir system before refilling
D. Each patient should have his or her own equipment
16. A COPD patient is experiencing dyspnea and a dry cough on a day when the temperature is 33 degrees C. The air can hold 36 mg/L of humidity, but the content is actually 28 mg/L. What is the relative humidity under these conditions?
17. A patient who has just been extubated is exhibiting mild respiratory distress. The RCP is asked to administer aerosol therapy to the patient. Which of the following statements are true in this situation?
A. The RCP needs to administer a hypertonic saline solution
B. The RCP needs to administer aerosol at room temperature
C. The RCP needs to add heat to the aerosol therapy to assist with coughing
D. The RCP needs to administer a sterile water solution
18. After setting up a partial rebreathing mask on a patient at a flow of 8 L/min, the reservoir bag collapses before the patient finishes inspiring. The respiratory care practitioner should do which of the following?
A. Change to a nasal cannula at 6 L/min
B. Decrease the flow
C. Increase the flow
D. Change to a non-rebreathing mask
19. In order to help prevent Retinopathy of Prematurity, it is recommended that the PaO2 should be kept to what values during the first week of life?
A. 30 to 40 mmHg
B. 50 to 60 mmHg
C. 70 to 80 mmHg
D. 90 to 100 mmHg
20. A RCP is teaching a patient who is to be discharged how to clean their small volume nebulizer at home. Important steps would include:
A. Purchase Cidex 7 for home use and store in a well-ventilated area
B. Wash equipment in detergent solution and rinse well
C. Soak equipment in a vinegar solution of 1 part vinegar and 3 parts water
D. Soak equipment tin a 10% ethyl alcohol solution
E. Rinse equipment well after soaking and air dry
21. A RCP is asked to disinfect a piece of respiratory equipment. Which of the following procedures would you choose to do this?
A. Pasteurization for 10 minutes
B. Immersion in Cidex for 10 minutes
C. Complete immersion in a 70% ethyl alcohol solution
D. Autoclave exposure at 100 degrees C for 20 minutes
22. Which of the following are considered high flow devices?
A. Venturi mask at 40%
B. Partial rebreathing mask at 12 L/min
C. Aerosol face mask at 60%
D. Simple O2 mask at 6 L/min
23. A nebulizer driven by oxygen at 8 liters per minute with an FiO2 of .40 will have a total flow between:
A. 20-24 L/min
B. 25-29 L/min
C. 30-34 L/min
D. 35-39 L/min
24. Which of the following conditions conform to the standards set for a patient in tuberculosis (AFB) isolation?
A. Private room with positive airflow ventilation
B. Approved respirator mask
C. Gloves required of all persons entering room
D. Patient placed in a room with negative airflow capabilities
25. It is recommended to use a filter small volume nebulizer when administering which of the following drugs?
26. Your patient has a temperature of 98.6 degrees F (37 degrees C). To saturate the inhaled air to normal body conditions, how much absolute humidity must be provided?
A. 37 degrees C
B. 47 mmHg
C. 760 mmHg
D. 44 mg/L
27. Considerations for proper and optimal use of an MDI include all of the following EXCEPT:
A. Do not use a holding chamber for an adult asthmatic patient receiving a steroid
B. Use a holding chamber with MDI for small children
C. Use a holding chamber for adults with small tidal volumes
D. Use a holding chamber for an elderly patient
28. A patient is on a nasal cannula at 8 LPM; the patient is complaining of discomfort, this is primarily due to:
A. Too high of a flow
C. A clogged nasal prong
29. You receive a physician’s order to provide 28% oxygen via nebulizer to a spontaneously breathing patient with a peak inspiratory flow rate of 48 L/min. What flowmeter setting must be utilized in order to provide a total flow rate of gas delivery that is greater than the patient’s inspiratory flow rate?
A. 2 L/min
B. 3 L/min
C. 4 L/min
D. 5 L/min
30. While administering O2 through a non-rebreather mask, a patient suddenly becomes more dyspneic and experiences respiratory distress. Which of the following actions are correct for the RCP to take?
A. Change the non-rebreathing mask to a simple mask at 15 LPM
B. Check the patient’s SpO2
C. Increase the flow to the reservoir bag on the NRB mask
D. Ensure that the mask fits snuggly and tight on the patient’s face
31. While making O2 rounds you discover that the 6-inch reservoir tubing on a T-piece (Briggs) adapter setup has fallen off. What may result from this?
A. Delivered FiO2 would decrease
B. Delivered FiO2 would increase
C. The patient would entrain room air during inspiration
A. The speed of the blower motor
B. The pressure in the couplant chamber
C. The setting on the amplitude control
D. The setting on the frequency control
33. A patient receiving 38 mmHg per liter of gas from a nebulizer has a humidity deficit of which of the following?
A. 6 mg/L
B. 9 mg/l
C. 12 mg/L
D. 18 mg/L
34. Which of the following humidity devices is capable of providing 100% of a patient’s body humidity?
A. Heated passover membrane humidifier
C. Heated wick humidifier
D. Bubble humidifier
35. A pneumatic nebulizer that delivers 70% oxygen would have a air to oxygen ratio of:
36. Which piece of equipment would be needed to set up a tracheostomy collar on a patient?
A. Heated aerosol generator
B. Spinning disk nebulizer
C. Bubble humidifier
D. Pass-over humidifier
37. Which of the following methods of disinfection are effective against TB, bacteria, viruses, and fungi?
A. Cidex 7
B. Iodine with 70% ethyl alcohol
D. Vinegar solutions
38. An H cylinder of oxygen was placed in service with 2000 psig and has been used for 5 hours at a flow rate of 10 L/min. It can be used for how many additional hours?
39. When using mechanical ventilation with a heated humidifier, the large bore tubing circuit
A. To prevent condensate from entering the inspiratory sit
B. To prevent back pressure from affecting the ventilator
C. To prevent the humidifier from overheating
D. To prevent condensate from entering the reservoir
40. How long will an H cylinder take to empty running at 12 LPM with 1200 psig?
A. 1 hour
B. 2 hours
C. 5 hours
D. 10 hours
41. After occluding a pre-filled disposable bubble humidifier by pinching the tubing, no whistling noise occurs. The correct action to take would be to:
A. Check to see if there is a kinked tubing
B. Replace the humidifier with a new one
C. Check to see if there is a clogged nasal cannula
D. Decrease the flow from the flowmeter
42. A patient is receiving O2 via simple mask at 5 L/min. The patient’s SpO2 drops with attempts to decrease the O2 and it is decided that the patient should wear the mask until he becomes more stable. Which of the following should the RCP recommend?
A. Change the patient to a nasal cannula at 3 L/min
B. Add a bubble humidifier to the oxygen set-up
C. Change the patient to an aerosol therapy set-up at 40%
D. Add a cascade-type humidifier to the oxygen set-up
43. Indications for warm humidity therapy include which of the following?
A. Treat hypothermic patient
B. Provide humidity to a patient with a tracheostomy tube in place
C. Treat a pediatric patient with croup
D. Treat an adult patient with acute laryngospasm
44. How long will an E cylinder with 1000 psig last running at 5 L/min until it reaches 200 psig?
A. 21 minutes
B. 45 minutes
C. 56 minutes
D. 1 hour and 10 minutes
45. Biologic indicators are used in decontamination procedures for which of the following reasons?
A. They speed up the decontamination process
B. They increase the concentration of liquid sterilants
C. They indicate what organisms have contaminated the equipment
D. They determine if the decontamination process was effective
46. An air entrainment mask will deliver a higher FiO2 than expected if:
A. The internal diameter of the jet is increased
B. The external diameter of the jet is decreased
C. The entrainment ports have been blocked
D. The flow rate on the flowmeter has been increased
47. A RCP is asked to obtain a cylinder of carbon dioxide and oxygen for a diagnostic test. To ensure the correct cylinder is chosen, the RCP should:
A. Choose a cylinder that is gray and green
B. Inform the supervisor that is mixture of gases does not exist
C. Choose a cylinder that is blue and green
D. Read the label on the cylinder
48. A patient is receiving oxygen from an “E” cylinder at 4 L/min through a nasal cannula. The cylinder pressure is 1900 psig. How long will the cylinder run until it is empty?
A. 47 minutes
B. 1.7 hours
C. 2.2 hours
D. 3.6 hours
49. All of the following statements concerning a Bourdon gauge are true EXCEPT:
A. It is not compensated for pressure
B. Its flow reading is not affected when placed in a horizontal position
C. It measures pressure directly and flow indirectly
D. The gauge reads lower than the amount the patient actually receives
50. Your patient has an endotracheal tube in place. Which of the following devices would be the least effective in reducing this patient’s humidity deficit?
B. Unheated bubble-type humidifier
C. Heated pass-over humidifier
D. Heated wick humidifier
51. Two flowmeters are needed to supply a FiO2 of 60%. What flow rate needs to set on the oxygen flowmeter, and what flow rate needs to be set on the air flowmeter do delivers 60% FiO2 and keep the total flow at 10 L/min?
A. 2 L O2 and 8 L Air
B. 5 L O2 and 5 L Air
C. 1 L O2 and 9 L Air
D. 3 L O2 and 7 L Air
52. A patient is on a 30% Venturi mask at an O2 flow of 5 L/min. The total flow delivered by this device is which of the following?
A. 36 L/min
B. 45 L/min
C. 54 L/min
D. 60 L/min
53. A patient has come to the ER with nasal trauma due to a burn. His eyes and nasal area are also very swollen. Which of the following devices would be appropriate to deliver O2 to this patient?
A. Simple mask
B. Face tent
C. Nasal cannula
D. Nasal trumpet
54. While making 02 rounds you notice that a disposable bubble humidifier contains only 20 ml of sterile water. What is the appropriate action to take?
A. Let it run until the humidifier is empty
B. Refill it with fresh, sterile water
C. Replace it with a new disposable humidifier
D. Pour out the remaining water, rinse with tap water, and add fresh sterile water
55. You set up a bubble humidifier and no bubbling occurs. What could be the cause of this?
A. The humidifier jar is loose
B. The delivery (capillary) tube is obstructed
C. The flowmeter is set too high
56. Which of the following oxygen administration devices would qualify as a “low-flow” oxygen system?
A. Simple mask
B. Nasal cannula
C. Venturi mask
D. Partial rebreathing mask
57. A patient is set up on 40% flow-by, and during inspiration mist is not visible exiting the T-tube reservoir. What should the respiratory care practitioner recommend?
A. Increase the nebulizer flow
B. Add water to the nebulizer
C. Shorten the T-tube reservoir
D. Decrease the nebulizer flow
58. The E cylinder has a special oxygen connection. This connection is to ensure safety in the use of oxygen. This system is called:
A. Diameter Index Safety System
B. American Standard Connection System
C. Pin Index Safety System
D. American Standard Safety System
59. Which of the following conditions would be standard requirements for a patient with localized herpes zoster (shingles)?
A. Gloves and handwashing
B. A special respirator mask
D. Patient placed in a room with negative pressure ventilation
60. A patient has been supported by a mechanical ventilator using a hygroscopic condenser humidifier (HME) for the last 3 days. Suctioning reveals an increase in the amount and tenacity of secretions. Which of the following actions are indicated?
A. Increase the hygroscopic condenser humidifier temperature
B. Switch the patient to a heated wick humidifier
C. Switch the patient to continuous ultrasonic nebulization
D. Reassess the patient’s secretions over the next 24 to 48 hours
61. A patient is ineffectively breathing with a consistent large tidal volume, a variable respiratory rate and short periods of apnea. This patient could be suffering from:
A. Cystic fibrosis
B. Airway tumor
C. Head injury
62. What is the proper rate of external chest compressions for children up to 8 and to the age of puberty?
63. Which of the following sets of ABG measurements would be indicative of a renal compensated respiratory acidosis?
A. pH 7.26, PCO2 60 torr, PO2 68 torr, HCO3- 24 mEq/L, BE 0
B. pH 7.42, PCO2 39 torr, PO2 87 torr, HCO3- 22 mEq/L, BE –1
C. pH 7.25, PCO2 61 torr, PO2 75 torr, HCO3- 26 mEq/L, BE +1
D. pH 7.37, PCO2 58 torr, PO2 60 torr, HCO3- 31 mEq/L, BE +8
64. Which of the following conditions will appear hyperlucent with retrosternal airspace on a chest x-ray?
E. Acute asthma
65. A patient is being manually ventilated at a rate of 12/min with a bag-valve resuscitation bag. With the oxygen flow running at 8 L/min into the bag, the patient’s PaO2 is 55 torr. Which of the following actions would increase the FiO2 delivered to the patient?
A. Increasing the ventilation rate to 30/min
B. Increasing the oxygen flow to 15 L/min
C. Ensure that an oxygen reservoir is connected to the bag
66. All of the following are conditions where bronchial and bronchovesicular breath sounds may be heard over consolidated areas EXCEPT:
C. Pulmonary edema
D. Foreign body aspiration
67. Clubbing of the fingers in associated with:
A. Acute lung disease
B. Bronchogenic carcinoma
C. Acute cardiovascular disease
D. Chronic obstructive lung disease
68. Which of the following PaO2 findings is considered severe at any age?
A. PaO2 of 55 mmHg
B. PaO2 of 60 mmHg
C. PaO2 of 65 mmHg
D. PaO2 of 40 mmHg
69. On receiving a new medication nebulizer treatment order, the RCP checks the order and finds the order is written incorrectly. What should the RCP do?
A. Draw up the medication and give the treatment
B. Ask the family what medication the patient should receive
C. Obtain a past home care history
D. Call the physician and clarify the order
70. Which of the following could influence the results of pulse oximetry?
A. Nail polish
B. Motion artifact
71. Dark yellow secretions with a foul odor may be due to:
C. Pulmonary edema
D. Lung abscess
72. You are called to the ER to assess a patient who has suffered blunt chest trauma in an automobile accident. Which of the following clinical signs could indicate the presence of a pneumothorax?
A. Subcutaneous emphysema (crepitus)
B. Paradoxical chest movement
C. Peripheral edema
73. You are preparing to perform a right radial puncture on a patient and are doing the Allen’s test prior to the puncture. The response to the test is for the patient’s hand to “pink up” after pressure is released. The results are consistent with:
A. Occluded radial artery
B. Patent ulnar artery
C. Occluded ulnar artery
D. Patent brachial artery
74. After obtaining a blood gas sample, the respiratory care practitioner fails to rid the sample of an air bubble before analyzing the blood. This could result in:
A. An abnormal high CO2
B. An abnormal low pH
C. An abnormal high O2
D. An abnormal low CO2
75. In order to palpate for symmetrical chest movement of a patient, the respiratory care practitioner should do which of the following?
A. Order a chest x-ray
B. Place a hand on the abdomen and observe abdominal movement
C. Percuss the chest bilaterally
D. Place a hand on the chest and observe chest movement
76. A patient arrives in the emergency room in a full cardiopulmonary arrest with a cervical neck collar in place. The best alternative site that could be used to check the pulse would be the:
A. Carotid pulse
B. Femoral pulse
C. Brachial pulse
D. Radial pulse
77. You are a RCP working in the ER when a MVA victim arrives. You quickly determine that the patient is in severe respiratory distress and has crepitus on the left side of his chest. What should you do to further evaluate these findings?
A. Collect an ABGs and order a peak flow study
B. Administer a STAT aerosol treatment with Albuterol and Atrovent
C. Intubate and ventilate the patient
D. Collect an ABG and order a STAT chest x-ray
78. A patient enters the ER in moderate respiratory distress. The RCP is called to asses the patient and determines the following: intercostal muscle use, stridor, slow respiratory rate with an I:E of 1:1. What are possible causes of these findings?
B. Laryngeal edema
E. Airway tumor
79. A patient has normal breath sounds following therapy. Which of the following best describes this finding?
80. The respiratory therapist has received an order to obtain ABG levels from a patient, but an Allen’s test indicates collateral circulation is not present in the right wrist. At this time the therapist would:
A. Obtain blood from the right radial artery
B. Obtain blood from the right brachial artery
C. Wait for the physician to evaluate collateral circulation
D. Check collateral circulation in the left wrist
81. Which of the following are possible techniques to accurately check a patient’s pulse rate?
A. Listen to heart tones with a stethoscope
B. Locate and palpate the radial artery
C. Locate and palpate the brachial artery
D. Locate and palpate the carotid artery
82. A RCP is called to give a STAT aerosol treatment with Xopenex to a patient in respiratory distress. The patient appears very fearful and anxious and tells the RCP that he does not want the treatment. What action should the RCP take at this time?
A. Contact the physician and tell her the patient has refused treatment
B. Restrain the patient and forced him to take the treatment
C. Assume the patient doesn’t understand and ask for a translator
D. Reassure the patient, explain the benefits of the treatment and attempt to give the treatment again
83. You are caring for a patient has been previously intubated and note that the patient is exhibiting signs of respiratory distress. Upon auscultation, you note decreased breath sounds on the left and the patient’s SpO2 has dropped from 94% to 87%. What action should you take:
A. Advanced the tube 2 cm
B. Withdraw the tube until equal breath sounds are heard
C. Leave the tube in the present position and monitor closely
D. Call for a chest x-ray to verify
84. You enter a patient’s room to give a treatment and observe the patient is unconscious and not breathing. Your first action should be which of the following?
A. Deliver two breaths
B. Open the airway
C. Perform abdominal thrust
D. Call for help
85. You are caring for a patient who attempted suicide by inhaling poisonous fumes in a car with the engine running. What level of COHb is lethal for this patient?
86. Pulse oximetry should NOT be recommended to determine oxygenation status in which of the following situations?
A. A patient receiving a sleep study
B. A patient arrives in the ER department after being pulled from a burning house.
C. A post-op patient who is still sedated
D. A patient receiving a bronchoscopy
87. A patient who has overdosed on narcotics has been admitted to the ER. The RCP hears course breath sounds in the right lower lobe and it is determined that the patient has aspirated vomitus. Which of the following chest x-ray findings is consistent with this diagnosis?
A. Lobar consolidation and air bronchograms on the right
B. Lobar infiltrates and depressed hemidiaphragms on the right
C. Bilateral hyperlucent lung fields
D. Total white-out of chest x-ray
88. While ventilating a patient with a manual resuscitator, you notice the bag is not refilling adequately. What could be the cause of this problem?
A. Reversed or improperly placed one-way valve
B. Excessive liter flow from the flowmeter
C. Improper sized facemask
D. Reservoir tubing too short
89. An RCP has just performed incentive spirometry on a post-operative patient and when you ask the patient to cough, she states that it is too painful to cough. The RCP should encourage which of the following modifications to coughing?
A. Manually assisted cough
B. Mid-inspiratory cough
C. Cough assisance with splinting
D. Normal cough
90. It is determined that a patient’s respiratory rate is 35 beats/minute. This would be considered normal with which patient age population?
A. A 19-year-old patient
B. A 45-year-old patient
C. A newborn or infant
D. A 10-year-old patient
91. Which of the following methods may best determine decreased cardiac output and perfusion in the extremities?
A. Obtaining ABG studies and determining the PaO2 level
B. Assessing the SaO2 level with a pulse oximeter
C. Assessing capillary refill
D. Palpating a brachial pulse
92. Physical examination of a patient with pleural effusion might reveal which of the following?
A. Paradoxical respiration
B. Decreased tactile fremitus
C. Depressed hemidiaphragms
D. Diminished breath sounds on the affected side
93. You are called to the nursery to help provide emergency care to a 9-month-old infant. The infant has had a cardiac arrest. Which of the following apply to correct technique for providing external chest compressions to this infant?
A. Sternum should be depressed 3 inches with each compression
B. A compression: ventilation ratio of 30:1 should be used
C. Two fingers should be placed just below the nipple line
D. A compression: ventilation ratio of 5:1 should be used
94. You are performing an initial evaluation of a patient who complains of dyspnea. The patient informs you that he becomes dyspneic after climbing one flight of stairs. You would record this as:
A. Class I dyspnea
B. Class II dyspnea
C. Class III dyspnea
D. Class IV dyspnea
95. As you enter the patient’s room to administer a nebulizer treatment, you notice the patient is breathing rapidly and looks to be in distress. You notice the following during the physical exam: reduced chest expansion, a hyperresonant percussion note on the left side, absence of breath sounds on the left and a tracheal shift to the right. This suggests:
A. Left-sided consolidation
B. Left-sided pneumothorax
C. Pleural effusion
D. Right-sided pneumothorax
96. A term used to describe a condition in which a patient has difficulty breathing while in a supine position is which of the following?
C. Paroxysmal nocturnal dyspnea
D. Kussmaul’s respirations
97. A patient who is in bed is in respiratory distress, displaying use of accessory muscles and nasal flaring. What is the best explanation for the nasal flaring?
A. Patient is attempting to decrease airway resistance by dilating nares
B. Patient is attempting to increase airway resistance by dilating nares
C. Patient is attempting to decrease lung compliance by dilating nares
D. Patient is attempting to breathe more shallow by dilating nares
98. While palpating the chest, the respiratory care practitioner determines that is decreased vibrations (decreased tactile fremitus) over the right lower lobe. This may be the result of which of the following?
B. Pleural effusion
99. After two attempts at opening the airway and providing ventilation to an infant, you cannot confirm adequate air movement. At this point, what should you do?
A. Perform a finger sweep in an attempt to restore ventilation
B. Apply 6 to 10 abdominal thrust
C. Apply back blows followed by chest thrust
D. Try to ventilate infant with smaller breaths
100. On performing a chest assessment, you hear high-pitched wheezes over both lower lobes. This could be caused by all of the following except:
C. Airway tumor
101. A patient coughs up dark, yellow sputum after an IPPB treatment. Which one of the following statements is TRUE in
A. It can be termed purulent
B. It is termed hemoptysis
C. It is often found in patients who have pneumonia
D. It is a normal color for pulmonary edema
102. When asking a patient if she knows what hospital she is in and what day of the week it is, you are trying to assess the
A. Orientation to place and time
B. Reaction to chronic illness
103. Crackles (rales) are generally heard when the patient has:
C. Pulmonary edema
D. Pleural effusion
104. The compression-breath ratio for one-rescuer CPR on an adult victim is which of the following?
105. You measure the blood pressure of a patient as 88/53. Which of the following entries would you use to describe this finding?
A. Patient is hypertensive
B. Patient is hypotensive
C. Patient has
D. Patient has
106. A patient complaining of chest pressure is sweating profusely. Which of the following should the RCP recommend
C. Administer O2 at 2 LPM BNC
107. You are called to ER to see Mr. Jones who is lethargic and cyanotic. He has a history of emphysema. He was complaining of SOB and was placed on 6 L/min via a nasal cannula. His ABGs after 20 minutes are as follows:
PaCO2 74 torr
PaO2 80 torr
HCO3- 31 mEq/L
What is the cause of his symptoms?
A. Patient has severe hypoxemia
B. Decreased hypoxic drive
C. No need for concern, emphysema patients always have this type of ABGs
D. Patient has acute bronchospasm
108. A patient on 2L/min nasal cannula has the following ABG results:
PaCO2 27 mmHg
PaO2 62 mmHg
HCO3- 23 mEq/L
These results indicate which of the following conditions?
A. Uncompensated respiratory acidosis
B. Chronic respiratory alkalosis
C. Compensated metabolic alkalosis
D. Acute respiratory alkalosis
109. A patient arrives in the ER after being pulled from a burning house. The RCP places a pulse oximeter on the patient’s earlobe and obtains a SpO2 reading of 93%. An ABG is drawn and the SaO2 analyzed by co-oximetry is 76%. Which of the following is the most likely reason for the discrepancy in the two saturation readings?
A. The oximeter needs to be calibrated
B. The co-oximeter electrode is out of calibration
C. There is an elevated HbCO level
D. The pulse oximeter probe is loose
110. A physical exam reveals the following: decreased expansion, a dull percussion note on the left lower lobe area,
A. Interstitial fibrosis
B. Left-sided atelectasis
C. Left-sided consolidation
D. Left-sided pleural effusion
111. A patient with a pH of 7.15 is breathing abnormally. He has an increased respiratory rate and increased tidal volume for his size. This type of breathing pattern is called:
A. Biot’s respiration
B. Kussmaul’s respirations
C. Cheyne-Stokes respirations
112. During a physical examination, it is determined that a patient has 2+ pitting edema in the extremities. What are possible explanations of this finding?
A. Patient has pulmonary fibrosis
B. Patient has CHF
C. Patient has sepsis
D. Patient has pneumonia
113. Which of the following arteries is palpated to determine
A. Radial artery
B. Femoral artery
C. Carotid artery
D. Brachial artery
114. A patient enters the emergency department and on initial examination, the respiratory care practitioner observes paradoxical
A. Pulmonary edema
C. Flail chest
D. Pleural effusion
115. A patient’s chart has a note on the front stating a “DNR status”. What does this indicate to caregivers?
A. That the patient does not want kidney dialysis
B. That the patient wants to be an organ donor
C. That the patient does not want to be resuscitated
D. That the patient does not want a cardiac pacemaker
116. A 3-year-old child enters the ER in mild respiratory distress. The mother of the child suspects that the child has aspirated a coin. What should the RCP recommend?
A. Lateral x-ray of the chest be taken
B. PA chest x-ray be taken
C. A CT scan of the stomach be performed
D. Lateral x-ray of the neck and upper airway be taken
B. Neuromuscular defect
C. Post-operative atelectasis
D. Cystic fibrosis
118. The most effective way to communicate with other members of the health care team about a patient’s condition is by:
A. Discussing the information during patient rounds with the attending physician
B. Telling the shift supervisor who will tell the other staff members
D. Recording the information in the patient’s chart
119. A patient presents to the ER with the following clinical signs and symptoms: weak pulse, mentally confused, decreased urine output, and decreased blood pressure. Possible causes are:
B. Patient has possible blood loss
C. Patient has taken vasoconstricting drugs
120. During a chest physical exam, it is noted that there is decreased tactile fremitus on the right side. This could be due to:
A. Pneumonia on the right side
B. Pneumothorax on the right side
C. Atelectasis on the right side
D. Severe emphysema
121. During a bedside assessment of an adult patient, the respiratory care practitioner hears a harsh, monophonic, inspiratory sound over the larynx. A note should be put in the chart that this represents:
A. Laryngeal edema
B. Normal breath sounds
C. Secretions in the airways
D. Decreased breath sounds
122. Heavy smokers commonly have HbCO levels as high as:
123. Arterial blood gas results obtained from a patient are as follows:
PaCO2 54 torr
PaO2 81 torr
HCO3- 25 mEq/L
You would interpret these ABG results as:
A. Compensated respiratory acidosis
B. Uncompensated respiratory acidosis
C. Compensated metabolic acidosis
D. Uncompensated metabolic acidosis
124. While palpating the chest of a patient, you notice that the trachea is shifted to the right, there is
A. Pneumothorax of the left lung
B. Pulmonary fibrosis in the left lung
C. Pulmonary effusion of the right lung
D. Atelectasis of the right lung
125. Bilateral, high-pitched polyphonic expiratory wheezes most likely indicate:
D. Pulmonary edema
126. A patient displays the following physical findings: prolonged expiratory times, an increased AP chest diameter, use of accessory muscles, depressed
A. Bronchial obstruction with atelectasis
B. Diffuse interstitial fibrosis
C. Chronic Obstruction Pulmonary Disease
D. Acute upper airway obstruction
127. It is determined that the P50 for a patient is 42 mmHg. Which of the following conditions could this patient be experiencing?
A. High fever
B. Exposure to carbon monoxide
C. Acute acidosis
D. Decreased PCO2
128. In inspecting an elderly female patient, you note that her spine has an abnormal anteroposterior (AP) curvature of the upper spine which results in a hunchback appearance. Which of the following terms would you use in charting this observation?
C. Pectus carinatum
129. A 50-year-old patient has a PaO2 of 72
A. Normal for a person of this age
B. Severe hypoxemia
C. Moderate hypoxemia
D. Mild hypoxemia
130. A patient with pneumonia and fever of 103 degrees F is sitting up in bed. Her respiratory rate is regular and 35 times a minute. Accessory muscles of ventilation are being used. She is demonstrating which of the following?
A. Kussmaul respirations
B. Cheyne-Stokes respiration
131. Signs of pneumonia on the chest x-ray may include:
B. Consolidation of the affected area
C. Flattened diaphragm
132. A heart rate of 160 beats/minute could be considered normal for which of the following patient’s?
A. A neonate at birth
B. A neonate at 12 hours of age
C. A 1-year-old child
D. A 3 –year-old child
A. Alert, but confused
134. A patient is admitted to the hospital with the diagnosis of a severe intestinal virus. An arterial blood gas sample
PaCO2 38 torr
PaO2 83 torr
HCO3- 33 mEq/L
The patient’s arterial blood gas results indicate:
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic acidosis
D. Metabolic alkalosis
135. A patient has a productive cough of clear to white sputum. What does this indicate about the patient’s secretions?
A. The secretions contain cellular debris
B. The patient is likely suffering from asthma
C. White blood cells are present in the sputum
D. The sputum is mucoid
So there you have it. I hope this study guide was helpful for you and can serve as a great review for your Patient Assessment Final Exam. As I mentioned before, I realize that each Respiratory Therapy program is different, so I may not have included a question about every single topic that you’ll see on your final exam. Still, if you go through this information, I have no doubt that you can boost your knowledge and improve your final grade when it’s all said and done. Thank you for reading and I wish you the best of luck and as always, breathe easy my friend.
And if you need the answers to these questions, you can get access to them by Clicking Here.