Pulmonary Clinical Assessment
Mock Exam
Course Introduction
Pulmonary Clinical Assessment focuses on the comprehensive evaluation of patients with respiratory disorders. The course covers the principles and techniques of taking detailed pulmonary histories, performing physical examinations, and interpreting diagnostic tests such as spirometry, arterial blood gases, and imaging studies. Emphasis is placed on the integration of clinical findings to formulate differential diagnoses and management plans for common and complex pulmonary conditions. Students will develop clinical reasoning skills through case discussions, hands-on practice, and critical analysis of real-world scenarios encountered in pulmonary medicine.
Recommended Textbook Wilkins Clinical Assessment in Respiratory Care 7th Edition by Al Heuer PhD
Available Study Resources on Quizplus
21 Chapters
773 Verified Questions
773 Flashcards
Source URL: https://quizplus.com/study-set/1447
Page 2
Chapter 1: Preparing for the Patient Encounter
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/28718
Sample Questions
Q1) In which of the following stages of patient-clinician interaction is the review of physician orders carried out?
A)Treatment stage
B)Introductory stage
C)Preinteraction stage
D)Initial assessment stage
Answer: C
Q2) According to the American Association for Respiratory Care (AARC), patient discharge plans should include which of the following?
A)Transportation for the patient when the patient goes home
B)Ascertaining that once the patient has been discharged, the patient has adequate financial resources to pay rent and utilities
C)Notification of the patient's family and/or other caregivers of the patient's imminent discharge
D)Methods for the ongoing assessment of outcomes
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: The Medical History and the Interview
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/28719
Sample Questions
Q1) Which of the following is not a reason for obtaining a family history?
A)To assess the current health status of the extended family
B)To learn about the health status of the patient's blood relatives
C)To determine whether the patient is adopted
D)To identify the presence in the family of diseases with a hereditary tendency
Answer: C
Q2) Which of the following types of questions are preferred for all interactions with a patient?
A)Direct questions
B)Neutral questions
C)Indirect questions
D)Open-ended questions
Answer: B
Q3) A good interview should contain all of the following elements except:
A)The interviewer should dress and act professionally.
B)The interviewer should project a sense of undivided interest.
C)The interviewer should use a formal speaking style.
D)The interviewer should respect the patient's beliefs and attitudes.
Answer: C
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Cardiopulmonary Symptoms
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/28720
Sample Questions
Q1) Which of the following is the best definition of sputum?
A)Secretions
B)Thick tenacious secretions
C)Secretions from the lungs and lower airways
D)Secretions from the nose, mouth, and tracheobronchial tree
Answer: D
Q2) Snoring is caused by all of the following except:
A)Excessive daytime sleepiness.
B)Obesity.
C)Excessive alcohol consumption.
D)Use of sleeping medications.
Answer: A
Q3) Cough syncope is associated most often with which of the following types of patients?
A)Middle-aged men with underlying COPD
B)Pregnant women
C)Children with asthma
D)Older obese men with diabetes
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Vital Signs
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/28721
Sample Questions
Q1) Which of the following breathing patterns describes Kussmaul breathing?
A)Normal
B)Shallow
C)Fast and shallow
D)Fast and deep
Q2) An RT has just finished administering an aerosol treatment by a small-volume nebulizer to a patient who has a serious case of pneumonia.For the past 24 hours, the patient has had a fever of 39 to 40 C.Just as the therapist is finishing, a nursing aide comes in to record the vital signs.She uses an electronic thermometer to record an oral temperature of 36.5 C and comments to the patient, "Well, Mr.Jones, you must be getting better because your fever is completely gone." The therapist should:
A)also verbally encourage the patient by saying that he is getting better.
B)totally ignore the situation and continue with the posttreatment assessment.
C)complete the treatment and assessment, record the results in the patient's chart, then go on to the next patient.
D)go to the nursing aide after she leaves the room and tell her that the temperature she recorded is probably not accurate and should be repeated.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: Fundamentals of Physical Examination
Available Study Resources on Quizplus for this Chatper
76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/28722
Sample Questions
Q1) The bell portion of the stethoscope is best designed to listen to _____-pitched _____ sounds.
A)low; lung
B)low; heart
C)high; lung
D)high; heart
Q2) Where is the best anatomic place to begin auscultation in most patients?
A)Over the trachea
B)Over the upper lobes
C)In the axillary regions
D)In the dependent regions
Q3) What is believed to be responsible for production of the first heart sound?
A)Closure of the atrioventricular (AV) valves
B)Opening of the AV valves
C)Closure of the semilunar valves
D)Opening of the semilunar valves
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Neurologic Assessment
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/28723
Sample Questions
Q1) Which of the following anatomic areas is compromised when the patient has dysmetria?
A)Cerebrum
B)Pons
C)Cerebellum
D)Brainstem
Q2) Which of the following diseases may be suggested by the involvement of multiple nerve roots?
A)Myasthenia gravis
B)Guillain-Barré syndrome
C)Brain tumor
D)Intracranial hypertension
Q3) A patient who is alert and oriented times three would know all of the following things correctly except?
A)First and last name
B)Today's date
C)City in which he or she lives
D)President or head of state's name
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Clinical Laboratory Studies
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/28724
Sample Questions
Q1) Which of the following terms describes the change in white blood cell count that often occurs in patients with tuberculosis?
A)Lymphocytosis
B)Monocytosis
C)Eosinophilia
D)Basophilia
Q2) Which of the following types of white blood cells exists as two types-the B cell and the T cell?
A)Basophil
B)Monocyte
C)Neutrophil
D)Lymphocyte
Q3) Which of the following terms describes anemia due to low hemoglobin levels?
A)Microcytic
B)Leukopenic
C)Hypocytotic
D)Hypochromic
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Interpretation of Blood Gases
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/28725
Sample Questions
Q1) An acute increase in PaCO of 10 to 15 mm Hg causes a corresponding increase in plasma HCO - of how many mEq/L?
A)1
B)2
C)3
D)4
Q2) A shift to the right in the oxyhemoglobin dissociation curve has what effect on the affinity of hemoglobin for oxygen?
A)Increased
B)Decreased
C)No change
D)Cannot predict the change
Q3) What is the normal value for arterial pH?
A)7.20 to 7.30
B)7.35 to 7.45
C)7.45 to 7.50
D)Greater than 7.50
To view all questions and flashcards with answers, click on the resource link above.
10
Chapter 9: Pulmonary Function Testing
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/28726
Sample Questions
Q1) Which of the following is not a general purpose of performing pulmonary function tests (PFTs)?
A)The functional status of the lungs
B)The diffusion characteristics of the alveolar-capillary membrane
C)How much and how fast gas can be moved into and out of the lungs
D)The specific diagnosis of pulmonary disease
Q2) Which of the following factors has the greatest influence on lung size and predicted PFT values?
A)Gender
B)Height
C)Race
D)Weight
Q3) The normal FEV to FVC ratio is approximately:
A)50%.
B)66%.
C)75%.
D)95%.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Chest Imaging
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/28727
Sample Questions
Q1) Which of the following views provides less cardiac magnification and a sharper view of the left lower lobe?
A)PA view
B)AP view
C)Left lateral view
D)Lateral decubitus view
Q2) The presence of the characteristic "signet sign" in a computed tomography (CT) scan is consistent with which of the following diseases?
A)Asthma
B)Lung tumor
C)Emphysema
D)Bronchiectasis
Q3) Which of the following forms of radiologic assessment is most useful for studying the distribution of ventilation and perfusion and the effects that diseases may have on these two important functions?
A)MRI
B)CT scanning
C)Lung scanning
D)Pulmonary angiography
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Interpretation of Electrocardiogram Tracings
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/28728
Sample Questions
Q1) Which of the following are associated with the onset of dysrhythmias? 1.Hypoxia
2)Electrolyte imbalances
3)Sympathetic stimulation
4)Pulmonary hypertension
A)1, 2
B)3, 4
C)2, 4
D)1, 2, 3
Q2) What part of the heart is best viewed by the chest leads V and V ?
A)Left atrium
B)Right atrium
C)Left ventricle
D)Right ventricle
Q3) Which of the following would be a typical ECG finding in a patient with emphysema?
A)Reduced voltage in the limb leads
B)Left axis deviation
C)Smaller-than-normal P waves
D)Prominent QRS complexes, particularly in leads V5 and V6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 12: Neonatal and Pediatric Assessment
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/28729
Sample Questions
Q1) What clinical problem is associated with low serum levels of calcium and phosphorus?
A)Acute hypoxia
B)Liver failure
C)Poor nutrition
D)Renal failure
Q2) Which of the following conditions is associated with an infant born early in gestation?
A)Meconium aspiration
B)Respiratory distress syndrome (RDS)
C)Persistent pulmonary hypertension
D)Perinatal asphyxia
Q3) Why is it so important to quickly identify a low blood glucose level in a newborn?
A)Because of worry about impaired pulmonary function
B)Because it is detrimental to brain development
C)Because it results in rapid renal deterioration
D)Because it can result in blindness through retinal detachment
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Older Patient Assessment
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/28730
Sample Questions
Q1) Ageism in the healthcare setting can lead to:
A)practitioners spending more time with older patients.
B)practitioners listening to older patients less carefully.
C)practitioners treating older patients with compassion.
D)better communication with elderly patients.
Q2) Which of the following pulmonary function measurements decreases with age?
A)Tidal volume
B)Residual volume
C)Total lung capacity
D)Diffusing capacity
Q3) The normal resting respiratory rate in elderly patients is in what range?
A)10 to 18 breaths/min
B)12 to 21 breaths/min
C)14 to 23 breaths/min
D)16 to 25 breaths/min
Q4) Which of the following pulmonary function measurements increases with age?
A)Vital capacity
B)Closing capacity
C)Diffusing capacity
D)Inspiratory capacity
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Respiratory Monitoring in Critical Care
Available Study Resources on Quizplus for this Chatper
51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/28731
Sample Questions
Q1) Which of the following waveforms most accurately allows the clinician the recognition of auto-PEEP?
A)Pressure-volume
B)Pressure-time
C)Flow-time
D)Flow-volume
Q2) If auto-PEEP is present, it is most likely to be detected if the expiratory limb of the patient circuit is occluded at what point in the cycle?
A)At the end of exhalation
B)In the middle of inhalation
C)In maximal inhalation
D)At the middle of exhalation
Q3) Volutrauma is most likely to develop in:
A)the larger airways.
B)dependent lung regions.
C)nondependent lung regions.
D)small airways.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Vascular Pressure Monitoring
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/28732
Sample Questions
Q1) When the pulmonary artery catheter is inserted, the balloon is inflated in the right atrium before it is inserted further.This is done to:
A)allow the catheter to float.
B)decrease the risk of premature ventricular contractions.
C)allow the catheter to enter the right ventricle more easily.
D)all of the above.
Q2) During systole, the CVP v waveform is exaggerated and the CVP increases.This most likely is due to:
A)a kink in the tubing.
B)air bubbles in the catheter.
C)an incompetent tricuspid valve.
D)incorrect positioning of the measuring instrument with respect to the right atrium.
Q3) All of the following cause an increase in the CVP except:
A)peripheral vasodilation.
B)right ventricular failure.
C)pulmonary hypertension.
D)positive-pressure mechanical ventilation.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Cardiac Output Measurement
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/28733
Sample Questions
Q1) The amount of blood pumped out of the left ventricle in 1 minute is the definition of: A)afterload.
B)cardiac output.
C)stroke volume.
D)ejection fraction.
Q2) The resistance to ventricular ejection also is known as:
A)afterload.
B)Forrester's hemodynamic subset I.
C)Forrester's hemodynamic subset II.
D)Forrester's hemodynamic subset III.
Q3) All the following make up the peripheral component of afterload except:
A)the radius of the vessels.
B)the length of the vessels.
C)the viscosity of the blood.
D)the elasticity or compliance of the vessels.
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Bronchoscopy
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/28734
Sample Questions
Q1) What is the primary purpose of bronchoscopy in a patient with pneumonia?
A)To obtain biopsy specimens
B)To identify the causative organism
C)To control hemoptysis
D)To remove secretions
Q2) What is the primary purpose of bronchoscopy in a patient with interstitial lung disease?
A)To perform microscopic assessment of the biopsy sample, which often is diagnostic
B)To stop massive hemoptysis
C)To identify the causative agent
D)To remove excessive secretions
Q3) What are double-shielded brushes used for during bronchoscopy?
A)To clean the fiberoptics
B)To obtain microbiologic samples
C)To assist in cleaning the smaller airways of mucous plugs
D)To assist in diagnosing malignant tumors
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Nutrition Assessment
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/28735
Sample Questions
Q1) Which of the following is true about anaerobic metabolism?
1)It can cause metabolic acidosis.
2)It results in excess lactate production.
3)It results in excess production of carbon dioxide.
4)It is a very inefficient method of producing ATP.
A)1, 2, 3
B)1, 3
C)2, 4
D)1, 2, 3, 4
Q2) What method of nutritional delivery is considered the least efficient?
A)By mouth
B)By nasogastric tube
C)By arterial line
D)By IV line
Q3) Which of the following is associated with a low-protein diet?
A)Increased work of breathing
B)Increased fixed acid load
C)Immune compromise
D)Increased stress on the kidneys
To view all questions and flashcards with answers, click on the resource link above.
Page 20
Chapter 19: Sleep and Breathing Assessment
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/28736
Sample Questions
Q1) To meet the definitive criteria for sleep apnea, how many seconds of air flow cessation during sleep must be documented?
A)4 seconds
B)6 seconds
C)8 seconds
D)10 seconds
Q2) According to the National Heart Lung and Blood Institute (NHLBI), approximately how many Americans suffer from some type of sleep disorder?
A)10 million
B)20 million
C)30 million
D)40 million
Q3) What test is used to diagnose sleep disorders?
A)Overnight oximetry
B)Polysomnography
C)Electroencephalogram (EEG)
D)Leg twitch study
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Home Care Patient Assessment
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/28737
Sample Questions
Q1) What is the role of the RT in evaluating psychosocial issues with the home care patient?
A)The home care RT should not get involved in psychosocial issues.
B)The home care RT should observe and document any psychosocial issues.
C)Any such issues that are observed should be communicated to the physician.
D)Both b and c are correct.
Q2) The RT who assesses the patient to qualify him or her for home oxygen therapy should do all of the following except:
A)Be aware of the guidelines and criteria for qualifying the patient for oxygen therapy.
B)Communicate the process for qualifying for oxygen to the patient.
C)Be directly involved in assessing the patient to qualify the patient for oxygen therapy.
D)Be aware of the physical and function limitations the patient has and assess oxygen needs with activity.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Documentation
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/28738
Sample Questions
Q1) What does the letter I stand for in the APIE method of documentation?
A)Implementation
B)Impact
C)Inconsistencies
D)Initiative
Q2) Which of the following sections of the patient assessment or procedures should be charted immediately?
A)Date and time of test or treatment
B)Vital signs
C)Result of or response to treatment, including adverse reactions
D)Drugs and their dosages
Q3) The major purpose of the electronic medical record (EMR) includes which of the following?
A)Increase efficiencies in the healthcare system
B)Improve the quality of patient care
C)Increase patient safety
D)All of the above
To view all questions and flashcards with answers, click on the resource link above.
23