Respiratory Care Final Exam
Course Introduction
Respiratory Care is a comprehensive course that explores the principles and practices involved in the assessment, treatment, and management of patients with respiratory disorders. Students will gain foundational knowledge of human respiratory anatomy and physiology, develop competency in the use and calibration of respiratory equipment, and learn to administer various therapeutic modalities such as oxygen therapy, aerosol medication delivery, airway management, and mechanical ventilation. Emphasis is placed on clinical decision-making, patient assessment, and evidence-based interventions to improve respiratory function across diverse populations and healthcare settings. Through lectures, simulations, and hands-on experience, students are prepared to work collaboratively as part of a multidisciplinary healthcare team in both acute and chronic care environments.
Recommended Textbook
Respiratory Disease A Case Study Approach to Patient Care 3rd Edition by James R. Dexter
Available Study Resources on Quizplus
20 Chapters
484 Verified Questions
484 Flashcards
Source URL: https://quizplus.com/study-set/3793 Page 2
Chapter 1: Introduction to Patient Assessment
Available Study Resources on Quizplus for this Chatper
49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/75737
Sample Questions
Q1) The pulse oximeter may not be reliable in which of the following conditions?
A)Poor circulation
B)Carbon monoxide poisoning
C)Both A and B
D)None of the above
Answer: C
Q2) Patients who are short of breath often complain of what other symptom?
A)Chest pain
B)Anxiety
C)Cough
D)Dizziness
Answer: B
Q3) Your patient has right heart failure due to chronic lung disease.Which of the following findings is NOT consistent with signs of right heart failure?
A)Hepatomegaly
B)JVD
C)Pedal edema
D)A heave at the left midaxillary region
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Introduction to Respiratory Failure
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75736
Sample Questions
Q1) Your patient has severe pneumonia and the blood gas measurements reveal a PaCO<sub>2 </sub>of 51 mmHg and a PaO<sub>2</sub> of 55 mmHg.The patient is breathing with an air entrainment mask at an FIO<sub>2 </sub>of 0.60.What conclusion(s)can you reach?
A)The patient has ventilatory failure
B)The patient has oxygenation failure
C)The patient has respiratory failure
D)All the above
Answer: D
Q2) Which of the following is least likely to be associated with ventilatory failure?
A)Neuromuscular disease
B)Cervical spinal cord injury
C)Drug overdose
D)Pneumonia
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Asthma
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75735
Sample Questions
Q1) Your patient is having a severe asthma attack.What treatment should be avoided at this time?
A)Dense aerosols
B)Sedatives
C)Acetylcysteine
D)All the above
Answer: D
Q2) What complication is common when mechanical ventilation is used to treat the patient with severe asthma?
A)Pneumonia
B)Auto-PEEP
C)Circulatory failure
D)Pulmonary embolism
Answer: B
Q3) Which of the following is NOT associated with provoking an asthma attack?
A)Aspirin use
B)Exercise
C)Viral respiratory infection
D)Use of Atropine to increase heart rate
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Chronic Obstructive Pulmonary Disease
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/75734
Sample Questions
Q1) Which category of COPD patient would benefit the most from smoking cessation?
A)The one with mild disease
B)The one with moderate disease
C)The one with severe disease
D)The one with severe disease but under the age of 60 years
Q2) Which of the following physical examination findings is least associated with an acute exacerbation of COPD?
A)Abnormal sensorium
B)Heart rate = 124/min
C)Respiratory rate = 14/min
D)None of the above
Q3) Your patient with COPD has right axis deviation on his ECG tracing.What does this indicate?
A)Right atrial hypertrophy
B)Right ventricular hypertrophy
C)Left atrial hypertrophy
D)Left ventricular hypertrophy
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Cystic Fibrosis
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75733
Sample Questions
Q1) Which of the following pulmonary problem(s)is/are seen in cystic fibrosis patients with an advanced stage of the disease?
A)Cor pulmonale
B)Respiratory failure
C)Severe hemoptysis
D)All the above
Q2) Which of the following symptoms is suggestive of a new respiratory infection in the patient with cystic fibrosis?
A)New onset of cough
B)Sudden decrease in FEV1
C)Lack of expected weight gain
D)All the above
Q3) What finding on the chest radiograph is NOT typical for patients with cystic fibrosis?
A)Tram tracks
B)Hilar adenopathy
C)Enlarged heart
D)Atelectasis
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Hemodynamic Monitoring and Shock
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75732
Sample Questions
Q1) Which of the following clinical signs suggests that the preload for the right side of the heart is elevated?
A)Distended neck veins
B)Central cyanosis
C)Systemic hypotension
D)Loud systolic murmur
Q2) Which of the following clinical findings is least consistent with left heart failure?
A)Inspiratory crackles
B)Distended neck veins
C)Cool extremities
D)Elevated pulse pressure
Q3) What is the most common cause of distributive shock?
A)Toxic ingestion
B)Head trauma
C)Sepsis
D)Chest trauma
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: Pulmonary Thromboembolic Disease
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/75731
Sample Questions
Q1) Your patient has a fairly large pulmonary thromboembolism.What physical exam finding(s)is/are expected?
A)Loud P2
B)Jugular venous distention
C)Hypotension
D)All the above
Q2) Where do most deep venous thrombi originate?
A)The heart
B)The upper extremities
C)The lower extremities and pelvic region
D)Below the knees
Q3) Which of the following has proven useful in preventing future clots from developing?
A)Low-dose heparin
B)Warfarin
C)Venous compression devices
D)All the above
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Heart Failure
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75730
Sample Questions
Q1) Which of the following statements is NOT true related to pulmonary dysfunction in patients with left ventricular failure?
A)With severe alveolar flooding,PaO<sub>2 </sub>is markedly decreased
B)With moderate left heart failure,FVC may be increased
C)With mild pulmonary vascular congestion,PaO<sub>2</sub> may be improved
D)PaCO<sub>2 </sub>may increase with severe pulmonary congestion
Q2) Which of the following risk factors is NOT associated with the increased incidence of congestive heart failure?
A)Inadequate potassium intake
B)Obesity
C)Smoking
D)Diabetes
Q3) What is the most frequently used inotropic drug used for patients with heart failure?
A)Dopamine
B)Digitalis
C)Lasix
D)Nitroprusside
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Smoke Inhalation Injury and Burns
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75729
Sample Questions
Q1) Which of the following factors plays a key role in determining the severity of injury in a fire victim?
A)Preexisting health status of the victim
B)Heat level of the inhaled gases
C)Depth of skin burns
D)All the above
Q2) Which of the following may account for the lack of the classic cherry-red skin color sign in victims of carbon monoxide poisoning?
A)Hypoxia
B)Hyperthermia
C)Hypotension
D)Albinism
Q3) What is the half-life of carboxyhemoglobin (HbCO)for the patient in a hyperbaric chamber breathing 100% oxygen at 3 atmospheres?
A)20-30 minutes
B)60-90 minutes
C)100-150 minutes
D)Depends on lung status of the victim
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Near Drowning
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/75728
Sample Questions
Q1) Your near drowning patient has an initial Glasgow Coma Scale score of 13.What should be done?
A)Admit patient to the ICU
B)Admit patient to the pulmonary ward
C)Observe patient for 4-6 hours and send him home if SpO<sub>2</sub> is normal
D)Send the patient home as soon as he demonstrates the ability to swallow
Q2) According to the Orlowski Score,what pH value on the arterial blood gas suggests a poor prognostic sign in near drowning victims?
A)pH below 7.25
B)pH below 7.15
C)pH below 7.10
D)None of the above
Q3) What minimum Glasgow Coma Scale score is associated with a low risk for neurologic damage and mortality?
A)4
B)6
C)8
D)10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Acute Respiratory Distress Syndrome
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/75727
Sample Questions
Q1) What plateau pressure should you accept while mechanically ventilating an ARDS patient to avoid barotrauma?
A)Below 20 cwp
B)Below 30 cwp
C)Below 40 cwp
D)Below 50 cwp
Q2) What is the normal static compliance?
A)60-100 cm H<sub>2</sub>O/mL
B)20-40 mL/cm H<sub>2</sub>O
C)20-40 cm H<sub>2</sub>O/mL
D)60-100 mL/cm H<sub>2</sub>O
Q3) When ARDS was first recognized the mortality rate was about 90%.What is the mortality rate currently?
A)It remains about 90%
B)About 60-75%
C)About 35-40%
D)25%
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Chest Trauma
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75726
Sample Questions
Q1) Which of the following is not an adjunct in difficult airway management?
A)Laryngeal mask airway
B)Cricothyrotomy with a 12-gauge needle
C)CombiTube
D)Blakemore tube
Q2) All of the following statements are true regarding pressure-controlled inverse-ratio ventilation except:
A)It can improve lung volume,oxygenation,and ventilation
B)It can reduce peak airway pressure
C)It can increase alveolar recruitment
D)It can reduce the chance of auto-PEEP
Q3) Simple (non-tension)pneumothorax generally does not cause significant physiologic impairment until what percentage of the lung has collapsed?
A)>10%
B)>30%
C)>50%
D)>75%
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Postoperative Atelectasis
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/75725
Sample Questions
Q1) What abnormalities would be seen in bedside spirometry tests for the patient with severe atelectasis?
A)Reduced vital capacity
B)Reduced inspiratory capacity
C)Reduced FEV1/FVC
D)A and B only
Q2) Which of the following is NOT a typical pathophysiologic change associated with atelectasis?
A)V/Q mismatching and hypoxemia
B)Reduced lung compliance and an increased work of breathing
C)Overinflation of unaffected lung regions during mechanical ventilation
D)Poor diffusion of oxygen across the AC membrane due to edema
Q3) What must also be applied to the patient with postoperative atelectasis due to mucus plugging who is being treated with positive pressure techniques?
A)Oxygen therapy
B)Bronchoscopy
C)Bronchial hygiene techniques
D)Frequent ambulation
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Interstitial Lung Disease
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75724
Sample Questions
Q1) What may be the earliest evidence on a standard pulmonary function test of the presence of ILD?
A)Abnormal DLCO
B)Decreased FEV1/FVC
C)Widened P(A-a)O<sub>2</sub>
D)Increased shunt
Q2) Which type of cell is responsible for most of the alveolar lining?
A)Alveolar macrophage
B)Type I cell
C)Type II cell
D)Clara cell
Q3) A prominent component of the second heart sound (loud P2)is indicative of what?
A)Pulmonary hypertension
B)Mitral regurgitation
C)Gallop rhythm
D)Tricuspid atresia
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Neuromuscular Diseases
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/75723
Sample Questions
Q1) Tracheostomy is most likely indicated in the neuromuscular patient with which of the following disorders?
A)Myasthenia gravis
B)T3 spinal injury
C)High cervical spine fracture
D)Guillain-Barré syndrome
Q2) All of the following classes of drugs suppress respiration except:
A)Barbituates
B)Narcotics
C)Amphetamines
D)Benzodiazapines
Q3) Which of the following determinations is NOT indicative of impending respiratory failure?
A)VC <1.0-1.5 in a small child
B)MIP <-20 cm H<sub>2</sub>O in an adult
C)Decreased physiologic dead space
D)Decreased P(A-a)O<sub>2</sub>
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Bacterial Pneumonia
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/75722
Sample Questions
Q1) Which of these is not a typical early sign or symptom of pneumonia?
A)Fever
B)Pleuritic pain
C)Dyspnea
D)Nausea
Q2) Mechanical factors that guard the respiratory system from inhaled organisms include all of the following except:
A)Filtration in the nose
B)Destruction by gastric acid
C)Gag and cough reflexes
D)Ciliary movement
Q3) What is the specific term for pneumonia that causes permanent damage to lung tissue?
A)Lobar
B)Bronchopulmonary
C)Exudative
D)Necrotizing
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Pneumonia in the Immunocompromised Patient
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/75721
Sample Questions
Q1) Which of these is the first antibody produced at the onset of infection?
A)IgM
B)IgD
C)IgE
D)IgA
Q2) All of the following laboratory findings are indicative of immunosuppression except
A)Lymphocytopenia
B)Neutropenia
C)Reduced CD4+ cells
D)Increased WBCs
Q3) Which of these classes of organisms does NOT cause disease in the immunocompromised patient?
A)Algae
B)Viruses
C)Fungi
D)Bacteria
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Sleep Disordered Breathing
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/75720
Sample Questions
Q1) Which of the following has been used to treat central sleep apnea due to Cheyne-Stokes breathing?
A)CPAP
B)Nocturnal oxygen therapy
C)Bilevel noninvasive positive pressure
D)All the above
Q2) In some cases of obstructive sleep apnea an automatic in-home CPAP titrating device may be useful.What does this machine do that others cannot?
A)Measures the amount of sleep the patient is getting
B)Adjusts the CPAP level as needed by the patient during the night
C)Adjusts the inspiratory time as needed
D)Sends signals to the sleep lab when apnea worsens
Q3) Which of the following problems is NOT associated with obstructive sleep apnea?
A)Poor memory
B)Impotence
C)Morning headaches
D)Joint pain
To view all questions and flashcards with answers, click on the resource link above.
20
Chapter 19: Tuberculosis
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/75719
Sample Questions
Q1) What percent of new TB cases diagnosed each year around the world are from the United States?
A)4%
B)12%
C)18%
D)24%
Q2) Your patient is 32 years old and has a positive skin test but no active TB.What treatment would you recommend?
A)Repeat the skin test in 6 months
B)Perform a sputum culture
C)A low dose of prednisone for 6 weeks
D)A 6-9 month course of isoniazid
Q3) Which of the following is NOT true regarding the treatment of TB?
A)A multidrug regimen must be used
B)Only one of the drugs used must be effective
C)Patient compliance must be monitored
D)Most treatment regimens continue for 6 months
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 20: Lung Cancer
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/75718
Sample Questions
Q1) Hoarseness in your lung cancer patient may lead you to suspect what?
A)Acute bronchitis
B)Subglottic edema
C)Vocal cord paralysis
D)Acid-reflux disease
Q2) What percent of lung cancer patients have a surgically resectable tumor at the time of diagnosis?
A)10%
B)20-30%
C)30-50%
D)50-60%
Q3) Magnetic resonance imaging (MRI)has this advantage over CT for evaluating pulmonary nodules or mediastinal metastases
A)Better for seeing chest wall invasion
B)Uses less ionizing radiation
C)Is less expensive than CT
D)Is more available to the patient
To view all questions and flashcards with answers, click on the resource link above. Page 22