2240 Practice FInal.docx

Chapter 07 - E-Medicine in Respiratory Care Kacmarek et al.: Egan’s Fundamentals of Respiratory Care, 11th Edition MULTIPLE CHOICE 9. Computers are often used to interpret which of the following tests in respiratory care patients? a. Chest radiograph b. Complete blood count c. Pulmonary function testing d. EEG testing ANS: C 10. In what area are computers used to apply quality assurance measures in respiratory care departments? a. Arterial blood gas analyzers b. O 2 delivery systems c. Interpreting ECGs d. Equipment cleaning and sterilization ANS: A 11. Which of the following is considered an emerging application of information technology that may improve national health care issues in the future? a. Clinical simulation for training b. A nationally available electronic health record c. Medical ID bracelets d. The national database for organ donors ANS: B Chapter 16 - Bedside Assessment of the Patient Kacmarek et al.: Egan’s Fundamentals of Respiratory Care, 11th Edition MULTIPLE CHOICE 4. Which of the following are common causes of an increase in the drive to breathe, which would increase the sensation of dyspnea? 1. Hypoxemia 2. Acidosis 3. High fever 4. Hypocapnia a. 1 and 4 only b. 2 and 4 only

c. 1, 2, and 3 only d. 2, 3, and 4 only ANS: D 5. What term is used to describe difficult breathing in the reclining position? a. Orthopnea b. Platypnea c. Eupnea d. Apnea ANS: A 6. What term is used to describe shortness of breath in the upright position? a. Orthopnea b. Platypnea c. Eupnea d. Apnea ANS: B 9. What is the technical term for secretions from the tracheobronchial tree that have not been contaminated by the mouth? a. Sputum b. Phlegm c. Mucus d. Pus ANS: B 10. What term is used to describe sputum that has pus in it? a. Fetid b. Mucoid c. Purulent d. Tenacious ANS: C 11. Which of the following terms is used to describe coughing up blood-streaked sputum? a. Hematemesis b. Hemoptysis c. Hemolysis d. Hemostasis ANS: B 14. What change in the patient’s respiratory breathing pattern is commonly seen with significant fever? a. Slower rate b. More rapid rate

c. More prolonged expiratory time d. More prolonged inspiratory time ANS: B 17. Which of the following are elements of a patient’s social and environmental history? 1. Occupation and employment history 2. Drugs and medications 3. Recent travel 4. Living arrangements a. 1, 3, and 4 only b. 1 and 4 only c. 1, 2, and 3 only d. 1, 2, 3, and 4 ANS: A 19. Which of the following is most commonly associated with tripodding? a. Severe pulmonary hyperinflation b. Congestive heart disease c. Pneumonia d. Pulmonary fibrosis ANS: A 22. What is the most common cause of hypothermia? a. Exposure to cold environment b. Head injury c. Stroke d. Thyroid gland dysfunction ANS: A 24. Which of the following is least likely to cause tachycardia? a. Fever b. Severe pain c. Hypotension d. Hypothermia ANS: D 27. Which of the following are common causes of tachypnea? 1. Hypoxemia 2. Exercise

3. Narcotic overdose 4. Metabolic acidosis a. 2, 3, and 4 only b. 1, 2, and 4 only c. 2 and 3 only d. 1 and 4 only ANS: B 49. What breathing pattern is associated with diabetic ketoacidosis? a. Kussmaul breathing b. Apneustic breathing c. Biot’s breathing d. Apnea ANS: A 50. What term is used to describe the breathing pattern seen in COPD patients in whom the lower costal margins of the chest wall draw inward with each inspiration? a. Hoover’s sign b. Kussmaul’s sign c. Abdominal paradox sign d. Respiratory alternans sign ANS: A 51. What is indicated by the breathing pattern known as abdominal paradox? a. Obstructive lung disease b. Restrictive lung disease c. Heart failure d. Diaphragm fatigue ANS: D 59. While percussing a patient’s chest wall, you detect an abnormal increase in resonance. Which of the following are possible causes of this finding? 1. Asthma 2. Pneumothorax 3. Emphysema 4. Pneumonia a. 1, 2, and 3 only b. 2 and 4 only c. 1, 3, and 4 only d. 1, 2, 3, and 4 ANS: A

68. During auscultation of a patient’s chest, you hear coarse crackles throughout both inspiration and expiration. These sounds clear when the patient coughs. Which of the following is the most likely cause of these adventitious sounds? a. Opening of closed smaller airways or alveoli b. Opening of collapsed large, proximal airways c. Variable obstruction to flow in the upper airway d. Movement of excessive secretions in the airways ANS: D 69. Inspiratory crackles in patients without excess secretions are most commonly associated with which of the following? a. Reduced chest-wall sound transmission b. Airways popping open during inspiration c. Complete obstruction of the upper airway d. Mucosal edema or inflammation ANS: B 70. Which of the following are true of early inspiratory crackles? 1. They most often occur in COPD patients. 2. They generally indicate severe airway obstruction. 3. They are affected by coughing or positional change. 4. They are usually scant (few in number). a. 2 and 4 only b. 1, 2, and 3 only c. 3 and 4 only d. 1, 2, and 4 only ANS: D 72. A creaking or grating sound that increases in intensity with deep breathing and is similar to coarse crackles, but is not affected by coughing, best describes which of the following? a. Rhonchi b. Friction rub c. Rales d. Wheezing ANS: B 98. A 55-year-old patient has been smoking a pack and a half of cigarettes (30 cigarettes) per day for 30 years. What is the patient’s smoking history? a. 30 pack-years b. 35 pack-years c. 40 pack-years d. 45 pack-years ANS: D

Chapter 17 - Interpreting Clinical and Laboratory Data Kacmarek et al.: Egan’s Fundamentals of Respiratory Care, 11th Edition MULTIPLE CHOICE 1. Which of the following are formed elements in the blood? 1. Leukocytes 2. Erythrocytes 3. Thrombocytes 4. Electrolytes a. 1 and 2 only b. 1, 2, and 3 only c. 2, 3, and 4 only d. 1, 2, and 4 only ANS: B 2. What term is used to describe a white blood cell (WBC) count that is above normal values? a. Leukocytosis b. Leukopenia c. Neutropenia d. Polycythemia ANS: A 3. What term is used to describe a white blood cell (WBC) count that is below normal values? a. Anemia b. Thrombocytopenia c. Leukopenia d. Hypoleukemia ANS: C 5. What type of white blood cell increases in response to allergic reactions? a. Neutrophils b. Eosinophils c. Lymphocytes d. Monocytes ANS: B 6. What type of white blood cell increases in response to viral infections? a. Neutrophils b. Eosinophils c. Lymphocytes d. Monocytes ANS: C 7. What is the name used for immature neutrophils? a. Segs

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