NPTE-PT NPTE-PT Test Cardiopulmonary Assessment and Management Questions and Answers 2

Question 1

A patient with chronic obstructive pulmonary disease (COPD) demonstrates a barrel chest deformity. Which physiological change BEST explains this finding?

Accepted Answer

Chronic air trapping leading to hyperinflation of the lungs

Answer

Increased elastic recoil of lung parenchyma

Answer

Decreased anteroposterior diameter of the thorax

Answer

Hypertrophy of the diaphragm muscle

Question 2

During auscultation of a patient post-coronary artery bypass graft surgery, the physical therapist hears diminished breath sounds at the left base. What is the MOST likely cause?

Accepted Answer

Left lower lobe atelectasis

Answer

Right middle lobe pneumonia

Answer

Pneumothorax of the right lung

Answer

Pleural effusion of the right lung

Question 3

A patient in the ICU has a pulmonary artery catheter showing a pulmonary capillary wedge pressure (PCWP) of 22 mmHg. This value is MOST consistent with which condition?

Accepted Answer

Left ventricular failure

Answer

Right ventricular failure

Answer

Pulmonary embolism

Answer

Hypovolemic shock

Question 4

Which breathing pattern is characterized by progressively deeper breaths followed by progressively shallower breaths with periods of apnea?

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot respiration

Answer

Apneustic breathing

Question 5

A physical therapist is monitoring a patient during cardiac rehabilitation. The patient's rate-pressure product (RPP) at rest is 8,400. Which combination of values reflects this RPP?

Accepted Answer

Heart rate 70 bpm and systolic BP 120 mmHg

Answer

Heart rate 80 bpm and systolic BP 130 mmHg

Answer

Heart rate 60 bpm and systolic BP 110 mmHg

Answer

Heart rate 90 bpm and systolic BP 140 mmHg

Question 6

A patient with cystic fibrosis is receiving postural drainage in a Trendelenburg position. Which lung segments are being targeted?

Accepted Answer

Lower lobe basal segments

Answer

Upper lobe apical segments

Answer

Right middle lobe

Answer

Left lingula

A patient with chronic obstructive pulmonary disease (COPD) demonstrates a barrel chest deformity.Which physiological change BEST explains this finding?

A patient with chronic obstructive pulmonary disease (COPD) demonstrates a barrel chest deformity.
Which physiological change BEST explains this finding?