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Cardiopulmonary Assessment and Management Flashcards

7 cards from real NPTE-PT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Cardiopulmonary Assessment and Management flashcards as text

  1. A patient with COPD has a PaCO2 of 55 mmHg and pH of 7.32. Which acid-base disturbance does this represent?

    Answer: Respiratory acidosis

    Elevated PaCO2 (>45 mmHg) combined with decreased pH (<7.35) indicates respiratory acidosis.

  2. During auscultation, a physical therapist hears a high-pitched, continuous musical sound during expiration. This is best described as:

    Answer: Wheezing

    Wheezing is a high-pitched, continuous, musical sound caused by narrowed airways, most commonly heard during expiration.

  3. A patient post-CABG is on day 2. The therapist notices the patient's SpO2 drops from 95% to 88% during ambulation. The MOST appropriate action is:

    Answer: Stop activity, apply supplemental oxygen, and notify nursing

    An SpO2 drop below 90% during activity is a contraindication to continuing exercise and requires immediate supplemental oxygen and medical notification.

  4. Which breathing pattern is characterized by alternating periods of hyperpnea and apnea, often seen in patients with heart failure or neurological damage?

    Answer: Cheyne-Stokes respiration

    Cheyne-Stokes respiration features a cyclic pattern of gradual increase and decrease in tidal volume followed by apnea, associated with heart failure or brain injury.

  5. A physical therapist is treating a patient with left-sided heart failure. Which pulmonary finding is MOST expected on auscultation?

    Answer: Bilateral basilar crackles

    Left-sided heart failure causes pulmonary edema, leading to bilateral basilar crackles from fluid accumulation in the lung bases.

  6. When performing airway clearance with postural drainage, which position is used to drain the right middle lobe?

    Answer: Left side-lying with bed tilted head-down

    The right middle lobe is drained with the patient in left side-lying position with a slight head-down tilt to use gravity effectively.

  7. A patient's ECG shows a heart rate of 150 bpm with narrow QRS complexes and no identifiable P waves. This rhythm is MOST consistent with:

    Answer: Atrial fibrillation

    Atrial fibrillation presents with an irregularly irregular rhythm, absent P waves, and narrow QRS complexes at an elevated ventricular rate.