Chapter 8
Your patient has a tracheal shift to the right with hyperresonance on percussion on the left upper lobe. This patient most likely has:
a. A right pneumothorax
b. A left pneumothorax
c. A right pleural effusion
d. A left pleural effusion
b. A left pneumothorax
Culture and sensitivity tests:
a. Stain a microorganism as gram-positive or gram-negative
b. Determine the shape of the organisms present
c. Identify the DNA of organisms present in the sputum
d. Determine the antibiotic(s) best suited for combating an infection
d. Determine the antibiotic(s) best suited for combating an infection
Postural drainage, percussion, and vibration are part of what TDP?
a. Hyperinflation therapy
b. Bronchopulmonary hygiene therapy
c. Mechanical ventilation
d. Oxygen therapy
b. Bronchopulmonary hygiene therapy
Therapeutic bronchoscopy is used for all of the following EXCEPT:
a. To remove a foreign body
b. In selective lavage
c. In bronchiectasis evaluation
d. To manage life-threatening hemoptysis
c. In bronchiectasis evaluation
You get a CXR on a patient and see bilateral increased hyperlucency with flattened diaphragms. What does your patient most likely suffer from?
a. A pneumothorax
b. COPD
c. Pneumonia
d. ARDS
b. COPD
In a normal differential white blood cell (WBC) count, which of the following would have the highest number?
a. Neutrophils
b. Basophils
c. Eosinophils
d. Lymphocytes
a. Neutrophils
Putting a patient on a nasal cannula is part of which protocol?
a. Hyperinflation therapy
b. Bronchopulmonary hygiene therapy
c. Mechanical ventilation
d. Oxygen therapy
d. Oxygen therapy
You suspect your patient has a pleural effusion. What test would be the best at confirming this?
Lateral decubitus CXR
When reading your patients CXR, you notice blunting of the costraphrenic angles. This finding is consistent with what disease process?
Pleural Effusion
A 14-year-old patient has had a serious asthma attack. Her white blood cell count can be expected to show:
a. Decreased neutrophils
b. Deceased erythrocytes
c. Increased eosinophils
d. Increased monocytes
c. Increased eosinophils
Making changes to a patient's ventilator settings is part of which protocol?
a. Hyperinflation therapy
b. Bronchopulmonary hygiene therapy
c. Mechanical ventilation
d. Oxygen therapy
c. Mechanical ventilation
The pleural fluid has been sent for analysis. The results are listed below:
pH 7.28
Color Straw colored
Glucose 30 (low)
↑ WBC’s
Based on this information, which of the following describes the pleural fluid:
a. Sclerosing
b. Transudative
c. Exudative
d. Therapeutic
c. Exudative
A chest x-ray shows hyperlucency, flattened diaphragms, and an absence of vascular markings. What disorders could this apply to?
I. COPD
II. Asthma Attack
III. CHF
IV. RDS
I and II
Gram staining is done to (SELECT ALL THAT APPLY):
1. classify organisms as gram positive or gram negative.
2. identify tuberculosis organisms.
3. speed up the organism culturing process.
4. help guide antibiotic therapy.
1 and 4
Starting a patient on an incentive spirometer is part of which protocol?
a. Hyperinflation therapy
b. Bronchopulmonary hygiene therapy
c. Mechanical ventilation
d. Oxygen therapy
a. Hyperinflation therapy
After a thoracentesis procedure, it is important to monitor the patient for:
a. Bronchospasm
b. Hemoptysis
c. Increased blood urea nitrogen (BUN)
d. Pneumothorax
d. Pneumothorax
A rightward shift of the mediastinum is commonly seen on the chest radiograph in response to which of the following (SELECT ALL THAT APPLY)?
I. Right upper lobe atelectasis
II. Left upper lobe extrapulmonary gas
III. Right upper lobe fibrosis
IV. Left upper lobe tumor
I, II, III, and IV
In response to a viral infection, the following can be expected to be seen in the white blood cell count:
a. Increased lymphocytes
b. Decreased Monocytes
c. Increased basophils
d. Decreased platelets
a. Increased lymphocytes
An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO2) reading of 84% on room air. What therapist-driven protocol(s) should be implemented?
1. mechanical ventilation
2. hyperinflation therapy
3. oxygen therapy
4. aerosolized medication
2 and 3
Your patient has pneumonia and a right pleural effusion. If the pleural exudate fluid is infected, it will show:
1. a low protein level.
2. a high white blood cell count.
3. bacteria.
4. many red blood cells.
2 & 3