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WorksheetsCardiopulmonary Final Exam Review
Total questions: 13
Worksheet time: 7mins
Which of the following is true regarding respiratory acidosis?
It can be caused by mechanical hyperventilation
It may result in hyperkalemia
It may result in hyponatremia
It can be caused by diabetic high blood sugars
Your patient had a cardiac stent placed this morning via femoral artery access. Which of the following is precaution following this procedure?
A large soft area developing over the catheter incision site.
No raising arms up over the head
No pushing off from a chair
No gait for 48 hours
You are mobilizing a patient on mechanical circulatory support. The patient gets pale and diaphoretic, and the system alerts with a low flow alarm. What is of concern?
Your patient may be experiencing suckdown, return to supine. Nursing will likely increase fluids
You have accidentally disconnected their lifesaving device
Need to call a code
Which of the following is key when exercising patient's following a heart transplant?
Only to push them to 20% of HR max
To avoid strength training indefinitely
To use a long warm up and cool down period
Educate patient they will not progress beyond walking
You are evaluating a new patient, the patient has a Total Lung Capacity of 125% normal, an FEV1 of 1 L which is 65% of the FVC. With bronchodilator administration there is no change. Which of the following conditions is most associated with these findings?
Spinal cord injury
Asthma
COPD
Scleroderma
Which of the following lab values is most likely in a patient with severe/ later stage COPD?
Hematocrit of 56%
WBC count of 10,000/ L
Platelet count of 350,000/uL
Hemoglobin of 8.5
You are working with a patient to improve pulmonary endurance. Currently, she can only ambulate 5 minutes before stopping due to leg fatigue, not pulmonary limitations. What is the best way to progress for endurance training?
Use a circuit training setup, where the patient walks for until leg pain limits further walking, then switch to another cardiovascular / pulmonary challenge such as an arm bike/ bike until legs have recovered, then return to walking, and continue alternating until cardiac / pulmonary thresholds are reached.
Do short interval style work with 4 minutes of walking and 3 minutes of rest.
Bike to increase endurance rather than walk
Focus on LE strength training principles
You are evaluating a new patient for pulmonary rehabilitation, who has worked in coal mines for his entire career. He presents with a cough that produces black sputum, and a barrel shaped chest. Which of the following lung volumes is likely to be found?
Decreased inspiratory reserve volume
Increased FEV1
Increased total lung capacity
Decreased Tidal volume
When working with a patient following transplant, which of the following is NOT a sign of acute rejection?
low grade fever
hypotension with activity
myalgia and muscle fatigue
A delayed HR response to initiation of exercise
A patient presents to the clinic with signs of lethargy and mild dizziness. The patient’s resting blood pressure is 100/70. Which of the following is MOST likely to cause this decrease in blood pressure?
Lisinopril
Sertraline (SSRI)
Metformin
Prednisolone
Your patient has asthma, and is flared with a cold but is not in an acute exacerbation. Which of the following clinical findings are most likely?
Coarse crackles over upper chest wall
Expiratory wheeze
S3 sound over aortic valve
absent lung sounds R lower lobe
Which of the following is consistent with long term outcomes tied to acute respiratory distress syndrome?
Individuals with ARDS typically return to work within 30 days of diagnosis
ARDS can cause lifelong impacts including reduced quality of life and long term loss of function
ARDS responds well to administration of beta 2 agonists
ARDS is an acute episode, most patients are extubated in 48 hours
Which of the following best describes physiologic and structural changes in hypoplastic L heart syndrome?
underdeveloped L ventricle, may present if undiagnosed with an infant who is drowsy, lethargic and has poor feeding
May have atresia of the R ventricle, presents with increased HR
Transposition of the great vessels, pumping deoxygenated blood to the systemic circulation
