All of the following could result in a mediastinal shift on a chest x-ray film EXCEPT

The respiratory therapist is assessing a patient with severe emphysema and observes pedal edema and jugular venous distention. The therapist should note in the patient’s chart these signs are most likely the result of:

You are called to the Emergency Department to help care for a patient who was in a car accident and has chest injuries, including broken ribs. While palpating her neck, you feel a crepitation. What is the most likely cause of this?

Tactile fremitus would be reduced in all of the following conditions EXCEPT

Active listening is most essential during what stage of the clinical encounter?

What type of lung problem is associated with severe kyphoscoliosis?

PERRLA is used to describe findings while examining

You have finished charting on your patient when you notice that an error was made. You should do which of the following?

A patient enters the emergency department, and on initial examination the respiratory therapist observes paradoxical chest movement. Which of the following should the therapist suspect?

For a clinical encounter with a patient on airborne precautions, you should:

Which of the following violates HIPAA-related privacy and security rules?

The family history may be helpful in diagnosing a patient with which of the following problems?

In what section of the patient history can a detailed description of the patient’s current symptoms be found?

At which of the following topographic locations is the bifurcation of the trachea located on the anterior chest?

Which of the following would be examples of techniques used in conversational interviewing?

In which of the following spaces is patient rapport best established?

A patient responds poorly to a treatment you have given. After assuring that the patient is stable, you should:

After a postoperative patient you are interviewing grimaces while holding her abdomen, you note some confusion about her responses. Which of the following factors likely is affecting communication?

The peak pressure in the arteries is known as which of the following?

The knowledge of neurologic function and its assessment is important in the daily practice of the respiratory therapist (RT) because:

An adult patient with a history of smoking has shown an increased anteroposterior diameter and depressed hemidiaphragms on a PA chest radiograph. It is most likely that the patient

Your patient has a DNR label on his chart and at the head of his bed. This indicates:

Proper introduction of yourself to the patient before the interview is useful for all the following except:

Perfusion in the extremities may best be determined by which of the following methods?

All of the following are appropriate roles for a respiratory therapist serving on a team managing a patient with COPD, except:

During auscultation greatly diminished breath sounds in her right lower lobe can be heard, and her trachea has shifted to the right. These signs indicate which condition?

The respiratory therapist notes a respiratory rate of 36/min in an adult patient’s chart. The patient’s breathing pattern is best described by which of the following?

While supervising a respiratory therapy student, you observe that an anxious patient asks her if the aerosol bronchodilator she is about to deliver has any bad effects. The student replies “none to worry about.” After the treatment session is over, you should explain to the student that:

You are called to evaluate a patient’s breathing pattern. You notice that the patient’s tidal volumes go from small to large to small and then stop for 10 seconds before starting up again. The pattern repeats itself. This patient’s breathing pattern would best be called

A patient with Kussmaul breathing is likely to have:

In listening to a patient’s lungs, you notice bronchial breath sounds in her right lower lobe. These would indicate which of the following?

Information that is evident only to the patient and cannot be perceived by the observer is known as which of the following?

Which of the following causes an increased tactile fremitus?

Which of the following causes an increased resonance to percussion of the chest?

After several attempts to instruct a patient with COPD on the proper use of a metered-dose inhaler, the patient complains of the inability to master the correct technique. Applying patient-centered principles, you should:

In what section of the patient’s history would you find information about a possible history of exposure to asbestos?

What is the normal range of the respiratory rate for adults?

While palpating the chest, the respiratory therapist determines that there are decreased vibrations over the right lower lobe. This may be the result of which of the following?

1. Pneumothorax;

2. Pleural effusion;

3. Pneumonia

In observing an infant’s chest configuration, you notice that it is the same size in both the AP and lateral dimensions. This would indicate that the patient has

Which of the following respiratory patterns consists of phases of hyperpnea that regularly alternate with episodes of apnea?

A patient coughs up yellow sputum after an IPPB treatment. Which one of the following statements is true in regard to this sputum production?

A decrease in the intensity of the palpated pulse during inhalation is a definition of which of the following?

Subjective manifestations of disease are termed:

In which of the following conditions is lymphadenopathy of the neck seen?

A patient cannot provide a medical history, and it is obtained from a close relative. This is an example of which of the following?

You are called to help in the evaluation of a 55-year-old male patient. You notice the following signs and symptoms: oral temperature of 40° C (104.5° F), dia-phoresis, respiratory rate of 22, the use of accessory muscles of respiration, and palpable rhonchi in the right lower lobe. You would suspect which of the fol-lowing diagnoses:

You are called to the Emergency Department to help evaluate a pediatric patient. On entering the room, you observe the patient’s breathing effort and can hear a harsh, high-pitched sound on inspiration. Which of the following is true?

“An inward depression of the sternum” describes which of the following thoracic configurations?

Pursed-lip breathing is most often seen in patients with which of the following diseases?

Your patient has distended external jugular veins, even though her head and body are raised 45 degrees above her legs. This would indicate that she

Which of the following arterial sites is the most common for evaluating the pulse in the adult patient?

A patient who is suffering respiratory distress would exhibit all of the following except

What is the most widely used instrument to quantify neurologic impairment?

Which of the following is the normal topographic location of the PMI?

The term used to describe a condition in which a patient has difficulty breathing while in a supine position is which of the following?

What is the normal value of the resting pulse rate in the adult?

Which of the following is not a typical component to physical examination?

What is indicated by the presence of retractions?

A Glasgow Coma Scale score below this number is typically an indication for endotracheal intubation: