Cardiopulmonary Assessment Pretest

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please answer all questions. Make sure you press SUBMIT at end to record your answers. At the end of the pretest you will get a URL to click on to watch webinar. You can also download the handouts for the webinar

What is your name (last, first) *

Please answer this as pretest *

pretest

Option 2

The chart of the patient you are going to evaluate reports the patient has a systolic murmur. This murmur is most commonly associated with *

1 point

Pulmonic valve dysfunction

mitral valve dysfunction

aortic valve dysfunction

tricuspid valve dysfunction

The chart says your patient has an S3 ventricular gallop heart sound. This is associated with *

1 point

pulmonary hypertension

coronary artery disease

heart failure

pulmonary disease

Your patient has COPD with hyperinflation noted on chest xray and reports dyspnea with all activities. On assessment of patient you check cough and the patient demonstrates a strong cough. On auscultation of the lungs you would expect to hear *

1 point

rhonchi throughout from secretions

diminished breath sounds due to the hyperinflation

absent breath sounds in the bases

crackles/rales throughout due to atelectasis/fibrosis

You are taking a resting blood pressure while the patient is supine and you find the BP to be 110/70 with HR 66. You sit her over side of bed and BP drops to 90/70 and HR increases to 90. She reports shortness of breath/dizziness with sitting and complains her hip hurts. This is first time out of bed. You assess her responses as: *

1 point

Abnormal response to upright activity. This is from heart failure. You need to contact the MD and return her to supine

Normal response to upright activity. You would progress to standing now

Abnormal response to upright activity. You assess this as orthostatic hypotension and you would monitor or add upper extremity exercise in this position

Normal response to upright activity. Patient should progress activity without further HR, BP monitoring

You return the next day to work with same patient. You find her sitting in chair. She reports she has been sitting for 30 minutes and feels ok. Her resting HR is 66, BP 100/70. You attempt standing. HR rises to 90, BP is 98/70. She has no complaints. After instructing her in using the walker and partial weight bearing she walks 10 feet and before sitting her HR is 110 and BP is 80/60 and she feels dizzy. You assess these responses to activity as: *

1 point

Normal responses to low level activity. Will progress activity slowly continuing to monitor HR, BP and symptoms

Abnormal responses to activity. Will perform progressive gait activities and stand to sit to help her overcome orthostatic hypotension

Normal responses to activity. Patient should be able to ambulate 150 feet within a week

Abnormal responses to activity which is exertional hypotension Will contact MD re: patient's failure to progress with activity due to abnormal BP responses to activity

If rhonchi are heard during auscultation, the next step of your assessment should be: *

1 point

Ask the patient to cough and assess cough

Ask the patient if they are short of breath and have patient give you a level of dyspnea

Check to see if the patient has a temperature and if WBC count is elevated

Ask patient to hold their breath and listen again.

When interpreting lung sounds that you hear *

1 point

if crackles are heard on inspiration it is some sort of restrictive defect such as pleural effusion, pulmonary fibrosis, left heart failure, or atelectasis

if wheezing is heard it means some sort of emergent situation of airway obstruction

a pleural rubbing sound is heard it means pericarditis

If rhonchi are heard on inspiration this means consolidation

Your patient is 65 years old and had a coronary artery bypass surgery x 4 with an aortic valve replacement 1 week ago. He is moving out of bed and walking with minimal assistance for short distances. You perform a 6 minute walk test and during the 6 minute walk test his HR increases only from 60 at rest to 66 during the entire test although he reports a dyspnea or exertion level of 7/10. What medication would best explain what you are seeing in the HR response? *

1 point

ACE inhibitor

Corticosteroids

Beta blocker

Calcium channel blocker

In patients with heart failure, which of the following positions should be avoided to minimize the preload on a failing heart? *

1 point

sitting up in a bedside chair

supine with lower extremities elevated

standing at a support surface

semi-reclined in bed

You are seeing a patient for the first time...a 75 year old who has a chief complaint of leg swelling. You observe Jugular Venous Distention (JVD), abdominal swelling, and pitting edema in both lower extremities. You look in the chart at the diagnosis list and are most likely to find: *

1 point

right bundle branch block

right heart failure

left heart failure

myocardial infarction

Patients with COPD and HF often limit their exercise activity due to shortness of breath. On initial assessment you would want to assess muscle strength as well as endurance. What is the optimal outcome measure that could be used to assess lower extremity strength? *

1 point

AMPACs six clicks

6 minute walk test

sit to stand assessment

grip strength

Gait speed has been correlated with function. What gait speed puts a patient with HF or COPD at greater risk of rehospitalization or falls? *

1 point

1.0 meters/second or greater

0.8 -1.0 meters/second

0.6 meters/second or less

0.6-0.8 meters/second

Your patient appears very weak since being discharged from the hospital. In order to best describe her GENERAL weakness an appropriate outcome measure you could use in your initial assessment for this particular patient with normative data available to compare to individuals her age and sex would be: *

1 point

six minute walk test

grip strength test

modified rhomberg balance test

5 times sit to stand test

Patient reports she is short of breath with ADLs, walking, sometimes at rest, and with eating. In order to get a more objective measure of her shortness of breath with all activities you could assess all these activities and ask her to *

1 point

describe her shortness of breath as mild, moderate, or severe

use an RPE scale or dyspnea scale and rate every activity with one of these scales

always use a pulse oximeter to measure SpO2 with all these activities

Assessment of cough includes all of the following EXCEPT *

1 point

strength of cough/effectiveness in clearing secretions

need for assistance to cough or to splint while coughing

VS response to coughing

whether or not the cough is productive and what color/consistency of secretions

If this is the pretest, you are now ready to download the handouts and then check box and cut and paste the following URL to access the webinar BUT DON'T FORGET TO PRESS SUBMIT to record your answers *

0 points

https://ptcardiopulmonaryeducators.adobeconnect.com/pq34an1wm7xz/

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms