Cardiopulmonary Conditions NBCOT
Exam Prep Questions and Answers.
In reading a client's medical chart, the COTA® notes that the client has a history of
orthostatic hypotension. Which activity precautions should the COTA give to the client?
Select the 3 BEST choices.
A. Limit standing to 30 minutes while completing an occupation such as cooking.
B. Take several minutes to move from lying down to sitting and then to standing after
being in bed all night.
C. Gradually and consistently elevate the head of the bed throughout the day.
D. Avoid a positional change from lying down to standing within 30 minutes of eating a
meal.
E. Avoid leaning the head too far forward—for example, when bending over to tie shoes
while sitting.
F. Report weakness, sleepiness, blurred vision, confusion, syncope, or lightheadedness
to the therapist. -
\B. Take several minutes to move from lying down to sitting and then to standing after
being in bed all night.
C. Gradually and consistently elevate the head of the bed throughout the day
F. Report weakness, sleepiness, blurred vision, confusion, syncope, or lightheadedness
to the therapist..
An inpatient has acute congestive heart failure and is participating in Phase I cardiac
rehabilitation. Which task is ESSENTIAL for the COTA® to do during self-care sessions
with this patient?
A. Monitor changes in the patient's physiologic responses during activities
B. Instruct the patient to use compensatory strategies for lower body dressing
C. Encourage the patient to complete as much activity as tolerated
D. Provide the patient with adaptive equipment for bathing and hygiene -
\A. Monitor changes in the patient's physiologic responses during activities
While a COTA® is working with a client on the grooming task of brushing teeth, the
client mentions having to take antibiotics before going to the dentist for any dental work.
What condition is MOST likely a part of this client's medical history?
A. Chronic obstructive pulmonary disease
B. Lung cancer
C. Hip replacement
D. Endocarditis -
\D. Endocarditis
A COTA® is conducting a treatment session with a client with chronic obstructive
pulmonary disease. While engaging in a light work task from a seated position, the
, client suddenly experiences extreme shortness of breath, and panics. Which response
by the COTA® would be MOST appropriate?
A. Ask the client to lean backward and rest the arms on the chair arms, then practice
pursed-lip breathing
B. Ask the client to lean forward and place the forearms on the thighs, then practice
pursed-lip breathing
C. Ask the client to sit upright and allow the arms to dangle and guide the client to use
visual imagery
D. Ask the client to sit upright, use one arm for the work task, and use the other arm to
bear weight and support the trunk -
\B. Ask the client to lean forward and place the forearms on the thighs, then practice
pursed-lip breathing
A COTA® is working with a client in the early rehabilitation phase in an outpatient
facility. The client had a recent myocardial infarction. In reviewing the home program
with the client, the COTA® discusses activity and exercise limitations according to
metabolic equivalent (MET) levels. Which activity would be contraindicated within the
first 4 weeks after a myocardial infarction because of the activity's MET level?
A. Light housekeeping
B. Knitting and crocheting
C. Dressing and undressing
D. Carrying groceries upstairs -
\D. Carrying groceries upstairs
A COTA® in an outpatient facility is working with a client in the early rehabilitation phase
after a myocardial infarction. In reviewing the home program with the client, the COTA
discusses activity and exercise limitations according to metabolic equivalent (MET)
levels. Which three activities would be appropriate within the first 4 weeks after a
myocardial infarction because of the activity's MET level? Select the 3 BEST choices.
A. Light housekeeping
B. Knitting and crocheting
C. Gardening
D. Carrying groceries upstairs
E. Sexual intercourse
F. Dressing and undressing -
\A. Light housekeeping
B. Knitting and crocheting
F. Dressing and undressing
A COTA® is working with a client in an outpatient center who has been diagnosed with
Raynaud's syndrome affecting the fingers. What home program instruction is MOST
appropriate for a client with Raynaud's syndrome?
A. Wear a flexion glove at night.
B. Use a cold pack to increase finger circulation.
C. Wear gloves when exposing the fingers to cold.
D. Visually inspect the fingers daily for tumor growth. -
Exam Prep Questions and Answers.
In reading a client's medical chart, the COTA® notes that the client has a history of
orthostatic hypotension. Which activity precautions should the COTA give to the client?
Select the 3 BEST choices.
A. Limit standing to 30 minutes while completing an occupation such as cooking.
B. Take several minutes to move from lying down to sitting and then to standing after
being in bed all night.
C. Gradually and consistently elevate the head of the bed throughout the day.
D. Avoid a positional change from lying down to standing within 30 minutes of eating a
meal.
E. Avoid leaning the head too far forward—for example, when bending over to tie shoes
while sitting.
F. Report weakness, sleepiness, blurred vision, confusion, syncope, or lightheadedness
to the therapist. -
\B. Take several minutes to move from lying down to sitting and then to standing after
being in bed all night.
C. Gradually and consistently elevate the head of the bed throughout the day
F. Report weakness, sleepiness, blurred vision, confusion, syncope, or lightheadedness
to the therapist..
An inpatient has acute congestive heart failure and is participating in Phase I cardiac
rehabilitation. Which task is ESSENTIAL for the COTA® to do during self-care sessions
with this patient?
A. Monitor changes in the patient's physiologic responses during activities
B. Instruct the patient to use compensatory strategies for lower body dressing
C. Encourage the patient to complete as much activity as tolerated
D. Provide the patient with adaptive equipment for bathing and hygiene -
\A. Monitor changes in the patient's physiologic responses during activities
While a COTA® is working with a client on the grooming task of brushing teeth, the
client mentions having to take antibiotics before going to the dentist for any dental work.
What condition is MOST likely a part of this client's medical history?
A. Chronic obstructive pulmonary disease
B. Lung cancer
C. Hip replacement
D. Endocarditis -
\D. Endocarditis
A COTA® is conducting a treatment session with a client with chronic obstructive
pulmonary disease. While engaging in a light work task from a seated position, the
, client suddenly experiences extreme shortness of breath, and panics. Which response
by the COTA® would be MOST appropriate?
A. Ask the client to lean backward and rest the arms on the chair arms, then practice
pursed-lip breathing
B. Ask the client to lean forward and place the forearms on the thighs, then practice
pursed-lip breathing
C. Ask the client to sit upright and allow the arms to dangle and guide the client to use
visual imagery
D. Ask the client to sit upright, use one arm for the work task, and use the other arm to
bear weight and support the trunk -
\B. Ask the client to lean forward and place the forearms on the thighs, then practice
pursed-lip breathing
A COTA® is working with a client in the early rehabilitation phase in an outpatient
facility. The client had a recent myocardial infarction. In reviewing the home program
with the client, the COTA® discusses activity and exercise limitations according to
metabolic equivalent (MET) levels. Which activity would be contraindicated within the
first 4 weeks after a myocardial infarction because of the activity's MET level?
A. Light housekeeping
B. Knitting and crocheting
C. Dressing and undressing
D. Carrying groceries upstairs -
\D. Carrying groceries upstairs
A COTA® in an outpatient facility is working with a client in the early rehabilitation phase
after a myocardial infarction. In reviewing the home program with the client, the COTA
discusses activity and exercise limitations according to metabolic equivalent (MET)
levels. Which three activities would be appropriate within the first 4 weeks after a
myocardial infarction because of the activity's MET level? Select the 3 BEST choices.
A. Light housekeeping
B. Knitting and crocheting
C. Gardening
D. Carrying groceries upstairs
E. Sexual intercourse
F. Dressing and undressing -
\A. Light housekeeping
B. Knitting and crocheting
F. Dressing and undressing
A COTA® is working with a client in an outpatient center who has been diagnosed with
Raynaud's syndrome affecting the fingers. What home program instruction is MOST
appropriate for a client with Raynaud's syndrome?
A. Wear a flexion glove at night.
B. Use a cold pack to increase finger circulation.
C. Wear gloves when exposing the fingers to cold.
D. Visually inspect the fingers daily for tumor growth. -
