DPT 772 PRACTICAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
What needs to be included in vital sign assessment?
Blood Pressure, Heart Rate, Respiratory Rate, Oxygen Saturation
What is normal blood pressure?
<120 and <80
What is elevated blood pressure?
120-129 and <80
What is HTN Stage 1?
130-139 or 80-89
What is HTN Stage 2?
130-139 or ≧90
WHat is Hypertensive Crisis?
>180 and/or >120
What is normal heart rate?
60-100 bpm
What is normal respiratory rate?
12-20 breaths per minute
What is normal oxygen saturation?
90% and above (88% for pulmonary patients)
How do you take an apical pulse?
,Place patient in supine, find left 5th intercostal space, place diaphragm of stethoscope
over apex of heart
What is important about the apical pulse?
It's a more accurate pulse and it may be higher than peripheral pulse
If apical pulse differs from radial pulse by more than 10 bpm, why is that
problematic?
Potential for poor perfusion
Why is it important to assess peripheral pulses?
To ensure proper blood flow to extremities
What is the scale for peripheral pulses?
3+ = bounding
2+ = normal
+1 = weak or thready
0 = absent
Why is it important to assess pitting edema?
It can be a sign of underlying conditions
What is 1+ on the pitting edema scale?
barely perceptible depression of pit
What is 2+ on the pitting edema scale?
skin rebounds within 15 seconds
What is 3+ on the pitting edema scale?
skin rebounds within 15-30 seconds
what is a 4+ on the pitting edema scale?
, skin rebound takes greater than 30 seconds
How do you assess chest wall excursion?
assess segmentally (upper, middle, lower) while patient breathes quietly and takes deep
breaths
How do you assess upper lobes of chest wall excursion?
Palms of hands over anterior chest wall from 4th rib up, fingers stretched over trapezius,
thumbs together over middle of chest
How do you assess right middle lobe and left lingula of chest wall excursion?
Fingers laterally and over posterior axillary folds, palms firm over chest wall (underneath
breast tissue)
How do you assess lower lobes of chest wall excursion?
Patient is facing away from PT, wrap fingers along anterior axillary fold, thumbs around
base of scapulae
What is the normal inspiration to expiration ratio?
1:2
What is the inspiration to expiration ratio with COPD?
1:4
What is fremitus?
vibration that is produced by the voice or by the presence of secretions in the airways
When is fremitus increased?
in the presence of secretions
When is fremitus decreased?
in the presence of air
COMPLETE SOLUTIONS VERIFIED
What needs to be included in vital sign assessment?
Blood Pressure, Heart Rate, Respiratory Rate, Oxygen Saturation
What is normal blood pressure?
<120 and <80
What is elevated blood pressure?
120-129 and <80
What is HTN Stage 1?
130-139 or 80-89
What is HTN Stage 2?
130-139 or ≧90
WHat is Hypertensive Crisis?
>180 and/or >120
What is normal heart rate?
60-100 bpm
What is normal respiratory rate?
12-20 breaths per minute
What is normal oxygen saturation?
90% and above (88% for pulmonary patients)
How do you take an apical pulse?
,Place patient in supine, find left 5th intercostal space, place diaphragm of stethoscope
over apex of heart
What is important about the apical pulse?
It's a more accurate pulse and it may be higher than peripheral pulse
If apical pulse differs from radial pulse by more than 10 bpm, why is that
problematic?
Potential for poor perfusion
Why is it important to assess peripheral pulses?
To ensure proper blood flow to extremities
What is the scale for peripheral pulses?
3+ = bounding
2+ = normal
+1 = weak or thready
0 = absent
Why is it important to assess pitting edema?
It can be a sign of underlying conditions
What is 1+ on the pitting edema scale?
barely perceptible depression of pit
What is 2+ on the pitting edema scale?
skin rebounds within 15 seconds
What is 3+ on the pitting edema scale?
skin rebounds within 15-30 seconds
what is a 4+ on the pitting edema scale?
, skin rebound takes greater than 30 seconds
How do you assess chest wall excursion?
assess segmentally (upper, middle, lower) while patient breathes quietly and takes deep
breaths
How do you assess upper lobes of chest wall excursion?
Palms of hands over anterior chest wall from 4th rib up, fingers stretched over trapezius,
thumbs together over middle of chest
How do you assess right middle lobe and left lingula of chest wall excursion?
Fingers laterally and over posterior axillary folds, palms firm over chest wall (underneath
breast tissue)
How do you assess lower lobes of chest wall excursion?
Patient is facing away from PT, wrap fingers along anterior axillary fold, thumbs around
base of scapulae
What is the normal inspiration to expiration ratio?
1:2
What is the inspiration to expiration ratio with COPD?
1:4
What is fremitus?
vibration that is produced by the voice or by the presence of secretions in the airways
When is fremitus increased?
in the presence of secretions
When is fremitus decreased?
in the presence of air
