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NPTEFF PRACTICE EXAM 1 Questions and Answers Latest Versions 2024 GRADE A+
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NPTEFF PRACTICE EXAM 1 Questions andAnswers Latest Versions 2024 GRADE A+
A therapist is treating a patient with a wound on the ischial tuberosity. The patient is incontinent, and
contaminated the wound bed following an accidental leak. Otherwise, the wound has been healing well.
What level of pressure should the PT use when irrigating the wound? - CORRECT ANSWER Between 4 to
15 psi.
Pressure close to 4 prevent damage and protect the granulation tissue.
A 4-year-old child has been referred to physical therapy for weakness and "failure to thrive." The child's
family reports a gradual onset of weakness and lack of desire to participate in play. After a brief
examination, the child appears significantly fatigued. What condition would MOST likely be consistent
with these symptoms? - CORRECT ANSWER Leukemia
General malaise, fatigue and lethargy, Prolonged or recurrent episodes of fever, Irritability, Growth
restriction and/or failure to thrive, Shortness of breath and/or reduced exercise tolerance, Dizziness and
palpitations, Bleeding diathesis, particularly causing epistaxis, bleeding gums and/or easy bruising, Bone
or joint pain, particularly in the legs, Troublesome constipation, Prolonged cough, Headache, Nausea
and vomiting, particularly if central nervous system (CNS) infiltration is present.
A patient sustained an injury to his knee. While in the hospital, imaging was ordered, and the patient
was given a diagnosis of popliteal artery occlusion. What is the BEST treatment option for this patient in
the acute care setting? - CORRECT ANSWER Complete bed rest
Complete bed rest is advised in this situation, as the patient has an active occluded artery. Increased BP
via the pumping exercises may increase the likelihood of a cardiovascular event, or increase the risk of
tissue damage via hypoxia. Increasing pressure or heat is contraindicated in arterial deficiencies.
Which of the following strategies is optimal for BEST positioning for a patient with a CVA when lying on
the hemiplegic side? - CORRECT ANSWER Forearm supinated
Effective positioning of the hemiparetic extremities encourages proper joint alignment while positioning
the limbs out of the abnormal postures typically assumed. When lying on the more affected side,
forearm should be should be kept in supination.
,A patient with a tracheostomy tube has been hospitalized for two days. During physical therapy the
patient suddenly exhibits dyspnea, cyanosis of lips, and cramping of the right calf muscle. What should
the therapist suspect based on the symptoms? - CORRECT ANSWER Respiratory Distress
Dyspnea, shortness of breath, or cramping in the calf muscles are common signs of respiratory distress.
Mucus plugging, tube displacement, disruption or disconnection of oxygen can cause respiratory distress
in a tracheostomy patient.
A PT Assistant was treating a patient status post ACL reconstruction and asked the patient to complete
knee extension exercises that were not in the original plan of care. After completing the exercises, the
patient's pain was exacerbated and later determined that they were injured during the PTA's care. In
this scenario, who is MOST responsible for the patient's injury? - CORRECT ANSWER The treating
physical therapy assistant
Which of the following is the MOST commonly dislocated joint in the shoulder? - CORRECT ANSWER
Glenohumeral joint
Glenohumeral joint is the most mobile joint. It is a multiaxial, ball-and-socket, synovial joint that
depends primarily on the muscles and ligaments rather than bones for its support, stability. It has high
mobility but little articular stability making it the most commonly dislocated joint of the shoulder
complex.
An adult patient diagnosed with cystic fibrosis is receiving postural drainage and percussion. The patient
is positioned in right side-lying with the foot of the bed elevated to 18 inches, and a pillow placed
between and under the knees. Which lobe is being drained? - CORRECT ANSWER Left lower lobe
anterior basal
For Lateral basal (option A&B) the patient lies on abdomen, head down, then rotates 1/4 turn upward.
Which of the following treatment guidelines is LEAST effective for patients with Alzheimer's disease? -
CORRECT ANSWER Group therapy with exercises that use verbal commands
It is difficult for Alzheimer's patient to follow and remember verbal commands, so option A is least
effective. Using images, short, simple and same exercises every day is beneficial for the patient.
, Two trained rescuers are performing CPR on an unresponsive adult with diabetes. They started with
compressions, airway clearance, and then breathing. After two minutes, the AED delivered a shock.
What is the rescuers' next step? - CORRECT ANSWER Perform CPR starting with compressions and
follow the sequence
As soon as the shock is delivered; CPR should be resumed and continued until prompted by AED to allow
rhythm check. Minimize interruptions in chest compressions before and after shock.
A physical therapist is treating a patient status post a cerebrovascular accident. The patient is struggling
to successfully clear his airway. Which of the following interventions should the therapist use? -
CORRECT ANSWER Huffing
A chronic smoker diagnosed with COPD was tested for an arterial blood gas (ABG) analysis. After
reviewing the patient's chart, the physical therapist is MOST likely to see which of the following changes
in the ABG results? - CORRECT ANSWER Increased PaCO2, decreased PaO2, and decreased pH
A 70-year-old male patient presents to an outpatient clinic with sensory loss of the right face and arm.
This patient is taking medications for hypertension, diabetes mellitus type 2, and hydrocortisone for a
rash on his leg. The patient initially seems confused but otherwise has intact speech. The therapist
would MOST likely suspect a lesion in which vessel? - CORRECT ANSWER Left MCA inferior division
Infarct in middle cerebral artery inferior division causes contralateral homonymous hemianopsia, fluent
aphasia (Wernicke's area)
A 25-year-old patient had a traumatic fall off his bicycle 1 week ago. Since the injury, the patient has not
been able to elevate his scapula. Based on the information given, what is the MOST likely physical
therapy diagnosis? - CORRECT ANSWER Superior dislocation of SC Joint
A PT consult is ordered for a 50-year-old gentleman in the late stages of ALS. In the patient's chart is an
electromyography report and nerve conduction velocity test. All of the following findings are consistent
with his diagnosis EXCEPT: - CORRECT ANSWER Decreased sensory evoked potential
Sensory evoked potential will not be seen in ALS as ALS is a motor neuron disease affecting the motor
nerves and not sensory nerves.
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