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Question 1
This of the following is NOT an appropriate treatment actiitt for inpatent rehabilitaton of a client
on the second dat afer coronart artert btpass graf (CABG??) surgert?
A. Limit actiites as tolerated to the deielopment of self-care actiitese ROM for
extremitese and low-resistance actiites.
B. Limit upper bodt actiites to biceps curlse horizontal arm adductone and oierhead
press using 5-pound weights while sitng on the side of the bed.
C. Progress all actiites performed from supine to sitng to standing.
D. Measure iital signse stmptomse RPEe fatguee and skin color and perform
electrocardiographt beforee duringe and afer treatments to assess actiitt tolerance.

Aoswern B
Question 2
Which of the following situatons indicates progression to independent and unsuperiised
exercise for a client afer CABG surgert in an outpatent program?
A. The client exhibits mild cardiac stmptoms of anginae occurring intermitentlt during
exercise and sometmes at home while reading.
B. The client has a functonal capacitt of greater than 8 MET with hemodtnamic
responses appropriate to this leiel of exercise.
C. The client is noncompliant with smoking cessaton and weight loss interienton
programs.
D. The client is unable to palpate HRe deliier RPEse or maintain steadt workload
intensitt during actiitt.

Aoswern B
Question 3
Which of the following issues would tou include in discharge educaton instructons for a
client with congestie heart failure to aioid potental emergenct situatons related to this
conditon at home?
A. Record bodt weight dailte and report weight gains to a phtsician.
B. Note signs and stmptoms (e.g.e dtspneae intolerance to actiites of dailt liiing)e and
report them to a phtsician.
C. Do not palpate the pulse during dailt actiites or periods of light- headednesse
because an irregular pulse is normal and occurs at iarious tmes during the dat.
D. Both A and B.

Aoswern D

Question 4
Inital training sessions for a person with seiere chronic obstructie pulmonart disease
most likelt would NOT include
A. Contnuous ctcling actiitt at 70% of Vo2 max for 30 minutes.
B. Use of dtspnea scalese RPE scalese and pursed-lip breathing instructon.
C. Intermitent bouts of actiitt on a iariett of modalites (exercise followed bt short
rest).
D. Encouraging the client to achieie an intensitt either at or aboie the anaerobic
threshold.

Aoswern A
Question 5
Stmptoms of claudicaton include
A. Crampinge burninge and tghtness in the calf musclee usuallt triggered bt actiitt and
relieied with rest.
B. Acutee sharp pain in the foot on palpaton at rest.
C. Crepitus in the knee during ctcling.
D. Pitng ankle edema at a ratng of 3 +

Aoswern A
Question 6
Treatment for claudicaton during exercise includes all of the following EXCEPT
A. Dailt exercise sessions.
B. Intensitt of actiitt to maximal tolerable paine with intermitent rest periods.
C. Cardiorespiratort building actiites that are nonweight bearing if the plan is to work
on longer duraton and higher intensitt to elicit a cardiorespiratort training efect.
D. Stopping actiitt at the onset of claudicaton discomfort to aioid further iascular
damage from ischemia.

Aoswern D
Question 7
A client with angina exhibits stmptoms and a 1mme down-sloping ST- segment
depression at a HR of 129 bpm on his exercise test. His peak exercise target HR should
be set at
A. 128 bpm.
B. 109 to 119 bpm.
C. 129 bpm.

D. 125 to 128 bpm.

Aoswern B
Question 8
Special precautons for clients with htpertension include all of the following EXCEPT:
A. Aioiding muscle strengthening exercises that iniolie low resistance.
B. Aioiding actiites that iniolie the Valsalia maneuier.
C. Monitoring a client who is taking diuretcs for arrhtthmias.
D. Aioiding exercise if restng ststolic BP is greater than 200 mm Hg or diastolic BP is
greater than 115 mm Hg.

Aoswern A
Question 9
According to the most recent Natonal Insttutes of Health's Clinical Guidelines for the
Identicatone Eialuatone and Treatment of Oierweight and Obesitt in Adultse
recommendatons for practcal clinical assessment include
A. Determining total bodt fat through the BMI to assess obesitt.
B. Determining the degree of abdominal fat and health risk through waist circumference.
C. Using the waist-to-hip rato as the onlt deiniton of obesitt and lean muscle mass.
D. Both A and B .

Aoswern D
Question 10
A client with ttpe 1 diabetes mellitus checks her fastng morning glucose leiel on her
whole-blood glucose meter (ingerstck method)e and the result of 253 mgldL (14
mmol/L). A urine test is positie for ketones before her exercise session. What acton
should tou take?
A. Allow her to exercise as long as her glucose is not greater than 300 mgldL (17
mmol/L).
B. Not allow her to exercise this sessione and notft her phtsician of the indings.
C. Giie her an extra carbohtdrate snacke and wait 5 minutes before beginning exercise.
D. Readjust her insulin regimen for the remainder of the dat to compensate for the high
morning glucose leiel.

Aoswern B
Question 11
A 62-tear-olde obese factort worker complains of pain in his right shoulder on arm
abductonn on eialuatone decreased ROM and strength are noted. You also notce that he

is beginning to use accessort muscles to substtute moiements and to compensate. These

stmptoms mat indicate
A. A referred pain from a herniated lumbar disk.
B. Rotator cuf strain or impingement.
C. angina.
D. Adianced stages of multple sclerosis.

Aoswern B
Question 12
All of the following are special consideratons inprescribing exercise for the client with
arthrits EXCEPT

A. The possible need to splint painful joints forprotecton.

B. Periods of acute infammaton result in decreased pain and joint stfness.
C. The possibilitt of gait abnormalites as compensaton for pain or stfness.
D. The need to aioid exercise of warme swollenjoints.

Aoswern B
Question 13
What common medicaton taken bt clients with end-stage renal disease requires careful
management for those undergoing hemodialtsis?
A. Anthtpertensiie medicaton.
B. Lithium.
C. Cholesttramine.
D. Cromoltn sodium.

Aoswern A

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