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NPTE Review Exam 1: 211 Questions with Verified Answers, Exams of Nursing

A comprehensive set of 211 multiple-choice questions with verified answers, covering various topics relevant to the national physical therapy examination (npte). It serves as a valuable resource for physical therapy students preparing for the npte, offering a comprehensive review of key concepts and clinical applications. The questions are designed to assess knowledge in areas such as anatomy, physiology, biomechanics, pathology, treatment modalities, and clinical reasoning.

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2024/2025

Available from 04/10/2025

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NPTE Review Exam 1|211 Questions with Verified Answers
A note in a patient's medical record indicates a specific drug is taken through
enteral administration. Which of the following is an example of enteral
administration?
inhalation
injection
topical
oral - CORRECT ANSWER oral administration is considered the easiest form of
taking medication when self medication is required and is relatively safe since
drugs enter the system in a fairly controlled manner
A patient is position in supine with the hips flexed to 90 degrees and knee
extended. As the patient slowly lowers her extended legs toward the horizontal
there is an increase in lordosis of the low back. This finding is indicative of
weakness of the?
hip flexors
back extensors
hip extensors
abdominals - CORRECT ANSWER abdominals
in a clinical trial, pt height is measured in centimeters and weight is measured in
kg. What inference can the PT make about the scale of measurement for height
and weight?
ratio
ordinal
nominal
interval - CORRECT ANSWER ratio scale has an absolute zero point
A PT attempts to select an appropriate intervention to treat a pat with a 10
degree limitation in knee extension. Which of the following mobilization
technique would be indicated?
lateral glide of the patella
caudal glide of the patella
posterior glide of the tibia
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29

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NPTE Review Exam 1|211 Questions with Verified Answers

A note in a patient's medical record indicates a specific drug is taken through enteral administration. Which of the following is an example of enteral administration? inhalation injection topical oral - CORRECT ANSWER oral administration is considered the easiest form of taking medication when self medication is required and is relatively safe since drugs enter the system in a fairly controlled manner A patient is position in supine with the hips flexed to 90 degrees and knee extended. As the patient slowly lowers her extended legs toward the horizontal there is an increase in lordosis of the low back. This finding is indicative of weakness of the? hip flexors back extensors hip extensors abdominals - CORRECT ANSWER abdominals in a clinical trial, pt height is measured in centimeters and weight is measured in kg. What inference can the PT make about the scale of measurement for height and weight? ratio ordinal nominal interval - CORRECT ANSWER ratio scale has an absolute zero point A PT attempts to select an appropriate intervention to treat a pat with a 10 degree limitation in knee extension. Which of the following mobilization technique would be indicated? lateral glide of the patella caudal glide of the patella posterior glide of the tibia

anterior glide of the tibia - CORRECT ANSWER anterior glide of the tibia A pt with a right radial head fx is examined in PT. The pt's involved elbow ROM begins at 15 degrees and ends at 90 degrees flexion. The PT should record the elbow ROM as? 0-15- 15-0- 15- 0-90 - CORRECT ANSWER 15- A PT attempts to improve a pt's LE strength. Which PNF technique would be the most appropriate to achieve PT's goals? contract relax repeated contractions rhythmic stabilization hold-relax - CORRECT ANSWER repeated contractions A PT instructs a pt dx with RC tendonitis in transverse plane resistive exercises. Which motions would be appropriate based on the given information? abduction and adduction flexion and extension medial and lateral rotation pronation and supination - CORRECT ANSWER medial and lateral rotation A pt is limited in passive ankle DF whe the knee is extended, but not limited when the knee is flexed. The most logical explanation is? tight gastroc tight soleus tight popliteus tight gastoc/ soleus - CORRECT ANSWER tight gastroc Which of the following electrodiagnostic test would be most helpful in dx CTS? electroencephalography evoked potentials nerve conduction velocity electromyography - CORRECT ANSWER nerve conduction

As part of a cervical exam the pt attempts to screen for possible VBI but is unable to position the pt's head and neck in the recommended test position. Most appropriate action is to? complete test in approximately 50% of available ROM complete test in available ROM as tolerated avoid test until pt has full ROM avoid direct cervical treatment techniques until the VBI test can be completed - CORRECT ANSWER complete test in available ROM Which sensation is most affected with deficits in the anterolateral spinothalamic system? barognosis kinesthesia graphesthesia temperature - CORRECT ANSWER temperature barognosis - CORRECT ANSWER dorsal columns kinesthesia - CORRECT ANSWER dorsal columns perception of the body's movement through space graphesthesia - CORRECT ANSWER dorsal columns ability to "read" a number by having it traced on the skin Which factor has the greatest influence on a 13 year old's possible ACL ligament reconstruction? anthropometric measurements hamstring/ quadriceps strength ratio skeletal maturity somatotype - CORRECT ANSWER skeletal maturity- because this surgery can have an impact on potential bone growth PT identifies a bluish discoloration of the skin and nailbeds of a 55 year old male for pulmonary rehab. What does this objective finding indicate? hyperoxemia hyperoxia hypokalemia

hypoxemia - CORRECT ANSWER hypoxemia- PaO2 less than 80 mm Hg Which of the following would be the most appropriate action to enhance the quality of patient care? offer CEU to senior therapists in relation to experience divide the CEU resources evenly establish a committee to review requests for CEU courses prioritize requests for CEU resources based on established pt care standards - CORRECT ANSWER prioritize requests for CEU resources based on established pt care standards Normal BMI is considered as? 14-18. 18.5-24. 25- 30-35 - CORRECT ANSWER 18.5-24. Most likely ACL autograft site when scar is on the anterior surface of the R knee? semitendinosus and semimembranous semitendinosus and gracilis semimembranosus and gracilis semitendinosus and biceps femoris - CORRECT ANSWER semitendinosus and gracilis- often used together as a graft for ACL PT strokes the cheek of a one month old causing the infant to turn its mouth towards the stimulus. This action is utilized to assess the? moro reflex rooting reflex startle reflex righting reflex - CORRECT ANSWER rooting reflex- primitive reflex that is present form 28 wks- 3 mo What is the appropriate force to decrease lumbar spasms?

because the biceps is maximally shortened A compensation for weak abductors is? hip hiking of the unaffected side lateral trunk flexion towards the affected side lateral trunk flexion towards the unaffected side hip extension of the affected side - CORRECT ANSWER lateral trunk flexion towards the unaffected side A patient is 25 late min to an IE 10 days s/p medial menisectomy. What is the most appropriate action? begin examination design a HEP consult physician ask the pt to reschedule - CORRECT ANSWER begin examination Which reflex could interfere with an infant's ability to roll? ATNR Moro reflex positive support reflex STNR - CORRECT ANSWER ATNR Which of the following is considered normal Hgb? 10 gm/dL 15 20 25 - CORRECT ANSWER 15 gm/dL Which incomplete spinal cord lesion presents with muscle paralysis on the ipsilateral side of the lesion and a loss of pain, temperature and sensitivity on the contralateral side of the lesion? posterior cord syndrome central cord syndrome anterior cord syndrome Brown- Sequard's syndrome - CORRECT ANSWER Brown-Sequard's syndrome Which ligament is typically involved with medial instability of the elbow?

annular radial collateral ulnar collateral volar radioulnar - CORRECT ANSWER ulnar collateral What type of tube is most commonly used for short term feeding? endobronchial nasogastric endotracheal tracheostomy - CORRECT ANSWER nasogastric The most important objective measure to assess after assisting a pt from supine to sit after they have been bed ridden for awhile is? systolic BP diastolic BP perceived exertion O2 sat - CORRECT ANSWER systolic BP Which of the following pH would be described as a acidic reaction of the skin? 2 4 6 8 - CORRECT ANSWER 2 b/c the normal pH of skin is 3- Which wrist motion will allow the therapist to facilitate palpation of the lunate? extension flexion radial deviation ulnar deviation - CORRECT ANSWER flexion- lunate is located in the center of the proximal row of the carpals b/w scaphoid and triquetrum Which anatomical region would most likely be affected by a stroke that causes significant perceptual deficits? primary motor cortex somatosensory cortex basal ganglia

with a maximal contraction of the antagonistic muscle group - CORRECT ANSWER at the point where the desired muscle response begins to diminish What is the most appropriate action to schedule a burn patient with extensive pain? reduce frequency and duration of treatment session schedule treatments when pain meds are most effective avoid uncomfortable activities request that the physician an increase in pain meds - CORRECT ANSWER schedule treatments when pain meds are most effective Which LE IV infusion site is most appropriate to administer an IV line? median cubital vein basilic vein cephalic vein saphenous vein - CORRECT ANSWER saphenous vein- only LE option listed A chart indicates meds received at 2300 and it's now 8:00 am. How long ago did the pt receive the meds? 5 hrs 9 15 18 - CORRECT ANSWER 9 hours After placing the foot in subtalar neutral the medial border is higher than the lateral border. This position would be documented as? forefoot varus forefoot valgus rearfoot varus rearfoot valgus - CORRECT ANSWER forefoot varus A pt s/p TBI is often disoriented and can frequently become agitated with little provocation. Where is the most appropriate location to make initial contact? patient's room PT gym private treatment room

PT waiting room - CORRECT ANSWER patient's room- b/c the pt's room is familiar and less distractible During the Thomas Test the knee does not reach 90 degrees of knee flexion. What muscle is responsible for insufficient length? iliopsoas quadratus lumborum rectus femoris sartorius - CORRECT ANSWER rectus femoris 5 hrs after a cast was placed to a PF and the PT notices the pt's toes are discolored. What is the most appropriate action? discontinue use of the anterior portion of the cast contact the staff nurse and request that the cast is removed refer the pt to an orthotist remove the cast - CORRECT ANSWER remove the cast- PT is qualified to monitor a pt's LE circulation and can remove if circulation is compromised What is the most appropiate testing method to use when assessing non- contractile elements? AROM AAROM PROM resisted isometrics - CORRECT ANSWER PROM Which type of transfer would give the PT the greatest ease to move a heavier pt with no other assistance? dependent standing pivot hydraulic lift sliding board assisted standing pivot - CORRECT ANSWER hydraulic lift The most likely functional level a 19 year old male will return to after medial menisectomy 8 mo ago and pre op of ACL? light recreational activities all recreational activities recreational and competitive athletic activities with derotation brace

What kind of behavior therapy is used when a PT makes a conscious effort to demo behaviors that are significant and attainable for an 8 year old? Flooding operant conditioning role playing modeling - CORRECT ANSWER modeling What muscle is emphasized during the SLR? vastus medialis recuts femoris vastus lateralis sartorius - CORRECT ANSWER rectus femoris Which of the following labs is most affected by hypovolemia caused due to burns? hematocrit erythrocyte sedimentation rate O2 sat prothrombin time - CORRECT ANSWER hematocrit Autolytic debridement removes necrotic tissue by? a sharp instrument externally applied force body's own mechanism commercially prepared enzyme - CORRECT ANSWER body's own mechanism Which of the following would not necessitate a supervisory visit of a PT to a PTA? change in pt's medical status modification in the pt's plan of care request by the PTA alteration in the pt's level of motivation - CORRECT ANSWER alteration in the pt's level of motivation Which condition would most necessitate the use of a derotation brace? medial meniscus repair ACL reconstruction ACL insufficiency

PCL reconstruction - CORRECT ANSWER ACL insufficiency- b/c they are more likely to experience functional instability What is the most common substitution to exaggerate hamstring length is? weight shift to the contralateral side anterior rotation of the pelvis posterior rotation of the pelvis hiking of the contralateral hip - CORRECT ANSWER posterior rotation of the pelvis What is the most appropriate action to facilitate palpation of the RC is? passive abduction of the humerus active medial and lateral rotation of the humerus passive extension of the humerus active extension and flexion of the elbow - CORRECT ANSWER passive extension of the humerus- RC should be relaxed as possible for palpation and extension moves the humeral head away from the acromion The most appropriate method to assess the vestibular component of balance would be? assess cutaneous sensation apply a perturbation to alter the body's center of gravity examine proprioception in a WB posture quantify visual acuity and depth perception - CORRECT ANSWER apply a perturbation to alter the body's center of gravity What is the most likely classification of a burn that is moist, red and has blister formations that blanches with direct pressure? superficial superficial partial- thickness deep partial-thickness full-thickness - CORRECT ANSWER superficial partial-thickness- involves the epidermis and upper portion of the dermis The most appropriate position to test the triceps reflex is? shld ext and elbow flexion shld flexion and elbow extension shld extension and elbow extension

Slap foot is most likely due to weakness of the? iliopsoas tibialis anterior tibialis posterior gastrocnemius - CORRECT ANSWER tibialis anterior Which of the following is not accurate in describing normal joint position at the end of terminal stance? 15 deg of hip hyperextension 0 deg of knee extension 20 deg of ankle DF 10 deg of metatarsophalangeal hyperextension - CORRECT ANSWER 10 deg of metatarsophalangeal hyperextension- the MTP joints are actually in 30 deg of hyperextension Which finding would best dispute a claim of R paresis during a rapid SLR of the L LE? pt unable to lift their L heel from PT's hand pt experiences radiating pn into the R LE pt exerts a downward force into the PT's hand with the R heel pt reports severe pn while performing SLR - CORRECT ANSWER pt exerts a downward force into the PT's hand the the R heel The most appropriate device to use when teaching a new WB status? inclinometer scale anthropometer tape measure - CORRECT ANSWER scale Which axis of movement is utilized with hip ABD/ADD motions? frontal vertical anterior- posterior longitudinal - CORRECT ANSWER anterior- posterior The duty cycle of a pulsed wave using on: off time of 2 msec to 8 msec is? 10%

50% - CORRECT ANSWER 20%

The defining ECG characteristic of a 1st degree heart block is? inverted T wave prolonged PR interval bizarre QRS complex ST segment depression - CORRECT ANSWER prolonged PR interval inverted T wave - CORRECT ANSWER myocardial ischemia bizarre QRS complex - CORRECT ANSWER premature ventricular contraction arising from an ectopic focus in the ventricle that occurs before the expected time of normal ventricular depolarization ST segment depression - CORRECT ANSWER myocardial ischemia What is the first step to incorporate EBP? pose an answerable clinical question locate the most current best evidence from the literature critically appraise the evidence for its validity, impact and applicability integrate the evidence into clinical decision making - CORRECT ANSWER pose an answerable clinical question Which PNF pattern is most appropriate to improve flexion? D1 extension D1 flexion D2 extension D2 flexion - CORRECT ANSWER D2 flexion When administering the Romberg test it would be most important for the therapist to determine? width of BOS amount of time pt is able to maintain test position amount of sway present during the testing period

excessive rise in BP - CORRECT ANSWER insufficient stroke volume during ventricular systole When measuring back height for a w/c, which is most accurate? measure from the seat of the chair to the base of the axilla and subtract two inches measure from the seat of the chair to the base of the axilla and subtract four inches measure from the seat of the chair to the acromion process and subtract two inches measure from the seat of the chair to the acromion process and subract four inches - CORRECT ANSWER measure from the seat of the chair to the base of the axilla and subtract four inches The most appropriate time for ice massage of an infrapatellar tendonitits? 3-5 min 5-10 min 10-15 min 15-20 min - CORRECT ANSWER 5-10 min- ice massage requires 5-10 min due to the intensity of the cooling Which on:off time ration would result in the most rapid onset of muscle fatigue? 3: 1: 5: 1:6 - CORRECT ANSWER 5:1 would promote rapid onset of muscle fatigue The best source of information to make clinical judgments about therapy for an individual pt is? cohort study RCT systematic review case report - CORRECT ANSWER systematic review The most appropriate action for a PT treating a pt with onset of angina during exercises that doesn't subside with in 20 min is? allow the pt to resume exercise and continue to monitor the pt's condition

reduce the intensity of exercise discontinue treatment and encourage pt to call physician discontinue treatment and call ambulance - CORRECT ANSWER discontinue treatment and call ambulance- if anginal symptoms are not relieved by stopping exercise or the use of 3 sublingual nitroglycerin tablets (1 every 5 min), the pt should be transported to nearest hospital emergency center What is the age predicted max HR of a 55 year old male? 190 185 165 155 - CORRECT ANSWER 165- 220-55= The most appropiate action for a PT after placing a pt s/p abdominal surgery who hasn't amb in 2 wks in a w/c in the parallel bars is? assist the pt to standing monitor the pt's vital sign demonstrate ambulation in the parallel bars secure an additional staff member to offer assistance - CORRECT ANSWER demonstrate ambulation in the parallel bars The most appropriate transfer technique from w/c to treatment table for a pt that is able to bear some weight through B LE is? sliding board transfer hydraulic lift dependent squat pivot two person lift - CORRECT ANSWER dependent squat pivot The most appropriate initial action of a risk management committee is to? provide follow up to employees if exposed to blood and body fluids provide free hepatitis B immunizations to staff develop an infection control policy that conforms to OSHA guidelines educate staff about the policies - CORRECT ANSWER develop an infection control policy that conforms to OSHA guidelines The most appropriate classification of the level of assistance when the PT provides 20% assistance is?