NPTE Clinical Files | Physical Therapy

Getsemani examines a patient with a Stage 4 pressure injury over the sacrum. The therapist inserts a sterile cotton-tipped applicator beneath the intact wound edge. The applicator advances 2.4 cm toward the patient’s head while remaining immediately beneath the skin. Which of the following is the MOST appropriate documentation of this finding?
A) Tunneling of 2.4 cm at 12 o’clock
B) Undermining of 2.4 cm at 12 o’clock
C) Maceration extending 2.4 cm at 12 o’clock
D) Induration extending 2.4 cm at 12 o’clock
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Stassi is administering neuromuscular electrical stimulation (NMES) to improve quadriceps strength following knee surgery. The patient reports that the stimulation feels uncomfortable as the current is delivered. Stassi would like to maintain a strong therapeutic muscle contraction while making the treatment more comfortable for the patient. Which of the following stimulation parameters should be adjusted?
A) Amplitude
B) Pulse rate (frequency)
C) Pulse duration
D) Ramp down time
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Inez is receiving physical therapy in the acute cardiac unit following an acute coronary event. During treatment, the physical therapist observes a new telemetry change characterized by progressive PR interval lengthening followed by a dropped QRS complex. The patient denies any new symptoms. What is the MOST appropriate action by the physical therapist?
A) Continue treatment because this is an expected finding following an acute coronary event.
B) Continue treatment after increasing supplemental oxygen while monitoring telemetry.
C) Hold treatment and notify the physician regarding the new telemetry findings.
D) Terminate treatment and activate the emergency response team immediately.
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Anisa is being treated in an inpatient rehabilitation facility following a traumatic brain injury (TBI). The physical therapist has been training the patient to ambulate using a two-point gait pattern with a single-point cane. Anisa consistently performs the gait pattern correctly in a quiet hallway without verbal cueing. Which of the following is the BEST strategy to improve long-term retention and carryover of this skill?
A) Open environment with randomized practice
B) Closed environment with serial practice
C) Open environment with serial practice
D) Closed environment with blocked practice
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Tasnuva is referred to physical therapy for progressively worsening right knee pain. The patient reports symptoms that have gradually increased over the past year and are aggravated by prolonged walking. Observation reveals right coxa vara and significant genu valgum during standing. Which of the following structures is MOST likely contributing to the patient’s symptoms?
A) Anterior cruciate ligament
B) Gluteus medius tendon
C) Medial meniscus
D) Lateral meniscus
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