, Wilkins’ Clinical Assessment in Respiratory Care, 9th Editio
NL NL NL NL NL NL NL
n by Albert J. Heuer, NL NL NL NL
Chapters 1 – 21 NL NL NL
Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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Chapter 4. Vital Signs
NL NL NL
Chapter 5. Fundamentals of Physical Examination
NL NL N L NL NL
Chapter 6. Neurologic Assessment
NL NL NL
Chapter 7. Clinical Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter 1: Preparing for the Patient Encount
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er Test Bank
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MULTIPLE CHOICE NL
1. Which of the following activities is not part of the role of respiratory therapists
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(RTs) in patient assessment?
NL NL NL
a. Assist the physician with diagnostic reasoning skills.
NL NL NL NL NL NL
b. Help the physician select appropriate pulmonary function tests.
NL NL NL NL NL NL NL
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
NL NL NL NL NL NL NL NL NL
d. Document the patient diagnosis in the patient’s chart.
NL NL NL NL NL NL NL
ANSWER: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
2. In which of the following stages of patient–
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clinician interaction is the review of physician orders carried out?
NL NL NL NL NL NL NL NL NL
a. Treatment stage NL
b. Introductory stage NL
c. Preinteraction stage NL
d. Initial assessment stage NL NL
ANSWER: C
Physician orders should be reviewed in the patient’s chart before the physician sees th
NL NL NL NL NL NL NL NL NL NL NL NL NL
e patient.
NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
3. In NL which stage of patient–clinician interaction is the patient identification bracelet checked?
NL NL NL NL NL NL NL NL NL NL
a. Introductory stage NL
b. Preinteraction stage NL
c. Initial assessment stage
NL NL
d. Treatment stage NL
ANSWER: A
The patient ID bracelet must be checked before moving forward with assessment and
NL NL NL NL NL NL NL NL NL NL NL NL NL
treatment.
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. NL NL NL
b. Ask the patient for permission.
NL NL NL NL
c. Check the chart for vital signs. NL NL NL NL NL
d. Listen to breath sounds. NL NL NL
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading
NL NL NL NL NL NL NL NL NL NL NL NL NL NL
his or her ID bracelet.
NL NL NL NL
, REF: pg. 3 N L OBJ: 3 | 5N L NL
5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age.
NL NL NL NL
b. Identify the patient’s family history.
NL NL NL NL
c. Determine the patient’s diagnosis. NL NL NL
d. Establish a rapport with the patient.NL NL NL NL NL
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rappor
NL NL NL NL NL NL NL NL NL NL NL NL NL NL
t with him or her.
NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms NL
b. Minimal eye contact NL NL
c. Brief answers to questions
NL NL NL
d. Asking the purpose of the treatment
NL NL NL NL NL
ANSWER: D
If a patient asks about the purpose of the treatment you are about to give, this genera
NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL
lly indicates that he or she is not upset.
NL N L N L NL NL NL N L NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
NL NL NL NL NL
b. To document the patient’s smoking history
NL NL NL NL NL
c. To personally get to know the patient better
NL NL NL NL NL NL NL
d. To verify that the prescribed treatment is still needed and appropriate
NL NL NL NL NL NL NL NL NL NL
ANSWER: D
When you first see the patient, you are encouraged to perform a brief assessment to
N L N L NL NL NL N L N L NL NL NL NL NL N L NL N
make sure the treatment order by the physician is still appropriate. The patient’s status
L NL NL NL NL NL NL NL NL NL NL NL NL NL N
may have changed abruptly recently.
L NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
8. What is NL NL the appropriate distance for the social space from the patient?
NL NL NL NL NL NL NL NL NL
a. 3 to NL NL 5 feet
NL
b. 4 to NL NL 12 feet
NL
c. 6 to NL NL 18 feet
NL
d. 8 to NL NL 20 feet
NL
ANSWER: B
The social space is 4 to 12 feet.
NL NL NL NL NL NL NL
REF: pg. 5 N L OBJ: 5
9. What is the appropriate distance for the personal space?
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NL NL NL NL NL NL NL
n by Albert J. Heuer, NL NL NL NL
Chapters 1 – 21 NL NL NL
Contents:
Chapter 1. Preparing for the Patient Encounter
NL NL NL NL NL NL
Chapter 2. The Medical History and the Interview
NL NL NL N L NL NL N L
Chapter 3. Cardiopulmonary Symptoms
NL NL NL
Chapter 4. Vital Signs
NL NL NL
Chapter 5. Fundamentals of Physical Examination
NL NL N L NL NL
Chapter 6. Neurologic Assessment
NL NL NL
Chapter 7. Clinical Laboratory Studies
NL NL N L NL
Chapter 8. Interpretation of Blood Gases
NL NL NL NL NL
Chapter 9. Pulmonary Function Testing
NL NL NL NL
Chapter 10. Chest Imaging
NL NL N L
Chapter 11. Electrocardiography
NL NL
Chapter 12. Neonatal and Pediatric Assessment
NL NL NL NL NL
Chapter 13. Older Patient Assessment
NL NL NL N L
Chapter 14. Monitoring in Critical Care
NL NL NL NL NL
Chapter 15. Vascular Pressure Monitoring
NL NL NL NL
Chapter 16. Cardiac Output Measurement
NL NL NL NL
Chapter 17. Bronchoscopy
NL N L
Chapter 18. Nutritional Assessment
NL NL NL
Chapter 19. Sleep and Breathing Assessment
NL NL NL N L NL
Chapter 20. Home Care Patient Assessment
NL NL NL NL N L
Chapter 21. Documentation
NL NL
,Chapter 1: Preparing for the Patient Encount
NL NL NL NL NL NL
er Test Bank
NL N L
MULTIPLE CHOICE NL
1. Which of the following activities is not part of the role of respiratory therapists
NL NL NL NL NL NL NL NL NL NL NL NL NL NL
(RTs) in patient assessment?
NL NL NL
a. Assist the physician with diagnostic reasoning skills.
NL NL NL NL NL NL
b. Help the physician select appropriate pulmonary function tests.
NL NL NL NL NL NL NL
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
NL NL NL NL NL NL NL NL NL
d. Document the patient diagnosis in the patient’s chart.
NL NL NL NL NL NL NL
ANSWER: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
2. In which of the following stages of patient–
NL NL NL NL NL NL NL
clinician interaction is the review of physician orders carried out?
NL NL NL NL NL NL NL NL NL
a. Treatment stage NL
b. Introductory stage NL
c. Preinteraction stage NL
d. Initial assessment stage NL NL
ANSWER: C
Physician orders should be reviewed in the patient’s chart before the physician sees th
NL NL NL NL NL NL NL NL NL NL NL NL NL
e patient.
NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
3. In NL which stage of patient–clinician interaction is the patient identification bracelet checked?
NL NL NL NL NL NL NL NL NL NL
a. Introductory stage NL
b. Preinteraction stage NL
c. Initial assessment stage
NL NL
d. Treatment stage NL
ANSWER: A
The patient ID bracelet must be checked before moving forward with assessment and
NL NL NL NL NL NL NL NL NL NL NL NL NL
treatment.
REF: Table 1-1, pg. 4 NL NL NL OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
NL NL NL NL NL NL NL NL NL NL NL
a. Check the patient’s SpO2. NL NL NL
b. Ask the patient for permission.
NL NL NL NL
c. Check the chart for vital signs. NL NL NL NL NL
d. Listen to breath sounds. NL NL NL
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading
NL NL NL NL NL NL NL NL NL NL NL NL NL NL
his or her ID bracelet.
NL NL NL NL
, REF: pg. 3 N L OBJ: 3 | 5N L NL
5. What is the goal of the introductory phase?
NL NL NL NL NL NL NL
a. Assess the patient’s apparent age.
NL NL NL NL
b. Identify the patient’s family history.
NL NL NL NL
c. Determine the patient’s diagnosis. NL NL NL
d. Establish a rapport with the patient.NL NL NL NL NL
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rappor
NL NL NL NL NL NL NL NL NL NL NL NL NL NL
t with him or her.
NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
NL NL NL NL NL NL NL NL NL NL NL NL NL
a. Crossed arms NL
b. Minimal eye contact NL NL
c. Brief answers to questions
NL NL NL
d. Asking the purpose of the treatment
NL NL NL NL NL
ANSWER: D
If a patient asks about the purpose of the treatment you are about to give, this genera
NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL NL
lly indicates that he or she is not upset.
NL N L N L NL NL NL N L NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
7. What is the main purpose of the initial assessment stage?
NL NL NL NL NL NL NL NL NL
a. To identify any allergies to medications
NL NL NL NL NL
b. To document the patient’s smoking history
NL NL NL NL NL
c. To personally get to know the patient better
NL NL NL NL NL NL NL
d. To verify that the prescribed treatment is still needed and appropriate
NL NL NL NL NL NL NL NL NL NL
ANSWER: D
When you first see the patient, you are encouraged to perform a brief assessment to
N L N L NL NL NL N L N L NL NL NL NL NL N L NL N
make sure the treatment order by the physician is still appropriate. The patient’s status
L NL NL NL NL NL NL NL NL NL NL NL NL NL N
may have changed abruptly recently.
L NL NL NL NL
REF: Table 1-1, pg. 4 NL NL NL OBJ: 3
8. What is NL NL the appropriate distance for the social space from the patient?
NL NL NL NL NL NL NL NL NL
a. 3 to NL NL 5 feet
NL
b. 4 to NL NL 12 feet
NL
c. 6 to NL NL 18 feet
NL
d. 8 to NL NL 20 feet
NL
ANSWER: B
The social space is 4 to 12 feet.
NL NL NL NL NL NL NL
REF: pg. 5 N L OBJ: 5
9. What is the appropriate distance for the personal space?
NL NL NL NL NL NL NL NL