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