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