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