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