Wilkins’ Clinical Assessment in Respiratory Care – 9th Edition by Albert J. Heuer | Complete Test Bank (Chapters 1–21) | Verified Questions and Answers

Test Bank for Wilkins’ Clinical Assessment in
Respiratory Care,
9th Edition by Albert J. Heuer,
Chapters 1 - 21

,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 Tes
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t Bank
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MULTIPLE CHOICE mp




1. Which of the following activities is not part of the role of respiratory therapists
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(RTs) in 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.
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d. Document the patient diagnosis in the patient’s chart. mp mp mp mp mp mp mp




ANSWER: m p D
RTs are not qualified to make an official diagnosis. This is the role of the attending phy
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sician.

REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 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 mp



b. Introductory stage mp



c. Preinteraction stage mp



d. Initial assessment stage mp mp




ANSWER: m p C
Physician orders should be reviewed in the patient’s chart before the physician sees t
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he patient.
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REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 9

3. In which stage of patient–
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clinician interaction is the patient identification bracelet checked?
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a. Introductory stage mp



b. Preinteraction stage mp



c. Initial assessment stage mp mp



d. Treatment stage mp




ANSWER: m p A
The patient ID bracelet must be checked before moving forward with assessment an
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d treatment.
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REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 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. mp mp mp



b. Ask the patient for permission.
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c. Check the chart for vital signs. mp mp mp mp mp



d. Listen to breath sounds. mp mp mp




ANSWER: m p B
It is considered polite to ask the patient for permission before touching and reading
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his or her ID bracelet.
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5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age.mp mp mp mp



b. Identify the patient’s family history. mp mp mp mp



c. Determine the patient’s diagnosis. mp mp mp



d. Establish a rapport with the patient. mp mp mp mp mp




ANSWER: m p D
The introductory phase is all about getting to know the patient and establishing a rap
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port with him or her.
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REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms mp



b. Minimal eye contact mp mp



c. Brief answers to questions
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d. Asking the purpose of the treatmentmp mp mp mp mp




ANSWER: m p D
If a patient asks about the purpose of the treatment you are about to give, this gener
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ally indicates that he or she is not upset.
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REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 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: m p D
When you first see the patient, you are encouraged to perform a brief assessment to
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make sure the treatment order by the physician is still appropriate. The patient’s stat
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us may have changed abruptly recently.
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REF: m p Table 1-1, pg. 4 mp mp mp OBJ: m p m p 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: m p B
The social space is 4 to 12 feet.
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9. What is the appropriate distance for the personal space?
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