Test Bank for Wilkins’ Clinical Assessment in
Respiratory Care,
9th Edition by Albert J. Heuer, Chapters 1
- 21
,Wilkins' Clinical Assessment in Respiratory Care,
Contents:
Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
Chapter 21. Documentation
,Chapter 1: Preparing for the Patient Encounter Test
Bank
MULTIPLE CHOICE
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
patient assessment?
a. Assist the physician with diagnostic reasoning skills.
b. Help the physician select appropriate pulmonary function tests.
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
d. Document the patient diagnosis in the patient’s chart.
ANSWER: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1-1, pg. 4 OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of physician
orders carried out?
a. Treatment stage
b. Introductory stage
c. Preinteraction stage
d. Initial assessment stage
ANSWER: C
Physician orders should be reviewed in the patient’s chart before the physician sees the
patient.
REF: Table 1-1, pg. 4 OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
a. Introductory stage
b. Preinteraction stage
c. Initial assessment stage
d. Treatment stage
ANSWER: A
The patient ID bracelet must be checked before moving forward with assessment and
treatment.
REF: Table 1-1, pg. 4 OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
REF: pg. 3 OBJ: 3 | 5
, 5. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
c. Determine the patient’s diagnosis.
d. Establish a rapport with the patient.
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
REF: Table 1-1, pg. 4 OBJ: 3
6. Which sof sthe sfollowing sbehaviors sis snot sconsistent swith sresistive sbehavior sof sa spatient?
a. Crossed sarms
b. Minimal seye scontact
c. Brief sanswers sto squestions
d. Asking sthe spurpose sof sthe streatment
ANSWER: s D
If sa spatient sasks sabout sthe spurpose sof sthe streatment syou sare sabout sto sgive, sthis
sgenerally sindicates sthat she sor sshe sis snot supset.
REF: s Table s1-1, spg. s4 OBJ: s s3
7. What sis sthe smain spurpose sof sthe sinitial sassessment sstage?
a. To sidentify sany sallergies sto smedications
b. To sdocument sthe spatient’s ssmoking shistory
c. To spersonally sget sto sknow sthe spatient sbetter
d. To sverify sthat sthe sprescribed streatment sis sstill sneeded sand sappropriate
ANSWER: s D
When syou sfirst ssee sthe spatient, syou sare sencouraged sto sperform sa sbrief sassessment sto
smake ssure sthe streatment sorder sby sthe sphysician sis sstill sappropriate. sThe spatient’s sstatus
smay shave schanged sabruptly srecently.
REF: s Table s1-1, spg. s4 OBJ: s s3
8. What sis sthe sappropriate sdistance sfor sthe ssocial sspace sfrom sthe spatient?
a. 3 sto s5 sfeet
b. 4 sto s12 sfeet
c. 6 sto s18 sfeet
d. 8 sto s20 sfeet
ANSWER: s B
The ssocial sspace sis s4 sto s12 sfeet.
REF: s s pg. s5 OBJ: s s5
9. What sis sthe sappropriate sdistance sfor sthe spersonal sspace?
a. 0 sto s18 sinches
b. 18 sinches sto s4 sfeet
c. 4 sto s12 sfeet
d. 6 sto s15 sfeet
ANSWER: s B
The spersonal sspace sis sabout s2 sto s4 sfeet sfrom sthe spatient.
REF: s s pg. s5 OBJ: s s5
Respiratory Care,
9th Edition by Albert J. Heuer, Chapters 1
- 21
,Wilkins' Clinical Assessment in Respiratory Care,
Contents:
Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
Chapter 21. Documentation
,Chapter 1: Preparing for the Patient Encounter Test
Bank
MULTIPLE CHOICE
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
patient assessment?
a. Assist the physician with diagnostic reasoning skills.
b. Help the physician select appropriate pulmonary function tests.
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
d. Document the patient diagnosis in the patient’s chart.
ANSWER: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1-1, pg. 4 OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of physician
orders carried out?
a. Treatment stage
b. Introductory stage
c. Preinteraction stage
d. Initial assessment stage
ANSWER: C
Physician orders should be reviewed in the patient’s chart before the physician sees the
patient.
REF: Table 1-1, pg. 4 OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
a. Introductory stage
b. Preinteraction stage
c. Initial assessment stage
d. Treatment stage
ANSWER: A
The patient ID bracelet must be checked before moving forward with assessment and
treatment.
REF: Table 1-1, pg. 4 OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
REF: pg. 3 OBJ: 3 | 5
, 5. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
c. Determine the patient’s diagnosis.
d. Establish a rapport with the patient.
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
REF: Table 1-1, pg. 4 OBJ: 3
6. Which sof sthe sfollowing sbehaviors sis snot sconsistent swith sresistive sbehavior sof sa spatient?
a. Crossed sarms
b. Minimal seye scontact
c. Brief sanswers sto squestions
d. Asking sthe spurpose sof sthe streatment
ANSWER: s D
If sa spatient sasks sabout sthe spurpose sof sthe streatment syou sare sabout sto sgive, sthis
sgenerally sindicates sthat she sor sshe sis snot supset.
REF: s Table s1-1, spg. s4 OBJ: s s3
7. What sis sthe smain spurpose sof sthe sinitial sassessment sstage?
a. To sidentify sany sallergies sto smedications
b. To sdocument sthe spatient’s ssmoking shistory
c. To spersonally sget sto sknow sthe spatient sbetter
d. To sverify sthat sthe sprescribed streatment sis sstill sneeded sand sappropriate
ANSWER: s D
When syou sfirst ssee sthe spatient, syou sare sencouraged sto sperform sa sbrief sassessment sto
smake ssure sthe streatment sorder sby sthe sphysician sis sstill sappropriate. sThe spatient’s sstatus
smay shave schanged sabruptly srecently.
REF: s Table s1-1, spg. s4 OBJ: s s3
8. What sis sthe sappropriate sdistance sfor sthe ssocial sspace sfrom sthe spatient?
a. 3 sto s5 sfeet
b. 4 sto s12 sfeet
c. 6 sto s18 sfeet
d. 8 sto s20 sfeet
ANSWER: s B
The ssocial sspace sis s4 sto s12 sfeet.
REF: s s pg. s5 OBJ: s s5
9. What sis sthe sappropriate sdistance sfor sthe spersonal sspace?
a. 0 sto s18 sinches
b. 18 sinches sto s4 sfeet
c. 4 sto s12 sfeet
d. 6 sto s15 sfeet
ANSWER: s B
The spersonal sspace sis sabout s2 sto s4 sfeet sfrom sthe spatient.
REF: s s pg. s5 OBJ: s s5
