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