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

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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 of the following behaviors is not consistent with resistive behavior of a patient? a. Crossed arms b. Minimal eye contact c. Brief answers to questions d. Asking the purpose of the treatment ANSWER: D If a patient asks about the purpose of the treatment you are about to give, this generally indicates that he or she is not upset. REF: Table 1-1, pg. 4 OBJ: 3 7. What is the main purpose of the initial assessment stage? a. To identify any allergies to medications b. To document the patient’s smoking history c. To personally get to know the patient better d. To verify that the prescribed treatment is still needed and appropriate ANSWER: D When you first see the patient, you are encouraged to perform a brief assessment to make sure the treatment order by the physician is still appropriate. The patient’s status may have changed abruptly recently. REF: Table 1-1, pg. 4 OBJ: 3 8. What is the appropriate distance for the social space from the patient? a. 3 to 5 feet b. 4 to 12 feet c. 6 to 18 feet d. 8 to 20 feet ANSWER: B The social space is 4 to 12 feet.

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Institution
Wilkins’ Clinical Assessment In Respiratory Care
Course
Wilkins’ Clinical Assessment in Respiratory Care

Content preview

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

,Wilkins'r Clinicalr Assessmentr inr Respiratoryr Care,


Contents:
Chapterr 1.r Preparingr forr ther Patientr Encounter
Chapterr 2.r Ther Medicalr Historyr andr ther Interview
Chapterr 3.r Cardiopulmonaryr Symptoms
Chapterr 4.r Vitalr Signs
Chapterr 5.r Fundamentalsr ofr Physicalr Examination
Chapterr 6.r Neurologicr Assessment
Chapterr 7.r Clinicalr Laboratoryr Studies
Chapterr 8.r Interpretationr ofr Bloodr Gases
Chapterr 9.r Pulmonaryr Functionr Testing
Chapterr 10.r Chestr Imaging
Chapterr 11.r Electrocardiography
Chapterr 12.r Neonatalr andr Pediatricr Assessment
Chapterr 13.r Olderr Patientr Assessment
Chapterr 14.r Monitoringr inr Criticalr Care
Chapterr 15.r Vascularr Pressurer Monitoring
Chapterr 16.r Cardiacr Outputr Measurement
Chapterr 17.r Bronchoscopy
Chapterr 18.r Nutritionalr Assessment
Chapterr 19.r Sleepr andr Breathingr Assessment
Chapterr 20.r Homer Carer Patientr Assessment
Chapterr 21.r Documentation

,Chapterr1:rPreparingrforrtherPatientrEncounterrTre
strBank


MULTIPLErCHOICE

1. Whichrofr ther followingr activitiesrisr notr partrofr ther roler ofr respiratoryrtherapistsr (RTrs)rinr
patientrassessment?
a. Assistr ther physicianr withr diagnosticr reasoningr skills.
b. Helpr ther physicianr selectr appropriater pulmonaryr functionr tests.
c. Interpretr arterialr bloodr gasr valuesr andr suggestr mechanicalr ventilationr changes.
d. Documentr ther patientr diagnosisr inr ther patient’sr chart.
ANSWER:r D
RTsr arernotr qualifiedr tor maker anr officialr diagnosis.r Thisr isr ther roler ofr ther attendingr physiciarn.

REF: Tabler 1-1,r pg.r 4 OBJ: 9

2. Inr whichr ofr ther followingr stagesr ofr patient–
clinicianr interactionr isr ther reviewr ofr physicianr ordersr carriedr out?
a. Treatmentr stage
b. Introductoryr stage
c. Preinteractionr stage
d. Initialr assessmentr stage
ANSWER:r C
Physicianrordersrshouldr berreviewedr inrtherpatient’srchartrbeforertherphysicianrseesrther pr atien
t.

REF: Tabler 1-1,r pg.r 4 OBJ: 9

3. Inr whichr stager ofr patient–clinicianr interactionr isr ther patientr identificationr braceletr checked?
a. Introductoryr stage
b. Preinteractionr stage
c. Initialr assessmentr stage
d. Treatmentr stage

ANSWER:r A
TherpatientrIDrbraceletrmustrbercheckedrbeforermovingrforwardrwithrassessmentrandrtrear tme
nt.

REF: Tabler 1-1,r pg.r 4 OBJ: 9

4. Whatr shouldr ber doner justr beforer ther patient’sr IDr braceletr isr checked?
a. Checkr ther patient’sr SpO2.
b. Askr ther patientr forr permission.
c. Checkr ther chartr forr vitalr signs.
d. Listenr tor breathr sounds.
ANSWER:r B
Itr isr consideredr politer tor askr therpatientr forr permissionr beforertouchingr andr readingr hisr orrherrIDr
bracelet.

, REF: pg.r 3 OBJ: 3r |r 5

5. Whatr isr ther goalr ofr ther introductoryr phase?
a. Assessr ther patient’sr apparentr age.
b. Identifyr ther patient’sr familyr history.
c. Determiner ther patient’sr diagnosis.
d. Establishr ar rapportr withr ther patient.

ANSWER:r D
Ther introductoryr phaser isr allr aboutr gettingr tor knowr ther patientr andr establishingr ar rapportr wirthrhi
mrorrher.

REF: Tabler 1-1,r pg.r 4 OBJ: 3

6. Whichr ofr ther followingr behaviorsr isr notr consistentr withr resistiver behaviorr ofr ar patient?
a. Crossedr arms
b. Minimalr eyer contact
c. Briefr answersr tor questions
d. Askingr ther purposer ofr ther treatment
ANSWER:r D
Ifr ar patientr asksr aboutr ther purposer ofr ther treatmentr your arer aboutr tor give,r thisr generallyr irndicatesrth
atrherorrsherisrnotrupset.

REF: Tabler 1-1,r pg.r 4 OBJ: 3

7. Whatr isr ther mainr purposer ofr ther initialr assessmentr stage?
a. Tor identifyr anyr allergiesr tor medications
b. Tor documentr ther patient’sr smokingr history
c. Tor personallyr getr tor knowr ther patientr better
d. Tor verifyr thatr ther prescribedr treatmentr isr stillr neededr andr appropriate

ANSWER:r D
Whenryourfirstrseertherpatient,ryourarerencouragedrtorperformrarbriefrassessmentrtormakersurerther
treatmentrorderrbyrtherphysicianrisrstillrappropriate.rTherpatient’srstatusrmayrhaverchangedrabrup
tlyrrecently.

REF: Tabler 1-1,r pg.r 4 OBJ: 3

8. Whatr isr ther appropriater distancer forDther socialr spacer fromr ther patient?
a. 3r tor 5r feet
b. 4r tor 12r feet
c. 6r tor 18r feet
d. 8r tor 20r feet

ANSWER:r B
Ther socialr spacer isr 4r tor 12r feet.

REF: pg.r 5 OBJ: 5

9. Whatr isr ther appropriater distancer forr ther personalr space?

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Institution
Wilkins’ Clinical Assessment in Respiratory Care
Course
Wilkins’ Clinical Assessment in Respiratory Care

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Uploaded on
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Number of pages
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Written in
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