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