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