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