Wilkins’ Clinical Assessment in Respiratory Care 8th Edition Test Bank by Huber (Chapters 1–21)

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
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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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,Chapter1: Preparing forthe Patient Encounter Test
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BBank


MULTIPLE CHOICE B




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
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B patient assessment? B




a. Assist the physician with diagnostic reasoning skills.
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b. Help the physician select appropriate pulmonary function tests.
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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. B B B B B B B




ANSWER: D B B




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 B B B OBJ: 9

2. In which of the following stages of patient–clinician interaction is the review of
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physician orders carried out?
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a. Treatment stage
b.
c.
Introductory stage
Preinteraction stage
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d. Initial assessment stage B B
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ANSWER: C B B




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 B B B OBJ: 9

3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage B




b. Preinteraction stage B




c. Initial assessment stage B B




d. Treatment stage B




ANSWER: A B B




The patient ID bracelet must be checked before moving forward with assessment and
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treatment.
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REF: Table 1-1, pg. 4 B B B OBJ: 9

4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. B B B




b. Ask the patient for permission. B B B B




c. Check the chart for vital signs. B B B B B




d. Listen to breath sounds. B B B




ANSWER: B B B




It is considered polite to ask the patient for permission before touching and reading his or
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her ID bracelet.
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, REF: pg. 3 B OBJ: 3 |5 B B




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age. B B B B




b. Identifythe patient’s familyhistory. B B B B




c. Determine the patient’s diagnosis. B B B




d. Establish a rapport with the patient. B B B B B




ANSWER: D B B




The introductory phase is all about getting to know the patient and establishing a rapport with
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him or her.
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REF: Table 1-1, pg. 4 B B B OBJ: 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms B




b. Minimal eye contact
c. Brief answers to questions
d. Asking the purpose of the treatment
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ANSWER: D

indicates that he or she is not upset.
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If a patient asks about the purpose of the treatment you are about to give, this generally
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REF: Table 1-1, pg. 4 OBJ: 3

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


ANSWER: D
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d. To verify that the prescribed treatment is still needed and appropriate
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When you first see the patient, you are encouraged to perform a brief assessment to make sure
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the treatment order by the physician is still appropriate. The patient’s status may have changed
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abruptly recently.
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REF: Table 1-1, pg. 4 B B B OBJ: 3

8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet B B B




b. 4 to 12 feet B B B




c. 6 to 18 feet B B B




d. 8 to 20 feet B B B




ANSWER: B B B




The social space is 4 to 12 feet.
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REF: pg. 5 B OBJ: 5

9. What is the appropriate distance for the personal space?
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