Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
Wilkins'
Clinical Assessment in
Respiratory Care
7th Edition · Al Heuer
TEST BANK
Chapters 1 – 21
Page 1 of 131
,Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
TABLE OF CONTENTS
PART A: FOUNDATION OF PATIENT ASSESSMENT
Chapter 01 Preparing for the Patient Encounter
Chapter 02 The Medical History and the Interview
Chapter 03 Cardiopulmonary Symptoms
Chapter 04 Vital Signs
Chapter 05 Fundamentals of Physical Examination
Chapter 06 Neurologic Assessment
PART B: DIAGNOSTIC STUDIES
Chapter 07 Clinical Laboratory Studies
Chapter 08 Interpretation of Blood Gases
Chapter 09 Pulmonary Function Testing
Chapter 10 Chest Imaging
Chapter 11 Interpretation of Electrocardiogram Tracings
PART C: SPECIALIZED ASSESSMENT
Chapter 12 Neonatal and Pediatric Assessment
Chapter 13 Older Patient Assessment
Chapter 14 Respiratory Monitoring in Critical Care
Chapter 15 Vascular Pressure Monitoring
Chapter 16 Cardiac Output Measurement
PART D: ADVANCED TOPICS
Chapter 17 Bronchoscopy
Chapter 18 Nutrition Assessment
Chapter 19 Sleep and Breathing Assessment
Chapter 20 Home Care Patient Assessment
Chapter 21 Documentation
Page 2 of 131
,Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
PART A: FOUNDATION OF PATIENT ASSESSMENT
Chapter 01: Preparing for the Patient Encounter Test Bank
◆ MULTIPLE CHOICE
Q1 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 REF: Table 1-1, pg. 4 OBJ: 9
Q2 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 REF: Table 1-1, pg. 4 OBJ: 9
Q3 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 REF: Table 1-1, pg. 4 OBJ: 9
Q4 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 REF: pg. 3 OBJ: 3 | 5
Q5 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 REF: Table 1-1, pg. 4 OBJ: 3
Q6 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 REF: Table 1-1, pg. 4 OBJ: 3
Q7 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 ✓
Page 3 of 131
, Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
ANSWER: D REF: Table 1-1, pg. 4 OBJ: 3
Q8 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 REF: pg. 5 OBJ: 5
Q9 What is the appropriate distance for the personal space?
A. 0 to 18 inches
B. 18 inches to 4 feet ✓
C. 4 to 12 feet
D. 6 to 15 feet
ANSWER: B REF: pg. 5 OBJ: 5
Q10 Which of the following activities is best performed in the personal space?
A. The interview ✓
B. The introduction
C. The physical examination
D. Listening for breath sounds
ANSWER: A REF: Table 1-1, pg. 4 OBJ: 5
Q11 What type of behavior is least appropriate in the patient's intimate space?
A. Eye contact ✓
B. Pulse check
C. Auscultation
D. Simple commands
ANSWER: A REF: pg. 3 OBJ: 5
Q12 You are riding in an elevator at the hospital where you are employed as an RT. The elevator is full, but
standing next to you is Joe, the RT who is scheduled to relieve you. He turns to you and asks, "How is Mr.
Copper doing?" Earlier in the day, Mr. Copper had a cardiac arrest, and he is now being mechanically ventilated.
How should you respond to Joe?
A. "He took a turn for the worse."
B. "He is fine."
C. "Let's talk later in the report room."
D. "He is on a ventilator and will keep you very busy."
ANSWER: S patient's clinical status in public places. All " REF: Table 1-2, pgs. 4-5 OBJ: 6
are unethical; giving such answers could cause an RT to be in legal trouble and get fired.
Q13 In 1996, Congress passed the HIPAA. What does the letter "P" stand for?
A. Patient
B. Payment
C. Portability ✓
D. Personal
ANSWER: C REF: pg. 4 OBJ: 6
Q14 Which of the following techniques for expressing genuine concern is the most difficult to use appropriately?
A. Touch ✓
B. Posture
C. Eye contact
D. Proper introductions
Page 4 of 131
Wilkins'
Clinical Assessment in
Respiratory Care
7th Edition · Al Heuer
TEST BANK
Chapters 1 – 21
Page 1 of 131
,Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
TABLE OF CONTENTS
PART A: FOUNDATION OF PATIENT ASSESSMENT
Chapter 01 Preparing for the Patient Encounter
Chapter 02 The Medical History and the Interview
Chapter 03 Cardiopulmonary Symptoms
Chapter 04 Vital Signs
Chapter 05 Fundamentals of Physical Examination
Chapter 06 Neurologic Assessment
PART B: DIAGNOSTIC STUDIES
Chapter 07 Clinical Laboratory Studies
Chapter 08 Interpretation of Blood Gases
Chapter 09 Pulmonary Function Testing
Chapter 10 Chest Imaging
Chapter 11 Interpretation of Electrocardiogram Tracings
PART C: SPECIALIZED ASSESSMENT
Chapter 12 Neonatal and Pediatric Assessment
Chapter 13 Older Patient Assessment
Chapter 14 Respiratory Monitoring in Critical Care
Chapter 15 Vascular Pressure Monitoring
Chapter 16 Cardiac Output Measurement
PART D: ADVANCED TOPICS
Chapter 17 Bronchoscopy
Chapter 18 Nutrition Assessment
Chapter 19 Sleep and Breathing Assessment
Chapter 20 Home Care Patient Assessment
Chapter 21 Documentation
Page 2 of 131
,Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
PART A: FOUNDATION OF PATIENT ASSESSMENT
Chapter 01: Preparing for the Patient Encounter Test Bank
◆ MULTIPLE CHOICE
Q1 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 REF: Table 1-1, pg. 4 OBJ: 9
Q2 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 REF: Table 1-1, pg. 4 OBJ: 9
Q3 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 REF: Table 1-1, pg. 4 OBJ: 9
Q4 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 REF: pg. 3 OBJ: 3 | 5
Q5 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 REF: Table 1-1, pg. 4 OBJ: 3
Q6 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 REF: Table 1-1, pg. 4 OBJ: 3
Q7 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 ✓
Page 3 of 131
, Wilkins' Clinical Assessment in Respiratory Care, 7e | Test Bank
ANSWER: D REF: Table 1-1, pg. 4 OBJ: 3
Q8 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 REF: pg. 5 OBJ: 5
Q9 What is the appropriate distance for the personal space?
A. 0 to 18 inches
B. 18 inches to 4 feet ✓
C. 4 to 12 feet
D. 6 to 15 feet
ANSWER: B REF: pg. 5 OBJ: 5
Q10 Which of the following activities is best performed in the personal space?
A. The interview ✓
B. The introduction
C. The physical examination
D. Listening for breath sounds
ANSWER: A REF: Table 1-1, pg. 4 OBJ: 5
Q11 What type of behavior is least appropriate in the patient's intimate space?
A. Eye contact ✓
B. Pulse check
C. Auscultation
D. Simple commands
ANSWER: A REF: pg. 3 OBJ: 5
Q12 You are riding in an elevator at the hospital where you are employed as an RT. The elevator is full, but
standing next to you is Joe, the RT who is scheduled to relieve you. He turns to you and asks, "How is Mr.
Copper doing?" Earlier in the day, Mr. Copper had a cardiac arrest, and he is now being mechanically ventilated.
How should you respond to Joe?
A. "He took a turn for the worse."
B. "He is fine."
C. "Let's talk later in the report room."
D. "He is on a ventilator and will keep you very busy."
ANSWER: S patient's clinical status in public places. All " REF: Table 1-2, pgs. 4-5 OBJ: 6
are unethical; giving such answers could cause an RT to be in legal trouble and get fired.
Q13 In 1996, Congress passed the HIPAA. What does the letter "P" stand for?
A. Patient
B. Payment
C. Portability ✓
D. Personal
ANSWER: C REF: pg. 4 OBJ: 6
Q14 Which of the following techniques for expressing genuine concern is the most difficult to use appropriately?
A. Touch ✓
B. Posture
C. Eye contact
D. Proper introductions
Page 4 of 131
