Test bank For Wilkins clinical assessment in
** ** ** ** **
respiratory care 8th edition by Huber,
** ** ** ** ** **
**Chapters 1 - 21 ** ** **
,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
** ** ** ** ** ** **
Contents:
Chapter 1. Preparing for the Patient Encounter
** ** ** ** ** **
Chapter 2. The Medical Historyand the Interview
** ** ** ** * ** **
Chapter 3. CardiopulmonarySymptoms
** ** *
Chapter 4. Vital Signs
** ** **
Chapter5. Fundamentals ofPhysical Examination
** ** ** ** **
Chapter6. Neurologic Assessment
** ** **
Chapter7. Clinical LaboratoryStudies
** ** ** *
Chapter8. Interpretation ofBlood Gases
** ** ** ** **
Chapter 9. PulmonaryFunction Testing
** ** ** **
Chapter 10. Chest Imaging
** ** **
Chapter 11. Electrocardiography
** **
Chapter12. Neonatal and Pediatric Assessment
** ** ** ** **
Chapter 13. Older Patient Assessment
** ** ** **
Chapter 14. Monitoring in Critical Care
** ** ** ** **
Chapter 15. Vascular Pressure Monitoring
** ** ** **
Chapter 16. Cardiac Output Measurement
** ** ** **
Chapter 17. Bronchoscopy
** **
Chapter 18. Nutritional Assessment
** ** **
Chapter19. Sleep and Breathing Assessment
** ** ** ** **
Chapter20. Home Care Patient Assessment
** ** ** ** **
Chapter 21. Documentation
** **
,Chapter1:PreparingforthePatientEncounter Test
* * ** * * * **
Bank
**
MULTIPLE CHOICE **
1. Whichofthe following activities is notpartofthe roleofrespiratorytherapists (RTs) in patient
** ** ** ** ** ** ** ** ** ** ** ** * ** ** **
assessment?
**
a. Assistthe physician with diagnostic reasoning skills. ** ** ** ** ** **
b. Help the physician select appropriate pulmonaryfunction tests.
** ** ** ** ** ** **
c. Interpret arterial blood gas values and suggest mechanical ventilation changes. ** ** ** ** ** ** ** ** **
d. Documentthe patient diagnosisin thepatient’s chart. * ** ** ** ** ** **
ANSWER: D * *
RTsarenot qualified to makean official diagnosis.This is the role ofthe attending physician.
** ** ** ** ** ** ** ** * ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
2. In which of thefollowing stages ofpatient–clinician interaction is the reviewofphysician
** ** ** ** ** ** ** ** ** ** ** ** **
**orders carried out? ** **
a. Treatmentstage *
b. Introductorystage **
c. Preinteractionstage **
d. Initial assessment stage ** **
ANSWER: C * *
Physician ordersshould bereviewed in thepatient’s chart beforethephysician seesthe patient.
** ** ** * ** ** ** ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
3. In which stageof patient–clinician interaction is the patient identification bracelet checked?
** ** ** ** ** ** ** ** ** ** **
a. Introductorystage **
b. Preinteractionstage **
c. Initial assessment stage ** **
d. Treatmentstage *
ANSWER: A * *
Thepatient ID bracelet must be checked before movingforward with assessment and treatment.
** ** ** ** ** ** ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
4. Whatshould bedone just before the patient’s ID bracelet is checked?
** ** ** ** ** ** ** ** ** ** **
a. Checkthepatient’sSpO2. * * **
b. Ask the patient for permission. ** ** ** **
c. Check the chart for vital signs. ** ** ** ** **
d. Listento breath sounds. ** ** **
ANSWER: B * *
It is considered polite to ask the patient for permission before touching and readinghis or her ID
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
bracelet.
**
, REF: pg. 3 * * * * ** OBJ: * * 3 |5 ** **
5. What is the goal of the introductoryphase?
** ** ** ** ** ** **
a. Assessthepatient’s apparentage. ** ** ** **
b. Identifythepatient’sfamilyhistory. * ** ** *
c. Determinethepatient’s diagnosis. ** ** **
d. Establish a rapport with the patient. ** ** ** ** **
ANSWER: D * *
The introductoryphaseis all about getting to knowthe patient and establishing arapport with him or
** * ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
her.
**
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
6. Whichof 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 * *
If a patient asks about the purpose of the treatment you are about to give, this generally indicates that
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
he or she is not upset.
** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
7. What is the main purpose of the initial assessment stage?
** ** ** ** ** ** ** ** **
a. Toidentifyanyallergies to medications ** * * ** **
b. Todocumentthe patient’ssmokinghistory * * ** ** **
c. Topersonallyget to know thepatient better ** ** ** ** ** ** **
d. Toverifythat the prescribed treatment is still needed and appropriate
** * ** ** ** ** ** ** ** **
ANSWER: D * *
When you first see the patient, you are encouraged to perform a brief assessment to make sure the
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
treatment order bythe physician is still appropriate. The patient’s status mayhave changed abruptly
** ** ** * ** ** ** ** ** ** ** ** * ** **
recently.
**
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
8. What is the appropriate distance for the social space fromthe patient?
** ** ** ** ** ** ** ** ** ** **
a. 3 to 5 feet ** ** **
b. 4 to 12 feet ** ** **
c. 6 to 18 feet ** ** **
d. 8 to 20 feet ** ** **
ANSWER: B * *
The social space is 4 to 12 feet.
** ** ** ** ** ** **
REF: pg. 5 * * * * ** OBJ: * * 5
9. What is the appropriate distance for the personal space?
** ** ** ** ** ** ** **
** ** ** ** **
respiratory care 8th edition by Huber,
** ** ** ** ** **
**Chapters 1 - 21 ** ** **
,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
** ** ** ** ** ** **
Contents:
Chapter 1. Preparing for the Patient Encounter
** ** ** ** ** **
Chapter 2. The Medical Historyand the Interview
** ** ** ** * ** **
Chapter 3. CardiopulmonarySymptoms
** ** *
Chapter 4. Vital Signs
** ** **
Chapter5. Fundamentals ofPhysical Examination
** ** ** ** **
Chapter6. Neurologic Assessment
** ** **
Chapter7. Clinical LaboratoryStudies
** ** ** *
Chapter8. Interpretation ofBlood Gases
** ** ** ** **
Chapter 9. PulmonaryFunction Testing
** ** ** **
Chapter 10. Chest Imaging
** ** **
Chapter 11. Electrocardiography
** **
Chapter12. Neonatal and Pediatric Assessment
** ** ** ** **
Chapter 13. Older Patient Assessment
** ** ** **
Chapter 14. Monitoring in Critical Care
** ** ** ** **
Chapter 15. Vascular Pressure Monitoring
** ** ** **
Chapter 16. Cardiac Output Measurement
** ** ** **
Chapter 17. Bronchoscopy
** **
Chapter 18. Nutritional Assessment
** ** **
Chapter19. Sleep and Breathing Assessment
** ** ** ** **
Chapter20. Home Care Patient Assessment
** ** ** ** **
Chapter 21. Documentation
** **
,Chapter1:PreparingforthePatientEncounter Test
* * ** * * * **
Bank
**
MULTIPLE CHOICE **
1. Whichofthe following activities is notpartofthe roleofrespiratorytherapists (RTs) in patient
** ** ** ** ** ** ** ** ** ** ** ** * ** ** **
assessment?
**
a. Assistthe physician with diagnostic reasoning skills. ** ** ** ** ** **
b. Help the physician select appropriate pulmonaryfunction tests.
** ** ** ** ** ** **
c. Interpret arterial blood gas values and suggest mechanical ventilation changes. ** ** ** ** ** ** ** ** **
d. Documentthe patient diagnosisin thepatient’s chart. * ** ** ** ** ** **
ANSWER: D * *
RTsarenot qualified to makean official diagnosis.This is the role ofthe attending physician.
** ** ** ** ** ** ** ** * ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
2. In which of thefollowing stages ofpatient–clinician interaction is the reviewofphysician
** ** ** ** ** ** ** ** ** ** ** ** **
**orders carried out? ** **
a. Treatmentstage *
b. Introductorystage **
c. Preinteractionstage **
d. Initial assessment stage ** **
ANSWER: C * *
Physician ordersshould bereviewed in thepatient’s chart beforethephysician seesthe patient.
** ** ** * ** ** ** ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
3. In which stageof patient–clinician interaction is the patient identification bracelet checked?
** ** ** ** ** ** ** ** ** ** **
a. Introductorystage **
b. Preinteractionstage **
c. Initial assessment stage ** **
d. Treatmentstage *
ANSWER: A * *
Thepatient ID bracelet must be checked before movingforward with assessment and treatment.
** ** ** ** ** ** ** ** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 9
4. Whatshould bedone just before the patient’s ID bracelet is checked?
** ** ** ** ** ** ** ** ** ** **
a. Checkthepatient’sSpO2. * * **
b. Ask the patient for permission. ** ** ** **
c. Check the chart for vital signs. ** ** ** ** **
d. Listento breath sounds. ** ** **
ANSWER: B * *
It is considered polite to ask the patient for permission before touching and readinghis or her ID
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
bracelet.
**
, REF: pg. 3 * * * * ** OBJ: * * 3 |5 ** **
5. What is the goal of the introductoryphase?
** ** ** ** ** ** **
a. Assessthepatient’s apparentage. ** ** ** **
b. Identifythepatient’sfamilyhistory. * ** ** *
c. Determinethepatient’s diagnosis. ** ** **
d. Establish a rapport with the patient. ** ** ** ** **
ANSWER: D * *
The introductoryphaseis all about getting to knowthe patient and establishing arapport with him or
** * ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
her.
**
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
6. Whichof 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 * *
If a patient asks about the purpose of the treatment you are about to give, this generally indicates that
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
he or she is not upset.
** ** ** ** ** **
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
7. What is the main purpose of the initial assessment stage?
** ** ** ** ** ** ** ** **
a. Toidentifyanyallergies to medications ** * * ** **
b. Todocumentthe patient’ssmokinghistory * * ** ** **
c. Topersonallyget to know thepatient better ** ** ** ** ** ** **
d. Toverifythat the prescribed treatment is still needed and appropriate
** * ** ** ** ** ** ** ** **
ANSWER: D * *
When you first see the patient, you are encouraged to perform a brief assessment to make sure the
** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** **
treatment order bythe physician is still appropriate. The patient’s status mayhave changed abruptly
** ** ** * ** ** ** ** ** ** ** ** * ** **
recently.
**
REF: * * Table1-1, pg. 4 ** ** ** OBJ: * * 3
8. What is the appropriate distance for the social space fromthe patient?
** ** ** ** ** ** ** ** ** ** **
a. 3 to 5 feet ** ** **
b. 4 to 12 feet ** ** **
c. 6 to 18 feet ** ** **
d. 8 to 20 feet ** ** **
ANSWER: B * *
The social space is 4 to 12 feet.
** ** ** ** ** ** **
REF: pg. 5 * * * * ** OBJ: * * 5
9. What is the appropriate distance for the personal space?
** ** ** ** ** ** ** **
