Test bank For Wilkins clinical assessment in
x1 x1 x1 x1 x1 x1
x1 respiratory care 8th edition by Huber,
x1 x1 x1 x1 x1
Chapters 1 - 21
x1 x1 x1 x1
,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
x1 x1 x1 x1 x1 x1 x1
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
x1 x1 x1 x1 x1
Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
x1 x1
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
x1 x1
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
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Test Bank
x1 x1
MULTIPLE CHOICE x1
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient assessment?
x1 x1
a. Assist the physician with diagnostic reasoning skills.
x1 x1 x1 x1 x1 x1
b. Help the physician select appropriate pulmonary function tests.
x1 x1 x1 x1 x1 x1 x1
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
x1 x1 x1 x1 x1 x1 x1 x1 x1
d. Document the patient diagnosis in the patient’s chart. x1 x1 x1 x1 x1 x1 x1
ANSWER: D x1
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
2. In which of the following stages of patient–clinician interaction is the review of
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
physician orders carried out?
x1 x1 x1 x1
a. Treatment stage x1
b. Introductory stage x1
c. Preinteraction stage x1
d. Initial assessment stage x1 x1
ANSWER: C x1
Physician orders should be reviewed in the patient’s chart before the physician sees the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient.
x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Introductory stage x1
b. Preinteraction stage x1
c. Initial assessment stage x1 x1
d. Treatment stage x1
ANSWER: A x1
The patient ID bracelet must be checked before moving forward with assessment and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
treatment.
x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
4. What should be done just before the patient’s ID bracelet is checked?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Check the patient’s SpO2. x1 x1 x1
b. Ask the patient for permission. x1 x1 x1 x1
c. Check the chart for vital signs. x1 x1 x1 x1 x1
d. Listen to breath sounds. x1 x1 x1
ANSWER: B x1
It is considered polite to ask the patient for permission before touching and reading his or
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
her ID bracelet.
x1 x1 x1
, REF: x 1 x 1 pg. 3 x1 OBJ: x 1 3 |5 x1 x1
5. What is the goal of the introductory phase?
x1 x1 x1 x1 x1 x1 x1
a. Assess the patient’s apparent age. x1 x1 x1 x1
b. Identify the patient’s family history. x1 x1 x1 x1
c. Determine the patient’s diagnosis. x1 x1 x1
d. Establish a rapport with the patient. x1 x1 x1 x1 x1
ANSWER: D x1
The introductory phase is all about getting to know the patient and establishing a rapport with
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
him or her.
x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Crossed arms x1
b. Minimal eye contact x1 x1
c. Brief answers to questions x1 x1 x1
d. Asking the purpose of the treatment x1 x1 x1 x1 x1
ANSWER: D x1
If a patient asks about the purpose of the treatment you are about to give, this generally
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
indicates that he or she is not upset.
x1 x1 x1 x1 x1 x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
7. What is the main purpose of the initial assessment stage?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. To identify any allergies to medications
x1 x1 x1 x1 x1
b. To document the patient’s smoking history
x1 x1 x1 x1 x1
c. To personally get to know the patient better
x1 x1 x1 x1 x1 x1 x1
d. To verify that the prescribed treatment is still needed and appropriate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANSWER: D x1
When you first see the patient, you are encouraged to perform a brief assessment to make
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sure the treatment order by the physician is still appropriate. The patient’s status may have
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
changed abruptly recently.
x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
8. What is the appropriate distance for the social space from the patient?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. 3 to 5 feet x1 x1 x1
b. 4 to 12 feet x1 x1 x1
c. 6 to 18 feet x1 x1 x1
d. 8 to 20 feet x1 x1 x1
ANSWER: B x1
The social space is 4 to 12 feet.
x1 x1 x1 x1 x1 x1 x1
REF: x 1 x 1 pg. 5 x1 OBJ: x 1 5
9. What is the appropriate distance for the personal space?
x1 x1 x1 x1 x1 x1 x1 x1
x1 x1 x1 x1 x1 x1
x1 respiratory care 8th edition by Huber,
x1 x1 x1 x1 x1
Chapters 1 - 21
x1 x1 x1 x1
,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
x1 x1 x1 x1 x1 x1 x1
Contents:
Chapter 1. Preparing for the Patient Encounter
x1 x1 x1 x1 x1 x1
Chapter 2. The Medical History and the Interview
x1 x1 x1 x1 x1 x1 x1
Chapter 3. Cardiopulmonary Symptoms
x1 x1 x1
Chapter 4. Vital Signs
x1 x1 x1
Chapter 5. Fundamentals of Physical Examination
x1 x1 x1 x1 x1
Chapter 6. Neurologic Assessment
x1 x1 x1
Chapter 7. Clinical Laboratory Studies
x1 x1 x1 x1
Chapter 8. Interpretation of Blood Gases
x1 x1 x1 x1 x1
Chapter 9. Pulmonary Function Testing
x1 x1 x1 x1
Chapter 10. Chest Imaging
x1 x1 x1
Chapter 11. Electrocardiography
x1 x1
Chapter 12. Neonatal and Pediatric Assessment
x1 x1 x1 x1 x1
Chapter 13. Older Patient Assessment
x1 x1 x1 x1
Chapter 14. Monitoring in Critical Care
x1 x1 x1 x1 x1
Chapter 15. Vascular Pressure Monitoring
x1 x1 x1 x1
Chapter 16. Cardiac Output Measurement
x1 x1 x1 x1
Chapter 17. Bronchoscopy
x1 x1
Chapter 18. Nutritional Assessment
x1 x1 x1
Chapter 19. Sleep and Breathing Assessment
x1 x1 x1 x1 x1
Chapter 20. Home Care Patient Assessment
x1 x1 x1 x1 x1
Chapter 21. Documentation
x1 x1
,Chapter 1: Preparing for the Patient Encounter
x1 x1 x1 x1 x1 x1
Test Bank
x1 x1
MULTIPLE CHOICE x1
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient assessment?
x1 x1
a. Assist the physician with diagnostic reasoning skills.
x1 x1 x1 x1 x1 x1
b. Help the physician select appropriate pulmonary function tests.
x1 x1 x1 x1 x1 x1 x1
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
x1 x1 x1 x1 x1 x1 x1 x1 x1
d. Document the patient diagnosis in the patient’s chart. x1 x1 x1 x1 x1 x1 x1
ANSWER: D x1
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
2. In which of the following stages of patient–clinician interaction is the review of
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
physician orders carried out?
x1 x1 x1 x1
a. Treatment stage x1
b. Introductory stage x1
c. Preinteraction stage x1
d. Initial assessment stage x1 x1
ANSWER: C x1
Physician orders should be reviewed in the patient’s chart before the physician sees the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
patient.
x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Introductory stage x1
b. Preinteraction stage x1
c. Initial assessment stage x1 x1
d. Treatment stage x1
ANSWER: A x1
The patient ID bracelet must be checked before moving forward with assessment and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
treatment.
x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 9
4. What should be done just before the patient’s ID bracelet is checked?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Check the patient’s SpO2. x1 x1 x1
b. Ask the patient for permission. x1 x1 x1 x1
c. Check the chart for vital signs. x1 x1 x1 x1 x1
d. Listen to breath sounds. x1 x1 x1
ANSWER: B x1
It is considered polite to ask the patient for permission before touching and reading his or
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
her ID bracelet.
x1 x1 x1
, REF: x 1 x 1 pg. 3 x1 OBJ: x 1 3 |5 x1 x1
5. What is the goal of the introductory phase?
x1 x1 x1 x1 x1 x1 x1
a. Assess the patient’s apparent age. x1 x1 x1 x1
b. Identify the patient’s family history. x1 x1 x1 x1
c. Determine the patient’s diagnosis. x1 x1 x1
d. Establish a rapport with the patient. x1 x1 x1 x1 x1
ANSWER: D x1
The introductory phase is all about getting to know the patient and establishing a rapport with
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
him or her.
x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Crossed arms x1
b. Minimal eye contact x1 x1
c. Brief answers to questions x1 x1 x1
d. Asking the purpose of the treatment x1 x1 x1 x1 x1
ANSWER: D x1
If a patient asks about the purpose of the treatment you are about to give, this generally
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
indicates that he or she is not upset.
x1 x1 x1 x1 x1 x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
7. What is the main purpose of the initial assessment stage?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. To identify any allergies to medications
x1 x1 x1 x1 x1
b. To document the patient’s smoking history
x1 x1 x1 x1 x1
c. To personally get to know the patient better
x1 x1 x1 x1 x1 x1 x1
d. To verify that the prescribed treatment is still needed and appropriate
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANSWER: D x1
When you first see the patient, you are encouraged to perform a brief assessment to make
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sure the treatment order by the physician is still appropriate. The patient’s status may have
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
changed abruptly recently.
x1 x1 x1
REF: x 1 Table 1-1, pg. 4 x1 x1 x1 OBJ: x 1 3
8. What is the appropriate distance for the social space from the patient?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. 3 to 5 feet x1 x1 x1
b. 4 to 12 feet x1 x1 x1
c. 6 to 18 feet x1 x1 x1
d. 8 to 20 feet x1 x1 x1
ANSWER: B x1
The social space is 4 to 12 feet.
x1 x1 x1 x1 x1 x1 x1
REF: x 1 x 1 pg. 5 x1 OBJ: x 1 5
9. What is the appropriate distance for the personal space?
x1 x1 x1 x1 x1 x1 x1 x1
