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