Respiratory Care,
9th Edition by Albert J. Heuer, Chapters 1
- 21
,Wilkins' Clinical Assessment in Respiratory Care,
Contents:
Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. 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
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
Chapter 21. Documentation
,Chapter 1: Preparing for the Patient Encounter Test
Bank
MULTIPLE CHOICE
1. 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
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1-1, pg. 4 OBJ: 9
2. 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
Physician orders should be reviewed in the patient’s chart before the physician sees the
patient.
REF: Table 1-1, pg. 4 OBJ: 9
3. 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
The patient ID bracelet must be checked before moving forward with assessment and
treatment.
REF: Table 1-1, pg. 4 OBJ: 9
4. 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
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
REF: pg. 3 OBJ: 3 | 5
, 5. 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
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
REF: Table 1-1, pg. 4 OBJ: 3
6. Which aof athe afollowing abehaviors ais anot aconsistent awith aresistive abehavior aof aa apatient?
a. Crossed aarms
b. Minimal aeye acontact
c. Brief aanswers ato aquestions
d. Asking athe apurpose aof athe atreatment
ANSWER: a D
If aa apatient aasks aabout athe apurpose aof athe atreatment ayou aare aabout ato agive, athis
agenerally aindicates athat ahe aor ashe ais anot aupset.
REF: a Table a1-1, apg. a4 OBJ: a a3
7. What ais athe amain apurpose aof athe ainitial aassessment astage?
a. To aidentify aany aallergies ato amedications
b. To adocument athe apatient’s asmoking ahistory
c. To apersonally aget ato aknow athe apatient abetter
d. To averify athat athe aprescribed atreatment ais astill aneeded aand aappropriate
ANSWER: a D
When ayou afirst asee athe apatient, ayou aare aencouraged ato aperform aa abrief aassessment ato
amake asure athe atreatment aorder aby athe aphysician ais astill aappropriate. aThe apatient’s
astatus amay ahave achanged aabruptly arecently.
REF: a Table a1-1, apg. a4 OBJ: a a3
8. What ais athe aappropriate adistance afor athe asocial aspace afrom athe apatient?
a. 3 ato a5 afeet
b. 4 ato a12 afeet
c. 6 ato a18 afeet
d. 8 ato a20 afeet
ANSWER: a B
The asocial aspace ais a4 ato a12 afeet.
REF: a a pg. a5 OBJ: a a5
9. What ais athe aappropriate adistance afor athe apersonal aspace?
a. 0 ato a18 ainches
b. 18 ainches ato a4 afeet
c. 4 ato a12 afeet
d. 6 ato a15 afeet
ANSWER: a B
The apersonal aspace ais aabout a2 ato a4 afeet afrom athe apatient.
REF: a a pg. a5 OBJ: a a5