Test Bank for Wilkins’ Clinical Assessment in
r r r r r r r
r Respiratory Care,
r
9th Editionby Albert J. Heuer,
r r r r r r
r Chapters 1 - 21
r r r
,Wilkins' rClinical rAssessment rin rRespiratory rCare,
Contents:
Chapter r1. rPreparing rfor rthe rPatient rEncounter
Chapter r2. rThe rMedical rHistory rand rthe rInterview
Chapter r3. rCardiopulmonary rSymptoms
Chapter r4. rVital rSigns
Chapter r5. rFundamentals rof rPhysical rExamination
Chapter r6. rNeurologic rAssessment
Chapter r7. rClinical rLaboratory rStudies
Chapter r8. rInterpretation rof rBlood rGases
Chapter r9. rPulmonary rFunction rTesting
Chapter r10. rChest rImaging
Chapter r11. rElectrocardiography
Chapter r12. rNeonatal rand rPediatric rAssessment
Chapter r13. rOlder rPatient rAssessment
Chapter r14. rMonitoring rin rCritical rCare
Chapter r15. rVascular rPressure rMonitoring
Chapter r16. rCardiac rOutput rMeasurement
Chapter r17. rBronchoscopy
Chapter r18. rNutritional rAssessment
Chapter r19. rSleep rand rBreathing rAssessment
Chapter r20. rHome rCare rPatient rAssessment
Chapter r21. rDocumentation
,Chapter r1: rPreparing rfor rthe rPatient rEncounter r Test
rBank
MULTIPLE rCHOICE
1. Which rof rthe rfollowing ractivities ris rnot rpart rof rthe rrole rof rrespiratory rtherapists r(RTs) rin
r patient rassessment?
a. Assist rthe rphysician rwith rdiagnostic rreasoning rskills.
b. Help rthe rphysician rselect rappropriate rpulmonary rfunction rtests.
c. Interpret rarterial rblood rgas rvalues rand rsuggest rmechanical rventilation rchanges.
d. Document rthe rpatient rdiagnosis rin rthe rpatient’s rchart.
ANSWER: r r D
RTs rare rnot rqualified rto rmake ran rofficial rdiagnosis. rThis ris rthe rrole rof rthe rattending rphysician.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
2. In rwhich rof rthe rfollowing rstages rof rpatient–clinician rinteraction ris rthe rreview rof rphysician
r orders rcarried rout?
a. Treatment rstage
b. Introductory rstage
c. Preinteraction rstage
d. Initial rassessment rstage
ANSWER: r r C
Physician rorders rshould rbe rreviewed rin rthe rpatient’s rchart rbefore rthe rphysician rsees rthe
r patient.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
3. In rwhich rstage rof rpatient–clinician rinteraction ris rthe rpatient ridentification rbracelet rchecked?
a. Introductory rstage
b. Preinteraction rstage
c. Initial rassessment rstage
d. Treatment rstage
ANSWER: r r A
The rpatient rID rbracelet rmust rbe rchecked rbefore rmoving rforward rwith rassessment rand
r treatment.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
4. What rshould rbe rdone rjust rbefore rthe rpatient’s rID rbracelet ris rchecked?
a. Check rthe rpatient’s rSpO2.
b. Ask rthe rpatient rfor rpermission.
c. Check rthe rchart rfor rvital rsigns.
d. Listen rto rbreath rsounds.
ANSWER: r r B
It ris rconsidered rpolite rto rask rthe rpatient rfor rpermission rbefore rtouching rand rreading rhis ror rher
r ID rbracelet.
, REF: r r rpg. r3 OBJ: r r r 3 r| r5
5. What ris rthe rgoal rof rthe rintroductory rphase?
a. Assess rthe rpatient’s rapparent rage.
b. Identify rthe rpatient’s rfamily rhistory.
c. Determine rthe rpatient’s rdiagnosis.
d. Establish ra rrapport rwith rthe rpatient.
ANSWER: r r D
The rintroductory rphase ris rall rabout rgetting rto rknow rthe rpatient rand restablishing ra rrapport rwith
r him ror rher.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
6. Which rof rthe rfollowing rbehaviors ris rnot rconsistent rwith rresistive rbehavior rof ra rpatient?
a. Crossed rarms
b. Minimal reye rcontact
c. Brief ranswers rto rquestions
d. Asking rthe rpurpose rof rthe rtreatment
ANSWER: r r D
If ra rpatient rasks rabout rthe rpurpose rof rthe rtreatment ryou rare rabout rto rgive, rthis rgenerally
r indicates rthat rhe ror rshe ris rnot rupset.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
7. What ris rthe rmain rpurpose rof rthe rinitial rassessment rstage?
a. To ridentify rany rallergies rto rmedications
b. To rdocument rthe rpatient’s rsmoking rhistory
c. To rpersonally rget rto rknow rthe rpatient rbetter
d. To rverify rthat rthe rprescribed rtreatment ris rstill rneeded rand rappropriate
ANSWER: r r D
When ryou rfirst rsee rthe rpatient, ryou rare rencouraged rto rperform ra rbrief rassessment rto rmake rsure
r the rtreatment rorder rby rthe rphysician ris rstill rappropriate. rThe rpatient’s rstatus rmay rhave rchanged
r abruptly rrecently.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
8. What ris rthe rappropriate rdistance rfor rthe rsocial rspace rfrom rthe rpatient?
a. 3 rto r5 rfeet
b. 4 rto r12 rfeet
c. 6 rto r18 rfeet
d. 8 rto r20 rfeet
ANSWER: r r B
The rsocial rspace ris r4 rto r12 rfeet.
REF: r r rpg. r5 OBJ: r r r 5
9. What ris rthe rappropriate rdistance rfor rthe rpersonal rspace?
r r r r r r r
r Respiratory Care,
r
9th Editionby Albert J. Heuer,
r r r r r r
r Chapters 1 - 21
r r r
,Wilkins' rClinical rAssessment rin rRespiratory rCare,
Contents:
Chapter r1. rPreparing rfor rthe rPatient rEncounter
Chapter r2. rThe rMedical rHistory rand rthe rInterview
Chapter r3. rCardiopulmonary rSymptoms
Chapter r4. rVital rSigns
Chapter r5. rFundamentals rof rPhysical rExamination
Chapter r6. rNeurologic rAssessment
Chapter r7. rClinical rLaboratory rStudies
Chapter r8. rInterpretation rof rBlood rGases
Chapter r9. rPulmonary rFunction rTesting
Chapter r10. rChest rImaging
Chapter r11. rElectrocardiography
Chapter r12. rNeonatal rand rPediatric rAssessment
Chapter r13. rOlder rPatient rAssessment
Chapter r14. rMonitoring rin rCritical rCare
Chapter r15. rVascular rPressure rMonitoring
Chapter r16. rCardiac rOutput rMeasurement
Chapter r17. rBronchoscopy
Chapter r18. rNutritional rAssessment
Chapter r19. rSleep rand rBreathing rAssessment
Chapter r20. rHome rCare rPatient rAssessment
Chapter r21. rDocumentation
,Chapter r1: rPreparing rfor rthe rPatient rEncounter r Test
rBank
MULTIPLE rCHOICE
1. Which rof rthe rfollowing ractivities ris rnot rpart rof rthe rrole rof rrespiratory rtherapists r(RTs) rin
r patient rassessment?
a. Assist rthe rphysician rwith rdiagnostic rreasoning rskills.
b. Help rthe rphysician rselect rappropriate rpulmonary rfunction rtests.
c. Interpret rarterial rblood rgas rvalues rand rsuggest rmechanical rventilation rchanges.
d. Document rthe rpatient rdiagnosis rin rthe rpatient’s rchart.
ANSWER: r r D
RTs rare rnot rqualified rto rmake ran rofficial rdiagnosis. rThis ris rthe rrole rof rthe rattending rphysician.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
2. In rwhich rof rthe rfollowing rstages rof rpatient–clinician rinteraction ris rthe rreview rof rphysician
r orders rcarried rout?
a. Treatment rstage
b. Introductory rstage
c. Preinteraction rstage
d. Initial rassessment rstage
ANSWER: r r C
Physician rorders rshould rbe rreviewed rin rthe rpatient’s rchart rbefore rthe rphysician rsees rthe
r patient.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
3. In rwhich rstage rof rpatient–clinician rinteraction ris rthe rpatient ridentification rbracelet rchecked?
a. Introductory rstage
b. Preinteraction rstage
c. Initial rassessment rstage
d. Treatment rstage
ANSWER: r r A
The rpatient rID rbracelet rmust rbe rchecked rbefore rmoving rforward rwith rassessment rand
r treatment.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 9
4. What rshould rbe rdone rjust rbefore rthe rpatient’s rID rbracelet ris rchecked?
a. Check rthe rpatient’s rSpO2.
b. Ask rthe rpatient rfor rpermission.
c. Check rthe rchart rfor rvital rsigns.
d. Listen rto rbreath rsounds.
ANSWER: r r B
It ris rconsidered rpolite rto rask rthe rpatient rfor rpermission rbefore rtouching rand rreading rhis ror rher
r ID rbracelet.
, REF: r r rpg. r3 OBJ: r r r 3 r| r5
5. What ris rthe rgoal rof rthe rintroductory rphase?
a. Assess rthe rpatient’s rapparent rage.
b. Identify rthe rpatient’s rfamily rhistory.
c. Determine rthe rpatient’s rdiagnosis.
d. Establish ra rrapport rwith rthe rpatient.
ANSWER: r r D
The rintroductory rphase ris rall rabout rgetting rto rknow rthe rpatient rand restablishing ra rrapport rwith
r him ror rher.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
6. Which rof rthe rfollowing rbehaviors ris rnot rconsistent rwith rresistive rbehavior rof ra rpatient?
a. Crossed rarms
b. Minimal reye rcontact
c. Brief ranswers rto rquestions
d. Asking rthe rpurpose rof rthe rtreatment
ANSWER: r r D
If ra rpatient rasks rabout rthe rpurpose rof rthe rtreatment ryou rare rabout rto rgive, rthis rgenerally
r indicates rthat rhe ror rshe ris rnot rupset.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
7. What ris rthe rmain rpurpose rof rthe rinitial rassessment rstage?
a. To ridentify rany rallergies rto rmedications
b. To rdocument rthe rpatient’s rsmoking rhistory
c. To rpersonally rget rto rknow rthe rpatient rbetter
d. To rverify rthat rthe rprescribed rtreatment ris rstill rneeded rand rappropriate
ANSWER: r r D
When ryou rfirst rsee rthe rpatient, ryou rare rencouraged rto rperform ra rbrief rassessment rto rmake rsure
r the rtreatment rorder rby rthe rphysician ris rstill rappropriate. rThe rpatient’s rstatus rmay rhave rchanged
r abruptly rrecently.
REF: r r Table r1-1, rpg. r4 OBJ: r r r 3
8. What ris rthe rappropriate rdistance rfor rthe rsocial rspace rfrom rthe rpatient?
a. 3 rto r5 rfeet
b. 4 rto r12 rfeet
c. 6 rto r18 rfeet
d. 8 rto r20 rfeet
ANSWER: r r B
The rsocial rspace ris r4 rto r12 rfeet.
REF: r r rpg. r5 OBJ: r r r 5
9. What ris rthe rappropriate rdistance rfor rthe rpersonal rspace?
