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 dis dthe dgoal dof dthe dintroductory dphase?
a. Assess dthe dpatient’s dapparent dage.
b. Identify dthe dpatient’s dfamily dhistory.
c. Determine dthe dpatient’s ddiagnosis.
d. Establish da drapport dwith dthe dpatient.
ANSWER: d D
The dintroductory dphase dis dall dabout dgetting dto dknow dthe dpatient dand destablishing da
drapport dwith dhim dor dher.
REF: d Table d1-1, dpg. d4 OBJ: d d3
6. Which dof dthe dfollowing dbehaviors dis dnot dconsistent dwith dresistive dbehavior dof da dpatient?
a. Crossed darms
b. Minimal deye dcontact
c. Brief danswers dto dquestions
d. Asking dthe dpurpose dof dthe dtreatment
ANSWER: d D
If da dpatient dasks dabout dthe dpurpose dof dthe dtreatment dyou dare dabout dto dgive, dthis
dgenerally dindicates dthat dhe dor dshe dis dnot dupset.
REF: d Table d1-1, dpg. d4 OBJ: d d3
7. What dis dthe dmain dpurpose dof dthe dinitial dassessment dstage?
a. To didentify dany dallergies dto dmedications
b. To ddocument dthe dpatient’s dsmoking dhistory
c. To dpersonally dget dto dknow dthe dpatient dbetter
d. To dverify dthat dthe dprescribed dtreatment dis dstill dneeded dand dappropriate
ANSWER: d D
When dyou dfirst dsee dthe dpatient, dyou dare dencouraged dto dperform da dbrief dassessment dto
dmake dsure dthe dtreatment dorder dby dthe dphysician dis dstill dappropriate. dThe dpatient’s dstatus
dmay dhave dchanged dabruptly drecently.
REF: d Table d1-1, dpg. d4 OBJ: d d3
8. What dis dthe dappropriate ddistance dfor dthe dsocial dspace dfrom dthe dpatient?
a. 3 dto d5 dfeet
b. 4 dto d12 dfeet
c. 6 dto d18 dfeet
d. 8 dto d20 dfeet
ANSWER: d B
The dsocial dspace dis d4 dto d12 dfeet.
REF: d d pg. d5 OBJ: d d5
9. What dis dthe dappropriate ddistance dfor dthe dpersonal dspace?