, Contents
Chapter 1. Preparing for the Client 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 Client 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 Client Assessment
Chapter 21. Documentation
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, Chapter 1: Preparing for the Client Encounter
MULTIPLE CHOICE
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in client
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 client diagnosis in the client’s chart.
CORRECT 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 client–clinician interaction is the review of physician orders
carried out?
a. Treatment stage
b. Introductory stage
c. Pre-interaction stage
d. Initial assessment stage
CORRECT ANSWER: C
Physician orders should be reviewed in the client’s chart before the physician sees the client.
REF: Table 1-1, pg. 4 OBJ: 9
3. In which stage of client–clinician interaction is the client identification bracelet checked?
a. Introductory stage
b. Pre-interaction stage
c. Initial assessment stage
d. Treatment stage
CORRECT ANSWER: A
The client ID bracelet must be checked before moving forward with assessment and treatment.
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, REF: Table 1-1, pg. 4 OBJ: 9
4. What should be done just before the client’s ID bracelet is checked?
a. Check the client’s SpO2.
b. Ask the client for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
CORRECT ANSWER: B
It is considered polite to ask the client 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 client’s apparent age.
b. Identify the client’s family history.
c. Determine the client’s diagnosis.
d. Establish a rapport with the client.
CORRECT ANSWER: D
The introductory phase is all about getting to know the client and establishing a rapport with him or her.
REF: Table 1-1, pg. 4 OBJ: 3
6. Which of the following behaviors is not consistent with resistive behavior of a client?
a. Crossed arms
b. Minimal eye contact
c. Brief answers to questions
d. Asking the purpose of the treatment
CORRECT ANSWER: D
If a client asks about the purpose of the treatment you are about to give, this generally indicates that he or
she is not upset.
REF: Table 1-1, pg. 4 OBJ: 3
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