Respiratory Care Clinical Assessment
Question Bank
Course Introduction
Respiratory Care Clinical Assessment is a foundational course designed to equip students with the knowledge and skills necessary to effectively evaluate patients with respiratory disorders. The course focuses on patient assessment techniques, including patient history, physical examination, interpretation of diagnostic tests, and the use of bedside monitoring tools. Students learn to identify normal and abnormal respiratory findings, apply clinical reasoning, and integrate assessment data to formulate appropriate care plans. Emphasis is placed on communication, documentation, and the collaboration with interdisciplinary healthcare teams to optimize patient outcomes in diverse clinical settings.
Recommended Textbook
Wilkins Clinical Assessment in Respiratory Care 7th Edition by Al Heuer PhD
Available Study Resources on Quizplus
21 Chapters
773 Verified Questions
773 Flashcards
Source URL: https://quizplus.com/study-set/1447 Page 2
Chapter 1: Preparing for the Patient Encounter
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/28718
Sample Questions
Q1) The main objective of the I Speak Up initiative from the National Institute of Health (NIH) is:
A)Be sure that all billing for patient medical expenses occurs correctly.
B)Let caregivers know that the family wants to be informed at all times.
C)Let the hospital know when ancillary services such as food quality and parking are inadequate.
D)Help ensure that a patient's care is as safe and effective as possible.
Answer: D
Q2) A respiratory care student returns from a clinical experience , excited that she has had the opportunity to perform cardiopulmonary resuscitation (CPR) for the first time.She immediately goes to her Facebook page and describes her day.Which of the following entries would be a violation of HIPAA standards?
A)"At clinical today got to do CPR on a patient on the 6th floor of Mercy Hospital.Patient survived! What a rush!!"
B)"Got to do CPR for the first time today.Patient survived!! What a rush!"
C)"Got to do CPR for the first time in clinical today! What a rush!!"
D)All of the above
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: The Medical History and the Interview
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/28719
Sample Questions
Q1) In which section of the patient record should the following entry appear? "Day 4 of hospitalization.Patient febrile (39 C).Rales in both lung bases; sputum moderate, thick, green, tinged with blood.Plan: Continue ordered antibiotic therapy.Bronchoscopy tomorrow in AM."
A)Admission note
B)Physician orders
C)Progress notes
D)Discharge plan
Answer: C
Q2) Screening information is:
A)Obtained at health fairs to determine whether the person should see a physician.
B)Designed to uncover problem areas that the patient forgot to mention or omitted.
C)Given to the interviewer by the patient at the very beginning of the interview process.
D)Obtained by the triage nurse in the emergency department to determine how lifethreatening the patient's symptoms are.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Cardiopulmonary Symptoms
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/28720
Sample Questions
Q1) Cough syncope is associated most often with which of the following types of patients?
A)Middle-aged men with underlying COPD
B)Pregnant women
C)Children with asthma
D)Older obese men with diabetes
Answer: A
Q2) A patient is being evaluated for surgery.The therapist hears rales in the lung bases and notes prominent swelling of the ankles.She presses a finger into the edema and notices that a depression remains when she lifts her finger away.The depression is clearly visible for slightly more than 1 minute.This would be classified as pitting edema: A)1+.
B)2+.
C)3+.
D)4+.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Vital Signs
Available Study Resources on Quizplus for this Chatper
46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/28721
Sample Questions
Q1) The normal range for oral body temperature in most people is _____ to _____° F.
A)97; 99.5
B)96.7; 98.5
C)98.7; 100.5
D)97.7; 98.5
Q2) What is an important reason to monitor the heart rate in patients with lung disease?
A)A heart rate above or below the normal range is dangerous.
B)As the heart rate increases, the tissue's demand for oxygen decreases.
C)The more efficiently the heart is pumping, the lower is the resting pulse rate.
D)Tachycardia is a common finding when hypoxemia is present.
Q3) What is the most common cause of fever above 102° F?
A)Aspiration pneumonitis
B)Infection
C)Blood transfusion reaction
D)Head injury
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Fundamentals of Physical Examination
Available Study Resources on Quizplus for this Chatper
76 Verified Questions
76 Flashcards
Source URL: https://quizplus.com/quiz/28722
Sample Questions
Q1) Which of the following is responsible for the production of murmurs?
A)Stenotic AV valves
B)Incompetent AV valves
C)Incompetent semilunar valves
D)All of the above
Q2) Which of the following is not associated with dilated and unresponsive pupils?
A)Opiates
B)Atropine
C)Brain death
D)Catecholamines
Q3) Digital clubbing is associated with:
A)COPD.
B)Cystic fibrosis.
C)Bronchogenic carcinoma.
D)All of the above.
Q4) Which of the following findings is consistent with reduced perfusion?
A)Peripheral cyanosis
B)Hepatomegaly
C)Loud P2 sound
D)Jugular vein distention (JVD)
7
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Neurologic Assessment
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/28723
Sample Questions
Q1) Injury to the cervical spine roots C3 to C5 is associated with which of the following abnormalities?
A)Absence of deep tendon reflexes
B)Babinski sign
C)Paralysis of the diaphragm
D)Doll's-eye maneuver
Q2) A patient who is alert and oriented times three would know all of the following things correctly except?
A)First and last name
B)Today's date
C)City in which he or she lives
D)President or head of state's name
Q3) Which of the following is not part of the brain?
A)Cerebrum
B)Cranial nerves
C)Brainstem
D)Cerebellum
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Clinical Laboratory Studies
Available Study Resources on Quizplus for this Chatper
56 Verified Questions
56 Flashcards
Source URL: https://quizplus.com/quiz/28724
Sample Questions
Q1) Which of the following terms describes an increase in white blood cell count associated with a shift of cells from the marginated pool to the circulating pool?
A)Pseudoneutrophilia
B)Pseudoneutropenia
C)Neutropenia
D)Lymphocytosis
Q2) Which of the following symptoms is commonly seen with hyponatremia?
A)Confusion
B)Headache
C)Chest pain
D)Shortness of breath
Q3) In which of the following conditions would secondary polycythemia not be expected?
A)Pulmonary fibrosis
B)Pulmonary embolism
C)Living at high altitude
D)Congenital heart disease
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: Interpretation of Blood Gases
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/28725
Sample Questions
Q1) What is the normal value for arterial pH?
A)7.20 to 7.30
B)7.35 to 7.45
C)7.45 to 7.50
D)Greater than 7.50
Q2) Which of the following is the most common site for arterial puncture?
A)Radial artery
B)Ulnar artery
C)Temporal artery
D)Jugular artery
Q3) Which of the following is a true statement regarding the term hypoxemia?
A)It occurs when the patient's PaO is lower than predicted.
B)It indicates a condition in which tissue oxygenation is inadequate.
C)It is always considered a severe disorder.
D)It is independent of the age of the patient.
Q4) Which of the following could cause this patient's problem?
A)Anxiety and fear
B)Acute airway obstruction
C)Lactic acid production
D)Drug overdose
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Pulmonary Function Testing
Available Study Resources on Quizplus for this Chatper
48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/28726
Sample Questions
Q1) The reason why carbon monoxide is used in DLCO studies instead of oxygen is because carbon monoxide is:
A)more readily available than oxygen.
B)neither diffusion nor perfusion limited.
C)perfusion limited and not diffusion limited.
D)diffusion limited and not perfusion limited.
Q2) A restrictive defect is present when lung volumes are reduced to less than what percentage of predicted levels?
A)60%
B)70%
C)80%
D)90%
Q3) In a patient with an exacerbation of asthma, airway resistance will be:
A)normal.
B)increased.
C)decreased.
D)impossible to measure.
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Chest Imaging
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/28727
Sample Questions
Q1) Which of the following forms of radiologic assessment is most useful for studying the distribution of ventilation and perfusion and the effects that diseases may have on these two important functions?
A)MRI
B)CT scanning
C)Lung scanning
D)Pulmonary angiography
Q2) Which of the following views is used to see whether free fluid (pleural effusion or blood) is present in the chest in the left pleural region?
A)AP view
B)Left lateral view
C)Right lateral view
D)Lateral decubitus view
Q3) Which of the following radiologic terms confirm the presence of intrapulmonary disease?
A)Sulcus sign
B)Compression atelectasis
C)Air bronchogram
D)Platelike atelectasis
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Interpretation of Electrocardiogram Tracings
Available Study Resources on Quizplus for this Chatper
41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/28728
Sample Questions
Q1) A patient who has atrial fibrillation is at risk for which of the following pulmonary conditions?
A)Chronic obstructive pulmonary disease (COPD)
B)Pneumothorax
C)Pleural effusion
D)Pulmonary emboli
Q2) In the terminology for three of the limb leads-aVR, aVL, and aVF-what does the letter "A" stand for?
A)Atrial
B)Assisted
C)Ambient
D)Augmented
Q3) What term describes heart cells that have the ability to spontaneously depolarize?
A)Systole
B)Purkinje
C)Automaticity
D)Myocardiocity
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Neonatal and Pediatric Assessment
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/28729
Sample Questions
Q1) An infant's entire right hemithorax "lights up" during transillumination.What does this signify?
A)Normal lung tissue
B)Significant pleural effusion
C)Significant pneumothorax
D)Intensity of the light is set too high
Q2) What is indicated by the presence of retractions in the newborn?
A)A compliant chest wall
B)Stiff lungs
C)Reduced airway resistance
D)Heart failure
Q3) Which of the following is a common cause of hypothermia in an infant?
A)Infection
B)Heart failure
C)Atelectasis
D)Liver disease
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Older Patient Assessment
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/28730
Sample Questions
Q1) In healthy elderly men, what is the expected supine resting heart rate?
A)50 to 60 beats/min
B)60 to 100 beats/min
C)90 to 110 beats/min
D)>110 beats/min
Q2) What is the physiologic effect of aging on pulmonary function?
A)Decreased residual volume (RV)
B)Increased functional residual capacity (FRC)
C)Increased tidal volume (VT)
D)Decreased total lung capacity (TLC)
Q3) Which of the following would explain the presence of "clubbing" in the aged?
A)COPD
B)Simple aging process
C)CHF
D)Connective tissue disorders
Q4) Which of the following laboratory values decreases with age?
A)Albumin
B)Hemoglobin
C)Serum glucose
D)Serum cholesterol
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Respiratory Monitoring in Critical Care
Available Study Resources on Quizplus for this Chatper
51 Verified Questions
51 Flashcards
Source URL: https://quizplus.com/quiz/28731
Sample Questions
Q1) The "stacking" of breaths, which often is seen in mechanically ventilated patients with severe airway obstruction, can be caused by:
A)ventilator malfunction.
B)a low-measured tidal volume.
C)insufficient expiratory time.
D)a respiratory rate that is too low.
Q2) Which of the following is least likely to cause an increase in a patient's tidal volume?
A)Metabolic acidosis
B)Sepsis
C)Metabolic alkalosis
D)Severe neurologic injury
Q3) All of the following will cause an increase in intrapulmonary shunting except: A)ARDS.
B)atelectasis.
C)pneumonia.
D)cystic fibrosis.
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Vascular Pressure Monitoring
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/28732
Sample Questions
Q1) All of the following cause an increase in the CVP except:
A)volume overload.
B)tension pneumothorax.
C)spontaneous inspiration.
D)increased intrathoracic pressure.
Q2) With a properly inserted and positioned pulmonary artery catheter, a systolic pressure reading in the pulmonary artery of 50 mm Hg could be due to:
A)pulmonary vasodilation.
B)tricuspid valve stenosis.
C)pulmonic valve stenosis.
D)chronic obstructive pulmonary disease (COPD).
Q3) The CVP can be used to estimate left ventricular filling pressures if there is no left ventricular dysrhythmia and the ejection fraction is greater than:
A)0.20.
B)0.30.
C)0.40.
D)0.50.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Cardiac Output Measurement
Available Study Resources on Quizplus for this Chatper
43 Verified Questions
43 Flashcards
Source URL: https://quizplus.com/quiz/28733
Sample Questions
Q1) What is the most important factor in assessment of the ability of the cardiovascular system to meet the body's metabolic demands?
A)Respiratory quotient (RQ)
B)Cardiac output
C)Oxygen uptake
D)Adequacy of perfusion
Q2) Why has use of the pulmonary artery catheter diminished in many ICUs?
A)It is expensive.
B)It is difficult to place.
C)Patients complain about the discomfort.
D)Some experts believe it increases death rates.
Q3) The filling pressure of the left heart also is known as the _____ pressure.
A)Starling
B)central venous
C)ventricular filling
D)pulmonary capillary wedge
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Bronchoscopy
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/28734
Sample Questions
Q1) How are lung brushings handled?
A)They are flushed in a saline wash.
B)They are secured in gauze and labeled.
C)They are preserved in formaldehyde.
D)They are smeared onto a glass slide.
Q2) What are double-shielded brushes used for during bronchoscopy?
A)To clean the fiberoptics
B)To obtain microbiologic samples
C)To assist in cleaning the smaller airways of mucous plugs
D)To assist in diagnosing malignant tumors
Q3) In which patients or situations is hypoxemia most likely to develop?
A)Patients who have not been well sedated
B)Prolonged bronchoscopic procedures
C)Patients with pronounced anxiety
D)Patients who experience vagal stimulation during a procedure
Q4) What complication associated with bronchoscopy is most common?
A)A complication associated with medications used in the procedure
B)Pneumothorax
C)Secondary infection
D)Excessive bleeding
Page 19
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Nutrition Assessment
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/28735
Sample Questions
Q1) Which of the following is an indicator of the energy requirements of the patient?
A)PaO to PaO ratio
B)Minute ventilation
C)Oxygen uptake per minute
D)Vital capacity
Q2) What dietary adjustment might be best for patients with more severe chronic obstructive pulmonary disease (COPD)?
A)Increased carbohydrates
B)Increased fats
C)Increased proteins
D)Increased salt intake
Q3) What is the RQ value of a patient eating a pure carbohydrate diet?
A)0.60
B)0.70
C)0.85
D)1.00
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Sleep and Breathing Assessment
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/28736
Sample Questions
Q1) Which of the following would be most suggestive of a patient who is liable to have SDB?
A)One with a smoking history
B)An obese patient
C)A very tall and thin patient
D)A patient with a history of hypertension
Q2) Cheyne-Stokes breathing is associated most closely with which type of SDB?
A)CSA
B)OSA
C)Mixed sleep apnea (MSA)
D)Sudden infant death syndrome (SIDS)
Q3) In which stage of sleep does the brain show electrical activity similar to wakefulness on EEG tracings?
A)Stage 1 NREM
B)Stage 2 NREM
C)Stage 3 NREM
D)REM
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Home Care Patient Assessment
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/28737
Sample Questions
Q1) Which of the following should be identified by an RT during the initial home care interview of the patient and caregivers?
A)Patient smoking history
B)Current list of medications
C)Pulmonary risk factors
D)All of the above
Q2) What is a common reason why patients with COPD may suffer acute dyspnea during meal preparation?
A)They have bronchospasm from the odors.
B)They remove their oxygen cannula during cooking.
C)They become nervous about gaining weight.
D)They are afraid of losing their balance.
Q3) Which of the following should be done only with a physician's order?
A)Chest auscultation
B)Pulse oximetry
C)Check of blood pressure
D)Check of body temperature
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Documentation
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/28738
Sample Questions
Q1) The patient's medical record is a/an:
A)financial document.
B)legal document.
C)educational tool.
D)all of the above.
Q2) Which of the following methods of documentation is probably best for a clinician who is pressed for time?
A)SOAP
B)APIE
C)PIP
D)SBAR
Q3) Which of the following sections of the patient assessment or procedures should be charted immediately?
A)Date and time of test or treatment
B)Vital signs
C)Result of or response to treatment, including adverse reactions
D)Drugs and their dosages
To view all questions and flashcards with answers, click on the resource link above.
23