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patient assessment
patient assessment
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1
a way to ensure the patient understands the education you have given is to?
talk about it with your co-workers
tell their family members
call them later
use the teach back method
2
when describing abnormal or adventitious breath sounds, you can start with which 2 varieties?
coarse and fine crackles
bronchovesicular and vesicular
discontinuous or continuous
wheezing and stridor
3
what is the normal respiratory rate?
8 to 12
15 to 25
12 to 20
>30
4
the process of identifying the nature and cause of illness is called what?
a helpful hint
patient complaint
diagnosis
chief complaint
5
a reduction in RBC is called what?
bandemia
polycythemia
anemia
severe polycythemia
6
When should your introduction to the patient take place?
in social space
in the intimate space
in personal space
in the hallway
7
what is the term for a patient with an elevated heart rate?
tachypnea
tachycardia
bradycardia
bradycardia
8
which of the following in the SOAP assessment is wrong?
P-plan, treatment and method
A-assessment, or problem
S-subjective, what did the patient say
O-occupation, what did they do
9
a term for a patient with an elevated body temperature is called?
hypoxia
hypothermemia, or hypothermic
hyperthermia, or hyperthermic
hyperoxia
10
the 4 steps in physical examination include all of the following except?
inspection
hyperventilation
auscultation
palpation
11
when the band count is elevated, this means that?
the bacterial infection is overwhelming
band? What do you mean band?
this is an elevation in neutrophils
an allergic reaction has occurred
12
tracheal breath sounds are heard over?
scapula
chest wall
clavicles
trachea
13
pursed lip breathing is a technique used by patients with COPD to?
to hyperexpand the lungs
hyperventilate
increase alveolar collapse
prevent alveolar collapse
14
When does your physical patient assessment start?
at the doorway with patient in view
when you want
I don't know
when you have shaken the patient's hand
15
a WBC count that is greater than 11.7, is called what?
erythrocytes
malignancy
leukopenia
leukocytosis
16
what is most common reason an RT is called to assess a patient?
to take a walk
tachycardia
hypoventilation
dyspnea
17
Which of the following displays a normal blood pressure?
120/77
170/94
80/40
18
what is the most common, nonspecific symptom observed in patients with pulmonary disease
an increased heart rate
a difficult time walking
a cough
increased fluid retention
19
paradoxial breathing is when the abdomen moves inward on inspiration and out on expiration
false
true
20
Cheyne-Stokes respiration, increases and decreases depth of respiration followed by apnea
false
true
21
an increase in Eosinophils or Basophils is an indication of what?
neutrophilia
HIV+
increase in bone marrow density
an allergic reaction
22
patients with an increased WOB exhibit retractions in all of the following except?
subcostal spaces
intercostal spaces
nostrils
supraclavicluar spaces
23
How do you determine a patient's pack year history?
# of years smoked cigarettes X # of cigarette packs per day
# of years smoked X # of cigars per year
# of cigarettes smoked X # of years smoked
# of cigarettes smoked per day X # of years smoked
24
pitting edema and weeping edema are 2 subtypes of?
pedal edema
pulmonary edema
pulsus pardoxus
hypoxia
25
which of the following is not a purpose of interviewing
to obtain information
to talk about hygiene
to monitor changes
to establish a rapport
26
which of the following indicators of general appearance is not assessed?
facial expression
hair color
body positioning
level of consciousness (LOC)
27
In the thorax, what is the primary muscle used to breathe?
abdomen
diaphragm
intercostal muscles
sternocletomastoid muscles
28
which of the following is not a part of the 2 patient identifier?
patient name
date of birth
account number
medical record number
29
a chronic cough lasts, how long?
1 week or greater
8 weeks or greater
1 year or greater
1 month or greater
30
which of the following is not one of the 4 major areas for a detailed history
how much exertion it takes to cause them to stop
whether breathing discomfort varies with different activity
what daily activity triggered dyspnea
how long it takes to go to the store
31
which type of WBC is typically increased in bacterial infections or trauma?
lymphocytes
monocytes
bands
neutrophils
32
coughing up blood from the lungs is called what?
hematology
hemoptysis
hematocrit
hematemesis
33
an abnormal anteroposterior (AP) diameter is an example of?
barrel chest
pectus excavatum
pectus carinatum
normal chest
34
nasal flaring can be seen as an increase in work of breathing?
false
true
35
which of the following breathing patterns are signs of abnormality except?
eupnea
apnea
kussmaul
cheyne-stokes
36
capillary refill is an indication of perfusion. What is the normal capillary refill time?
Empty choice
1 minute
Empty choice
5 seconds
37
when inspecting sputum, which of the following is not a indication for infection?
quantity
particle size
viscosity (thickness)
color
38
in evaluating our pulse rate we look, feel for all of the following except?
strength
rate
temperature
rhythm
39
a patient with a fever, causes an increase in all of the following except?
carbon dioxide production
metabolic rate
oxygen consumption
efficient use of oxygen
40
We should note the characteristics of a cough, they include all but?
dry or loose
whether the patient wheezes or not
frequency
productive or nonproductive
41
phlegm is mucus retrieved from a patient that is not contaminated by oral secretions?
true
false
42
while looking at a patient chart, which of the following is not a part of the review?
review of systems (lungs, heart, etc.)
chief complaint/histor of present illness
what the patient last ate
past medical history
43
when you walk into your patients room to perform your assessment, what is the 1st thing you do?
take the vital signs
wash your hands
check their record
look at the patient
44
which of the following is not a potential cause of a chronic cough?
chronic bronchitis
asthma
inhaling smoke from a house fire
gastroesophageal reflux (GERD)
45
Orthopnea is a term used to describe what?
dyspnea in transitioning from laying to sitting
dyspnea laying down
dyspnea laying on your side
dyspnea walking
46
what is this scale a depiction of?
relative value
dypnea
pain
life cycles
47
the term used for a patient whose respiratory rate is elevated is?
tachypnea
bradypnea
bradycardia
tachycardia
48
the most common artery to take a pulse on a patient is?
carotid
brachial
femoral
radial
49
chest exams include all of the following except?
configuration (kyphosis, scoliosis)
pattern and effort
expansion
color
50
digital clubbing is a symptom of chronic conditions exhibited by bulbous finger tips
true
false
51
central cyanosis is low oxygen levels in the blood where?
toes
oral mucosa
finger tips
chest
52
mucus that is expectorated through the mouth is called?
disgusting
phlegm
pus
sputum
