Professional Documents
Culture Documents
Test Bank
MULTIPLE CHOICE
1. For which of the following is there the most interest in using eHealth applications to improve
health outcomes in a cost effective manner?
a. lung cancer
b. pediatric heart disease
c. chronic diseases
d. heart attack victims
ANS: C
Thus, there is much interest addressing the historically disjointed, misallocated processes of
chronic disease management through advances in eHealth technologies, to improve health
outcomes in a cost-effective manner.
2. Which of the following describes emerging computer applications to help treat tobacco use
and dependence (the leading preventable cause of death and chronic diseases in the United
States)?
a. eHarmony
b. eHealth
c. AOL
d. Clinivision
ANS: B
Emerging applications of computer technology, or eHealth applications, are exciting new
treatment components for tobacco use and dependence. With the extensive reach of the
Internet and the demonstrated efficacy of some applications, the potential impact on health
outcomes is immense. More than 10 million Internet users have searched for online
information about how to quit smoking.
ANS: B
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-2
ANS: C
Clinical decision support have also resulted in decreased unnecessary hospital admissions for
inappropriately diagnosed cardiac ischemia, appropriately decreased tidal volume and more
consistent monitoring of plateau pressure in patients with acute respiratory distress syndrome,
and decreased exacerbations in asthma patients.
ANS: D
Computerized reminders increased the proportion of indicated influenza vaccinations, and
rates of screening, counseling, and adherence to medications. They have also resulted in
decreased unnecessary hospital admissions for inappropriately diagnosed cardiac ischemia.
OBJ : 1
DIFF: Application
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-3
d. post-trauma care
ANS: A
Clinical decision support is associated with improvements in clinicians’ performance,
decreased unnecessary care, and adherence to evidence-based clinical practice guidelines.
They are particularly useful in preventive care.
ANS: B
Practitioners use evidence-based patient-driven protocols to extend the length of stay, allocate
and titrate respiratory care services, resist automation of treatment based on patient data, avoid
confrontation with nurses regarding patient care.
ANS: A
RCMIS, such as CliniVision MPC and MediLinks, provide point-of-care mobile, charting
capabilities via hand-held computers, with wireless transmission of data to hospital
information systems.
9. Which of the following is NOT an advantage of a wireless hand-held computer for charting
patient care?
a. Documentation is more legible.
b. Documentation is available to others more quickly.
c. It is less expensive.
d. There is improved fulfillment of physicians’ orders.
ANS: C
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-4
10. In what automated respiratory care protocol has it been shown that use of a hand-held
computer helped shorten the patient’s stay in the intensive care unit?
a. ventilator initiation
b. ventilator weaning
c. high-flow oxygen therapy
d. airway care and intubation
ANS: B
An automated protocol for discontinuation of mechanical ventilation with use of a hand-held
computer has been associated with a shortened time to the first spontaneous breathing trial
and a decreased length of stay in the intensive care unit.
11. Computers are often used to interpret which of the following tests in respiratory care patients?
a. chest radiograph
b. CBC and electrolytes
c. pulmonary function testing
d. EEG testing
ANS: C
Computer algorithms use standard reference predicted values to aid in the interpretation of
pulmonary function tests (PFTs), including spirometry, lung volume, diffusing capacity, and
bronchodilator response.
12. In what area are computers used to apply quality assurance measures in respiratory care
departments?
a. arterial blood gas analyzers
b. oxygen delivery systems
c. interpreting ECGs
d. equipment cleaning and sterilization
ANS: A
Computer-assisted quality assurance in a blood gas laboratory is a critically important
function in a respiratory care department, because the accuracy and precision of blood gas
data influence clinical decisions and patient safety.
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-5
13. What respiratory care equipment uses microprocessors for monitoring and control of complex
data?
a. oxygen flowmeters
b. pulse oximeters
c. mechanical ventilators
d. water sealed spirometers
ANS: C
Mechanical ventilators predominantly use microprocessors for monitoring and control of
complex data.
14. Which of the following is considered an emerging application of information technology that
may improve national health care issues in the future?
a. HIPAA
b. a nationally available electronic health record
c. medical ID bracelets
d. the national database for organ donors
ANS: B
In the aftermath of Hurricane Katrina and in the face of a flu pandemic threat, many have
begun to focus attention on the development of a seamless network of transferable, widely
accessible, electronic health records.
ANS: A
Multifaceted, Internet-based, tobacco cessation programs that assess the needs of and tailor
treatment to the characteristics of individual patients have demonstrated good outcomes.
16. What program offers access to medically underserved communities through the use of
telephones and computer-based education?
a. Telecare
b. teletreatment
c. telemedicine
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-6
d. Teleheart
ANS: C
Telemedicine is the use of telecommunication and computer technology to promote access to
diagnosis, monitoring, clinical decision support, and treatment for patients at medically
underserved sites that are distant from healthcare providers.
17. Which of the following patients would benefit the most from a disease management program?
a. patient with pneumonia
b. patient with a sinus infection
c. patient with hay fever
d. patient with COPD
ANS: D
Management of chronic diseases, such as asthma and COPD, presents a grave challenge to our
U.S. healthcare system.
18. Clinical decision support systems perform all the following tasks except:
a. match individual patients with proper drug doses
b. provide standing patient care orders
c. remind patients of when to reorder meds
d. provide directions to the best local pharmacy
ANS: D
Clinical decision support systems match the characteristics of individual patients and their
clinical interventions, drugs, and diagnostic tests to databases of scientific evidence and drug
calculations and then generate tailored recommendations, reminders, or even standing orders
19. What Web site is known for well-respected rigorously conducted systematic evidence-based
reviews and provides free access to abstracts and summaries pertaining to relevant clinical
questions?
a. cochrane.org
b. medsearch.org
c. hotmail.com
d. systemview.org
ANS: A
For example, the Cochrane Collaboration (www.cochrane.org), well respected for rigorously
conducted systematic evidence-based reviews, provides free access to abstracts and
summaries pertaining to relevant clinical questions, including those related to “Airways.”
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-7
20. What search engine looks for scholarly publications in a wide range of fields and includes
peer-reviewed manuscripts, abstracts, theses, and books from academic publishers,
professional societies, and university libraries?
a. medline.org
b. Google Scholar
c. minimed.org
d. cochrane.org
ANS: B
Google Scholar (scholar.google.com) is a search engine for scholarly publications in a wide
range of fields. It includes peer-reviewed manuscripts, abstracts, theses, and books from
academic publishers, professional societies, and university libraries
21. What is the name of the search engine sponsored by the National Library of Medicine for
information on health care?
a. PubMed
b. HotMed
c. Up-to-date-Med
d. NationalMedline
ANS: A
PubMed (www.pubmed.com) is the National Library of Medicine’s free search engine for
health information.
22. What is the name of the database often purchased and used by hospitals and university
libraries to provide key research information on a large variety of medical topics?
a. SPAN
b. OVID
c. CINUP
d. MITO
ANS: B
OVID is an extensive collection of Web-based information resources, including databases,
journals, books, and searching software. In the United States, medical libraries and large
hospitals almost universally purchase and use OVID in some form.
23. Which of the following devices would be most useful for point-of-care access to data bases
related to evidence-based care?
a. laptop
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-8
b. desktop
c. personal digital assistant (PDA)
d. pocket file (PF)
ANS: C
A hand-held computer, also known as a personal digital assistant or PDA, is an effective tool
for rapid information retrieval at the point of care to aid in clinical decisions and treatment
plans. Hand-held computers interface with computers, networks, and each other via wireless
technology or synchronization software. Users can use these devices to access medical
records, medication references and interaction checks, calculators, textbooks, and medical
evidence. Indeed, the National Library of Medicine has developed MEDLINE Database on
Tap and PubMed for Hand-helds to deliver up-to-date medical evidence at the point of care.
Table 7-2 presents additional information sources available via hand-held computers.
24. What is the name of the database management system for documenting and reporting clinical
educational activities for nursing and the allied health professions?
a. DataARC
b. DataFILE
c. DataBASE
d. DataNOW
ANS: A
DataARC (www.dataarc.ws) is a secure, password-protected, and Web-based database
management system for documenting and reporting clinical educational activities for nursing
and the allied health professions, including respiratory care.
25. You are conducting a research project and you need a software program to analyze the data
collected. Which of the following would be most useful?
a. ADDC
b. SPSS
c. SOS
d. DADD
ANS: B
Statistical software programs, such as SPSS, SAS, and Statistica, are instrumental in research.
In the hands of respiratory therapists with knowledge of statistics, these powerful programs
can perform laborious and complex statistical tests for descriptive, analytical, and inferential
analyses and reporting.
26. What is the name of the software that monitors the computer use of individuals and reports the
results to a central database?
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-9
a. Spyware
b. Eyeball
c. FOCUS
d. FISH
ANS: A
Spyware is a broad class of software that monitors the actions of computer users and reports
information back to a central database.
27. Microprocessors can benefit mechanical ventilation by doing which of the following?
1. equilibrate measured values with target values on a breath-by-breath basis
2. control ventilator alarms
3. archive the history of set and measured values
4. change clinician set parameters as needed
a. 1 and 3 only
b. 1 and 4 only
c. 1, 2, and 3 only
d. 1, 2, 3, and 4
ANS: C
Microprocessors can equilibrate measures of values with target values, control ventilator
alarms, and archive the history of set and measured values, but they cannot change ventilator
setting on its own.
ANS: A
Proportional assist ventilation and neutrally adjusted ventilatory assist, aim to enhance the
patient-ventilator synchrony via automation that is highly responsive to the patient.
29. All of the following are advantages of computerized ventilator charting applications, except:
a. improve the consistency of ventilator charting
b. improve the accuracy of ventilator charting
c. automate ventilator charting with verification by respiratory therapist
d. other clinicians not allowed to monitor their progress
ANS: D
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test bank 7-10
Computerized ventilator charting applications have the potential to improve the quality and
consistency of ventilator charting. Automated ventilator charting, verified, in turn, by
respiratory therapists, takes that a step further, with the potential to improve completeness,
accuracy, and consistency, as well as efficiency. However, the therapist still has to do all the
charting.
OBJ : 1
DIFF: Application
30. How have new applications in diagnostics changed the way hemodynamic monitoring is
done?
a. Pulmonary artery catheters became obsolete.
b. Computers now can calculate cardiac output using the thermodilution technique.
c. Clinicians now rely solely on noninvasive measures.
d. Swan-ganz catheters became obsolete.
ANS: B
In hemodynamic monitoring via pulmonary artery catheters, computers calculate cardiac
output, using the thermodilution technique. The thermistor port of the pulmonary artery
catheter is linked to a computer.
31. The AARC online benchmarking system is valuable in all of the following functions of
respiratory care, except:
a. allowing managers to compare the performance of their department to similar
departments
b. helping to demonstrate the productivity of the department, as well as establish best
practices
c. increasing efforts to implement evidence-based interventions and improve patient
outcomes
d. helping monitor equipment cost and insurance compensations
ANS: D
Benchmarking is valuable in everything mentioned, except it doesn’t monitor equipment or
deal with insurance compensations
ANS: C
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.
Test Bank for Egans Fundamentals of Respiratory Care, 10th Edition: Kacmarek
33. Which of the following are ways health care workers and facilities conform to HIPPA
regulations concerning securing patient confidentiality within electronic medical records?
1. refraining from sharing passwords
2. accessing electronic personal health information on a need to know basis
3. utilizing thumbprint protected security
4. allowing only close family members to view personal health information in the hospital
computer
a. 1 and 2 only
b. 1, 3, and 4 only
c. 1, 2, and 3 only
d. 1, 2, 3, and 4
ANS: C
To emphasize two important points concerning electronic personal health information, users
of hospital and respiratory care information management systems and researchers must refrain
from sharing passwords and access personal health information only on a need-to-know basis.
Some respiratory care information management systems, for example, now feature thumbprint
protected security.
Copyright © 2013, 2009, 2003, 1999, 1995, 1990, 1982, 1977, 1973, 1969 by Mosby, an imprint of Elsevier Inc.