3

Question 1

Which of the following can best help prevent a patient fall ?

a. Allow the patient to use the furniture for support
b. Let the patient walk barefoot, so they don’t trip over their socks
c. Keep the floor clear of all cords/equipment
d. Allow the family to assist the patient to the restroom

Answer 1

c. Keep the floor clear of all cords/equipment

Question 2

What is the correct method for obtaining orthostatic vital signs ?

Answer 2

Obtain a blood pressure and heart rate while lying, then sitting, then standing

Question 3

Where should the stethoscope be placed when taking a manual blood pressure ?

Answer 3

Over the antecubital area on the arm

Question 4

When weighing an infant, the infant should be weight with either a dry diaper or no diaper. True or false ?

Answer 4

False, the infant must be wearing a diaper every time

Question 5

A physician asks you to obtain an aural temperature on a patient. This means to take the temperature where ?

Answer 5

In the ear

Question 6

A patient had a PPD test performed 72 hours ago. He presents today with an itchy, red, raised area where the test was performed. What does this mean ?

Answer 6

This is potentially a positive result

Question 7

A patient becomes acutely confused and has slurred speech and uneven pupils. What is the patient likely experiencing ?

Answer 7

An acute stroke

Question 8

What is a common symptom of DKA (diabetic ketoacidosis) ?

Answer 8

Fruity odor on the breath

Question 9

When teaching a patient about checking blood sugars at home, what is important to include ?

Answer 9

Check blood sugar before meals and before bedtime.

Question 10

If a drug has been defined as a schedule II drug, it is true that the drug can lead to..

Answer 10

Physiological dependence

Question 11

Administering a drug sublingually has an advantage of the drug being swallowed. Truth or false ?

Answer 11

False. A drug is placed under the tongue and absorbed into the small blood vessels there, so it is not swallowed.

Question 12

What is the brand name of furosemide ?

Answer 12

Lasix, a diuretic used to treat heart and kidney failure, high blood pressure and several other conditions.

Question 13

What does 6 gtt q8 hours mean ?

Answer 13

6 drops every 8 hours

Question 14

Which of the following is not an NSAID ?

a. Ibuprofen
b. Naproxen
c. Aspirin
d. Acetaminophen

Answer 14

d. Acetaminophen, it does not decrease inflammation the way NSAID’s do.

Question 15

A drug that decreases or inhibits nausea is referred to as a(n):

Answer 15

Antiemetic

Question 16

What are the five rights of drug administration ?

Answer 16

Right patient, right time, right dose, right route and right drug

Question 17

The doctor ordered 250 mg azithromycin to be given PO. You have 500 mg per tsp from the pharmacy. How many teaspoons will you give ?

Answer 17

0.5 tsp

Question 18

The doctor ordered .75 grams of Valtrex. The pharmacy has 250 mg tablet in stock. How many tablets would you give to correctly follow the order ?

Answer 18

3 tablets

• 1 gram = 1000 mg
  therefore, 0.75 grams = 750 mg
  750 divided by 250 is 3 tablets.

Question 19

Which type of IV ruling universally delivers 60 drops of solution per milliliter ?

Answer 19

Microdrip, delivers 60 gtt/ml and is used for situations where fluids require precise delivery such as pediatrics

Question 20

Using the Sixth Rights of Medication Administration, which of the following is the best way to determine right patient ?

Answer 20

Name and date of birth

Question 21

Enteric coated oral medications are designed to be ________

Answer 21

Dissolved in the small intestine rather than to the stomach to prevent stomach upset and discomfort to the patient

Question 22

What is one ingredient the elixir preparations contain that syrups do not ?

Answer 22

Alcohol

Question 23

What is elixir preparation ?

Answer 23

A clear sweet-flavored liquid used for medicinal purposes

Question 24

When administering medication via intradermal injection, the needle is at what angle to the patients skin ?

Answer 24

15-degree angle, the needle must enter just under the dermis layer of the skin

Question 25

Which of these drugs is an antihistamine ? a. Hydralazine b. Hydrocodone c. Hydroxyzine d. Hydroxyurea

Answer 25

c. Hydroxyzine, used for allergic itching

Question 26

The pharmacokinetics of a drug describe all of these, except ________ a. Absorption b. Distribution c. Excretion d. Ingestion

Answer 26

Ingestion * Pharmacokinetics of a drug describe how it is absorbed, distributed, metabolized and excreted from the body

Question 27

When should a patient's parent or legal guardian be given a Vaccine Information Statement (VIS) ?

Answer 27

Before each and every vaccination given

Question 28

What is the main purpose for using the Z-tract injection technique ?

Answer 28

To minimize the drug's irritation to the subcutaneous tissue * this technique effectively moves the needle tract away from the medication depot in the muscle tissue

Question 29

When is a compounding pharmacy used ?

Answer 29

When a medication is ordered that is not commercially available at a retail pharmacy.

Question 30

Capillary blood collection would not be appropriate for which patient type ?

Answer 30

Patients who are severely dehydrated *Capillary blood collection is the preferred method for blood specimen collection in infant and children

Question 31

You are doing a venipuncture on a patient's arm. Where should you place the tourniquet ?

Answer 31

Place it above the puncture site

Question 32

Which location would be the best choice for a finger stick in a patient over 1 year old ?

Answer 32

Slightly off center on the middle finger or ring finger of the nondominant hand

Question 33

What is a normal blood potassium level ?

Answer 33

3.5 mEq/L5.0 mEq/L

Question 34

Blood is made of three components: Red blood cells Plasma White blood cells/platelets 55%, 44% & 1% of blood volume. Which value belongs to which component ?

Answer 34

Plasma 55% Red Blood Cells: 44% Platelets/EBCs: 1%

Question 35

What condition may complicate tourniquet use ?

Answer 35

Sickle Cell disease, using a tourniquet without taking proper precautions may cause circulatory stasis (stoppage in the flow of blood)

Question 36

A patient reports an iodine allergy. To be safe, what solutions would you avoid when cleansing his skin for a blood draw ?

Answer 36

Betadine, contains between 9-12% iodine

Question 37

What is the maximum recommended puncture depth when performing a heel stick on an infant ?

Answer 37

2mm, sufficient to obtain a blood sample but also should not damage nerves or bone.

Question 38

A pregnant patient is in to get a blood draw for her oral glucose tolerance test. What statement would raise a red flag ? Why ?

Answer 38

"It's so funny, I don't even like eggs and I had two of them this morning" She should have only water for 8-14 hours prior. No food.

Question 39

You need to draw a PT and PTT. What color of tube would you select ?

Answer 39

Light blue

Question 40

When collecting two sets off blood cultures, they must be...

Answer 40

Obtained from two different collection site

Question 41

Which of the following is not reported in a hematology panel ? a. Potassium b. Hemoglobin c. Erythrocyte sedimentation rate d. White blood cells

Answer 41

a. Potassium

Question 42

A Hemoglobin A1C is a representation of what ?

Answer 42

Average blood glucose level

Question 43

What is the purpose of thrombin additive in a blood collection tube ?

Answer 43

To promote blood clotting

Question 44

An erythrocyte sedimentation rate (ESR) is a measurement of what ?

Answer 44

The amount of time it takes for red blood cells to settle at the bottom of the tube

Question 45

What is the first step in performing a capillary puncture ?

Answer 45

Prepare the site

Question 46

Platelet is a type of white blood cell. True or false

Answer 46

False. Platelets aid in blood clotting

Question 47

Which color blood collection tube does not require an additive ?

Answer 47

Red

Question 48

A patient becomes pale and diaphoretic during a blood draw. What should you do first ?

Answer 48

Remove the needle from the patient; stop the blood draw.

Question 49

A patient has had a PT/INR drawn via lab. The test results show an INR of 6.6. What should be your first action ?

Answer 49

Alert the physician. This is critically high result, the patient is at risk of spontaneous hemorrhage.

Question 50

What is a PT/INR ? | What should the normal result be ?

Answer 50

Prothrombin Time and International Normalized Ratio (blood test) 1.1 is considered a normal level

Question 51

Erik Erikson is best known for developing what theory ?

Answer 51

The Stages of Psychosocial Development

Question 52

Abraham Maslow is best known for what psychological theory describing an individual's motivations ?

Answer 52

The Hierarchy of Needs

Question 53

What is the Hierarchy of Needs ?

Answer 53

One must first obtain the most basic needs for survival first (such as food and shelter) before they have the motivation to aspire for higher needs to be necessary for survival (such as self-esteem and self-actualization)

Question 54

What are the virtues that can be gained for successfully resolving the psychological crisis at each of Erikson's eight stages, in order ?

Answer 54

Hope, Will, Purpose, Competence, Fidelity, Love, Care, Wisdom

Question 55

What are the levels of The Hierarchy of Needs, starting with the most basic ?

Answer 55

Physiological, safety, love/belonging/ self0esteem, self-actualization

Question 56

Which Freudian defense mechanism best describes an individual who refuses to acknowledge their illness in an effort to protect themselves from the emotional harm it may bring ?

Answer 56

Denial

Question 57

During which stage of Piaget's stages of cognitive development would one expect a child to understand and explain abstract ideas ?

Answer 57

Formal operational, marks the point at which children start to understand more abstract ideas, the concept of time and thinking about the future and goals. The normal age of onset for this stage is typically around age 12

Question 58

When working with children in an office setting conduct painful or uncomfortable procedures first to get them out of the way. True or false ?

Answer 58

False

Question 59

According to Elizabeth Kubler-Ross, patients with terminal conditions will often engage "if-then" thinking, where they try to find alternative solutions or explanations. which stage of the Kubler-Ross model best describes this scenario ?

Answer 59

Bargaining

Question 60

According to the original Kubler-Ross model, what are the stages of grieving, in order ?

Answer 60

Denial, anger, bargaining, depression and acceptance

Question 61

When conducting a mental health screening, sensitive questions about an individuals sexual behavior should _____

Answer 61

Only be asked if they are relevant to the individuals' care and treatment

Question 62

When speaking on the phone about confidential information, it is most important to ______

Answer 62

Confirm the identity of the caller by asking for identifying demographic information

Question 63

If, while conducting an interview, the patient is sitting with their legs crossed and ams folded across their chest, this is most likely to indicate _____

Answer 63

Avoidance or defensiveness

Question 64

The ________ technique involves listening to the patient's verbal responses, observing their nonverbal cues, and reiterating your understanding back to the patient

Answer 64

Reflective Communication

Question 65

An effective communicator uses tact when conversing with patients and colleagues on the health care team. Tact is best defined as ________

Answer 65

An awareness and consideration for the way one discusses sensitive information

Question 66

When working with a patient that is anxious about their office visit, asking the patient to repeat back instructions to confirm they understand is an effective strategy. True or false ?

Answer 66

False. | Give the patient written instructions so they can quickly leave the office and calm down.

Question 67

When trying to collect detailed information from an anxious patient during an interview, the most effective technique is _________

Answer 67

Open-ended questions

Question 68

What is the best way to define empathy ?

Answer 68

A true understanding of the feelings of another person, as if you were in his or her situation

Question 69

What is the body's ability to maintain its normal state?

Answer 69

Homeostasis

Question 70

Which of the following best describes the human body's defense mechanism against environmental bacteria? a. Hair in the nose b. Mucous membranes c. Osteoblasts d. Saliva e. Tears

Answer 70

b. Mucous membranes

Question 71

Which cells in the blood do not have a nucleus? a. Lymphocyte b. Monocyte c. Erythrocyte d. Basophil e. Neutrophil

Answer 71

c. Erythrocyte

Question 72

What is flexible connective tissue that is attached to bones at the joints?

Answer 72

Cartilage

Question 73

What allows air to pass into the lungs ?

Answer 73

Trachea

Question 74

What is the body cavity that contains the pituitary gland?

Answer 74

Cranial

Question 75

What closes and seals off the lower airway during swallowing?

Answer 75

Epiglottis

Question 76

What is located beneath the diaphragm in the left upper quadrant of the abdominal cavity?

Answer 76

Spleen

Question 77

What terms describes the motion of bending the forearm toward the body?

Answer 77

Flexion

Question 78

In which position does a patient lie face down?

Answer 78

Prone

Question 79

If the foot is abducted, it is moved in which direction?

Answer 79

Outward

Question 80

The anatomic location of the spinal canal is

Answer 80

Dorsal

Question 81

What is a structural, fibrous protein found in the dermis?

Answer 81

Collagen

Question 82

Which of the following is the large bone found superior to the patella and inferior to the ischium?

Answer 82

Femur

Question 83

The physician directs the medical assistant to complete a request form for an X-ray study of the fibula. The procedure will be performed on which of the following structures?

Answer 83

Lower leg

Question 84

Which disorder is characterized by uncontrollable episodes of falling asleep during the day?

Answer 84

Narcolepsy

Question 85

What is the point at which an impulse is transmitted from one neuron to another neuron?

Answer 85

Synapse

Question 86

Which of the following controls body temperature, sleep, and appetite?

Answer 86

Hypothalamus

Question 87

Which of the following cranial nerves is related to the sense of smell?

Answer 87

Olfactory

Question 88

What is a substance that aids the transmission of nerve impulses to the muscles?

Answer 88

Acetylcholine

Question 89

What best describes the location where the carotid pulse can be found?

Answer 89

On the anterior side of the neck

Question 90

A patient sustains severe blunt trauma to the left upper abdomen and requires surgery. Which one of the following organs is most likely to be involved?

Answer 90

Spleen

Question 91

Where is the sinoatrial node located?

Answer 91

In the upper wall of the right atrium

Question 92

Blood flows from the right ventricle of the heart into which structure?

Answer 92

Pulmonary arteries

Question 93

Oxygenated blood is carried to the heart by which structure?

Answer 93

Pulmonary veins

Question 94

Which substance is found in greater quantity in exhaled air?

Answer 94

Carbon dioxide

Question 95

What allows gas exchange in the lungs?

Answer 95

Alveoli

Question 96

At which location does bile enter the digestive tract?

Answer 96

Duodenum

Question 97

Which structure is part of the small intestine?

Answer 97

Ileum

Question 98

What condition is characterized by incompetence of the esophageal sphincter?

Answer 98

Gastroesophageal reflux disease

Question 99

Which organ removes bilirubin from the blood, manufactures plasma proteins, and is involved with the production of prothrombin and fibrinogen?

Answer 99

Liver

Question 100

What is an accessory organ of the gastrointestinal system that is responsible for secreting insulin?

Answer 100

Pancreas

Question 101

What best describes the process whereby the stomach muscles contract to propel food through the digestive tract?

Answer 101

Peristalsis

Question 102

Saliva contains an enzyme that acts upon which of the following nutrients?

Answer 102

Starches

Question 103

In men, specimens for gonococcal cultures are most commonly obtained from the _____?

Answer 103

Urethra

Question 104

What best describes the cluster of blood capillaries found in each nephron in the kidney?

Answer 104

Glomerulus

Question 105

What condition is characterized by the presence of kidney stones (renal calculi)?

Answer 105

Nephrolithiasis

Question 106

What collects urine in the body?

Answer 106

Bladder

Question 107

In men, which of the following structures is located at the neck of the bladder and surrounds the urethra?

Answer 107

Prostate

Question 108

Male hormones are produced in the ______

Answer 108

Testes

Question 109

What are mucus-producing glands located on each side of the vaginal opening?

Answer 109

Bartholin's

Question 110

Fertilization of an ovum by a spermatozoon occurs in the ..?

Answer 110

Fallopian tube

Question 111

Calcium, potassium, and sodium are classified as which of the following?

Answer 111

Electrolytes

Question 112

What is the master gland of the endocrine system?

Answer 112

Pituitary

Question 113

Patients with which of the following diseases are treated with injections of vitamin B-12?

Answer 113

Pernicious Anemia