HW#10_NCMA (NCCT) Exam Prep #2 Flashcards by Britany Hernandez

Which of the following gauge needles should be used to perform a venipuncture?
  16 G
  18 G
  21 G
  25 G

21 G

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Polyuria may be caused by:
  The excessive intake of fluids
  The consumption of caffeine
  Diabetes mellitus
  Taking a diuretic
  All of the above

All of the above

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When collecting a Pap smear, the ectocervical specimen is obtained using:
The S-shaped end of the cervical scraper
The spatula end of the cervical scraper
A moistened cotton-tipped applicator
A cytology brush

The S-shaped end of the cervical scraper

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Tympanometry is most useful in diagnosing patients with:
  Serous otitis media
  Conductive hearing loss
  Sensorineural hearing loss
  Auditory nerve damage

Serous otitis media

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The purpose of the past medical history is to obtain information from the patient on:
Conditions that may affect the health of the mother or fetus
Drug allergies
Her menstrual cycle
Previous pregnancies

Conditions that may affect the health of the mother or fetus

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The lithotomy position is used to examine the:
  Vagina
  Abdomen
  Sigmoid colon
  Breasts

Vagina

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An increase in neutrophils occurs during:
  An acute infection
  Polycythemia
  Bone marrow damage
  A chronic infection

An acute infection

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In the female, the urethra functions in:
  Transporting urine
  Controlling urine excretion
  Balancing fluids and electrolytes
  Transporting reproductive secretions
  All of the above

Transporting urine

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If left untreated, a chlamydial infection in a woman can result in:
  Infertility
  Cervical cancer
  Dysmenorrhea
  Cervical erosion

Infertility

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The range of frequencies for normal speech is:
  80 to 120 db
  512 to 1024 Hz
  300 to 4000 Hz
  6000 to 8000 Hz

300 to 4000 Hz

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What is the term used to describe the point of lesser pressure on the arterial walls when assessing blood pressure?
  Systolic pressure
  Diastolic pressure
  Diastole
  Hypotension
  Pulse pressure

Diastolic pressure

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The normal respiratory rate of an adult ranges from:
  8 to 16 respirations per minute
  10 to 18 respirations per minute
  12 to 20 respirations per minute
  16 to 22 respirations per minute

12 to 20 respirations per minute

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The structure located at the end of the external auditory canal that functions in receiving and transmitting sound waves is the:
 External auditory meatus
  Incus
  Cochlea
  Tympanic membrane

Tympanic membrane

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What is the term used to describe a tentative diagnosis obtained through the evaluation of the health history and the physical examination?
  Differential diagnosis
  Final diagnosis
  Clinical diagnosis
  Physical diagnosis

Clinical diagnosis

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Which of the following prevents ambient light from interfering with the SpO2 reading?
Cleansing the placement site with an alcohol wipe
Warming the probe placement site
Covering the probe with a washcloth
Proper alignment of the probe on the patient’s finger

Covering the probe with a washcloth

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Blood pressure is measured in:
  Units
  Degrees
  Beats/min
  Millimeters of mercury

Millimeters of mercury

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When performing an eye irrigation, the solution should be released:
  At the outer canthus
  Toward the upper eyelid
  Directly onto the cornea
  At the inner canthus

At the inner canthus

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How much time should the patient be given to identify the number on each Ishihara color plate?
  3 seconds
  10 seconds
  1 minute
  As long as is needed

3 seconds

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If you suspect a vein selected for venipuncture might collapse, you should:
Use an 18 gauge needle to collect the specimen
Use the butterfly method to perform the venipuncture
Loosen the tourniquet
Insert the needle slowly into the vein

Use the butterfly method to perform the venipuncture

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What is the purpose of the Needlestick Safety and Prevention Act?
To ensure that an injection is administered correctly
To ensure the proper disposal of sharps
To reduce the chance of infection developing at the injection site
To reduce needlestick injuries among health care workers

To reduce needlestick injuries among health care workers

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An immature form of a neutrophil is known as a:
  Plasma cell
  Mast cell
  Band
  Seg

Band

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What term describes a device that makes an exposure incident involving a contaminated sharp less likely to occur?
  Postexposure prophylaxis
  Decontamination
  Personal protective equipment
  Safer medical device

Safer medical device

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The external auditory canal of an adult is straightened by:
  Pulling outward on the ear auricle
  Pulling the ear upward and backward
  Asking the patient to look up
  Pulling the ear downward and backward

Pulling the ear upward and backward

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Which urinary structure or structures normally contain microorganisms?
  Kidneys
  Ureters
  Urinary meatus
  Urinary bladder

Urinary meatus

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``` What is the term used to describe temporary cessation of breathing? Hypoxia Hypopnea Apnea Anoxia ```

Apnea

``` You are measuring the pulse and find it feels weak and rapid. How would you record this? Bounding Thready Tachycardia Bradycardia ```

Thready

You need to collect a venous blood specimen from a patient to run an FBS. Which of the following would be an inappropriate statement to make to the patient during this procedure? “Which arm was used in the past to draw blood from you?” “Please do not move during this procedure.” “This procedure will not hurt.” “When did you last eat or drink?”

“This procedure will not hurt.”

``` What is the term used to describe a physical or mechanical device used to remove health hazards from the workplace? Engineering control Work practice control Personal protective equipment Universal precaution ```

Engineering control

The purpose of the interval prenatal history is to: Record weight, blood pressure, and urine testing results Determine the presence of any concerns or problems Determine the occurrence of any additional signs of pregnancy Record the fetal heart tones and fundal height All of the above

All of the above

``` The temporal artery site can be used to measure body temperature in: Infants Children Adults Elderly All of the above ```

All of the above

``` The purpose of asking a patient if he or she needs to void before the physical examination includes all of the following EXCEPT: To obtain a urine specimen To make the examination easier To prevent urinary incontinence To provide for patient comfort ```

To prevent urinary incontinence

``` All of the following may cause a decrease in the SpO2 reading EXCEPT: Pneumonia Asthma Emphysema Gastritis ```

Gastritis

``` Which of the following tests is NOT included in a CBC? Differential white blood cell count Hemoglobin Hematocrit Prothrombin time Red and white blood cell counts ```

Prothrombin time

How does a temporal artery temperature reading compare with an oral body temperature reading? Approximately 1° higher than an oral reading Approximately 1° lower than an oral reading Approximately 2° higher than an oral reading It is the same as an oral reading

Approximately 1° higher than an oral reading

``` What is the EDD of a patient whose LMP was September 5, 2007? 12/12/08 6/2/08 6/12/08 12/2/08 ```

6/12/08

``` Where is the radial pulse located? On the thumb side of the wrist In the center of the antecubital space On the little finger side of the wrist On the anterior side of the neck ```

On the thumb side of the wrist

``` Mrs. Long is pregnant for the fourth time. The first pregnancy was carried to term but ended in the birth of a stillborn. Mrs. Long lost the second pregnancy at 3 months' gestation. The third pregnancy resulted in the birth of twin girls. How would you record this information in the patient's chart? G 4, T 3, P 0, A 1, L 2 G 4, T 2, P 0, A 1, L 2 G 4, T 1, P 0, A 1, L 1 G 3, T 3, P 0, A 1, L 2 ```

G 4, T 2, P 0, A 1, L 2

``` Which of the following is an example of percussion? Measuring pulse Testing reflexes with a rubber hammer Testing hearing with a tuning fork Listening to breath sounds ```

Testing reflexes with a rubber hammer

``` Using the right eye, the patient reads the line marked 20/30 with one error. How would you chart this? AS 20/30 -1 OS 20/30 -1 OD 20/30 -1 AD 20/30 -1 ```

OD 20/30 -1

Which of the following represents an ERROR in technique when obtaining a capillary blood specimen? Warming the patient’s finger by massaging it Allowing the antiseptic to dry before making the puncture Making the puncture perpendicular to the lines of the fingerprint Using the first drop of blood for the test

Using the first drop of blood for the test

Which of the following is a disadvantage of using the syringe method of venipuncture? The amount of blood specimen that can be collected is limited by the size of the syringe Use of this method may cause the vein to collapse It is more difficult to stick the vein This method is more uncomfortable for the patient All of the above

The amount of blood specimen that can be collected is limited by the size of the syringe

``` One respiration consists of: One inhalation One exhalation One inhalation and one exhalation The opening and closing of the valves of the heart ```

One inhalation and one exhalation

After a urine culture has been inoculated, it must be: Sprayed with a fixative Placed in the refrigerator for 4 to 6 hours Stored at room temperature for 8 to 12 hours Incubated for 18 to 24 hours

Incubated for 18 to 24 hours

The purpose of the OSHA Bloodborne Pathogens Standard is to: Improve the quality of laboratory testing in the United States Protect public health and the environment outside of the workplace Reduce the risk to employees of exposure to infectious diseases Prevent exposure of employees to bloodborne pathogens

Reduce the risk to employees of exposure to infectious diseases

``` An adult patient's weight should be measured to the nearest: Quarter pound Half pound Pound Ounce ```

Quarter pound

``` What is the term for an illness characterized by symptoms that have a rapid onset, are severe and intense, and subside after a short period? Chronic illness Self-limiting illness Acute illness Fatal illness ```

Acute illness

``` What is the term for the presence of ketone bodies in the urine? Acidosis Alimentary glycosuria Ketosis Ketonuria ```

Ketonuria

The patient should be instructed not to douche before having a Pap smear taken because douching: Changes the pH of the vagina Results in a false-positive test result Changes the appearance of the epithelial cells Reduces the number of cells available for analysis

Reduces the number of cells available for analysis

``` Which of the following is usually found in the urine sediment of a patient with candidiasis? Parasites Yeast Bacteria Casts ```

Yeast

``` An optometrist performs all of the following EXCEPT: Diagnoses and treats eye disorders Prescribes corrective lenses Measures visual acuity Performs eye surgery ```

Performs eye surgery

``` Which of the following is an example of auscultation? Measuring body temperature Measuring blood pressure Urine testing Testing pupillary reaction ```

Measuring blood pressure

The plasma functions in: Transporting electrolytes needed by the cells Transporting nutrients to the tissues Picking up wastes from the tissues Transporting antibodies, enzymes, and hormones All of the above

All of the above

``` What is the normal range for the fetal pulse rate? 80 to 120 beats/min 100 to 140 beats/min 120 to 160 beats/min 140 to 180 beats/min ```

120 to 160 beats/min

``` The transparent part of the eye that covers the pupil and the iris is the: Sclera Cornea Choroid Lens ```

Cornea

``` Which of the following urine tests may be positive when a patient has hepatitis? Glucose Protein Bilirubin Ketone bodies ```

Bilirubin

``` The lens of a tympanic membrane thermometer should be cleaned with: A mild detergent An abrasive cleanser An antiseptic wipe A soft tissue ```

An antiseptic wipe

``` Pus consists of all of the following EXCEPT: Dead leukocytes Erythrocytes Dead bacteria Dead tissue cells ```

Erythrocytes

Which of the following represents an ERROR in the eye instillation technique? Making sure the medication bears the word ophthalmic Asking the patient to look up before instilling drops Instilling drops onto the center of the cornea Asking the patient to close and roll the eye after the instillation

Instilling drops onto the center of the cornea

``` All of the following are included in a complete patient examination EXCEPT: The health history Therapeutic procedures The physical examination Laboratory tests ```

Therapeutic procedures

``` What is the purpose of prenatal care? To prevent disease To promote health To provide prenatal education For the early detection of problems All of the above ```

All of the above

``` The Snellen eye chart is used to: Assess visual acuity Diagnose conjunctivitis Assess peripheral vision Diagnose glaucoma All of the above ```

Assess visual acuity

``` Which of the following test results indicates a concentrated urine specimen? pH: 6 Red blood cells: 3/HPF Protein: trace Ketone bodies: ?+1 Specific gravity: 1.025 ```

Specific gravity: 1.025

``` AIDS cannot be transmitted through: Casual contact Blood splashes Sexual intercourse Needlestick injuries ```

Casual contact

``` What is the purpose of the Pap test? Early detection of cancer of the cervix Diagnosis of gonorrhea Evaluation of the cause of infertility Evaluation of postmenopausal bleeding All of the above ```

Early detection of cancer of the cervix

A 24-hour urine specimen may be collected to: Detect the presence of liver disease Diagnose a UTI Determine the cause of kidney stone formation Determine if a patient has diabetes mellitus

Determine the cause of kidney stone formation

Which of the following does NOT need to be reported to the physician? The lochia discharge is absent within the first 2 weeks after delivery The lochia discharge increases rather than decreases The lochia changes to yellowish white after having been red The lochia has a foul odor

The lochia changes to yellowish white after having been red

``` Patients with chronic hepatitis B face an increased risk of developing: Liver cancer Pancreatitis Rheumatic heart disease Gallstones ```

Liver cancer

Which of the following represents an ERROR in Snellen eye testing technique? Positioning the chart at the patient's eye level Having the patient keep his or her glasses on for distance vision Instructing the patient not to squint during the test Asking the patient to close the eye not being tested

Asking the patient to close the eye not being tested

``` Which of the following urine tests may be positive when a patient has undiagnosed diabetes mellitus? Glucose Protein Nitrite Bilirubin All of the above ```

Glucose

``` Treatment for acute hepatitis B includes: Antibiotics Physical therapy Liver transplantation Restricted activity and rest ```

Restricted activity and rest

``` The nucleus of a neutrophil generally contains: Three to five lobes Six to eight lobes Fine granules No lobes ```

Three to five lobes

``` The Snellen Big E chart is used with: Elderly individuals Individuals with cataracts Non?English-speaking individuals School-age children ```

Non?English-speaking individuals

What preparation is required to examine Trichomonas vaginalis under the microscope? The vaginal discharge is placed on a slide with a drop of isotonic saline A culture medium is inoculated with the vaginal discharge The swab containing the discharge is placed in a transport medium The vaginal discharge is placed on a slide with a drop of KOH

The vaginal discharge is placed on a slide with a drop of isotonic saline

When performing a capillary puncture, the finger should NOT be squeezed to avoid: Diluting the blood sample with tissue fluid Excessive bleeding around the puncture site Exposure of the medical assistant to bloodborne pathogens Bruising of the patient’s finger

Diluting the blood sample with tissue fluid

For an artery to be considered as a pulse site, it must be: Located in a closed cavity Located away from major nerves Located over a firm tissue such as bone Located close to the heart

Located over a firm tissue such as bone

The type of specimen that should be used to test for the presence of nitrite in the urine is a: Specimen that has been left standing at room temperature for a half hour 24-hour urine specimen Freshly voided random specimen First-voided morning specimen

First-voided morning specimen

``` All of the following make a person less resistant to a pathogen EXCEPT: Poor nutrition Immunizations Poor hygiene Stress ```

Immunizations

``` Which type of the following white blood cells has granules in the cytoplasm that stain a bright reddish orange? Neutrophil Basophil Lymphocyte Monocyte Eosinophil ```

Eosinophil

``` Which of the following is the most specific type of hearing test? Tuning fork test Audiometry Whisper test Otoscopy ```

Audiometry

``` A urine culture is used in the diagnosis of: An injury to the urinary system Kidney stones A urinary tract infection Diabetes mellitus ```

A urinary tract infection

Which of the following patients is most likely to develop candidiasis? A patient with poor hygiene A patient who has irregular menstrual periods A patient on prolonged antibiotic therapy A patient with multiple sexual partners

A patient on prolonged antibiotic therapy

``` When performing a microscopic examination of urine, the presence of how many white blood cells/HPF is considered normal? 0 to 8 0 to 15 0 to 20 2 to 6 ```

0 to 8

What is the function of the lens of the eye? To permit the entrance of light rays into the eye To control the size of the pupil To focus light rays on the retina To transmit light rays to the brain

To focus light rays on the retina

``` An increase in eosinophils often occurs: During an acute infection During a viral disease During an allergic reaction When a patient has infectious mononucleosis ```

During an allergic reaction

``` A tympanic membrane thermometer should not be used to measure temperature on a patient who has: Otitis externa A small amount of cerumen in the ear Big ears Strep throat ```

Otitis externa

``` Mr. Peterson has a hemoglobin reading of 16. This is considered: Within normal range Above normal range Below normal range An invalid result ```

Within normal range

Refraction is: The dilation of the pupil The ability of the eye to bend light rays so that they can be focused on the retina The ability of the eye to distinguish colors The transmission of light stimuli from the optic nerve to the brain

The ability of the eye to bend light rays so that they can be focused on the retina

``` The eustachian tube connects the nasopharynx to the: Middle ear Inner ear External auditory ear canal Cochlea ```

Middle ear

``` When measuring blood pressure, the patient's arm should be positioned: Above heart level At heart level Across the chest With the palm facing downward ```

At heart level

What effect could patient movement have on the pulse oximetry procedure? Prevents the probe from picking up the pulse signal Causes a decrease in blood flow to the finger Prevents the probe from being aligned properly Causes the photodetector to absorb too much light

Prevents the probe from picking up the pulse signal

``` Excessive bleeding during the menstrual period is known as: Metrorrhagia Dysfunctional uterine bleeding Hemorrhaging Dyspareunia ```

Dysfunctional uterine bleeding

``` Which of the following examinations requires the use of deep palpation? Bimanual pelvic examination Breast examination Detection of areas of tenderness Detection of swelling ```

Bimanual pelvic examination

A vaginal examination is usually performed as the patient nears term. All of the following are reasons for performing this examination EXCEPT: To confirm the presenting part To determine the degree of cervical dilation To determine the degree of cervical effacement To determine when the patient will go into labor

To determine when the patient will go into labor

``` Which of the following represents a decrease in the elasticity of the lens as a result of the aging process? Glaucoma Presbyopia Hyperopia Cataracts ```

Presbyopia

``` How should urine reagent strips be stored? In a cool area In a dark container In a dry area With the cap tightly closed All of the above ```

All of the above

Which of the following is NOT a function of the urinary system? To remove waste products from the blood To regulate the fluid balance of the body To regulate the temperature of the body To regulate the electrolyte balance of the body

To regulate the temperature of the body

``` . What is the term for an infection that results from a defective immune system that cannot defend itself from pathogens normally found in the environment? Autoimmunity Opportunistic Contagious Seropositive ```

Opportunistic

``` A low hemoglobin reading occurs with: Polycythemia Anemia Hepatitis Emphysema ```

Anemia

Reasons why the temporal artery is a good site for measuring body temperature include all of the following EXCEPT: It is not affected by ambient temperature It is easily accessible It has a constant, steady flow of blood It is located close to the surface of the skin

It is not affected by ambient temperature

``` Which of the following may require a physical examination? Prerequisite for employment Participation in sports School admission Summer camp attendance All of the above ```

all of the above

How often does OSHA require employers to review and update their Exposure Control Plan? Every 6 months Once a year Every 2 years Only when a new procedure is instituted

Once a year

During the venipuncture procedure, a sudden swelling occurs in the area around the puncture site. You should: Apply pressure to the area with a gauze pad Continue with the venipuncture Immediately remove the tourniquet and then the needle Call 911

Immediately remove the tourniquet and then the needle

``` The patient's height should be measured to the nearest: 1/8 inch 1/4 inch 1/2 inch 1 inch ```

1/4 inch Correct

``` Where is the popliteal pulse located? In front of the ear and just above eye level In the middle of the groin On the anterior side of the neck In the back of the knee ```

In the back of the knee

``` The American Cancer Society recommends that a woman perform breast self-examination: Weekly Monthly Every 2 months Twice a year ```

Monthly Correct

``` The patient's height should be recorded in: Inches Feet and inches Centimeters Meters ```

Feet and inches Correct

``` Which of the following individuals would be LEAST likely to have dyspnea? A patient with chronic bronchitis A patient with arthritis A patient with emphysema A patient with asthma ```

A patient with arthritis Correct

The purpose of measuring fundal height is to: Diagnose pregnancy Determine the presence of fetal distress Assess whether or not fetal growth is progressing normally Determine the degree of cervical dilation and effacementu

Assess whether or not fetal growth is progressing normally Correct

Impacted cerumen can be softened by: Irrigating the ear with an antiseptic solution Inserting a moistened cotton-tipped applicator into the ear Instilling several drops of warm mineral oil into the ear Placing a heating pad next to the ear

Instilling several drops of warm mineral oil into the ear Correct

``` Chlamydia and gonorrhea are usually diagnosed using: A culture test An antigen-antibody test A DNA-probe test A pregnancy test ```

A DNA-probe test Correct

``` Mrs. Nelson has a white blood cell count of 14,500. This is considered: Within normal range Above normal range Below normal range An inaccurate test result ```

Above normal range Correct

HW#10_NCMA (NCCT) Exam Prep #2 Flashcards

(111 cards)