Chapter 3 Challenges

Question 1

Which of the following are the two most common identifiers used to confirm patient identity?

A: Name and SS number
B: Name and birth date
C: Name and address
D: SS number and birth date

Answer 1

B

Question 2

A patient enters the medical office. The MA greets them and verifies the patient’s name, address, telephone number, insurance information, and emergency contact. This specific information describes which of the following?

A: Personal Information
B: Medical Records
C: Demographics
D: Patient Identifiers

Answer 2

C

Question 3

A patient states they smoke two packs of cigarettes per day. This finding should be recording in which of the following sections?

A: Social History
B: Past Medical History
C: Chief Complaint
D: Family History

Answer 3

A

Question 4

Which of the following is objective information? (Select all that apply)

A: Stomach Pain
B: Blood pressure 128/74 mm Hg
C: Nausea
D: Heart Rate 88/min
E: Weight 175 lb

Answer 4

B, D and E

Question 5

Which of the following is an example of what the medical assistant may be responsible for documenting? (Select all that apply)

A: Review of systems
B: Medical History
C: Family History
D: Social History
E: Chief Complaints

Answer 5

B, C, D and E

Question 6

While reviewing a patient’s health history form the medical assistant noticed they did not complete the social and occupational history part of the form. Why might a patient not complete this portion of the form, and what should the MA do?

Answer 6

The patient may have missed that part of the health history form or be uncomfortable answering some questions. Explain the importance of getting all the information and ask the patient if they need help answering the questions. The patient has the right to refuse to answer the questions.

Question 7

Which of the following is a common sign of depression?

A: Feeling anxious or nervous
B: Binge Eating
C: Profound sadness and fatigue
D: Illogical thought patterns

Answer 7

C

Question 8

A 16-year-old patient has come to the office reporting lower abdominal pain. As the MA interview the patient, they notice the patient seems to the difficulty concentration on the conversation. The patient constantly looks toward the closed door of the exam room and asks the MA several times whether the provider is nice. Which of the following is likely reason for the patient’s behavior?

A: Depression
B: Physical Abuse
C: Anxiety
D: Substance Abuse

Answer 8

C

Question 9

Which of the following Korotkoff phases is indicative of the diastolic recording?

A: Phase I
B: Phase II
C: Phase III
D: Phase IV
E: Phase V

Answer 9

E

Question 10

Which of the following can occur if the wrong size BP cuff is used?

A: The systolic and diastolic can be impacted by up to 6.9 mm Hg.
B: The BP can be elevated by up to 9.5 mm Hg.
C: The systolic will be elevated by up to 6 mm Hg, and the diastolic will remain the same.
D: The diastolic will be lowered by 9 mm Hg, and the systolic will remain the same.

Answer 10

A

Question 11

A 56-year-old patient came in reporting dizziness. The physician ordered orthostatic vital signs only in the lysin and standing positions. In the lying position, the patient’s vitals were heart rate 90/min and BP 130/80 mm Hg. In the standing position, the patient’s vitals were heart rate 115/min and BP 108/68 mm Hg. Did the patient have a positive test for orthostatic hypotension? Explain why.

Answer 11

Yes, the patient had a positive test for orthostatic hypotension. the patient had a greater than 10/min increase in heart rate and greater than 20 mm Hg drop in BP, which indicates a positive test.

Question 12

Place the steps in the correct order:

A: Document the date, time, pulse, strength, and rhythm
B: Count the pulse for 30 seconds
C: Place two or three fingers on the radial pulse
D: Multiply the number of beats counted in 30 seconds by 2
E: The MA introduces themselves and explains the procedure to the patient

Answer 12

E, C, B, D, A

Question 13

Which of the following sites is most commonly used to check a pulse in children?

A: Brachial
B: Radial
C: Carotid
D: Temporal

Answer 13

A

Question 14

Which of the following are assessed when taking a pulse? (select all that apply)

A: Rate
B: Depth
C: Rhythm
D: Strength

Answer 14

A, C and D

Question 15

Match the term with the correct definition:

Term:
A: Apnea
B: Bradypnea
C: Tachypnea
D: Dyspnea
E: Orthopnea

Definition:
1: Rapid shallow breathing
2: Abnormally slow breathing
3: Difficulty breathing unless in upright position
4: Periodic cessation of breathing
5: Difficulty Breathing

Answer 15

A:4
B:2
C:1
D: 5
E: 3

Question 16

Which of the following is the respiratory expected reference range for an adult?

A: 26 to 40/min
B: 20 to 30/min
C: 18 to 24/min
D: 12 to 20/min
E: 10 to 20/min

Answer 16

D

Question 17

While observing pulse oximetry, the MA notices the reading is 89%. What should the MA do, and why?

Answer 17

Notify the provider or the reading and await further instruction

Question 18

Which of the following does an oximeter measure?

A: Oxygen saturation in the blood
B: Oxygen saturation in the skin
C: Electricity of the heart
D: Blood Pressure
E: Heart Rate

Answer 18

A

Question 19

List 3 factors that can affect a temperature reading.

Answer 19

Drinking hot or cold liquids, smoking, chewing gum, cold weather, hot weather, age, and menstrual cycle can affect a temperature reading.

Question 20

Which of the following temperature sites does not have to be indicated when documenting the reading in the patient’s health record?

A: Tympanic
B: Oral
C: Rectal
D: Temporal Artery

Answer 20

B

Question 21

Match the site for temperatures to its abbreviation

Site:
A: Rectal
B: Temporal Artery
C: Axillary
D: Tympanic

Abbreviation:
1: A
2: R
3: T
4: TA

Answer 21

A:2
B:4
C:1
D:3

Question 22

In addition to documenting the number for the pain level, which of the following characteristics of the patient’s pain need to be documents? (select all that apply)

A: Location
B: Onset
C: Duration
D: Cause
E: Characteristics

Answer 22

A, B, C, and E

Question 23

Which of the following indicates last menstrual period?

A: Last day of the last menstrual period
B: First day of the last menstrual period
C: Late menstrual period
D: Heaviest flow day of the last menstrual period

Answer 23

B

Question 24

The circumference of a child’s head should be measured at a well-child visit until which of the following ages?

A: 1 yr
B: 2 yrs
C: 3 yrs
D: 5 yrs

Answer 24

C

Question 25

An 18-month-old patient is in for a well visit. After the MA weighs the infant and measures their length, the data gets transferred to the electronic health record, which plots the 18-month-olds patient’s measurements on the growth chart. The medical assistant shows the patient’s parent that the infant is in the 90th percentile for their weight. The parent is shocked, thinks their baby is overweight, and asks what they should do. How should the MA respond?

Answer 25

Reassure the parent that this does not indicate that the infant is overweight. Explain that the measurements should stay within the grid and that the patient’s weight is in the 90th percentile among other 18-month-old patients of their sex.

Question 26

Which of the following criteria is used to determine a patient’s BMI?

A: Height and age
B: Weight and age
C: Height and weight
D: Age and birthday

Answer 26

C

Question 27

A patient has come for a routine office visit. The MA is about to measure the patient’s weight but sees that they use a cane to ambulate. What can the MA do to help this patient balance on the scale if there are no handrails?

Answer 27

Assist the patient up on the scale. Use a walker to assist the patient in stepping on and off the scale

Question 28

A 30-year-old patient’s vital signs are temperature 98.2 F, heart rate 117/min, respirations 18/min, BP 146/94 mm Hg. Which of the following vitals are outside the expected reference range? (Select all that apply)

A: Temperature
B: Heart rate
C: Respirations
D: Blood Pressure

Answer 28

B and D

Question 29

Which of the following are abnormal vital signs in an adult? (select all that apply)

A: Heart Rate 88/min
B: Respiratory rate 28/min
C: Temperature 102 F
D: Blood Pressure 110/68 mm Hg
E: Pulse Oximetry 96%

Answer 29

B and C

Question 30

An adult patient has started taking medication for hypertension since their last visit. Which of the following would the MA most likely expect at this visit?

A: Blood pressure within normal range
B: Blood pressure higher than normal
C: Blood pressure lower than normal
D: Blood pressure lower than it was on the previous visit

Answer 30

D

Question 31

A patient tells the MA they smoke. What is an important question to ask before measuring the patient’s vital signs?

Answer 31

Find out when the patient last smoked a cigarette. If they just smoked, their temperature will be falsely elevated