Chapter 4 Challenges Flashcards

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1
Q

Match the vital sign with the equipment, supply, or instrument used.

Vital Sign:
A: Blood Pressure
B: Temperature
C: Pulse
D: Respiration Sounds
E: Oxygen Level

Equipment:
1: Stethoscope
2: Pulse Oximeter SpO2
3: Sphygmomanometer
4: Manually (fingers)
5: Thermometer

A

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

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2
Q

Which of the following supplies and equipment are commonly in an examination room for a general patient exam? (select all that apply)

A: exam gowns
B: sigmoidoscope
C: Exam table
D: EKG machine
E: Otoscope

A

A, C and E

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3
Q

Match the instrument with the correct function it is used for:

Instrument:
A: Ophthalmoscope
B: Otoscope
C: Reflex Hammer

Function:
1: used to examine the ear canal and tympanic membrane
2: used to test for reflexed
3: used to view the interior of the eye

A

A:3
B:1
C:2

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4
Q

Match the equipment or instrument with the medical specialty for which it is commonly used:

Equipment:
A: Holter monitor
B: Percussion hammer
C: Glucometer
D: Spirometer
E: Vaginal Speculum

Specialty:
1: Endocrinology
2: Gynecology
3: Cardiology
4: Neurology
5: Pulmonology

A

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

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5
Q

Which of the following equipment and instruments are commonly used during a gynecological exam? (select all that apply)

A: stirrups
B: scratch test
C: retractor
D: peak flow meters
E: speculum
F: cytology kit

A

A, C, E, and F

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6
Q

Which of the following equipment and instruments are commonly used in a pulmonology specialty? (select all that apply)

A: audiometer
B: peak flow meter
C: pulse oximeter
D: Holter monitor
E: snellen chart
F: spirometer

A

B, C and F

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7
Q

Order the steps of preparing a patient for a procedure or examination into the correct sequence.

A: assist the patient with dressing, if requested
B: prepare the exam room
C: identify the patient and introduce yourself
D: Provide the patient a gown and drape
E: Review the patient’s medical chart

A

E, B, C, D, A

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8
Q

Which of the following procedures will require specific preparation prior to the procedure?

A: EKG test
B: Snellen test
C: Urinalysis
D: Colonoscopy

A

D

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9
Q

Which of the following considerations should be done when communication with older patients?

A: speak loudly
B: repeat questions and comments, as necessary
C: Direct questions to the accompanying family member about the patient
D: show respect by referring to the patient as “sweetie” and “honey”

A

B

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10
Q

A child is scheduled to get an immunization and is very anxious and scared. What can you do to help calm the child?

A

Be honest and calm and explain to the child that they will feel a small pinch and that they feeling will not last long. Distract or have a parent or guardian distract the child during the shot. Role play by pretending to administer a shot to a stuffed animal. Reward the child with a treat or toy afterward

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11
Q

Match the position with its description:

Position:
A: dorsal recumbent
B: fowler’s
C: semi-fowler’s
D: lithotomy
E: left lateral
F: supine

Description:
1: sitting position with back at 90 degree angle to the exam table
2: lying flat on the back with the arms down to the side
3: laying on the left side with the left leg slightly flexed and the right left flexed at 90 degree angle
4: sitting position with ack at 45 degree angle to the exam table
5: lying flat on the back with the knees bent
6: lying flat on the table with feet resting on stirrups

A

A:5
B:1
C:4
D:6
E:3
F:2

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12
Q

Which of the following positions would be best for a patient that has dyspnea?

A: prone
B: lithotomy
C: semi-fowler’s
D: left lateral

A

C

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13
Q

A MA is preparing a patient for a pelvic exam. Which of the following positions should the patient be placed in?

A: Prone
B: Lithotomy
C: Semi-Fowler’s
D: Left Lateral

A

B

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14
Q

Which of the following is a parenteral route of medication administration?

A: Buccal
B: Oral
C: Subcutaneous
D: Transdermal

A

C

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15
Q

A medication is prescribed to a patient at 25 mg tablets twice a day. Which of the following is the total milligrams prescribed to the patient each day?

A: 2.5 mg
B: 25 mg
C: 50 mg
D: 75 mg

A

C

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16
Q

A patient is prescribed 40 mg/day of a medication. The medication is dispensed as 10 mg tablets. How many tablets should the patient take a day?

A: 1
B: 4
C: 10
D: 40

A

B

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17
Q

A medication is available at 160 mg per 5 mL. The patient is prescribed 240 mg of the medication. How much should be administered?

A: 1.5 mL
B: 3.3 mL
C: 5 mL
D: 7.5 mL

A

D

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18
Q

Order the steps of performing a triple check for medication administration in the correct sequence.

A: Returning the medication to the storage cabinet
B: Preparing the medication
C: Comparing the medication label to the medication order

A

C, B, A

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19
Q

Which of the following are part of the nine rights of medication administration? (select all that apply)

A: right medication
B: right dose
C: right technique
D: right insurer
E: right documentation

A

A, B, C, and E

20
Q

When performing an ear instillation for a child, how should you adjust the auricle of the ear?

A: Pulling the auricle outward and upward
B: Pulling the auricle outward and downward
C: Pulling the auricle inward and upward
D: Pulling the auricle inward and downward

A

B

21
Q

Which of the following is a sign of anaphylactic shock?

A: Rash
B: Watery Eyes
C: Hives
D: Difficulty Swallowing

A

D

22
Q

A patient reports having a medication allergy. What questions should you ask? (select all that apply)

A: who is the medication manufacturer?
B: What was the reaction?
C: When did the reaction start after taking the medication?
D: How many doses have you taken?
E: Why are you prescribed this medication?

A

B, C, D and E

23
Q

Used needles should be disposed of in which of the following ways?

A: recapped and placed in the trash bin
B: recapped and placed in the sharps container
C: uncapped and placed in the biohazard container
D: uncapped and placed in the sharps container

A

D

24
Q

Which of the following is considered a reusable equipment or supply?

A: 5 mL syringe
B: surgical forceps
C: injection needling
D: medication ampule

A

B

25
Q

Match the injection site with the type of injection.

Type of injection:
A - abdominal region
B - deltoid
C - upper, outer arm
D - anterior forearm
E - Vastus lateralis

Injection Site:
1 - intradermal
2 - intramuscular
3 - subcutaneous

A

1: D
2: B, E
3: A, C

26
Q

Which of the following needle size would you select for tuberculin (TB) test?

A: 31 G 1
B: 26 G 1/2
C: 25 G 1 1/3
D: 18 G 1 1/2

A

B

27
Q

Match the site of injection with the angle of injection:

Injection site:
A - abdominal region
B - upper, outer arm
C - anterior forearm
D - deltoid
E - Ventrogluteal

Angle of injection:
1 - 15 degrees
2- 45 degrees
3 - 90 degrees

A

1: C
2: A, B
3: D, E

28
Q

Which of the following syringes would best be used to administer 0.1 mL?

A. 2 mL hypodermic
B. Insulin
C. Tuberculin
D. 3 mL hypodermic

A

C

29
Q

Which of the following items should be disposed of in the trash and not the sharps container? (select all that apply)

A: Alcohol pad
B: Gloves
C: Bangages
D: Needle and syringe
E: Gauze

A

A, B, C, and E

30
Q

Many medication require storage in the refrigerator or freezer. How often should the temperatures be checked?

A: Annually
B: Daily
C: Monthly
D: Weekly

A

B

31
Q

Refrigerated medications must be stored at which of the following temperature ranges?

A: 58 to 5 F
B: 35 to 46 F
C: -58 to 5 C
D: 35 to 46 C

A

B

32
Q

Which of the following must be includes in a MAR? (select all that apply)

A: name of the medication
B: dosage of the medication
C: Any Allergies
D: Name of the pharmacy
E: Name of the prescriber

A

A, B, C, and E

33
Q

A patient has been prescribed two 200 mg tablets of ibuprofen. At which point should you initial the MAR during the medication administration process?

A: after you confirm the medical order
B: After administering the medication to the patient
C: after you verify the medication order with the MAE
D: after preparing the medication

A

B

34
Q

Order the steps for ear irrigation into the correct sequence.

A: examine the affected ear with an otoscope
B: position the patient
C: Warm the solution
D: hold the wash basin tightly below the affected ear
E: insert the tip of the syringe pointed toward the top of the ear canal and spray the solution

A

C, B, A, D, E

35
Q

Which of the following process is considered the ost convenient and efficient when prescribing?

A: computer-generated order provided to the patient to bring directly to the pharmacy
B: computer-generated order by EHR faxed to the pharmacy
C: written order that is faxed
D: electronic order by EHR that is transmitted to the pharmacy

A

D

36
Q

Which of the following is an advantage of electronic prescriptions?

A: controlled substances cannot be prescribed
B: can be transmitted with any EHR software
C: Reduces the risk of prescriptions being lost, stolen, or altered
D: Electronic prescriptions being valid once transmitted

A

C

37
Q

Which of the following is true when transmitting an e-prescription? (select all that apply)

A: pharmacy must use approved software
B: provider must use software as a part of an EHR system
C: provider must use approved software
D: provider must have DEA number for controlled substances
E: prescribing software must be DEA EPCS approved

A

A, C, D, E

38
Q

Which of the following patients would require a specialty pharmacy?

A: a patient needing a urinalysis test to diagnose a urinary tract infection
B: a young patient needing a weight-based dosage of a medication for leukemia
C: a young patient with a prescription for diabetes supplies
D: an older adult patient needing a prescription for a laxative

A

B

39
Q

Which of the following describes a compounding medication?

A: a medication from a mixture of two or more ingredients
B: A medication that is a liquid and must be infused
C: a medication that does not need to be refrigerated
D: a medication that can be prescribed without a prescription

A

A

40
Q

Where can you find an advance directive in a patient’s medical record?

A: demographic data
B: administrative data
C: Correspondence
D: Financial Information

A

B

41
Q

Which of the following patient conditions is required to be reported to local and state government agencies?

A: confirmed tuberculosis
B: a broken arm
C: a new diagnosis of breast cancer
D: pneumonia

A

A

42
Q

Which of the following are advantages of an order in the CPOE compared to a written order? (select all that apply)

A: corrects misplaced decimals
B: prevents incorrect dosage
C: Identifies medication interations
D: recommends treatment options

A

B, C, and D

43
Q

You are on a committee to select a new EHR software for your medical practice. How would you describe the advantages of adding a CPOE with a CDSS?

A

CPOE systems are generally paired with some form of clinical decision support system (CDSS), which can help prevent errors of medication ordering and suggest recommendations for medication dosage, routes of administrations, and frequency. More sophisticated CDSSs may have medication safety features, such as checking for medication allergies or drug-drug or even drug-laboratory. This would improve not only efficiency in the medical practice but also patient safety.

44
Q

Which of the following is a type of telehealth but not telemedicine?

A: patient being evaluated for a cough
B: an irregular mole being checked on a patient
C: continuing education for a MA
D: MA demonstrating how to use a blood glucose meter

A

C

45
Q

Which patients do you think would most benefit from telehealth?

A

Patients who have difficulty with transportation and getting to and in-person medical visit, such as older adult patients, those who have disabilities, those who are bed- or homebound, and those in rural areas.

46
Q

Which of the following criteria are appropriate for a telehealth visit with a healthcare provider? (select all that apply)

A: patient has a wound that won’t stop bleeding
B: private area is needed
C: patient meets the technology requirements
D: Patient is self-reporting blood pressure readings

A

B, C, and D