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

1
Q
Which of the following gauge needles should be used to perform a venipuncture?
  16 G
  18 G
  21 G
  25 G
A

21 G

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2
Q
Polyuria may be caused by:
  The excessive intake of fluids
  The consumption of caffeine
  Diabetes mellitus
  Taking a diuretic
  All of the above
A

All of the above

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3
Q

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

A

The S-shaped end of the cervical scraper

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4
Q
Tympanometry is most useful in diagnosing patients with:
  Serous otitis media
  Conductive hearing loss
  Sensorineural hearing loss
  Auditory nerve damage
A

Serous otitis media

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5
Q

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

A

Conditions that may affect the health of the mother or fetus

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6
Q
The lithotomy position is used to examine the:
  Vagina
  Abdomen
  Sigmoid colon
  Breasts
A

Vagina

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7
Q
An increase in neutrophils occurs during:
  An acute infection
  Polycythemia
  Bone marrow damage
  A chronic infection
A

An acute infection

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8
Q
In the female, the urethra functions in:
  Transporting urine
  Controlling urine excretion
  Balancing fluids and electrolytes
  Transporting reproductive secretions
  All of the above
A

Transporting urine

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9
Q
If left untreated, a chlamydial infection in a woman can result in:
  Infertility
  Cervical cancer
  Dysmenorrhea
  Cervical erosion
A

Infertility

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10
Q
The range of frequencies for normal speech is:
  80 to 120 db
  512 to 1024 Hz
  300 to 4000 Hz
  6000 to 8000 Hz
A

300 to 4000 Hz

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11
Q
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
A

Diastolic pressure

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12
Q
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
A

12 to 20 respirations per minute

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13
Q
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
A

Tympanic membrane

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14
Q
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
A

Clinical diagnosis

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15
Q

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

A

Covering the probe with a washcloth

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16
Q
Blood pressure is measured in:
  Units
  Degrees
  Beats/min
  Millimeters of mercury
A

Millimeters of mercury

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17
Q
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
A

At the inner canthus

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18
Q
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
A

3 seconds

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19
Q

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

A

Use the butterfly method to perform the venipuncture

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20
Q

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

A

To reduce needlestick injuries among health care workers

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21
Q
An immature form of a neutrophil is known as a:
  Plasma cell
  Mast cell
  Band
  Seg
A

Band

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22
Q
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
A

Safer medical device

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23
Q
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
A

Pulling the ear upward and backward

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24
Q
Which urinary structure or structures normally contain microorganisms?
  Kidneys
  Ureters
  Urinary meatus
  Urinary bladder
A

Urinary meatus

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25
Q
What is the term used to describe temporary cessation of breathing?
  Hypoxia
  Hypopnea
  Apnea
  Anoxia
A

Apnea

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26
Q
You are measuring the pulse and find it feels weak and rapid. How would you record this?
  Bounding
  Thready
  Tachycardia
  Bradycardia
A

Thready

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27
Q

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?”

A

“This procedure will not hurt.”

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28
Q
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
A

Engineering control

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29
Q

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

A

All of the above

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30
Q
The temporal artery site can be used to measure body temperature in:
  Infants
  Children
  Adults
  Elderly
  All of the above
A

All of the above

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31
Q
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
A

To prevent urinary incontinence

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32
Q
All of the following may cause a decrease in the SpO2 reading EXCEPT:
  Pneumonia
  Asthma
  Emphysema
  Gastritis
A

Gastritis

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33
Q
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
A

Prothrombin time

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34
Q

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

A

Approximately 1° higher than an oral reading

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35
Q
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
A

6/12/08

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36
Q
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
A

On the thumb side of the wrist

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37
Q
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
A

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

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38
Q
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
A

Testing reflexes with a rubber hammer

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39
Q
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
A

OD 20/30 -1

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40
Q

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

A

Using the first drop of blood for the test

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41
Q

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

A

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

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42
Q
One respiration consists of:
  One inhalation
  One exhalation
  One inhalation and one exhalation
  The opening and closing of the valves of the heart
A

One inhalation and one exhalation

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43
Q

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

A

Incubated for 18 to 24 hours

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44
Q

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

A

Reduce the risk to employees of exposure to infectious diseases

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45
Q
An adult patient's weight should be measured to the nearest:
  Quarter pound
  Half pound
  Pound
  Ounce
A

Quarter pound

46
Q
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
A

Acute illness

47
Q
What is the term for the presence of ketone bodies in the urine?
  Acidosis
  Alimentary glycosuria
  Ketosis
  Ketonuria
A

Ketonuria

48
Q

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

A

Reduces the number of cells available for analysis

49
Q
Which of the following is usually found in the urine sediment of a patient with candidiasis?
  Parasites
  Yeast
  Bacteria
  Casts
A

Yeast

50
Q
An optometrist performs all of the following EXCEPT:
  Diagnoses and treats eye disorders
  Prescribes corrective lenses
  Measures visual acuity
  Performs eye surgery
A

Performs eye surgery

51
Q
Which of the following is an example of auscultation?
  Measuring body temperature
  Measuring blood pressure
  Urine testing
  Testing pupillary reaction
A

Measuring blood pressure

52
Q

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

A

All of the above

53
Q
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
A

120 to 160 beats/min

54
Q
The transparent part of the eye that covers the pupil and the iris is the:
  Sclera
  Cornea
  Choroid
  Lens
A

Cornea

55
Q
Which of the following urine tests may be positive when a patient has hepatitis?
  Glucose
  Protein
  Bilirubin
  Ketone bodies
A

Bilirubin

56
Q
The lens of a tympanic membrane thermometer should be cleaned with:
  A mild detergent
  An abrasive cleanser
  An antiseptic wipe
  A soft tissue
A

An antiseptic wipe

57
Q
Pus consists of all of the following EXCEPT:
  Dead leukocytes
  Erythrocytes
  Dead bacteria
  Dead tissue cells
A

Erythrocytes

58
Q

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

A

Instilling drops onto the center of the cornea

59
Q
All of the following are included in a complete patient examination EXCEPT:
  The health history
  Therapeutic procedures
  The physical examination
  Laboratory tests
A

Therapeutic procedures

60
Q
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
A

All of the above

61
Q
The Snellen eye chart is used to:
  Assess visual acuity
  Diagnose conjunctivitis
  Assess peripheral vision
  Diagnose glaucoma
  All of the above
A

Assess visual acuity

62
Q
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
A

Specific gravity: 1.025

63
Q
AIDS cannot be transmitted through:
  Casual contact
  Blood splashes
  Sexual intercourse
  Needlestick injuries
A

Casual contact

64
Q
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
A

Early detection of cancer of the cervix

65
Q

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

A

Determine the cause of kidney stone formation

66
Q

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

A

The lochia changes to yellowish white after having been red

67
Q
Patients with chronic hepatitis B face an increased risk of developing:
  Liver cancer
  Pancreatitis
  Rheumatic heart disease
  Gallstones
A

Liver cancer

68
Q

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

A

Asking the patient to close the eye not being tested

69
Q
Which of the following urine tests may be positive when a patient has undiagnosed diabetes mellitus?
  Glucose
  Protein
  Nitrite
  Bilirubin
  All of the above
A

Glucose

70
Q
Treatment for acute hepatitis B includes:
  Antibiotics
  Physical therapy
  Liver transplantation
  Restricted activity and rest
A

Restricted activity and rest

71
Q
The nucleus of a neutrophil generally contains:
  Three to five lobes
  Six to eight lobes
  Fine granules
  No lobes
A

Three to five lobes

72
Q
The Snellen Big E chart is used with:
  Elderly individuals
  Individuals with cataracts
  Non?English-speaking individuals
  School-age children
A

Non?English-speaking individuals

73
Q

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

A

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

74
Q

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

A

Diluting the blood sample with tissue fluid

75
Q

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

A

Located over a firm tissue such as bone

76
Q

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

A

First-voided morning specimen

77
Q
All of the following make a person less resistant to a pathogen EXCEPT:
  Poor nutrition
  Immunizations
  Poor hygiene
  Stress
A

Immunizations

78
Q
Which type of the following white blood cells has granules in the cytoplasm that stain a bright reddish orange?
  Neutrophil
  Basophil
  Lymphocyte
  Monocyte
  Eosinophil
A

Eosinophil

79
Q
Which of the following is the most specific type of hearing test?
  Tuning fork test
  Audiometry
  Whisper test
  Otoscopy
A

Audiometry

80
Q
A urine culture is used in the diagnosis of:
  An injury to the urinary system
  Kidney stones
  A urinary tract infection
  Diabetes mellitus
A

A urinary tract infection

81
Q

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

A patient on prolonged antibiotic therapy

82
Q
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
A

0 to 8

83
Q

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

A

To focus light rays on the retina

84
Q
An increase in eosinophils often occurs:
  During an acute infection
  During a viral disease
  During an allergic reaction
  When a patient has infectious mononucleosis
A

During an allergic reaction

85
Q
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
A

Otitis externa

86
Q
Mr. Peterson has a hemoglobin reading of 16. This is considered:
  Within normal range
  Above normal range
  Below normal range
  An invalid result
A

Within normal range

87
Q

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

A

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

88
Q
The eustachian tube connects the nasopharynx to the:
  Middle ear
  Inner ear
  External auditory ear canal
  Cochlea
A

Middle ear

89
Q
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
A

At heart level

90
Q

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

A

Prevents the probe from picking up the pulse signal

91
Q
Excessive bleeding during the menstrual period is known as:
  Metrorrhagia
  Dysfunctional uterine bleeding
  Hemorrhaging
  Dyspareunia
A

Dysfunctional uterine bleeding

92
Q
Which of the following examinations requires the use of deep palpation?
  Bimanual pelvic examination
  Breast examination
  Detection of areas of tenderness
  Detection of swelling
A

Bimanual pelvic examination

93
Q

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

A

To determine when the patient will go into labor

94
Q
Which of the following represents a decrease in the elasticity of the lens as a result of the aging process?
  Glaucoma
  Presbyopia
  Hyperopia
  Cataracts
A

Presbyopia

95
Q
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
A

All of the above

96
Q

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

A

To regulate the temperature of the body

97
Q
.
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
A

Opportunistic

98
Q
A low hemoglobin reading occurs with:
  Polycythemia
  Anemia
  Hepatitis
  Emphysema
A

Anemia

99
Q

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

A

It is not affected by ambient temperature

100
Q
Which of the following may require a physical examination?
  Prerequisite for employment
  Participation in sports
  School admission
  Summer camp attendance
  All of the above
A

all of the above

101
Q

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

A

Once a year

102
Q

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

A

Immediately remove the tourniquet and then the needle

103
Q
The patient's height should be measured to the nearest:
  1/8 inch
  1/4 inch
  1/2 inch
  1 inch
A

1/4 inch Correct

104
Q
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
A

In the back of the knee

105
Q
The American Cancer Society recommends that a woman perform breast self-examination:
  Weekly
  Monthly 
  Every 2 months
  Twice a year
A

Monthly Correct

106
Q
The patient's height should be recorded in:
  Inches
  Feet and inches 
  Centimeters
  Meters
A

Feet and inches Correct

107
Q
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

A patient with arthritis Correct

108
Q

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

A

Assess whether or not fetal growth is progressing normally Correct

109
Q

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

A

Instilling several drops of warm mineral oil into the ear Correct

110
Q
Chlamydia and gonorrhea are usually diagnosed using:
  A culture test
  An antigen-antibody test
  A DNA-probe test 
  A pregnancy test
A

A DNA-probe test Correct

111
Q
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
A

Above normal range Correct