NCCT review question patient care part 2

The medical assistant is interviewing an apprehensive patient complaining of persistent lower back pain. Which question puts the patient at ease and encourages open communication?

"What has been going on with you since your last appointment?"

When explaining a procedure to a pediatric patient, which of the following statements by the medical assistant puts the preschool child most at ease?

"You are going to go into a special room, and we are going to take a picture of your arm."

Which of the following should the medical assistant expect to present to the physician from a pulmonary function test

Air flow and volume rates

Which of the following findings is most likely to be present at the site of a tick bite in a patient with suspected Lyme disease?

An apparent bullseye rash, with a large area of redness and clear center.

The patient experiencing a nose bleed presents to the reception area in the medical office. Which of the following actions should the medical assistant take?

Apply direct pressure to the affected nostril for 10-15 minutes

Which of the following are outside of an entry level medical assistant scope of practice

Collect ABG specimens

of the following interventions by the medical assistant is appropriate in preparing the patient for cervical cryosurgery?

Encourage the patient to take slow, deep breaths to promote muscle relaxation.

The physician has ordered a nasal inhaler for a patient with seasonal allergies, the medical assistant is instructing the patient on proper use. Which of the following statements from the patient indicates proper understanding of the technique

I will shake the inhaler prior to use

The patient experiencing dyspnea is placed on oxygen via nasal cannula. The medical assistant should document the flow rate as

Liters per minute

The physician orders the administration of oxygen to a patient. The medical assistant should document the oxygen flow rate

Liters per minute

The older adult patient who is observed talking in the clinic waiting area begins to choke on a piece of candy and cannot speak. Which of the following actions should the medical assistant take immediately?

Perform abdominal thrusts (aka hejmlich maneuver)

After checking an unconscious patient's vitals, the adult patient has a heart rate of 75 BPM and no signs of breathing. Which of the following is the correct course of action?

Perform rescue breathing.

Which of the following instructions should the medical assistant give a patient prior to a scheduled spirometry pft test?

Stop using bronchodilators for 24 hours

The medical assistant finds a unconscious patient in the office building hallway and determines CPR needs to be initiated. Which of the following allows the medical assistant to begin CPR?

The Good Samaritan law

orthopnea

means difficulty breathing while lying down

What is the importance of encouraging a patient diagnosed with bronchitis to maintain adequate fluid intake?

thin secretions

tid

three times a day

During a mole excision, the medical assistant is asked to assist the physician. Prior to handing the physician medical supplies from the sterile field per his request, the medical assistant should

apply sterile gloves.

Compound fractures

are injuries that actually break through the skin.

Prn

as needed

A patient's activity order following surgery is: up ad lib. The medical assistant should inform the patient they may ambulate

as tolerated

A pediatric patient with a recent history of chicken pox presents to the clinic with Reye's Syndrome. When reviewing the patient's chart, which of the following is the most likely contributor to the Reye's Syndrome?

aspirin

The medical assistant smells smoke at the work station. Upon investigation, he discovers a small fire in the trash receptacle by the desk. He should first

evacuate the immediate area.

When observing a patient's range of motion of the right ankle, which term describes the ability to point their toes?

extension

Which of the following indicators is considered a positive skin reaction to scratch allergy testing?

formation of a red wheal

qid

four times a day

Bowel sounds with reduced volume, tone, or regularity upon auscultation are described as

hypoactive.

A patient presents with frostbite of the phalanges. This indicates which of the following?

hypothermia

Which of the following conditions describes poor oxygenation?

hypoxia

hyperthermia

increased body temperature

hyperplasia

increased cell production

A patient teaching plan to prevent osteoporosis includes

increasing dietary intake of calcium and vitamin D.

Applying a warm, moist pack to a soft tissue injury promotes healing by

increasing vascular circulation.

vitamin A

is a fat-soluble vitamin that acts as an antioxidant and may help reduce the risk of cancer

Vitamin K

is a fat-soluble vitamin that plays important role in blood clotting and building strong bones.

lithotomy

is a positions a patient on the back with knees bent and feet up in stirrups.

Cryosurgery

is a procedure that is used to kill cancerous cells in the cervix by freezing them off.

excoriation

is a scratch or injury to the skin

lumbar puncture

is also known as a spinal tap and is when a needle is inserted into the back to remove fluid.

pneumonia

is an infection of the lungs

spiral fracture

is caused by a twisting force, thus leading to a break that winds/twists/spirals around the bone

Flexion

is the act of bending a joint or limb in the body by the action of flexors

Gavage

is the input of food into the body through a tube

Adduction

is the movement of a limb or other body part, usually on a transverse plane, toward the axis or midline—medial plane—of the body

Abduction

is the movement of an extremity on a transverse plane away from the axis or midline, where the axis lies on the frontal and sagittal planes

Which of the following procedures involves the process of cleaning out the contents of the stomach through a nasogastric tube?

lavage

When setting up the room for a gynecological exam, the medical assistant will position the stirrups in which of the following ways?

level with the exam table and pulled out approximately 1 foot from the edge of the table

A patient presents to the office for removal of an IUD. Which of the following exam positions should the medical assistant help prepare the patient to assume on the exam table?

lithotomy

The physician instructs the medical assistant to prepare for a simple laceration repair of a patient's superficial leg injury. Which of the following equipment does the medical assistant obtain to assist the physician with this procedure?

local anesthetic supplies, sterile gloves , suture tray, Mayo stand

Mucolytic

loosens mucous

After receiving the MMR vaccine a 12 month old begins coughing, wheezing, and breathing appears labored. The patient is most likely experiencing

A systemic allergic reaction to the vaccine.

xerosis

Abnormally dry skin

The medical assistant is preparing a patient to have cryosurgery for lesions on the cervix. Which of the following should the medical assistant include in post-op instructions?

Be prepared for mild cramping and bleeding

The physician orders a nebulized breathing treatment for a patient with asthma. The medical assistant will use which of the following types of medication when administering this treatment

Bronchodilator

Computerized (axial) Tomography

CT or CAT

Which of the following describes the correct technique for cleansing a patient's minor wound?

Cleanse from the inside of the wound toward the outside.

The medical assistant discovers that one end of an unopened, disposable sterile laceration tray was placed in a small area of water by the sink. Which of the following actions should the medical assistant take?

Discard the package as it has been contaminated

Which of the following should a patient do when using a Holter monitor?

Eat meals on a regular schedule., Resume a normal daily routine., Keep a log of daily activities.

A pediatric patient with no known seizure history presents to the physician's office with a high fever. While sitting in the waiting room, the child goes unconscious and begins to experience tonic/clonic movements that do not stop after several minutes. Which of the following actions should the medical assistant take?

Ensure immediate patient and environment safety and activate EMS.

Which of the following actions by the medical assistant is appropriate when interacting with a patient who is visually impaired?

Explain where things are positioned by referencing a clock image.

Which of the following foods should the medical assistant recommend to a patient inquiring about ways to increase their dietary intake of folic acid?

Green leafy vegetables, fruits, organ meats, and dried yeast.

Which of the following drugs is expected to be stocked in medical office emergency code cart inventory?

epinephrine

The medical assistant is preparing a 68-year-old male for a lumbar puncture. Which of the following explains why the patient must keep the knees drawn up to the abdomen?

It reduces trauma to the spinal cord and widens the spaces between the lumbar vertebrae.

A pediatric patient presents to the clinic with a barking cough and high pitched breathing. These signs indicate to the medical assistant that which of the following anatomical structures is obstructed

Larynx

Expectorant

Medication that helps bring up mucus and other material from the lungs, bronchi, and trachea

The medical assistant is caring for the patient in the clinic diagnosed with a right ankle sprain that occurred during a gymnastic tournament approximately three hours ago. Which of the following treatments are appropriate

Protect and rest the affected ankle, apply an ice pack to the ankle, wrap the affected ankle with a compression bandage, elevate the ankle at or above heart level

Providing high quality chest compressions while performing cpr

Pumps blood from the heart

The patient presents to the clinic with right great toe pain and soreness due to Gout. Which of the following types of dietary nutrients is most likely to worsen these symptoms

Purine-rich foods (dairy and protein) and beverages containing caffeinate or alcohol

Which of the following treatments are appropriate when initiating first aid to the patient with a second degree burn?

Run cool water over affected area of intact skin., protect the burn from pressure or injury

When instructing a patient on the proper way to perform a self-breast exam, which of the following statements is correct?

The exam can be performed lying down or standing up

Which of the following instructions should the medical assistant include in a teaching plan for correct use of crutches?

Top of crutches should be 1-2 inches below the axilla when standing., Use hands to support body weight rather than the axilla., Hand grips should be even with the hip., Take slow, small steps.

Antihypotensive

Vasopressor agent any medication that tends to raise reduced blood pressure

The patient exhibits signs of anaphylaxis following an allergy injection in the medical office. The medical assistant should anticipate administration of

epinephrine.

Vitiligo

a loss of pigment from certain areas

Monocytes

a type of white blood cells (leukocytes) which are the largest of all leukocytes and are part of the innate immune system

At which of the following times should the medical assistant instruct the patient to perform a post-prandial blood glucose test?

after a meal

Vitamin C

also known as L-ascorbic acid, is a water-soluble vitamin that is naturally present in some foods and is required for the biosynthesis of collagen and certain neurotransmitters

Thrombocytes

also known as platelets and are crucial to normal blood clotting

Buckle fractures (a.k.a. torus fractures and greenstick fractures

common in children, are incomplete fractures that essentially bend but don't fully break.

serosanguinous

drainage is a pinkish color

sanguineous

drainage is fresh blood

Serous

drainage is thin and clear in appearance

Which communication approach describes the ability to see things from another person's point of view?

empathy

eupnea

normal breathing

Epistaxis

nose bleed

emphysema

occurs when the little sacs in the lungs, known as alveoli, are damaged, which makes it difficult to breathe.

patient with a penetrating wound to the chest cavity is acutely at risk for which of the following complications?

pneumothorax

While changing a patient's dressing, the medical assistant notices thick, yellow drainage with a foul odor coming from the wound. The wound exudate noted should be documented as

purulent.

Vasovagal syncope

refers to fainting when the body reacts excessively to something

ecchymosis

refers to the brusing of the skin

The patient is scheduled for an abdominal CT scan to evaluate for appendicitis. The medical assistant instructs the patient to take which of the following precautions prior to the test?

remove jewelry

Reminding patients to refrain from talking and moving, and keeping them warm during the ECG procedure are important to help eliminate

somatic tremor artifact

Which of the following types of fractures is caused by the break winding around the bone?

spiral

When preparing the sterile tray for a laceration repair, the medical assistant should add which of the following items?

sterile 4x4 gauze pads, sutures