CH 35 & 57 Exam Qs
While camping with friends, you are asked to help find a nearby camper's lost son. The 9-year-old boy is found after being lost in the woods for several hours in temperatures below 10°F. His hands have a white, waxy appearance. When you touch them, they feel cold and hard. He says they are tingling and hurt a lot. Which of the following actions will you take?
Place his hands in warm water.
Which of the following is included in the care of a patient who has come in contact with an absorbed poison?
Remove contaminated clothing and wash skin with soap and water.
Which of the following is included in cast care?
Report any pain, swelling, discoloration, lack of pulsation, warmth, or inability to move.
A patient who has been stung by a honeybee comes to the office to have the stinger removed. What is the appropriate way to remove the bee stinger?
Scrape the skin with a credit card or flat, hard, sharp object.
What is the most common microorganism associated with a surgical site infection?
Staphylococcus
Part of Josie's responsibility as a medical assistant is to run the autoclave as needed to sterilize instruments. Once a week, she includes a biological sterilization indicator with a load as a general quality control measure. Today, she notices that the biological indicator from yesterday's load is positive. What does this result mean?
The items in that load are not sterile.
Part of the medical assistant's responsibility is to run the autoclave to sterilize instruments, and once a week the MA should include a biological sterilization indicator with a load as a general quality control measure. Today, she notices that the biological indicator from yesterday's load is positive. What does a positive result mean?
The items in that load are not sterile.
Which of the following is the appropriate way to wrap instruments for sterilization?
Use only double-thickness muslin to wrap instruments.
When wrapping instruments for sterilization, what is the first step that should be taken?
Wash hands and don gloves.
Which of the following is part of the care of a severed ear?
Wrap the ear in plastic and place it in ice.
The goal of surgical asepsis in the medical facility is to __________.
keep organisms from entering the body
The symptoms that are specific to a severe head injury include which of the following?
leakage of clear or bloody fluid from the ears or nose, seizures, and respiratory arrest
A patient should be placed in which position before you begin cardiopulmonary resuscitation?
on the back
What is the correct position to place a patient in after ingestion of a poison?
on the left side
Employers are required by law to supply __________ at no charge to their employees.
personal protective equipment
What is the proper way to wrap hinged instruments?
placed in the open position
Which of the following is not part of the respiratory hygiene recommendations established by the CDC?
putting masks on all patients who are coughing
What are symptoms of absorbed poisons?
rash, swelling, burning eyes, headache, fever, abnormal pulse or respirations
The goal of medical asepsis in the medical facility is to __________.
reduce the number of microorganisms in the medical environment after they leave the body
Influenza, measles, whooping cough, and meningitis are examples of infectious diseases that can be transmitted through which of the following?
respiratory droplets
Which of the following diseases does not have to be reported to the National Notifiable Disease Surveillance System of the CDC?
shingles
The cleaning process that is required for all instruments that penetrate the skin or that come in contact with normally sterile areas of the tissues and internal organs is __________.
sterilization
Which of the following equipment is categorized as a critical item?
surgical instrument
A greenstick fracture occurs when __________.
the bone is bent, but only one side is fractured
In a comminuted fracture, __________.
the bone is broken into several fragments
The main symptom of a choking emergency is __________.
the inability to speak
Which of the following is a leading factor that would cause an incomplete sterilization of an autoclaved load?
too short a time period
Which of the following would cause incomplete sterilization of an autoclaved load?
too short a time period
Which of the following is an acute infection caused by Staphylococcus aureus?
toxic shock syndrome
Which of the following is a necessary step for the medical assistant to take when sterilizing instruments using an autoclave?
using distilled water in the unit
Which of the following is necessary when sterilizing items using an autoclave?
using distilled water in the unit
The appropriate way to wrap instruments for sterilization in the autoclave includes __________.
using double-thickness muslin to wrap instruments
Which instruments and equipment must be sterilized?
vaginal specula and curettes
Which of the following instruments and equipment must be sterilized before use?
vaginal specula and curettes
Which animals are likely to be carriers of rabies?
dogs, cats, and raccoons
Most autoclaves must reach a certain temperature and pressure to complete the sterilization process. If the temperature must reach 250° to 270°Fahrenheit, what must the pressure range be?
15 to 30 pounds of pressure
In general, what is the temperature range in degrees Fahrenheit that the autoclave must reach in order to sterilize a load of instruments?
250°-270°
As a general rule, double-layer fabric or paper-wrapped sterile packages have a maximum shelf life of __________.
30 days
The maximum shelf life for a sterile pack is __________.
30 days
What is OSHA's estimate of approximately how many needlestick injuries occur each year?
800,000
Which of the following is the appropriate care for a spider bite?
Apply a cold compress and elevate the area.
Which of the following is the first priority when caring for multiple injuries?
Assess the CABs.
The CDC recommends that catheters be used for the least possible amount of time due to which type of infection?
CAUTI
Due to several large outbreaks of hepatitis B and C in outpatient settings, recommendations for safe injection practices were included as part of the Guideline for Isolation Precautions established by which of the following?
CDC
Which type of infection is caused by the entry of infectious microorganisms into the bloodstream by way of a central line?
CLABSI
What action should be taken if a patient falls from an examining table and cannot get up?
Call for help and do not move the patient until the practitioner examines him.
Which of the following steps would you include if a patient has ingested poison but is alert and not having convulsions?
Call the regional poison control center and follow their instructions.
What is the correct way to clean and preheat the autoclave?
Check the discharge lines and valves for obstruction.
Which of the following is a correct step in cleaning and preheating an autoclave?
Check the discharge lines and valves for obstruction.
Which of the following is a physical aspect of the medical office that contributes to asepsis?
Designating a section of the reception room for sick patients
Which of the following is important when running a load through the autoclave?
Do not unload any packs or instruments with wet wrappings.
If not contraindicated, which of the following would you include in the care of a patient in shock?
Elevate the feet 8 to 12 inches.
You are at a friend's house when her mother begins having acute pains in her abdomen. You know that sudden acute abdominal pain may indicate an emergency, so you immediately call EMS. While waiting for their arrival, what can you do to make your friend's mother more comfortable?
Encourage her to lie on her back with her knees flexed.
Which of the following instructions should be included in the care of a patient who inhaled a poison?
Get the patient into fresh air, loosen tight-fitting clothing, and wrap the patient in a blanket to prevent shock.
Your brother has been working in the backyard, trimming bushes and pulling weeds. He was not wearing gloves, and suddenly he comes into the house looking scared and holding his lower arm. He has been bitten by a snake that he thinks was a rattlesnake. You call EMS immediately. Until help arrives, what will you do for your brother?
Immobilize his arm and position it below heart level.
Which of the following would you include in the care of a patient who has sustained a concussion?
Instruct the patient to avoid pain medicines other than acetaminophen.
Which of the following is characteristic of carbon monoxide poisoning?
It is a major cause of inhalation poisoning in the home.
Which of the following is a disadvantage of using muslin to wrap instruments for sterilization?
It is more susceptible to contamination.
A common health-associated infection seen in an outpatient setting that is caused by a specific type of staph bacterium and results in skin infections that can develop into large abscesses is __________.
MRSA
Which of the following is the first priority in caring for a patient with a severe head injury?
Maintain the patient's airway.
A clean technique that is based on maintaining cleanliness and preventing the spread of microorganisms in the medical environment is known as which of the following?
Medical asepsis
Which of the following is the appropriate removal of tiny specks of foreign bodies in the eye?
Moisten a sterile gauze pad to remove them.
Acute abdominal pain in the right upper quadrant that radiates to the back between the shoulder blades is characteristic of __________.
a gallbladder attack
A strain is __________.
a muscle injury that results from overexertion
Symptoms of an ingested poison include __________.
abdominal pain, nausea, vomiting, diarrhea, burns in or around the mouth, and drowsiness
Which type of wound, pictured here, occurs when someone slides across gravel during a softball game?
abrasion
Which of the following would cause the autoclave load to not sterilize properly?
air trapped inside the chamber because of blocked discharge lines
In which method of sterilization does moisture cause coagulation of proteins within microorganisms at a much lower temperature than is possible with dry heat?
autoclaving
In which of the following methods of sterilization does moisture cause coagulation of proteins within microorganisms at a much lower temperature than is possible with dry heat?
autoclaving
The primary method for sterilizing instruments in the medical office is __________.
autoclaving
The cardinal symptom of a myocardial infarction is __________.
chest pain
Which of these diseases is reported to the National Notifiable Disease Surveillance System as required by the CDC?
cholera
Which of the following is the term for a fracture that goes entirely across the bone?
complete
Which of the following is a jarring injury to the brain?
concussion
Closed wounds are often called __________.
contusions
When wrapping items for sterilization, what information must be on the label of the pack?
date, your initials, and contents of pack
A physical aspect of the medical office that contributes to asepsis is __________.
designating a portion of the waiting room for sick patients
If a patient is coughing uncontrollably and there is considerable spray, what PPE should the medical assistant put on before entering the examination room?
gloves, gown, goggles and mask
Incomplete fractures __________.
go through only part of the bone
What is the proper placement order when multiple PPEs are needed for the protection of the healthcare worker?
gown, face mask, and gloves
Which type of bone fracture occurs most often in children because their bones are still soft and pliable?
greenstick
Which of the following are symptoms of inhaled poisons?
headache, tinnitus, angina, shortness of breath, muscle weakness, nausea, dizziness
The signs of infection in a wound are __________.
heat, redness, pain, and swelling
For which condition would you move the patient to a cool place and remove outer clothing?
heatstroke
A swelling caused by an accumulation of blood under the skin is a __________.
hematoma