HESI - Safety and Emergency Practices

A recently employed medical assistant is participating in employee training on the chemicals they will come into contact with while working in the facility. What document provides detailed information about a chemical, potential hazards, and injury prevention measures when handling the chemical? Exposure control plan. Chemical hazard label. Safety Data Sheet. Hazard Communication Standard.

A Safety Data Sheet (SDS) is the document the provides detailed information on each specific chemical ordered and used in the medical office or workplace.

Which casting material weighs less but is stronger than other casting materials? Calcium sulfate. Fiberglass. Plaster of Paris. Synthetic.

A fiberglass cast is one that weighs less than the other material casts but is stronger.

What type of fracture is spontaneous and usually caused by disease? Comminuted. Pathologic. Simple. Compound.

A pathologic fracture is spontaneous and usually caused by disease.

What should be administered to a patient with diabetes in an emergency situation? Protein snack. Water. Glucose. Whole milk.

A patient with diabetes may have crisis if the glucose level is too high, or too low. The diabetic patient should be given glucose in an emergency situation because if the problem is insulin shock glucose will improve the patient immediately, but if the patients glucose is too high, a small amount of glucose will not affect the patient's condition.

A medical assistant (MA) checks a patient into the office who has a chief complaint of a raccoon bite with penetration through the skin. What immunization status should the MA inquire about? Meningitis. Varicella. Tetanus. Hepatitis.

All animal bites must be reported to the Health Department because there is a potential for rabies infection. The date of the patient's last tetanus shot is required information.

Which action is recommended for a patient who has fainted? Turn the patient on their right side. Lift the patients head. Raise the patients legs above the level of the heart. Turn the patient on the left side.

An increase in oxygen to the brain is needed when a person faints. Raising the patient's legs above the level of the heart and head increases blood circulation to the brain.

A 39-year-old female presents to her dermatologist office to have a mole removed from her right inner bicep. During the procedure, the physician accidentally makes a deep incision resulting in severe hemorrhage. The blood is bright red and spurting; direct pressure is attempted, but fails to stop the bleeding. Which care technique is indicated? Wrap the extremity tightly with dressings. Aggressively depress the nearest pressure point. Raise the extremity above the heart. Apply a tourniquet just above the wound.

Arterial bleeding must be stopped as soon as possible to avoid shock. American Heart Association Guidelines recommend tourniquet utilization immediately following direct pressure if bleeding persists.

What is a general guideline that identifies where biohazard sharps containers should be located? In the hallways. In the laboratory in a medical office. As close as possible to the work area. In every exam room.

Biohazard sharps containers should be located as close as possible to the all areas where sharps will be used in order to avoid the hazards associated with transporting contaminated needles.

What should a bystander do if he/she cannot provide rescue breaths during CPR? End the CPR effort. Have someone else do it. Call 911. Continue with Hands-Only CPR .

CPR must be initiated as soon as possible if a person's heart is not beating and breaths are not present. Even if a bystander cannot provide rescue breaths, he/she should continue with hands-only CPR as the compressions are the more important component.

What drug is used to treat anaphylactic shock? Atropine. Epinephrine. Lidocaine. Nitroglycerin.

Epinephrine constricts the blood vessels throughout the body, increases the heart rate, dilates the bronchioles, and can also be used to treat allergic reactions that result in anaphylactic shock.

Which statement describes how a reception area in the physician's office should be maintained? Good lighting, ventilation, and regulated temperature should be maintained. All magazines should be removed to declutter the area. A few couches, rather than individual chairs, should be provided for comfort. Religious music should be played to lift patient spirits.

Good lighting, ventilation, and regulated temperature should be maintained in the reception area for patient comfort while waiting to see the physician.

What is the definition of emergency preparedness? The plan to prevent, respond to, and recover from an emergency. The immediate response to an emergency or disaster. Having a written plan in place for an emergency. Preparing for a disaster or an emergency.

Medical offices and hospitals must have a way to treat patients and carry out their duties as medical providers in the event of an emergency or disaster. The plan to prevent, respond to, and recover from an emergency is the complete definition of emergency preparedness.

In what position should the medical assistant place a patient who is having a nosebleed? Lying on the back. Sitting with the head tilted forward. Lying on either side. Sitting with the head tilted backward.

Nausea can occur when a patient has a nosebleed if the blood is allowed to go down the throat. For this reason, the medical assistant should position a patient who is having a nosebleed in a sitting position with the head tilted forward to prevent blood from running down the throat.

When an emergency occurs in the office and the physician cannot be located whom should the medical assistant contact? Local police department. Local hospital. Emergency medical services (EMS) team. Any physician in the office building.

Patients sometimes arrive at the office while the physician is not there, without a scheduled appointment because they are ill or having a medical crisis. The medical assistant should contact the local emergency medical service (EMS) team if the physician cannot be located.

What is the proper patient position when providing care for a sudden nosebleed? Sitting with head tilted forward and pinch nostrils. Sitting looking straight ahead. Supine position and pinch nostrils. Fowler's with head tilted backward.

Positioning the patient sitting with head tilted forward and pinching the nostrils is proper emergency care for a nosebleed because it helps prevent blood from running down the back of the throat and helps stop the bleeding.

Which item should always be included in the medical emergency kit, in all offices? Flash drive containing the patient's electronic medical record. Syrup of ipecac. Tape measure. Up-to-date phone tree of staff.

Syrup of ipecac which causes vomiting should be included in the emergency kit.

A new parent asks the medical assistant, '"How can I get trained to know what to do if my baby drowns or stops breathing"? What should the medical assistant suggest as a resource? Safe Haven Foundation. American Heart Association. WIC program. Department of Child and Family Services.

The American Heart Association sponsors infant and child CPR (cardiopulmonary resuscitation) courses. The WIC program provides nutritional support for women, infants, and children. The Safe Haven Foundation works with homeless families. The Department of Child and Family Services primarily protects children from child abuse and neglect.

What rule that is enforced by the Federal Trade Commission requires medical offices to have a written identity theft program? Health Insurance Portability and Accountability (HIPPA). Black Flags. Fraud and Abuse. Red Flags.

The Red Flags Rule requires medical offices to have a written identity theft program.

Which acronym stands for the organization that accredits healthcare organizations like hospitals and clinics? CAAHEP. JCAHO. ABHES. SACS.

The accreditation process ensures an entity provides patient safety and quality care, or that an educational program has met the highest standards for instruction for those enrolled in a program, or college. The acronym JCAHO stands for Joint Commission on Accreditation of Healthcare Organizations.

A patient comes into the office with a sprained ankle. The physician would like the medical assistant to immobilize the patient's ankle with a bandage. Which bandage turn will be the best for this injury? Recurrent. Spiral. Figure-eight. Spiral-reverse.

The figure-eight turn is used to hold a dressing in place or to support and immobilize an injured joint, such as the ankle, knee, elbow, or wrist.

What criterion is used when determining the percentage of body surface area affected, when a patient suffers a burn? Treatment required. Code of burns. Agent that caused the burn. Rule of nines.

The rule of nines is used when calculating the percentage of body area burned.

Which bandage turn is correct in bandaging the right forearm? Recurrent. Spiral-reverse. Spiral. Figure-eight.

The spiral-reverse turn is useful for bandaging a part that varies in width, such as the forearm or lower leg.

A 45-year-old male patient with diabetes presents to the office with dizziness, headache, and diaphoresis. He states that he has not eaten all day and feels that he might faint. Vital signs reveal R 18, P 93, BP 148/98. What is the best immediate option for this patient? Give the patient a bottle of water and contact emergency services. Transport to emergency facility for the administration of insulin. Administer sugar/glucose by mouth if the patient is conscious. Put the patient in a Trendelenburg position.

This patient is suffering from severe hypoglycemia, or "insulin shock." This condition requires that sugar be given immediately.

How many cycles of Cardiopulmonary Resuscitation should be administered if the cardiac arrest is not witnessed before using the automated external defibrillator? Five. One. Three. Four.

When CPR does not work, an automated external defibrillator can be used to shock the patients heart. If a cardiac arrest is not witnessed, five cycles of cardiopulmonary resuscitation should be administered before using the automated external defibrillator.

What is the best choice of material to use when dressing a patient's burned skin? Telfa. Tissue. Gauze. Muslin.

When dressing a patients wound, care should be taken to use bandages that will not stick to the wound. Telfa is the best choice for a burn.