Chapter 50 Quiz
Which of the following is the volume of air that can be forcefully exhaled in one breath? Forced expiratory volume Forced vital capacity Maximal midexpiratory flow Expiratory reserve volume
Forced expiratory volume
Which of the following is the maximum volume of air that can be expelled when the patient exhales as forcibly and as quickly as possible following one maximum inhalation? Forced vital capacity (FVC) Expiratory reserve volume (ERV) Forced expiratory volume (FEV) Inspiratory capacity (IC)
Forced vital capacity (FVC)
Spirometry is a noninvasive test that measures the ability of the lungs to exhale effectively and quickly. True False
True
The medical assistant is not allowed to release any outcomes or results of completed spirometry tests. True False
True
Total lung capacity, or TLC, is the maximum amount of air that can fill the lungs. True False
True
________ is a highly contagious bacterial infection characterized by fever, fatigue, a mucus-producing cough, and night sweats. Emphysema Hay fever Pneumothorax Tuberculosis (TB)
Tuberculosis (TB)
A patient receiving a nebulizer treatment should be in a ________ position. standing supine semi-Fowler's prone
semi-Fowler's
Which instruction by the medical assistant would be most appropriate when he or she is explaining peak flow testing to a child? "Expire forcefully until I tell you to cease." "Blow really hard into the tube." "Blow air into the mouthpiece at your maximum capacity." "Exhale to your full expiratory reserve volume."
"Blow really hard into the tube."
Harsh or high-pitched breath sounds are known as ________. rhonchus stridor wheezing rales
stridor
Which of the following does the medical assistant NOT need to collect or assess before spirometry testing? Temperature Blood pressure from the last visit Height Weight
Blood pressure from the last visit
Residual volume is the amount of air that can be forcibly inspired after a normal inhale. True False
False
What is the purpose of a spacer or extender used with a metered-dose inhaler? It improves the speed of the inhaler. It delays the absorption of the medication. It decreases the amount of medication delivered over one minute. It improves the delivery and facilitates the absorption of the medication.
It improves the delivery and facilitates the absorption of the medication.
Why is a mouthpiece usually preferable over a mask for delivery of nebulizer treatments? The patient may receive too much medication when a mask is used. A mouthpiece gives the patient more independence than a mask. Medication can deposit on the patient's face when a mask is used. A mouthpiece has more flexibility than a mask.
Medication can deposit on the patient's face when a mask is used.
________ is inflammation or fluid that fills the alveoli in the lungs due to infection caused by virus, bacteria, or fungus. Pharyngitis Acute rhinitis Pneumonia Cystic fibrosis
Pneumonia
What is the best patient body position for peak flow measurement? Standing Semi-Fowler's Lying Sitting
Standing
What is functional residual capacity? The amount of air remaining in the lungs after a normal expiration The amount of air that can be inhaled after normal expiration The volume of the lungs at peak inspiration The amount of air that can be exhaled following forced inspiration, including maximum expiration
The amount of air remaining in the lungs after a normal expiration
What is vital capacity? The amount of air remaining in the lungs after a normal expiration The volume of the lungs at peak inspiration The amount of air that can be inhaled after normal expiration The amount of air that can be exhaled following forced inspiration, including maximum expiration
The amount of air that can be exhaled following forced inspiration, including maximum expiration
Which of the following is TRUE about a baby who is born to a mother who smokes? The baby may have a low birth weight. The baby will have cancer. The baby is not likely to survive. The baby will also become a smoker as an adult.
The baby may have a low birth weight.
Which statement about nebulizer treatments is TRUE? The equipment should be cleaned before each use. The patient should take quick, shallow breaths. The treatment is ready when the mist is created. The patient should not hold his or her breath.
The treatment is ready when the mist is created.
A medical assistant should act as a cheerleader and coach to induce the patient to give his or her peak performance during spirometry testing. True False
True
Which is NOT a step the medical assistant would take when administering a nebulizer treatment in the medical office? Measure the correct dose. Document upon completion. Perform hand hygiene. Wash the tubing and mouthpiece for future use.
Wash the tubing and mouthpiece for future use.
With a(n) ________, there are as many as 350 irregular P waves and 130—150 irregular QRS complexes per minute. junctional arrhythmia AV heart block atrial flutter atrial fibrillation
atrial fibrillation
When responding to a patient with hypoglycemia, the phlebotomist should ________. get a court order to proceed with the venipuncture have the patient drink cold water to reduce discomfort ask the patient about any anticoagulant therapies give the patient sugar by any means tolerated and call the physician
give the patient sugar by any means tolerated and call the physician
When using laboratory requisition forms to transport specimens, the forms should be ________. attached to the patient's identification label filled out with the patient's name and address completely filled out and attached to the specimen filled out before the blood is collected
completely filled out and attached to the specimen
A blue color around the lips from a lack of oxygen in the tissues is called ________. hemoptysis stridor rhonchus cyanosis
cyanosis
Venous blood is ________ than arterial blood. lighter in color lighter in weight darker heavier
darker
A medical assistant should demonstrate the use of a metered-dose inhaler ________. only if the physician requests the demonstration after the patient has tried to use it unsuccessfully first and then have the patient repeat the demonstration only if the patient requests the demonstration
first and then have the patient repeat the demonstration
Plasma is the ________ portion of the blood. cellular lipid protein fluid
fluid
Pleuritis, also called pleurisy, is considered a(n) ________. malignancy mechanical injury infectious condition lower respiratory condition
infectious condition
Two of the most common pulmonary function tests that a medical assistant has to perform are spirometry and ________. cardiopulmonary exercise diffusion capacity peak flow measurement arterial blood gases (ABG)
peak flow measurement
A physician who specializes in lung diseases is called a(n) ________. respiratory therapist pulmonologist allergist cardiologist
pulmonologist
Because oxygen is considered a drug, a patient who needs continuous oxygen therapy is best managed by a ________. urologist hematologist nephrologist pulmonologist
pulmonologist
Crackling breath sounds heard when listening to the chest are known as ________. wheezing rales rhonchus stridor
rales
Before spirometry testing the medical assistant should inform the patient with asthma that the test will need to be successfully repeated ________. once until the patient wants to stop twice three times
three times
A hemothorax, or collection of blood in the pleural space, is most commonly caused by ________. bacterial infection COPD trauma malignancy
trauma