PART 4 OF NCCT MEDICAL ASSISTANT REVIEW

C. hypoactive

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

A. absent.

B. hyperactive.

C. hypoactive.

D. normoactive.

B. lavage

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

A. gavage

B. lavage

C. cleansing enema

D. lumbar puncture

B. formation of a red wheal

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

A. excessive bleeding

B. formation of a red wheal

C. bruised appearance

D. hemangioma formation

C. bradypnea

An abnormally slow respiratory rate is described as

A. dyspnea.

B. orthopnea.

C. bradypnea.

D. eupnea.

C. tachycardia

An abnormally rapid heart rate is described as

A. hypertension.

B. tachypnea.

C. tachycardia.

D. hyperplasia.

A. xerosis

Abnormally dry skin is described as

A. xerosis.

B. vitiligo.

C. excoriation.

D. ecchymosis.

D. hypertension

The medical assistant measures a patient's b/p in the left upper arm at 188/110 mm Hg. This reading is consistent with

A. hyperplasia.

B. tachycardia.

C. hyperthermia.

D. hypertension.

C. extension

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

A. abduction

B. adduction

C. extension

D. flexion

A. hypertension

The medical assistant measures the patient's blood pressure in the office. The reading is 220/88 mmHg. This indicates

A. hypertension.

B. hypotension.

C. bradycardia.

D. tachycardia.

A. evacuate the immediate area

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

A. evacuate the immediate area.

B. extinguish the fire.

C. activate EMS.

D. contain the fire.

C. collect a sterile urine specimen

The medical assistant is preparing the exam room for the next patient who will require urinary catheterization. The primary purpose for this procedure is to

A. treat an infection.

B. scan the bladder for residual urine.

C. collect a sterile urine specimen.

D. visualize the bladder.

A. epinephrine

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

A. epinephrine

B. naproxyn (Naprosyn)

C. cimetidine (Tagamet)

D. cefaclor (Ceclor

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

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

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

B. level with the exam table and pulled out approximately 1 foot from the side of the table

C. below the exam table and pulled out approximately 3 feet from the edge of the table

D. above the exam table and pulled out approximately 6 inches from the edge of the table

A. "Let me pull up your record and see how i can help."

A patient calls the physician's office talking loudly, demanding to know why he was billed personally for his check-up last month. Which of the following statements is an appropriate response by the medical assistant in handling the angry caller?

A. "Let me pull up your record and see how I can help."

B. "Please contact your insurance company about that issue."

C. "Don't worry, I'm sure insurance will cover the charges."

D. "Please bring a copy of the bill to your next visit and we'll look at it."

C. empathy

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

A. rapport

B. sympathy

C. empathy

D. active listening

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

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

A. "I'm going to take your blood pressure and it may feel like your arm is being squeezed."

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

C. "I'm going to have to poke you with this needle so that I can give you some medicine."

D. "This medicine is going to sting when I put it on your cut."

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

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?

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

B. "What medication did you take to help with the pain?"

C. "Why did you come to the clinic today?"

D. "Why didn't you take any medication to help with the pain?"

C. explain where things are positioned by referencing a clock image

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

A. Take special care to enunciate each word.

B. Stand behind the patient and gently guide them into the exam room.

C. Explain where things are positioned by referencing a clock image.

D. Limit communication with the patient.

B. pneumothorax

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

A. epistaxis

B. pneumothorax

C. pneumonia

D. emphysema

B. cleanse from the inside of the wound toward the outside

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

A. Cleanse from the outside of the wound toward the inside.

B. Cleanse from the inside of the wound toward the outside.

C. Use a gentle back and forth motion above the wound.

D. Use a gentle back and forth motion below the wound.

C. increasing vascular circulation

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

A. decreasing the flow of lymphatic fluid.

B. increasing skin elasticity.

C. increasing vascular circulation.

D. constricting blood vessels.

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

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?

A. An apparent butterfly rash with an area of dry skin, lesions, and scaling.

B. A hive-like rash with an area of small, clear vesicles.

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

D. A large surface area of red papules covered with silvery scales.

B. purulent

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

A. serous.

B. purulent.

C. sanguinous.

D. serosanguinous.

A. hypothermia

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

A. hypothermia

B. hyperthermia

C. anaphylaxis

D. vasovagal syncope

B. spiral

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

A. buckle

B. spiral

C. greenstick

D. compound

A. local anesthetic supplies C. sterile gloves D. suture tray E. mayo stand

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? (Select the four (4) correct answers.)

A. local anesthetic supplies

B. blood culture bottles

C. sterile gloves

D. suture tray

E. Mayo stand

F. SPS tubes

C. discard the package as it has been contaminated

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?

A. Open the package from the opposite end and set up the sterile field.

B. Allow the package to air dry and place it in the supply cabinet for later use.

C. Discard the package as it has been contaminated.

D. Reprocess the tray in the autoclave.

A. sterile 4x4 gauze pads D. sutures

When preparing the sterile tray for a laceration repair, the medical assistant should add which of the following items? (Select the two (2) correct answers.)

A. sterile 4x4 gauze pads

B. bandage scissors

C. antibiotic ointment

D. sutures

E. vial of local anesthetic

B. apply sterile gloves

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

A. apply clean gloves.

B. apply sterile gloves.

C. prepare a second sterile field.

D. request additional assistance.

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

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

A. Apply precordial electrodes to monitor the heart rate.

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

C. Assist the patient in a prone position to promote comfort during procedure.

D. Perform a sterile skin prep in the patient's lower lumbar region.

C. it reduces trauma to the spinal cord and widens the space between the lumbar vertebrae

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?

A. It prevents leaking of the CSF and maintains the manometer reading.

B. It reduces trauma to the spinal cord and prevents leaking of the CSF.

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

D. It widens the spaces between the lumbar vertebrae and maintains the manometer reading.

B. as tolerated

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

A. four times per day.

B. as tolerated.

C. three times per day.

D. assistance x2.

C. after a meal

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

A. after exercise

B. before a meal

C. after a meal

D. before bedtime

B. remove jewelry

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?

A. wear a surgical mask

B. remove jewelry

C. avoid caffeine

D. remove contact lenses

A. increasing dietary intake of calcium and vitamin D

A patient teaching plan to prevent osteoporosis includes

A. increasing dietary intake of calcium and vitamin D.

B. decreasing dietary intake of saturated fats.

C. decreasing weight bearing exercise.

D. increasing dietary intake of fiber.

B. thin secretions

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

A. open airways

B. thin secretions

C. prevents fatigue

D. decreases inflammation

B. fiber

. Increasing which of the following nutrients in the diet is recommended to treat constipation?

A. protein

B. fiber

C. fat

D. calcium

C. vitamin D

Which of the following vitamins is most important to bone health?

A. vitamin A

B. vitamin C

C. vitamin D

D. vitamin K

D. purine-rich foods

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?

A. dark-colored fruits

B. green-leafy vegetables

C. fiber-rich foods

D. purine-rich foods

A. top of crutches should be 1-2 inches below the axilla when standing B. use hands to support body weight rather than the axilla C. hand grips should be even with the hip D. take slow, small steps

Which of the following instructions should the medical assistant include in a teaching plan for correct use of crutches? (Select the four (4) correct answers.)

A. Top of crutches should be 1-2 inches below the axilla when standing.

B. Use hands to support body weight rather than the axilla.

C. Hand grips should be even with the hip.

D. Take slow, small steps.

E. Ensure the top of the crutches fit snugly in the axillary space.

F. Lean backwards when using crutches.

D. diarrhea

A medical assistant is providing information about the BRAT diet to a patient. The BRAT diet is indicated for what condition?

A. hypoglycemia

B. gluten intolerance

C. lactose intolerance

D. diarrhea

D. green leafy vegetables, fruits, organ meats, and dried yeast

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

A. Milk, cheese, butter, and egg yolks.

B. Vegetable seed oils (corn, sunflower, and safflower).

C. Whole grains and beans/legumes.

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

A. the exam can be performed lying down or standing up

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

A. The exam can be performed lying down or standing up.

B. Use the palm of the hand, pressing firmly against the breast tissue, starting at the nipple and working in a circular motion, covering the entire breast area and chest wall.

C. The exam should be performed on a monthly basis, 7-10 days before the menstrual period begins.

D. Report any unusual findings to the physician at the next wellness exam.

C. be prepared for mild cramping and bleeding

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?

A. Be prepared to take two weeks off work.

B. Expect to stay on bed rest for 48 hours.

C. Be prepared for mild cramping and bleeding.

D. Do not eat red meat for at least 24 hours.

A. eat meals on a regular schedule B. resume a normal daily routine D. keep a log of daily activities

Which of the following should a patient do when using a Holter monitor? (Select the three (3) correct answers.)

A. Eat meals on a regular schedule.

B. Resume a normal daily routine.

C. Stop taking medication.

D. Keep a log of daily activities.

E. Increase the peak heart rate.

A. somatic tremor artifact

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

A. somatic tremor artifact.

B. wandering baseline artifact.

C. alternating current interference.

D. 60-cycle interference.

A. hypoxia

Which of the following conditions describes poor oxygenation?

A. hypoxia

B. jaundice

C. hypothermia

D. erythema

B. erythrocytes

Which of the following blood cells are formed in the bone marrow and transport oxygen?

A. thrombocytes

B. erythrocytes

C. leukocytes

D. monocytes

C. liters per hour

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

A. liters per minute.

B. milliliters per minute.

C. liters per hour.

D. milliliters per hour.

B. collect ABG specimens

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

A. Remove surgical staples from wounds.

B. Collect ABG specimens.

C. Perform peak flow testing.

D. Test specimens for occult blood.