Medical administrative duties✨

A phlebotomist must follow transmission based precaution for which of the following pt?

A pt who has rubeola

If a pt has measles , which of the following is a required additional precaution?

N95 respirator ( Airborne precautious are advised for pts with tuberculosis, Measles, Chickenpox and herpes zoster (until lesions are crushed over) and N95 respirator is recommended for more precaution

In addition to usual PPE what would you add or replace before entering a patient's room with air borne precautions.

N95 respirator

Which of the following disease states would require the use of a mask by the pt during transportation?

Tuberculosis and Varicella

A Phlebotomist has received a requisition to collect a blood specimen on pt infected and diphtheria. The phlebotomists must be sure to follow what precautions?

Standard, airborne, droplet and contact precautions

A phlebotomist has been asked to collect a specimen from a pt with respiratory syncytial virus (RSV). Which of the following transmission-based precautions should be used?

Contact and droplet precautions

When arriving at a pts room from a blood draw, a phlebotomist observes an airborne precautions sign on the the pts door. How should phlebotomist proceed?

Apply PPE and N95, and proceed with procedure

Which of the following measures is applicable when treating pts diagnosed with tuberculosis?

Airborne precautions

Which of the following is the most common means transmission on Methicillin

Resistant Staphylococcus Aurerus ( MRSA)?

Direct contact with the skin of infected persons

The MA should place which of the following pts arriving to the medical office screening area in immediate isolation?

A Pt reporting a high fever, Stiff neck, Blurry visions and petechial rash.

Which of the following personal protective equipment must be used when working with a pt suspected of having pertussis?

Surgical Mask

When a phlebotomist enters an airborne isolation room, the appropriate PPE would be

gown, gloves, N95 respirator

Which of the disease listed below require contact precautions?

Clostridium difficle , escherichia coli, and pediculosis

Which of the following is the minimum PPE requirement when drawing ordered lab work on a pt with suspected HIV?

Gloves only

As the M.A you are assisting the primary provider with suture placements. What is the most important personal protective equipment you are going to gather for yourself & the provider ?

sterile gloves

The MA has received a requisition to collect a blood specimen on a pt infected with multi drug-resistant TB. When leaving the pts room the MA should be sure to

Remove her gloves, then the gown , then the mask

When transferring a pt from a wheelchair to examination table, the wheelchair should be positioned so that the

Strong side of the pt is closest to the MA.

While processing a large volume of bloody body fluid, a medical assistant is startled and knocks the sample off the counter. The glass container breaks on the floor. What steps should the phlebotomist take to disinfect the spill area? (Put choices in order.)

Wear gloves, gown, and facial protection. , Remove glass without contact with hands., Absorb the spill and remove all visible material., Dispose of all materials in biohazard container., Decontaminate the area with a dilution of sodium hypochlorite and allow to air dry.

A pt notices the symbol above on the door and asks what it means. The MA should tell the pt the symbol means

Biohazard material present

Which of the following chemicals is most commonly used to disinfect work surfaces?

sodium hypochlorite

The MA is preparing to use a new chemical in the office with the label pictured here the MA should know that the chemical

is a health hazard.

The MA finds an unconscious pt in the office building hallway and determines CPR needs to be initiated. Which of the following allows the MA to begin CPR?

The Good Samaritan Law

The Pt experiencing dyspneais placed on oxygen via nasal cannula. The MA should document the flow rate as

Liters per minute.

The medical term meaning immediately is

Stat.

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

Perform Abdominal thrusts

Which of the following treatments are appropriate when initiating first aid to the pt with a second degree burn? Select 2

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

The MA is caring for the Pt in the clinic diagnosed with a right ankle sprain that occurred during a gymnastics meet approximately three hours ago. Which treatment is appropriate select 4

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

A pediatric pt presents to the clinic with a barking cough and high pitched breathing, these signs indicate to the A that which of the following anatomical structure is obstructed?

Larynx

After receiving the MMR vaccine, a 12 month old begins coughing, wheezing, and breathing appears labored, the PT is mot Linley experiencing.

A Systemic allergic reaction to the vaccine.

The pt experiencing a nose bleed presents to the reception area in the MEdical office. Whic actions should the MA take?

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

Providing high-quality chest compressions while performing CPR

pumps blood from the heart

A pediatric pt with no known seizure history presents the physicians office with a high fever. While sitting in the waiting room, the child goes unconscious and beginning to experience tonic/clonic movements that do not stop after several minutes. What following actions should the MA take?

Ensure immediate pt with environment safety and activate EMS.

After checking an unconscious pt vitals, the adult pt has a heart rate of 75 BMP and no signs of breathings. What action should you take?

Perform rescue breathing.

The pt exhibits signs of anaphylaxis following an allergy injection in the medical office. The MA should anticipate administración of

Epinephrine ( can immediately reverse the life-threatening symptoms.)

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

Aspirin (Reye's syndrome is unknown, but has been linked to aspirin and generally presents in children who are recovering from viral infection.)

Any contaminated object that can penetrate the skin including, but not limited to needles, scalpels, broken glass, and exposed ends of wires.

Contaminated sharps

Which of the following should be stored in a refrigerator labeled with a biohazard sticker?

prepared plasma specimens

A M.A has active symptoms of the common cold. What condition may he perform venipuncture?

The M.A may perform venipuncture provided he is wearing a mask and afebrile

What is a common allergic reaction to Latex product?

urticaria also known as hives

Which of the following would be considered a nosocomial infection?

A female pt who develops a UTI after having a urinary catheter (nosocomial infection is a "hospital-acquired" infection by a pt who enters the hospital without any symptoms of it and appears to have acquired the infection during hospital stay.)

During a phlebotomy collection, the needle came out of the patient's arm and the phlebotomist's gloves became grossly bloody. Which of the following statements correctly describes the disposal of the waste?

Dispose of the sharps in puncture-proof biohazard sharps container, then dispose of the contaminated gloves in a biohazard bag.

What diseases is a blood borne pathogen?

Hepatitis C

The first course of action a phlebotomist should follow immediately after a needle stick is

Wash the site with soap and water for a minimum of 30 seconds.

Which actions by the MA is the first line of defense in preventing the spread of microorganisms?

perform regular hand hygiene

The Needlestick safety and Prevention Act exists to protect healthcare workers from accidental exposure to

Blood borne pathogens

Which of the following requires the highest levels of disinfection in order to be destroyed?

Organism that causes tetanus

The final step of the ECG technician should take with a pt on contact precautions

Is to

Disinfect all equipment

Sterilized instruments should be stored

in a temperature controlled environment to prevent moisture accumulation.

How should the Ma store an instrument with a ratchet when it is not in use?

Unlocked (open) Position ( a ratchet is a step locking instrument. It is important to store such a device open and unlocked to prolong proper functioning and smooth operation.)

Which of the following actions by the MA demonstrates the correct use of surgical asepsis?

replacing sterile items that may have become contaminated

Which of the following items requires autoclave processing?

Transfer forceps

During a minor surgical procedure, which of the following equipment is required to maintain surgical asepsis if something needs to be added to a sterile surgical tray?

Transfer forceps

Keep contaminated equipment & supplies away from the M.A clothing to prevent pathogens transmission to the next patient is an example of what?

medical asepsis

Handling exudate from a patient is an example of which of the following modes of disease transmission?

direct

The MA 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.(remember RACE)

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

Epinephrine

(Most important drug kept in the crash cart - used in emergent conditions such as cardiac arrest [increases b/p and hr] or anaphylaxis [potent bronchodilator, reducing bronchospasm]. Epinephrine works to increase cardiac output by increasing peripheral resistance through vasoconstriction.)

Which of the following statements by the MA indicates the need for a better understanding

Of standard precautions?

The patient should wear a gown, gloves, and mask to maintain contact-droplet isolation.

Which of the following skin disorders are noncommunicable?

alopecia ( is a noncontagious skin disorder that leads to hair loss or baldness.)

A pt suspected of having which of the following respiratory disorders should be placed in isolation in the Medical office?

Active TB ( With active TB transmission occurs through inhaling bacteria in microscopic droplets

Which of the following is the most important defensive mechanism, against pathogens?

intact skin is best defense mechanism (prevents bacteria from entering)

The MA is reprocessing contaminated endoscope. Which of the following is the minimum level os asepsis required for the instrument?

Disinfect

While giving a pt an injection, the pt jumped, causing the phlebotomist to get stuck on the hand w a contaminated needle. After performing thorogh hand washing, which of the following should the phleb do first?

Report the incident to a supervisor

Which of the following specific precautions should a pt be placed on to prevent the transmission of Clostridium Dfficile?

Contact ( Clostridium Dfficile is a toxin-producing, spore-forming bacterium found in feces.)

When working with a pt with methicillin-resistant Staphylococcus aureus (MRSA), the ECG tech should

Take precautions from a contact pathogen

Which precaution would be used for a pt with pulmonary TB?

Airborne