Nocti Study Guide

A health assistant finds a dressing dripping with blood on the floor while in a patient's room. The health assistant should...
A. place the bandage in the garbage
B. place the bandage in red "biohazard" bag
C. Inform housekeeping of the need to clean the room
D. Inform the head nurse of the location of the bandage

B. place the bandage in red "biohazard" bag

A health assistant is helping a patient transfer from a bed to a wheelchair. The patient begins to fall. Which of the following should the health assistant do first?
A. Firmly grab the patient by the arms and guide him or her to the floor.
B. Place a pillow beneath the patient's head and move furniture away from the patient.
C. Place their arms around the transfer belt, pull the patient close, and lower.
D. Report the incident to the immediate supervisor right away.

C. Place their arms around the transfer belt, pull the patient close, and lower.

A health assistant is providing care to a child in a hospital setting. As the health assistant is leaving the room, the child's mother tells the health assistant in confidence that her husband physically abuses both her and the child. The health assistant should...
A. report the conversation to his or her supervisor
B. talk to the husband and encourage him to get counseling
C. talk to the child to see if the mother is telling the truth
D. keep the information confidential as the mother requested

A. report the conversation to his or her supervisor

Transmission-based precautions should be used when a patient has been diagnosed with...
A. influenza
B. appendicitis
C. breast cancer
D. HIV

A. influenza

A health assistant is caring for a patient who has been diagnosed with chickenpox. What type of transmission-based precautions should the health assistant follow when providing direct care this patient?
A. airborne
B. droplet
C. infectious
D. contact

A. airborne

Of the choices below, the health assistant should first\____ before performing any patient procedure.
A. provide privacy
B. wash hands
C. explain the procedure
D. record the procedure

B. wash hands

What abbreviation signifies "immediately?"
A. APC
B. TPR
C. TESD
D. STAT

D. STAT

Patients who cannot eat any food or water are...
A. PRN
B. NPO
C. BID
D. DOA

B. NPO

The surgical removal of the gallbladder is known as...
A. lobectomy
B. gastrectomy
C. colectomy
D. cholecystectomy

D. cholecystectomy

A trauma victim with damage to an eye would be referred to a/an...
A. ophthalmologist
B. pulmonolgist
C. audiologist
D. orthopedist

A. ophthalmologist

The diaphragm is \____ to the heart
A. lateral
B. inferior
C. medial
D. superior

B. inferior

The esophagus is located in which body system?
A. cardiovascular
B. endocrine
C. Digestive
D. reproductive

C. digestive

The substance that is surrounded by the cell membrane and fills each cell is the...
A. endothelium
B. cytoplasm
C. neoplasm
D. hypoplasia

B. cytoplasm

A patient with Paralysis on his or her left side resulting from a CVA is suffering from...
A. papaplegia
B. cardioplegia
C. hemiplegia
D. quadriplegia

C. Hemiplegia

What is most serious when a patient falls?
A. reports of wrist aches
B. slurred speech and weakness on one side
C. abrasions on the knees and one elbow
D. tenderness of ankle

B. slurred speech and weakness on one side

An injury that results from overstretching a ligament at a joint is a...
A. sprain
B. spasm
C. dislocation
D. strain

A. sprain

A reddish discoloration of the skin is...
A. erythema
B. jaundice
C. cyanosis
D. albinism

A. erythema

The best way for a health assistant to confirm the identity of a patient is to...
A. ask the patient in the neighboring room
B. confirm the name is on the chart
C. check the patient's name band
D. check the room number

C. check the patient's name band

How is 4:20 p.m. expressed in military time?
A. 0420
B. 1620
C. 2020
D. 2420

B. 1620

Which of the following is an example of a subjective observation?
A. the patient consumed half the meal
B. the patient seemed nervous
C. the patient's blood pressure was high
D. the patient vomited

B. the patient seemed nervous

A patient has fallen while ambulating in the hallway. Which sign indicates the possibility of a fractured hip?
A. the patient is crying and cold
B. there is a small cut on the patient's forearm
C. the patient's left foot is externally rotated
D. the patient is moving the left leg.

C. The patient's left foot is externally rotated

Blurred vision and reduced Hearing in an 82-year old patient might be due to...
A. degenerative changes
B. dementia
C. Alzheimer's disease
D. osteoporosis

A. degenerative changes

Leaving a patient in soiled linens for a long period of time is an act of...
A. malpractice
B. negligence
C. abuse
D. abandonment

B. negligence

Which scenario is most likely to cause the immediate dismissal of a health assistant?
A. posting a patient's medical diagnosis on social media
B. arriving two hours late to a work appointment without notice
C. smoking in a facility's designated smoke-free area
D. being short with or showing rude expressions to a patient

A. posting a patient's medical diagnosis on social media

When does the release of a medical record become legal?
A. once it is notarized
B. with the doctor's signature
C. with the patient's signature
D. once the insurance company is notified

C. with the patient's signature

A health assistant turns a computer screen away from a family in the doctor's office. This behavior is most consistent with...
A. OBRA
B. WHO
C. APHA
D. HIPAA

D. HIPAA

A health assistant makes an error while charting on paper. To correct the error, the health assistant should...
A. cross out the error, initial, and continue charting
B. use wite-Out to cover the error, enter the correct information over the wite-Out, and continue charting
C. black out error, write the correct information after it, initial, and continue charting
D. obtain a new sheet of paper and re-do the charting correctly

A. cross out the error, initial, and continue charting

A patient has just finished eating lunch. The patient drank two-thirds of a 6-oz glass of milk, 125 mL of coffee, and half of an 8-oz bowl of soup. How many milliliters should the health assistant record on the I & O sheet?
A. 250 mL
B. 300 mL
C. 365 mL
D. 375 mL

C. 365 mL

A patient with difficulty swallowing should be placed on a/an \____ diet.
A. soft
B. pureed
C. edentulous
D. NAS

B. pureed

When filling a patient medical records, which should appear first in the file?
A. Maria sebastian
B. Sarah Simma-Alva'
C. john McMolland
D. Andrew Metis

C. john McMolland

Autoclaving is used to...
A. destroy all microorganisms
B. provide music for patients
C. clean disposable instruments
D. screen patients for cancer

A. destroy all microorganisms

A patient has an activity order to walk. Before ambulation, the health assistant must first...
A. take off the patients socks
B. call the occupational therapist
C. stand the patient upright
D. dangle the patients feet

D. dangle the patients feet

How often does a patient who is comatose require oral Care?
A. once a day
B. twice a day
C. every 2 to 4 hours
D. every 5 to 9 hours

C. every 2 to 4 hours

Your patient who has a cast on his right arm presents with edema and cyanosis of his fingers. You would...
A. report it to your supervisor
B. do nothing
C. apply ice
D. elevate the arm

A. report it to your supervisor

You answer the phone during your shift and the caller states that he has crushing pain. You...
A. call 911 and keep the caller on the phone.
B. advise to go to the ER.
C. Report it to your supervisor.
D. tell him to call his doctor.

A. call 911 and keep the caller on the phone.

First aid for the patient experiencing heat exhaustion is...
A. applying ice.
B. letting the patient rest.
C. loosening or removing excessive clothing.
D. taking a cold shower.

C. loosening or removing excessive clothing.

Your patient begins to cough forcefully after eating a piece of bread. You would...
A. attempt CPR.
B. observe as long as the patient is able to cough.
C. give five back blows.
D. call 911.

B. observe as long as the patient is able to cough.

Emergency care is care that must be...
A. administer to children only.
B. given to patients who need medical care.
C. given right away to prevent loss of life.
D. issue to patients who have headaches.

C. given right away to prevent loss of life.

The most accurate way to identify a patient is to...
A. check the name band.
B. look at the chart.
C. ask him/her for their name.
D. look for their name on the door.

A. check the name band.

When pushing a wheelchair down the ramp with the patient in it...
A. walk as fast as you can.
B. keep the brakes on.
C. walk backwards, holding the chair facing the patient.
D. walk backwards holding the chair from behind.

D. walk backwards holding the chair from behind.

RACE stands for...
A. Rescue-Alarm-Call-Escape
B. Rescue-Alarm- Contain-Escape
C. Rescue-Alarm-Contain-Extinguish
D. None of the answers listed here

C. Rescue-Alarm-Contain-Extinguish

Which of the following in a new job orientation is most critical to patient safety?
A. Procedural Manual
B. Job descriptions
C. Material Safety Data Sheets
D. Emergency fire procedures

A. Procedural Manual

Safety use of oxygen requires that...
A. the patient uses an electric razor
B. nail polish must be applied with caution
C. people smoke by the window
D. no flames are allowed in the room

D. no flames are allowed in the room

12 oz of water\=
A. 360 cc
B. 180 cc
C. 400 cc
D. 600 cc

A. 360 cc

4 oz of jello
A. 120 oz
B. 180 cc
C. 120 cc
D. 60 cc

C. 120 cc

1/2 of 4 oz of juice
A. 120 cc
B. 130 cc
C. 60 oz
D. 60 cc

D. 60 cc

8 oz cup of coffee with 2 slices of toast
A. 180 cc
B. 240 cc
C. 120 cc
D. 300 cc

B. 240 cc

16 oz of a bowl of soup
A. 480 cc
B. 400 cc
C. 500 cc
D. 420 cc

A. 480 cc

A patient has just finished eating lunch. The patient drank two-thirds of a 6-oz glass of milk, 125 mL of coffee, and half of an 8-oz bowl of soup. How many milliliters should the health assistant record on the I & O sheet?
A. 245 mL
B. 485 mL
C. 365 mL
D. 275 mL

C. 365 mL

Which of the following blood pressure is normal?
A. 130/85
B. 50/40
C. 190/120
D. 135/110

A. 130/85

A health assistant is providing care to a child in a hospital setting. As the health assisting is leaving the room the child's mother tells the health assistant in confidence that her husband physically abuses both her and the child. The health assistant should...
A. Keep the information confidential as the mother requested
B. Talk to the husband
C. Talk to the child
D. Report the conversation to the supervisor

D. Report the conversation to the supervisor

Neoplasm is a new growth of tissue that is...
A. an ostomy
B. abnormal
C. inflamed
D. infected

B. abnormal

Which of the following is a part of the respiratory system?

A. hypodermis
B. urethra
C. bronchi
D. thryoid

C. bronchi

Patients who cannot have any food or water are...
A. NPO
B. DOA
C. BID
D. PRN

A. NPO

A patient has fallen and a health assistant responds to help. Which of the following signs and symptoms is the most serious?
A. Patient reports that his or her wrist aches
B. Patient has abrasions on his or her knees and one elbow
C. Patient's speech is slurred and he or she has weakness on one side
D. Patient's ankle is tender

C. Patient's speech is slurred and he or she has weakness on one side

Which of the following is an example of a subjective observation?
A. The patient consumed half the meal.
B. The patient's blood pressure was high.
C. The patient vomited
D. The patient seemed nervous.

The patient seemed nervous.

The esophagus is located in which body system?
A. cardiovascular
B. digestive
C. endocrine
D. reproductive

B. digestive

A patient with paralysis on his/her left side resulting from a CVA is suffering from...
A. hemiplegia
B. paraplegia
C. cardioplegia
D. quadriplegia

A. hemiplegia

A patient in a healthcare facility with many different cultures and religions present is...
A. not allowed to express his or her own beliefs
B. allowed to express his or her own beliefs
C. asked to share his or her beliefs with the staff.
D. asked to share his or her beliefs with the patients.

B. allowed to express his or her own beliefs

How is 4:20 p.m. expressed in military time?
A. 1620
B. 0420
C. 2020
D. 2420

A. 1620

When does the release of a medical record become legal?
A. once the insurance company is notified
B. with the doctor's signature
C. once it is notarized
D. with the patient's signature

D. with the patient's signature

A 56-year-old person who is dying of cancer is classified as a/an\_____________patient.
A. geriatric
B. ambulatory
C. hospice
D. isolation

C. hospice

The symptoms of blurred vision and reduced hearing in an 82-year old may be due to...
A. degenerative changes
B. dementia
C. alzheimer's disease
D. osteoporosis

A. degenerative changes

A health assistant calls a patient regarding lab results, and gets the patient's answering machine. The health assistant should...
A. leave a message giving the details of the lab results
B. leave a message stating that the lab results are in, whether they are normal or abnormal and instructing them to call for more information
C. instruct the patient to call the lab to obtain the lab results
D. Identify him or herself, give the office number, and ask the patient to call for the lab results

D. Identify him or herself, give the office number, and ask the patient to call for the lab results

According to HIPAA regulations, which of the following is true about a hospital sharing patient information with other healthcare agencies?
A. The hospital must have consent, but it can be oral or written.
B. The hospital must have written consent to do so.
C. The hospital must have consent, but it can be oral or written.
D. No consent is necessary as long as the information is relevant to the patient's well-being.

B. The hospital must have written consent to do so.

A health assistant makes an error with charting. To correct the error, the health assistant should...
A. use Wite-out to cover the error, enter the correct information over the Wite-Out, and continue charting
B. black out the error, and continue charting
C. cross out the error, initial, and continue charting
D. obtain a new sheet of paper and redo the charting correctly

C. cross out the error, initial, and continue charting

Where would a health assistant find information on how to perform his or her job?
A. employee directory
B. employer's procedural manual
C. manual for a new copy machine
D. booklet of employee benefits

B. employer's procedural manual

Leaving a patient in soiled linens for a long period of time is an act of...
A. malpractice
B. abuse
C. abandonment
D. negligence

D. negligence

A patient has just finished eating lunch. The patient drank 2/3 of a 6 ounce glass of milk, 125 ml of coffee, and 1/2 of an 8 ounce bowl of soup. How many ml would the health assistant record on the I&O sheet?
A. 365 ml
B. 250 ml
C. 375 ml
D. 300 ml

A. 365 ml

An ulnar pulse is measured at the...
A. elbow
B. heart
C. wrist
D. neck

C. wrist

A diet that consists of foods that have been blended to a smooth consistency is known as a/an \_______________diet.
A. soft
B. pureed
C. edentulous
D. bland

B. pureed

Decubitus ulcers are most likely to develop in the...
A. calf region
B. abdominal area
C. heel area
D. nasal region

C. heel area

When filling the medical records of patients, which of the following patient records would appear first in the file?
A. Maria Sebastian
B. John McMolland
C. Sarah Simms-Alva
D. Andrew Metis

B. John McMolland

When lifting a patient, the type of movement most likely to cause injury is...
A. lifting with a full body sling
B. keeping the patient close to the caregiver
C. adjusting the bed to a proper height
D. bending and twisting while lifting

D. bending and twisting while lifting

Autoclaving is a process used to...
A. destroy all microorganisms
B. provide music for patients
C. examine the large intestines
D. screen patients for cancer

A. destroy all microorganisms

When completing medical insurance forms, the provider refers to the...
A. subscriber
B. hospital or physcian
C. insurance company
D. patient

B. hospital or physcian

Which of the following immunizations is available for health care workers...
A. Hepatitis C
B. TB skin test
C. Hepatitis A
D. Hepatitis B

D. Hepatitis B

Elder abuse can happen to any \______________patient.
A. elderly
B. pediatric
C. middle-age
D. teenage

A. elderly

Before performing any procedure...
A. Identify patient, wash hands, and check the chart
B. Identify patient, explain procedures, and wash hands
C. Identify patient, wash hands, and explain procedures
D. Identify patient, wash hands, and begin procedures

C. Identify patient, wash hands, and explain procedures

Your patient's systolic blood pressure is 60 and he is unresponsive. You would...
A. give him fluids to raise his BP
B. Call your co-worker
C. let him rest for a while
D. activate appropriate emergency procedures

D. activate appropriate emergency procedures

BRP means...
A. blood pressure
B. bathroom privileges
C. blood pressure, respiration, pulse
D. blood pressure, respiration, pulse oximetry

B. bathroom privileges

Cyano is the root word for...
A. cold
B. blue
C. poison
D. ecchymosis

B. blue

Wasting away of a muscle means...
A. atrophy
B. decay
C. deteriorate
D. eating away

A. atrophy

Proper PPE attire include..
A. gown, handwashing, gloves, masks,
B. gown, sanitizer, gloves, mask
C. gown, gloves, masks, face shield
D. gown, masks, googles, gloves

D. gown, masks, googles, gloves

The proper sequence for applying PPE is...
A. gown, gloves, masks
B. gown, gloves, googles, mask
C. gown, mask, gloves
D. gown, mask, googles, gloves

C. gown, mask, gloves

Handwashing must be done thoroughly. You should wash your hands for...
A. 30 seconds
B. 15-20 seconds
C. 15-40 seconds
D. 25 seconds

B. 15-20 seconds

The medical term for nose bleed is...
A. epitaxis
B. rhinorrhea
C. rhinoplasty
D. rhinoturia

A. epitaxis

A subjective symptom may be...
A. fever
B. bleeding
C. nausea
D. increased heart rate

C. nausea

An objective sign may be...
A. crying
B. nausea
C. pain
D. increased blood pressure

D. increased blood pressure

A message includes the following:
A. message, text, email, and a phone call
B. sender, message, receiver, and feedback
C. sender, message, robot, and free speech
D. message, sender, receiver, and feedback

B. sender, message, receiver, and feedback

A provider is...
A. is a term used for health professionals who provide health care services.
B. a company which provides insurance plans.
C. extended coverage to family members under the same policy
D. An out-of-pocket expense

A. is a term used for health professionals who provide health care services.

A subscriber is...
A. The person responsible for payment of premiums
B. The provider
C. An out-of-pocket expense
D. An extended coverage to the family

A. The person responsible for payment of premiums

You collected 500 mL of emesis from your patient. You would document it as...
A. input
B. output
C. calorie count
D. fluids

B. output

10 Oz is equal to...
A. 240 mL
B. 320 mL
C. 260 mL
D. 300 mL

D. 300 mL

Your patient needs to omit spicy food. He may only eat food that have a mild flavor. You would recommend a \______________diet.
A. low cholesterol
B. low fat
C. bland
D. gluten-free

C. bland

A balance meal include\_____________________.
A. chicken, green beans, milk, and apple
B. fried eggs and ham
C. fried pork chops, ice cream, mash potatoes
D. oatmeal, fried eggs, and hash brown

A. chicken, green beans, milk, and apple

A patient's chart is a...
A. warrant
B. a complete record of care given
C. a medical chart for everyone to see
D. chart only for the patient to see

B. a complete record of care given

Your patient drank 200 mL of water, 8 oz of coffee, and urinated 500 mL of urine.
What was his total intake?
A. 280 mL
B. 940 mL
C. 440 mL
D. 400 ML

C. 440 mL

Your patient vomited 300 mL of green bile, voided 200 mL of urine, and received 500 mL of blood. What was his total output?
A. 1000 mL
B. 500 mL
C. 230 mL
D. 400 mL

B. 500 mL

Your patient drank 3/4 of a 8 oz glass of water. How many mL did he drink?
A. 6 oz
B. 200 mL
C. 160 mL
D. 180 mL

D. 180 mL