(Test Bank) Clinical Procedures for Medical Assistants

West, 9

Nursing

Test Bank

9th Edition

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Test Bank for Clinical Procedures for Medical Assistants, The downloadable file consists of 191 pages, and the total size of the file is 2.02 MB. Purchase now only for highly discounted price.

Author(s): West

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Chapter 1: The Medical Record Test Bank MULTIPLE CHOICE 1.What information is contained in the medical record? a.Health history b.Results of the physical examination c.Laboratory reports d.Progress notes e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: V . 6 2.Which of the following is not a function of the medical record? a.To provide information for making decisions regarding the patient’s care b.To document the patient’s progress c.To serve as a legal document d.To share information between members of the patient’s family ANS:DTOP:CAAHEP Cognitive Competency Met: V . 6 3.The purpose of HIPAA is to a.reduce exposure of patients to bloodborne pathogens. b.provide patients with more control over the use and disclosure of their health information. c.prevent the patient’s records from being copied. d.encourage the patient to become more involved in preventive health care. ANS:BTOP:CAAHEP Cognitive Competency Met: IX. 3 4.The patient registration record consists of a.demographic and billing information. b.medication instructions given to the patient. c.the results of the physical examination. d.a list of problems associated with the patient’s illness. e.all of the above. ANS:ATOP:CAAHEP Cognitive Competency Met: V . 6 5.All of the following are included in the patient registration record except a.date of birth. b.allergies. c.employer. d.patient’s insurance company. ANS:BTOP:CAAHEP Cognitive Competency Met: V . 6 6.Which of the following provides subjective data about a patient to assist the physician in arriving at a diagnosis? a.Laboratory testsb.Physical examination c.Health history d.Diagnostic tests ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 6 7.Which of the following is not included on a medication record for medication administered at the office? a.Name of the medication b.Route of administration c.Dosage administered d.Number of refills ANS:DTOP:CAAHEP Cognitive Competency Met: V . 6 8.A narrative report of an opinion about a patient’s condition by a practitioner other than the attending physician is known as a _____ report. a.correspondence b.discharge summary c.consultation d.health history ANS:CTOP:CAAHEP Cognitive Competency Met: V . 12 9.Which of the following services may be provided through home health care? a.IV therapy b.Respiratory care c.Rehabilitation d.Maternal-child care e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: I. 9 10.A report of the analysis of body specimens is known as a _____ report. a.therapeutic b.diagnostic c.laboratory d.progress ANS:CTOP:CAAHEP Cognitive Competency Met: V . 12 11.All of the following are examples of diagnostic reports except _____ report. a.urinalysis b.spirometry c.colonoscopy d.radiology ANS:ATOP:CAAHEP Cognitive Competency Met: V . 12 12.All of the following are examples of physical therapy except a.electrical stimulation. b.hydrotherapy. c.therapeutic exercise.d.breathing treatments. ANS:D CAAHEP Cognitive Competency Met: I. 9 13.Which of the following helps a patient with a disability learn new skills to perform the activities of daily living? a.Speech therapy b.Occupational therapy c.Physical therapy d.Dietitian ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 14.What term is used to describe a patient who has been admitted to the hospital for at least one overnight stay? a.Outpatient b.Ambulatory patient c.Guest d.Inpatient ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 11 15.Conclusions drawn from an interpretation of data are known as a.medical impressions. b.prognosis. c.symptoms. d.charting. ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 11 16.All of the following are included in an operative report except a.the name of the surgical procedure. b.description of the procedure used during surgery. c.prognosis. d.postoperative diagnosis. ANS:CTOP:CAAHEP Cognitive Competency Met: V . 12 17.Which of the following reports consists of an account of the significant events of a patient’s hospitalization? a.Emergency department report b.Pathology report c.History and physical report d.Discharge summary report ANS:DTOP:CAAHEP Cognitive Competency Met: V . 12 18.Which of the following reports consists of a macroscopic and microscopic description of tissue removed during surgery? a.Laboratory report b.Pathology report c.Diagnostic imaging reportd.Operative report ANS:BTOP:CAAHEP Cognitive Competency Met: V . 12 19.A copy of the patient’s emergency department report is sent to the a.patient’s insurance company. b.patient. c.patient’s family physician. d.laboratory. ANS:CTOP:CAAHEP Cognitive Competency Met: I. 9 20.A consent to treatment form is required for a.tuberculin skin testing. b.sebaceous cyst removal. c.ear irrigation. d.blood pressure measurement. ANS:BTOP:CAAHEP Cognitive Competency Met: V . 12 21.Which of the following must be included in informed consent? a.An explanation of risks involved with the procedure b.Any alternative treatments or procedures available c.The prognosis d.The purpose of the recommended procedure e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: IX. 13 22.When a medical assistant witnesses a patient’s signature, it means that he or she verified a.the patient’s identity and watched the patient sign the form. b.that the information on the form is correct. c.that the patient is aware of the risks involved with the procedure to be performed. d.that the physician discussed informed consent with the patient. ANS:ATOP:CAAHEP Cognitive Competency Met: IX. 13 23.Which of the following situations requires the completion of a release of medical information form? a.When a patient transfers records to a new physician b.To bill the patient’s insurance company c.To send the patient’s records to a consulting physician d.To determine the patient’s eligibility for insurance benefits ANS:ATOP:CAAHEP Cognitive Competency Met: IX. 13 24.All of the following are included on a release of medical information form except a.the specific information to be released. b.the need for the information. c.the patient’s signature. d.the expiration date of the release form. e.medications being taken by the patient.ANS:ETOP:CAAHEP Cognitive Competency Met: V . 12 25.Which of the following can be performed by an electronic medical record software program? a.Creation of a medical record b.Storage of a medical record c.Editing of a medical record d.Retrieval of a medical record e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: V . 11 26.All of the following are advantages of an electronic medical record (EMR) except a.an EMR does not have to be filed. b.documents in an EMR can be quickly retrieved. c.more than one person can view an EMR at the same time. d.EMRs are exempt from the HIPAA regulations. ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 9 27.How are paper documents entered into a patient’s electronic medical record? a.By scanning them into the computer b.By retyping them on the computer c.By photocopying them d.By transmitting them through a modem ANS:ATOP:CAAHEP Cognitive Competency Met: V . 11 28.Which of the following are used to enter data into an electronic medical record? a.Free-text entry b.Drop-down lists c.Check boxes d.All of the above ANS:DTOP:CAAHEP Cognitive Competency Met: V . 11 29.In a source-oriented record, a radiology report is filed under which of the following chart dividers? a.History and Physical b.Progress Notes c.Lab/X-ray d.Hospital ANS:CTOP:CAAHEP Cognitive Competency Met: V . 5 30.With reverse chronological order, the most recent document is a.filed alphabetically. b.filed by subject title. c.placed in front of the other documents. d.placed in back of the other documents. ANS:CTOP:CAAHEP Cognitive Competency Met: V . 5 31.All of the following are included in the database section of a POR excepta.health history report. b.physical examination report. c.baseline laboratory test results. d.plan of treatment. ANS:DTOP:CAAHEP Cognitive Competency Met: V . 5 32.The acronym for the format used to organize POR progress notes is a.SOAP. b.TGIF. c.OSHA. d.PPR. ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 11 33.Data obtained from the patient are recorded in POR progress notes under a.subjective data. b.objective data. c.assessment. d.plan. ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 6 34.The physician’s interpretation of the patient’s condition is recorded in POR progress notes under a.subjective data. b.objective data. c.assessment. d.plan. ANS:CTOP:CAAHEP Cognitive Competency Met: V . 5 35.The purpose of the tab on a file folder is to a.hold documents in place in the folder. b.identify the contents of the folder. c.prevent the folder from being misfiled. d.keep the folder closed when not in use. ANS:BTOP:CAAHEP Cognitive Competency Met: V . 8 36.All of the following assist in the collection of data for a health history except a.a quiet, comfortable room. b.showing interest in the patient. c.showing concern for the patient. d.calling the patient “honey.” ANS:D 37.Which of the following can be used to enter a health history into an electronic medical record? a.The patient completes a paper form and the medical assistant scans it into the computer. b.The medical assistant enters information while asking the patient questions. c.The patient completes a health history on a computer.d.All of the above are correct. ANS:DTOP:CAAHEP Cognitive Competency Met: V . 11 38.The health history is taken a.after the physician performs the physical examination. b.after laboratory test results are reviewed. c.before the physician performs the physical examination. d.after the physician makes a diagnosis of the patient’s condition. ANS:CTOP:CAAHEP Cognitive Competency Met: V . 6 39.What is the chief complaint? a.The probable outcome of the patient’s condition b.The symptom causing the patient the most trouble c.A detailed description of the patient’s illness using medical terms d.A tentative diagnosis of the patient’s condition ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 40.Which of the following questions should be used to elicit the chief complaint from a patient? a.Where does it hurt? b.Are you sick? c.How long have you been ill? d.What seems to be the problem? e.All of the above are correct. ANS:D 41.Which of the following is a correct example for recording the chief complaint? a.“Complains of pain in the left shoulder.” b.“The patient does not feel well today.” c.“Burning in the chest and coughing for the past 2 days.” d.“Otitis media that began following a cold.” ANS:C 42.An expansion of the chief complaint is known as the a.review of systems. b.present illness. c.progress report. d.provisional diagnosis. ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 43.What is the medical history? a.The patient’s previous diseases, injuries, and operations b.The symptom causing the patient the most trouble c.Information about the patient’s lifestyle d.The hereditary diseases and health of blood relatives ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 1144.All of the following are included in the medical history except a.accidents and injuries. b.immunizations. c.operations. d.medications. e.occupation. ANS:ETOP:CAAHEP Cognitive Competency Met: IV . 12 45.A review of the health status of blood relatives is known as a.family history. b.review of systems. c.genetic review. d.chronological history. ANS:ATOP:CAAHEP Cognitive Competency Met: V . 6 46.Which of the following is an example of a familial disease? a.Tuberculosis b.Pneumonia c.Diabetes mellitus d.Emphysema ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 47.The social history is important because which of the following may affect the patient’s condition? a.Lifestyle b.Familial diseases c.Past injuries d.Medications being taken by the patient ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 12 48.All of the following are included in the social history except a.dietary history. b.health habits. c.occupation. d.chronic illnesses. ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 6 49.What is the ROS? a.A history of the patient’s previous diseases, injuries, and operations b.The symptom causing the patient the most trouble c.A systematic review of each body system d.A review of the hereditary diseases and health of blood relatives ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 50.What term is used to describe the process of making written entries about a patient in the medical record? a.Chartingb.Registration c.Scribbling d.Documentation ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 11 51.Black ink should be used when recording in the patient’s chart to a.provide a permanent record. b.ensure legible handwriting. c.avoid spelling errors. d.reduce charting errors. ANS:A 52.All of the following must be done when charting except a.begin each new entry on a separate line. b.include the patient’s name at the beginning of each entry. c.begin each phrase with a capital letter. d.include the date and time with each entry. ANS:B 53.A procedure should be charted immediately after being performed to a.avoid charting the procedure out of sequence. b.avoid performing the wrong procedure on a patient. c.avoid forgetting certain aspects of the procedure. d.prevent another staff member from charting the procedure. ANS:CTOP:CAAHEP Cognitive Competency Met: V . 6 54.Which of the following is the correct way to sign a charting entry? a.D.B., CMA (AAMA) b.Dawn C. Bennett, CMA (AAMA) c.D. Bennett, CMA (AAMA) d.Bennett, CMA (AAMA) ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 55.Why should a recording in the medical record never be erased or obliterated? a.It makes it harder to read the chart. b.The patient may not receive the proper care. c.Credibility is reduced if the physician is involved in litigation. d.It indicates the procedure was performed incorrectly. ANS:C 56.The purpose of progress notes is to a.provide a review of each body system. b.update the medical record with new patient information. c.prevent the patient’s condition from getting worse. d.ensure that the patient returns for follow-up care. ANS:BTOP:CAAHEP Cognitive Competency Met: V . 657.What is a symptom? a.Conclusions drawn from an interpretation of data b.Any change in the body or its functioning that indicates disease c.The probable outcome of a disease d.The scientific method of identifying a patient’s condition ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 58.What is an objective symptom? a.A symptom that can be observed by another person b.A symptom that precedes a disease c.A symptom that is felt by the patient and cannot be observed by another d.The symptom causing the patient the most trouble ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 6 59.Which of the following is an example of a subjective symptom? a.Rash b.Pain c.Dyspnea d.Bleeding ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 6 60.Laboratory tests ordered on a patient at an outside laboratory should be charted to provide documentation in case which of the following occurs? a.The patient does not undergo the test. b.The test results are abnormal. c.The patient’s condition gets worse. d.The test results are negative. ANS:BTOP:CAAHEP Cognitive Competency Met: V . 6 61.Why is it important to document any instructions provided to the patient? a.To ensure that the patient understands the instructions provided b.To protect the physician legally if the patient is harmed by not following the instructions c.To ensure that the patient follows the instructions d.To provide a record for the insurance company ANS:B 62.Flushed skin usually indicates the patient a.is experiencing pain. b.has an elevated temperature. c.has chills. d.has a rash. ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 63.A yellow color of the skin that is first observed in the whites of the eyes is called a.cyanosis.b.hepatitis. c.pallor. d.jaundice. ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 11 64.A decrease in the amount of water in the body is known as a.edema. b.acidosis. c.epistaxis. d.dehydration. ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 11 65.What term is used to describe excessive perspiration? a.Dehydration b.Diaphoresis c.Edema d.Hyperemesis ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 66.What term is used to describe dizziness? a.Epistaxis b.Vertigo c.Urticaria d.Pruritus ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11Chapter 2: Medical Asepsis and the OSHA Standard Test Bank MULTIPLE CHOICE 1.What is the name given to a tiny living plant or animal that cannot be seen with the naked eye? a.Pathogen b.Microorganism c.Nonpathogen d.Microbiology ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 2.What term is used to describe a microorganism that produces disease? a.Nonpathogen b.Pathogen c.Bacteria d.Infection ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 3.Which of the following is not an example of a microorganism? a.Pinworms b.Bacteria c.Virus d.Protozoa ANS:ATOP:CAAHEP Cognitive Competency Met: III. 5 4.What term is used to describe a microorganism that does not produce disease? a.Sterile b.Aseptic c.Nonpathogen d.Pathogen ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 5.All of the following are growth requirements for microorganisms except a.darkness. b.moisture. c.nutrition. d.acidic environment. ANS:DTOP:CAAHEP Cognitive Competency Met: III. 6 6.What is the name given to a microorganism that can exist only in the presence of oxygen? a.Anaerobe b.Oxygenophile c.Aerobe d.HeterotrophANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 7.The optimal growth temperature is a.98.6 F or body temperature. b.the temperature at which a microorganism grows best. c.room temperature. d.the temperature that kills pathogens. ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 8.Microorganisms can be transmitted through a.droplet infection. b.insects. c.contaminated food. d.contaminated equipment. e.all of the above. ANS:ETOP:CAAHEP Cognitive Competency Met: III. 1 9.What is the name given to a person who cannot fight off a pathogen that has entered his or her body? a.Reservoir host b.Resistant host c.Contagious d.Susceptible host ANS:DTOP:CAAHEP Cognitive Competency Met: III. 1 10.All of the following make a person less resistant to a pathogen except a.poor nutrition. b.immunizations. c.poor hygiene. d.stress. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 1 11.Cilia remove pathogens from the body by a.providing an acidic environment. b.engulfing pathogens. c.trapping microorganisms. d.constantly beating toward the outside. e.all of the above. ANS:DTOP:CAAHEP Cognitive Competency Met: III. 6 12.What term is used to describe practices that help to keep an object or area clean and free from infection? a.Medical asepsis b.Surgical asepsis c.Disinfection d.SterilizationANS:ATOP:CAAHEP Cognitive Competency Met: III. 2 13.Which of the following are picked up in the course of daily activities, are attached loosely to the skin, and are often pathogenic? a.Transient flora b.Normal flora c.Opportunistic infections d.Resident flora ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 11 14.The CDC recommends that washing the hands with soap and water be performed a.after eating. b.when the hands are visibly soiled. c.before using the restroom. d.after taking a patient’s blood pressure. ANS:B TOP:CAAHEP Cognitive Competency Met: III. 2 | CAAHEP Cognitive Competency Met: III. 13 15.All of the following are advantages of alcohol-based hand rubs except a.they do not require rinsing. b.less time is required to perform hand hygiene. c.they remove all resident flora from the skin. d.they contain emollients to prevent drying of the hands. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 3 16.The purpose of the OSHA Bloodborne Pathogens Standard is to a.improve the quality of laboratory testing in the United States. b.protect public health and the environment outside of the workplace. c.reduce the risk to employees of exposure to infectious diseases. d.prevent exposure of employees to bloodborne pathogens. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 11 17.What is the purpose of the Needlestick Safety and Prevention Act? a.To ensure that an injection is administered correctly b.To ensure the proper disposal of sharps c.To reduce the chance of infection developing at the injection site d.To reduce needlestick injuries among health care workers ANS:DTOP:CAAHEP Cognitive Competency Met: III. 3 18.All of the following are considered other potentially infectious materials (OPIM) except a.any body fluid visibly contaminated with blood. b.vaginal secretions. c.tears and sweat. d.semen. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 12 19.All of the following are examples of nonintact skin excepta.skin with dermatitis. b.burned skin. c.bruised skin. d.chapped skin. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 12 20.Which of the following is an example of an exposure incident? a.Spilling blood on a laboratory worktable b.Sticking yourself with the needle after drawing up an injectable medication c.Getting blood onto your bare hands d.Splashing blood into your eyes e.All of the above ANS:DTOP:CAAHEP Cognitive Competency Met: III. 11 21.How often does OSHA require employers to review and update their Exposure Control Plan? a.Every 6 months b.Once each year c.Every 2 years d.Only when a new procedure is instituted ANS:BTOP:CAAHEP Cognitive Competency Met: IX. 13 22.What term describes a device that makes an exposure incident involving a contaminated sharp edge less likely to occur? a.Postexposure prophylaxis b.Decontamination c.Personal protective equipment d.Safer medical device ANS:DTOP:CAAHEP Cognitive Competency Met: III. 4 23.What term is used to describe a physical or mechanical device used to remove health hazards from the workplace? a.Engineering control b.Work practice control c.Personal protective equipment d.Universal precaution ANS:ATOP:CAAHEP Cognitive Competency Met: III. 4 24.All of the following are examples of work practice controls except a.sanitizing the hands after removing gloves. b.placing a lancet in a biohazard sharps container. c.picking up broken glassware with gloved hands. d.bandaging a cut on the hands before gloving. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 11 25.Which of the following is an example of personal protective equipment? a.Clean, disposable gloves b.Biohazard sharps containerc.Scrubs d.Prescription eyeglasses ANS:ATOP:CAAHEP Cognitive Competency Met: XI. 1 26.Which of the following is a violation of the OSHA standard? a.Eating in the office laboratory b.Storing the Exposure Control Plan on the computer c.Recapping a needle after withdrawing medication from a vial d.Refusing to get the hepatitis B vaccination e.All of the above ANS:ATOP:CAAHEP Cognitive Competency Met: III. 11 27.What is the first thing you should do if a cut on your bare hand accidentally comes in contact with a patient’s blood? a.Report the incident to the physician. b.Wash your hands with soap and water. c.Apply gloves. d.Obtain a hepatitis B vaccination. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 12 28.Personal protective equipment must be used to a.draw blood. b.label a specimen container. c.measure oral temperature. d.perform a vision screening test. e.do all of the above. ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 7 29.Which of the following used items is not an example of regulated medical waste? a.Suture needle b.Microbiologic collection device c.Gauze saturated with blood d.Urine testing strip ANS:DTOP:CAAHEP Cognitive Competency Met: XI. 9 30.Which of the following represents an error in technique when preparing regulated medical waste for disposal by an infectious waste service? a.Closing the lid of a full sharps container in the examining room b.Double-bagging regulated medical waste c.Placing a biohazard bag in a cardboard box and sealing it d.Storing a biohazard box in the front office for pickup by the medical waste service ANS:DTOP:CAAHEP Cognitive Competency Met: XI. 9 31.The most likely means of contracting hepatitis B in the health care setting is through a.contaminated food and water. b.needlesticks and blood splashes. c.handling contaminated equipment.d.touching a patient infected with hepatitis B. ANS:BTOP:CAAHEP Cognitive Competency Met: XI. 8 32.Treatment for acute hepatitis B includes a.antibiotics. b.physical therapy. c.liver transplantation. d.restricted activity and rest. ANS:DTOP:CAAHEP Cognitive Competency Met: I. 9 33.The most common side effect of the hepatitis B vaccine is a.nausea. b.hives. c.irritability. d.soreness at the injection site. ANS:DTOP:CAAHEP Cognitive Competency Met: I. 9 34.Patients with chronic hepatitis B face an increased risk of developing a.liver cancer. b.pancreatitis. c.rheumatic heart disease. d.gallstones. ANS:ATOP:CAAHEP Cognitive Competency Met: I. 8 35.What is the most common means of transmission for hepatitis C? a.Sharing needles for illegal injection drug use b.Coughs and sneezes from an infected person c.Sexual intercourse d.Mosquitoes ANS:ATOP:CAAHEP Cognitive Competency Met: I. 9 36.What is the term for an infection that results from a defective immune system that cannot defend itself from pathogens normally found in the environment? a.Autoimmunity b.Opportunistic c.Contagious d.Seropositive ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 11 37.Which of the following is not a symptom of acute HIV infection? a.Fever b.Fatigue c.Adenopathy d.Jaundice ANS:DTOP:CAAHEP Cognitive Competency Met: I. 838.Treatment administered to an individual after exposure to an infectious disease to prevent the disease is known as a.immunization. b.postexposure prophylaxis. c.first aid measures. d.antiviral drug therapy. ANS:BTOP:CAAHEP Cognitive Competency Met: I. 9 39.Which of the following employees would be least likely to have occupational exposure? a.Medical laboratory technician b.Dental hygienist c.Electrician d.Law enforcement officer ANS:CTOP:CAAHEP Cognitive Competency Met: III. 11 40.AIDS cannot be transmitted through a.casual contact. b.blood splashes. c.sexual intercourse. d.needlestick injuries. ANS:ATOP:CAAHEP Cognitive Competency Met: I. 8 MATCHING Directions: Match each word part meaning with its correct word part. a.aer/o b.an- c.anti- d.-gen e.micro- f.natal g.non- h.path/o i.post- j.septic 1.After 2.Against 3.Air 4.Disease 5.Infection 6.Not 7.Pertaining to birth 8.Producing 9.Small 10.Without1.ANS:ITOP:CAAHEP Cognitive Competency Met: IV . 10 2.ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 10 3.ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 10 4.ANS:HTOP:CAAHEP Cognitive Competency Met: IV . 10 5.ANS:JTOP:CAAHEP Cognitive Competency Met: IV . 10 6.ANS:GTOP:CAAHEP Cognitive Competency Met: IV . 10 7.ANS:FTOP:CAAHEP Cognitive Competency Met: IV . 10 8.ANS:DTOP:CAAHEP Cognitive Competency Met: IV . 10 9.ANS:ETOP:CAAHEP Cognitive Competency Met: IV . 10 10.ANS:BTOP:CAAHEP Cognitive Competency Met: IV . 10Chapter 3: Sterilization and Disinfection Test Bank MULTIPLE CHOICE 1.Which of the following is used most often to sterilize articles in the medical office? a.Dry heat oven b.Ethylene oxide sterilizer c.Autoclave d.Chemical agents ANS:CTOP:CAAHEP Cognitive Competency Met: III. 6 2.The agent used to destroy microorganisms on an article depends on the a.size of the article. b.intended use of the article. c.number of microorganisms present on the article. d.weight of the article. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 6 3.What is the term for an agent that kills disease-producing microorganisms and that usually is applied to inanimate objects? a.Disinfectant b.Antiseptic c.Fungicide d.Detergent ANS:ATOP:CAAHEP Cognitive Competency Met: IV . 11 4.Which of the following is a characteristic of bacterial spores? a.They consist of a hard, thick-walled capsule. b.They represent a resting and protective stage. c.They are more resistant to heat. d.They usually cannot be killed by disinfectants. e.All of the above are characteristics of bacterial spores. ANS:ETOP:CAAHEP Cognitive Competency Met: III. 3 5.Something that is sterile is free of a.pathogens. b.all living microorganisms. c.all living microorganisms and spores. d.nonpathogens. ANS:CTOP:CAAHEP Cognitive Competency Met: IV . 11 6.Which of the following is accomplished through sanitization? a.Organic matter is removed from the article. b.All microorganisms are removed from the article. c.Stains are removed from the article.d.Spores are killed. e.All of the above are correct. ANS:ATOP:CAAHEP Cognitive Competency Met: III. 3 7.The purpose of the Hazard Communications Standard (HCS) is to ensure that employees a.do not come in contact with hazardous chemicals. b.are protected from bloodborne pathogens in the workplace. c.practice quality control when performing laboratory tests. d.are informed of the hazards associated with chemicals in the workplace. ANS:DTOP:CAAHEP Cognitive Competency Met: IX. 13 8.According to the Hazard Communications Standard, which of the following must be included on the label of a hazardous chemical? a.Name of the chemical b.Physical hazards of the chemical c.Health hazards of the chemical d.Storing and handling of the chemical e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: XI. 4 9.Which of the following is true regarding an MSDS? a.It provides information regarding hazardous chemicals. b.It must be kept on file for each hazardous chemical stored in the workplace. c.It must be readily available to employees. d.It is available from the manufacturer of the hazardous chemical. e.All of the above are true. ANS:ETOP:CAAHEP Cognitive Competency Met: XI. 3 10.Utility gloves over clean disposable gloves should be worn during the sanitization procedure to protect the hands from a.bloodborne pathogens. b.infectious materials. c.irritating chemicals. d.cuts or punctures. e.all of the above. ANS:ETOP:CAAHEP Cognitive Competency Met: III. 3 11.Which of the following represents an error in technique during the sanitization procedure? a.Using a low-sudsing detergent b.Cleansing the grooves of hinged instruments using a wire brush c.Using steel wool to remove stains from instruments d.Checking instruments for proper working condition e.Lubricating hinged instruments ANS:CTOP:CAAHEP Cognitive Competency Met: III. 3 12.High-level disinfection is a process that destroys all a.pathogenic microorganisms.b.microorganisms and spores. c.microorganisms except tubercle bacilli. d.microorganisms but not spores. ANS:DTOP:CAAHEP Cognitive Competency Met: III. 6 13.Which of the following items requires high-level disinfection? a.Stethoscope b.Flexible fiberoptic sigmoidoscope c.Surgical instruments d.Examining table ANS:BTOP:CAAHEP Cognitive Competency Met: III. 6 14.All of the following are guidelines for working with glutaraldehyde (Cidex) except a.work in a well-ventilated area. b.wear safety goggles. c.wear utility gloves. d.store the glutaraldehyde container in a warm, dry area. ANS:DTOP:CAAHEP Cognitive Competency Met: XI. 2 15.Which of the following concentrations of alcohol is the most effective disinfectant? a.50% isopropyl alcohol b.60% isopropyl alcohol c.70% isopropyl alcohol d.100% isopropyl alcohol ANS:CTOP:CAAHEP Cognitive Competency Met: III. 6 16.Which of the following does OSHA recommend for the decontamination of a blood spill? a.70% isopropyl alcohol b.10% household bleach in water c.2% glutaraldehyde d.Lysol ANS:BTOP:CAAHEP Cognitive Competency Met: III. 4 17.Which of the following represents an error in technique during the chemical disinfection procedure? a.Sanitizing articles before disinfecting them b.Opening hinged instruments before placing them in the disinfectant c.Completely immersing articles in the chemical disinfectant d.Making sure articles are wet before immersing them in the disinfectant ANS:DTOP:CAAHEP Cognitive Competency Met: III. 3 18.Why should all organic matter be removed from an article before it is disinfected? a.To prevent the article from rusting b.To prevent stains on the article c.To allow the disinfectant to reach all parts of the article d.To ensure the proper working condition of the articleANS:CTOP:CAAHEP Cognitive Competency Met: III. 3 19.Which of the following should be used to disinfect a laboratory work surface? a.Soap b.Phenol c.Glutaraldehyde d.Iodine ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 20.The period of time that a disinfecting solution is effective after it has been activated is known as its a.reuse life. b.shelf life. c.use life. d.expiration date. ANS:CTOP:CAAHEP Cognitive Competency Met: XI. 9 21.The most common temperature and pressure used for autoclaving is _____ pounds of pressure/square inch a.320 F at 20 b.145 F at 20 c.212 F at 15 d.250 F at 15 ANS:DTOP:CAAHEP Cognitive Competency Met: III. 3 22.The most reliable sterilization indicators check for a.attainment of the proper temperature and the duration of the temperature. b.whether the article has been in the autoclave. c.attainment of the proper temperature and pressure. d.presence of trapped air in the autoclave. ANS:ATOP:CAAHEP Cognitive Competency Met: III. 3 23.Autoclave tape a.ensures whether sterilization has occurred. b.indicates whether the article was in the autoclave. c.can be used only to close the pack. d.plays “Jingle Bells” when it has been exposed to steam. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 24.Sterilization strips should be positioned a.on the bottom tray of the autoclave. b.on the top tray of the autoclave. c.in the center of the wrapped pack. d.on the outside of the pack. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 325.Which of the following is the best means of determining the effectiveness of the sterilization process? a.The temperature gauge on the autoclave b.Biologic indicators c.Sterilization strips d.Autoclave tape ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 26.The purpose of wrapping articles before they are sterilized in the autoclave is to a.permit better steam penetration during autoclaving. b.protect the articles from recontamination after autoclaving. c.ensure complete destruction of all pathogens. d.protect the articles from damage. e.do all of the above. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 27.The wrapper used to autoclave articles should a.prevent contaminants from getting in during handling and storage. b.be made of a substance that does not tear or puncture easily. c.be made of a substance not affected by the sterilization process. d.allow steam to penetrate it. e.do all of the above. ANS:ETOP:CAAHEP Cognitive Competency Met: III. 3 28.All of the following are true statements regarding sterilization pouches except a.they provide good visibility of the contents. b.a sterilization indicator is usually present on the pouch. c.they can be labeled. d.they are reusable. ANS:DTOP:CAAHEP Cognitive Competency Met: III. 3 29.Which of the following would be best to use to wrap a large minor office surgery tray setup? a.Sterilization pouch b.Muslin c.Aluminum foil d.Sterilization paper ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 30.What type of water should be used in the autoclave? a.Salt water b.Tap water c.Distilled water d.Mineral water ANS:CTOP:CAAHEP Cognitive Competency Met: III. 3 31.Which of the following represents an error in technique when loading the autoclave? a.Placing articles 1/2 inch apartb.Placing glassware on their sides c.Placing a dressing pack in a vertical position d.Positioning sterilization pouches on their sides ANS:ATOP:CAAHEP Cognitive Competency Met: III. 3 32.The medical assistant should not set the timer on the autoclave until a.the sterilization indicator changes color. b.the gauge has reached the desired temperature. c.the pressure reaches 15 pounds per square inch. d.steam enters the inner sterilization chamber. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 33.The proper time for sterilizing an article in the autoclave depends on a.the type of autoclave being used. b.what is being sterilized. c.the type of sterilization indicator being used. d.the intended use of the article. ANS:BTOP:CAAHEP Cognitive Competency Met: III. 3 34.Removing a wet pack from the autoclave results in a.rusting of metal instruments. b.dulling of sharp instruments. c.contamination of the pack. d.invalid results on the sterilization indicator. e.all of the above. ANS:CTOP:CAAHEP Cognitive Competency Met: III. 6 35.Which of the following must be resterilized? a.A pack that has been dropped b.A pack that has opened up c.A pack that has gotten wet d.A pack that is torn e.All of the above ANS:ETOP:CAAHEP Cognitive Competency Met: III. 3 36.The inside of the autoclave should be wiped every day with a a.damp cloth. b.disinfectant. c.low-sudsing detergent. d.scouring pad. ANS:ATOP:CAAHEP Cognitive Competency Met: III. 6 37.Dry heat is preferred for sterilizing a.disposable syringes. b.vaginal specula. c.flexible sigmoidoscopes. d.instruments with sharp cutting edges.