Deck 12: Safety and Emergency Practices

Question 1

Which of the following emergency situations should be managed first?

A) Hemorrhage
B) Shock
C) Occluded airway
D) Severe chest pain
E) Fractured bone

Answer 1

Occluded airway

Question 2

On discovering an unresponsive person,the medical assistant first should assess the

A) airway.
B) blood pressure.
C) heart sounds.
D) pulse.
E) skin color.

Answer 2

airway.

Question 3

The first step in rendering first aid to a patient who appears to have stopped breathing is to

A) check for a pulse.
B) check for a medical alert bracelet.
C) begin chest compressions.
D) get the crash cart.
E) administer 2 rescue breaths.

Answer 3

administer 2 rescue breaths.

Question 4

____________ is used for congestive heart failure.

A) Lanoxin
B) Epinephrine
C) Lidocaine
D) Syrup of ipecac
E) Valium

Question 5

______________ is used to control seizures.

A) Lanoxin
B) Epinephrine
C) Lidocaine
D) Syrup of ipecac
E) Valium

Question 6

Epistaxis is

A) redness.
B) a ligament injury.
C) a nosebleed.
D) a bruise.

Question 7

Which of the following should be done immediately when administering first aid to a patient with a partial-thickness chemical burn?

A) Apply a burn ointment.
B) Break the blisters.
C) Cover the burn with dry gauze.
D) Flood the affected area with water.
E) Give pain medication.

Question 8

A patient is having a grand mal seizure.Which of the following is the most appropriate step for the medical assistant to take to protect the patient?

A) Administer small amounts of liquid.
B) Apply wrist restraints.
C) Hold the patient's head in an upright position.
D) Loosen clothing around the patient's neck.
E) Place a padded tongue blade in the patient's mouth.

Question 9

Before CPR is initiated on an infant,the presence of circulation usually is determined by palpating which pulse?

A) Brachial
B) Carotid
C) Femoral
D) Popliteal
E) Radial

Question 10

____________ is used as a topical anesthetic.

A) Lanoxin
B) Epinephrine
C) Lidocaine
D) Syrup of ipecac
E) Valium

Question 11

A CVA is a

A) heart attack.
B) stroke.
C) seizure.
D) defibrillator.

Question 12

What would the physician order if a patient is in insulin shock?

A) Insulin
B) Furosemide (Lasix)
C) Glucose
D) Normal saline
E) Lactated Ringer's solution

Question 13

Before CPR is initiated on an adult,the presence of circulation usually is determined by palpating which pulse?

A) Brachial
B) Carotid
C) Femoral
D) Popliteal
E) Radial

Question 14

A patient faints in the reception room and falls to the floor.The medical assistant should

A) place a pillow under the patient's head and shoulders,keeping the feet and legs flat.
B) place a pillow under the patient's head and shoulders.
C) roll the patient onto his or her right side.
D) check for a pulse.
E) keep the patient's head and shoulders flat and raise the legs.

Question 15

With the physician's approval,which agent can be used to induce vomiting?

A) Lanoxin
B) Epinephrine
C) Lidocaine
D) Syrup of ipecac
E) Valium

Question 16

____________ is used to control hemorrhage and shock.

A) Lanoxin
B) Epinephrine
C) Lidocaine
D) Syrup of ipecac
E) Valium

Question 17

Syncope is the medical term for

A) heart attack.
B) stroke.
C) seizure.
D) fainting.

Question 18

What is the medical term for profuse excretion of sweat?

A) Syncope
B) Sprain
C) Hypertrophy
D) Diaphoresis

Question 19

An AED is used for

A) CVA.
B) shock.
C) seizures.
D) an abnormal heart rhythm.

Question 20

A strain is a(n)

A) fracture.
B) ligament injury.
C) injury that is not treated.
D) muscle injury.

Question 21

The wife of a patient with diabetes calls to report that her husband exercised strenuously this morning,and he now feels dizzy and is sweating profusely.What might be the problem?

A) Hyperglycemia
B) Hypoglycemia
C) Diabetic coma
D) Polydipsia

Question 22

Signs and symptoms of shock include all of the following except

A) cyanosis.
B) hypertension.
C) extreme thirst.
D) rapid respirations.

Question 23

Eddie Thompson,age 16,is allergic to penicillin.If he is given an injection of penicillin G,which of the following shock emergencies might occur?

A) Neurogenic
B) Anaphylactic
C) Cardiogenic
D) Traumatic

Question 24

You receive an urgent call from a parent,who reports that his child cut her arm with a knife and "There is blood all over the place." What is the first step in controlling the hemorrhage?

A) Place a tourniquet above the wound.
B) Apply direct pressure to the wound.
C) Lower the arm below the level of the heart.
D) Apply ice.

Question 25

What are some of the signs and symptoms of heatstroke?

A) Red,hot,dry skin and a rapid pulse
B) White,waxy skin color with a slow pulse
C) Profuse diaphoresis
D) Complaints of pain throughout the extremities

Question 26

Systemic spread of a bacterial infection may result in which type of shock?

A) Septic
B) Hypovolemic
C) Neurogenic
D) Psychogenic

Question 27

Paco Garcia calls in a panic.One of his workers cut his arm on a saw,and the wound is bleeding profusely.Which artery should the medical assistant tell him to squeeze to try to stop the bleeding until EMS arrives?

A) Radial
B) Subclavian
C) Brachial
D) Femoral

Question 28

A patient with a deep,jagged wound that is bleeding profusely is diagnosed with a(n)

A) avulsion.
B) laceration.
C) traumatic injury.
D) hematoma.

Question 29

A family that lives near a neighborhood lake calls to report that their child fell into the water and now has a temperature below 95 $\degree$ F.What type of problem is this?

A) Frostbite
B) Hyperthermia
C) Cold stroke
D) Hypothermia

Question 30

A temporary loss of neurologic function that is caused by a problem with blood flow to the brain tissues is called a

A) CVA.
B) stroke.
C) TIA.
D) carotid occlusion.

Question 31

What percentage of the body is burned in an adult victim with burns of both arms?

A) 9%
B) 12%
C) 18%
D) 6%

Question 32

A child who falls while skating,scraping the skin off her knee,may have which type of wound?

A) Avulsion
B) Contusion
C) Abrasion
D) Laceration

Question 33

The wife of an elderly patient reports that her husband may be suffering from heatstroke.What recommendations should the medical assistant make?

A) Have him take a nap and call later if any other problems develop.
B) Apply cool,damp cloths to all exposed skin and then fan the moist skin.
C) Even though he has difficulty swallowing,have him drink as much cold fluid as possible.
D) Bring him into the office tomorrow to be checked out.

Question 34

A patient tells you she feels dizzy and lightheaded.What is the first thing you should do?

A) Have her lie down on the floor with her feet elevated.
B) Take her BP.
C) Obtain an ECG.
D) Have the patient sit down and then help her lower her head to her knees.

Question 35

A closed wound caused by blunt force trauma that results in swelling,ecchymosis,and pain is called a(n)

A) abrasion.
B) avulsion.
C) laceration.
D) contusion.

Question 36

The mother of a 10-year-old boy with diabetes type 1 calls,very concerned about her son.He has been sick for 2 days with a fever and loss of appetite,and he now is very lethargic and is vomiting,and his breath smells fruity.What health emergency may be developing?

A) Insulin shock
B) Hyperglycemia
C) Diabetic coma
D) Septicemia

Question 37

A very agitated Madeline Tamarelli calls to report that her 18-year-old son and his friends were playing with knives,and a knife was thrown into his leg.The medical assistant should instruct Mrs.Tamarelli to do all of the following except

A) remove the knife immediately to prevent further damage.
B) stay on the line while the medical assistant activates EMS.
C) calm down so that she can apply first aid.
D) roll clean material around the knife to stabilize it.

Question 38

The medical term for a heart attack is

A) CAD.
B) myocardial infarction.
C) congestive heart failure.
D) pulmonary edema.

Question 39

Part of the recommended treatment for mild frostbite of the fingers is

A) rubbing the fingers to warm them.
B) wrapping the hands in hot towels.
C) immersing the fingers in warm water.
D) washing the fingers well with soap and water.

Question 40

Good Samaritan laws provide medical assistants with legal protection as long as they

A) administer first aid at the site within their scope of competence.
B) act competently at work when helping patients with emergency injuries.
C) do whatever they can to help someone who is injured.
D) do nothing for the victim until EMS arrives.

Question 41

Debbie discovers a 40-year-old patient collapsed in the office hallway.What is the best location for checking the patient's pulse?

A) Radial artery
B) Carotid artery
C) Brachial artery
D) Femoral artery

Question 42

Emergency preparedness plans are designed to coordinate care provided by which of the following agencies?

A) EMS
B) Fire departments
C) Law enforcement agencies
D) National Guard
E) All of the above

Question 43

The best way to treat a suspected diabetic emergency in a conscious patient is to

A) give orange juice with sugar.
B) administer glucose tabs.
C) give an injection of insulin as soon as possible.
D) loosen the clothing and elevate the legs.

Question 44

If an adult patient is not breathing but has a pulse,what should you do?

A) Deliver rescue breaths every 4 to 5 seconds.
B) Start CPR.
C) Deliver rescue breaths every 2 seconds.
D) Deliver approximately 10 breaths per minute.

Question 45

Which of the following is a role that the medical assistant is not responsible for in an emergency?

A) Diagnosing emergencies over the phone
B) Emergency first aid and/or CPR
C) Documentation and electronic health record management
D) Ensuring compliance with standard precautions

Question 46

Which of the following suggestions comes from OSHA?

A) Use proper body mechanics in all situations
B) Open lines of communication
C) Standardized procedures and policy manual
D) Ongoing staff training in patient safety factors

Question 47

Which of the following is not a use of epinephrine in an emergency situation?

A) As a vasoconstrictor
B) Heart stimulant used to treat shock
C) Acute anaphylactic reaction
D) As a vasodilator

Question 48

Which of the following is one of the primary differences between administering CPR to an adult and administering it to a child?

A) Administer 3 rescue breaths if there is no breathing.
B) Perform compression/breath ratios at 15:2.
C) Compress the sternum with the heel of one hand.
D) Check the pulse more frequently.

Question 49

Which of the following is a role of an emergency action coordinator?

A) Notifying and working with community emergency services
B) Clearly marking evacuation routes
C) Assisting any co-worker or patient with special needs
D) Checking the entire facility before exiting

Question 50

An adult who suffers sudden cardiac arrest has the best chance of survival if CPR

A) is started immediately.
B) is started immediately and an AED is used within 4 minutes.
C) is started immediately,along with transport to an ED.
D) and use of an AED occur within 10 minutes.

Question 51

Rescue breaths for a child who has a pulse are delivered at what ratio?

A) Once every 4 seconds
B) Once every 5 seconds
C) Once every 6 seconds
D) Once every 3 seconds

Question 52

Which of the following is true about sudden cardiac arrest in children and infants?

A) It most often is caused by a severe head injury.
B) It typically is caused by airway obstruction.
C) It usually is due to a serious congenital heart defect.
D) It usually is due to accidental poisoning.

Question 53

Under what circumstances should EMS be activated if a father calls to report that his child has suffered a head injury?

A) If the child is unconscious
B) If the child is vomiting and disoriented
C) If clear fluid is draining from the right ear
D) All of the above

Question 54

You are babysitting your neighbor's infant and discover that the baby is not breathing.What should you do?

A) If there is no pulse,immediately call EMS.
B) Call EMS immediately and then return to the infant to start CPR.
C) Administer 2 rescue breaths,and if the infant does not respond,call EMS.
D) Perform CPR for about 2 minutes and then call EMS.

Question 55

An AED apex pad is placed next to or underneath the left breast for which of the following patient scenarios?

A) Child
B) Female patient
C) Male patient
D) Adolescent

Question 56

Which of the following is considered regulated waste as defined by OSHA?

A) Contaminated sharps
B) Waste products that contain blood
C) PPE: masks and gowns
D) Both A and B
E) All of the above

Question 57

A 26-year-old patient is being seen today for abdominal pain.The medical assistant is trying to make the patient more comfortable until the physician can see her.Which of the following should the medical assistant not do?

A) Apply a heating pad to the abdomen.
B) Have the patient lie on her back with her knees flexed.
C) Monitor the patient for signs of shock.
D) Take the patient's pulse.

Question 58

For an adult victim,the person giving CPR should perform about ______ compressions per minute.

A) 30
B) 60
C) 100
D) 110

Question 59

When CPR is administered,the ratio of compressions to breaths is

A) 15 to 1.
B) 10 to 2.
C) 29 to 2.
D) 15 to 2.

Question 60

If you suspect a head or neck injury,what maneuver should you use to open the patient's airway?

A) Use the jaw thrust.
B) Use the head tilt-chin lift.
C) Apply a ventilator mask.
D) Insert an airway.

Question 61

If a patient calls the office complaining of moderate to severe abdominal pain,which action is necessary?

A) Activate EMS
B) Same-day appointment
C) Worked into the schedule in the next 3 to 4 days
D) Refer patient to emergency room if no space available in schedule

Question 62

If a patient shows signs of shock,which of the following is recommended?

A) Keep the patient quiet and cool
B) Place patient supine with the legs elevated approximately 1 foot
C) Place patient in the recovery position
D) Start rescue breathing and CPR

Question 63

A person suffers from __________ if he or she excretes more water than is taken in.

Question 64

To prevent burns when using an AED,which of the following precautions must be followed?

A) Dry surface and dry chest
B) Remove or push aside any hair before applying pads
C) Use a pediatric dose
D) Remove patient's glasses

Question 65

If a head or neck injury is suspected,what is the best way to open the airway?

A) Head tilt-chin lift
B) Roll the victim onto his or her back while supporting the head,neck,and back
C) Jaw thrust
D) Pinch nose

Question 66

__________ is the freezing of tissue,which occurs when the skin temperature falls to a range of 14 $\degree$ to 25 $\degree$ F.

Question 67

Which of the following procedures may be used to relieve dyspnea on a patient with suspected cardiac emergency?

A) Take and record vital signs
B) Position patient in a semisupine position
C) Start oxygen
D) Bring emergency cart in the room

Question 68

Symptoms of a transient ischemic attack usually include which of the following?

A) Loss of bladder and bowel control
B) Difficulty breathing and swallowing
C) Unequal pupil size and slurring of speech
D) Temporary paralysis or weakness of one side of the body

Question 69

__________ results from severe hyperglycemia,which develops because the body is not producing enough insulin or because the patient ate too much,is very stressed,or has an infection.

Question 70

The medical term for nosebleed is __________.

Question 71

Patients with __________ have red,hot,dry skin;an altered level of consciousness;tachycardia;and rapid,shallow breathing.

Question 72

Which acronym is used by the AHA to help people remember the order of performing the steps of CPR?

A) CAB
B) BAC
C) ABC
D) None of the above

Question 73

Which of the following conditions typically develops edema and ecchymosis around the injury,and any movement of the joint,especially a twisting one,produces pain?

A) Sprain
B) Strain
C) Fracture
D) All of the above

Question 74

__________ is caused by severe hypoglycemia,which occurs when a patient with diabetes takes too much insulin,does not eat enough,or exercises more strenuously than usual.

Question 75

If a patient presents with burns on the hands and mouth and stains on clothing,complaining of severe nausea or stomach cramps,which of the following has most likely occurred?

A) Poisoning
B) Shock
C) Insect bite
D) Animal bite

Question 76

Which of the following is the most dangerous form of heat- or cold-related injuries,present with red,hot,dry skin and altered levels of consciousness?

A) Heat exhaustion
B) Heatstroke
C) Frostbite
D) Hypothermia

Question 77

Which of the following conditions will quickly improve in a patient experiencing a diabetic emergency and given glucose?

A) Insulin shock
B) Hypoglycemia
C) Hyperglycemia
D) Both A and B

Question 78

The medical term for low blood sugar is __________.

Question 79

If a choking victim is in the late stages of pregnancy,which of the following procedures should be performed?

A) 5 thrusts to the midsternal area using 2 fingers
B) Chest compressions
C) Abdominal thrust maneuver
D) All of the above

Question 80

For patients experiencing seizure,911 should be called in which of the following situations?

A) The patient does not regain consciousness within 10 to 15 minutes.
B) The patient begins a second seizure immediately after the first one.
C) The patient is pregnant.
D) The patient is known to have diabetes.
E) All of the above