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Health Science I Final Review

Total questions: 89

Worksheet time: 45mins

Name
Class
Date
1.

Aiden is assessing a patient who has come in complaining of fatigue, loss of appetite, tachycardia, and bruising. Suspicious that this patient may have leukemia, Aiden wants to order a blood test. He tells the patient that the blood test will be checking to see if the white blood cell count is high. If it is, Aiden explains, this may be a sign that something more serious is happening. He tells his patient that after the blood test results come in, they will discuss them and figure out where to go next. Which part of the Patient’s Bill of Rights is he showing respect for?

a)

right to information

b)

right of choice

c)

right to access

d)

right to confidentiality

2.

Jiao is a general practitioner whose patient is having issues with the muscles in his leg. He is a former athlete, and Jiao suspects that he may have damage to a tendon or tissue in the leg. She explains to her patient that she knows a great physician who specializes in sports medicine. She offers to refer her patient to her friend but also asks if he has a preference as to which facility he goes to. Which part of the Patient’s Bill of Rights is she showing respect for?

a)

right to information

b)

right of choice

c)

right to access

d)

right to confidentiality

3.

Zeke is the head of the radiology department in a busy hospital. He is contacted by a patient who was in for an MRI earlier in the month. The patient felt that the tech who conducted her MRI was not clear in their instructions, and she is worried that the test results were not correct. Instead of assuring the patient that there was no reason to question the MRI results, Zeke assures her that he will take a look at the images himself. Which part of the Patient’s Bill of Rights is he showing respect for?

a)

right to information

b)

right of choice

c)

right to access

d)

right to complaint

4.

Ava is a triage nurse who must check in patients for surgery at the hospital. As she is taking down the information of a new patient, they mention that their religion prevents them from receiving blood transfusions. As a nurse, Ava disagrees with this position and knows that it causes the nurses a lot of hassle to treat a patient without the option of blood. What is the BEST way to show respect for this patient’s right to fair treatment?

a)

Ava should tell the patient honestly that they will probably not receive the best treatment at that facility.

b)

Ava should assure the patient that she has noted their information on the chart and that their rights will be respected.

c)

Ava should call the physician to ask if they are willing to treat a patient who refuses to accept blood.

d)

Ava should ignore the patient’s comment because their religion is none of her business.

5.

Ryan is a cardiologist. He has performed a nuclear stress test on a 61-year-old male patient. The stress test showed that Ryan’s patient may have some issues with blood flowing through his heart. He believes that if it is not too bad, the condition could be controlled by medication. There is another, more invasive test Ryan can do to confirm the patient’s diagnosis. What is the BEST way to show respect for this patient’s right to participation?

a)

Tell the patient that his issues can be controlled with medication, then do a test if the patient has further issues.

b)

Tell the patient that it is important to schedule a cardiac catheterization to see if something is wrong.

c)

Call a colleague to examine the results of the stress test in order to give the patient a second opinion.

d)

Explain the two options and let the patient choose which route they prefer to take to manage their issue.

6.

When informing a patient about a treatment that he recommends; Khalil explains all the benefits of the procedure. He tells his patient that once the procedure is finished, she will no longer have issues with blood clots or pain. What other information is very important for Khalil to discuss with his patient so that she is truly giving informed consent?

a)

Khalil needs to make sure the patient knows the price of the surgery.

b)

Khalil needs to introduce every professional who will be in the room for surgery.

c)

Khalil needs to inform his patient of any possible risks associated with surgery.

d)

Khalil needs to discuss his past experiences performing this type of surgery.

7.

Abdul is helping his grandfather put together a living will. He has downloaded a template of the form and is filling in the information his grandfather gives him. He asks his grandfather if they should direct the doctors to cut off artificial nutrition and hydration. His grandfather agrees since he does not want to be kept alive if he is deemed brain dead. Abdul then asks if his grandfather would like lifesaving efforts such as intubation to help him breathe if he cannot do so on his own. Abdul’s grandfather gets frustrated, wondering why he must make all these choices. What might be the BEST way for Abdul to encourage his grandfather to answer all the questions in his living will?

a)

Abdul should explain that the more specific his grandfather’s living will is, the more likely he will receive the care he would like.

b)

Abdul should say that if his grandfather doesn’t want to make some of these decisions, it’s best not to fill out a living will at all.

c)

Abdul should tell his grandfather that his answers don’t really matter because in the end, the doctors will decide anyway.

d)

Abdul should say that he needs to fill out the form in order to apply for the grandfather’s Medicare.

8.

Sanjay has a patient who has just been diagnosed with leukemia. His patient is determined to fight the illness but also discloses to Sanjay that she is in the middle of a messy divorce. Her husband is fighting to take custody of the children. She asks Sanjay what might happen if he were called to court to testify about her leukemia. What would MOST likely be Sanjay’s response?

a)

Sanjay would assure her that he would only disclose the information if he was forced to testify in court.

b)

Sanjay would tell her that there is no way he could keep the information about her leukemia from the court.

c)

Sanjay would assure her that her medical information is privileged communication and thus he cannot discuss it without her permission.

d)

Sanjay would ask her to sign a form stating that he is unable to divulge information about her health to anyone.

9.

Gabe has logged in to view the records of a patient who had a CT done earlier in the day. Since Gabe is a radiologist, it is his job to assess the image and write a report to the patient’s doctor. The terminal at which Gabe is working is shared by other technicians and personnel in radiology. What should Gabe be mindful of when he is finished accessing this patient’s records?

a)

Gabe needs to send an email copy to the patient’s secretary so she can give it to him.

b)

Gabe needs to log out of the terminal, so the patient’s electronic records are safe.

c)

Gabe needs to print a copy and then destroy the electronic record, so it can’t be accessed.

d)

Gabe needs to take a screenshot and email himself a copy because it’s an interesting case.

10.

Xavier goes to his local retail pharmacy to pick up a prescription for his mother. As he approaches the counter, he sees one window that is labeled ‘Consultation,’ and it has a partition beside it. The other window is labeled ‘Pick up/Drop off.” What is MOST likely the purpose for having a separate consultation window?

a)

So the pharmacy can take more patient’s prescriptions at one time.

b)

So the pharmacist can speak with patients in private.

c)

So the line never looks very long at the pharmacy counter.

d)

So the pharmacist can examine patients and perform treatment.

11.

Liam is diagnosed with a degenerative disease. His doctor explains that the muscles in Liam’s body will begin to shut down. He will lose the ability to walk, then the ability to talk, and finally, his lungs will no longer be able to breathe on their own. Liam is newly married, and his wife is devastated by the news. The idea of living without him is something she will not even consider. Yet, Liam cannot imagine being kept alive on a respirator. To him, that sounds like a fate worse than death. Why might it be important for Liam to state his wishes in an advance directive now?

a)

Liam might change his mind as his body begins to break down.

b)

Advance directives are only binding if the patient is healthy when they are written.

c)

Liam’s wife may not be emotionally strong enough to follow his wishes at that point.

d)

Liam cannot count on the doctors to provide the care he needs without giving instructions.

12.

Oliver is a gastroenterologist who has a patient with a serious polyp in their intestinal tract. There are two courses of action for this issue. One involves a surgery that Oliver’s practice charges $16,000 to do. The other is a less invasive procedure that only costs $2000. Both would get rid of the polyp that Oliver’s patient has. Oliver feels that he must mention both and allow the patient to decide what course they would like to have. Which value of ethical behavior does this reasoning support?

a)

respect for autonomy

b)

non-maleficence

c)

beneficence

d)

justice

13.

Avery is a physician who is assessing a patient complaining of extreme joint pain. Her patient says that the only thing that seems to help ease the pain is acetaminophen, but looking at her patient’s chart, Avery sees that he has a genetic liver disorder. She knows that acetaminophen will cause damage to the patient’s liver. Avery refuses to prescribe the patient the large dose of medication he is asking for. Which value of ethical behavior does this reasoning support?

a)

respect for autonomy

b)

non-maleficence

c)

beneficence

d)

justice

14.

Layla is an orthopedic surgeon who has been asked to consult on a case in which an 81-year-old woman fell and broke her hip. Layla knows that the chances the woman will live very much longer are slim, but she still feels that she should try to repair the woman’s hip anyway. Which value of ethical behavior does this reasoning support?

a)

respect for autonomy

b)

non-maleficence

c)

beneficence

d)

justice

15.

Mateo reads about treatments once used for those with mental impairments. They were sent to doctors to have lobotomies or severing of the nerves in the frontal lobe of their brain. This was an attempt to make them more docile and easier to control. Mateo is shocked because these patients were not able to give informed consent. He believes it was wrong for the doctors to perform such serious brain surgery on patients who were not able to understand what was happening. Which value of ethical behavior does this reasoning support?

a)

respect for autonomy

b)

non-maleficence

c)

beneficence

d)

justice

16.

When there is an outbreak of illness that affects more than one country, the United Nations is called in to provide aid and support. They can only send out their envoys with supplies if they know of an epidemic. Which organization do they count on to keep track of illnesses and outbreaks around the globe?

a)

CDC

b)

WHO

c)

OSHA

d)

FDA

17.

A large outbreak of gastroenteritis has occurred in the southern part of a state. As medical professionals work to treat the affected patients, they also try to figure out what the patients might have in common. Each patient reports having purchased bagged salad in the days before their symptoms began. The director of the local hospital suspects that somehow the salad was contaminated. Which health organization should the director report this information to?

a)

CDC

b)

WHO

c)

OSHA

d)

FDA

18.

While many health organizations have been established to protect the safety of the American public, two concentrate specifically on the safety and health of employees in American businesses. One such organization is NIOSH, which keeps data on workplace injuries. The other one focuses on keeping the work environment safe for employees. Which organization is this?

a)

CDC

b)

WHO

c)

OSHA

d)

FDA

19.

Dara has a patient who is showing signs of a very rare virus. Personally, Dara has only ever read about this disease in textbooks. She is hesitant to diagnose the virus because it is such a wild notion. What organization would Dara MOST likely reach out to in order to get confirmation that her diagnosis is correct?

a)

CDC

b)

WHO

c)

OSHA

d)

FDA

20.

Ava is a researcher who has the job of tracking the amount of chemical burns sustained by employees in the medical plastics manufacturing industry. Ava keeps a record of those who have been hurt or hospitalized due to chemical burns and then writes recommendations on how to keep these events from happening. Which organization does Ava MOST likely work for?

a)

CDC

b)

WHO

c)

NIOSH

d)

FDA

21.

Emily is the first responder to a terrible car accident. A man has been thrown through the windshield of his truck and is now lying on the pavement, bleeding. Wearing her PPE, Emily approaches the man and begins to speak to him. The man is quickly losing consciousness but makes sure to grab Emily’s arm and tell her, “I have Hepatitis B!” before he passes out. Why was this information so important to pass on to Emily?

a)

Hepatitis B can make drugs used in treatment ineffective.

b)

Hepatitis B is a nosocomial infection that could spread in the ER.

c)

Hepatitis B is a bloodborne pathogen that could be transmitted.

d)

There was no real reason to give Emily this information.

22.

As part of a safety workshop for her lab, Karen is learning about what to do if a fire breaks out in the lab. She has been listening, but her daughter has been sending her texts throughout the workshop, so Karen has been a bit distracted. Noticing Karen’s inattention, the instructor asks her to explain the first step she would take if a fire occurred in her department. What would be the BEST answer for Karen to give?

a)

Activate the fire alarms.

b)

Rescue anyone in immediate danger.

c)

Confine the fire.

d)

Extinguish the fire.

23.

X-ray tech Melissa is sent to the mailroom because there is a package waiting for her department. When she arrives, she notes that the box is large. Melissa knows that the radiologist ordered some replacements for their lead aprons and thinks that the box might contain them. In order to carry the box back to her department safely, how should Melissa position the box?

a)

on her hip

b)

on her shoulder

c)

as close to her body as possible

d)

as low as possible

24.

Jared walks past one of the radiology exam rooms and notices smoke coming from beneath the door. When he opens the door to the room, Jared can see that one of the ultrasound machines has caught fire around the area where it is plugged into the wall. There is no one in the room, but the fire has already ignited the paper lining on the exam table and is beginning to spread. What step should Jared NEXT take in response to this emergency?

a)

Turn on the fire alarm that is mounted on the hallway wall.

b)

Close all the doors in the rest of the radiology department.

c)

Find a fire extinguisher and use it to put out the flames.

d)

so that the needles can be stored for reuse later

25.

Destiny is an LPN who works on the third floor of an assisted living facility. Most of the residents are bed bound and unable to walk. Many of them are hooked up to monitors. Destiny notices smoke coming from the storage closet at the end of the hallway. When she opens the closet, she sees that there is a bucket full of rags smoldering in the corner. Whatever was on the rags must have combusted, sparking and starting a fire. Destiny quickly pulls the emergency fire alarm. She knows that fire and rescue squads are on their way, but in the meantime, she must keep the residents on this floor safe. What is the BEST way for Destiny to protect her vulnerable patients at this point?

a)

Lead them all one by one down the emergency stairway.

b)

Tell the ones who can get out to leave and move the beds of the others out.

c)

Close the doors of each room to keep smoke from seeping in.

d)

Open the doors and windows in every room to let the smoke get out.

26.

Jasmine is an emergency medical responder who is called to the scene of many motor vehicle accidents. Because she handles patients who are found unconscious and bleeding, Jasmine must always protect herself against bloodborne pathogens. What is the BEST way for Jasmine to help her patients while keeping herself safe?

a)

Always ask a bystander or family member if the person has a bloodborne pathogen.

b)

Wear gloves and goggles whenever dealing with a bleeding patient.

c)

Look for medical directives or bracelets on the patient to indicate they have a pathogen.

d)

If the patient is bleeding and there is a risk of pathogen, let other responders treat them.

27.

In a busy emergency room waiting room, a patient suddenly begins to vomit blood. The nurses quickly take him in, working to address what might be the issue. As the emergency team gets the patient stabilized, blood tests reveal that he has hepatitis B, which is a bloodborne pathogen. All of the nurses and staff members who were exposed to the patient are made aware of the potential issue. What other important step would need to be taken to keep someone from possibly being exposed to the patient’s blood?

a)

The surfaces in the waiting room need to be decontaminated.

b)

The patient needs to be given goggles and gloves.

c)

The hospital needs to call the CDC and report an outbreak.

d)

Everyone in the waiting room needs to be tested for hepatitis B.

28.

Fatima is an x-ray tech who is very excited because her lab has just received a shipment of new lead shields for use on patients. The box was delivered to the director’s office but he asks Fatima to make sure the shields get to the appropriate rooms. Fatima bends over to lift the box, surprised at how heavy it is. What would be the BEST way for Fatima to move this box out of her boss’s office without hurting herself?

a)

Bend at the waist and lift the box, as she shifts back.

b)

Squat down and use her arm and leg muscles to lift the box.

c)

Stick her foot under the box to pry it off the ground and use one hand to grasp underneath.

d)

Wrap her arms around the box while hinging at the waist.

29.

Priya must take a patient down to radiology to have an x-ray taken of their recently rebuilt hip. The patient is not yet ambulatory and still reports numbness along their legs. What would be the safest way for Priya to get her patient from the bed into a wheelchair for transport?

a)

Have the patient put their feet on hers and lean back to get them up out of bed.

b)

Ask the patient to try to use their legs just to walk a few steps to the wheelchair.

c)

Bring in a sling lift to help move the patient from the bed to the wheelchair.

d)

Pick up the patient at the waist and slide them along the bed into the wheelchair.

30.

In the emergency room, paramedics have just wheeled in an unconscious patient on a stretcher. The trauma team assembles in a treatment room, with a bed ready for the patient. Since the paramedics need to take the stretcher back with them in the ambulance, what would be the BEST way for the trauma team to move this patient into a bed of theirs?

a)

Each person grabs an arm or leg and lift the patient at the same time.

b)

Two people push the patient toward the bed while two others pull them toward the bed.

c)

They can help paramedics lift one side of the stretcher to slide the patient into the bed.

d)

They can use a draw sheet to lift the patient together and deposit them on the bed.

31.

Emma is a physical therapist who needs to get her patient moving after a knee replacement. The first step is to get her patient from the bed to the wheelchair so that she can attend physical therapy classes until she is ready to move on her own. What important piece of equipment could help Emma get her patient into the wheelchair?

a)

draw sheet

b)

stretcher

c)

gait belt

d)

slide board

32.

Liam works in an emergency unit that recently treated an outbreak of a deadly disease in the community. The medical personnel did their very best to treat the patients, but many died from the disease. Now, Liam’s coworkers are beginning to complain of migraines, panic attacks, and other emotional issues. What might be the BEST way for Liam’s supervisor to help his employees deal with the trauma they experienced?

a)

Put out an ad for more employees.

b)

Offer counseling services for employees.

c)

Give everyone extra breaks during their shifts.

d)

Ignore the issue and help them get back into routine.

33.

Avery feels like she lives in the intensive care unit. She loves her job as a registered nurse, but because there are only three registered nurses on staff, she covers almost every night shift. She’s exhausted when she gets home; however, Avery has a hard time falling asleep because she worries that she may have missed something with her patients. What might be the BEST way for Avery to handle the stress she is facing?

a)

Call in sick for a few days to just rest.

b)

Speak to her supervisor about the stress she feels.

c)

Take some extra caffeine pills when it’s time to go in.

d)

Put in her two weeks’ notice at the hospital.

34.

Oliver hears a huge explosion and runs down the hall to see what has happened. Peering into the lab, he can see that there are little fires burning everywhere. Oliver wonders if one of the oxygen tanks stored inside was damaged. After pushing the fire alarm, Oliver checks to see if there are any employees inside the lab. He determines that no one was present, so Oliver closes the door tight and waits for firefighters. Why would Oliver not want to use the fire extinguisher in this case?

a)

If he has already called for help, he doesn’t need to do their job for them.

b)

The fire extinguisher would not work on a fire caused by oxygen tanks.

c)

The fire is too big to be put out by a fire extinguisher.

d)

Oliver might make the fire worse if he uses a fire extinguisher.

35.

Mia is a phlebotomist in the lab. It is her job to take blood samples from patients so that the lab can perform different diagnostic tests. When Mia finishes using a needle to perform venipuncture, she pushes it into a special container on the wall. The container has a hazardous symbol on it. What is the MOST likely reason that Mia’s lab uses this special sharps container?

a)

so that needles don’t poke holes in a regular trash bag

b)

to keep anyone from touching a used needle

c)

to keep track of how many needles Mia has used

d)

so that the needles can be stored for reuse later

36.

When working in a healthcare setting, what can a health science professional do to respect the personal space of patients?

a)

Give the patient information about procedures and what they’ll be doing.

b)

Ask before moving a patient’s personal belongings.

c)

Maintain the patient’s personal privacy whenever possible.

d)

Keep from self-disclosing when speaking to them.

37.

Daniel is an oncologist who must discuss the treatment of a tumor he found on his 34-year-old patient’s lung. His patient is newly married, with one child and another baby on the way. Daniel knows that he can’t give a 100 percent prediction of the patient’s outcome with surgery on the tumor, but he must project as much confidence as possible while speaking to them. What might happen if Daniel did not come across as confident?

a)

The patient might feel that the tumor is not serious.

b)

The patient might insist on having the surgery quickly.

c)

The patient might worry that Daniel cannot do the surgery.

d)

The patient might not pay Daniel for the surgery.

38.

A little boy is excited to get a balloon from the vendor at the park. As soon as he walks off though, he manages to lose hold of it, and it begins to float up into the sky. The boy bursts into tears. Greta happens to be passing by and sees the situation. Which reaction would show that Greta has sympathy for the boy?

a)

Greta runs after the balloon to get it back for him.

b)

Greta begins crying as well because it is so sad.

c)

Greta tells the boy that she is so sorry he lost his balloon.

d)

Greta keeps walking, pretending that she didn’t notice.

39.

As a nurse working in an assisted care facility, Marisol has seen many patients pass away. Sometimes she has the unfortunate job of breaking the news to family members. One sweet patient that Marisol tended to for several months has passed away. Her husband of 50 years comes in every day to see her. When he comes in for his daily visit, Marisol must break the news of his wife’s death. Which reaction would show that Marisol has empathy for the man?

a)

Marisol tells him of her death and expresses that she is sorry. Then she returns to care for other patients.

b)

Marisol offers her condolences as she hands the man a box of his wife’s belongings.

c)

Marisol informs him of her death and asks that he call the funeral home to make arrangements.

d)

Marisol sits the man down and gently breaks the news. As he wipes away tears, she does as well.

40.

Polly must perform an MRI on a 56-year-old patient. As she is giving the patient instructions on how to get ready for the procedure, she notices that the patient is shaking and appears distressed. When she asks, the patient responds that she is nervous about the test. What would be the BEST way for Polly to show empathy to this patient?

a)

Tell the patient that the test is easy, and people have it every day.

b)

Acknowledge the patient’s fears, and reassure her that she will be right there.

c)

Agree with the patient that the procedure is scary, and it is normal to be worried.

d)

Offer to tell the doctor that this patient cannot have an MRI.

41.

A young woman has been brought into the emergency room after experiencing an assault. She has bruises and cuts all over her body, and her mascara is smeared from tears. Manuel is the nurse attending to the woman. He asks her to change into a hospital gown so that he can examine her. The woman’s eyes tear up as shaky hands reach for the gown. What would be the BEST way for Manuel to show empathy to this patient?

a)

Perform the exam on her with as little conversation as possible to keep her from feeling pressed to talk.

b)

Assure the woman that he sees this kind of thing every day; he is a professional and knows what to do.

c)

Offer to step out while she is changing and see if there is a female nurse available to perform the exam on the patient.

d)

Keep the door open during the exam so that the patient can call out to others if she feels uncomfortable.

42.

Owen is a pediatrician. He has a new patient, a six-month-old baby whose mother transferred from another practice. On the first visit, Owen notes that it is time for the baby to be vaccinated. The mother recoils, expressing skepticism about having her baby vaccinated. Owen knows that vaccines are the best way to protect the baby and that the mother has likely heard misinformation about them. Still, they are new patients. What is the BEST way for Owen to react that will encourage the patient to trust in his care?

a)

Owen should state that all patients under his care are required to receive vaccinations.

b)

Owen should ask the woman if she cares about her baby enough to have them vaccinated.

c)

Owen should inquire about her reservations and then explain the benefits of vaccination.

d)

Owen should place an order for the baby to be vaccinated whether the mother wants it or not.

43.

Abdul has a 23-year-old patient who found a lump on her breast. After performing a test of the breast tissue, Abdul finds that the lump is cancerous. As he breaks the news to his patient, she bursts into tears. Her boyfriend puts his head in his hands. Abdul knows that this is a serious situation and that the surgery might disfigure the patient. He also believes that chemotherapy may be required after the surgery. Still, he can see that the couple is distraught. What is the BEST way for Abdul to react that will encourage the patient to trust in his care?

a)

Abdul should tell them not to worry because he’s seen this problem many times.

b)

Abdul should give them a second and then continue to explain his treatment plan.

c)

Abdul should acknowledge the patient’s feelings and assure them that he will address their concerns.

d)

Abdul should tell the patients that they are welcome to get a second opinion if they don’t believe him.

44.

Even though Jackson advised his patient to lose weight during their last visit, he is discouraged to see that the patient has not followed his instructions. In fact, the patient has gained weight. How might encouraging self-disclosure help the patient in this situation?

a)

The patient must admit they have a problem before they will change.

b)

Encouraging the patient to express their feelings will help Jackson be more empathetic.

c)

Asking about the patient’s habits might help Jackson give effective tips to help them.

d)

Discussing the issue may embarrass the patient enough to make changes.

45.

Elena is a care giver to her 80-year-old mother. She also watches her two grandchildren during the day while their mother works. Elena has been receiving chemo treatments for a spot on her lungs. As the doctor talks with Elena, he senses that she is run down. He also notes that Elena never brings anyone to her appointments with her, and he suspects that she has not told her family about her illness. How might encouraging self-disclosure help the patient in this situation?

a)

Elena would feel less anxiety if she spoke to the doctor about her chemo.

b)

Elena’s family might be able to provide support for her if she told them.

c)

The doctor can give Elena tips on how to better manage her schedule.

d)

Elena’s experience could provide information for the doctor’s research paper.

46.

Ana is seeing a new patient who complains of chronic abdominal pain. The patient explains that the pain happens on and off. She has tried to cut out foods that she thinks may be irritating her stomach. She has had abdominal scans to see if there is intestinal blockage. The patient explains that she has tried several probiotic drinks and pills to balance her stomach. Ana already knows what course she’d like to take with this patient, but she is working on her communication skills. What would be the BEST way to offer confirmation to this patient?

a)

Tell the patient that she is absolutely right and that this is the new plan.

b)

Listen to the patient explain everything without interrupting before she gives her opinion.

c)

Begin to shake her head, hold up her hand, and ask the patient to let her to do an exam.

d)

Send a quick text to the lab letting them know that there are tests coming their way.

47.

Bryan is assessing a patient complaining of migraine headaches. The patient says that the last headache began after she ate a bagel, and she is convinced that she must be intolerant of the gluten. Bryan does not agree with this assessment and wants to explore other reasons behind the patient’s migraine headaches. Still, he wants to encourage communication and trust between himself and this patient. What would be the BEST way to offer her confirmation?

a)

Be completely honest and tell the patient gluten has no effect on her headaches.

b)

Smile and raise an eyebrow but continue the exam without commenting on the bagel.

c)

Acknowledge the patient’s gluten concern and promise to investigate all possible causes.

d)

Nod to show he hears her while continuing to make notes in the patient’s chart.

48.

During a yearly checkup, a patient mentions to Mariah that sometimes he feels his heart speed up. He says it’s not something that happens regularly, but he is worried that it might mean he is going to have a massive heart attack like his father did. Mariah does not believe that what the patient is feeling absolutely means that he will have a heart attack, but she is glad that he is self-disclosing. What would be the BEST way to offer confirmation to this patient?

a)

Immediately tell him that he looks completely healthy, and there is no reason to worry.

b)

Assure the patient that at his age, people tend to start getting overly worried about symptoms.

c)

Look at the patient’s chart and explain that he does not have any risk factors for heart attack.

d)

Assure the patient that she will listen to his heart and order a test if necessary.

49.

Yolanda is assessing a patient with a fractured ulna. The woman says that she fell while carrying laundry up the stairs and must’ve landed wrong on her arm. Yolanda is looking at the patient’s arm and feeling for a pulse while the woman explains what happened. She sees bruising on the patient’s upper arm and asks what caused it. As the patient explains that the bruise was from something earlier in the week, Yolanda records the patient’s vital signs on their chart. A few weeks later, another nurse notes that the patient has been brought in again, badly beaten by her husband. Yolanda realizes that this must’ve been what happened before, but she didn’t catch it. What could Yolanda have done differently in her communication with this patient?

a)

Yolanda should have asked more personal questions to get the woman to talk.

b)

If Yolanda had given the patient her full attention, she might have picked up on it.

c)

Yolanda should have asked her family members to explain what happened.

d)

If Yolanda had rephrased her questions, she may have gotten different answers.

50.

Melinda’s patient is explaining that she noticed a rash that comes and goes. The patient worries that the rash could be caused by some kind of allergy, but she is not sure. As Melinda listens, she notes that she cannot see a rash on the patient. The patient tells Melinda that the rash is not there now, but it does happen. How could Melinda show her patient that she understands their concerns?

a)

Melinda should offer an opinion as to what the rash might be.

b)

Melinda should respond by rephrasing the patient’s concern.

c)

Melinda should write down everything her patient says.

d)

Melinda should ask several questions about the rash itself.

51.

Nick is examining a patient who complains of a fever and weakness. They say that their head has been hurting and they have a stuffy nose. The patient is convinced that they have the flu and ask Nick to give them a prescription for antibiotics. Nick explains that the flu is caused by a virus, and viruses are not affected by antibiotics. The patient insists that the last time she had these symptoms, it was the flu, and the doctor gave her antibiotics to clear it right up. What is the BEST way for Nick to handle this situation?

a)

Write a prescription for antibiotics even though it won’t help.

b)

Tell the patient that either they are confused, or their doctor made a mistake.

c)

Explain calmly that the prescription won’t help but offer some alternatives.

d)

Agree with the patient but send them to the emergency room to have tests done.

52.

Yousef is suffering from an uncomfortable rash on his chest and back. He goes into the emergency room for treatment. Amber is the physician on call. When she enters Yousef’s room and asks him to explain what the problem is, Yousef refuses to make eye contact. He says that coming in was unnecessary and apologizes for wasting Amber’s time. What might have caused this lack of communication?

a)

Yousef must have been frustrated because Amber made him wait so long.

b)

Yousef might have felt uncomfortable with a female physician.

c)

Amber might have given off the impression that she did not want to help.

d)

Amber did not listen to Yousef’s explanations or opinions.

53.

Naomi works in a clinic in an area where many people are addicted to painkillers. She sees a new patient who explains that he fell off a ladder while painting his house. He is now unable to walk upright or else he experiences severe pain. Naomi does not think this is the case and refuses to take any x-rays of the patient’s spine. She advises him to take over-the-counter Tylenol until he feels better. Naomi’s patient leaves unhappy and seeks help in an emergency room. What might have prevented this lack of communication?

a)

Naomi should have asked more questions to encourage honesty from her patient.

b)

Naomi should have set aside her opinions about the patient’s motive for seeking treatment.

c)

Naomi should have offered to get a male physician to treat the patient.

d)

Naomi should have given the patient her full attention while he was explaining.

54.

Prisha has a patient who is discussing her long fight with fatigue. She explains to Prisha how she at first became exhausted when she was working full-time. She cut down her schedule to work only a few days a week but still felt exhausted at the end of the day. The patient explains changes she made to her routine, diet, and exercise to try to feel better. She begins to list all the ways her life has changed because of this symptom. Prisha is on a tight schedule but wants to encourage self-disclosure in all her patients. How might Prisha show that she is listening to her patient?

a)

Prisha should remain silent while the patient is speaking.

b)

Prisha should write some notes while the patient talks.

c)

Prisha should peek at her watch when the patient doesn’t see.

d)

Prisha should nod while the patient is explaining.

55.

Being in a healthcare setting can be intimidating for many patients. They want to get help, but they may be shy about expressing themselves. A medical professional’s body language can also help put a patient at ease. Which medical professional would MOST likely make a patient feel comfortable expressing themselves?

a)

a nurse hunched over her computer entering in patient information

b)

a doctor standing tall with arms crossed facing the patient

c)

a therapist who is seated with their head inclined toward the patient

d)

a pharmacist who calls out from back shelves to answer a question

56.

On the scene of a car accident, emergency responder Gia is assessing a 60-year-old man whose car was rear ended by a truck. The man insists that he is fine and encourages Gia to assess the passengers of the truck instead. Gia assures him that other responders are on their way to help but encourages him to let her finish assessing him first. Every question she asks is met with, “No problem, I’m fine.” But as Gia gently presses on the man’s clavicle, she sees his forehead wrinkle up. He sucks in a quick breath. Even though the patient says he is fine, what should this indicate to Gia?

a)

The man’s body language indicates that he is in pain.

b)

The man’s body language shows Gia he is fine.

c)

The man’s body language shows Gia that he is scared.

d)

The man’s body language indicates that he is hiding something.

57.

It is cold and flu season. Todd is examining a six-month-old baby with a runny nose and fever. He has seen many cases in the last day or so. Todd looks at the baby’s throat, ears, and nose. Todd notices the baby pulling at its right ear. What might this body language indicate?

a)

The child is hearing impaired in that ear.

b)

The child is experiencing pain in that ear.

c)

The child recently had her ear pierced.

d)

This does not necessarily indicate anything.

58.

Olivia is on the cleaning crew at a busy hospital. She begins her day in the patient’s rooms on the recovery floor. Hospital policy says that Olivia must change the sheets, empty the trash, clean the bathroom, and replenish supplies. Her shift begins at 6 am. Olivia always feels bad because her first few rooms contain sleeping patients. What is the BEST way for Olivia to handle cleaning patient rooms at this hour?

a)

Pop on the light, announce that it’s time to clean, and be as quick as possible.

b)

Knock on the door until she hears the patient wake and answer her.

c)

Quietly open the door, identify herself, and clean as silently as she can.

d)

Turn on the light and clean but ignore the patient so as not to wake them.

59.

Patients need to feel that medical professionals are working with them and that they are not alone. One way to convey this feeling is by using the word ‘we’ when addressing the patient. This is not always the case, though. In which situation would using ‘we’ NOT be appropriate?

a)

“We are going to come up with a plan to fight this together.”

b)

“We will be waiting to see what the results show.”

c)

“How are we feeling today?”

d)

“How should we handle these symptoms?”

60.

Xander is interested in the medical field but does not think he could handle dealing with patients or blood. He is also minoring in engineering, so his professor suggests that he look into the advances in robotics that have been made recently. The professor explains that robots can be used to help patients, and Xander can be a part of designing these robots. Once Xander completes his degree, what will his medical robots MOST likely be used for?

a)

telepsychiatry

b)

telepathology

c)

teleradiology

d)

telesurgery

61.

Which situation demonstrates one downside to electronic medical records?

a)

A doctor needs to see the MRI of a patient that was taken in another building.

b)

A nurse needs to record the patient’s vital signs at the beginning and end of her shift.

c)

A gynecologist needs to access the results of a patient’s pap smear for the last five years.

d)

A pharmacist attempts to fill a new prescription for a patient during a power outage.

62.

Charlotte’s dental practice mails out reminder postcards to patients every six months. Charlotte instructs her staff to begin gathering email information from patients so that they can send the reminders as emails. How would Charlotte’s practice MOST benefit from emailing reminders instead of sending postcards?

a)

Patient confidentiality would be maintained.

b)

The office would save money on postage fees.

c)

The patients would receive their notices more quickly.

d)

The office would be able to sell the patient’s email addresses.

63.

Mia sent the results from an EKG testing strip to the cardiologist who ordered it by email. The cardiologist calls Mia to complain that he did not receive the email. Mia checks her records and sees that the email was sent. She verifies that she spelled the cardiologist’s email correctly. Still, he insists that he did not receive the results. What MOST likely has happened to Mia’s email?

a)

Someone intercepted it and stole the results.

b)

Mia must have sent the email to the wrong person.

c)

The email must have been sent to his spam folder.

d)

Mia’s computer did not actually send the email.

64.

Jamal’s patient calls him and is irritated that he has still not received the email instructions for the fluoroscopy test he is scheduled for. Jamal looks at his computer and sees that he did, in fact, send the patient’s instructions. The patient insists that he has not received them. What would be the BEST way for Jamal to handle the situation?

a)

Tell the patient to come to the office to get written instructions.

b)

Ask the patient to verify the spelling of their email address.

c)

Send the email again to the same address he used before.

d)

Nothing. The patient will receive the email eventually.

65.

Destiny is a lab tech performing a blood test on a patient. She tells the patient that she will send them an email when the results are in so that they can call her. The patient wants to know which email Destiny’s lab has on file because he doesn’t want it to go to his corporate email. What is MOST likely the reason for the patient’s cautiousness?

a)

The patient might worry that their employer monitors their email.

b)

The patient does not check their corporate email regularly.

c)

The patient might want to share their results with their employer.

d)

The employer does not allow personal emails on company time.

66.

Jasmine is a lab technician who believes she has found a new type of virus. She takes digital photos of her sample to forward to send to the CDC. A scientist at the CDC opens the photos Jasmine has sent and compares them to the already known virus types that are in the database. What type of telecommunication is this an example of?

a)

store and forward

b)

remote monitoring

c)

interactive

d)

e-prescribing

67.

Worried about her daughter’s fever, Kiara contacts the pediatrician’s office. Since it is after hours, no one is in the office. The pediatrician suggests that Kiara do a video call so that she can discuss her daughter’s symptoms and formulate a plan. What type of telecommunication is this an example of?

a)

store and forward

b)

remote monitoring

c)

interactive

d)

e-prescribing

68.

Khalil has had arrhythmia in the past, and it seems to be getting more frequent. Now Khalil has a patch monitor placed under his skin which collects information on his heart rate and sends it wirelessly to his cardiologist. What type of telecommunication is this an example of?

a)

store and forward

b)

remote monitoring

c)

interactive

d)

e-prescribing

69.

Mike and Pam meet another couple, Alta and Glen, in childbirth class. They discuss the obstetricians that they are seeing and a little bit about their birth plan. Alta says that she and Glen have hired a doula to assist them during the delivery. Mike and Pam have never heard of such a thing. They say that they want their baby born in a hospital under the care of licensed doctors. Glen explains that he and Alta are planning to use the hospital as well, and a doctor will deliver their baby. Mike wants to know, then, what the doula does. How would Alta MOST likely explain this?

a)

The doula assists by providing comfort and advice to the mother during childbirth.

b)

The doula is there to care for the baby after Alta delivers it.

c)

The doula is a religious figure who will bless Alta while she is in labor.

d)

The doula creates a diet plan that will make Alta’s labor shorter and painless.

70.

Jordan is an oncologist who has just diagnosed a patient with an aggressive thyroid cancer. She believes that the patient’s best chance for recovery is if Jordan performs surgery to remove his thyroid. Because Jordan’s patient is a member of a culture who does not believe in surgical intervention, he asks her if he might try some traditional herbal remedies before he submits to a surgery. How can Jordan show respect for her patient’s culture as she answers this question?

a)

Jordan should tell the patient that there is no time and the surgery is necessary.

b)

Jordan should ask the patient if he would like to die because that’s what will happen.

c)

Jordan could agree to let the patient try their preferred option first, but for a limited time.

d)

Jordan could give the patient statistics on the efficacy of herbal remedies.

71.

Yusuke comes from a culture where it is not the custom to make small talk with patients. When he begins his residency in the United States. however, several patients complain about his brusque ‘bedside manner.’ How might Yusuke adjust his communication in order to better accommodate the culture of his patients?

a)

He should not adjust because he is the doctor.

b)

He should try to ask polite questions about his patient’s day.

c)

He should ask the patients whether they would like to have another doctor.

d)

He should acknowledge that the patients are talkative but explain that he is not.

72.

Sanjay is discussing test results with his patient, Hiro. Hiro’s wife is also in the office to hear the news. Unfortunately, Sanjay tells Hiro that he has tested positive for a degenerative disease. Hiro’s wife is understandably upset, and Hiro reaches out to comfort her. Still, he shows no emotion. Sanjay wants to make sure that Hiro has all the information he needs but he senses that Hiro is not from a culture where asking questions of authority figures is encouraged. What might be the BEST way for Sanjay to encourage Hiro to speak up?

a)

Sanjay should respect Hiro’s culture by not forcing the issue.

b)

Sanjay should encourage Hiro’s wife to ask the questions.

c)

Sanjay should go over all the possible information so that Hiro doesn’t have to ask.

d)

Sanjay should gently tell Hiro that it is natural to have questions, and he is there to help.

73.

Gabe is a pediatrician in a busy city clinic. He sees children of refugees regularly. One patient comes in with a cut on his leg. The cut has become infected. Gabe explains to the boy’s mother that the cut must be cleaned regularly and bandaged to prevent damage to the skin tissue. When the child comes in for a follow-up, his leg is swollen, red, and inflamed. Gabe can see that his directions have not been followed, and now the infection has spread. What is MOST likely the reason for this patient’s noncompliance?

a)

The patient’s mother did not think Gabe knew what he was talking about.

b)

The patient’s mother performed the treatment Gabe prescribed but it didn’t work.

c)

The patient’s mother did not understand the instructions that Gabe gave.

d)

The patient’s mother is neglecting her child on purpose.

74.

Emma is a nurse in the emergency room. She is trying to help a patient who speaks another language. The patient is clutching at his chest while repeating the word ‘help.’ Emma can see that the patient is having cardiac issues. Since the emergency room deals with cardiac issues frequently, the doctors and nurses spring into action. They perform tests and insert IV fluids to stabilize the patient. Even though the patient is already getting the treatment they need, why might Emma call for an interpreter?

a)

So the hospital can charge the patient for another service.

b)

So the patient can understand the steps the staff is taking to help.

c)

Emma does not want to have to deal with the patient.

d)

There is no need for an interpreter if the patient is being treated.

75.

What adjective is used to describe teams that have a commitment to each other and a shared sense of pride and accomplishment in what the team achieves?

a)

competitive

b)

collaborative

c)

consensus

d)

cohesive

76.

With a de-emphasizing approach to conflict, the focus is put on what?

a)

areas of agreement

b)

differences in personality

c)

points of contention

d)

the viewpoint of the leader

77.

Sachi is the head of respiratory therapy at a busy hospital outpatient center. She notices that one of the respiratory therapists, Jeanine, tends to run long with each patient. Sachi is glad that Jeanine feels comfortable chatting with patients, but other therapists have complained that Jeanine’s long appointments throw the schedule of the whole center off. How might Sachi BEST handle the situation with Jeanine?

a)

Hold a staff meeting about patient appointment length.

b)

Dock Jeanine 15 minutes pay every time she runs over.

c)

Meet with Jeanine one on one to discuss patient management.

d)

Ask another therapist to interrupt Jeanine when she is running long.

78.

Patient reports are due by 5:00 pm every weekday. The radiology department seems to always be the last department to submit reports, and they are usually four to five hours late. Manuel is the director of the hospital but has only recently started in this position. What might be the BEST way for Manuel to encourage punctuality in the radiology department?

a)

Ignore the delay since they are at least submitting patient reports.

b)

Hold a staff meeting where he berates radiology for always being late.

c)

Send out a hospital-wide email reminding all departments of the deadline.

d)

Start a program that allows departments to earn rewards if they turn in reports on time.

79.

Liu oversees the phlebotomists in a hospital lab. She begins to receive calls from the billing department, as well as doctor’s offices, complaining that they have not received the correct paperwork on their patients. Liu asks each of her staff about the reports. Every phlebotomist tells Liu that they did the blood draw on the patient but thought that another person was supposed to file the paperwork. What would be the BEST way for Liu to resolve this situation?

a)

Have a team meeting to discuss procedures so that everyone understands.

b)

Talk to each phlebotomist privately to find out if they are doing their job.

c)

Take over the billing and paperwork herself so that it is done correctly.

d)

Tell the callers that they will get their information when the lab is ready.

80.

Gia, the charge nurse on a busy recovery floor, notices that someone keeps forgetting to reprogram the pump when setting up a new IV medication. The patient then receives the medication at whatever rate the machine was programed to prior. So far, nothing dangerous has happened but Gia must make sure this error does not continue to happen. She looks over the records and manages to narrow it down to one nurse: Hae. Hae should know how important this is, but Gia imagines it is just carelessness. What would be the BEST way for Gia to handle this issue?

a)

Call a team meeting and tell everyone about the mistake Hae has been making.

b)

Assign another nurse to go behind Hae and double check that the machine is correct.

c)

Speak to Hae one on one to make sure she understands how to reprogram the machine.

d)

Put a notice on the nurses’ station in large letters reminding everyone to reprogram.

81.

The radiology techs who work under Rohan know when they’ve done something wrong because it is the only time he stops by to chat. When Rohan is seen headed toward the department, word goes around quickly that someone is in trouble. Rohan gets the feeling that his team members don’t want to talk to him. What would be the BEST move Rohan, as a leader, could do to make the team more comfortable?

a)

Also sometimes go to radiology to praise his team members.

b)

Send out staff emails when something is wrong instead of going to the department.

c)

Ignore the mistakes his staff makes and quit pointing them out.

d)

Invite the members of his team to his house for a weekend dinner party.

82.

When they are working on the same day, two EKG techs always end up in an argument over who gets to take lunch first. Camille is their supervisor, and as her morning progresses, she almost feels the stress taking hold. She knows that about 11:30, one of the two techs will seek her out to either complain about the other having already taken lunch or to ask if they could go first. No matter what Camille decides, someone always leaves angry. What would be the BEST way for Camille to resolve this issue?

a)

Tell the two technicians to work out their lunch breaks themselves.

b)

Ask another tech to come in and cover lunch so they can both leave.

c)

Get rid of one or both of the technicians because they are difficult.

d)

Discuss the situation with both and try to come to a compromise.

83.

Henry is the senior pharmacist on staff at a local retail pharmacy. He has two pharmacists who work for him on a varying schedule. There are also two technicians but both pharmacists prefer one over the other. When he is making up the tech schedule, both pharmacists demand to have their favorite tech working on their days. Since Henry deals with conflict by compromising, what will he LIKELY do?

a)

Make the tech come in twice as much to cover both pharmacist’s shifts.

b)

Split the tech’s time equally between the two pharmacists.

c)

Make the schedule out regardless of the pharmacists’ requests.

d)

Schedule the favorite tech on his days and give the other one to them.

84.

Valentina recently received a promotion to become the head lab tech in a busy city lab. One of the other techs is annoyed because she feels more qualified than Valentina. She begins to call in sick at the last minute, causing Valentina to work her shift. Valentina tells the tech that she will only cover three times, and after that, the tech will be put on probation for unexcused absences. The tech balks and continues to call in sick. Since it is in Valentina’s nature to be competitive when there is conflict, how will she LIKELY react to this?

a)

Put the tech on probation like she said she would.

b)

Try to make peace with the tech by offering her better hours.

c)

Ignore the tech’s absences and cover the shifts herself.

d)

Ask another tech to deal with the one who is always sick.

85.

Ilan manages a trauma team in an emergency department. There has been some conflict between the x-ray tech and the nurses when it comes to emergency situations. The x-ray tech says that the nurses are constantly in the way when he is trying to take a chest x-ray. The nurses say that hooking up the patient’s IVs and getting them in place is more important and that he can wait until they are finished. Since Ilan tends to avoid conflict, how will he LIKELY handle this situation?

a)

Explain to the x-ray tech that he needs to wait until the nurses are ready.

b)

Tell the nurses to stop what they are doing and make room for the x-ray tech.

c)

Have the x-ray tech announce what he is doing so the nurses will move.

d)

Tell the x-ray tech and the nurses to work it out themselves like grownups.

86.

Trinity is tasked with improving the organization of her department’s storage area. The storage area has become a drop off for much of the team member’s lost items. Some workout clothes have been in there for over a year. A few team members like to put their bikes in the storage area during working hours. There are some strong opinions about what qualifies to be in the storage area. Since Trinity thinks it is best for everyone to collaborate, what will she MOST likely suggest?

a)

She will send out an email list of items allowed in the storage area.

b)

She will ignore the storage area and keep letting people use it as they want.

c)

She will have a team meeting to discuss what everyone else thinks.

d)

She will take everything in the storage area to the dump after work.

87.

Ava is the senior radiology tech on the floor. Two other radiology techs come to her, arguing about whether it is necessary to use a lead thyroid shield in all circumstances. One insists that it is necessary to save every patient from potential radiation. The other says that the guidelines only call for thyroid shields when there is going to be an x-ray of the head, neck, or chest. Since Ava believes that the rules are important in this situation, what will she LIKELY do?

a)

Tell each of them to do it the way they want.

b)

Tell them to go back and research it themselves.

c)

Explain that all techs must follow the guidelines.

d)

Tell the techs that it doesn’t really matter either way.

88.

Even though the trauma team is a group of different healthcare professionals with different training, why are they so effective when it comes to the quick treatment of patients?

a)

They have the same background in common.

b)

They are working toward a common goal.

c)

They know who undoubtedly is in charge.

d)

They were all friends before they worked together.

89.

The agreement of all team members on decisions is called what?

a)

consensus

b)

contingency

c)

collaboration

d)

competition