What does aseptic handwashing include

keeping your hands lower than your forearms

———— is not required by the OSHA Hazard Communication

containers used to to store non hazardous waste must be clearly marked

What info should be documented under the plan of care action?

meds prescribed / tests to be done

when a pt is experiencing signs of anxiety, you might be able to help if you ____.

allow the pt to describe their feelings

What are biohazardous labeled containers used for

dressings contaminated with blood or body fluids

If the biological sterilization from yesterdays load in the autoclave is positive today what dose that indicate

the items in that load are not sterile

What are the penalties if an OSHA violation was committed intentionally and resulted in a death

Fine of up to 132,598 with a 9472 minimum with additional fine

What is considered aseptic precautions

wearing gloves and a mask when working with a pt if you have a cold

What is the goal of surgical asepsis

keep organisms from entering the body

The employee should do what when there’s an exposure incident

should be tested for HBV and receive the vaccines if necessary

What does not apply to the pt’s bill of rights( pt care partnership)

a privacy notice should be prominent posted within the hospital

When wrapping items for sterilization, what should be included on the label

date your initials and contents of pack

Which is an appropriate way to handle potentially infectious laundry waste

place infectious laundry in a red laundry bag marked with biohazard symbol

what are you doing when you are mirroring the pt?

restating what the pt said exactly

What is a disadvantage of using Muslin to wrap instruments for sterilization

it is more susceptible to contamination

OSHA standards include all of the following, except

Accommodations for the disabled

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MAC100 CH6/35/36 MV

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Answers

1
What does aseptic handwashing include
turning the water off before drying your hands
turning the faucets on and off with wet hands
using bar soap
keeping your hands lower than your forearms
2
When asking 'What would you do if you had chest pain"? to the pt you are using what method?
asking open/ closed ended questions
asking hypothetical questions
asking leading questions
challenging the patient
3
———— is not required by the OSHA Hazard Communication
employees must have access to information about the workplace hazards
employees must receive training about work place hazards
containers used to to store non hazardous waste must be clearly marked
Employees must receive training about workplace hazards
4
Which of the following info would you place in the s section when using SOAP?
pt's perceptions
test results
practitioners diagnosis
patient education
5
Are you sure about that? / that doesn’t make sense to me is an ex: of what method of collecting data?
probing
encouraging the pt to evaluate his situation
challenging the patient
focusing on the patient
6
——— was created in 1970 to protect employee safety in the work place
AMA
CDC
CLIA
OSHA
7
What is the maximum shelf life for double-layer fabric or paper-wrapped packages
60 DAYS
6 moths
1 year
30 days
8
MRSA is caused by which type of bacteria
CAUTI
staph
clostridium
strep
9
Factors related to the hosts susceptibility to infection are
exposure to hazardous substances
age of nutritional status
The number and concentration of pathogens
living conditions of the host
10
How do you wrap hinged instruments
single wrapped
use porous paper only
wrapped in gauze
placed in the open position
11
What info should be documented under the plan of care action?
pt‘s. chief complaint
meds prescribed / tests to be done
pt’s vital sign
practitioner’s diagnosis
12
when a pt is experiencing signs of anxiety, you might be able to help if you ____.
tell him to calm down
stop the interview
allow the pt to describe their feelings
bring in the practitioner
13
What is the first step in wrapping instruments for sterilization
B
D
E
C
14
What percent of patients develop infections at their surgical site
15%
3%
2%
50%
15
Which pt behavior is classified as symptoms of depression?
sleeping soundly at night
anxiety about health system
obsession with exercising
Profound saddness
16
What are biohazardous labeled containers used for
chemicals used in the medical office
broken glassware
dressings contaminated with blood or body fluids
shredded medical documents
17
What would be a reason for incomplete sterilization in the autoclave
i don’t know
tempter of 250 to 270
stem temperature of 250
too short a time period
18
OSHA has estimated about how many needlestick injuries per year
500,000
300,000
100,000
800,000
19
when you have an open relaxed body posture you are doing what?
focusing on the patient
agreeing with the patient
asking open ended questions
asking hypothetical questions
20
If the biological sterilization from yesterdays load in the autoclave is positive today what dose that indicate
there were not enough steam in the autoclave
the items in that load are not sterile
the water reserv on the autoclave is running low
the proper temperature was not reached
21
———— is the body’s ability to resist pathogens and diseases
ergonomics
immunity
exogenous infection
fomite
22
What are the penalties if an OSHA violation was committed intentionally and resulted in a death
Fine of up to 132,598 with a 9472 minimum with additional fine
fine up to 33,000
mandatory fine of up to 7000
discretionary fine of up to 7000
23
The practitioner's diagnosis or impression of the patient's condition is the?
subjective data
plan of action
assessment
objective data
24
What equipment must be sterilized
blood pressure cuffs
vaginal specula and curettes
endotracheal tubes
nasal specula
25
——— are principles that must be applied to break the cycle of infection
asepsis
disinfection
sepsis
work practice
26
What temp. Range must the autoclave reach in order to properly sterilize
280-300
220-240
600-650
250-270
27
Which is not a necessity for filling out a communicable disease report
test results
patient identification
infection history
diseases identification
28
what type of questioning requires yes or no questions?
probing
leading questions
close ended questions
agreeing/disagreeing with the pt
29
What is considered aseptic precautions
wearing gloves and a mask when working with a pt if you have a cold
leaning against the sink when washing your hands
not using tissue when coughing
using nail polish to protect your finger nails
30
As shown in the diagram below Which item is the reservoir host
a
b
c
d
31
What is the goal of surgical asepsis
keep organisms from entering the body
clean all the surfaces to promote cleanliness
prevent microorganisms from spreading through the office
educate the patients about their role in healthcare
32
how can diseases like influenza, measles, whooping cough and meningitis be transmitted
respiratory droplets
sweat
bloodborn
sexual contact
33
The employee should do what when there’s an exposure incident
has no right to refuse medical evaluation and treatment
should be tested for HBV and receive the vaccines if necessary
should request a transfer to a less hazardous facility
should go to the medical physician and pay for an evaluation
34
What does not apply to the pt’s bill of rights( pt care partnership)
patients can choose a representative to make healthcare decisions
a privacy notice should be prominent posted within the hospital
the identity of people involved in care should be known to patients
pt’s should know the long term cost of treatment choices.
35
——— recommends that healthcare workers not wear artificial nails were extensions when working with any patient
HIPPA
WHO
ADA
CDC
36
When wrapping items for sterilization, what should be included on the label
date your initials and contents of pack
date and contents of pack
date and time
date time your intials
37
Which is an appropriate way to handle potentially infectious laundry waste
wash potentially infectious laundry with all laundry from the office
take potentially infectious office laundry home to wash
place infectious laundry in a red laundry bag marked with biohazard symbol
wash it
38
what are you doing when you are mirroring the pt?
blocking further communication
interpreting what you believe the pt is saying
asking close ended questions
restating what the pt said exactly
39
What is an ineffective way to make a pt feel comfortable and should never be used?
fail to maintain eye contact
call the pt honey or sweetie
use icebreakers
ensure privacy
40
Which item in the diagram is the fifth step in wrapping instruments for sterilization
B
D
E
C
41
Which is the fifth step for wrapping instruments for sterilization
E
A
D
B
42
Which infection is caused by a microorganism that is normally beneficial or harmless to humans
healthcare-associated infection
suscep host
susceptible host
endogenous infections
43
A 15-year-old pt is experiencing hearing loss and frequent leg spasms, what could cause these symptoms?
LSD
anadrol
paint thinner
ecstasy
44
What is a disadvantage of using Muslin to wrap instruments for sterilization
it is hard to handle
it comes unwrapped more easily
it is more susceptible to contamination
it is too bulky
45
OSHA standards include all of the following, except
blood-borne pathogens
education and training
Accommodations for the disabled
transmission based precautions
46
Mosquitos carry all of the following diseases except
Zika virus
malaria
balbesiosis
West Nile virus
47
The Needle-stick Safety and Prevention Act was signed into law in what year
2003
2000
1999
2005
48
Which equipment is a critical item
endoscope
surgical instrument
Bp cuff
reflex hammer
49
Angel dust is also known as?
Opium
LSD
PCP
Heroin
50
What conditions are pathogens absent or controlled in
asepsis
normal flora
immunity
subclinical case
51
"You seem to be making progress, don't you agree"? is an example of what method?
asking leading questions
probing
encouraging the pt to take the lead
challenging the pt
52
What would cause the autoclave load to not properly sterilize
wrapping the instrument in muslin
placing hinged instruments in the open position
air trapped inside the chamber because of blocked discharge lines
steam temperature of 212 F or1 00 C
53
the appropriate way to wrap instruments for sterilization in the autoclave is to
using double-thickness muslin to wrap instrument
using electrical tape to close the wrapping
placing all hinged instruments in the closed position
place instrum together with surface touching
54
Within how many days of starting employment must a medical worker get the HBV vaccination
30
10
60
90
55
Congenital infection is contracted by
present at the time of birth
ingested
inhaled
transmitted by touch
56
What is the correct step for cleaning and preheating the autoclave
clean the autoclave after several uses
check the discharge lines and valves for obstruction
overheat the chamber to warm it
FI’ll the water reservoir with tap water
57
Unpasturazed milk from an infected cow is an example of ——
reservoir
environmental
immunity
endogenous
58
When a pathogen is established ———— the infection cycle beings
means of exit
means of entrance
reservoir host
susceptible host
59
what technique is based on maintaining cleanliness/ preventing the spread of microorganisms in the medical environment
medical asepsis
sanitation
surgical asepsis
Disinfection
60
Which approach allows you to determine if the pt understands the situation and weather it’s accurate?
asking questions that require yes or no?
asking hypothetical questions
agreeing with a patient
probing for more information
61
Which method of sterilization does moisture causes coagulation of proteins within organisms with a much lower temp?
autoclaving
microwave processing
chemical processing
ultrasonic pressure
62
What applies to HIPPA requiremeats?
pt’s should know the identity of the people involved in care
pts may refuse treatment
healthcare facility must inform pts, in writing,identifying health info
pt’s should know long term costs of treatment choices
63
Catheters cause what type of infection
CAUTI
staph
CLABSI
strep
64
OSHA precaution for administering medicated nose drops to a patient is
wash hands before and after the procedure
wear a disposable gown and protective eyewear
wear protective eyewear and gloves
wear gloves and a mask
65
An increased heart rate, confusion, anxiety, and paranoia are effects of which drug?
depressants
ecstasy
inhalants
narcotics
66
a pt presents to the office, she keeps asking if the dr is nice, you would assume she has?
Physical abuse
Anxiety
Depression
Substance Abuse
67
Which does not apply to HIPPA requirements?
the med assistant should be informed of available res for solving disputes
pt's written auth is required for disclosure, not permitted hospitals
the pt's consent is required to disclose protected info
health care facilities must provide pt's with a written notice of privacy
68
What factors of host susceptibility are related to the pathogen
genetics
stress
general health
point of entry
69
SSI classifications are dependent on ————and extent of the surgical wound
location
width
type
drainage
70
The info in a pt's chart is considered?
a tool for diagnosing illnesses
a legal record of treatment rendered
a reminder to the med assistant of what has occurred in the past
primarily for the 3rd party payers use
71
What is caused when a healthcare worker transfers staph bacteria from his hands to the surgical site?
exogenous infection
susceptible host
opportunistic infection
healthcare associated infections
72
What is the penalty for someone who has violated an OSHA guideline and resulted in serious injury or death
a fine of up to 13,260
a fine of 33,000.000
up to 6 months in prison
a possible fine of 3,300
73
What belong in the A section of SOAP?
practitioner's examination
patient perceptions
test results
practitioners diagnosis
74
What happens when a hazard occurs and has not been addressed specifically by an OSHA standard
nothing
the general duty clause takes effect
the employees are not protected from this hazard
OSHA quickly writes a new standard to protect employe safety
75
The __ section of health history has info of hazardous substances, sexual practices, and chemical use habits
past medical history
social and occupational history
personal data
family history
76
Which are common effects of LSD?
slowed thinking, slow reflexes, slow respirations, loss of anxiety
grandiose feelings, hallucination, mystical experience, flashbacks
decreased level of consciousness, detachment, drowsiness, impaired
hyperactivit followed by exhaustion, insomnia, loss of appetite
77
Which year enforcement of HIPPA give penalties of up to $250,000 in fines and 10 years in jail?
2001
2003
1991
2005
78
what method of sterilization does moisture cause coagulation of protein within microorganism at lower temp than dry heat
autoclaving
gas processing
chemical processing
microwave proces
79
You see mr. H in pain and he verbally denies it. What interview skill are you using?
awareness of nonverbal cues
broad knowledge base
doing research before the interview
effective listening
80
Alternating euphoria and apprehension is an effect of ____?
Cannabinoids
Stimulants
Depresents
Inhalents
81
Maintaining eye contact is what style of collecting data?
probing
asking open or closed ended questions
focusing on the patient
verbalizing the implied
82
When running a load through the autoclave, what is important
IDK
do not to unload any packs or instruments with wet wrappings
do not touch the outside of the wrapped packs
place each item immediately in a cold location when unloading
83
how are respiratory diseases like tuberculosis transmitted
blood borne transmission
food borne transmission
airborne transmission
vector born transmission
84
The entry of infectious microorganisms into the bloodstream by way of a central line causes what type of infection
CLABSI
staph
clostridium
strep
85
Category one tasks are———according to OSHA
do not require any special precautions
expose a worker to blood body, fluids, or tissues
involve tasks, such as giving mouth-to-mouth resuscitation
do not involve risk of exposure
86
———— Carries microorganisms from one infected person to the next
formite
microphange
vector
macrophange
87
The need for __ in the med record makes it essential that medical term/ precise descriptions are used when charting
confidentiality
conciseness
clarity
completeness
88
What color must all biohazard waste containers be labeled?
Blue
Orange red
yellow
Green
89
If the autoclave temperature must be 250-270 F what should the pressure be
15-30 pounds of pressure
30-40 pounds of pressure
10-20 pounds of pressure
15-20 pounds of pressure
90
Which would be an indicator that the autoclave load is unsterile
air trapped inside the chamber because of blocked discharge lines
wrapping the instrument in muslin
refilling reservoir before operating
steam temputure of 212-100
91
what is the goal of medical asepsis
reduce number of microorganisms in environment after they leave the body
sterilize all surfaces
keep organisms from entering the body
prevent microorganisms from spreading through the office
92
How much alcohol content do hand sanitizer rubs have
50
85
60
95
93
What is the required for all Instrument that penetrate the skin
disenfection
sterilization
ultrasonic cleaning
purification
94
When stating " so let me see if understand; the pain only occurs at night" represent?
asking open ended quetions
challenging the patient
verbalizing the implied
focusing on the patient
95
How do you properly clean and preheat the autoclave
fill the water reservoir with tapwater
load cold instruments into an overheated chamber
clean the autoclave after several uses
check the discharge lines and valves for obstruction
96
Which of the following is important to remember when running a load through the autoclave?
take it out
throw it away
Do not upload any pack or instrument with wet wrappings
do not touch the outside of the wrapped packs
97
Important info about meds herbal and otc and allergies is found where?
personal data
history of present illness
Past medical history
Social and occupational hx
98
__ are used by large clinics that include database, problem list, treatment plan, and progress note?
conversational (source oriented medical rcord)
computerized medical record
problem oriented medical records
pt oriented medical record
99
A —— is when a pathogen has been transmitted into an individual and has little to no immunity
carrier
fomite
vector
susceptible host
100
Which is necessary when using an autoclave for sterilization
UH NOOO
drying instruments with a towel after sterilization
placing instrument in the closed position
using distilled water in the unit

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