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Cardiovascular Disorders and Procedures, Exams of Health sciences

Utica College Health sciences

A wide range of topics related to cardiovascular disorders and medical procedures. It includes information on conditions like atherosclerosis, arrhythmias, and heart failure, as well as various diagnostic tests and treatments such as ecgs, chest tube insertion, and defibrillation. The document also touches on important nursing and medical assistant responsibilities, including patient positioning, medication administration, and documentation. By studying this document, students can gain a comprehensive understanding of the cardiovascular system, common cardiovascular problems, and the role of healthcare professionals in managing these conditions. The information provided can be valuable for those pursuing careers in fields like nursing, medical assisting, or cardiology.

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PCT NHA 98 Quiz With Answer

1. A 24-year-old man enters the urgent-care clinic accompanied by his friend. He is holding an icepack to

the side of his head and states that he was hit by a softball during a game. Which of the following

questions by the PCT will best elicit data about the severity and extent of his injury?

a. "When did this happen?"

b. "Did you lose consciousness?"

c. "Where did this occur?"

d. "Did it leave a bruise?" - ✔ ✔ b. Did you lose consciousness?

1. Which of the following is the term used to describe thickening of artery walls?

a. Arteritis

b. Arthrosis

c. Arteriostenosis

d. Atherosclerosis - ✔ ✔ d. Atherosclerosis

1. Which of the following is true about COPD?

a. The greatest risk factor for the disease is smoking

b. It consists of a single disease regarding lung function

c. Patients with this disease suffer from chronic hyperoxia

Patient with this disease breathe better lying down - ✔ ✔ a. The greatest risk factor for the disease

is smoking

1. Which of the following is true about oxygen therapy?

a. It is used to decrease the amount of CO2 in the lungs

b. Patients should use a mask when being administered a high flow rate of oxygen

c. It should be administered in the hospital

It is commonly used to treat patients with bronchitis - ✔ ✔ b. Patients should use a mask when being

administered a high flow rate

1. Which of the following is used to treat acute asthma attacks?

Partial preview of the text

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PCT NHA 98 Quiz With Answer

A 24-year-old man enters the urgent-care clinic accompanied by his friend. He is holding an icepack to the side of his head and states that he was hit by a softball during a game. Which of the following questions by the PCT will best elicit data about the severity and extent of his injury? a. "When did this happen?" b. "Did you lose consciousness?" c. "Where did this occur?" d. "Did it leave a bruise?" - ✔ ✔ b. Did you lose consciousness?
Which of the following is the term used to describe thickening of artery walls? a. Arteritis b. Arthrosis c. Arteriostenosis d. Atherosclerosis - ✔ ✔ d. Atherosclerosis
Which of the following is true about COPD? a. The greatest risk factor for the disease is smoking b. It consists of a single disease regarding lung function c. Patients with this disease suffer from chronic hyperoxia Patient with this disease breathe better lying down - ✔ ✔ a. The greatest risk factor for the disease is smoking
Which of the following is true about oxygen therapy? a. It is used to decrease the amount of CO2 in the lungs b. Patients should use a mask when being administered a high flow rate of oxygen c. It should be administered in the hospital It is commonly used to treat patients with bronchitis - ✔ ✔ b. Patients should use a mask when being administered a high flow rate
Which of the following is used to treat acute asthma attacks?

a. Albuterol b. Antibiotics c. Antihistamines Supplemental O2 - ✔ ✔ a. albuterol

Which of the following PHI can a patient be denied access to? a. Medication records b. Psychotherapy notes c. Sexually transmitted disease test results Surgical notes from an organ transplant surgery - ✔ ✔ b. Psychotherapy notes
Which of the following positions would be most appropriate for a patient undergoing a cervical examination? a. Sitting b. Supine c. Dorsal recumbent d. Lithotomy - ✔ ✔ d. lithotomy
A 28-year-old man states that he was lifting weights at the local health club when he experienced a sudden sharp pain in the left side of his chest. Since then he has become increasingly short of breath and continues to have pain that is worse when he tries to take a deep breath. The PCT notes that his respiratory rate is 32, his pulse is 108, his oxygen saturation is 88%, and he appears mildly anxious. The physician notes decreased breath sounds on the patient's left side. Based on this information, the PCT prepares to assist with

a. A nebulizer treatment b. Chest tube insertion c. Transfer of the patient to the hospital for surgery A stat ECG - ✔ ✔ b. chest tube insertion

A 32-year-old patient who experienced a fall from a ladder complains of pain with breathing. He appears mildly cyanotic and tachypneic. His blood pressure is 90/54 and is oxygen saturation is 86%. The

d. Capillaries - ✔ ✔ a. spleen

Which of the following is NOT a part of the electrolyte panel? a. Ca+ b. Mg+ c. Na+ I don't agree. Na+ is an electrolyte. My answer to this would be D as oxygen is part of the ABG d. O2 - ✔ ✔ c. Na+
A 67-year-old man presents to the urgent care clinic complaining of a squeezing sensation in his chest and difficulty breathing. The PCT should respond in all of the following ways EXCEPT: a. Escorting him to a treatment room, applying oxygen, and having him rest while waiting his turn to be seen b. Taking him to a treatment room by a wheelchair and obtaining a set of vital signs c. Preparing to obtain an immediate ECG Preparing to administer aspiring and nitroglycerin - ✔ ✔ Escorting him to a treatment room, applying oxygen, and having him rest while waiting his turn to be seen
A patient appears cyanotic with moist clammy skin, nasal flaring, and wide frightened eyes. His is sitting bold upright, wheezing audibly, and his respiratory rate is 34. This man is experiencing a. Eupnea b. A panic attack c. Heat exhaustion d. Severe dyspnea - ✔ ✔ d. Severe dyspnea An automated device used to treat patients with cardiac arrhythmiasA - ✔ ✔ a. A predetermined plan of response
A term that means "deficiency of red blood cells" is a. Erythocytopenia b. Atheroma c. Erythrocytosis d. Hematemesis - ✔ ✔ a. Erythopenia

All of the following are guidelines for handling urine reagent strips except: a. Store in the refrigerator when not in use b. Check the expiration date prior to use c. Check each strip for color changes prior to use d. Keep cover on container when not in use - ✔ ✔ a. Store in the refrigerator when not in use
All of the following are penalty categories for HIPAA noncompliance except a. Administrative procedure omissions b. Personal gain, or malicious harm c. Obtaining IIHI under false pretenses Privacy, security, and transaction violation - ✔ ✔ a. Administrative procedure omissions
All of the following are true about winged infusion sets EXCEPT: a. Commonly referred to as a butterfly b. Comes in needles sizes of 16g and 18g c. Used on fragile veins d. Preferred over a syringe - ✔ ✔ b. Comes in needles sizes of 16g and 18g
All of the following statements are true regarding aneurysm EXCEPT: a. It is an abnormal dilation of the wall of a blood vessel by more than 50% due to weakness in the vessel b. Brain aneurysms, which are usually congenital, are most common in adult women c. A common examination finding in those with brain aneurysm is a murmur d. Rupture of an abdominal aortic aneurysm causes pain in the abdomen or back, and is a medical emergency - ✔ ✔ c. A common examination finding in those with brain aneurysm is a murmur
An elderly man waiting in the reception area suddenly complains of difficulty breathing and states, "It feels like an elephant is sitting on my chest." After sending another staff member to notify the physician, the PCT's next action best is to a. Assist the patient in walking to an examination room b. Initiate cardiopulmonary resuscitation

b. Polyuria c. Nocturia d. Dysuria - ✔ ✔ d. Dysuria

If a urine specimen cannot be tested within 30-60 minutes, the PCT should a. Leave the specimen on the counter b. Put the urine in the incubator c. Put the urine in a specimen collection bag Put the urine in the refrigerator - ✔ ✔ d. Put the urine in the refrigerator
In which of the following positions would a patient experiencing shock be placed? a. Dorsal recumbent b. Semi-Fowler c. Supine d. Trendelenburg - ✔ ✔ d. Trendelenburg
Patients who are experiencing shortness of breath would benefit from being placed in which of the following positions? a. Fowler b. Horizontal recumbent c. Sitting d. Trendelenburg - ✔ ✔ a. Fowler
Quality-control procedures are a. Set by a state's department of health b. Used to ensure the reliability and accuracy of patient's lab results c. Performed after patient testing is completed Performed on unknown samples - ✔ ✔ b. used to ensure the reliability and accuracy of a patient's lab results
Side effects from certain medications can include

a. Nausea b. Dizziness c. Headache d. All of the above - ✔ ✔ d. All of the above

The additive in a gray-topped tube is: a. K+ oxalate b. Na+ citrate c. EDTA d. None of the above - ✔ ✔ a. K+ oxalate
The approximate time for one cardiac cycle is a. 1.0 sec b. 0.25 sec c. 0.8 sec d. 0.08 sec - ✔ ✔ d. 0.08 sec
The average heart rate is: a. 72 bpm b. 62 bpm c. 82 bpm d. 92 bpm - ✔ ✔ a. 72 bpm
The function of arteries is to: a. Facilitate the exchange of oxygen-rich blood and deoxygenated blood b. Carry oxygen-rich blood away from the heart c. Carry deoxygenated blood to the heart d. Pump blood to all parts of the body - ✔ ✔ b. Carry oxygen-rich blood away from the heart
The function of veins is to:

The patient tells her physician that her mother died of heart disease and her father died of cancer. The physician will record this information in the patient's medical record under a. Dx b. NG c. PMH d. FH - ✔ ✔ d. FH
The PCT has just administered a PPD on a patient. What should the PCT tell the patient next? a. Call the office if the site remains elevated for more than 24 hours b. Make an appointment with the receptionist for a chest x-ray c. Keep the injection site covered for 3 days d. Come back to the office is 48-72 hours to have the injection site observed - ✔ ✔ d. Come back to the office is 48-72 hours to have the injection site observed
The PCT is interviewing a 24-year-old man who was hit on the head with a softball. Which of the following is least helpful in eliciting useful information? a. "Please describe the event as it occurred." b. "Do you have any neck pain?" c. "Describe your symptoms." d. "Who threw the ball?" - ✔ ✔ d. Who threw the ball?
The PCT is required to take a temperature reading on an unconscious patient. Which of the following sites will she most likely take the reading from? a. Axillary b. Oral c. Rectal d. None of the above - ✔ ✔ c. Rectal
The PCT must administer a rectal suppository. In which of the following positions would she put the patient? a. Lithotomy

b. Horizontal recumbent c. Knee-chest d. Sims - ✔ ✔ d. sims

The PCT should position the patient with epistaxis a. Lying down in the supine position b. In the side-lying position c. Sitting up, leaning forward d. In the prone position - ✔ ✔ c. sitting up, leaning forward
The PCT understands that all of the following are true regarding ECG except: a. The paper used in ECG machines is pressure and heat sensitive b. between bold vertical lines (five tiny boxes) represents 0.2 seconds of time c. Electrodes that transmit data about cardiac electrical activity to the ECG machine are placed on the patient's arms, legs and chest d. Most medical offices today use metal disks, rubber bands, and suction cups to attach electrodes and keep them in place - ✔ ✔ d. Most medical offices today use metal disks, rubber bands, and suction cups to attach electrodes and keep them in place
The PCT understands that the most life-threatening of the following cardiac rhythms is: a. Ventricular fibrillation b. Atrial flutter c. Sinus arrhythmia d. Sinus tachycardia - ✔ ✔ a. ventricular fibrillation
The PCT understands the following about ECG waveforms: a. A large QRS waveform is an abnormal finding b. The simplest way to calculate the ventricular rate is to **** the number of R waves in a 6-second strip (30 large squares) and multiply by 10 c. The typical rate for normal sinus rhythm (NSR) is 40-

c. "I can shower or bathe as I normally do while wearing this monitor." d. "A cardiologist will review and interpret the results of this test." - ✔ ✔ c. I can shower or bathe as I normally do while wearing this monitor?

The PCT who is teaching her patient about an event recorder realizes that the patient needs further instruction when he states a. "This is a small, portable monitor that I can wear around my neck or put in my shirt pocket." b. "I will have two electrodes on my chest that I can activate if I feel any symptoms." c. "This device will send an electric shock to my heart if I need it." d. "I should only have to wear this device for 24 hours." - ✔ ✔ c. "this device will send an electric shock to my heart if I need it"
The physician wrote a prescription for the patient to take "2 tabs pot id." The PCT would then explain to the patient that he is to take the medication a. Once each day b. Twice each day c. Three times each day d. Four times each day - ✔ ✔ c. Three times each day
The pregnancy test tests for which of the following hormones? a. Growth hormone b. Progesterone c. Human chorionic gonadotropin d. Estrogen - ✔ ✔ c. Human chorionic gonadotropin
The role of the recorder in an emergency is to a. Perform a stat ECG b. Videotape the event c. Document the emergency and the care rendered in a chronological order Record all supplies and equipment used for billing and restocking purposes - ✔ ✔ c. document the emergency and the care rendered in chronological order

The steps taken to resolve an issue with QC that is out of range is known as a. Corrective action b. Documentation c. Calibration d. Preventive maintenance - ✔ ✔ a. Corrective action
The term angioedema means a. Swelling of an artery b. Narrowing of the aorta c. Swelling of a vessel d. Rupture of a lymphatic vessel - ✔ ✔ c. Swelling of a vessel
The term thrombophlebitis means a. Pain in a vessel b. Inflammation of a vein in the presence of a clot c. Clotting cell d. None of the above - ✔ ✔ b. Inflammation of the vein in the presence of a clot
A patient aspirated during a choking episode. Which of the following conditions may this patient develop? a. Pharyngitis b. Asthma c. Lung cancer d. Pneumonia - ✔ ✔ d. Pneumonia
A patient complains of a pattern of heartburn and belching that is worse after large meals and at bedtime. Based on this limited information, the medical assistant suspects this patient has a. Pericarditis b. Cholecystitis c. Gastroesophageal reflux disease

d. Micro-collection container - ✔ ✔ c. Winged infusion set

There are several advantages to using tissue adhesive on minor lacerations. They include all of the following except: a. It may be quickly injected with a small-gauge needle b. It bonds naturally in under 3 minutes c. It is strong yet flexible It comes off naturally as wound healing occurs - ✔ ✔ a. It may be quickly injected with a small-gauge needle
What is the universal standard for recording an ECG? a. 20 mm/sec b. 25 mm/sec c. 30 mm/sec d. 35 mm/sec - ✔ ✔ b. 25 mm/sec
When the PCT notes a patient is experiencing severe dyspnea, her next best action is to a. Get the physician or a nurse immediately b. Walk the patient to an examination room c. Assist the patient in using his inhaler d. Obtain a complete set of vital signs - ✔ ✔ a. Get the physician or nurse immediately
Where on the body would a PCT take a popliteal pulse measurement? a. On the top of the foot b. Behind the knee c. Inside the ankle bone In the groin - ✔ ✔ b. behind the knee
Which is true about a patient's right regarding the accounting of disclosures? a. A fee is charged for each request b. A log of disclosures should be maintained by the office for every patient

c. Disclosure logs are sent to patient via certified mail d. Requests are limited to two per calendar year - ✔ ✔ b. A log of disclosures should be maintained by the office for every patient

Which of the following abbreviations mean "whenever necessary, or as needed"? a. qod b. npo c. noc d. prn - ✔ ✔ d. Prn
Which of the following abbreviations means "before meals"? a. ac b. aq c. bc d. pc - ✔ ✔ a. ac
Which of the following actions is incorrect when performing a dermal puncture? a. Using a 2.0 mm lancet on a child b. Puncturing the plantar surface of the heel c. Allowing the alcohol to dry onsite prior to puncture d. Collecting the first drop of blood - ✔ ✔ d. Collecting the first drop of blood
Which of the following actions should the PCT take if the baseline of the ECG is off center? a. Adjust the standardization button b. Adjust the sensitivity c. Adjust the stylus (although ECG machines no longer have styluses) d. Adjust the paper feeder - ✔ ✔ c. Adjust the stylus (although ECG machines no longer have styluses)
Which of the following best describes what a directional term is? a. A term used to indicate a specific disease

Which of the following is the correct term for absence of urine? a. Nonuria b. Anuria c. Dysuria d. Oliguria - ✔ ✔ Anuria
Which of the following is the definition of "cutaneous"? a. Pertaining to the surface of the head b. Pertaining to the cervix c. Pertaining to the skin Pertaining to the back - ✔ ✔ c. Pertaining to the skin
Which of the following is the inner layer of the heart? a. Pericardium b. Endocardium c. Epicardium d. Myocardium - ✔ ✔ b. Endocardium
Which of the following is the most common chronic disease suffered by children? a. Strep throat b. Otitis media c. Allergic rhinitis Asthma - ✔ ✔ d. Asthma
Which of the following is the most common solution used to cleanse a wound during a dressing change? a. Sterile saline b. Betadine c. Isopropyl alcohol None of the above - ✔ ✔ a. Sterile saline

Which of the following is the proper conduction sequence: a. SA node -> AV node -> bundle of His -> Purkinje fibers b. AV node -> SA node -> Purkinje fibers -> bundle of His c. SA node -> bundle of His -> Purkinje fibers -> AV node d. SA node -> AV node -> Purkinje fibers -> bundle of His - ✔ ✔ a. SA node -> AV node-> Bundle of His-> Purkinje fibers
Which of the following screening tests might a physician order during a 55-year-old male's physical examination? a. Colonoscopy b. Color blind testing c. Spirometry d. Tympanometry - ✔ ✔ a. Colonoscopy
Which of the following statements is true regarding heart failure? a. The right ventricle is the part of the heart most effected b. Those at greatest risk for developing heart failure include African Americans and the elderly c. The most common symptoms include pain in the chest, jaw, and left arm The most useful test for diagnosing heart failure is the ECG - ✔ ✔ Those at greatest risk for developing heart failure include African Americans and the elderly
Which of the following statements is true regarding myocardial infarction? a. Presenting symptoms may be different in women than in men b. Individuals with chest pain should immediately drive themselves to the hospital rather than waiting on an ambulance c. Confusion and hallucinations are a common symptom The test that is considered most reliable in diagnosing an MI is the ECG - ✔ ✔ a. Presenting symptoms may be different in women than in men
Which of the following structures separates the right atrium from the right ventricle? a. Aortic valve

Cardiovascular Disorders and Procedures, Exams of Health sciences

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PCT NHA 98 Quiz With Answer