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68 Cards in this Set

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1 . Race.

a. How one responds to and regards others.
b. Inherited characteristics
c. Belief system.
d. Learned and shared behavior patterns and standards.
b. Inherited characteristics
2 . In the emergency room, you are examining a patient who suddenly vomits and tells you he has been feeling nauseous for the past several hours.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
d. Subjective Only
3 . Minimizing the spread of an infectious disease can be accomplished by the use of isolation techniques that may include

a. establishing physical barriers
b. concurrent and terminal disinfection
c. limiting patient contact
d. all of the above
d. all of the above
4 . Patient falls may be avoided by taking which of the following preventive measures?

a. Keeping floors dry and uncluttered
b. Instructing patients on the proper use of walking aids (crutches, canes, etc.)
c. Proper use of bed/gurney siderails
d. All of the above
d. All of the above
5 . In the immediate postoperative recovery phase, a patient's skin color may be indicative of all of the following EXCEPT

a. postoperative hemorrhage
b. degradation of respiratory function
c. the development of shock
d. the patient's ability to recover from the anesthetic agent
d. the patient's ability to recover from the anesthetic agent
6 . Communication barriers inhibit the flow of information and may consist of which of the following factors?

a. Age
b. Education
c. Decreased auditory acuity
d. All the above
d. All the above
7 . An EKG performed on a patient is interpreted as normal and the patient's breathing improves with oxygen therapy.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
a. Objective Only
8 . Environmental hygiene is directed toward producing a healthy environment and includes such practices as maintaining unit cleanliness and

a. limiting noise levels
b. proper disposal of soiled articles
c. providing for adequate ventilation
d. all of the above
d. all of the above
9 . Culture.

a. How one responds to and regards others.
b. Inherited characteristics.
c. Belief system.
d. Learned and shared behavior patterns and standards.
d. Learned and shared behavior patterns and standards.
10 . What is the preferred method of cleaning an operating room floor between operations?

a. Broom
b. Mop
c. Wet vacuum
d. Sponge and disinfectant
c. Wet vacuum
11 . For effective sterilization of microbiological infectious waste, the temperature of the sterilizing steam must be maintained at _____ for at least _____, at _____ per square inch of gauge pressure.

a. 11-¦ C, 90 minutes, 10 pounds
b. 250-¦ F, 90 minutes, 15 pounds
c. 250-¦ C, 45 minutes, 10 pounds
d. 2-¦ F, 45 minutes, 5 pounds
b. 250-¦ F, 90 minutes, 15 pounds
12 . The sterilization method of choice for most articles used in surgery is

a. steam under pressure
b. ethylene oxide gas
c. soaking in glutaraldehyde
d. dry heat
a. steam under pressure
13 . A health care provider can reasonably expect that all patients admitted for surgical procedures will exhibit which of the following characteristics?

a. Be apathetic and passive
b. Exhibit violent behavior
c. Be fearful and anxious
d. Be very demanding
c. Be fearful and anxious
14 . Dropping a metal basin on the operating room floor may cause a violent response from a general anesthesia patient in what stage of anesthesia?

a. Stage 2
b. Stage 3
c. Stage 4
d. Stage 1
d. Stage 1
15 . Patient rights and responsibilities are standards addressed by what organization?

a. American Medical Association (AMA)
b. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
c. National League of Nursing (NLN)
d. Commander, Navy Medical Command (formerly Bureau of Medicine and Surgery)
b. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
1 . Communication barriers inhibit the flow of information and may consist of which of the following factors?

a. Age
b. Education
c. Decreased auditory acuity
d. All the above
d. All the above
2 . What source is considered the most frequent reservoir of infectious agents pathogenic to man?

a. Animals
b. Man
c. Plants
d. Soil
b. Man
3 . Which of the following is an important step in using ethylene oxide gas for sterilization?

a. Providing an aeration period
b. Including surgical blades and sutures
c. Ensuring adequate steam pressure in the chamber
d. Providing protective masks to the operators
a. Providing an aeration period
4 . Which of the following are goals of patient health education?

a. Promoting behavior modification
b. Influencing a patient's attitude toward health and disease
c. Promoting patient self-care
d. All the above
d. All the above
5 . In general anesthesia, a stimulation of vital signs is evidence of what level of anesthesia induction?

a. Stage 2
b. Stage 3
c. Stage 4
d. Stage 1
a. Stage 2
6 . When setting up a minor surgery case, you notice that the instrument pack is outdated, What should you do?

a. Resterilize the pack without unwrapping
b. Return it to the shelf and let someone else take care of it
c. Use the pack; only the outside is not sterile
d. Unwrap and inspect the pack and if usable, resterilize
a. Resterilize the pack without unwrapping
7 . In the communication process, listening is a critical skill and can be improved by developing which, if any, of the following attitudes and behaviors?

a. Minimizing distractions
b. Taking notes
c. Anticipating what the patient will say
d. None of the above
a. Minimizing distractions
8 . A patient requests your advice or opinion concerning the care or proposed care (s)he is undergoingWhich, if any, of the following is the appropriate response?

a. Refer the patient to the nurse or physician responsible for his/her care
b. Say you^ll ask your supervisor
c. Answer honestly, to the best of your ability
d. None of the above
a. Refer the patient to the nurse or physician responsible for his/her care
9 . A patient who has been fitted with a cast should be instructed to return to the medical treatment facility as soon as possible under which of the following circumstances?

a. The extremity affected by the cast is numb
b. The itching becomes unbearable
c. The cast gets wet
d. The cast becomes soiled
a. The extremity affected by the cast is numb
10 . The purpose of therapeutic communication includes all of the following EXCEPT

a. educating a patient regarding health and health care
b. providing information on how to get to the appropriate clinic for treatment
c. obtaining information to determine a patient's illness
d. assessing behavior and modifying if appropriate
b. providing information on how to get to the appropriate clinic for treatment
11 . Race.

a. How one responds to and regards others.
b. Inherited characteristics.
c. Belief system.
d. Learned and shared behavior patterns and standards.
b. Inherited characteristics.
12 . Minimizing the spread of an infectious disease can be accomplished by the use of isolation techniques that may include

a. establishing physical barriers
b. concurrent and terminal disinfection
c. limiting patient contact
d. all of the above
d. all of the above
13 . Electrical and electronic equipment poses significant injury hazards. Of the following, which is the authorized means of reducing this hazard?

a. Informing the staff of defective
b. Having medical repair perform electrical safety checks on all equipment
c. Using only two-prong, nongrounded electrical plugs
d. Repairing frayed cords with electrical tape to prevent shock
b. Having medical repair perform electrical safety checks on all equipment
14 . In the emergency room, you are examining a patient who suddenly vomits and tells you he has been feeling nauseous for the past several hours.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
d. Subjective Only
15 . During a fire evacuation, which of the following procedures is NOT considered appropriate?

a. Close all windows and doors
b. Turn off all oxygen equipment not necessary to sustain life
c. Clear all possible exits
d. Immediately remove patients to safety
d. Immediately remove patients to safety
16 . Documentation and analysis of all accidents and injuries is provided for which of the following reasons?

a. To identify and punish the responsible person(s)
b. To identify and correct safety deficiencies
c. To forestall negligence or malpractice suits
d. All of the above
b. To identify and correct safety deficiencies
17 . Patient falls may be avoided by taking which of the following preventive measures?

a. Keeping floors dry and uncluttered
b. Instructing patients on the proper use of walking aids (crutches, canes, etc.)
c. Proper use of bed/gurney siderails
d. All of the above
d. All of the above
18 . A patient who is a professed atheist is placed on the Very Serious List (VSL) with a poor prognosis for recovery. All of the following actions by the staff are considered appropriate and ethical EXCEPT

a. informing the rest of the staff of the patient's condition
b. informing pastoral services (chaplain) of the patient's condition and nonreligious beliefs
c. attempting to convince the patient to accept a religious belief
d. informing the rest of the staff of the patient's nonreligious beliefs
c. attempting to convince the patient to accept a religious belief
19 . A health care provider can reasonably expect that all patients admitted for surgical procedures will exhibit which of the following characteristics?

a. Be apathetic and passive
b. Exhibit violent behavior
c. Be fearful and anxious
d. Be very demanding
c. Be fearful and anxious
20 . A patient complains of chest pain and has difficulty breathing.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
b. Both Subjective and Objective
21 . While adding items to a sterile field, you think you may have dragged the corner of a wrapper across part of the field. What should your course of action be?

a. Tell the scrub technician so he or she can avoid that part of the field
b. Say nothing and continue with what you are doing
c. Dismantle the field and set up a new field
d. Do nothing. Wrappers are considered clean
c. Dismantle the field and set up a new field
22 . A medical patient is prescribed therapeutic bed rest primarily for what reason?

a. To prevent depression and apathy
b. To prevent further damage to body systems
c. To inhibit the development of respiratory problems
d. To inhibit the development of circulatory problems
b. To prevent further damage to body systems
23 . The limitations imposed upon a healthcare provider are based on local regulations and which of the following elements?

a. The rate training manual
b. The provider's training and experience
c. The rating's occupational standards
d. All of the above
d. All of the above
24 . Patient education is the responsibility of

a. only the physician and nurses for the patient
b. all members of the healthcare team
c. the outpatient staff and clinic supervisor only
d. the members of the command education and training department
b. all members of the healthcare team
25 . A patient claims to have swallowed many pills and complains of sleepiness and nausea.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
d. Subjective Only
26 . When a regional anesthetic is administered, the patient can expect what effect?

a. Pain will be reduced or eliminated in the body part injected or swabbed
b. Level of consciousness will decline
c. The entire body will become numb
d. Motor, but not sensory perception will diminish
a. Pain will be reduced or eliminated in the body part injected or swabbed
27 . Patient rights and responsibilities are standards addressed by what organization?

a. American Medical Association (AMA)
b. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
c. National League of Nursing (NLN)
d. Commander, Navy Medical Command (formerly Bureau of Medicine and Surgery)
b. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
28 . An EKG performed on a patient is interpreted as normal and the patient's breathing improves with oxygen therapy.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
a. Objective Only
29 . The concepts of health include

a. soundness of mind, body, and spirit
b. both a and b above
c. a feeling of euphoria
d. the absence of disease or disability
b. both a and b above
30 . The most common cause of ineffective communication and the most difficult obstacle to identify is which of the following barriers?

a. Physical
b. Psychosocial
c. Spiritual or religious
d. Psychological
d. Psychological
31 . The surgical hand scrub is performed to

a. remove all bacteria from the hands and forearms
b. reduce bacterial to a minimum on the hands and forearms
c. remove obvious dirt and grime from the hands and forearms
d. chemically sterilize the hands and forearms
b. reduce bacterial to a minimum on the hands and forearms
32 . Interpersonal relations.

a. How one responds to and regards others.
b. Inherited characteristics.
c. Belief system.
d. Learned and shared behavior patterns and standards.
a. How one responds to and regards others.
33 . Which of the following rubber products may be resterilized after use?

a. Latex surgical drains
b. Surgical suction tubing
c. Disposable urinary catheters
d. Disposable surgeon's gloves
b. Surgical suction tubing
34 . Because of its nonstatic qualities, the most acceptable material for use in the operating room is

a. synthetic fabrics
b. untreated synthetic/cotton blends
c. 100% cotton
d. wool
c. 100% cotton
35 . Dropping a metal basin on the operating room floor may cause a violent response from a general anesthesia patient in what stage of anesthesia?

a. Stage 2
b. Stage 3
c. Stage 4
d. Stage 1
d. Stage 1
36 . Environmental hygiene is directed toward producing a healthy environment and includes such practices as maintaining unit cleanliness and

a. limiting noise levels -- your answer
b. proper disposal of soiled articles
c. providing for adequate ventilation
d. all of the above
d. all of the above
37 . When caring for a young, otherwise healthy orthopedic patient requiring immobilization, the healthcare provider can anticipate all of the following EXCEPT

a. frequent complaints of sore or aching pain
b. periods of dizziness associated with disorientation
c. a deterioration of skin tone and function
d. symptoms of emotional stress
b. periods of dizziness associated with disorientation
38 . Unless otherwise directed by the physician, when one is applying a cast to an arm, the patient's wrists is generally in which of the following positions?

a. In the neutral position
b. Flexed about 0 degrees
c. In any of the above; specific position is immaterial
d. Extended about 0 degrees
a. In the neutral position
39 . The sterilization method of choice for most articles used in surgery is

a. steam under pressure
b. ethylene oxide gas
c. soaking in glutaraldehyde
d. dry heat
a. steam under pressure
40 . When permitted, postoperative patients should be encouraged to ambulate to improve the functions of which of the following physiologic systems?

a. Digestive system
b. Cardiopulmonary system
c. Renal system
d. All of the above
Cardiopulmonary system
41 . Culture.

a. How one responds to and regards others.
b. Inherited characteristics.
c. Belief system.
d. Learned and shared behavior patterns and standards.
d. Learned and shared behavior patterns and standards
42 . What is the preferred method of cleaning an operating room floor between operations?

a. Broom
b. Mop
c. Wet vacuum
d. Sponge and disinfectant
c. Wet vacuum
43 . In the healthcare field, accountability means that providers

a. must continue their education in the healthcare field
b. are bound by a code of ethics
c. are held responsible for their actions
d. all the above
d. all the above
44 . Sterilization of individual strands of suture is acceptable for which of the types listed?

a. All nonabsorbable suture material
b. Both 1 and 2 above
c. Stainless steel sutures only
d. All absorbable suture material
c. Stainless steel sutures only
45 . For effective sterilization of microbiological infectious waste, the temperature of the sterilizing steam must be maintained at _____ for at least _____, at _____ per square inch of gauge pressure.

a. 11-¦ C, 90 minutes, 10 pounds
b. 250-¦ F, 90 minutes, 15 pounds
c. 250-¦ C, 45 minutes, 10 pounds
d. 2-¦ F, 45 minutes, 5 pounds
b. 250-¦ F, 90 minutes, 15 pounds
46 . In the immediate postoperative recovery phase, a patient's skin color may be indicative of all of the following EXCEPT

a. postoperative hemorrhage
b. degradation of respiratory function
c. the development of shock
d. the patient's ability to recover from the anesthetic agent
d. the patient's ability to recover from the anesthetic agent
47 . In the theory of death and dying, it is suggested that most people exhibit five stagesThe stage where the terminal patient becomes concerned about the state of his or her affairs and family members is known as the stage of

a. acceptance
b. bargaining
c. depression
d. denial
c. depression
48 . SF 522, Request for Administration of Anesthesia and for Performance of Operations and other Procedures, is normally signed by a parent, legal guardian, or spouse EXCEPT when the patient is

a. over 16 years of age but under 18
b. over 18 years of age but under 21
c. a member of the Armed Forces
d. able to do so
c. a member of the Armed Forces
49 . When picking up a patient's dinner tray, you notice that only the liquids have been consumed at this meal, although the patient has normally eaten full meals before this.

a. Objective Only
b. Both Subjective and Objective
c. None of the above
d. Subjective Only
a. Objective Only
The Patient's Bill of Rights and Responsibilities is listed in:

a. BUMEDINST 6300.10
b. NAVPERS 6230.10
c. BUMEDINST 6300.11
d. NAVADMIN 1040
a. BUMEDINST 6300.10
The HM occupational standards define the minimal technical skills required of a Hospital Corpsman and is contained in:

a. NAVPERS 18068F, Chapter 40
b. NAVPERS 18068F, Chapter 2
c. NAVPERS 108023, Chapter 40
d. NAVPERS 108023, Chapter 2
a. NAVPERS 18068F, Chapter 40
Request for Administration of Anesthesia and for Performance of Operations and Other Procedures:

a. SF600
b. SF522
c. SF520
d. None of the above
b. SF522
This liquid chemical, if properly used, is capable of rendering an item sterile:

a. ethylene oxide
b. Isoprophyl alcohol
c. glutaraldehyde
d. none of the above
c. glutaraldehyde