beaman comp med_assist_3e_ch55_final_testbank

36
CHAPTER 55 Administering Medications True/False: 1. ________ The subcutaneous injection is given in the arms, abdomen, or thighs. Answer: Page: 1297 Objective #1 2. ________ Hepatitis B is caused by the hepatitis B virus (HBV) and is transmitted by contaminated serum in blood transfusions or through the use of contaminated needles or instruments. Answer: Page: 1312 Objective #1 3. ________ Polio is caused by a virus and is spread through contact with the feces of an infected person. Answer: Page: 1313 Objective #1 1 ©2015 by Pearson Education, Inc. Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rd d Ed.

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Page 1: Beaman comp med_assist_3e_ch55_final_testbank

CHAPTER 55Administering Medications

True/False:

1. ________ The subcutaneous injection is given in the arms, abdomen, or thighs.

Answer:

Page: 1297

Objective #1

2. ________ Hepatitis B is caused by the hepatitis B virus (HBV) and is transmitted

by contaminated serum in blood transfusions or through the use of contaminated

needles or instruments.

Answer:

Page: 1312

Objective #1

3. ________ Polio is caused by a virus and is spread through contact with the feces

of an infected person.

Answer:

Page: 1313

Objective #1

4. ________ Pertussis is a disease of the nervous system and is caused by a

bacterium that enters into the body through a break in the skin.

Answer:

Page: 1311

Objective #1

1©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 2: Beaman comp med_assist_3e_ch55_final_testbank

5. ________ Although the Hib disease is NOT well known, a recent statistic from

the Centers for Disease Control and Prevention (CDC) indicated that one out of

every 200 children in the United States under the age of 5 contracts Hib.

Answer:

Page: 1312

Objective #1

6. ________ There are two types of polio vaccines: inactivated polio vaccine (IPV)

and live oral polio vaccine (OPV).

Answer:

Page: 1313

Objective #1

7. ________ Hepatitis B, which is caused by a virus, is the most common type of

hepatitis in the United States.

Answer:

Page: 1312

Objective #1

8. ________ The pneumococcal vaccine was NOT, until very recently, licensed for

children under the age of 12.

Answer:

Page: 1312

Objective #1

9. ________ The polio vaccine has been available since 1955, which has resulted in

the disappearance of the disease in the United States.

2©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Answer:

Page: 1313

Objective #1

10. ________ The intradermal injection, in which a minute amount of material is

injected within the top layer of skin to determine a patient’s sensitivity to it, is

commonly used for allergy testing.

Answer:

Page: 1297

Objective #3

11. ________ Portabella, also called chickenpox, is probably one of the most

common childhood diseases.

Answer:

Page: 1310

Objective #1

12. ________ Once a child is given the measles, mumps, and rubella (MMR) vaccine,

he or she is protected from those diseases for life.

Answer:

Page: 1312

Objective #1

13. ________ Antibodies are fatty substances produced by white blood cells in the

bone marrow.

Answer:

Page: 1308

3©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 4: Beaman comp med_assist_3e_ch55_final_testbank

Objective #1

14. ________ Tetanus, also known as whooping cough, is a respiratory disease that is

most common in children under the age 4.

Answer:

Page: 1311

Objective #1

15. ________ The Q-track method is used when a medication is irritating to the

subcutaneous tissues or the medication may discolor the skin.

Answer:

Page: 1296

Objective #7

16. ________ The tuberculin skin test is administered intradermally.

Answer:

Page: 1300

Objective #3

17. ________ Redness at the skin test is a positive reaction to the tuberculin skin test.

Answer:

Page: 1302

Objective #3

18. ________ Utilizing outpatient centers may allow for patients to be discharged

earlier from hospitals.

Answer:

Page: 1305

4©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Objective #1

19. ________ In some states, the medical assistant may start IV fluid therapy with

advanced training and physician supervision.

Answer:

Page: 1305

Objective #1

20. ________ Chemotherapy medications are NOT administered using IV therapy.

Answer:

Page: 1305

Objective #1

21. ________ An IV is generally started in the thigh.

Answer:

Page: 1306

Objective #1

22. ________ Patients who have the bleeding disorder hemophilia are lacking clotting

factors that are required for proper coagulation.

Answer:

Page: 1306

Objective #1

Multiple Choice:

5©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 6: Beaman comp med_assist_3e_ch55_final_testbank

1. Intramuscular injections (IM) are given in one of four sites. These sites include all

of the following muscles EXCEPT the _______.

a. deltoid

b. biceps

c. vastus lateralis

d. dorsogluteal

Answer:

Page: 1294

Objective #6

2. Medications may be administered in which of the following ways?

a. Rectally

b. By inhalation

c. Topically

d. All of the above

Answer:

Page: 1284

Objective #1

3. Medical assistants do NOT administer _______.

a. medications by intravenous fluids

b. chemotherapy drugs

c. narcotics

d. any of the above

Answer:

6©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Page: 1285

Objective #1

4. Which of the following are topical drug forms for skin conditions that require

treatment?

a. Creams and ointments

b. Lotions

c. Skin patches

d. All of the above

Answer:

Page: 1288

Objective #1

5. Which of the following is NOT a type of liquid medication?

a. Emulsion

b. Powder

c. Solution

d. Elixir

Answer:

Page: 1285

Objective #2

6. Medication must be checked ______ times before administration.

a. two

b. four

c. five

7©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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d. three

Answer:

Page: 1285

Objective #2, #3, and #8

7. Equipment used for the dispensing of liquid medication includes all of the

following EXCEPT ________.

a. calibrated cups

b. spoons

c. spatulas

d. droppers

Answer:

Page: 1285

Objective #2

8. Parenteral medication administration means administering a medication through

injection, through all of the following routes EXCEPT _______.

a. intramural

b. intramuscular

c. intravenous

d. subdermal

Answer:

Page: 1288

Objective #3

8©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 9: Beaman comp med_assist_3e_ch55_final_testbank

9. Insulin injections are typically done in all of the following areas EXCEPT the

_______.

a. arms

b. abdomen

c. feet

d. thighs

Answer:

Page: 1290

Objective #3

10. Larger syringes are calibrated in 2 mL, 3 mL, 5 mL, 10 mL, and larger, up to 60

mL. The most commonly used size is the ________ mL syringe, because it is the

most accurate with small doses of medication.

a. 2

b. 3

c. 5

d. 10

Answer:

Page: 1290

Objective #4

11. Needle length is very important and varies from ⅜ inch to ________ inches in

length.

a. 2

b. 3

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c. 4

d. 5

Answer:

Page: 1290

Objective #4

12. All needles and syringes should be placed in a ________ Sharps container, needle

down, as soon as they are used.

a. blue

b. green

c. white

d. red

Answer:

Page: 1291

Objective #5

13. Because Occupational Safety and Health Administration (OSHA) standards have

become very strict, there are a variety of safety devices to _______ or withdraw

contaminated needles.

a. sterilize

b. cover

c. remove

d. contain

Answer:

Page: 1290

10©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Objective #5

14. No needle should be disposed of in any receptacle EXCEPT a ________

container.

a. shots

b. meads

c. Sharps

d. shapes

Answer:

Page: 1291

Objective #5

15. Intramuscular injections (IM) are given in one of four sites. These sites or muscles

include all of the following EXCEPT the _______.

a. deltoid

b. vastus lateralis

c. dorsogluteal

d. triceps

Answer:

Page: 1294

Objective #6

16. Intramuscular injections are always given at a ________-degree angle.

a. 30

b. 45

c. 90

11©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 12: Beaman comp med_assist_3e_ch55_final_testbank

d. 120

Answer:

Page: 1294

Objective #6

17. The subcutaneous injection is given just under the skin in the fat (adipose) tissue.

This method is used for small doses of non-irritating medications for all of the

following EXCEPT _______.

a. immunizations

b. antibiotics

c. insulin

d. analgesics

Answer:

Page: 1297

Objective #3

18. The subcutaneous injection is usually given at a ________-degree angle to the

skin surface.

a. 30

b. 45

c. 60

d. 90

Answer:

Page: 1297

Objective #3

12©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 13: Beaman comp med_assist_3e_ch55_final_testbank

19. Patients receiving allergy injections should remain in the office after their

injection per the office protocol, usually ________, to ensure that the patient is

not having any type of allergic reaction.

a. 2 to 3 minutes

b. 20 to 30 minutes

c. 2 to 3 hours

d. 5 to 6 hours

Answer:

Page: 1297

Objective #3

20. When giving a medication using the ________-track method, you need to pull the

skin to the side before inserting the needle.

a. P

b. T

c. C

d. Z

Answer:

Page: 1296

Objective #7

21. Antibodies are ________ substances and are produced by lymphocytes in the

spleen, lymph nodes and tissues, and the bone marrow.

a. protein

b. fatty

13©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 14: Beaman comp med_assist_3e_ch55_final_testbank

c. liquid

d. bone

Answer:

Page: 1308

Objective #1

22. ________ acquired active immunity is the result of receiving vaccinations with

inactive (dead) or attenuated (weakened) organisms.

a. Passively

b. Artificially

c. Reactively

d. Genetically

Answer:

Page: 1308

Objective #1

23. Each year, the Centers for Disease Control and Prevention (CDC) recommends

that certain individuals receive the influenza vaccination. These individuals

usually include all of the following EXCEPT _______.

a. persons 65 years or older with comorbid conditions

b. residents of long-term-care facilities

c. children younger than 6 months

d. pregnant women

Answer:

Page: 1308

Objective #114©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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24. Immunizations or vaccines are produced by taking a ________ or weakened

infectious agent of a disease and injecting it into the human body.

a. hibernating

b. live

c. dead

d. toxic

Answer:

Page: 1308

Objective #1

25. A(n) ________ recommended childhood and adolescent immunization schedule is

issued by the American Academy of Pediatrics, the Advisory Committee on

Immunization Practices of the CDC, and the American Academy of Family

Physicians.

a. weekly

b. monthly

c. quarterly

d. annual

Answer:

Page: 1309

Objective #1

26. Hepatitis B is a form of viral hepatitis, is ________ contagious, and can be fatal.

a. not

b. slightly

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c. highly

d. mildly

Answer:

Page: 1312

Objective #1

27. A child should receive a total of ________ doses of the hepatitis B vaccine.

a. two

b. four

c. six

d. eight

Answer:

Page: 1312

Objective #1

28. The fifth dose of diphtheria vaccine is given to children between the ages of

________.

a. 2 and 4

b. 4 and 6

c. 6 and 8

d. 8 and 10

Answer:

Page: 1310

Objective #1

16©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 17: Beaman comp med_assist_3e_ch55_final_testbank

29. Transmission of diphtheria is by direct and indirect contact and is diagnosed by

obtaining a(n) ________ culture.

a. skin

b. eye

c. anal

d. throat

Answer:

Page: 1310

Objective #1

30. Pertussis is caused by ________ and is transmitted by direct and indirect contact.

a. virus

b. bacteria

c. fungi

d. injury

Answer:

Page: 1311

Objective #1

31. Tetanus is ________ contagious and rarely occurs in individuals living in the

United States.

a. slightly

b. moderately

c. extremely

d. not

17©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Answer:

Page: 1311

Objective #1

32. When children receive a vaccine for tetanus, it is usually given in combination

with a vaccine for _______ (also known as the DTaP vaccine).

a. tetanus

b. pertussis

c. diphtheria

d. all of the above

Answer:

Page: 1311

Objective #1

33. Rubella, also known as ________ measles or three-day measles, is typically a

mild disease that affects an individual for about 24 hours.

a. American

b. French

c. Greek

d. German

Answer:

Page: 1312

Objective #1

18©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 19: Beaman comp med_assist_3e_ch55_final_testbank

34. Chickenpox, so named because the blisters that accompany it look like ________,

is caused by a virus and is spread through the air. Chickenpox, although an

uncomfortable disease, is usually NOT serious.

a. fried chicken

b. frozen peas

c. chickpeas

d. raw chicken

Answer:

Page: 1312

Objective #1

35. According to the CDC, the ________ bacteria kills more people in the United

States each year than any other vaccine-preventable disease.

a. hepatitis A

b. AIDS

c. pneumococcal

d. hepatitis B

Answer:

Page: 1312

Objective #1

36. Polio is caused by a virus and is spread through contact with the ________ of an

infected person.

a. saliva

b. air

19©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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c. feces

d. blood

Answer:

Page: 1312

Objective #1

37. In addition to the influenza vaccination, adults ________ years of age and older

should receive the pneumococcal polysaccharide vaccine (PPV).

a. 35

b. 45

c. 55

d. 65

Answer:

Page: 1313

Objective #1

38. The medical assistant and the physician are ________ for all medications that are

administered to the patient.

a. released

b. unanswerable

c. irresponsible

d. liable

Answer:

Page: 1285

Objective #1

20©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 21: Beaman comp med_assist_3e_ch55_final_testbank

39. Never give medications to a pediatric patient without permission from ________.

a. the patient

b. an adult

c. the next-of-kin

d. a parent or guardian

Answer:

Page: 1305

Objective #8

40. Elderly patients typically take ________ medications than younger patients do.

a. the same

b. less

c. more

d. different

Answer:

Page: 1305

Objective #1

41. When giving injections to elderly patients, keep in mind that they may have

________ skin and smaller muscles. Use a smaller needle, and take care to NOT

tear the skin or damage the muscle.

a. rougher

b. thicker

c. thinner

d. more elastic

21©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Answer:

Page: 1305

Objective #4

42. The first step in the method for correctly withdrawing medication from a single-

dose and a multiple-dose vial should be which of the following?

a. Select the syringe and needle based on the type of medication and location for the

injection site.

b. Compare the medication vial (bottle) against the physician’s order.

c. Thoroughly wash hands with soap and running water.

d. Remove needle from vial.

Answer:

Page: 1292

Objective #3

43. A virus causes _______, which is extremely serious and can result in brain

damage, deafness, or death.

a. mumps

b. chickenpox

c. measles

d. scarlet fever

Answer:

Page: 1312

Objective #1

22©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 23: Beaman comp med_assist_3e_ch55_final_testbank

44. A recent statistic from the CDC indicated that one out of every 200 children in the

United States under the age of 5 years contracts _______ disease.

a. Crohn’s

b. Hib

c. Fifth’s

d. Edison’s

Answer:

Page: 1312

Objective #1

45. Measles is extremely serious and can result in all of the following conditions

EXCEPT

a. liver disease.

b. brain damage.

c. deafness.

d. death.

Answer:

Page: 1312

Objective #1

46. Hib is caused by a bacterium, is spread through ________, and enters into the

lungs or bloodstream.

a. the air

b. bodily waste

c. drinking water

d. spoiled food

23©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Answer:

Page: 1312

Objective #1

47. Meningitis, which is a result of Hib, affects about ________ children a year.

a. 12

b. 120

c. 1200

d. 12,000

Answer:

Page: 1312

Objective #1

48. ________ DTaP shots are required to fully protect a child. The last booster is

given to children between the ages of 4 and 6.

a. Three

b. Five

c. Seven

d. Nine

Answer:

Page: 1311

Objective #1

49. Individuals with diphtheria typically experience symptoms such as all of the

following EXCEPT _______.

a. red eyes

24©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 25: Beaman comp med_assist_3e_ch55_final_testbank

b. headache

c. fever

d. sore throat

Answer:

Page: 1310

Objective #1

50. All of the following are topical medications that can be applied to mucosal

membranes EXCEPT _______.

a. eye drops

b. ear drops

c. skin patches

d. buccal tablets

Answer:

Page: 1288

Objective #1

51. When giving elderly patients injections, ________.

a. use a larger needle

b. obtain permission from their caregiver first

c. use a smaller needle

d. use a bandage with adhesive tape

Answer:

Page: 1305

Objective #4

25©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

Page 26: Beaman comp med_assist_3e_ch55_final_testbank

52. Which of the following is NOT a benefit of outpatient IV therapy?

a. It helps increase hospital admissions.

b. It helps reduce medical costs.

c. It allows patients to spend more time with their family.

d. It is more cost-effective for patients without health insurance.

Answer:

Page: 1305

Objective #1

53. IV therapy is indicated for all of the following EXCEPT _______.

a. administering blood

b. replacing lost fluids

c. administering an enema

d. medication administration

Answer:

Page: 1305

Objective #1

54. Bolus, IV push, and scheduled intermittent administration are all examples

of ________ dosage.

a. analgesic

b. unit

c. port

d. sublingual

Answer:

26©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.

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Page: 1306

Objective #1

55. The most common side effect of intravenous therapy is ________.

a. infection at the site of the needle

b. phlebitis

c. infiltration

d. rejection

Answer:

Page: 1307

Objective #1

27©2015 by Pearson Education, Inc.Beaman/McPhillips, TestGen for Pearson’s Comprehensive Medical Assisting, 3rdd Ed.