NCCT Practice Test 1

This is a timed quiz. You will be given 60 seconds per question. Are you ready?

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When drawing blood from a patient, you can make the veins in their arm become more prominent by asking them to do what?

Correct! Wrong!

When a patient clenches their fist the amount of blood flowing into the hand is temporarily decreased by the contraction and so blood builds up further up the arm, making veins more prominent and so easier to see.

To ensure accuracy in testing all equipment must be properly…?

Correct! Wrong!

However accurate a testing apparatus may be, it will not produce a correct result unless it has been calibrated properly prior to use. Always check apparatus is properly calibrated using manufacturer instructions, and regularly recheck calibration throughout testing.

A normal pulse rate for a healthy adult should be between…?

Correct! Wrong!

The normal range for the pulse rate of a healthy adult is between 60 – 100 beats per minute. Any pulse rate outside this range should be reported to a physician. However, you should be aware that a pulse rate outside this range can still be healthy, for example a very fit athlete may have a pulse rate as low as 40 BPM.

Who should explain the costs of their care to a patient?

Correct! Wrong!

Medical staff are not expected to explain care costs to a patient, this is the job of administrative staff. If this is part of your job, you should be aware that it is vital that a patient understands all costs involved and any alternatives that may be available to them.

Under what circumstances should a patient's blood be considered infective or infectious?

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No matter what a patient's individual status or why they are in hospital, their blood should always be handled as if it has the potential to cause infection. Exactly the same procedures must be followed when taking and handling blood from every patient.

Which of these fluids presents the greatest risk of HIV infection to medical workers?

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Blood is the most likely way for a medical worker to become accidentally contaminated with HIV. Although HIV can be spread accidentally in other ways, it is very difficult to become infected through saliva and mucus.

Which of these is the most common and effective place to read a pulse?

Correct! Wrong!

The pulse is usually measured from the radial artery, on the side of the wrist nearest the thumb. However, if there are reasons preventing taking a reading from here (for example if the patient has both wrists in casts) there are other points from which the pulse may be taken.

Tachypnea is generally defined as a patient taking more than how many breaths per minute?

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A normal healthy adult will take between 12 and 20 breaths per minute. Any more than this is defined as tachypnea and is a cause for concern that should be reported to a physician. However, you should take external factors into consideration, for example if the patient just climbed stairs to reach the examination, and be aware that newborn infants normally breathe at up to 44 breaths per minute.

If a patient cancels an appointment it is essential that you…?

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A patient may cancel an appointment for many reasons and sometimes may forget to reschedule, which could result in them missing vital treatment. Always ask if they need to reschedule and if in doubt consult with the appropriate physician.

Some simple tests fall under waivers from which of these bodies?

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A number of simple tests fall under the provisions of the Clinical Laboratory Improvement Amendments 1988; these are tests that are judged to be simple enough to be performed by staff with basic training or even at home. This does not mean that they are immune to error or that error could not have serious diagnostic consequences; the same amount of care should be taken with them as with any other testing procedure.

In a business letter, what should be placed in the top right hand corner?

Correct! Wrong!

Business letters should be laid out with the sender’s address at the top right, the recipient’s address below that on the left, any reference number below that, then the date, then the salutation. Obviously if using headed paper with an address on it there is no need to repeat this.

Which of these can be reported to relevant authorities without a patient’s consent?

Correct! Wrong!

In most circumstances the right of the patient to confidentiality is paramount. That means his/her consent to confidential information being released must be obtained. However, in the case of gunshot wounds, information may be passed to law enforcement agencies even if the patient should not wish this to happen.

If a patient makes his/her condition worse by ignoring medical advice, that may be considered:

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When a patient ignores medical advice, for example does not take prescribed drugs, and so makes his/her condition worse, that may be considered contributory negligence. This means some responsibility for the deterioration lies with the patient, and may count in favor of a medical practitioner in a lawsuit.

Which of these is the only risk a computer cable may not present?

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Electrical equipment cables are one of the major causes of workplace accidents. They should be regularly inspected to make sure there is no fraying of the outer casing, which could cause electrocution or fire, and careful attention must be paid to their routing: ideally all cables should travel through secure housing to ensure they cannot cause a trip risk.

If a patient has a problem such as deep-vein thrombosis or pulmonary embolism they may need a drug to stop the blood thickening. This is called an…?

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When a patient's blood is clotting too quickly, which can cause DVT or pulmonary embolism, they may need an anticoagulant to slow this process. Common anticoagulants include Coumadin (aka Warfarin) and Heparin.

In order to prescribe controlled substances a medical practitioner needs a license from…?

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A license from the DEA is required for all persons prescribing controlled substances. The license lasts for three years (though it can be taken away at any time for malpractice) and costs $731.

In phlebotomy, what is a centrifuge used for?

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When blood has been drawn from a patient, it is often put through a centrifuge before testing. This separates blood cells from the liquid (plasma) in which they are suspended, so they can be more easily counted and tested.

The best passwords for computers are…?

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Computer passwords are there to protect patient data so they should be as difficult to bypass as possible. Don’t use names, birthdays, favorite teams etc.: use a random string of numbers, symbols and letters. Try to memorize it rather than writing it down. Change your password as often as your systems administrator recommends.

Which of these is most important when dealing with medical records?

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All of these elements are important, but when dealing with medical records confidentiality is paramount. Always make sure that records are not being disclosed to an unauthorized entity, and check with the office handbook and other staff when in doubt.

Which of these is the only one entitled to immediate access to patient medical records?

Correct! Wrong!

All of these entities are entitled to patient medical records under certain circumstances and if all proper conditions have been fulfilled. The patient's physician is the only one of these who is entitled to immediate access.

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