TEST BANK for Administrative and Clinical Procedures for the Canadian Health Professional, 5th editi by StudyGuide

TEST ITEM FILE Dina Mikhael CDI College

Administrative and Clinical Procedures for the Canadian Health Professional 5th Edition Valerie D. Thompson Conestoga Institute of Technology and Advanced Learning

Toronto

Copyright © 2022 Pearson Canada Inc. Pearson Canada. All rights reserved. This work is protected by Canadian copyright laws and is provided solely for the use of instructors in teaching their courses and assessing student learning. Dissemination or sale of any part of this work (including on the Internet) will destroy the integrity of the work and is not permitted. The copyright holder grants permission to instructors who have adopted Administrative and Clinical Procedures for the Canadian Health Professional, 5th edition, by Valerie D. Thompson to post this material online only if the use of the website is restricted by access codes to students in the instructor’s class that is using the textbook and provided the reproduced material bears this copyright notice.

TABLE OF CONTENTS Chapter 1

The Administrative Health Professional (AHP)

........................................................ 1-1

Chapter 2

Health and the Individual

Chapter 3

Culture and Health

Chapter 4

The Canadian Health Care System

.............................................................................4.1

Chapter 5

Standards and Safety in Health Care

...........................................................................5.1

Chapter 6

Diagnostic Tests

..........................................................................................................6.1

Chapter 7

Pharmacology

..............................................................................................................7.1

Chapter 8

Communication in the Health Office

Chapter 9

Patient Registration and Scheduling Appointments

Chapter 10

Health Care Plans

......................................................................................................10.1

Chapter 11

The Billing Process

...................................................................................................11.1

Chapter 12

Claims Submission

.....................................................................................................12.1

Chapter 13

Health Information Management

Chapter 14

The Hospital Setting

Chapter 15

Hospital Documents and Procedures

Chapter 16

Doctor’s Orders: Procedures and Process

Chapter 17

Intravenous Therapy

Chapter 18

Patient Nutrition

Chapter 19

Digestion and Excretion

Chapter 20

The Cardiorespiratory Systems

Chapter 21

Rest and Activity

............................................................................................2.1

......................................................................................................3.1

..........................................................................8.1 ....................................................9.1

..............................................................................13.1

..................................................................................................14.1 ........................................................................15.1 .................................................................16.1

.................................................................................................17.1

........................................................................................................18.1 ............................................................................................19.1 .................................................................................20.1

.......................................................................................................21.1

Chapter 1 Test Item File

Thompson, 5e

Chapter 1: The Administrative Health Professional (AHP) Multiple-Choice Questions: 1) Which of the following is an example of core competence skill that the AHP should have? A) professionalism B) flexibility C) computer literacy D) empathy Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 2) Which of the following is a clinical responsibility of the AHP? A) assisting with physical examination B) typing and keyboarding C) scheduling appointment D) answering the phone Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 3) Which of the following is an example of an attribute that the AHP should have? A) communication skills B) flexibility C) computer literacy D) knowledge of healthcare terminology Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 4) Which of the following is the best definition of autonomy? A) A moral claim. B) A moral obligation. C) A set of guidelines for ethical conduct. D) A person’s right for self-determination. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 1 Test Item File

Thompson, 5e

5) Which of the following reflects the importance of analytical thinking as an attribute of the AHP? A) It opens the door to proper problem solving. B) It eliminates extended wait times in the office. C) It reduces stress. D) It gives a professional impression. Answer: A Diff: 2 Skill: Applied Learning Objective: LO2 6) Which of the following attributes is very important for a successful appointment schedule? A) calm demeanor B) ethical attitude C) good judgment D) sense of responsibility Answer: C Diff: 2 Skill: Applied Learning Objective: LO2 7) If your shift at the hospital ends at 1700 hours. This means ________. A) 6:00 p.m. B) 5:00 p.m. C) 4:00 p.m. D) 6:00 a.m. Answer: B Diff: 2 Skill: Applied Learning Objective: LO6 8) Which of the following is one of the goals of the professional organizations? A) They offer their members resources, learning materials, and continuing education. B) They pay their members travel expenses. C) They offer all their members a practice license. D) They pay a regular salary to all their members. Answer: A Diff: 2 Skill: Recall Learning Objective: LO8

Chapter 1 Test Item File

Thompson, 5e

9) Which of the following is the best definition of morals? A) A moral obligation. B) A moral, legal, cultural, or traditional claim. C) The beliefs that guide the person’s behavior or conduct. D) What the person believes to be right and wrong. Answer: D Diff: 2 Skill: Recall Learning Objective: LO3 10) When making an ethical decision, health professionals should A) focus on their personal opinions. B) consider only the feelings and the emotions of the people involved. C) gather relevant information from all available resources. D) ignore the ethical principles. Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 11) Which of the following ethical theories dictate that what is morally right or wrong is determined by the outcome of an action? A) duty ethics theory B) utilitarian theory C) virtue theory D) deontology Answer: B Diff: 2 Skill: Recall Learning Objective: LO3 12) Which of the following is the best description of the medical transcriptionist? A) The person who manages the administrative and communication needs of a patient-care unit. B) The person who examines and prescribes medications to the patients. C) The person who produces and edits the medical reports, records, and patient-care information. D) The person who dispenses medications and gives instructions to the patients. Answer: C Diff: 2 Skill: Recall Learning Objective: LO1

Chapter 1 Test Item File

Thompson, 5e

13) Professional dress code in health care includes A) wearing dangling earrings. B) wearing shorts and T-shirts. C) wearing fragrance. D) wearing neat and clean clothes. Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 14) Which of the following is the explanation of scope of practice? A) Working as a team to solve a problem. B) Setting work related priorities to get the job done. C) Working within the boundaries of the job description. D) Setting boundaries between you and the rest of the healthcare team. Answer: C Diff: 2 Skill: Applied Learning Objective: LO1 15) Which of the following is an administrative duty of the AHP? A) maintain confidentiality B) sanitizing instruments C) testing urine with dipsticks D) entering history onto EHR Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 16) Your resume should be A) written using font 16-18. B) printed on colored papers. C) concise, organized, and clear. D) two to three double-sided pages long. Answer: C Diff: 1 Skill: Applied Learning Objective: LO7

Chapter 1 Test Item File

Thompson, 5e

17) Which of the following is the best description of ethical principle justice? A) benefiting others B) honesty and truthfulness C) meeting the reasonable expectation of others D) fair treatment for all clients Answer: D Diff: 2 Skill: Recall Learning Objective: LO3 18) Which of the following will be the best application of the term triage in relation to schedule appointments? A) Booking appointments based on patient preference. B) Prioritizing appointments based on health concerns. C) Ensuring a continuous flow of clients in the office. D) Reducing client wait time for their appointments. Answer: B Diff: 2 Skill: Applied Learning Objective: LO2 19) Which of the following ethical principles is denied when a patient is forced to receive a treatment? A) Veracity B) Fidelity C) Beneficence D) Autonomy Answer: D Diff: 2 Skill: Recall Learning Objective: LO3 20) Which of the following attributes does the AHP need to deal with clients from different cultures and different beliefs? A) calm demeanor B) sense of responsibility C) tolerance D) flexibility Answer: C Diff: 2 Skill: Applied Learning Objective: LO2

Chapter 1 Test Item File

Thompson, 5e

True/False Questions: 1) Duty ethics theory is based on the belief that a person must act according to their duty regardless of the consequences. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 2) Educating patients is one of the administrative responsibilities of the AHP. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 3) Health office administration is a regulated profession. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO6 4) Networking and cold calling are important in job search. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 5) The ethical principle of fidelity refers to meeting the reasonable expectation of others. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 6) Values are what a person believes to be right and wrong. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 7) A preceptor is a mentor who guides and supervises a student throughout a workplace experience. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO8 1-6 Copyright © 2022 Pearson Canada Inc.

Chapter 1 Test Item File

Thompson, 5e

8) The AHP is considered part of the allied health care. Answer: TRUE Diff: 2 Skill: Recall Learning Objective: LO1 9) It is NOT important to know a new technology in the workplace if you are able to do your work with the old one. Answer: FALSE Diff: 2 Skill: Applied Learning Objective: LO2 10) The first step in making an ethical decision is to determine the ethical approach. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 Essay Questions: 1) List five places an AHP can find employment. If you could choose one of them to work at, which one would it be and why? Answer: Answers will vary. Diff: 1 Skill: Recall Learning Objective: LO1 2) Explain why professional appearance is very important for the AHP. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO2

Chapter 2 Test Item File

Thompson, 5e

Chapter 2: Health and the Individual Multiple-Choice Questions: 1) Which of the following wellness dimensions recognizes one's own strengths and weaknesses? A) physical B) spiritual C) emotional D) social Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 2) Which of the following behaviors will help the person to achieve environmental wellness? A) Recycling and taking steps to reduce global warming. B) Making healthy choices related to diet and exercise. C) Managing stress appropriately and adjusting to changes. D) Having a reasonable and predictable income. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 3) Which of the following is the leading cause of disability in Canada? A) diabetes B) mental illness C) cardiovascular diseases D) respiratory diseases Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 4) Negative treatment outcome can be caused by A) limited access to primary care physicians. B) shortage of healthcare professionals working in LTC. C) the high cost of prescribed medications. D) long wait times between diagnosis and treatment. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 2 Test Item File

Thompson, 5e

5) Which of the following is the best description of spiritual wellness? A) A belief in a higher power. B) Self-acceptance and self-confidence. C) Having the ability to interact with others. D) Making healthy choices regarding diet and exercise. Answer: A Diff: 2 Skill: Applied Learning Objective: LO2 6) Which of the following health concerns had been reduced by the establishment of supervised injection sites? A) medical assistance in dying B) aging population C) opioid crisis D) antibiotic-resistance organisms Answer: C Diff: 1 Skill: Recall Learning Objective: LO3 7) The second leading cause of death in Canada is: A) cancer B) cardiovascular diseases C) diabetes D) depression Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 8) Which of the following definitions best describes social wellness? A) The ability to connect and relate to others. B) The cognitive ability to determine what is right and what is wrong. C) Having adequate income to support oneself and the family. D) A belief in a higher power. Answer: A Diff: 2 Skill: Applied Learning Objective: LO2

Chapter 2 Test Item File

Thompson, 5e

9) Which of the following is a true statement about the health-wellness continuum? A) People in the middle of the continuum are the healthiest. B) The person’s acceptance of their health status does not affect their placement on the continuum. C) People with serious chronic diseases are moving towards the right end of the continuum. D) It illustrates how a person’s health status is constantly changing. Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 10) John realized that he is not feeling well but carried on with his normal activities. Which stage of illness response is John at? A) preliminary phase B) acknowledgement phase C) action phase D) resolution phase Answer: A Diff: 2 Skill: Applied Learning Objective: LO4 11) Angela called her family doctor to book an appointment as she was suffering from abdominal pain over the last two weeks. Which stage of illness response is Angela at? A) preliminary phase B) acknowledgement phase C) action phase D) resolution phase Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 12) What can the administrative health professional do to help the family members of the sick person when they become frustrated and angry? A) The AHP should not tolerate the angry clients. B) The AHP should stay calm and maintain an empathetic manner. C) The AHP should ask the family members to stay away from the sick person. D) The AHP should not deal with the family members at all. Answer: B Diff: 2 Skill: Applied Learning Objective: LO5

Chapter 2 Test Item File

Thompson, 5e

13) What can the administrative health professional do to preserve the privacy of the patient? A) Let the nurse know if the patient requires quiet time. B) Open the curtains during the medical examination. C) Keep the door open while the nurse is taking care of the patient. D) Ask the patient about their information in front of the rest of the patients. Answer: A Diff: 2 Skill: Applied Learning Objective: LO6 14) Rod realized that he had to change his lifestyle after he had an open-heart surgery last month. What stage of illness response is Rod at? A) preliminary phase B) action phase C) acknowledgment phase D) resolution phase Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 15) Mr. Boran had a bad car accident. He was admitted to the ICU, and he is hanging between life and death. The patient’s health status is identified as: A) critical B) stable C) good D) satisfactory Answer: A Diff: 2 Skill: Applied Learning Objective: LO6 16) Which of the following is the best definition of health behavior? A) What the person knows about health. B) What the person thinks is right for their health. C) What the person does to stay healthy. D) What the person’s beliefs are regarding health. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 2 Test Item File

Thompson, 5e

17) Which of the following can the AHP do to help the patient feel independent during hospitalization? A) Ask the patient many closed ended questions. B) Complete all the paperwork instead of the patient. C) Choose all the meals on behalf of the patient. D) Encourage and allow the patient to do all they can do for themselves. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 18) Which of the following is considered a self-imposed risk that threatens one's health and wellness? A) Making healthy food choices. B) Adopting a sedentary lifestyle. C) Taking actions to reduce air pollution. D) Establishing a work-life balance. Answer: B Diff: 1 Skill: Applied Learning Objective: LO2 19) You read the term guarded on the patient hospital chart. You know that the patient’s condition is A) good and expected to recover. B) steady and not deteriorated. C) hanging between life and death. D) volatile and can change at any time. Answer: D Diff: 1 Skill: Recall Learning Objective: LO6 20) Hospitalization is stressful for patients and their families because A) it improves the financial situation of the family. B) it maintains the social roles of the family members. C) it disrupts the privacy of the patients and their families. D) it enforces the healthy lifestyle for both the patients and their families. Answer: C Diff: 2 Skill: Recall Learning Objective: LO2

Chapter 2 Test Item File

Thompson, 5e

True/False Questions: 1) Amanda takes responsibility for her own health. She eats well, plays sports, and avoids smoking and junk food to maintain her health. Amanda has an internal locus of control. Answer: TRUE Diff: 2 Skill: Recall Learning Objective: LO1 2) Religion and culture are among the factors that affect a person’s health beliefs. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 3) The concepts of health vary from one person to another. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 4) Workplace satisfaction has no effect on a person’s wellness. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 5) Over prescription of antibiotics is a main cause for the rise of antibiotic-resistant organisms. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 6) Females are more likely to die from cancer than males. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 7) The person’s response to illness is affecting their recovery but has no effect on people close to them. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 2-6 Copyright © 2022 Pearson Canada Inc.

Chapter 2 Test Item File

Thompson, 5e

8) The sick role involves continuing doing the normal responsibilities and accepting care. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) Privacy relates to how close we let others get to us physically and emotionally. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 10) Hospitalization causes change in the role function for the whole family of the sick person. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 Essay Questions: 1) Discuss how a person’s health beliefs influence their response to the COVID-19 virus. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO1

Chapter 3 Test Item File

Thompson, 5e

Chapter 3: Culture and Health Multiple-Choice Questions: 1) Which of the following is the best definition of ethnicity? A) Groups of people of different cultures sharing the same religion. B) Groups of people with common physical characteristics. C) Groups of people with common racial, religious, or cultural heritage. D) Groups of people living together in the same place. Answer: C Diff: 2 Skill: Recall Learning Objective: LO2 2) When interacting with an older client, the AHP should remember to A) keep eye contact with the client while talking. B) call them by their first name to be friendly. C) raise your voice so they can hear you. D) avoid talking with them and ask for someone else to talk with. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) To achieve cultural competence, you should A) ignore your own beliefs and values. B) develop a general understanding about different cultures. C) assume that all clients have the same values and beliefs. D) avoid asking your clients and their family members any questions. Answer: B Diff: 1 Skill: Applied Learning Objective: LO4 4) To be culture competent, you should remember the SMILE principle. The S refers to: A) slow talking with the client B) start by greeting the client C) sensitive to the client’s needs D) save the client’s money and efforts Answer: C Diff: 1 Skill: Recall Learning Objective: LO7

Chapter 3 Test Item File

Thompson, 5e

5) Which of the following is the best definition of prejudice? A) Coming to a conclusion about a person based on untested assumptions. B) Using one’s own standard to judge everyone else. C) Believing that your own culture is superior to other cultures. D) It is always negative and there is no positive type of prejudice. Answer: A Diff: 1 Skill: Recall Learning Objective: LO3 6) A person who was forced to leave their country because of war, violence or natural disaster, can apply to come to Canada as a/an A) immigrant. B) asylum seeker. C) refugee. D) skill worker. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 7) When booking an appointment for a female client who will require pelvic examination, the AHP should A) tell the client that she should not have any of her family members coming with her. B) ask the client if she prefers a female physician. C) inform the client that she has to book this appointment at the hospital. D) inform the client that she doesn't need this kind of examination. Answer: B Diff: 2 Skill: Applied Learning Objective: LO6 8) Which of the following is a true statement about ageism? A) Older clients are often viewed as a burden on the system. B) Ageism is experienced by many young Canadians. C) Older clients are treated with respect. D) Competent older clients can make their own decisions. Answer: A Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 3 Test Item File

Thompson, 5e

9) Mrs. Moore was diagnosed with depression, but she is reluctant to take the prescribed medication and does want to book a follow up appointment with the doctor. Which cultural difference in beliefs can explain Mrs. Moore's response? A) confidentiality B) the concept of illness and treatment C) explanatory system D) attitude towards mental illness Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 10) Developing a trusting relationship between the AHP and the client is important because A) the AHP is the first person who will interact with the client. B) the AHP is going to diagnose the client problems. C) the AHP is the one who will prescribe the medications. D) the AHP is going to provide an income to the client. Answer: A Diff: 1 Skill: Applied Learning Objective: LO4 11) Mr. Fisher has diabetes. He stopped his medication as he has been feeling well for the last couple of months. Which cultural difference in beliefs can explain Mr. Fisher’s action? A) confidentiality B) attitude toward mental illness C) the concept of illness and treatment D) philosophy of prevention Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 12) When dealing with a client who is coming with an interpreter, you should A) make eye contact with the interpreter. B) book a longer appointment. C) avoid repetition of the information. D) talk with the interpreter and ignore the client. Answer: B Diff: 2 Skill: Applied Learning Objective: LO7

Chapter 3 Test Item File

Thompson, 5e

13) Which of the following should the AHP do to help promote the philosophy of prevention? A) Explain to the client the benefits of the annual health examination. B) Force the client to come to the office to receive their vaccinations. C) Let the client know that their attitude is not correct, and you don’t agree with this. D) Do not let the client come any more to the office to see the doctor. Answer: A Diff: 2 Skill: Applied Learning Objective: LO6 14) When dealing with a client who has a language barrier, the AHP should A) speak with a loud voice. B) prevent the client from asking any questions. C) use medical abbreviation and slangs. D) speak slowly and clearly. Answer: D Diff: 1 Skill: Applied Learning Objective: LO7 15) Mr. Punja is calling asking for information about his father. You remember that the father did not sign release of information consent. What will be the AHP best answer?” A) “I am sorry Mr. Punja, but you should ask your father about the information.” B) “Yes, of course, let me bring your father’s file to tell you the information.” C) “Hello Mr. Punja, I will book you an appointment with the doctor.” D) “Hello Mr. Punja, you can come to the office and have a look at your father’s file.” Answer: A Diff: 2 Skill: Applied Learning Objective: LO6 16) Which of the following is true about the hospitalization and hospital environment? A) All cultures accept the idea of hospitalization. B) Older adults enjoying the hospital environment. C) Some cultures see hospitalization as an imminent sign of death. D) Physicians usually spend more time with their patients in the hospital. Answer: C Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 3 Test Item File

Thompson, 5e

17) The AHP can help the newcomers by A) letting them know the information from their friends. B) assuming that they are all aware of the Canadian health care system. C) letting them know that they are entitled to full health care coverage regardless of their immigration status. D) explaining how they can access their doctors and other members of the health care team. Answer: D Diff: 2 Skill: Applied Learning Objective: LO5 18) Which of the following statements is correct about cultural acceptance? A) It helps to bring more clients to the practice. B) It is the gateway to a positive relationship between the health professional and the client. C) It provides more funding to the health care system. D) It provides the client with negative experience regarding their health care. Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 19) Which of the following is correct about multiculturalism? A) People from different cultures who have a strong belief system. B) People from different cultures who are becoming one new culture. C) People from different cultures with a feeling of prejudice against each other. D) People from different cultures who live together in harmony and mutual respect. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3 20) Which of the following statements is true about culture? A) Culture means the same thing to different people. B) Culture has no effect on different aspects of life. C) Culture relates to the beliefs and traditions practiced by a group of people. D) Culture includes language, value, and norms but not material objects. Answer: C Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 3 Test Item File

Thompson, 5e

True/False Questions: 1) Ontario has the largest number of immigrants. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) Cultural competence is a process that is continually evolving and requires daily adjusting. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 3) Remission is defined as the phase of a chronic disease characterized by a return of clinical signs and symptoms. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO6 4) In some cultures, the client may refuse to see any other health care provider other than the physician. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 5) Language difficulties can lead to worsening health problems. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 6) Lack of cultural understanding leads to a trusting relationship between health professional and client. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 3 Test Item File

Thompson, 5e

7) The incidence of mental disorders such as depression, suicide, and addiction are higher in indigenous people than the rest of Canadians. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 8) The provincial government is responsible for the indigenous people's health care. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 9) Ethnocentrism is judging people based on their color, ethnicity, and/or sexual orientation. Answer: FALSE Diff: 2 Skill: Applied Learning Objective: LO3 10) Culture is learned through observation and imitation rather than direct instructions. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 Essay Questions: 1) Explain how culture beliefs play a role in health care. Support your answer with examples from three different cultures. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO6

Chapter 4 Test Item File

Thompson, 5e

Chapter 4: The Canadian Health Care System Multiple-Choice Questions: 1) Which of the following is the best description of the Canada Health Act principle of public administration? A) Provinces and territories must provide fair and reasonable access to health care. B) Services designated as medically necessary by doctors must be provided for eligible residents. C) Health care must be managed by a non-profit public authority. D) Every resident in Canada is entitled to fair and equitable public health insurance. Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 2) Which of the following is a correct statement about rostering? A) Patient signs a contract with one primary care physician at a time. B) Patient can seek care from different primary care clinics. C) Patient has no right to choose their own physician. D) Rostering is done automatically once the physician’s practice converts to this model. Answer: A Diff: 2 Skill: Recall Learning Objective: LO5 3) The Kirby Report, which was in 2002, recommends A) increased federal health spending and sets out guidelines. B) dedicated health care tax and guaranteed limits for waiting times for medical services. C) implementation of a new health plan. D) a national health grants program to assist the provinces with the health care costs. Answer: B Diff: 2 Skill: Recall Learning Objective: LO1 4) Which of the following is the best description of capitation? A) The physician gets paid for each insured service rendered to each insured client. B) The physician gets paid a set fee for all services rendered during a designated time frame. C) The physician gets paid a set amount of money per each client, enrolled regardless of the number of services performed. D) The physician gets paid a lump sum in a group or corporation for services performed. Answer: C Diff: 2 Skill: Recall Learning Objective: LO6

Chapter 4 Test Item File

Thompson, 5e

5) Which of the following was the first province to establish the first public health insurance program in North America? A) Saskatchewan B) Ontario C) Manitoba D) Newfoundland Answer: A Diff: 1 Skill: Recall Learning Objective: LO1 6) Which of the following is a correct statement about walk-in-clinics? A) The patient must book an appointment before going. B) They do not accept orphan patients. C) They are also called after-hours clinics or ambulatory care clinics. D) They are only managing urgent complaints. Answer: C Diff: 1 Skill: Applied Learning Objective: LO4 7) Which of the following describes the fee-for-service payment option for physicians? A) Physicians are given a set amount of money to manage health care for a designated population base. B) Physicians are paid by the public health insurance for each insured service rendered for an insured patient. C) Physicians submit their fees in order to compare the cost-effectiveness of capitation. D) Physicians are paid a set fee for all services offered to patients during a certain time frame. Answer: B Diff: 2 Skill: Recall Learning Objective: LO6 8) Which of the following Canada Health Act principles indicates that every resident of each province and territory is entitled to fair and equitable public health insurance coverage? A) Universality B) Portability C) Comprehensiveness D) Public Administration Answer: A Diff: 2 Skill: Recall Learning Objective: LO2

Chapter 4 Test Item File

Thompson, 5e

9) Physicians may charge the ________ for uninsured services. A) health insurance plan B) third party insurance C) federal government D) patients Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 10) Which of the following is a correct statement about HMOs? A) They offer prepaid, comprehensive health coverage. B) Physicians in HMOs are paid fee-for-service. C) They are small clinics using population-based funding. D) Patients must pay for the health care services offered. Answer: A Diff: 2 Skill: Recall Learning Objective: LO4 11) Physicians may receive incentive for A) prescribing medications. B) performing plastic surgeries. C) providing immunizations. D) counselling the patients. Answer: C Diff: 2 Skill: Applied Learning Objective: LO6 12) Which of the following explains the term locum? A) A doctor permanently taking over another doctor’s practice. B) A doctor temporarily taking over another doctor’s practice. C) A doctor taking over the retired doctor’s practice. D) A doctor taking over another doctor’s practice from a different specialty. Answer: B Diff: 2 Skill: Recall Learning Objective: LO4

Chapter 4 Test Item File

Thompson, 5e

13) When working within a health organization, the AHP should A) address problems early and openly in an objective manner. B) try to do all the required tasks even without prior training. C) ignore any stress caused by an uncomfortable workplace. D) form alliances with other team members which will result in an us-them situation. Answer: A Diff: 2 Skill: Applied Learning Objective: LO5 14) The overuse of emergency department is caused partly by: A) decreased resources in the emergency department B) increased number of life-threatening diseases C) lack of after-hours clinics D) large numbers of orphan patients Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 15) Which of the following is an uninsured service? A) filling out passport forms B) visiting the doctor office for sore throat C) having x-ray for a broken arm D) giving a child the routine vaccination Answer: A Diff: 2 Skill: Applied Learning Objective: LO6 16) The physician is working independently with staff members in which of the following primary health care settings? A) group practice B) primary care group C) solo practice D) partnership Answer: C Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 4 Test Item File

Thompson, 5e

17) Which of the following is a correct statement about extra-billing? A) It is legal under Canada Health Act. B) The physician charges the patient for uninsured services. C) It is the same as the user fee. D) The physician charges the patient more than what the provincial plan will pay for an insured service. Answer: D Diff: 2 Skill: Recall Learning Objective: LO6 18) Which of the following is a correct statement regarding primary health care? A) It does not include health promotion, disease prevention, and health maintenance. B) It refers to treatment administered during the first contact for a health care concern. C) It includes diagnosis and treatment of only acute diseases. D) It is always delivered by a specialist. Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 19) Which of the following is a provincial responsibility for health care? A) Setting, administering, and monitoring all national standards for Medicare. B) Making payments for provinces and territories for health care. C) Funding and delivering services to the First Nations people living in reserves. D) Funding and managing insured hospital, physician, and allied health services. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3 20) Mr. Anderson is a resident of Ontario who had travelled to Alberta for a business trip. While he was in Alberta, Mr. Anderson visited the clinic. Mr. Anderson will be covered based on which Canada Health Act principle? A) Universality B) Public administration C) Portability D) Accessibility Answer: C Diff: 1 Skill: Applied Learning Objective: LO2

Chapter 4 Test Item File

Thompson, 5e

True/False Questions: 1) According to the Canada Health Act, each province and territory must provide fair and reasonable access to all insured health services. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 2) Delivering health services to eligible residents is a federal government responsibility. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 3) In Canada, the client can call the specialist’s office and book an appointment on their own. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 4) A physician who is opted-in will bill their province or territory for the services rendered. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 5) Under the Canada Health Act, each province and territory must provide information and statistics on insured health care to the federal government. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 6) All eligible residents must pay health care premiums according to the Canada Health Act. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 7) The Quarantine Act was activated to control the spread of hepatitis B virus. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 4-6 Copyright © 2022 Pearson Canada Inc.

Chapter 4 Test Item File

Thompson, 5e

8) Physicians who are in partnership business have a group billing number and they submit their billing as a group. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 9) Midwifery is a regulation profession in Ontario. Answer: TRUE Diff: 2 Skill: Recall Learning Objective: LO6 10) Specialists are considered primary care physicians. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 Essay Questions: 1) Discuss the meaning of primary health care and explain three different primary care settings in Canada. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO4

Chapter 5 Test Item File

Thompson, 5e

Chapter 5: Standards and Safety in Health Care Multiple-Choice Questions: 1) Which of the following is the main purpose of occupational health and safety legislation? A) To protect the clients using health care facilities. B) To ensure that necessary safety standards are met in the workplace. C) To protect families of clients visiting the health office. D) To protect employers from employees. Answer: B Diff: 2 Skill: Recall Learning Objective: LO1 2) Which of the following is the most effective method of infection prevention? A) hand washing B) sterilizing equipment C) wearing protective clothing D) patient isolation Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 3) To provide a safe environment in the health office, the AHP should A) dim the lights in the reception area to help patients relax. B) keep floors clean and dry, especially during rainy or winter weather. C) clean any spills at the end of the day. D) frequently rearrange the furniture in the room to avoid boredom. Answer: B Diff: 1 Skill: Applied Learning Objective: LO5 4) Which of the following is the best definition of sterilization? A) To clean an article or a substance from harmful organisms. B) The lowest level of medical hygiene. C) The removal of gross contaminants and some microorganisms. D) The process of destroying all microorganisms. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 5 Test Item File

Thompson, 5e

5) To prevent the spread of infection in the health office, the AHP should A) book patients with known infectious conditions at the end of the day. B) clean the examination room once in the morning and once at the end of the day. C) leave all the urine specimens in the washroom till the end of the day. D) arrange seating near each other so the patient can socialize. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 6) For proper storing and handling immunizing agents, the AHP should A) keep vaccines with the earliest expiry date at the back. B) store vaccines with lunches and specimens in the same fridge. C) monitor the fridge temperature daily at the same time. D) store vaccines at the bottom of the fridge. Answer: C Diff: 2 Skill: Applied Learning Objective: LO2 7) Which of the following is correct about autoclave? A) It is a method of equipment sanitization. B) It works on the principle of steam under pressure. C) It is suitable for all types of instruments. D) The temperature inside it can reach 100°C. Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 8) Which of the following is the best description of vector transmission? A) Transmission in which a bird, animal, or insect carries the infectious agent. B) Transmission via food, water, or blood and body fluid. C) Transmission by coughs or sneezes. D) Transmission from person to person. Answer: A Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 5 Test Item File

Thompson, 5e

9) Which of the following age groups are more prone to visual and hearing impairment? A) school-age children B) toddlers C) adults D) older adults Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 10) Which of the following is correct about nosocomial infection? A) It is a hospital related infection. B) It does not ordinarily cause disease. C) It is a flare-up of the initial infection. D) It is a type of latent infection. Answer: A Diff: 1 Skill: Recall Learning Objective: LO2 11) To prevent injury in the health office, the AHP should A) keep children alone in the reception area if they are busy with toys. B) use dim light in the reception area. C) never leave an infant unattended, even in an infant seat. D) encourage the sedated patient to move quickly out of the room. Answer: C Diff: 2 Skill: Applied Learning Objective: LO5 12) Which of the following should be open to quality assurance review with more thorough investigation? A) answering the phone within a reasonable time frame B) errors in writing prescriptions C) complete and accurate documentations D) returning phone calls within one business day Answer: B Diff: 1 Skill: Applied Learning Objective: LO1

Chapter 5 Test Item File

Thompson, 5e

13) Which of the following should the AHP do if they suspect exposure to infectious disease? A) Follow agency protocols for reporting and responding to the incident. B) Ignore the incident as this will not affect your work. C) Report the incident directly to the public health. D) Leave the work immediately and look for other work. Answer: A Diff: 2 Skill: Applied Learning Objective: LO2 14) When dealing with sharp instruments such as needles and scalpel blades, the AHP should A) try to recap the contaminated needle by hand. B) dispose of the needle in the proper needle disposal unit without capping it. C) walk with the needle in your hand away from your body and directed toward other people. D) make sure that the sharps containers are overfilled before getting a new one. Answer: B Diff: 2 Skill: Applied Learning Objective: LO4 15) Which of the following is a correct statement about infectious disease? A) Infectious diseases are treated by hormones. B) Infectious diseases are caused by microorganisms that can be seen by naked eye. C) Infectious diseases are generally contagious or communicable. D) Infectious diseases cannot be prevented. Answer: C Diff: 2 Skill: Recall Learning Objective: LO2 16) In which of the following situations should the AHP apply Standard Precautions? A) cleaning instrument that had been used in dressing change B) answering the phone C) booking appointments D) checking the fridge temperature Answer: A Diff: 2 Skill: Applied Learning Objective: LO4

Chapter 5 Test Item File

Thompson, 5e

17) Which of the following is the portal of entry for COVID-19 virus? A) through open wounds, scratch, or any other break in the skin B) through blood transfusion C) through contaminated surgical instruments D) through the mucous membranes of the nose and mouth Answer: D Diff: 1 Skill: Applied Learning Objective: LO2 18) Which of the following is a true statement about medical asepsis? A) Medical asepsis destroys germs after they leave the body. B) Medical asepsis eliminates microorganisms. C) Medical asepsis is applied only in hospitals. D) Medical asepsis destroys all pathogens before they enter the body. Answer: A Diff: 2 Skill: Recall Learning Objective: LO3 19) Which of the following is the mode of transmission for hepatitis virus? A) droplet transmission B) vehicle route C) vector transmission D) airborne transmission Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 20) Which of the following is the main purpose of the incident report? A) To protect the health facility in case of court case. B) To identify the person who caused the incident and punish them. C) To find out the reason of the incident and prevent a similar occurrence. D) To provide data for the client if they want to sue the facility. Answer: C. Diff: 1 Skill: Applied Learning Objective: LO1

Chapter 5 Test Item File

Thompson, 5e

True/False Questions: 1) The incident report is initiated by the person who discovered the incident. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) All HIV-infected individuals will develop AIDS. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 3) Sanitization is the highest level of medical hygiene. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 4) The highest mortality rates in Canada from the COVID-19 virus are in schools. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 5) Personal cleanliness is the first line of defense that helps to prevent infection in the health care facility. Answer: TRUE Diff: 1 Skill: Applied Learning Objective: LO3 6) You should apply Standard Precautions only with elderly patients. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 7) The chain of infection begins with the causative organism. Answer: True Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 5 Test Item File

Thompson, 5e

8) You should change gloves between patients but keep the same ones for multiple procedures on the same patient. Answer: FALSE Diff: 1 Skill: Applied Learning Objective: LO4 9) Unsteady gait and impaired balance are considered mobility impairment. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 10) An infection is a disease process that results from metabolic disorder. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 Essay Questions: 1) Discuss standard precautions. Explain when and how you can apply them in the daily tasks in the health office. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO4

Chapter 6 Test Item File

Thompson, 5e

Chapter 6: Diagnostic Tests Multiple-Choice Questions: 1) Results of the diagnostic tests are interpreted by: A) the AHP B) the lab technician C) the health care provider D) the patient Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 2) The physician ordered a STAT blood test. The AHP should A) arrange for the test to be done and the results reported immediately. B) arrange for the test to be done and results reported the next day. C) arrange for the test to be done and results reported when the patient is available. D) postpone the test till the next week because the schedule is busy. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) Which of the following is the best description of homeostasis? A) A type of communicable disease. B) A state of equilibrium or balance of the health body. C) A state of abnormal function of the body. D) A method of bleeding control. Answer: B Diff: 1 Skill: Recall Learning Objective: LO1 4) Which of the following is true about hemoglobin (Hb)? A) It is part of urinalysis. B) It reflects the total volume of blood occupied by cells. C) It is the protein on the white blood cells. D) Low Hb associated with anemia. Answer: D Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 6 Test Item File

Thompson, 5e

5) Which of the following is a screening test for cancer? A) mammography B) chest X-ray C) barium enema D) electrocardiography Answer: A Diff: 2 Skill: Recall Learning Objective: LO5 6) A high WBC count can be caused by: A) metabolic disorders B) low oxygen level C) infectious diseases D) bleeding tendencies Answer: C Diff: 2 Skill: Recall Learning Objective: LO4 7) Mr. Zacari is scheduled to have 2 h pc blood sugar test. This means he will do the test A) two hours before his bedtime. B) two hours after meals. C) two hours before meals. D) two hours after he wakes up. Answer: B Diff: 1 Skill: Applied Learning Objective: LO4 8) Which of the following is a diagnostic test for the cardiovascular system? A) Holter monitor B) fasting blood glucose C) colonoscopy D) barium swallow Answer: A Diff: 2 Skill: Recall Learning Objective: LO5

Chapter 6 Test Item File

Thompson, 5e

9) Which of the following actions should the AHP take when the lab is reporting test results by phone? A) Ask the caller to report the results to the patient. B) Memorize the results and report them to the physician right after the call. C) Ask the caller to send the results by fax and refuse to record the results. D) Always repeat all reported information back to the caller to confirm them. Answer: D Diff: 1 Skill: Applied Learning Objective: LO6 10) Which of the following plays an important role in the blood clotting system? A) white blood cells B) red blood cells C) platelets D) hemoglobin Answer: C Diff: 1 Skill: Recall Learning Objective: LO4 11) When handling specimens, the AHP should remember the four (C’s) which are: A) correct appointment, correct claim, correct codes, correct patient B) correct specimen, correct patient, correct label, correct requisition C) correct medication, correct dose, correct patient, correct timing D) correct instructions, correct test, correct patient, correct preparations Answer: B Diff: 2 Skill: Recall Learning Objective: LO6 12) Which of the following would be the proper instructions for an ultrasound on the uterus in early pregnancy? A) Avoid smoking two hours before the test. B) Do not eat or drink for at least eight hours before the test. C) Drink about six glasses of water and do not go to the washroom before the test. D) Take laxative two days prior to the test. Answer: C Diff: 2 Skill: Applied Learning Objective: LO5

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Thompson, 5e

13) Which of the following is the medical doctor who performs autopsies? A) hematologist B) radiologist C) phlebotomist D) pathologist Answer: D Diff: 2 Skill: Recall Learning Objective: LO2 14) An NPO sign by the patient’s bedside means that the patient should A) eat their food but avoid smoking. B) avoid eating but drink fluids such as coffee, tea, and juice. C) eat nothing for at least 8 hours before the test. D) eat a low salt diet. Answer: C Diff: 1 Skill: Applied Learning Objective: LO4 15) Which of the following tests requires a special diet such as full-fluid or low fiber diet prior to the test? A) barium enema B) chest X-ray C) complete blood count D) urinalysis Answer: A Diff: 2 Skill: Recall Learning Objective: LO5 16) Which of the following explains the duty of the phlebotomist? A) operates the CT machine B) books appointments for diagnostic tests C) draws blood specimens from patients D) interprets the results of diagnostic tests Answer: C Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 6 Test Item File

Thompson, 5e

17) The AHP can help a client who is scheduled for a diagnostic test by A) determining which test to order for the client. B) discussing the results of the test with the client. C) going with the client to the test center. D) providing and reinforcing specific instructions for how to prepare for the test. Answer: D Diff: 2 Skill: Applied Learning Objective: LO3 18) Mrs. Harvey had severe bleeding and has been admitted to ED. The physician did not have time to check Mrs. Harvey’s blood type. Which blood type will the doctor order for emergency blood transfusion? A) type AB negative blood B) type O negative blood C) type A positive blood D) type B negative blood Answer: B Diff: 2 Skill: Applied Learning Objective: LO4 19) Which of the following is the most important factor in successful tests? A) organized office schedule B) good timing of the test C) clean test facility D) patient education Answer: D Diff: 2 Skill: Recall Learning Objective: LO1 20) Which of the following diagnostic tests is not covered by public health insurance? A) chest x-ray B) complete blood count C) Helicobacter pylori test D) mammography Answer: C Diff: 2 Skill: Applied Learning Objective: LO2

Chapter 6 Test Item File

Thompson, 5e

True/False Questions: 1) Reference range is the normal values expected for a particular test. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) CBC is a test to monitor therapy with heparin. Answer: FALSE Diff: 2 Skill: Recall Learning Objective: LO4 3) The reference ranges for different tab tests are the same in all the laboratories. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 4) High blood urea levels can be caused by kidney diseases. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 5) PET is a type of nuclear medicine imaging. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 6) The AHP should inform the physician about the normal test results immediately. Answer: FALSE Diff: 1 Skill: Applied Learning Objective: LO6 7) Blood glucose tests are used to diagnose metabolic diseases. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 6 Test Item File

Thompson, 5e

8) Patients with metal devices in their bodies are good candidates for MRI. Answer: FALSE Diff: 2 Skill: Recall Learning Objective: LO5 9) Early afternoon urine specimens are preferred because there is more uniform volume and concentration. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 10) A radiologist is a physician who specializes in the diagnosis and treatment of disorders of blood and lymphatic systems. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 Essay Questions: 1) Discuss the role of the AHP in the diagnostic tests process with the focus on the following steps: a. Test requisition b. Booking test appointment c. Patient’s education d. Test results Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 7 Test Item File

Thompson, 5e

Chapter 7: Pharmacology Multiple-Choice Questions: 1) Most of the drugs are eliminated by excretion through A) the stomach. B) the intestine. C) the kidneys. D) the liver. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 2) The patient who is at risk to develop a stroke will be prescribed: A) anticoagulants B) antibiotics C) insulin D) oral hypoglycemics Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) Which of the following is a true statement about drug trade names? A) The use of trade name drugs is encouraged by physicians. B) Trade names are always capitalized. C) Trade name drugs are always cheaper than generic drugs. D) Trade names are consistent among all manufacturers. Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 4) Mr. Jackson is taking a few herbal medications and he is telling you (the AHP) that he is afraid to tell the doctor about them. Which of the following should be your response to Mr. Jackson? A) Please do not tell the doctor Mr. Jackson, as he will be angry at you. B) Do not worry Mr. Jackson, herbal medications have no effect at all. C) It is fine Mr. Jackson; you do not have to tell him. D) It is better to tell the doctor Mr. Jackson, as many of the herbal medications can interact with other drugs. Answer: D Diff: 2 Skill: Applied Learning Objective: LO7 7-1 Copyright © 2022 Pearson Canada Inc.

Chapter 7 Test Item File

Thompson, 5e

5) The most common means of administering medication is: A) oral B) otic C) parenteral D) sublingual Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 6) The prescription has the following information: Digoxin 0.125 mg. b.i.d. How many times should the patient take this medication? A) once a day B) twice a day C) three times a day D) four times a day Answer: B Diff: 2 Skill: Applied Learning Objective: LO8 7) Which of the following is a correct statement about the drug’s therapeutic effect? A) The drug’s therapeutic effect is the same as the drug’s adverse effects. B) The drug’s therapeutic effect is influenced by the age, gender, and body weight. C) The drug’s therapeutic effect is an unpredictable and undesirable effect. D) The drug’s therapeutic effect is the same if the drug is taken with or without food. Answer: B Diff: 2 Skill: Recall Learning Objective: LO6 8) Which of the following is describing the route of administration and the frequency of the following prescription? Amoxil 500 mg. p.o. t.i.d. A) by mouth, three times a day B) by mouth, 500 mg. C) sublingual, three times a day D) parenteral, three times a day Answer: A Diff: 2 Skill: Applied Learning Objective: LO8

Chapter 7 Test Item File

Thompson, 5e

9) Which of the following is the best description of pharmacokinetics? A) The study of sources, actions, and effects of the drugs. B) It concerns the adverse and the toxic effects of the drugs. C) It explains the effect of the drugs on the cellular level. D) It explains how the drugs are absorbed and metabolized in the body. Answer: D Diff: 1 Skill: Recall Learning Objective: LO1 10) Which of the following is the best description of a repeat prescription? A) A prescription for one-time medication. B) An extension of a prescription that has expired. C) A continuation of a long-term medication. D) A completely new prescription for a different medication. Answer: C Diff: 1 Skill: Applied Learning Objective: LO8 11) Which of the following is true regarding controlled drugs? A) They are classified as Schedule III drugs under NAPRA. B) They are drugs with a high potential for addiction and abuse. C) They are available over the counter. D) They can be sold without a prescription. Answer: B Diff: 2 Skill: Recall Learning Objective: LO4 12) Which of the following is the best description of the sublingual route? A) The medication is applied to the skin. B) The medication is placed into the eye. C) The medication is placed under the tongue. D) The medication is placed into the ear. Answer: C Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 7 Test Item File

Thompson, 5e

13) Anti-hypertensive medications are considered: A) Schedule II drugs B) Schedule III drugs C) Schedule IV drugs D) Schedule I drugs Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 14) Which of the following is the best response for a patient calling asking to renew their prescription of antibiotics? A) Sorry, but the antibiotics cannot be renewed. B) Sure, give the name of the antibiotics, and I will fax the prescription to the pharmacy. C) I can book you an appointment to come and discuss this with the doctor. D) Give me the information, and I will ask the doctor to renew it for you. Answer: C Diff: 2 Skill: Applied Learning Objective: LO3 15) Which of the following Acts is the one regulating the introduction of new drugs to the Canadian market? A) Federal Food and Drugs Act B) Health Canada Act C) Controlled Drugs and Substances Act D) Police Enforcement Act Answer: A Diff: 2 Skill: Recall Learning Objective: LO4 16) Which of the following is correct about antibiotics? A) Antibiotics are effective against viral infections. B) Antibiotics can be taken when needed (p.r.n). C) Antibiotics are rarely renewed without the doctor assessing the patient. D) Antibiotics can be shared by the family members. Answer: C Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 7 Test Item File

Thompson, 5e

17) A patient is calling reporting that each time he takes the prescribed medication, he experiences skin rash, hives, and some chest pain. Most probably, this patient had A) a bad side effects to that drug. B) the therapeutic effect of that drug. C) the desirable effect of that drug. D) an allergic reaction to that drug. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 18) In which route of administration is the medication placed directly in the ear? A) oral route B) otic route C) ophthalmic route D) transdermal route Answer: B Diff: 2 Skill: Recall Learning Objective: LO5 19) Which of the following is true about type 2 diabetes? A) People with type 2 diabetes will always take insulin injections. B) People with type 2 diabetes are more likely to develop hypoglycemic reactions. C) The pancreas in people with type 2 diabetes does not produce insulin at all. D) People with type 2 diabetes will get the best results when oral medications are used with lifestyle change. Answer: D Diff: 2 Skill: Applied Learning Objective: LO3 20) Which of the following is the best description of pharmacology? A) The study of the nature of the body systems. B) The study of the structure of the animal body. C) The study and description of composition, actions, and effect of drugs. D) The study of diseases and treatments. Answer: C Diff: 2 Skill: Recall Learning Objective: LO1

Chapter 7 Test Item File

Thompson, 5e

True/False Questions: 1) Pharmacist is a regulated profession. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) A pregnant woman may develop type 1 diabetes during pregnancy. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 3) The generic name of the drug is legally protected by copyright. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 4) The therapeutic action of a drug is a desirable effect for that drug. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 5) Any kind of pills can be crushed and taken with food. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 6) INR is a standard measurement used to monitor the patients who are taking insulin. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 7) Drugs that are sold in corner stores and gift shops are unscheduled in NAPRA’s guide. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 7 Test Item File

Thompson, 5e

8) The oral medication will take effect faster than an intravenous medication. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) Antibiotics are effective against bacterial and viral infections. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 10) A loading dose of a certain drug is a low dose that is given at the beginning of the treatment. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Discuss your role as an AHP when you receive prescription renewal requests by phone or by fax. Differentiate between clients and pharmacist requests, and what kind of information you need to collect in both cases. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO8

Chapter 8 Test Item File

Thompson, 5e

Chapter 8: Communication in the Health Office Multiple-Choice Questions: 1) To communicate effectively with clients, the AHP should A) use passive verbs as much as possible. B) use acronyms and abbreviations. C) include one idea per sentence. D) avoid addressing the client directly. Answer: C Diff: 1 Skill: Applied Learning Objective: LO1 2) Which of the following is the best way to handle two phone lines ringing at the same time? A) Answer line one, assess the urgency of the call, ask if the caller can hold, then answer line two and do the same, then return to line one. B) Answer line one, ask them for hold, then answer line two, ask them for hold and then continue line one. C) Answer both lines with the statement “please hold”. D) Answer line one and ignore line two till you finish with line one. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) Which of the following is an appropriate greeting to a client who is showing at your office asking to see the doctor? A) “Health card, please.” B) “Good morning Mr. Jackson, can I have your health card please?” C) “Hey mister, how are you doing today?” D) “Hello Mr. Jackson, how was your visit to the cardiologist last week?” Answer: B Diff: 1 Skill: Applied Learning Objective: LO2 4) When sending reports by fax, the AHP should A) place the fax machine in a public place so all the employees will be able to access it. B) use the phone number as it is the same as the fax number. C) avoid using the fax machine as it is not safe. D) use a fax cover sheet for all transmissions. Answer: D Diff: 1 Skill: Applied Learning Objective: LO4 8-1 Copyright © 2022 Pearson Canada Inc.

Chapter 8 Test Item File

Thompson, 5e

5) What is the best action the AHP should do if the doctor is running late? A) Let the waiting patients know about the delay and offer alternatives. B) The AHP should do nothing as it is the doctor's mistake. C) Patients should know by themselves that there is a delay. D) The AHP should ignore the situation and go on a break. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 6) Which of the following should the AHP do to maintain confidentiality over the phone? A) Speak with a loud voice over the phone so the other side can hear you. B) Make confidential calls behind a closed window area. C) Make the confidential calls in a busy reception area. D) Leave important information as a message on an answer machine. Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 7) Which of the following is a proper email protocol? A) Write a long-detailed email message for clarity. B) Always use a proper subject line. C) Use slangs and abbreviations to make it short. D) Use a new message option when you reply to an email. Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 8) Which of the following is the best action the AHP should do when a patient is calling asking to speak with the doctor? A) Determine the urgency of the call, and contact the doctor accordingly. B) Give the patient the doctor’s cell phone number so they can call the doctor directly. C) Refer the patient to another office. D) Ask the patient to call again at the end of the day. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 8 Test Item File

Thompson, 5e

9) Which of the following is considered a benefit to the patient portals? A) They bring more revenue to the office. B) They attract more clients to the business. C) They increase the phone calls to the office. D) They offer clients 24-hour access to their health information. Answer: D Diff: 1 Skill: Recall Learning Objective: LO4 10) Which of the following calls can the AHP handle alone? A) A hospital calling asking for doctor’s orders for one of the patients. B) Patients calling asking for medical advice. C) Drug representative calling with information about new medication. D) Another doctor wants to speak with the doctor. Answer: C Diff: 1 Skill: Recall Learning Objective: LO3 11) Which of the following is a true statement about ending a doctor-patient relationship? A) Doctors can fire a patient at any time without mentioning the reasons. B) It should be done by written letter which is sent to the patient by registered mail. C) Doctors will stop medical care right after ending the relationship even if the patient found another doctor or not. D) Only a doctor can fire the patient, but the patient is not able to end the relationship with the doctor. Answer: B Diff: 2 Skill: Recall Learning Objective: LO5 12) Which of the following should the AHP do to reduce the number of the incoming calls? A) Ignore the phone and pay attention to the other tasks at the office. B) Put an automated voice message to respond to the clients all the time. C) Ask the health agencies to fax information when possible instead of calling. D) Let the doctor answer the phone instead when they are available. Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

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Thompson, 5e

13) Which of the following is the AHP’s responsibility regarding insurance reports? A) The AHP should complete the insurance reports on their own. B) The AHP should ask the patient to complete the forms. C) The AHP should schedule a time once a month to complete all the forms at once. D) The AHP should follow the doctor’s protocol for filling out reports. Answer: D Diff: 2 Skill: Applied Learning Objective: LO5 14) Which of the following is the proper phone greeting? A) “Hey, how can I help you?” B) “Hello, Doctor’s office.” C) “Dr. Webster’s office, Lisa speaking, how can I help you?” D) “Hello, what can I do for you?” Answer: C Diff: 1 Skill: Applied Learning Objective: LO3 15) Using macros can save time and effort in which of the following? A) medical billing B) phone communication C) face to face communication D) dealing with angry clients Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 16) Which of the following are the Six Ps of answering the phone? A) passive, precise, patient, professional, prompt, particular B) prompt, polite, perfect, professional, patient, particular C) patient, polite, precise, professional, positive, prompt D) polite, perfect, prompt, passive, patient, precise Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

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Thompson, 5e

17) Which of the following is correct about the telephone helplines? A) They are operated by administrative health professionals alone. B) The patient’s own family doctor is the one who will answer the helpline. C) The patient must pay for using the telephone helpline. D) They offer individuals prompt, confidential advice and directions on health concerns. Answer: D Diff: 1 Skill: Recall Learning Objective: LO4 18) Which of the following is the best strategy for dealing with an angry client? A) Talk with a loud voice to show the client that you are in control. B) Convey warmth, respect, empathy, and a calm demeanour. C) Tell the client that the doctor will not see them again because of their behaviour. D) Call the police to come and deal with the client. Answer: B Diff: 2 Skill: Applied Learning Objective: LO2 19) When taking calls, the AHP should A) push their mouth up to the mouthpiece of the phone so the voice will be clear. B) continue working while answering the phone to finish the work. C) use short forms and abbreviation to save time while talking. D) avoid eating or drinking when talking. Answer: D Diff: 2 Skill: Applied Learning Objective: LO3 20) Which of the following will represent plain language when you want one of your clients to complete forms before seeing the doctor? A) Forms must be completed before seeing the doctor. B) Patients must complete the forms before seeing the doctor. C) Please complete the forms before you see the doctor. D) You must complete the forms before seeing the doctor. Answer: C Diff: 2 Skill: Applied Learning Objective: LO1

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True/False Questions: 1) Seniors are one of the fastest-growing population groups in Canada. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) The phone should be answered before the fifth ring. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 3) After filling the faxed reports, the fax cover sheets can be thrown out with recycled materials. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 4) There is a trend in a professional setting to call everyone by their first name. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 5) When writing letters and medical reports, using templates and macros saves time and effort. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 6) Health care clients like the automated routing phone service as it saves time and effort. Answer: FALSE Diff: 1 Skill: Applied Learning Objective: LO4 7) Giving out printed instructions for test preparation can reduce the number of incoming calls. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 8 Test Item File

Thompson, 5e

8) It is accepted for the AHP to give the physician’s cell phone numbers to patients. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 9) Most doctors’ offices prefer not to have the option for leaving messages on their phone. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 10) Mental illness influences the patient’s level of intelligence. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 Essay Questions: 1) Discuss how technology has a big influence on everyday communication in today’s health office. Consider the following: a. Use of EMR and email. b. Different new phone services. c. The use of patient portals. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO3, LO4

Chapter 9 Test Item File

Thompson, 5e

Chapter 9: Patient Registration and Scheduling Appointments Multiple-Choice Questions: 1) When a new client comes to the office, the first step the AHP should do is: A) patient education B) scheduling appointment C) patient registration D) patient referral Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 2) When scheduling appointments, the AHP should consider that A) older patients will require more time for the appointment. B) doctors can complete different forms during the regular day schedule. C) the best time for a pre-office conference is at the end of the day. D) patients who need interpreters require a shorter appointment. Answer: A Diff: 1 Skill: Applied Learning Objective: LO4 3) Which of the following is considered a benefit of health card validation? A) It facilitates the scheduling appointment process. B) It helps with the registration process. C) It reduces the fraudulent use of health cards. D) It provides data for research purposes. Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 4) Which of the following is the most common type of scheduling in primary care practices? A) blended scheduling B) double scheduling C) affinity scheduling D) stream scheduling Answer: D Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 9 Test Item File

Thompson, 5e

5) Which of the following is a true statement about double scheduling? A) Scheduling two patient appointments at the same time. B) It is the most common method of scheduling in clinics. C) Each patient has a unique time slot. D) Scheduling patients based on the reason of visit. Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 6) The main difference between cancellation and no-show is A) there is always loss of revenue for the provider in cancellation. B) you can book a patient from the waiting list in the case of cancellation, while it is difficult to do that with no-show. C) you must charge the patient for cancellation but not for no-show. D) the patient is not allowed to see the doctor again in case of cancellation. Answer: B Diff: 2 Skill: Applied Learning Objective: LO7 7) Dr. Webster sees prenatal patients on Monday mornings, does physical examination on Tuesday mornings, and the rest of the patients are only seen by appointments on the remaining days. Which type of scheduling is Dr. Webster's office using? A) stream scheduling B) modified affinity scheduling C) double scheduling D) advanced access scheduling Answer: B Diff: 2 Skill: Applied Learning Objective: LO5 8) Which of the following patients will need to be booked for a longer than the usual appointment? A) A new patient who is coming for the first time to the office. B) An established client to the office who is coming complaining of a sore throat. C) A patient who is coming for an allergy shot given by the nurse. D) A patient who is coming to renew their prescription. Answer: A Diff: 1 Skill: Applied Learning Objective: LO7

Chapter 9 Test Item File

Thompson, 5e

9) Mrs. Magendy is calling to book an appointment for her second prenatal visit. How much time should the AHP book this appointment for? A) 20-30 minutes B) 30-60 minutes C) 5-10 minutes D) 10-20 minutes Answer: D Diff: 1 Skill: Applied Learning Objective: LO6 10) Which of the following is a difference in booking appointments for a specialist office versus a family doctor office? A) Specialist office appointments are usually shorter than the family doctor office. B) A specialist office does not require booking appointments. C) Appointments for a specialist office are usually half an hour to an hour. D) Double booking is very common in a specialist office. Answer: C Diff: 1 Skill: Applied Learning Objective: LO7 11) FUp is one of the common abbreviations used in scheduling. This abbreviation stands for: A) flu vaccine B) follow-up C) forward patient D) frequent examination Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 12) Which of the following has the greatest influence on how much time you schedule a patient appointment with the doctor? A) the day of the appointment B) the sex of the patient C) the reason for the appointment D) the patient’s recommendations Answer: C Diff: 1 Skill: Recall Learning Objective: LO6

Chapter 9 Test Item File

Thompson, 5e

13) The abbreviation NS is commonly used by health offices for scheduling. Which of the following indicates what it means? A) nasal shot B) no schedule C) not seen D) no-show Answer: D Diff: 1 Skill: Recall Learning Objective: LO4 14) Jack is calling asking to book an appointment for an annual health examination. How much time should the AHP book for this appointment? A) 5-10 minutes B) 10-20 minutes C) 20-40 minutes D) 30-60 minutes Answer: C Diff: 1 Skill: Applied Learning Objective: LO6 15) Which of the following is a cause for a health card to become invalid? A) The client changed their address. B) The client changed their phone number. C) The card will expire in two months. D) The client has a temporary card. Answer: A Diff: 2 Skill: Recall Learning Objective: LO2 16) Which of the following should the AHP do to keep the confidentiality of the electronic appointment schedule? A) The AHP should delete the old electronic schedules at the end of each month. B) The AHP should inform the family members about the patient's appointment. C) The AHP should keep a record of any appointment cancellation in the patient’s EMR. D) The AHP should place the monitor in a way that is visible to all patients in the reception. Answer: C Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 9 Test Item File

Thompson, 5e

17) Which of the following is the best description of wave scheduling? A) Scheduling two patients at the same time slot. B) Scheduling patients in clusters based on the reason for visit. C) Scheduling each patient in a unique time slot. D) Scheduling several patients for the same block of time, typically an hour. Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 18) Mrs. Anderson is visiting your office asking to have an annual health exam. You know that the annual health exam is eligible only once per year. You want to know when the last time Mrs. Anderson had her annual exam. Which of the following health card validation methods you are going to use? A) overnight batch eligibility checking B) interactive voice response C) point of service device D) stand-alone devices Answer: B Diff: 2 Skill: Applied Learning Objective: LO2 19) Which of the following is a true statement about the day sheet? A) It is an important part of the patient’s registration process. B) It is used for reference only, and you cannot add any notes to it. C) You are not allowed to print the day sheet because of confidentiality. D) It helps to keep the physician on schedule by informing them how many patients are remaining to be seen. Answer: D Diff: 1 Skill: Applied Learning Objective: LO3 20) Which of the following is an example of pre-editing the provider’s schedule? A) Schedule everything except the provider’s routine commitments. B) Schedule appointments for elderly clients as it will require more time. C) Schedule the times you know that the provider is unavailable to meet with clients. D) Schedule appointments for clients with chronic problems. Answer: C Diff: 2 Skill: Applied Learning Objective: LO4

Chapter 9 Test Item File

Thompson, 5e

True/False Questions: 1) Patient medical history is part of the patient registration information. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 2) The scheduling software is not suitable for scheduling appointments for more than one provider. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 3) As a rule, family doctors usually do not make house calls except in necessary situations. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 4) Filling in the times you know the provider to be unavailable is called scheduling by exception. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 5) It is important to validate and update the patient health card information at every visit. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 6) Appointment reminders are used mainly by family physicians. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 7) Affinity scheduling is scheduling patients in clusters based on the reason for visit. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 9 Test Item File

Thompson, 5e

8) Stream scheduling is the most common scheduling type in walk-in and urgent-care clinics. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) The majority of appointments in a family doctor’s office are intermediate assessments. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 10) Health card validation reduces rejected billing claims. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 Essay Questions: 1) Discuss how the COVID-19 pandemic changed the scheduling procedures in the health office. Describe the different precautions for in person visits and the need for other types of care like virtual and phone visits. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO5

Chapter 10 Test Item File

Thompson, 5e

Chapter 10: Health Care Plans Multiple-Choice Questions: 1) Which type of remuneration is the physician receiving when the AHP submits a claim for intermediate assessment and throat swab to the province? A) third party billing B) capitation billing C) fee-for-service billing D) private insurance billing Answer: C Diff: 1 Skill: Applied Learning Objective: LO1 2) In which of the following situations could the doctor charge a premium? A) An emergency visit to a nursing home at 1:30 a.m. B) A minor assessment at the office. C) Pap smear done for a female client with a complete physical exam. D) A vaccine administered during a well-baby care visit. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) Which of the following hospital services are covered by the provincial health insurance plan? A) private accommodation B) physiotherapy services for a stroke patient C) grooming services, such as pedicure D) private duty nurse Answer: B Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 10 Test Item File

Thompson, 5e

4) Mr. Jackson is moving to Ontario from Manitoba. Which of the following is true about his health coverage? A) He will be covered by Ontario health insurance plan as soon as he moves. B) He will not be covered by any insurance plan and must purchase a private health insurance. C) He will be covered by Manitoba health insurance plan all the time and he does not need to apply for an Ontario health card. D) He will be covered by Manitoba health insurance plan for 3 months after moving, then he has to apply for an Ontario health card. Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 5) The client is subjected to the 3-month waiting period in which of the following situations? A) An immigrant who arrived in Ontario from outside of the country. B) A refugee who arrived in Manitoba from outside of the country. C) A client who is moving from Alberta to Ontario and is a resident of a nursing home. D) A client who is a member of RCMP. Answer: A Diff: 1 Skill: Applied Learning Objective: LO4 6) Which of the following provinces is NOT part of the reciprocal agreement? A) Ontario B) Quebec C) Alberta D) Manitoba Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 7) Which of the following insured services are billed based on time units? A) complete physical examination B) counselling C) chest x-ray D) consultation Answer: B Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 10 Test Item File

Thompson, 5e

8) Clients must change their health card if A) they had a name change. B) they changed the home phone number. C) they bought a new car. D) they changed their workplace. Answer: A Diff: 1 Skill: Recall Learning Objective: LO4 9) Which of the following is the first action the AHP should take when an insurance company is calling asking for a client’s health information? A) Schedule an appointment for the insurance company agent to come and check the file. B) Give out the client’s information by phone. C) Advise the insurance company to obtain the information from the client. D) Confirm that the client signed a release of information consent. Answer: D Diff: 2 Skill: Applied Learning Objective: LO5 10) You are working as an AHP in a health office in Ontario. In which of the following situations should you use reciprocal claim forms for billing? A) A client visiting from Quebec for an insured service. B) A client coming for an uninsured service. C) A client visiting from Manitoba for an insured service. D) A client living in Ontario who is coming for an insured service. Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 11) Which of the following will require a procedure code when billing? A) intermediate assessment B) flu shot C) complete physical examination D) consultation Answer: B Diff: 2 Skill: Recall Learning Objective: LO3

Chapter 10 Test Item File

Thompson, 5e

12) Which of the following provinces’ health card has a version code? A) Alberta B) British Columbia C) Ontario D) Manitoba Answer: C Diff: 1 Skill: Recall Learning Objective: LO4 13) Which of the following best describes the billing process for services covered under the Worker’s Compensation Act? A) Claims are submitted directly to WCB. B) Services are billed to the employers. C) Services are paid by the employee and then reimbursed by the WCB. D) Services are billed directly to the Ministry of Health, which is reimbursed by the WCB. Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 14) Which of the following optometrist services will be paid by a public health insurance plan? A) A complete oculo-visual examination for a client who is 25 years old and completely healthy. B) A complete oculo- visual examination for a client who is 15 years old and his last exam was last month. C) A complete oculo-visual examination for a client who is 40 years old and diabetic. D) The cost of a pair of contact lenses for a client who is 19 years old. Answer: C Diff: 2 Skill: Applied Learning Objective: LO2 15) Which of the following is a correct statement about newborns registration and health coverage? A) Registration must be completed before a birth certificate can be issued. B) Health coverage for the baby starts 3 months after registration. C) Newborns are covered by public health insurance even if both parents are not eligible. D) Parents must pay for the newborn health coverage for the first year. Answer: A Diff: 2 Skill: Recall Learning Objective: LO4

Chapter 10 Test Item File

Thompson, 5e

16) Which of the following visits can be billed to the provincial health care plan? A) Sally visits the office to get a back-to-school note. B) Susan came for her first prenatal visit. C) Charlie came to have his insurance forms completed. D) Jack came to pay for his missed appointment. Answer: B Diff: 1 Skill: Applied Learning Objective: LO1 17) Residents of which of the following provinces pay health insurance premiums? A) Alberta B) Manitoba C) Newfoundland D) Ontario Answer: D Diff: 1 Skill: Recall Learning Objective: LO4 18) Which of the following hospital services must the patient pay for? A) use of an operating room in case of appendectomy B) telephone and television. C) lab tests done in the hospital D) medical and surgical equipment Answer: B Diff: 2 Skill: Applied Learning Objective: LO1 19) Which of the following is the best description of drug benefit formulary? A) It is a manual list that recommends the dosage of common prescription drugs. B) It is a provincial/territorial list of the recommended retail price of prescription drugs. C) It is a manual that describes the action, use, side effects and contraindications of drugs. D) It is a provincial/territorial list of selected prescription and non-prescription drugs that are covered by the drug benefit plan. Answer: D Diff: 2 Skill: Recall Learning Objective: LO2

Chapter 10 Test Item File

Thompson, 5e

20) Which of the following is the best description of deregulated services? A) Services that are deemed medically necessary. B) Services that are paid by the provincial health insurance plan. C) Services that had been removed from the province’s fee schedule. D) Services that are paid by the federal government. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 True/False Questions: 1) Medically necessary health care services are insured services. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 2) According to the Canada Health Act, home and community care are paid by the provincial insurance plan. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 3) Physical examination requested in preparation for travel is an insured service. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 4) Clients must present a valid health card each time they seek an insured health service. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 5) There is a national catastrophic drug plan in Canada. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 10 Test Item File

Thompson, 5e

6) Clients must update their health card information if they changed their address. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 7) Physiotherapy services offered in the hospital are covered by the public health insurance plan. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 8) Private insurance companies can obtain client’s health information without client’s consent. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) A minor assessment is more complex than the intermediate assessment. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 10) Indigenous people living on reserves are covered by the provincial/territorial health plan. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 Essay Questions: 1) Discuss the provincial/territorial coverage of these supplementary health services: a. Home and community care b. Travel assistance c. Long term care facilities Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO2

Chapter 11 Test Item File

Thompson, 5e

Chapter 11: The Billing Process Multiple-Choice Questions: 1) The claim submission process begins with A) claim review by the provincial/territorial ministry of health. B) resubmission of rejected claims by the MOA. C) preparation of the file for submission by the MOA. D) payment to the provider for all valid claims. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 2) Mary visited her doctor to discuss birth control plans, the doctor decided to insert an IUD. Which of the following codes should be submitted? A) The visit code, diagnostic code, procedure code, and tray fee code. B) The visit code, diagnostic code, procedure code and special visit premium code. C) The visit code and diagnostic code D) The visit code, procedure code, and tray fee code. Answer: A Diff: 2 Skill: Applied Learning Objective: LO5 3) Which of the following is a correct statement about consultation? A) Consultation is usually performed by a family physician. B) Consultation can be billed only one per patient in a 3-month period. C) The patient can make an appointment for consultation without a referral. D) A consulting physician needs to submit findings in writing to the referring provider. Answer: D Diff: 1 Skill: Recall Learning Objective: LO2 4) Which of the following is the best description of diagnostic codes? A) It represents the type of encounter between the physician and the patient. B) It represents the physician’s assessment of the patient’s condition. C) It represents the patient’s diagnostic test. D) It represents the date and time of the visit. Answer: B Diff: 1 Skill: Applied Learning Objective: LO4

Chapter 11 Test Item File

Thompson, 5e

5) Mrs. Simon went to her family doctor complaining of palpitation and chest pain, she was referred to Dr. Frank, a cardiologist. Which type of service will Dr. Frank be able to bill for? A) consultation B) repeat consultation C) limited consultation D) general assessment Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 6) Mrs. Jackson visited her family doctor last week to check her blood pressure and to renew her prescription for antihypertensive drugs. Which of the following keywords should the AHP use to look up the diagnostic code for the visit? A) follow up B) hypertension C) intermediate assessment D) prescription renewal Answer: B Diff: 2 Skill: Applied Learning Objective: LO4 7) Which of the following forms should the AHP use if the patient’s health card is lost or stolen? A) Request for Approval for Proposed Surgery B) Health Card Number Release form C) Reciprocal Claim Form D) out-of-Province Form Answer: B Diff: 1 Skill: Recall Learning Objective: LO6 8) Which of the following is the most common assessment and most frequently used code in the primary care physician’s office? A) intermediate assessment code B) minor assessment code C) general assessment code D) house-call assessment code Answer: A Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 11 Test Item File

Thompson, 5e

9) Which of the following services will be billed based on time units? A) intermediate assessment B) diagnostic procedures C) periodic examination D) counselling Answer: D Diff: 1 Skill: Applied Learning Objective: LO5 10) The suffix (A) in Ontario service codes indicates that A) the provider was an assistant in providing the service. B) the service was offered by an anesthetist. C) the provider is the one who rendered the service. D) the client is the one who is submitting the claim. Answer: C Diff: 2 Skill: Recall Learning Objective: LO4 11) In Ontario, the last two numbers of the physician’s billing number represent: A) group number B) specialty code C) clinic number D) service code Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 12) The health claim will be rejected if A) the provider has a valid billing number. B) the service claimed is authorized by the provincial/territorial guidelines. C) the patient has an expired health card. D) the fee claimed is determined by the provincial/territorial schedule of benefits. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 11 Test Item File

Thompson, 5e

13) In diagnostic tests codes, the suffix in the service code has a specific meaning. What are the two insurable components related to diagnostic tests? A) test done at a hospital or office B) test done by a physician or an assistant C) therapeutic test or diagnostic test D) technical and professional Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 14) Which of the following health services will require a prior approval by the province/territory? A) An intermediate assessment for a patient coming from another province. B) An urgent appendectomy for a patient in the emergency room. C) A breast reduction surgery for a patient suffering from back pain. D) Chest X-ray for a patient diagnosed with pneumonia. Answer: C Diff: 2 Skill: Applied Learning Objective: LO7 15) Which of the following is a preventive care service? A) Pap smear B) throat swab C) bone density test D) intermediate assessment Answer: A Diff: 1 Skill: Recall Learning Objective: LO5 16) Which of the following claim forms should be submitted by a provider who is working in Ontario for a patient who is visiting from Manitoba? A) Ontario health claim form B) reciprocal claim form C) Manitoba health claim form D) request for approval form Answer: B Diff: 1 Skill: Recall Learning Objective: LO6

Chapter 11 Test Item File

Thompson, 5e

17) Some Q codes have been recently delisted, this means A) the AHP does not need to submit them at all. B) the AHP should submit them with their fee value. C) the services for these codes are not covered anymore and the patient must pay for them. D) the AHP should submit them with a zero-dollar value as the ministry is keeping a record. Answer: D Diff: 2 Skill: Recall Learning Objective: LO5 18) Which of the following is the best description of specialty codes? A) They are approved by the Canadian Medical Association. B) They are representing the area of specialty for each physician. C) They are alphanumeric codes. D) They are representing the patient’s diagnosis. Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 19) Which of the following is correct regarding special visit premium codes? A) They are submitted instead of the service codes. B) Providers can claim more than one special visit premium for the same patient in the same visit. C) Providers can claim a special visit premium for assessment done in the office. D) To claim these codes, providers must travel to provide the service. Answer: D Diff: 2 Skill: Recall Learning Objective: LO5 20) Which of the following information should be included in the claims file? A) date and time of patient’s visit B) list of uninsured services offered to the patient C) the patient’s valid health card number D) the provider’s phone number Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 11 Test Item File

Thompson, 5e

True/False Questions: 1) The service provided by the physician to an insured patient is identified by the billing code/fee code. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 2) Antenatal preventive health assessment is done during pregnancy. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 3) It is important to get the patient’s written consent before submitting their health card information for billing purposes. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO7 4) Quebec does not take part in the reciprocal medical billing system. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 5) Physicians must register with the Canadian Medical Association to be eligible to bill the provincial/territorial plan. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 6) It is unethical for physicians to treat relatives except in an emergency. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 11 Test Item File

Thompson, 5e

7) The provider must have a valid billing/registration number to submit claims to the provincial/territorial ministry of health. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 8) Unlike the specialty codes, the service codes are the same in all provinces/territories. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 9) The submitted FFS claims are monitored by the provincial/territorial College of Physicians and Surgeons. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO7 10) The premium code is used instead of the service code. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 Essay Questions: 1) Discuss the purpose and circumstances under which the AHP would use the following forms: a. Health card number release form b. Request for approval for proposed surgery c. Request for prior approval for out-of-country health services Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO7

Chapter 12 Test Item File

Thompson, 5e

Chapter 12: Claims Submission Multiple-Choice Questions: 1) Which of the following is the AHP’s responsibility in the claim submission process? A) Preparing error reports. B) Sending payment to providers. C) Ensuring that all codes added to a claim are correct. D) Providing reconciliation statements. Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 2) Which of the following is correct about error codes in Ontario? A) Incorrect patient’s demographic can be a reason for error codes. B) They are assigned to a claim after it has been processed. C) The AHP is not able to fix and resubmit the claim once an error code is issued. D) The AHP is the one who assigns the error codes to claims. Answer: A Diff: 2 Skill: Applied Learning Objective: LO5 3) In which of the following situations can the doctor release the patient’s information without the patient’s consent? A) insurance company requiring patient’s information B) third party asking for a medical report about the patient’s health C) a family member asking about patient’s test results D) in case of court order Answer: D Diff: 1 Skill: Recall Learning Objective: LO7 4) Which of the following is correct about WCB claims? A) They are submitted to the ministry of health if the patient has an expired health card. B) WCB claims are related to on-the-job injuries. C) They are submitted with a payment program RMB selected. D) Providers can claim for other services not related to the original injury on the same claim. Answer: B Skill: Applied Learning Objective: LO3

Chapter 12 Test Item File

Thompson, 5e

5) Which of the following ministry feedback will the office receive if the whole claim file is rejected? A) file reject message B) batch edit report C) claims error report D) remittance advice Answer: A Diff: 1 Skill: Recall Learning Objective: LO6 6) Which of the following forms will the federal government pay the provider to complete? A) Sick leave forms for students. B) Canada Pension Plan medical disability forms. C) Forms requested by insurance companies. D) Any form requested by someone other than the client. Answer: B Diff: 1 Skill: Recall Learning Objective: LO7 7) What is the AHP’s responsibility when claim error reports are received? A) Resubmit the same claim. B) Carefully review the rejected claims, fix the errors, and resubmit. C) Change the date of the claim and resubmit it as a new claim. D) Inform the physician that they will not be paid for this claim. Answer: B Diff: 2 Skill: Applied Learning Objective: LO6 8) Which of the following provinces requires action codes for the error claims? A) Alberta B) Ontario C) British Columbia D) Manitoba Answer: A Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 12 Test Item File

Thompson, 5e

9) Which of the following is correct about shadow billing? A) It is used in third-party payment situations. B) It is the type of billing used for out-of- the province claims. C) It is used for uninsured services. D) It is used in practices that have entered into primary care agreements. Answer: D Diff: 2 Skill: Recall Learning Objective: LO3 10) In which of the following situations should the AHP collect the payment directly from the patient? A) A patient is asking for an insured service within the eligibility criteria. B) A patient is visiting from another province (except Quebec) and asking for an insured service. C) A patient is asking for a file transfer. D) A patient is coming with a valid health card complaining of sore throat. Answer: C Diff: 2 Skill: Applied Learning Objective: LO7 11) If one of the claims has been underpaid, this means A) the claim was paid more than the AHP claimed. B) the claim was paid less than the AHP claimed. C) the claim was rejected and there is an error code with the claims. D) the AHP will not be able to resubmit a claim after it has been paid. Answer: B Diff: 1 Skill: Applied Learning Objective: LO6 12) Which of the following is the best description of a block fee? A) It is a single payment paid by the ministry to the provider by the end of the year. B) It is paid by the provincial/territorial College of Physicians and Surgeons to the provider. C) It is a single payment paid by the patient for a range of uninsured services. D) It is a single payment paid by the patient for a range of insured services. Answer: C Diff: 1 Skill: Recall Learning Objective: LO7

Chapter 12 Test Item File

Thompson, 5e

13) Which of the following is a true statement about claim stale date? A) The AHP can fix and resubmit a claim after the stale date. B) In Ontario, the claim stale date is 3 months after the service date. C) The provider will get paid if the claim is processed after the stale date. D) British Columbia allows 6 months before a claim is stale dated. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 14) Some services on the fee schedule are marked as IC, which stands for: A) individual concern B) intensive care C) independent consideration D) individualized comparison Answer: C Diff: 1 Skill: Recall Learning Objective: LO3 15) Which of the following will happen if claims are submitted after the claim deadline? A) The provider will be paid in the next following billing cycle. B) The provider will not get paid for those claims. C) The claims will be rejected. D) The AHP should not submit any claims after the claim deadline. Answer: A Diff: 1 Skill: Applied Learning Objective: LO1 16) For which of the following claims must the AHP include the referring physician registration number? A) A claim for a complete physical examination. B) A claim for a consultation. C) A claim for a diagnostic test. D) A claim for an intermediate assessment. Answer: B Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 12 Test Item File

Thompson, 5e

17) Which of the following is the best description of the explanatory codes? A) They are assigned to a claim when a problem has been identified before the claim has been processed. B) They are assigned to a claim to explain the type and complexity of the service offered. C) They are assigned to a claim to explain the reason for the claim. D) They are assigned to a claim when a problem has been identified after the claim has been processed. Answer: D Diff: 2 Skill: Recall Learning Objective: LO5 18) Which of the following payment programs should the AHP use for an out of the province (except Quebec) claim? A) HCP B) RMB C) WCB D) RCMP Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 19) Which of the following is the best description of a remittance advice report? A) A message indicating that the whole claim file has been rejected. B) Explanation of the reason for rejection of some of the claims. C) Some advice from the ministry to fix and resubmit the claims. D) A monthly statement from the ministry of approved claims. Answer: D Diff: 2 Skill: Recall Learning Objective: LO6 20) Which of the following is an advantage of electronic billing? A) An error report is returned to the office within a week after submission. B) The AHP must submit the paper claims with the electronic transfer. C) Electronic transfer is secure for both sending and receiving information. D) Anyone will be able to use the electronic transfer without a password. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 12 Test Item File

Thompson, 5e

True/False Questions: 1) It is the responsibility of the ministry of health to make sure that the patient’s information on the claim is correct. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 2) The claim will be rejected if it was submitted with an invalid health card number. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 3) If the physician is a part of a group, the AHP does not have to put their registration number on the claim. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 4) When the service is done in the outpatient clinic of the hospital, the claim must have the hospital number. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 5) The AHP will not be able to resubmit the claims if the ministry rejected them. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 6) A remittance advice report is the same as a reconciliation advice report. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6

Chapter 12 Test Item File

Thompson, 5e

7) If the AHP must collect payment from the patient directly, they must inform the patient before the service is rendered. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 8) The manual review process is required for all the claims. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 9) The error codes in Ontario are assigned to claims after they have been processed. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 10) The electronic transfer system saves time and money. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Discuss the role of the AHP when a patient asks to transfer their medical record to another physician. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO7

Chapter 13 Test Item File

Thompson, 5e

Chapter 13: Health Information Management Multiple-Choice Questions: 1) Which of the following is the best explanation of the difference between electronic medical records (EMR) and electronic health records (EHR)? A) Electronic health records (EHR) are an accumulation of the electronic medical records (EMR). B) Electronic medical records can be accessed by different providers from different facilities. C) Electronic health records (EHR) are a subset of the electronic medical records (EMR). D) Electronic medical records (EMR) are a much broader accumulation of material than the electronic health record (EHR). Answer: A Diff: 1 Skill: Recall Learning Objective: LO2 2) When learning a new EMR system, you should A) remember that learning a new system takes time. B) avoid asking questions so you do not get confused. C) stay away from super-users and access the online videos only. D) know that learning a new system is a waste of time. Answer: A Diff: 2 Skill: Applied Learning Objective: LO4 3) SOAP charting is one of the common EMR templates used for patient’s visits What does S stand for? A) symptoms B) signs C) suggestion D) subjective Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 4) Which of the following is considered personal information under PIPEDA? A) employer phone number B) health card number C) business title D) workplace address Answer: B Skill: Recall Learning Objective: LO8 13-1 Copyright © 2022 Pearson Canada Inc.

Chapter 13 Test Item File

Thompson, 5e

5) Which of the following will initiate the creation of the patient’s chart? A) The registration process when the patient comes to the office for the first time. B) Each time the patient comes to see the doctor, a new chart is created. C) When the patient asks for a chart for themself. D) After the patient stays with the same physician for six months. Answer: A Diff: 1 Skill: Applied Learning Objective: LO6 6) Which of the following parts in the patient’s record should be documented by the open text method? A) vital signs B) chief complaint C) lab results D) medication history Answer: B Diff: 1 Skill: Recall Learning Objective: LO4 7) Which of the following will have the right to access the patient’s information without the patient’s consent? A) the patient’s relatives and friends B) healthcare providers in the patient’s circle of care C) insurance company D) marketing company Answer: B Diff: 1 Skill: Recall Learning Objective: LO6 8) Under which of the following Acts, the physician must report if they suspect physical or sexual child abuse? A) Child and Family Services Act B) Highway Traffic Act C) Aeronautics Act D) The Regulated Health Professions Act Answer: A Diff: 1 Skill: Recall Learning Objective: LO8

Chapter 13 Test Item File

Thompson, 5e

9) Which of the following is the AHP’s responsibility if the patient asked to transfer the file to another physician? A) Patient’s file cannot be transferred. B) Transfer the original file to the new physician immediately. C) Ask the patient to speak with the doctor first. D) Get the patient’s written consent and transfer a copy of the file. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 10) Health records have a dual ownership. Who are the owners of the health record? A) The provider owns the record, and the hospital owns the information. B) The patient owns the record, and the ministry of health owns the information. C) The provider or facility owns the record, and the patient owns the information. D) The facility owns the record, and the College of Physicians owns the information. Answer: C Diff: 2 Skill: Recall Learning Objective: LO8 11) Which of the following terms refer to the process of removing a file from the active status to the inactive status and storing it in a secondary location? A) purging B) archiving C) filing D) disposal Answer: B Diff: 1 Skill: Recall Learning Objective: LO7 12) How long does the College of Physicians and Surgeons recommend keeping the paper chart if the entire electronic chart has been uploaded to the EMR system? A) one year B) ten years C) six months D) seven years Answer: C Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 13 Test Item File

Thompson, 5e

13) Which of the following filing systems will require an index? A) alphabetical filing B) color coded filing C) surgical filing D) numerical filing Answer: D Diff: 1 Skill: Recall Learning Objective: LO7 14) Mrs. Jackson was in the office yesterday to see the doctor. You, as the AHP, noticed that no encounter note has been recorded for this visit in Mrs. Jackson’s file. What is your responsibility in this situation? A) You enter the encounter by yourself. B) You do not have to do anything as the billing codes are entered on the day sheet. C) Flag the chart and ask the doctor personally to enter the encounter. D) Ask the office nurse to record the services provided by the doctor. Answer: C Diff: 1 Skill: Applied Learning Objective: LO5 15) Which of the following EMR advantages will help to track any illegal breach of security of the patient’s information? A) The EMR can offer an audit trail. B) The EMR can save and back up data regularly. C) The EMR enables the provider to sign off prescriptions. D) The EMR can archive the inactive files. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 16) Which of the following is an advantage for the e-referrals? A) The specialist will NOT need to reply to the e-referrals. B) It eliminates the wait times associated with sending traditional faxes. C) The AHP must send a hard copy of the referral letter to the specialist’s office. D) The e-referrals are not secure. Answer: B Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 13 Test Item File

Thompson, 5e

17) Which of the following chart components will describe the details of each patient’s meeting with the physician? A) history sheet B) CPP C) allergies list D) encounter record Answer: D Diff: 2 Skill: Recall Learning Objective: LO5 18) Which of the following will help to keep the electronic medical records safe and secure? A) Allow your co-worker to use your access password. B) Keep the computer locked down when you are not there. C) Leave your computer screen turned toward your patients. D) Use the same password for your personal and work computer. Answer: B Diff: 1 Skill: Applied Learning Objective: LO4 19) Which of the following is the AHP’s responsibility if a local solution to store health information is chosen to support an electronic medical record system? A) An application service provider stores the medical records and a backup at a remote site. B) Arrangements must be made to store the information at the nearest hospital. C) Backup medical records must be stored within the same software system. D) Health information needs to be backed up and kept in a secure place. Answer: D Diff: 2 Skill: Recall Learning Objective: LO3 20) Which of the following is correct about CHIMA? A) It is the Act/law that regulates the health information privacy. B) Physicians only can be members of CHIMA. C) CHIMA members have the designation Canadian Health Information Manager. D) Once graduated from the MOA program, you can be a CHIMA member. Answer: C Diff: 1 Skill: Applied Learning Objective: LO1

Chapter 13 Test Item File

Thompson, 5e

True/False Questions: 1) Regardless of the type of EMR platform, all EMR systems can communicate with each other. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 2) Accurate health records are essential to high-quality health care. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 3) You could recycle the paper chart if you uploaded the entire chart to the EMR system. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 4) The ministry of health owns the patient’s record in a group practice. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO8 5) CPP is a part of the patient’s paper record but not part of the electronic record. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 6) Alphabetical filing system is considered a direct access system. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 7) Growth charts should be included in children's medical records. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 13 Test Item File

Thompson, 5e

8) When the EMR vendor offers the central solution for storing information, it will be the staff’s responsibility to store and backup the information in a secure place. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 9) Most physicians prefer the fully structured record format as a method of documentation. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 10) The Canada Health Infoway is a provincial/territorial funded organization. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Many medical facilities are switching from paper records to electronic records. a. Discuss the advantages of electronic records. b. Describe how you maintain the security of electronic records. Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO3, LO4

Chapter 14 Test Item File

Thompson, 5e

Chapter 14: The Hospital Setting Multiple-Choice Questions: 1) Which of the following will be the focus of the accreditation process for medical facilities especially during the time of pandemics? A) Infection control procedures and the proper use of personal protective equipment. B) The location of the facility. C) The communication procedure between the staff members. D) The type of electronic medical system used in the facility. Answer: A Diff: 1 Skill: Applied Learning Objective: LO1 2) You are working as a clinical secretary in a patient care unit. Martha, one of the patients in your unit, is asking you for help to go to the washroom. Which of the following will be your best response? A) Let me call the nurse, she will come and help you. B) Sure, I will help you right now. C) I am busy now; give me two minutes and I will be with you. D) I am sorry. I will not be able to help you with this. Answer: A Diff: 2 Skill: Applied Learning Objective: LO5 3) Which of the following equipment can you find at the nursing station and must be checked for batteries at the beginning of each shift? A) stethoscope B) sphygmomanometer C) tuning fork D) otoscope Answer: D Diff: 1 Skill: Recall Learning Objective: LO6 4) As a clinical secretary in the hospital, you will report to A) the client. B) the clinical resource nurse. C) the physician. D) the personal support worker. Answer: B Skill: Recall Learning Objective: LO2 14-1 Copyright © 2022 Pearson Canada Inc.

Chapter 14 Test Item File

Thompson, 5e

5) Which of the following will be the clinical secretary’s best response if one of the patients is asking to leave without the doctor’s permission? A) Ask the patient to sign a waiver stating that they have left the hospital without permission. B) Help the patient, and arrange a mode of transportation. C) Contact the patient’s family to come and pick him up. D) Call the hospital security to restrain the patient. Answer: A Diff: 1 Skill: Applied Learning Objective: LO9 6) Which term refers to centralizing certain services, particularly those that require specialized care, to one hospital in a region? A) transitional services B) rationalization of services C) step-down care D) convalescent services Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 7) Which of the following would you likely find in a clean utility room? A) housekeeping supplies B) sterile dressing trays C) used nasogastric tube D) soiled bed sheets Answer: B Diff: 1 Skill: Recall Learning Objective: LO6 8) Which of the following would be the clinical secretary's best response if someone came to the unit without proper identification? A) Hello, I am the unit clinical secretary. May I get your name and see your professional identification please. B) Call the security right away so you do not waste time. C) Hello, you must be new here, let me introduce you to the unit. D) Hello, you are not allowed to be here, would you please leave the unit immediately. Answer: A Diff: 1 Skill: Applied Learning Objective: LO9

Chapter 14 Test Item File

Thompson, 5e

9) Which of the following is correct about the medication room? A) You can access the patient’s medication history from it. B) You can find sterile dressing trays in the medication room. C) The medication room may contain the equipment used in drugs administration. D) It is kept locked and only staff who have the access code will be able to enter. Answer: D Diff: 1 Skill: Applied Learning Objective: LO6 10) Which of the following will be the clinical secretary's responsibilities when one of your patients has an appointment in the physiotherapy department? A) Call the respiratory therapist responsible in your unit. B) You don’t have to do anything; the physiotherapy department will arrange for everything. C) Note the appointment in the patient’s intervention screen and inform the nurse. D) Inform housekeeping so they can do terminal cleaning while the patient is not at the room. Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 11) Which of the following is correct about the secure units? A) These units have their doors open during specific hours. B) These units have a camera to show anyone who is approaching. C) There will be police officers in front of the secure units. D) These units are for electronic records, only to keep it safe and secure. Answer: B Diff: 1 Skill: Recall Learning Objective: LO9 12) Which of the following services are offered at the admitting department? A) Recruiting and interviewing new employees. B) Cleaning the facility and the patients’ rooms. C) Placing identification bands and making hospital cards. D) Looking after the patients who are terminally ill. Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 14 Test Item File

Thompson, 5e

13) Which of the following will be the clinical secretary's best response if one of the patient’s relatives is calling asking about the patient’s health status? A) I am sorry, I cannot give you this information. You can call the doctor and he will be able to tell you. B) Oh, I heard that the patient’s condition is so bad. He is dying. C) Wait a second, I will bring the patient record to update you. D) Can I get you to hold please, and I will get the nurse to talk with you. Answer: D Diff: 2 Skill: Applied Learning Objective: LO8 14) Mrs. Jackson is scheduled to have a knee replacement surgery, Which of the following surgical units will Mrs. Jackson be admitted to? A) Cardiac Surgery B) Thoracic Surgery C) Orthopedic Surgery D) Neurosurgery Answer: C Diff: 1 Skill: Applied Learning Objective: LO3 15) Many hospitals are restricting the use of cell phones for visitors except in some places. Why do you think hospitals are adapting this policy? A) To maintain confidentiality of the patients. B) Cell phones interfere with the hospital equipment. C) To encourage visitors to enjoy their time without cell phones. D) To promote the use of the nursing station phones. Answer: A Diff: 1 Skill: Recall Learning Objective: LO7 16) Which of the following is the best description of cross-coverage? A) Covering more than one patient at the same time. B) Covering two or three patient-care units at different times. C) Covering for an absent clinical resource nurse on the floor. D) Covering for more than one medical facility at the same time. Answer: B Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 14 Test Item File

Thompson, 5e

17) Mrs. Lee has experienced a brain laceration. Which of the following units would she most likely be admitted to? A) Nephrology B) Psychiatry C) Cardiology D) Neurology Answer: D Diff: 1 Skill: Applied Learning Objective: LO3 18) You are working as the clinical secretary on a hospital floor. The nurse asks you to bring an emesis basin for one of the patients. Which of the following departments would you contact to get this equipment? A) Risk Management department B) Material Management department C) Housekeeping department D) Dietary Services department Answer: B Diff: 1 Skill: Applied Learning Objective: LO3 19) Mr. Mackenzie has emphysema, and the doctor recommended the use of a spirometer. Which of the following health care professionals will be able to help Mr. Mackenzie with the machine? A) Physiotherapist B) Speech therapist C) Dieticians D) Respiratory therapist Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 20) Mr. Punji was diagnosed with stage IV pancreatic cancer and he will need palliative care. Which of the following facilities will be the best choice for Mr. Punji? A) federal hospital B) rehabilitation hospital C) hospice care D) psychiatric hospital Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 14 Test Item File

Thompson, 5e

True/False Questions: 1) Hospital funding is a financial responsibility of the federal government. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 2) Sphygmomanometer is a device used for measuring blood pressure. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 3) Infection control department is the one responsible for the terminal cleaning after the patient is discharged. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 4) Providing patient care is part of the clinical secretary job and within their scope of practice. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 5) The registered nurse scope of practice is more limited than the registered practical nurse. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 6) Canadian hospitals are starting to apply the lean methodology to reduce the costs. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 7) It is important to log out when you leave your computer terminal. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO8

Chapter 14 Test Item File

Thompson, 5e

8) All hospitals are using the same health information system. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO7 9) The emergency codes are part of the billing codes. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO9 10) Health care facilities accreditation is mandatory in Canada. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Discuss the role of the AHP in maintaining the patient’s information confidential in both inperson and telecommunication. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO8

Chapter 15 Test Item File

Thompson, 5e

Chapter 15: Hospital Documents and Procedures Multiple-Choice Questions: 1) Which of the following is correct about patient flow? A) Successful patient flow should improve the patient outcomes. B) Physicians can admit emergency patients to the hospital without calling patient flow. C) Patient flow is managing the admission process only while physicians are managing the discharge process. D) Patient flow can manage admission to one hospital and not be allowed to contact other hospitals in the area. Answer: A Diff: 1 Skill: Applied Learning Objective: LO1 2) The admission or face sheet is usually generated A) in the admission or emergency department. B) when the patient arrives on the inpatient medical/surgical unit. C) once the first orders are entered by the physician. D) when the nurse does the triage in the ED. Answer: A Diff: 2 Skill: Applied Learning Objective: LO3 3) Which of the following must be present on any printed reports or forms that are kept in the patient’s pChart? A) name of the floor nurse B) clinical secretary name C) emergency physician name D) patient’s labels Answer: D Diff: 1 Skill: Recall Learning Objective: LO2 4) Which of the following forms must be added to the patient’s surgical chart? A) Discharge summary B) Anesthetic record C) Consultation report D) progress notes Answer: B Skill: Recall Learning Objective: LO6

Chapter 15 Test Item File

Thompson, 5e

5) What would be the clinical secretary’s responsibility if a food tray arrived on the floor for a patient who was discharged? A) The clinical secretary should return the food to the kitchen or save the food items in the fridge for other patients. B) The clinical secretary and the staff can help themselves to the food. C) The clinical secretary should put the food in the garbage. D) The clinical secretary should arrange to deliver the food to the patient’s home. Answer: A Diff: 1 Skill: Applied Learning Objective: LO8 6) Which of the following is the best description of the Emergency Preparedness Manual? A) The manual that lists the isolation policies and procedures. B) The manual that lists the hospital visiting hours and the work environment. C) The manual that lists the procedures to follow in case of a disaster within the community. D) The manual that lists the detailed instructions of monitoring a patient with a head injury. Answer: C Diff: 1 Skill: Recall Learning Objective: LO9 7) Which of the following is the best description of differential diagnosis? A) It is made when the physician knows exactly what the problem is. B) It is made when a patient presents with symptoms similar to those produced by more than one condition. C) It is the same as established diagnosis. D) it is what the physician thinks is the most likely cause of the presenting problem. Answer: B Diff: 1 Skill: Recall Learning Objective: LO5 8) Which of the following is the clinical secretary’s responsibility when a patient says they are discharged but the doctor did not write a discharge order? A) Inform the patient that the discharge order is not there and inform the nurse. B) Let the patient go, and have the doctor sign the discharge order later. C) Discharge the patient and let them wait in the reception until the doctor arrives. D) The clinical secretary can write the discharge order by themself. Answer: A Diff: 1 Skill: Applied Learning Objective: LO8

Chapter 15 Test Item File

Thompson, 5e

9) Which of the following resources will list the isolation policies and procedures? A) Nursing procedure manual B) Hospital policy manual C) Emergency preparedness manual D) Infection prevention and control resource guide Answer: D Diff: 1 Skill: Recall Learning Objective: LO9 10) A surgical patient’s pre-op medication is ordered for an hour before the surgery. What is the clinical secretary’s responsibility related to this order? A) Phone the anesthetist to make sure that the order is correct. B) Inform the nurse and they will handle the whole situation. C) Check the OR list for the surgical time and let the nurse know the order. D) Let the OR nurse know about the order; it is the OR staff responsibility. Answer: C Diff: 2 Skill: Applied Learning Objective: LO7 11) Which of the following is the best description of a patient transfer? A) A transfer occurs when a patient is moved to a nearby nursing home. B) A transfer is moving a patient from one unit to another within the same facility. C) A transfer is moving a patient to the same unit in a different facility. D) A transfer occurs when a patient is discharged but will continue to receive care at home. Answer: B Diff: 1 Skill: Recall Learning Objective: LO8 12) Which of the following departments should the clinical secretary contact to retrieve printed old information about one of the patients who is readmitted to the hospital? A) Admission department B) Patient flow C) Health records department D) Human resources Answer: C Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 15 Test Item File

Thompson, 5e

13) Which of the following is the clinical secretary’s responsibility regarding the surgical consent form? A) The clinical secretary should review the form with the patient and get the patient to sign the form. B) The clinical secretary should sign the form as a witness. C) The clinical secretary should answer the patient's questions about the form. D) The clinical secretary should make sure that the form is signed and inserted into the patient’s chart prior to the procedure. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 14) Under which of the following tabs in the eChart should you file a scanned x-ray report? A) Progress Notes B) Lab Reports C) Diagnostic Imaging Reports D) Consultation Reports Answer: C Diff: 1 Skill: Applied Learning Objective: LO5 15) Which of the following is the clinical secretary’s responsibility when the patient’s surgical chart doesn’t have a history and physical assessment report? A) Call the family doctor’s office to ask about the report and let them fax you a copy. B) Ask the MRP to do another assessment. C) Tell the responsible nurse so they can deal with the situation. D) The clinical secretary can do the assessment by themself. Answer: A Diff: 1 Skill: Applied Learning Objective: LO6 16) Which of the following terms used to describe a routine or planned admission? A) emergency admission B) elective admission C) walk in admission D) ambulatory admission Answer: B Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 15 Test Item File

Thompson, 5e

17) Mary is a new patient who has been admitted to your unit. There are two physicians who are sharing in Mary's case management. Whose name will be put on Mary pChart label? A) The physician who will give the orders first. B) No need to put any physician’s name on the chart. C) The physician who saw her at the admission department. D) The most responsible physician. Answer: D Diff: 1 Skill: Applied Learning Objective: LO4 18) Which of the following actions should the clinical secretary take if a patient came to the unit without an ID band? A) The clinical secretary can print a new one for the patient. B) The clinical secretary should call the admission department to get a new one. C) The ID band is not important if the patient will introduce themself. D) The clinical secretary should not accept the patient in the unit. Answer: B Diff: 2 Skill: Applied Learning Objective: LO2 19) You are working as the clinical secretary at a maternal-child unit. Which of the following will be your responsibility once a baby is born in your unit? A) Inform the father to go and admit the baby. B) Prepare the baby’s admission papers by yourself. C) Remind the nurse to notify the admission and give them the required information. D) Notify the admission department to prepare the admission papers to admit the baby. Answer: D Diff: 2 Skill: Applied Learning Objective: LO3 20) Which of the following is a very important skill you must have to work in the Patient Flow? A) managing incoming and outgoing mail B) preparing claim files for billing C) excellent communication skills D) preparing exam rooms Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 15 Test Item File

Thompson, 5e

True/False Questions: 1) At admission, the patient will be assigned a new hospital number each time they come to the hospital. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 2) Patient Flow includes discharging the patient to the appropriate discharge destination. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 3) The patient’s diagnosis should be written on the patient’s pChart label. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 4) The patient will get a new MRN when they are transferred to another unit within the same facility. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO8 5) All patients presented to the emergency department must go through the admission procedures. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 6) All the doctor’s orders will be void once the patient goes to the operation room. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO7 7) Isolation is the process of keeping the patient away from the rest of the hospital population. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO9 15-6 Copyright © 2022 Pearson Canada Inc.

Chapter 15 Test Item File

Thompson, 5e

8) The next of kin is the same person who has the power of personal care. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) The clinical secretary can sign as a witness on the surgical consent form. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO6 10) If a clinical pathway is added to the patient’s chart, it will be added to the doctor’s orders section. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 Essay Questions: 1) Discuss the clinical secretary’s role and responsibilities in case of patient death. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO8

Chapter 16 Test Item File

Thompson, 5e

Chapter 16: Doctor’s Orders: Procedures and Process Multiple-Choice Questions: 1) Which of the following physicians will write the initial orders for a patient who is admitted through the emergency department? A) emergentologist B) MRP C) family doctor D) hospitalist Answer: A Diff: 1 Skill: Recall Learning Objective: LO1 2) Which of the following are you most likely to find under the activities of daily living (ADL) category on the patient eKardex screen? A) Bathroom with assistance B) INR daily C) Vital signs once daily D) CBC every other day Answer: A Diff: 2 Skill: Applied Learning Objective: LO4 3) Which of the following is the correct action to take when a patient tells you upon admission that he has brought all his medication with him from home? A) Inform the pharmacy so they do not bring the patient any other medications. B) Ask the patient to keep the medication by his bedside and use them when he needs. C) Take the medication from the patient and get rid of them. D) Inform the nurse who will place the medication in storage until the patient is discharged. Answer: D Diff: 2 Skill: Applied Learning Objective: LO6 4) Which of the following is a correct statement about the order sets? A) They are the orders that are written to a group of patients at the same unit. B) They are grouping standardized doctor’s orders based on pre-established clinical best practices guidelines. C) They are instructions directed by the physicians to the nurses. D) They are orders written by nurses for certain procedures. Answer: B Skill: Recall Learning Objective: LO2 16-1 Copyright © 2022 Pearson Canada Inc.

Chapter 16 Test Item File

Thompson, 5e

5) Which of the following will be the clinical secretary's best action if you find orders in the patient’s chart that are not signed by the doctor? A) The clinical secretary should contact the patients’ nurse and inform them of the situation. B) The clinical secretary should process the orders and ask the doctor to sign them later. C) The clinical secretary should process the orders and sign them by themself. D) The clinical secretary should remove the orders from the patient’s chart. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 6) Patient who will be admitted for an elective surgery most likely will have teaching and health education A) after the discharge. B) after the surgery. C) before the admission. D) after the admission. Answer: C Diff: 1 Skill: Recall Learning Objective: LO4 7) Which of the following is correct about thrombolytic medication? A) Thrombolytic can be taken as prophylactic drugs. B) It is used to limit or reverse the damage caused by a blood clot. C) It is the same as anticoagulants. D) It can be taken any time after the damage without affecting the prognosis. Answer: B Diff: 1 Skill: Recall Learning Objective: LO6 8) Which of the following is the clinical secretary's responsibility if a paper requisition is used for a diagnostic test in a CPOE environment? A) Fax the requisition to the appropriate destination and scan the requisition to the patient’s eChart. B) Complete and sign the requisition and send it to the proper facility. C) Inform the nurse to print the requisition and fax it to the proper facility. D) Let the physician know that paper requisitions are not used in an electronic environment. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2

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9) Which of the following is the best description of routine medication? A) Medication that is taken only when needed. B) Medication that is taken as one dose only. C) Medication that is taken based on lab results. D) Medication that must be taken on a regular schedule. Answer: D Diff: 1 Skill: Recall Learning Objective: LO6 10) Who will be responsible for the care of the mother and the newborn if the mother was admitted and delivered by an obstetrician? A) The obstetrician will be responsible for both the mother and the baby. B) The family doctor will be responsible for both the mother and the baby. C) The obstetrician will be responsible for the mother and the family doctor will be responsible for the baby. D) The family doctor will be responsible for the mother and the obstetrician will be responsible for the baby. Answer: C Diff: 2 Skill: Applied Learning Objective: LO1 11) Which of the following explain why the clinical secretary must identify the orders as completed after finishing processing the orders? A) To help with the process of infection control. B) To keep track and avoid duplication. C) To prevent medication errors and complications. D) To help the patient get discharged early. Answer: B Diff: 1 Skill: Recall Learning Objective: LO5 12) Which of the following is correct about the eKardex? A) You can view and edit information directly in the eKardex in CPOE. B) Treatments and interventions are not shown on the eKardex. C) It shows a summary or profile of important information in the patient’s eChart. D) It is part of the patient pChart. Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 16 Test Item File

Thompson, 5e

13) If the patient pre-admission order set for a day surgery has the order NPO, this means that A) the patient should not eat but they can drink fluids. B) the patient should eat semi-solid food and drink clear fluids. C) the patient can eat and drink but should avoid smoking and alcohol. D) the patient should not eat or drink within 8 hours of the surgery, Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 14) The process of order entry begins with: A) Process the urgent orders. B) Ask the nurse to review the orders. C) Identify orders to be processed. D) Sign your name with the date and time on the order sheet. Answer: C Diff: 1 Skill: Recall Learning Objective: LO5 15) Nancy is experiencing nausea after her surgery. The doctor prescribed medication to be taken only when she feels nauseous. This drug will be listed under which category of medication orders? A) PRN medication B) Routine medication C) Stat medication D) Single dose medication Answer: A Diff: 1 Skill: Applied Learning Objective: LO6 16) If the patient has a DNR request, it will be listed under: A) Nutrition B) Advance Directives C) Discharge Planning D) Respiratory Care Answer: B Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 16 Test Item File

Thompson, 5e

17) Which of the following actions is most appropriate when the clinical secretary finds duplicate orders in the patient’s chart? A) Delete the duplicate order by themself. B) Process both orders as written. C) Delete both orders from the chart. D) Let the nurse know about the situation. Answer: D Diff: 1 Skill: Applied Learning Objective: LO2 18) Which of the following would you most likely find under the clinical parameter’s category on the eKardex? A) isolation B) vital signs C) enema p.r.n. D) activities as tolerated Answer: B Diff: 2 Skill: Applied Learning Objective: LO4 19) Which of the following orders should the clinical secretary process first? A) FBS daily B) Lasix 20 mg. IV stat C) Atropine 0.6 mg. IM one hour before surgery D) Out of bed with assistance evening Answer: B Diff: 2 Skill: Applied Learning Objective: LO5 20) Which of the following is the best description of a hospitalist? A) They are nurses employed by the hospital to take care of the patients at the medical units. B) They are surgeons who perform hospital procedures. C) They are physicians employed by the hospital to oversee and coordinate the care of the medical patients. D) They are physicians who come to the hospital to check on patients every week. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 16 Test Item File

Thompson, 5e

True/False Questions: 1) Doctor’s orders will be the same regardless of the patient’s diagnosis. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 2) A VIP status assigned to a patient chart provides the patient with maximum privacy. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 3) The patient can use over the counter medication on their own while they are in the hospital. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO6 4) The order TPN will be under the activities of daily living. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 5) The clinical secretary should never process orders without the physician’s signature or the nurse’s signature on behalf of the physician. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 6) Even in a CPOE, paper requisitions for diagnostic tests are used in certain conditions. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 7) Doctors are asked to flag the pChart if the chart has an error. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 16 Test Item File

Thompson, 5e

8) Insulin is an example of medication that can be prescribed as a sliding scale order. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO6 9) The loading dose is lower than the usual dose of a medication. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO6 10) INR results are used for patients on heparin. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 Essay Questions: 1) Discuss the role of the clinical secretary when the doctor orders a stat lab test. Compare between the CPOE and manual environment. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO2

Chapter 17 Test Item File

Thompson, 5e

Chapter 17: Intravenous Therapy Multiple-Choice Questions: 1) Which of the following procedures will require a consent form? A) insertion of a central venous access device B) starting a peripheral IV line using a butterfly C) inserting an angiocath D) administer intravenous antibiotics Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 2) Which of the following is the clinical secretary’s best action if they hear the IV pump alarm? A) The clinical secretary should find a nurse to check the pump. B) The clinical secretary should turn the machine alarm off. C) The clinical secretary should unplug the machine. D) The clinical secretary should fix the pump by themself. Answer: A Diff: 2 Skill: Applied Learning Objective: LO4 3) Which of the following body systems help with the fluid and electrolyte balance in the body? A) Reproductive system B) Nervous system C) Muscular system D) Renal system Answer: D Diff: 1 Skill: Recall Learning Objective: LO1 4) Which of the following is the best description of an angiocatheter? A) A 500 mL bag of IV solution. B) A plastic tube, usually attached to the puncturing needle, inserted into a blood vessel for infusion. C) The tubing that connects the intravenous bag to the insertion site. D) A butterfly needle with two wing-like projections on either side of a small catheter. Answer: B Skill: Recall Learning Objective: LO3

Chapter 17 Test Item File

Thompson, 5e

5) The doctor may order platelets for which of the following patients? A) A patient suffering from thrombocytopenia. B) A patient suffering from severe hemorrhage. C) A patient who lost more than 1000 cc of blood. D) A patient suffering from anemia. Answer: A Diff: 1 Skill: Recall Learning Objective: LO6 6) Which of the following is correct about IV gravity-based systems? A) It is a device to control the amount of solution given to the patient. B) It is best used with children on IV infusion. C) It works by positioning the bag on the IV pole and is held higher than the IV site. D) It works on its own and does not require any observation. Answer: C Diff: 1 Skill: Recall Learning Objective: LO4 7) Which of the following is the most common ordered blood product? A) whole blood B) packed cells C) fresh plasma D) platelets Answer: B Diff: 1 Skill: Recall Learning Objective: LO6 8) Which of the following is the main difference between a mainline IV set and the Y tubing set used for blood transfusion? A) The Y tubing for blood has a filter in the drip chamber. B) The Y tubing is a macro drip intravenous set. C) The Y tubing has only one medication administration port. D) The Y tubing can be used for blood with any other solution. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 17 Test Item File

Thompson, 5e

9) Which of the following is the clinical secretary’s responsibility when the doctor orders blood products? A) Phone the lab to notify them of the order. B) Call the doctor to confirm the order. C) The blood order is the responsibility of the nurse not the clinical secretary. D) Send the requisition to the lab and receive the notification once the blood is ready. Answer: D Diff: 1 Skill: Applied Learning Objective: LO6 10) One of the doctor’s orders was “flush saline lock q 4h”, this means A) IV tubing should be changed every 4 hours. B) saline should be added to the patient’s intravenous bag every 4 hours. C) IV catheter should be flushed with saline every 4 hours. D) IV catheter should run at a faster rate every 4 hours. Answer: C Diff: 1 Skill: Applied Learning Objective: LO4 11) Which of the following is the best explanation of the doctor’s order “C/T three units of packed cells prior to surgery”? A) The patient will donate two units of blood before the surgery. B) Blood will be cross-matched and held in the lab in case the patient needs it. C) The patient should receive two units of blood before the surgery. D) The patient should receive two units of blood after the surgery. Answer: B Diff: 1 Skill: Applied Learning Objective: LO6 12) Which of the following is the interpretation of the doctor’s order “D/C when drinking well”? A) Drink coffee when drinking well. B) Do not change the IV infusion rate. C) Discontinue IV infusion when drinking well. D) Do Care for the IV site and IV tubing. Answer: C Diff: 1 Skill: Applied Learning Objective: LO5

Chapter 17 Test Item File

Thompson, 5e

13) Which of the following is the explanation of the sentence “the IV went interstitial and has to be removed”? A) The IV fluid bag is done and needs to be replaced. B) The IV line was blocked with a blood clot and had to be removed. C) There is air embolism in the IV system. D) The needle dislodged from the vein and had to be removed. Answer: D Diff: 2 Skill: Applied Learning Objective: LO3 14) Which of the following is the main reason why the clinical secretary must mark the IV start date on the eKardex? A) To follow the hospital policies and procedures. B) For medicolegal purposes. C) To serve as a baseline to determine when the IV site should be changed. D) It is part of the doctor’s orders. Answer: C Diff: 1 Skill: Applied Learning Objective: LO5 15) Which of the following is the best description of the buritrol? A) It is a chamber added to an IV line to control the volume more closely. B) It is a chamber that is used in adults to control the volume. C) It is a part of IV gravity-based system. D) It is a type of patient-controlled analgesia. Answer: A Diff: 1 Skill: Recall Learning Objective: LO4 16) Which of the following is the measurement unit used to describe the rate of an intravenous infusion? A) mg. Per liter B) gtt/min C) cc/hour D) cc. Per body weight Answer: B Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 17 Test Item File

Thompson, 5e

17) Which of the following is the best interpretation of the doctor’s order “500cc 2/3 & 1/3 @100 cc/hr”? A) start IV of 2/3 saline solution and at the same time start IV of 1/3 glucose at a rate of 500 cc per hour B) start IV of 1/3 glucose at a rate of 100 cc per hour and then start 2/3 saline at a rate of 500 cc per hour C) start IV of 2/3 and 1/3 solution using 100cc bag at a rate of 500 cc per hour D) start IV of 2/3 and 1/3 solution using 500cc bag at a rate of 100 cc per hour Answer: D Diff: 1 Skill: Applied Learning Objective: LO5 18) One of the doctor’s IV orders has TKVO, this means A) IV infusion should be at a higher rate to keep the vein open. B) IV infusion should be at a lower rate to keep the vein open. C) IV infusion should stop, and the catheter should be flushed by saline. D) IV line should be removed from the patient’s arm. Answer: B Diff: 2 Skill: Applied Learning Objective: LO5 19) Which of the following is considered an advantage to using a PCA? A) The patient might use more medication with using a PCA. B) The patient can exceed their maximum dose of the medication. C) The PCA will help the nurse to get a rest. D) The patient will feel less anxious as they have control over their pain. Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 20) Inserting a CVD into a patient is more invasive than a peripheral line. Which of the following is an example for using a CVD instead of peripheral line? A) A patient who has good peripheral veins. B) A patient who has an order for IV antibiotic for five days. C) A patient who needs TPN. D) A patient who receives at least 1000 mL of IV solution on an eight-hour shift. Answer: C Diff: 1 Skill: Applied Learning Objective: LO3

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True/False Questions: 1) Most of the body fluids are in the extracellular spaces. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 2) A chest X-ray should be taken after the insertion of the PICC line. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 3) D5W is referred to as a physiological or isotonic solution. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 4) The placebo effect is an improvement in symptoms without active treatment but because of psychological reasons. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 5) IV central lines should be changed every 48 to 72 hours. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 6) Intravenous therapy is required for patients after major surgeries. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 7) Blood and blood products must always be run with normal saline as the other solutions cause the blood to clot. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 17-6 Copyright © 2022 Pearson Canada Inc.

Chapter 17 Test Item File

Thompson, 5e

8) The flow rate of the IV solution is the same for all patients at the beginning of the infusion. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 9) The patient who is using a PCA machine will likely use more medication than the conventional method. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 10) Checking an IV site must be added to the patient eKardex. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 Essay Questions: 1) Discuss the clinical secretary’s responsibilities when the doctor orders a blood transfusion. Compare between the responsibilities in the CPOE and manual environment. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO6

Chapter 18 Test Item File

Thompson, 5e

Chapter 18: Patient Nutrition Multiple-Choice Questions: 1) Which of the following glands has a direct effect on the basal metabolic rate? A) Thyroid gland B) Thymus gland C) Pancreas D) Pineal gland Answer: A Diff: 1 Skill: Recall Learning Objective: LO1 2) Which of the following food items will be allowed for a patient on a clear fluid diet? A) ginger ale B) yogurt C) eggnog D) V8 vegetable juice Answer: A Diff: 2 Skill: Recall Learning Objective: LO3 3) Which of the following is the best description of a J-tube? A) A tube inserted through the nose into the stomach. B) A tube inserted through an incision in the abdomen into the stomach. C) A surgically implanted device in the stomach to facilitate supplemental feeds. D) A tube inserted through an incision in the abdomen into the small bowel. Answer: D Diff: 1 Skill: Recall Learning Objective: LO5 4) Which of the following diet types should be ordered for a patient with dysphagia? A) minced diet B) pureed diet C) progressive diet D) clear fluid diet Answer: B Skill: Recall Learning Objective: LO3

Chapter 18 Test Item File

Thompson, 5e

5) Which of the following is the clinical secretary’s responsibility when the doctor orders a progressive diet to one of the patients? A) The clinical secretary should change the status of a progressive order upon the nurse’s assessment of the patient’s condition. B) The clinical secretary should assess the patient to find out which stage the patient is at. C) The clinical secretary should change from one stage to another of the progressive diet every two days. D) The clinical secretary should ask the nutritional services to assess the patient and decide which type of food they should deliver. Answer: A Diff: 2 Skill: Applied Learning Objective: LO4 6) Which of the following should the clinical secretary do when one of the patients in the unit is scheduled to have a surgery with general anesthesia in the next morning? A) Change the patient’s diet plan to NSA. B) The clinical secretary should not do anything about that, it is the nurse's responsibility. C) Cancel the patient’s diet after dinner the day before the surgery. D) Call the nutritional services and let them deliver the food tray to the OR. Answer: C Diff: 2 Skill: Applied Learning Objective: LO4 7) You read “DAT” in the doctor’s nutritional orders. This short form “DAT” stands for: A) Do not add toast B) Diet as tolerated C) Drink additional tea D) Do as told Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 8) Which of the following is the clinical secretary’s best response if one of the patients asks him/her to feed them? A) “I will go and get the nurse for you. They are more aware of your needs.” B) “I will be happy to feed you.” C) “I heard one of your family members is coming to visit today. Let’s wait and he will help you with that.” D) “I am not allowed to feed patients. Try to do it yourself.” Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 18-2 Copyright © 2022 Pearson Canada Inc.

Chapter 18 Test Item File

Thompson, 5e

9) Which of the following patients are you most likely to see “1400 cal CDA” under the nutrition section in the doctor’s orders? A) A patient coming out of a major surgery. B) A cardiac patient. C) A patient on low salt diet. D) A diabetic patient. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3 10) Which of the following is the best explanation why patients in the hospital might require extra calories and extra proteins? A) Patients in hospital are more active than usual so they require more calories. B) Extra calories will improve the psychological status of the patients. C) Extra calories and extra proteins are required to promote tissue repair and recovery. D) Illness decreases the metabolic rate, so the patients require more calories. Answer: C Diff: 2 Skill: Applied Learning Objective: LO1 11) Which of the following patients is the doctor most likely to order enteral feeds for? A) A patient who is vomiting with the flu. B) A patient who has dysphasia because of stroke. C) A patient who has been scheduled for a colonoscopy. D) A patient who is scheduled for a major abdominal surgery. Answer: B Diff: 1 Skill: Recall Learning Objective: LO5 12) Which of the following therapeutic diets will be ordered for a patient with fluid retention or congestive heart failure? A) CF B) DAT C) NAS D) NPO Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 18 Test Item File

Thompson, 5e

13) Which of the following patients will require snacks between meals? A) A patient who is NPO before surgery. B) A patient who is scheduled to have a colonoscopy. C) A patient who is just out of a major surgery. D) A diabetic patient who is on insulin. Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 14) Which of the following is the correct diet order for a patient after a major bowel surgery? A) Sips of fluid B) DAT C) NPO until BSP D) NSA Answer: C Diff: 1 Skill: Applied Learning Objective: LO4 15) Which of the following is a correct statement about TPN? A) Blood work should be ordered at the same time as a TPN order. B) TPN is often delivered through a peripheral line. C) TPN is indicated for patients before surgery. D) TPN is a sort of feeding tube which is inserted into the stomach. Answer: A Diff: 1 Skill: Applied Learning Objective: LO5 16) Which of the following departments would the clinical secretary call if a patient did not receive a meal tray? A) Patient Flow B) Nutritional services C) Admission D) Housekeeping Answer: B Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 18 Test Item File

Thompson, 5e

17) Which of the following should the clinical secretary do once the nutritional services deliver the patient’s enteral food to the unit? A) Leave it at the counter and the patient will come to pick it up. B) Deliver it to the patient and leave it at the bedside. C) Store it at the nurses’ station till feeding time. D) Store it right away in the fridge. Answer: D Diff: 1 Skill: Applied Learning Objective: LO5 18) Which of the following diagnostic tests will require the patient to be NPO for 8 to 10 hours before the test? A) Chest X-ray B) Fasting blood sugar C) MRI brain D) Ultrasound neck Answer: B Diff: 2 Skill: Applied Learning Objective: LO4 19) Under which section in the eKardex would you be most likely to find the doctor’s order “insert a 10 Fr. nasogastric tube”? A) Nutrition B) ADL C) Clinical parameters D) Interventions Answer: D Diff: 2 Skill: Applied Learning Objective: LO5 20) Which of the following is the best explanation of why children need more calories in proportion to their body weight than adults do? A) They weigh less than adults. B) More changes are happening in children's bodies. C) They have a higher metabolic rate. D) They have less metabolic rate. Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 18 Test Item File

Thompson, 5e

True/False Questions: 1) Metabolic rate usually increases with age, and more calories are required. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 2) The provincial/territorial plan covers the cost of meals offered in the Canadian hospitals. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 3) A gastric feeding pump is the same one used to deliver and monitor intravenous fluids. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 4) The patient who is admitted on the same day of the surgery will not have any nutritional orders. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 5) Oats is a good food option for patients with Celiac disease. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 6) A woman who is breastfeeding will require more calories than normal. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 7) A trickle feed is considered a continuous feed. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5

Chapter 18 Test Item File

Thompson, 5e

8) A bland diet may be ordered for someone who has a partial bowel obstruction. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 9) Feeding tubes are measured in inches. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO5 10) Feeding patients is within the clinical secretary scope of practice. Answer: FALSE Diff: 1 Skill: Applied Learning Objective: LO2 Essay Questions: 1) Discuss the clinical secretary’s responsibilities regarding postoperative nutritional orders. Compare between the orders for same-day admissions and orders for patients already in hospital. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO4

Chapter 19 Test Item File

Thompson, 5e

Chapter 19: Digestion and Excretion Multiple-Choice Questions: 1) Which of the following patients would the doctor order “strain all urine”? A) A patient with kidney stones. B) A patient with UTI. C) A patient with cancer bladder. D) A patient with cystitis. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 2) Mr. Jackson is diagnosed with intestinal obstruction and on conservative treatment. The nurse has to assess the peristalsis each shift. This means that A) the nurse will listen to Mr. Jackson’s abdomen with a stethoscope once a shift. B) the nurse has to book an abdominal ultrasound for Mr. Jackson each shift. C) the nurse has to monitor Mr. Jackson’s elimination pattern each shift. D) the nurse has to give Mr. Jackson a laxative each shift. Answer: A Diff: 2 Skill: Applied Learning Objective: LO2 3) Which of the following patients should have “emotional support and health education” noted on the eKardex? A) A patient with UTI. B) A patient with kidney stones. C) A patient after prostatectomy. D) A patient after cystectomy. Answer: D Diff: 1 Skill: Recall Learning Objective: LO3 4) Which of the following departments would the clinical secretary contact to order a bowel irrigation tray? A) Pharmacy B) Central Supply C) Housekeeping D) Diagnostic Imaging Answer: B Skill: Recall Learning Objective: LO2

Chapter 19 Test Item File

Thompson, 5e

5) Which of the following is the best description of an ileostomy? A) Creation of an artificial opening in the distal part of the small intestine. B) A bowel resection surgery with removal of the ileum. C) Creation of a stoma in the large intestine. D) Resection of whole small intestine. Answer: A Diff: 2 Skill: Recall Learning Objective: LO1 6) Which of the following catheters is suitable for specimen collection? A) Foley catheter B) condom catheter C) suprapubic catheter D) red rubber catheter Answer: C Diff: 1 Skill: Recall Learning Objective: LO4 7) Under which of the following sections on the eKardex will the order for bowel irrigation be listed? A) Clinical Parameters B) Nursing Interventions C) MAR D) Activity Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 8) Which of the following doctor’s orders will be part of postoperative orders for a prostatectomy patient? A) “Irrigate bladder PRN” B) “Emotional support” C) “Insert N/G tube to Gomco suction” D) “Flat enema postop. day 2” Answer: A Diff: 1 Skill: Applied Learning Objective: LO4

Chapter 19 Test Item File

Thompson, 5e

9) Which of the following procedures is done to diagnose colorectal cancer? A) colposcopy B) ERCP C) gastroscopy D) colonoscopy Answer: D Diff: 1 Skill: Recall Learning Objective: LO1 10) Which of the following is the clinical secretary’s best action when the nurse is asking for a specific size nasogastric tube and this size is not available in the unit? A) Bring the size that is available in the unit. B) Take the patient to another unit to get the nasogastric tube done. C) Borrow the correct size from another unit. D) Tell the nurse that this size is not available, and they should try another size. Answer: C Diff: 2 Skill: Applied Learning Objective: LO2 11) Which of the following urine samples is called a (clean catch)? A) 24-hour urine B) midstream urine C) early morning urine D) late evening urine Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 12) The patient will have a gluten intolerance in which of the following diseases? A) gastritis B) ulcerative colitis C) celiac disease D) diverticulitis Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 19 Test Item File

Thompson, 5e

13) Which of the following doctor’s orders is most likely to be written to detect a residual urine? A) “MSU stat” B) “Cystoscopy postop day 2” C) “X-ray bladder” D) “catheterize post voiding, if more than 50 cc, leave catheter” Answer: D Diff: 2 Skill: Applied Learning Objective: LO4 14) Which of the following is the benefit for a postoperative nasogastric suction? A) It stimulates the movement of the gastrointestinal tract. B) It will improve the patient’s elimination patterns. C) It will allow the stomach to rest by removing its contents. D) It will improve the patient’s appetite after the surgery. Answer: C Diff: 1 Skill: Recall Learning Objective: LO2 15) Which of the following is the best description of the condom catheter? A) An external device that fits over the penis and has a drainage tube attached to a closed drainage system. B) A catheter inserted through an incision made in the abdomen to the bladder. C) A catheter with two lumina, once for the urine and the other is used for inflating a small balloon that sits in the bladder. D) A catheter that is inserted into the bladder to drain the urine and then removed. Answer: A Diff: 1 Skill: Recall Learning Objective: LO4 16) Which of the following is the interpretation of the abbreviation “BSP”? A) Bowel sounds perfect B) Bowel sounds present C) Bowel sound pending D) Bowel sounds performed Answer: B Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 19 Test Item File

Thompson, 5e

17) Which of the following catheters will be inserted under general or local anesthesia? A) Foley catheter B) retention catheter C) condom catheter D) suprapubic catheter Answer: D Diff: 1 Skill: Recall Learning Objective: LO4 18) Which of the following is the clinical secretary’s responsibility when the doctor orders a 24hour urine? A) Instruct and help the patient in the urine collection. B) Call the lab to bring the correct container for the collection. C) Ask the patient to collect the urine once every 24 hours. D) Ask the lab to come and collect the sample. Answer: B Diff: 1 Skill: Applied Learning Objective: LO3 19) The doctor’s order “Gravol suppository 50 mg. q4h p.r.n” will appear under A) clinical parameters. B) IV therapy. C) the progress notes. D) the eMAR. Answer: D Diff: 1 Skill: Applied Learning Objective: LO2 20) The doctor ordered MSU for one of the patients on your unit. You should ask the patient to A) collect the early morning urine specimen. B) collect all the urine for a 24-hour period. C) use a sterile technique and collect a midstream urine sample. D) collect a urine sample at the end of the day. Answer: C Diff: 1 Skill: Applied Learning Objective: LO3

Chapter 19 Test Item File

Thompson, 5e

True/False Questions: 1) A water enema is more comfortable to the patient than the Fleet Enema. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 2) The patient who is scheduled for a gastroscopy must be NPO for 8 to 10 hours before the procedure. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 3) There should be a doctor’s order for the nurse to monitor the patient’s elimination pattern. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 4) The patient with ileostomy will have well-formed stools collected in the ileostomy bag. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 5) The urine specimen for routine and micro must be refrigerated. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 6) A catheter size 12 Fr. is smaller than a catheter size 16 Fr. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO4 7) A patient with kidney stones is most likely to have an order for strain all urine. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 19 Test Item File

Thompson, 5e

8) The patient had their surgery on Monday. The doctor’s order was “reduce the dressing day 2”, so this should be done on Tuesday after the surgery. Answer: FALSE Diff: 1 Skill: Applied Learning Objective: LO2 9) Foley catheter is a type of straight catheter. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 10) A patient with Crohn's disease will be intolerant to gluten. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Briefly explain the meaning of bladder irrigation. What are the circumstances in which the doctor will order bladder irrigation, and what are the administrative responsibilities with the bladder irrigation order? Answer: Answers will vary. Diff: 2 Skill: Applied Learning Objective: LO4

Chapter 20 Test Item File

Thompson, 5e

Chapter 20: The Cardiorespiratory Systems Multiple-Choice Questions: 1) Which of the following is the clinical secretary’s responsibilities when the lab is calling with ABGs stat results? A) Repeat the results to the caller and report them to the nurse/physician immediately. B) Put the caller on hold and ask the nurse to take the call instead. C) Do not report the results till you receive a written report by fax or electronically. D) Record the information and place it in the patient pChart. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 2) Mr. Jackson had a cardiac arrest while his wife Mrs. Jackson was visiting. The clinical secretary should A) guide Mrs. Jackson toward the waiting room and try to comfort her. B) ask Mrs. Jackson to wait outside. C) leave Mrs. Jackson in the room so she can support her husband. D) let the nurse speaks with Mrs. Jackson. Answer: A Diff: 2 Skill: Applied Learning Objective: LO5 3) Which of the following is the best description of a crash cart? A) A cart carrying all the medications for the patients on the floor. B) A cart on wheels used by the nurses to enter the patients’ information on the computer. C) A cart located on the patient’s bedside that has all instruments needed for assessment. D) A cart carrying the supplies needed for immediate treatment of a heart attack. Answer: D Diff: 1 Skill: Recall Learning Objective: LO1 4) Which of the following is the most common use of the incentive spirometer? A) To obtain a blood gases sample. B) To motivate the patient to do breathing exercises. C) To help the patient with elimination. D) To assist with the patient's feeding. Answer: B Skill: Recall Learning Objective: LO2

Chapter 20 Test Item File

Thompson, 5e

5) Which of the following should the clinical secretary do if the nurse is asking them to record the information during the cardiopulmonary resuscitation process? A) The clinical secretary should record the information in a neat, clear, and organized way. B) The clinical secretary should refuse to record the information; it is outside the scope of practice. C) The clinical secretary should record all of what they see and hear during the process. D) The clinical secretary should use the cell phone to video record the whole event. Answer: A Diff: 1 Skill: Applied Learning Objective: LO5 6) Which of the following is the clinical secretary’s responsibility when the doctor orders “morning sputum for cytology x3”? A) Deliver three containers to the patient to collect the specimens. B) Note on the patient eKardex that the patient should collect the sample three times a day. C) Clearly indicate on the eKardex that three separate specimens are required and keep track when specimens are collected. D) Label the specimens and send them to the respirology department. Answer: C Diff: 1 Skill: Applied Learning Objective: LO2 7) Orders for a chest assessment will be added to the eKardex under: A) Clinical parameters B) Oxygenation C) Activity D) Nutrition Answer: B Diff: 1 Skill: Recall Learning Objective: LO2 8) Which of the following departments should the clinical secretary contact to book a MIBI scan? A) cardiopulmonary department B) radiology department C) cardiac catheterization lab D) pathology lab Answer: A Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 20 Test Item File

Thompson, 5e

9) Which of the following departments should the clinical secretary contact to book a lung scan? A) Respirology B) Clinical pathology C) Radiology D) Nuclear medicine Answer: D Diff: 1 Skill: Recall Learning Objective: LO2 10) When moving a patient on oxygen in bed, the clinical secretary should A) call the central oxygen supply to disconnect the oxygen from the whole unit. B) make sure to stop the oxygen from the portable oxygen tank. C) remember to disconnect the oxygen tube from the wall unit. D) never move a patient on oxygen. Answer: C Diff: 1 Skill: Applied Learning Objective: LO3 11) Which of the following tests is done without moving the patients to another unit/facility? A) stress test B) ECG C) coronary angiography D) CT scan chest Answer: B Diff: 1 Skill: Applied Learning Objective: LO4 12) Which of the following interventions will require a special consent? A) Chest X-ray B) Arterial blood gases C) Thoracocentesis D) Incentive spirometer Answer: C Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 20 Test Item File

Thompson, 5e

13) Which of the following healthcare professionals should be contacted when the doctor orders DB&C? A) physiotherapist B) respirologist C) phlebotomist D) respiratory therapist Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 14) Which of the following is the clinical secretary’s responsibility if the patient is scheduled for a diagnostic test at another facility? A) Call the patient’s family to come and take the patient to and from the facility. B) Have the patient’s chart ready and go with the patient to the facility. C) Arrange for transportation to and from the facility and obtain a transportation number. D) Call the admission department at the other facility to arrange for the patient admission there. Answer: C Diff: 1 Skill: Applied Learning Objective: LO4 15) Which of the following equipment should the clinical secretary prepare when the doctor orders suction for one of the patients on the floor? A) A catheter, connecting tubing, and portable suction machine. B) A tracheostomy tube and portable suction machine. C) A Foley catheter and an irrigation tray. D) A sterile bundle for catheterization. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 16) The doctor orders “CSM”, which is stands for A) circulation, station, motion B) circulation, sensation, movement C) color, sensation, movement D) calcification, salt, motor Answer: B Diff: 1 Skill: Recall Learning Objective: LO4

Chapter 20 Test Item File

Thompson, 5e

17) Which of the following is the clinical secretary’s responsibility when the doctor orders “ABGs stat”? A) Inform the nurse on the floor to take the sample and take it to the lab urgently. B) Call the lab to send a phlebotomist to come and take the sample right away. C) Send the patient to the lab so they can take the sample there. D) Contact the RT to come and take the blood right away. Answer: D Diff: 1 Skill: Applied Learning Objective: LO2 18) Which of the following is the best interpretation of the doctor’s order “O2 per N/P @ 2L.” A) The patient should receive oxygen therapy by oxygen mask when needed. B) The patient should receive continuous oxygen therapy by nasal prongs at a rate of 2 liters per minute. C) The patient should receive oxygen therapy by nasal prongs at a rate of 3 liters per minute. D) The patient should receive oxygen therapy by mask at a rate of 2 liters per minute. Answer: B Diff: 2 Skill: Applied Learning Objective: LO3 19) Which of the following is the best interpretation of the doctor’s orders “O2 sats bid”? A) The patient must use the spirometer twice a day. B) Arterial blood samples should be taken twice a day. C) Chest X-ray should be done twice a day. D) Pulse oximetry should be done twice a day. Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 20) Which of the following patients will be on anticoagulants? A) Patient with pneumonia B) Patient with COPD C) Patient with atrial fibrillation D) Patient with asthma Answer: C Diff: 1 Skill: Recall Learning Objective: LO1

Chapter 20 Test Item File

Thompson, 5e

True/False Questions: 1) Emphysema is a disease of the heart. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 2) If the doctor orders a lung scan and chest X-ray, chest X-ray should be scheduled prior to the lung scan. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2 3) An incentive spirometer shows the patient’s oxygen levels. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 4) The nasal prongs are suitable for the patient who requires oxygen concentration of more than 40 percent. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 5) Suction through the endotracheal tube is considered a deep suction. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 6) A patient with atrial fibrillation will have lab tests related to anticoagulant therapy. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 7) It is important to record the official time of all the given information during the cardiopulmonary resuscitation. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO5 20-6 Copyright © 2022 Pearson Canada Inc.

Chapter 20 Test Item File

Thompson, 5e

8) The phlebotomist can take the arterial blood sample. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 9) The term “trach care” is referred to tracheostomy care. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 10) The telemetry monitor is available in all patient care units in the hospital. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 Essay Questions: 1) Some of the cardiovascular assessments/interventions might not be available at every facility. List some of these tests/interventions and discuss the administrative responsibilities when the patient will be scheduled to do one of these tests at another facility. Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO4

Chapter 21 Test Item File

Thompson, 5e

Chapter 21: Rest and Activity Multiple-Choice Questions: 1) Which of the following actions will help the patient to get up and move postoperatively? A) physical assistance in getting up B) talking with the patient and convincing them C) administration of analgesic half an hour before the movement D) providing a warm bath to relax the muscles before the movement Answer: C Diff: 1 Skill: Applied Learning Objective: LO1 2) Which of the following doctor’s orders will be written to avoid bed sores? A) “Turn q2h” B) “CBR” C) “BRP” D) “AAT” Answer: A Diff: 2 Skill: Applied Learning Objective: LO2 3) Which of the following patients should NOT be allowed to ambulate on their own? A) Patients who came back from having chest X-ray. B) Patients who are on anticoagulants. C) Patients who have had narcotic analgesics. D) Patients with pneumonia. Answer: C Diff: 1 Skill: Applied Learning Objective: LO1 4) Which of the following are most likely ordered by the doctor or the nurse for patients on prolonged rest to prevent bed sores? A) foot board B) air mattress C) abduction pillow D) Hoyer lift Answer: B Skill: Recall Learning Objective: LO3

Chapter 21 Test Item File

Thompson, 5e

5) Under which part of the eKardex would this doctor’s order “turn q1h” appear? A) Interventions B) Clinical parameters C) ADL D) Nutrition Answer: A Diff: 1 Skill: Applied Learning Objective: LO2 6) Which of the following factors does the physician consider when writing activity orders? A) patient’s sex B) patient’s occupation C) nature of patient's illness D) patient’s insurance Answer: C Diff: 1 Skill: Recall Learning Objective: LO1 7) Which of the following is the clinical secretary’s responsibility when one of the patients brings their own walker to the hospital for their stay? A) Call the patient’s family to come and take the walker back home. B) Clearly label the walker with the patient's name, and keep it in a safe place in the patient’s room. C) Put the walker in a safe storage place as the patient is not allowed to use it during their hospital stay. D) Place the walker in the hallway so whoever needs it will be able to use it. Answer: B Diff: 1 Skill: Applied Learning Objective: LO3 8) Which of the following is the interpretation of the doctor’s order “CBR” A) The patient should not move out of the bed; all eliminations are done in the bed. B) The patient should have best rest but can only go to the bathroom. D) The patient is allowed to move as they want. D) The patient is allowed to move only with assistance. Answer: A Diff: 1 Skill: Applied Learning Objective: LO2

Chapter 21 Test Item File

Thompson, 5e

9) Which of the following devices will help the patient to get in and out of the bed? A) foot boards B) bed cradles C) abduction pillow D) trapeze bar Answer: D Diff: 1 Skill: Recall Learning Objective: LO3 10) Which of the following is the main reason why postoperative patients are encouraged to move as soon as possible? A) To be independent as soon as possible. B) To improve their appetite and their elimination. C) To avoid the complication of prolonged bed rest. D) To be discharged out of the hospital as soon as possible. Answer: C Diff: 2 Skill: Applied Learning Objective: LO2 11) Which of the following devices will help the patient keep their feet in the proper position? A) bed cradles B) foot boards C) anti-embolism stockings D) side rails Answer: B Diff: 1 Skill: Recall Learning Objective: LO3 12) Which of the following is the best description of an abduction pillow? A) A flat pillow used to keep the postoperative patient in position. B) A thick pillow positioned at the patient side to support their arm. C) A wedge-shaped, firm pillow placed between the patient’s legs to keep them apart. D) A plastic-covered round pillow placed under the patient's upper limbs. Answer: C Diff: 1 Skill: Recall Learning Objective: LO3

Chapter 21 Test Item File

Thompson, 5e

13) The doctor orders restraints for Mary, who is one of the patients with dementia. Mary’s daughter is visiting her mother. She was very angry when she saw the restraints and was asking so many questions. Which of the following is the clinical secretary's best response to Mary’s daughter? A) “I am sorry, I will remove the restraints right now.” B) “Your mother is crazy, and we have to do this.” C) “Do not be angry at me, go and talk with the doctor who ordered the restraints.” D) “I know it hurts to see you mother like that, but let me call the nurse who will be able to answer all your questions about the situation.” Answer: D Diff: 2 Skill: Applied Learning Objective: LO2 14) The patient’s eKardex shows “self” under the ADL status. You understand that A) the patient can do their ADL with the assistance of a family member. B) the patient can do their ADL independently. C) the patient can do their ADL with the assistance of the nurse. D) the patient is not able to do any of their ADL, it is all done by the nurse. Answer: B Diff: 1 Skill: Applied Learning Objective: LO4 15) Which of the following is the clinical secretary’s responsibilities when they notice that the side rails are not up for a postoperative patient? A) Let the nurse know immediately. B) Go and put the rail up. C) Ask the patient to put the rail up. D) Write a note in the patient’s chart. Answer: A Diff: 1 Skill: Applied Learning Objective: LO3 16) One of the complications of long periods of bed rest is, A) COPD B) diarrhea C) decubitus ulcer D) congestive heart failure Answer: C Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 21 Test Item File

Thompson, 5e

17) Which of the following is the best description of activities of daily living (ADL). A) Activities that are performed every day to help the patient remain focused and oriented. B) What the patient will do every day to keep themself entertained while staying at the hospital C) The physical activities performed by the patient every day to keep their range of motion. D) Those activities performed every day as a routine part of self-care. Answer: D Diff: 1 Skill: Applied Learning Objective: LO4 18) Which of the following measurements should the clinical secretary report when ordering a pair of anti-embolism stockings? A) height and weight B) diameter of the calf and thigh, and the length of the leg C) diameter of the leg and arm D) weight and range of motion Answer: B Diff: 1 Skill: Applied Learning Objective: LO3 19) Which of the following is the clinical secretary’s best response when one of the postoperative patients is asking for help getting up and going to the washroom? A) “I will be happy to help you.” B) “I will call one of your family members to come and help you.” C) “Please wait few seconds, I will go get the nurse to help you.” D) “You can call the nurse to help you.” Answer: D Diff: 2 Skill: Applied Learning Objective: LO1 20) Mr. Jackson was diagnosed with stroke, which of the following therapists should the clinical secretary contact to help Mr. Jackson with his mobility? A) massage therapist B) physiotherapist C) respiratory therapist D) speech therapist Answer: B Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 21 Test Item File

Thompson, 5e

True/False Questions: 1) The doctor’s order “CBR” will allow the patient to get up and sit in a geri chair. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO2 2) Patients are encouraged to get up and move as soon as possible after surgeries. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO1 3) Anti-embolism stockings help to prevent bed sores and pressure ulcers. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 4) Nurses should assist all patients with their ADL regardless of their mobility levels. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO4 5) Geri chair is an assistive device that helps the patient to keep their legs apart. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 6) Hoyer lifts are most commonly seen at long term care facilities. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 7) The patient could move whatever they want if the doctor’s order is “AAT”. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO2

Chapter 21 Test Item File

Thompson, 5e

8) It is recommended to transport patients within the hospital in a wheelchair regardless of their level of mobility. Answer: TRUE Diff: 1 Skill: Recall Learning Objective: LO3 9) All hospitalized patients should have both side rails up. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO3 10) The provincial/territorial plan will cover the cost of all the physiotherapist visits to the patient’s home if this is part of the patient’s rehabilitation plan. Answer: FALSE Diff: 1 Skill: Recall Learning Objective: LO1 Essay Questions: 1) Explain the meaning of activities of daily living (ADL). Discuss how ADL are affected by hospitalization and surgery. What are the different ADL statuses that can be on the eKardex? Answer: Answers will vary. Diff: 1 Skill: Applied Learning Objective: LO4

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