Page 60 - ractice Exam Questions and rationales
P. 60

D. proximal to the skin crease located at the first joint on the fingertip

                Your response:
                slightly to the side of the center of the fingertip
                Correct response:
                slightly to the side of the center of the fingertip
                Rationale: Capillary blood from the finger is one of the best sources from which to obtain
                certain samples, such as those needed for blood sugar readings. To ensure adequate blood flow
                and prevent injury, the proper approach is to utilize the middle or ring finger of the patient's non-
                dominant hand; the sides of the finger have better blood flow and are not as painful as the pad
                (center) or the actual distal end of the finger. The skin crease at the first joint would not provide
                adequate blood and could cause more pain and/or injury, therefore this area should be avoided
                during a finger stick.
                In most cultures in the United States, when a medical assistant is speaking with a patient,
                making direct eye contact encourages


                   A. open communication

                   B. emotional reasoning


                   C. a subordinate relationship

                   D. control of the conversation


                Your response:
                open communication
                Correct response:
                open communication
                Rationale: Open communication is the best way to get an honest exchange with patients.
                Perceived negative body language may be viewed as a defense mechanism or communication
                barrier. If the patient is relaxed , the communication process will be a more pleasant exchange. It
                is advisable to visit without indication of "control" or "submissive" behavior by either person.
                A clean-catch midstream urinalysis is ordered for a female patient to rule out a urinary tract
                infection.  The medical assistant should instruct the patient before urinating in the specimen cup
                to wipe using antiseptic towelettes


                   A. from front to back.

                   B. from back to front.


                   C. in concentric circles.

                   D. back and forth.


                Your response:
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