Page 9 - ractice Exam Questions and rationales

Medicaid health insurance claim form. A HIPAA waiver is associated with the privacy and
protection of health care records. An advanced directive (a.k.a. living will) is a document
outlining the patient's wishes regarding treatment to prolong life.
The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood
Culture, and BMP. When using the evacuated tube method for venipuncture, in which of the
following orders should the tubes be drawn?

A. red top, blood culture, lavender top

B. lavender top, red top, blood culture

C. blood culture, lavender top, gray top

D. blood culture, red top, lavender top

Your response:
blood culture, red top, lavender top
Correct response:
blood culture, red top, lavender top
Rationale: To assure the accuracy of patient test results, evacuated tubes must be filled in a
particular order. Contamination of the blood by the needle entering a stopper or by contact with
additives in the tubes can cause erroneous patient test results, leading to improper diagnosis and
treatment of the patient. In this case, the Blood Culture should be collected first, followed by the
BMP (red top), then the CBC (lavender top).
The medical assistant demonstrates proper handling of sharps containers by doing which of the
following?

A. Discard the sharps container in a biohazard waste container when it is two-thirds full.

B. Inspect the sharps container to ensure that only sharps have been deposited.

C. Seal the sharps container and place in the regular waste container.

D. Empty half full sharps containers into a larger container to maintain cost effectiveness.

Your response:
Discard the sharps container in a biohazard waste container when it is two-thirds full.
Correct response:
Discard the sharps container in a biohazard waste container when it is two-thirds full.
Rationale: Sharps containers hold sharp biohazardous materials and must be sealed and
incinerated upon disposal. OSHA (Occupational Safety and Health Administration) mandates
that sharps containers be replaced on a routine basis and not be overfilled. Discard sharps
containers before they are full to prevent overfilling, which could result in accidental injury or
exposure from overflow.
A physician’s office is about to convert from paper format to an electronic format. The office
manager has implemented a Medical Practice Management Program. Which of the following is