NHA CET Test #3 QUESTIONS AND ANSWERS ALREADY PASSED

Identifying the patient - CORRECT ANS The Joint Commission mandates using two identifiers to verify each patient's identity before performing any procedure. Ask the patient to state at least two of the following acceptable identifiers: the patient's full name, date of birth, home address, telephone number, or Social Security number (not often used for security reasons). Compare what the patient says to the information on the test request. The patient can also produce a photo identification card (driver's license, passport, student badge, employment card or badge), and you can compare it with the corresponding information on the form. Preparing the patient - CORRECT ANS Before performing an EKG, gather pertinent medical, social, surgical, and medication history from the patient. Diseases, prior surgical procedures, and medications can all affect the EKG tracing and must be documented. Gathering patient history - CORRECT ANS Interviewing the patient and gathering pertinent health history is an important responsibility of the EKG technician. This can provide clues to help providers form an accurate diagnosis. Patient history includes social history, medical history, surgical history, and a complete list of current medications. Social history can help to determine the patient's risk for many cardiac conditions. Medical history includes information about previous acute conditions, ongoing chronic conditions, and any current signs or symptoms. Social history - CORRECT ANS Example questions include the following. ⦁ Does the patient smoke? If so, how many packs per day? If the patient quit smoking, how long ago did they quit? ⦁ Does the patient drink alcohol or use drugs? How much? What kind? ⦁ Does the patient lead a stressful life? Have they experienced any major life changes (caring for a sick loved one, divorce, unemployment, relocation)? What does the patient do to cope with stress? ⦁ Does the patient exercise? If so, how often and what type of exercise do they do? ⦁ What does the patient eat? Do they consume high amounts of fat, sodium, or caffeine? ⦁ What is the patient's work environment? Are they exposed to chemicals or required to wear a respirator? ⦁ What is the patient's support system like, such as family and friends whom the patient can turn to for help? ⦁ Is the patient married and do they have children? Medical history - CORRECT ANS Example questions include the following. ⦁ Does the patient have pertinent previous medical conditions, including hospitalizations and illnesses? ⦁ Does the patient have a history of heart attack, stroke, aneurysm, murmurs, endocarditis, pulmonary embolism, or deep vein thrombosis? ⦁ Does the patient have chronic conditions (heart failure, hypertension, hyperlipidemia, hyperglycemia or diabetes, COPD, cardiac arrhythmias, obesity)? ⦁ Is the patient pregnant? ⦁ Does the patient have allergies, including drug, food, and environmental allergies? ⦁ What current symptoms is the patient experiencing? Use the mnemonic OPQRST (onset, provocation, quality, radiation, severity, time) to get a description of the symptom. If the patient reports chest pain, ask what they were doing when it began; what relieves or worsens it; if it is sharp, burning, or dull; how severe it is; and how long ago it began. ⦁ Has the patient experienced any of the following symptoms? $ Chest pain $ Shortness of breath $ Swelling of the legs and feet $ Palpitations or racing heart $ Fluttering or sensations of skipping beats $ Fainting $ Fatigue or weakness $ Pallor $ Coughing up blood $ Pain in limbs, jaw, or between shoulder blades $ Indigestion/heartburn not associated with eating