TEST BANK
Clinical Procedures for Medical Assistants
Kathy Bonewit-West, BS, MEd
11th Edition
,Table of Contents
Chapter 01 The Medical Record and Health History 1
Chapter 02 Medical Asepsis and the OSHA Standard 10
Chapter 03 Sterilization and Disinfection 21
Chapter 04 Vital Signs 31
Chapter 05 The Physical Examination 50
Chapter 06 Eye and Ear Assessment and Procedures 59
Chapter 07 Physical Agents to Promote Tissue Healing 68
Chapter 08 The Gynecologic Examination and Prenatal Care 76
Chapter 09 The Pediatric Examination 94
Chapter 10 Minor Office Surgery 102
Chapter 11 Administration of Medication and Intravenous Therapy 115
Chapter 12 Cardiopulmonary Procedures 132
Chapter 13 Colorectal and Male Reproductive Tests and Procedures 145
Chapter 14 Radiology and Diagnostic Imaging 153
Chapter 15 Introduction to the Clinical Laboratory 162
Chapter 16 Urinalysis 171
Chapter 17 Phlebotomy 181
Chapter 18 Hematology 192
Chapter 19 Blood Chemistry and Immunology 202
Chapter 20 Medical Microbiology 212
Chapter 21 Nutrition 221
Chapter 22 Emergency Preparedness and Protective Practices 236
Chapter 23 Emergency Medical Procedures and First Aid 243
,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
Chapter 01: The Medical Record and Health History
Bonewit-West: Clinical Procedures for Medical Assistants, 11th Edition
MULTIPLE CHOICE
1. Which of the following is not a function of the medical record?
a. To provide information for making decisions regarding the patient’s care
b. To document the patient’s progress
c. To serve as a legal document
d. To share information between members of the patient’s family
ANS: D REF: CAAHEP Competency: VI.6
2. What information is contained in the medical record?
a. Health history report
b. Physical examination report
c. Laboratory reports
d. Progress notes
e. All of these
ANS: E REF: CAAHEP Competency: VI.6
3. The purpose of the HIPAA Privacy Rule is to
a. Reduce exposure of patients to bloodborne pathogens.
b. Provide patients with better control over the use and disclosure of their health
information.
c. Prevent the patient’s records from being copied.
d. Encourage the patient to become more involved in preventive health care.
ANS: B REF: CAAHEP Competency: X.3
4. All of the following are characteristics of the Notice of Privacy Practices except:
a. Was developed by the American Medical Association
b. Must explain how a patient’s health information will be used and protected by the
medical office
c. Must be provided to each patient
d. Must obtain a signed acknowledgement from the patient that he/she has received
an NPP
ANS: A REF: CAAHEP Competency: X.3
5. Health information in any form that contains patient identifiable information is known as
a. PHI
b. NPP
c. OSHA
d. HIPAA
ANS: A REF: CAAHEP Competency: V.8.b.
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Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
6. In which of the following situations does HIPAA not require written consent for the use or
disclosure of protected health information?
a. Patient referral to a specialist
b. Emergency care provided at a hospital
c. Determination of eligibility for insurance benefits
d. Training of health care students
e. All of these
ANS: E REF: CAAHEP Competency: X.3
7. Which of the following is not an example of a medical office clinical document?
a. Patient registration record
b. Physical examination report
c. Medication record
d. Health history report
ANS: A REF: CAAHEP Competency: VI.6
8. Which of the following is not a characteristic of a laboratory report?
a. It relays results of laboratory tests to the provider.
b. It consists of a report of the analysis or examination of body specimens.
c. It assists in diagnosing and treating disease.
d. It is a request for laboratory tests to be performed by an outside laboratory.
ANS: D REF: CAAHEP Competency: I.8.d. | CAAHEP Competency: V.8.a.
9. Which of the following is an example of a diagnostic procedure report?
a. Electrocardiogram report
b. Physical therapy report
c. Urinalysis report
d. Pathology report
ANS: A REF: CAAHEP Competency: I.8.d.
10. What is the name of the type of report that documents the assessments and treatments
designed to restore a patient’s ability to function?
a. Consultation report
b. Diagnostic procedure report
c. Pathology report
d. Therapeutic service report
ANS: D REF: CAAHEP Competency: V.8.a.
11. Which of the following is not an example of a hospital report?
a. Operative report
b. Cytology report
c. Discharge summary report
d. Emergency department report
ANS: B REF: CAAHEP Competency: VI.6
12. Which of the following is an example of a consent document?
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Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
a. Patient registration record
b. Notice of Privacy Practices form
c. Release of medical information form
d. Patient instruction sheet
ANS: C REF: CAAHEP Competency: X.13.a.
13. Which of the following can be performed by an EHR software program?
a. Creation of a medical record
b. Storage of a medical record
c. Editing of a medical record
d. Retrieval of a medical record
e. All of these
ANS: E REF: CAAHEP Competency: VI.6
14. All of the following are advantages of an electronic health record (EHR) except:
a. An EHR does not have to be filed.
b. Documents in an EHR can be quickly retrieved.
c. Paper costs are reduced.
d. EMRs are exempt from the HIPAA regulations.
ANS: D REF: CAAHEP Competency: VI.6
15. Which of the following are used to enter data into an EHR?
a. Free-text entry
b. Drop-down menus
c. Radio buttons
d. All of these
ANS: D REF: CAAHEP Competency: VI.6
16. Which of the following is not a characteristic of a patient portal?
a. It is a secure online website.
b. Provides patients with 24-hour access to their personal health information.
c. Patients can access health information on family members.
d. Patients can view and print their health information.
ANS: C REF: CAAHEP Competency: V.7
17. Which of the following tasks can be performed by a patient using a patient portal?
a. Request prescription refills
b. Check benefits and coverage
c. Complete forms
d. Update contact information
e. All of these
ANS: E REF: CAAHEP Competency: V.7
18. All of the following assist in the collection of data for a health history except:
a. A quiet, comfortable room
b. Showing interest in the patient
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Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
c. Showing concern for the patient
d. Calling the patient “honey”
ANS: D REF: CAAHEP Competency: V.4
19. Which of the following can be used to enter a health history into an EHR?
a. The patient completes a paper form and the medical assistant scans it into the
computer.
b. The medical assistant enters information into the computer while asking the patient
questions.
c. The patient completes a health history questionnaire on a computer.
d. All of these.
ANS: D REF: CAAHEP Competency: V.7
20. What is a health history?
a. A legal document required to perform certain procedures on a patient
b. Documentation of the results of the physical examination
c. A collection of subjective data about the patient
d. A narrative description and interpretation of a diagnostic procedure
ANS: C REF: CAAHEP Competency: V.8.a.
21. The health history is taken
a. After the provider performs the physical examination.
b. After laboratory test results are reviewed.
c. Before the provider performs the physical examination.
d. After the provider makes a diagnosis of the patient’s condition.
ANS: C REF: CAAHEP Competency: I.11
22. What is the chief complaint?
a. The probable outcome of the patient’s condition
b. The symptom causing the patient the most trouble
c. A detailed description of the patient’s illness using medical terms
d. A tentative diagnosis of the patient’s condition
ANS: B REF: CAAHEP Competency: V.8.a.
23. Which of the following questions should be used to elicit the chief complaint from a
patient?
a. Where does it hurt?
b. Are you sick?
c. How long have you been ill?
d. What seems to be the problem?
e. All of these
ANS: D REF: CAAHEP Competency: V.1
24. Which of the following is a correct example for documenting the chief complaint?
a. “Complains of pain in the left shoulder”
b. “The patient does not feel well today”
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Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
c. “Burning in the chest and coughing for the past 2 days”
d. “Otitis media that began following a cold”
ANS: C REF: CAAHEP Competency: V.12
25. An expansion of the chief complaint is known as the
a. Review of systems.
b. Present illness.
c. Progress report.
d. Provisional diagnosis.
ANS: B REF: CAAHEP Competency: V.8.a.
26. What is the past medical history?
a. A review of the patient’s past medical status
b. A description of the patient’s symptoms
c. Information about the patient’s lifestyle
d. The hereditary diseases and health of blood relatives
ANS: A REF: CAAHEP Competency: V.8.a.
27. All of the following are included in the past medical history except:
a. Accidents and injuries
b. Immunizations
c. Hospitalizations and operations
d. Current medications
e. Occupation
ANS: E REF: CAAHEP Competency: VI.6
28. A review of the health status of blood relatives is known as the
a. Family history.
b. Review of systems.
c. Genetic review.
d. Chronological history.
ANS: A REF: CAAHEP Competency: V.8.a.
29. Which of the following is an example of a familial disease?
a. Tuberculosis
b. Pneumonia
c. Diabetes mellitus
d. Emphysema
ANS: C REF: CAAHEP Competency: V.8.a.
30. The social history focuses on which of the following?
a. Patient’s lifestyle
b. Familial diseases
c. Past injuries
d. Medications being taken by the patient
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, ______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
ANS: A REF: CAAHEP Competency: VI.6
31. All of the following are included in the social history except:
a. Dietary history
b. Health habits
c. Occupation
d. Chronic illnesses
ANS: D REF: CAAHEP Competency: VI.6
32. What is the ROS?
a. A history of the patient’s previous diseases, injuries, and operations
b. The symptom causing the patient the most trouble
c. A systematic review of each body system
d. A review of the hereditary diseases and health of blood relatives
ANS: C REF: CAAHEP Competency: V.8.a.
33. What term is used to describe the process of recording information about a patient in the
medical record?
a. Documenting
b. Registration
c. Scribbling
d. Classifying
ANS: A REF: CAAHEP Competency: V.8.a.
34. All of the following must be performed when documenting in the medical record except:
a. Check the name and DOB on the medical record before making an entry.
b. Include the patient’s full name at the beginning of each entry.
c. Begin each phrase with a capital letter and end with a period.
d. Never document for someone else.
ANS: B REF: CAAHEP Competency: I.11
35. A procedure should be documented immediately after being performed to
a. Avoid documenting the procedure out of sequence.
b. Avoid performing the wrong procedure on a patient.
c. Avoid forgetting certain aspects of the procedure.
d. Prevent another staff member from documenting the procedure.
ANS: C REF: CAAHEP Competency: I.11
36. Black ink should be used when documenting in the PPR to
a. Provide a permanent record.
b. Ensure legible handwriting.
c. Avoid spelling errors.
d. Reduce documentation errors.
ANS: A REF: CAAHEP Competency: I.11
37. Which of the following is the correct way to sign a documentation entry?
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Clinical Procedures for Medical Assistants
Kathy Bonewit-West, BS, MEd
11th Edition
,Table of Contents
Chapter 01 The Medical Record and Health History 1
Chapter 02 Medical Asepsis and the OSHA Standard 10
Chapter 03 Sterilization and Disinfection 21
Chapter 04 Vital Signs 31
Chapter 05 The Physical Examination 50
Chapter 06 Eye and Ear Assessment and Procedures 59
Chapter 07 Physical Agents to Promote Tissue Healing 68
Chapter 08 The Gynecologic Examination and Prenatal Care 76
Chapter 09 The Pediatric Examination 94
Chapter 10 Minor Office Surgery 102
Chapter 11 Administration of Medication and Intravenous Therapy 115
Chapter 12 Cardiopulmonary Procedures 132
Chapter 13 Colorectal and Male Reproductive Tests and Procedures 145
Chapter 14 Radiology and Diagnostic Imaging 153
Chapter 15 Introduction to the Clinical Laboratory 162
Chapter 16 Urinalysis 171
Chapter 17 Phlebotomy 181
Chapter 18 Hematology 192
Chapter 19 Blood Chemistry and Immunology 202
Chapter 20 Medical Microbiology 212
Chapter 21 Nutrition 221
Chapter 22 Emergency Preparedness and Protective Practices 236
Chapter 23 Emergency Medical Procedures and First Aid 243
,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
Chapter 01: The Medical Record and Health History
Bonewit-West: Clinical Procedures for Medical Assistants, 11th Edition
MULTIPLE CHOICE
1. Which of the following is not a function of the medical record?
a. To provide information for making decisions regarding the patient’s care
b. To document the patient’s progress
c. To serve as a legal document
d. To share information between members of the patient’s family
ANS: D REF: CAAHEP Competency: VI.6
2. What information is contained in the medical record?
a. Health history report
b. Physical examination report
c. Laboratory reports
d. Progress notes
e. All of these
ANS: E REF: CAAHEP Competency: VI.6
3. The purpose of the HIPAA Privacy Rule is to
a. Reduce exposure of patients to bloodborne pathogens.
b. Provide patients with better control over the use and disclosure of their health
information.
c. Prevent the patient’s records from being copied.
d. Encourage the patient to become more involved in preventive health care.
ANS: B REF: CAAHEP Competency: X.3
4. All of the following are characteristics of the Notice of Privacy Practices except:
a. Was developed by the American Medical Association
b. Must explain how a patient’s health information will be used and protected by the
medical office
c. Must be provided to each patient
d. Must obtain a signed acknowledgement from the patient that he/she has received
an NPP
ANS: A REF: CAAHEP Competency: X.3
5. Health information in any form that contains patient identifiable information is known as
a. PHI
b. NPP
c. OSHA
d. HIPAA
ANS: A REF: CAAHEP Competency: V.8.b.
______________________________________________________________________________________________
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,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
6. In which of the following situations does HIPAA not require written consent for the use or
disclosure of protected health information?
a. Patient referral to a specialist
b. Emergency care provided at a hospital
c. Determination of eligibility for insurance benefits
d. Training of health care students
e. All of these
ANS: E REF: CAAHEP Competency: X.3
7. Which of the following is not an example of a medical office clinical document?
a. Patient registration record
b. Physical examination report
c. Medication record
d. Health history report
ANS: A REF: CAAHEP Competency: VI.6
8. Which of the following is not a characteristic of a laboratory report?
a. It relays results of laboratory tests to the provider.
b. It consists of a report of the analysis or examination of body specimens.
c. It assists in diagnosing and treating disease.
d. It is a request for laboratory tests to be performed by an outside laboratory.
ANS: D REF: CAAHEP Competency: I.8.d. | CAAHEP Competency: V.8.a.
9. Which of the following is an example of a diagnostic procedure report?
a. Electrocardiogram report
b. Physical therapy report
c. Urinalysis report
d. Pathology report
ANS: A REF: CAAHEP Competency: I.8.d.
10. What is the name of the type of report that documents the assessments and treatments
designed to restore a patient’s ability to function?
a. Consultation report
b. Diagnostic procedure report
c. Pathology report
d. Therapeutic service report
ANS: D REF: CAAHEP Competency: V.8.a.
11. Which of the following is not an example of a hospital report?
a. Operative report
b. Cytology report
c. Discharge summary report
d. Emergency department report
ANS: B REF: CAAHEP Competency: VI.6
12. Which of the following is an example of a consent document?
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
a. Patient registration record
b. Notice of Privacy Practices form
c. Release of medical information form
d. Patient instruction sheet
ANS: C REF: CAAHEP Competency: X.13.a.
13. Which of the following can be performed by an EHR software program?
a. Creation of a medical record
b. Storage of a medical record
c. Editing of a medical record
d. Retrieval of a medical record
e. All of these
ANS: E REF: CAAHEP Competency: VI.6
14. All of the following are advantages of an electronic health record (EHR) except:
a. An EHR does not have to be filed.
b. Documents in an EHR can be quickly retrieved.
c. Paper costs are reduced.
d. EMRs are exempt from the HIPAA regulations.
ANS: D REF: CAAHEP Competency: VI.6
15. Which of the following are used to enter data into an EHR?
a. Free-text entry
b. Drop-down menus
c. Radio buttons
d. All of these
ANS: D REF: CAAHEP Competency: VI.6
16. Which of the following is not a characteristic of a patient portal?
a. It is a secure online website.
b. Provides patients with 24-hour access to their personal health information.
c. Patients can access health information on family members.
d. Patients can view and print their health information.
ANS: C REF: CAAHEP Competency: V.7
17. Which of the following tasks can be performed by a patient using a patient portal?
a. Request prescription refills
b. Check benefits and coverage
c. Complete forms
d. Update contact information
e. All of these
ANS: E REF: CAAHEP Competency: V.7
18. All of the following assist in the collection of data for a health history except:
a. A quiet, comfortable room
b. Showing interest in the patient
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
c. Showing concern for the patient
d. Calling the patient “honey”
ANS: D REF: CAAHEP Competency: V.4
19. Which of the following can be used to enter a health history into an EHR?
a. The patient completes a paper form and the medical assistant scans it into the
computer.
b. The medical assistant enters information into the computer while asking the patient
questions.
c. The patient completes a health history questionnaire on a computer.
d. All of these.
ANS: D REF: CAAHEP Competency: V.7
20. What is a health history?
a. A legal document required to perform certain procedures on a patient
b. Documentation of the results of the physical examination
c. A collection of subjective data about the patient
d. A narrative description and interpretation of a diagnostic procedure
ANS: C REF: CAAHEP Competency: V.8.a.
21. The health history is taken
a. After the provider performs the physical examination.
b. After laboratory test results are reviewed.
c. Before the provider performs the physical examination.
d. After the provider makes a diagnosis of the patient’s condition.
ANS: C REF: CAAHEP Competency: I.11
22. What is the chief complaint?
a. The probable outcome of the patient’s condition
b. The symptom causing the patient the most trouble
c. A detailed description of the patient’s illness using medical terms
d. A tentative diagnosis of the patient’s condition
ANS: B REF: CAAHEP Competency: V.8.a.
23. Which of the following questions should be used to elicit the chief complaint from a
patient?
a. Where does it hurt?
b. Are you sick?
c. How long have you been ill?
d. What seems to be the problem?
e. All of these
ANS: D REF: CAAHEP Competency: V.1
24. Which of the following is a correct example for documenting the chief complaint?
a. “Complains of pain in the left shoulder”
b. “The patient does not feel well today”
______________________________________________________________________________________________
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,______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
c. “Burning in the chest and coughing for the past 2 days”
d. “Otitis media that began following a cold”
ANS: C REF: CAAHEP Competency: V.12
25. An expansion of the chief complaint is known as the
a. Review of systems.
b. Present illness.
c. Progress report.
d. Provisional diagnosis.
ANS: B REF: CAAHEP Competency: V.8.a.
26. What is the past medical history?
a. A review of the patient’s past medical status
b. A description of the patient’s symptoms
c. Information about the patient’s lifestyle
d. The hereditary diseases and health of blood relatives
ANS: A REF: CAAHEP Competency: V.8.a.
27. All of the following are included in the past medical history except:
a. Accidents and injuries
b. Immunizations
c. Hospitalizations and operations
d. Current medications
e. Occupation
ANS: E REF: CAAHEP Competency: VI.6
28. A review of the health status of blood relatives is known as the
a. Family history.
b. Review of systems.
c. Genetic review.
d. Chronological history.
ANS: A REF: CAAHEP Competency: V.8.a.
29. Which of the following is an example of a familial disease?
a. Tuberculosis
b. Pneumonia
c. Diabetes mellitus
d. Emphysema
ANS: C REF: CAAHEP Competency: V.8.a.
30. The social history focuses on which of the following?
a. Patient’s lifestyle
b. Familial diseases
c. Past injuries
d. Medications being taken by the patient
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Clinical Procedures for Medical Assistants, 11th Edition (Bonewit-West, 2024)
ANS: A REF: CAAHEP Competency: VI.6
31. All of the following are included in the social history except:
a. Dietary history
b. Health habits
c. Occupation
d. Chronic illnesses
ANS: D REF: CAAHEP Competency: VI.6
32. What is the ROS?
a. A history of the patient’s previous diseases, injuries, and operations
b. The symptom causing the patient the most trouble
c. A systematic review of each body system
d. A review of the hereditary diseases and health of blood relatives
ANS: C REF: CAAHEP Competency: V.8.a.
33. What term is used to describe the process of recording information about a patient in the
medical record?
a. Documenting
b. Registration
c. Scribbling
d. Classifying
ANS: A REF: CAAHEP Competency: V.8.a.
34. All of the following must be performed when documenting in the medical record except:
a. Check the name and DOB on the medical record before making an entry.
b. Include the patient’s full name at the beginning of each entry.
c. Begin each phrase with a capital letter and end with a period.
d. Never document for someone else.
ANS: B REF: CAAHEP Competency: I.11
35. A procedure should be documented immediately after being performed to
a. Avoid documenting the procedure out of sequence.
b. Avoid performing the wrong procedure on a patient.
c. Avoid forgetting certain aspects of the procedure.
d. Prevent another staff member from documenting the procedure.
ANS: C REF: CAAHEP Competency: I.11
36. Black ink should be used when documenting in the PPR to
a. Provide a permanent record.
b. Ensure legible handwriting.
c. Avoid spelling errors.
d. Reduce documentation errors.
ANS: A REF: CAAHEP Competency: I.11
37. Which of the following is the correct way to sign a documentation entry?
______________________________________________________________________________________________
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