1) A patient enters the office and lets a medical assistant know the handrail outside the office door is loose. Which of the following actions should the assistant take? a) Thank the patient and let the supervisor know immediately so it can be fixed b) Thank the patient for the information and let the supervisior know when the assistant has time c) Thank the patient for the information and write a note to let maintenance know at the end of the day so they can fix it. d) Thank the patient for the information and make no changes, since the patient may or may not be correct about the state of the handrail. 2) A patient who had a stroke has left-sided weakness and uses a cane to ambulate. Which of the following actions should the medical assistant take to ensure the patient's safety? a) Stay with the patient until the provider comes into the examination room. b) Set the patient's cane against the examination table so it does not obstruct the patient's path c) Assist the patient onto the examination table. d) Wait until the provider is ready to call the patient into the examination room. 3) A patient states they have smoked a pack of cigarettes every day for the past 20 years. In which section of the patient's medical record should the medical assistant document this information? a) Family history b) Social history c) Past medical history d) Occupational history 4) A medical assistant enters a patient's examination room to administer a pneumococcal vaccination. Which of the following identifiers should the assistant use to verify the patient? a) Name and address b) Name and Social Security number c) Name and mother's maiden name d) Name and date of birth 5) Which of the following is found in the demographic section of a patient's medical record and needs verification at the beginning of each visit? a) Medications b) Address c) Medical record number d) Diagnosis codes 6) A patient states, "It burns when I urinate," when asked the reason for their visit. In which of the following sections of the patient's medical record should the medical assistant document this information? a) Review of systems b) Chief complaint c) Past medical history d) Social history 7) A 21-year-old patient arrives at the office and reports lower abdominal pain. During the patient interview process, the patient seems to have difficulty concentrating and appears to have a sense of panic. Which of the following should the medical assistant identify as a potential cause of their behavior? a) Depression b) Dementia c) Aggression d) Anxiety 8) A patient states they work in construction and that their primary job is breaking up concrete with jack hammers. In which of the following sections of the patient's medical record should the medical assistant document this information? a) Medical history b) Chief complaint c) Occupational history d) Social history 9) A patient's blood pressure is 136/84 mm Hg. The medical assistant should identify that this blood pressure reading falls into which of the following categories? a) Normal b) Stage 1 hypertension c) Elevated d) Hypertensive crisis 10) A stethoscope is typically placed over which of the following arteries when blood pressure is auscultated? a) Femoral b) Radial c) Brachial d) Carotid 11) A 64-year-old patient arrives at the office and reports frequent dizzy spells. After completing routine vital signs, which of the following actions should the medical assistant take next? a) Perform a pulse oximetry. b) Recheck body temperature. c) Perform orthostatic vital signs. d) Assess pain level. 12) A 7-year-old patient reports feeling "hot and sweaty." After taking the patient's oral temperature, a medical assistant documents a temperature that falls within the expected range for their age. Which of the following numbers should the assistant expect to see? a) 36° C (96.8° F) b) 37.6° C (99.7° F) c) 38.9° C (102° F) d) 37° C (98.6° F) 13) A 3-year-old child is being seen for ear pain. Which of the following should be used to obtain the child's temperature? a) Axillary b) Oral c) Tympanic d) Temporal artery 14) A medical assistant should identify that a patient who has a body mass index (BMI) greater than 30 falls into which of the following categories? a) Underweight b) Normal c) Overweight d) Obese 15) Which of the following methods should a medical assistant use to help patients feel comfortable about having their weight measured in the office? a) Reassure them that their weight is at a healthy level. b) Allow them to weigh themselves at home and bring the results into the office. c) Let them keep their shoes and outerwear on during the weighing process. d) Place the scale in a private area within the office. 16) A medical assistant is obtaining a patient's vital signs. After measuring the heart rate, the assistant documents 50/min. Which of the following terms best describes this? a) Hypotension b) Bradycardia c) Tachypnea d) Tachycardia 17) Which of the following vital signs for a 67-year-old patient is outside the expected reference range? a) Temperature 36.5º C (97.8º F), heart rate 106/min, respiratory rate 20/min, BP 116/74 mm Hg b) Temperature 37º C (98.6º F), heart rate 98/min, respiratory rate 14/min, BP 118/78 mm Hg c) Temperature 36.7º C (98.2º F), heart rate 98/min, respiratory rate 20/min, BP 114/76 mm Hg d) Temperature 37.0º C (98.6º F), heart rate 88/min, respiratory rate 18/min, BP 108/78 mm Hg 18) A 35-year-old established patient is in the office for an annual checkup. They report feeling great, and they appear to be in good physical condition. According to office policy, a medical assistant should check their blood pressure using the aneroid sphygmomanometer and temperature using an axillary thermometer. Their vital signs are BP 118/88 mm Hg, respiratory rate 16/min, temperature 39.1° C (102.4° F), heart rate 62/min. Given these vitals, which of the following steps should the assistant take next? a) Recheck the blood pressure using an electronic sphygmomanometer. b) Notify the provider of the patient's elevated temperature c) Measure their temperature again with a different type of thermometer d) Ask the patient if they have had anything hot or cold to drink within the last hour. 19) Which of the following manifestations should a medical assistant expect to see in a patient who has COPD? a) Orthopnea b) Weight gain c) Hypotension d) Bradycardia 20) Which of the following methods should a medical assistant use to obtain a weight measurement from a patient who uses a walker and has balance concerns? a) Use a scale with built-in handrails. b) Ask the patient to report their approximate weight. c) Place the patient's walker over the scale. d) Help the patient onto the scale and assure them they only need to stand for a few seconds.

NHA: Patient Intake and Vitals

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