Vital Signs
Chief Complaint
SAMPLE, QRST
Documentation Standards
Critical thinking
100

List the vital signs

pulse, respiration, blood pressure, pain level, oxygen saturation

100

What Is triage

Assessing the patient by asking specific questions to determine their needs and urgency

100

What Is The Most Appropriate Action When Making An Error In A Paper Medical Chart

Draw a single line through error, write correct entry and sign initials and date

100

The "S" In SOAP representing what the patient tells you

Subjective

100

A patient comes in with chest pain, while another comes in for a routine flu shot. Who would you assist first?

The patient with chest pain due to the immediate threat for a potential heart attack.

200

Normal Temperature range 

34.8-37.5 C

96.4-99.5

200

What Is The Purpose Of a Chief Complaint

To find out the reason the patient is being seen

200

What Is NOT A Purpose For Patient Medical History

Allows for patient to help with diagnosis

200

What program was established by HIPPA to combat fraud and abuse committed against all health plans both public and private 

Health care fraud and abuse control program

200

A patient comes in to get their medication administered, the MA is unfamiliar with the drug, what should the MA do 

The MA should let the supervisor know and look up the drug reference

300

Normal Pulse Range

60-100 bpm

300
What Is Discussed In the Chief Complaint

The symptoms causing the patient most trouble

300

When asking patient questions in the history interview what is most important

The patient understands each question

300

A federal law protecting patient health information

HIPPA

300

If a patient has parkinson's disease and has difficulty controlling tremors in their hand, what should you do if you're measuring their pulse 

Measure at a site less affected by this motion 

400

Normal respiration

12-20 breaths per minute

400

What Happens If Patient Won't Cooperate

Use chain of command

400

What is medical problems of siblings and patients called 

Family history

400

What is the privacy rule used for

To address the use and disclosure of individuals health care information 

400

You have a patient an injection and notice that there is no sharps container in the room what you should do 

Make sure the needle is capped or covered and find a sharps container then toss it in the sharps container

500

Normal Blood Pressure Range

110/65-130/80

500

What Type Of Questions Should You Ask

open ended questions

500

What is not included in patient's medical history form

Insurance history

500

How Does PHI protect patient information

Past, present, or future physical mental health or condition. Protects provision health care of the person.

Protects past or present or future payment for provision of the healthcare for the person.

500

You're putting on gloves then notice a cut on your hand what should you do 

Disinfect your cut, put on bandaid and make sure your hands are clean then put on gloves