Copyright ©1998, Datachem Software Inc., Westborough, MA
Question #: 1
Subject Area: Clinician
The acronym `S.O.A.P.' represents:
A) Sciatic, Optic, Auditory, Phrenic B) Supportive, Objective, Alternative, Prevention C) Subjective, Objective, Assessment, Plan D) Systemic, Oral, Abdominal, Parenteral
The correct answer is: C
"S.O.A.P" format is a problem-oriented recordkeeping system developed by Weed. This protocol allows for documentation of patient complaints (subjective), actual observations (objective), nursing diagnosis (assessment) and the intervention (plan).
Question #: 2
Subject Area: Clinician
The assessment of adverse effects on health through biological functioning evaluation is:
A) Environmental assessment B) Biological monitoring C) Medical monitoring D) Biochemical evaluation
The correct answer is: C
The measuring of biological functioning and the comparison of such measurements to baseline data is medical monitoring. Pulmonary function testing is an example of medical monitoring.
Question #: 3
Subject Area: Clinician
A worker has accidently splashed sulfuric acid in his eyes. Emergency treatment includes:
A) Irrigation with a buffered solution B) Irrigation with water C) Irrigation with a mild alkaline solution D) Apply patch and refer immediately
The correct answer is: B
Rapid irrigation with copious amounts of water is the treatment of choice, even in the case of sulfuric acid burns, where the addition of water is expected to generate heat. A large volume and fast flow rate will dissipate heat and remove the acid.
Question #: 4
Subject Area: Clinician
Which of the following is NOT a symptom of acute glaucoma?
A) Dilated pupil B) Decreased peripheral vision C) Severe pain D) Vomiting
The correct answer is: B
Decreased peripheral vision is characteristic of chronic (wide-angle) glaucoma, in which symptoms progress slowly.
Question #: 5
Subject Area: Clinician
An employee presents with a rash. The lesions are solid, red, circumcised elevations of the skin. The lesions are described as:
A) Macules B) Vesicles C) Papules D) Wheals
The correct answer is: C
Macules appear as patches or spots, and vary in size shape and color. Vesicles may be transparent or opaque, containing bloody or purulent fluid. A wheal is a round elevation of the skin, has a white center and red periphery. Papules present as solid, red, circumcised skin elevations.
Question #: 6
Subject Area: Advisor
Which of the following musculoskeletal problems, when related to work, leads to the greatest morbidity and cost?
A) Carpal tunnel syndrome B) Low back syndrome C) Ganglion formation D) Trigger finger
The correct answer is: B
Statistics indicate that low back pain is responsible for more lost time than any other ergonomic-related problem. About one third of all disabling injuries are due to manual handling tasks.
Question #: 7
Subject Area: Advisor
The influenza virus vaccine provides active immunization against influenza. The vaccine should not be given to persons who are:
A) Pregnant B) Allergic to eggs C) Hypersensitive D) B) and C)
The correct answer is: D
The vaccine is cultivated from chicken embryos, and is contraindicated for persons allergic to eggs or egg products. The vaccine is contraindicated for individuals who have had previous hypersensitivity reactions. The CDC has recently approved administration of the vaccine to pregnant women.
Question #: 8
Subject Area: Advisor
Non-pharmacologic approaches to treatment of hypertension include:
1. Smoking cessation
2. Reduced sodium intake
3. Regular exercise
4. Moderate alcohol use
A) 1 and 2 B) 2, 3 and 4 C) 1, 2 and 3 D) All of the above
The correct answer is: D
Smoking cessation, reduced sodium intake, a regular exercise program and moderate intake of alcohol are considered definitive interventions in the treatment of hypertension. In addition, a reduction in saturated fat, weight loss for obese patients and stress control are indicated.
Question #: 9
Subject Area: Advisor
You plan to offer a mammogram screening to all female employees as part of a wellness program. This is an example of:
A) Primary health prevention B) Primary health promotion C) Secondary health promotion D) Tertiary health promotion
The correct answer is: C
The intent of a plant-wide screening program is early diagnosis and treatment, ie., secondary health promotion. The prevention of occurrence of a disease is primary promotion/prevention. Tertiary health promotion addresses prevention of the complications of disease.
Question #: 10
Subject Area: Advisor
To achieve optimum results from an aerobic fitness program, a 20 year old should reach 80% of his/her maximum heart rate. In this example, 80% of the MHR is:
A) 80 beats per minute B) 120 beats per minute C) 160 beats per minute D) 220 beats per minute
The correct answer is: C
To calculate the maximum heart rate: Use the constant 220, subtract the age and multiply by 80%. In this example, 220 - 20 X .80 = 160. The MHR is 160.
Question #: 11
Subject Area: Coordinator
In addition to job-related problems, an employee can seek assistance from the company EAP for:
1. Legal problems
2. Marital problems
3. Financial assistance
4. Spouse's drug abuse
A) 1 and 2 B) 2 and 3 C) 1, 2 and 4 D) All of the above
The correct answer is: D
An effective Employee Assistance Program will provide services for a wide-range of problems that may affect the employee's job performance. The EAP can be utilized for problems with family, marital issues, legal and financial assistance, or any emotional problem that may be affecting the worker.
Question #: 12
Subject Area: Coordinator
Supervisors need to be trained in the recognition of substance abuse. Which of the following may be indicative of substance abuse?
A) Attendance record deteriorates B) Lower job efficiency C) Unkempt appearance D) All of the above
The correct answer is: D
Poor attendance, lower job efficiency and sloppy appearance are but a few of the indicators that the employee may have a substance abuse problem. The supervisor must be trained to identify any change in performance, attendance and appearance that may indicate a problem.
Question #: 13
Subject Area: Coordinator
Once a compensation claim is filed, insurers will set aside dollars, called reserves, in anticipation of the total cost of the claim. Expense reserves are allocated for:
A) Medical costs B) Lost time payments C) Attorney fees D) All of the above
The correct answer is: C
Costs associated with the defense of a litigated claim, including attorney fees, deposition of witnesses and private investigation are covered by expense, or allocated, reserves.
Question #: 14
Subject Area: Coordinator
OSHA mandates that a medical surveillance program be established for exposures to which of the following?
A) Cotton dust B) Asbestos C) Vinyl chloride D) All of the above
The correct answer is: D
OSHA requires medical surveillance for employees who are at risk for pulmonary disease. A total of eight exposures have been identified as possible carcinogenic agents: cotton dust, asbestos, vinyl chloride, acrylonitrile, arsenic, bis-Chloromethyl ether, formaldehyde and coke oven emissions.
Question #: 15
Subject Area: Coordinator
According to guidelines established by the Americans with Disabilities Act, when considering an applicant for employment, all of the following are true, except:
A) Fitness for duty physicals are disallowed B) Pre-placement drug tests are allowed C) Questions about prescription meds are allowed D) Questions about current illegal drug use are allowed
The correct answer is: C
Questioning a job applicant about current prescription medication is impermissible before a conditional job offer is made. The responses to such a question might reveal the existence of certain disabilities.
End of COHNprep V 3.0 Sample Questions