Chairside Assisting Midterm Exam Practice Questions and Answers, Exams of Nursing

Download Chairside Assisting Midterm Exam Practice Questions and Answers and more Exams Nursing in PDF only on Docsity! Chairside Assisting Midterm Practice A patient's employment information is located on the: A. Patient registration form B. Medical-dental health history C. Clinical examination form D. Treatment plan - Answer -A. Patient registration form The dentist and the dental assistant try to eliminate or reduce class ____ movements, to reduce stress and body fatigue A. IV and V B. III and IV C. II and III D. I and II - Answer -A. IV and V An antimicrobial solution should be flushed through the evacuation system hoses: A. Weekly B. Daily C. Monthly D. Every other day - Answer -B. Daily A characteristic of healthy soft tissue is: A. Light pink color B. Uniform color C. No swelling D. All of the above - Answer -D. All of the above An intraoral camera provides the dentist with: A. Case presentation B. Medical and legal documentation C. Magnification of an image for better evaluation D. All of the above - Answer -D. All of the above The EFDA is performing an expanded function while the dentist is in the same treatment area. This assistant is working under ____ supervision. A. Direct B. Indirect C. Doctor - Answer -A. Direct Using Black's classification, a pit and fissure on the occlusal surface of molars and premolars is considered a class _____ cavity. A. V B. I C. II D. III - Answer -B. I The ____ handpiece can operate both forward and backward and can be used with a variety of attachments A. High-speed B. Laboratory b. an increase of lymphocytes, in the area to combat the infection, will interfere with the effectiveness of the anesthetic solution. c. increased blood flow in an area of infection rapidly carries the anesthetic away from the area. d. the infection causes local temperature to rise above the point where local anesthetic is effective. - Answer -b. an increase of lymphocytes, in the area to combat the infection, will interfere with the effectiveness of the anesthetic solution. To create ideal conditions during a dental procedure, the isolation technique should: A. Protect soft tissue such as the tongue, but not hard tissue such as the alveolus B. Compensate for obscured vision due to the isolation C. Cause pooling of saliva in the area of concern D. Be comfortable for the patient - Answer -D. Be comfortable for the patient The patient record is: a. a temporary document. b. a permanent document. c. not considered a legal document. d. not sufficient enough to be used as a reference tool in a forensic case. - Answer -B. a permanent document Viewing an object through the use of a mirror is called ________ A. Direct vision B. Reflective vision C. Indirect vision D. Inverted vision - Answer -C. Indirect vision Progress notes should document the: A. Date, tooth number, and treatment B. Different treatment alternatives C. Payment method D. Use of insurance benefits for the current calendar or contract year - Answer -A. Date, tooth number, and treatment The correct abbreviation for a mesio-occlusal-buccal restoration is: A. BuOcMe B. BOM C. MOD D. MOB - Answer -D. MOB _____ is added to a local anesthetic agent to slow down the intake of the agent and increase the duration of action. a. Sodium chloride b. A vasoconstrictor c. An amide d. An ester - Answer -B. A vasoconstrictor The ideal working position for a dental assistant is _____. a. a neutral position sitting upright with body weight evenly distributed b. standing at chairside c. sitting leaning forward supported by the stool arm d. either a or c - Answer -A. A neutral position sitting upright with body weight evenly distributed Examples of quality assurance, vital to the delivery of dental care, include: a. completing treatment in one appointment. b. timely recall of patients to address dental need and documentation of when radiographs were taken. c. current, up-to-date emergency standards maintained by the dental team and current and up-to-date licenses, registrations, and training of dental team members. d. both b and c. - Answer -D. Both b and c Treatment that needs to be completed is charted in: a. black. b. blue. c. red. d. green. - Answer -C. Red Informed patient consent means that _______. a. the dentist has told the patient which treatment the dentist feels is best b. the dentist must give the patient enough information about his or her condition and all available treatment options c. the patient has chosen to enter the dental office d. the dentist has written documentation of the patient's consent and understanding of the procedure - Answer -b. the dentist must give the patient enough information about his or her condition and all available treatment options Responsibilities of the dental assistant in documenting the clinical examination include: a. using the periodontal probe to determine pocket depths. b. diagnosing caries. c. charting the correct tooth and correct conditions. d. determining tooth mobility. - Answer -C. Charting the correct tooth and correct conditions Injecting the anesthetic solution directly into the tissue at the site of the dental procedure, generally used on the maxillary teeth, is called a(n): a. inferior alveolar nerve block anesthesia. b. block anesthesia. c. infiltration anesthesia. d. incisive nerve block - Answer -C. Infiltration anesthesia A periodontal pocket is recorded on the examination form when the depth of the measurement on the periodontal probe is greater than _____ mm. A. 1 c. must be able to withstand sterilization procedures d. are also referred to as rotary equipment - Answer -C. Must be able to withstand sterilization procedures Which of the following is used along with the HVE to complete the rinsing process? a. Dental dam b. Cup of water c. Air-water syringe d. Dry-angle - Answer -C. Air-water syringe A patient who reports for an initial appointment should be: a. asked to provide a social security number. b. asked to complete a medical and dental history, and be told why the information is needed. c. asked to fill out patient forms and answer questions over the phone. d. notified that the form does not need to be signed. - Answer -b. asked to complete a medical and dental history, and be told why the information is needed. In treatment notation, a disto-occlusal surface is abbreviated as: A. OD B. DO C. MOD D. O - Answer -B. DO The written policy that must be provided to all patients regarding patient right to privacy is called: a. PHI. b. HIPAA. c. medical alert information. d. none of the above. - Answer -B. HIPAA Anesthesia is defined as: a. the passage of a substance into the interior of another by solution or penetration. b. a substance for killing microorganisms on the skin. c. the temporary loss of feeling or sensation. d. the act of inhalation, or ingestion, as of a foreign object. - Answer -C. the temporary loss of feeling or sensation One technique used to detect periodontal disease is: a. the use of a sharp-pointed explorer. b. periodontal probing. c. palpation. d. transillumination with a mouth mirror. - Answer -B. Periodontal probing The four basic principles of ethics for healthcare providers are _____. a. autonomy, nonmaleficence, beneficence, and truth b. regard for self-determination, doing no harm, promotion of well-being, and regard for justice c. autonomy, doing no harm, regard for justice, and being truthful d. beneficence, truth, justice, and fairness - Answer -b. regard for self-determination, doing no harm, promotion of well-being, and regard for justice The lengths of the needles used in dentistry are: a. 1 1/2 inches and 2 inches. b. 1 inch and 1 5/8 inches. c. 1/2 inch and 1 1/2 inches. d. 5/8 inch and 1 inch. - Answer -b. 1 inch and 1 5/8 inches. Which of the following restorative instruments is made from anodized aluminum or Teflon? a. amalgam carrier b. condensers c. composite placement instrument d. plastic instrument - Answer -c. composite placement instrument All of the following are specific guidelines for positioning the HVE except: a. position the bevel to be parallel to the tooth surface. b. place the HVE after the dentist positions the handpiece and mirror. c. position the HVE tip on the surface of the operative tooth closest to the dental assistant. d. keep the HVE tip edge even with or slightly beyond the occlusal or incisal surface. - Answer -b. place the HVE after the dentist positions the handpiece and mirror. When cleaning a dental handpiece, it is important to _____. a. always lubricate the handpiece before sterilization b. always lubricate the handpiece after sterilization c. carefully follow the manufacturer's instructions d. never use a lubricant on the handpiece - Answer -c. carefully follow the manufacturer's instructions Which of the following is a requirement of direct supervision? a. Examination of the patient before delegating the procedure and again when the procedure is complete. b. Examination of the patient before delegating the procedure but not when the procedure is complete. c. Examination of the patient only when the procedure is complete d. Examination of the patient is not a requirement of direct supervision. - Answer -a. Examination of the patient before delegating the procedure and again when the procedure is complete. The most frequently used device in restorative dentistry is the _____. a. amalgamator b. dental handpiece c. prophy angle d. x-ray machine - Answer -B. Dental handpiece a. laser b. laboratory c. high-speed d. low-speed - Answer -d. low-speed Instruments are set up on the dental tray _____. a. from right to left b. from left to right c. alphabetically from A to Z d. numerically from low to high - Answer -b. from left to right The dental assistant should offer to help the patient to complete the medical-dental history form: a. to be sure the patient is truthful. b. because there may be a language barrier. c. because the patient may not understand the terminology used. d. for both b and c - Answer -d. for both b and c Because abrasive discs and wheels are supplied separately and not attached to a shank, a _____ is used to attach these abrasives to the dental handpiece. a. console b. mandrel c. shank d. torque - Answer -b. mandrel The patient record consists of: a. the patient registration form and HIPAA form. b. the medical-dental health history form, the medical alert information form, and radiographic examination. c. the clinical examination form and consent forms. d. all listed. - Answer -d. all listed. The law that deals with patient confidentiality is _____. a. HIPAA b. OSHA c. the Patient Confidentiality Act d. the Patient's Bill of Rights - Answer -a. HIPAA The written medical-dental health history form: a. eliminates the need for a face-to-face conversation with the patient. b. should be regarded as minimal information. c. does not need to be signed and dated by the patient to certify that the information is correct. d. is considered to be part of the treatment plan - Answer -b. should be regarded as minimal information. Nitrous oxide/oxygen analgesia use in dentistry dates back to 1844 and is also known as: a. electronic anesthesia. b. general anesthesia. c. inhalation sedation. d. IV sedation. - Answer -c. inhalation sedation. General anesthesia is most safely administered in the: a. general dentist's office. b. oral surgeon's office. c. hospital. d. periodontist's office. - Answer -c. hospital. Expected outcomes of treatment and description of possible complications are recorded on the: a. treatment plan. b. informed consent form. c. clinical examination. d. progress notes. - Answer -b. informed consent form. The ADAA code of ethics _____. a. is a set of laws b. was established by the federal government c. is a set of voluntary standards set by members of the dental profession d. was established in 1972 and may not be modified or abrogated - Answer -c. is a set of voluntary standards set by members of the dental profession A _____ is a finger rest that stabilizes the hand so that there is less possibility of slipping or traumatizing the tissue in the mouth. a. base b. fulcrum c. leverage point d. pivot point - Answer -B. Fulcrum Absolute medical contraindications to nitrous oxide use: a. include pregnancy. b. include nasal obstruction. c. include emphysema and multiple sclerosis. d. do not exist, but certain conditions make it a poor choice for some patients. - Answer -d. do not exist, but certain conditions make it a poor choice for some patients. The dental assistant grasps the evacuator in the _____ hand(s) when assisting a right-handed dentist. a. right b. left c. right or left - Answer -a. right T/F: A treatment plan is properly sequenced to address all problems that were identified during the examination and diagnosis portion of the patient visit, and can include more than one option for treatment. - Answer -True The steps for solving an ethical dilemma include _____. a. identifying the alternatives first b. ranking the alternatives last c. choosing a course of action before determining the professional implications d. determining the professional implications after ranking the alternatives - Answer -a. identifying the alternatives first One of the most convenient and efficient ways to organize instruments and supplies for a specific procedure is the use of _____. a. trays b. a color-coding system c. storage tubs d. autoclave bags - Answer -b. a color-coding system Properly documenting patient information helps in clinical patient care and: a. conveys a legal significance of which the dentist and assistant must be aware. b. contains has a large volume of information. c. both statements are correct d. none of the listed - Answer -c. both statements are correct If a dental assistant faces a situation in which the dentist/employer's conduct violates ethical standards, the dental assistant is _____. a. legally responsible for the errors of the employer b. legally obligated to report questionable actions c. not legally obligated to report questionable actions d. legally obligated to attempt to alter the circumstances - Answer -c. not legally obligated to report questionable actions The HVE is held using a _____ grasp. a. pen b. palm c. thumb-to-nose d. Either a or c is correct. - Answer -d. Either a or c is correct. Before treatment, a patient's overall health and dental status is recorded on a: a. patient registration. b. medical-dental health history. c. medical alert information. d. consent form. - Answer -b. medical-dental health history. _____ refers to discontinuation of care, after treatment has begun but before it has been completed, and without giving the patient proper notice. a. Malpractice b. Neglect c. Abandonment d. Dereliction of duty - Answer -c. Abandonment The diagram used for charting the primary teeth includes _____ primary teeth and _____ permanent teeth. a. 24; 30 b. 20; 36 c. 20; 32 d. 32; 20 - Answer -c. 20; 32 The gauge of the needle refers to the thickness of the needle; the larger the gauge, the _____ the needle. a. thinner b. stiffer c. thicker d. thinner and stiffer - Answer -a. thinner The best defenses against a malpractice suit are _____. a. good dental assistants and dental records b. prevention and good communication with the patient c. a treatment plan and good billing practices d. a good dentist and an informed consent - Answer -b. prevention and good communication with the patient The part of the anesthetic syringe that locks into the rubber stopper of the anesthetic cartridge so that the stopper can be retracted by pulling back on the piston rod is the: a. barrel. b. thumb ring. c. piston rod. d. harpoon. - Answer -d. harpoon. To be certain that the anesthetic solution is not injected into a blood vessel, the dentist: a. uses an aspirating syringe. b. always aspirates before depositing any solution. c. uses a periodontal ligament syringe. d. does both a and b. - Answer -d. does both a and b. When performing a single-handed instrument transfer with a right-handed dentist, the dental assistant transfers the dental instrument with _____. a. the right hand b. the left hand c. either hand - Answer -b. the left hand a. local anesthetics. b. topical anesthetics. c. general anesthetics. d. antiseptics. - Answer -b. topical anesthetics. The term used to indicate grinding or clenching teeth is: a. mouth breathing. b. bruxism. c. tongue-thrust swallowing. d. none of the above. - Answer -b. bruxism. T/F: The patient record is not considered a legal document. - Answer -False In the Universal Numbering System, tooth #28 would be the _____ premolar. a. mandibular left first b. mandibular right first c. maxillary right first d. mandibular right second - Answer -b. mandibular right first The most common tooth-numbering systems used are the: a. Universal System, the Palmer Notation System, and the International Standards Organization/Fédération Dentaire Internationale System. b. Global Numbering System, the Bracket Numbering System, and the Palm Beach System. c. Federal Numbering System, the Global Numbering System, and the Palmer Notation System. d. World Numbering System, the Palmer Notation System, and the Bracket Numbering System. - Answer -a. Universal System, the Palmer Notation System, and the International Standards Organization/Fédération Dentaire Internationale System. The clinical examination form includes: a. the plan of care. b. charting for existing restorations and present conditions. c. progress notes. d. informed consent. - Answer -b. charting for existing restorations and present conditions. Maintenance of the evacuation system includes: a. flushing the hoses at the end of the day with antimicrobial solution. b. checking disposable traps weekly and replacing them if needed. c. opening saliva ejector hoses and cleaning or replacing screens. d. all of the above. - Answer -d. all of the above. Which of the following hand cutting instruments is used to manually remove decayed tooth structure? a. spoon excavator b. chisel c. hatchet d. gingival margin trimmer - Answer -a. spoon excavator The primary first molars in the Universal Numbering System are: a. A, J, K, and L. b. E, F, O, and P. c. B, I, L, and S. d. C, H, M, and R. - Answer -c. B, I, L, and S. The condition in which numbness remains after the effects of the local anesthetic solutions should have worn off is: a. analgesia. b. anesthesia. c. paresthesia. d. electronic anesthesia. - Answer -c. paresthesia. The medical history section includes questions regarding the patient's past medical history, present physical condition, and: a. insurance benefits b. chronic conditions, allergies, and current medications being taken c. chronic conditions, and allergies. d. chronic conditions. - Answer -b. chronic conditions, allergies, and current medications being taken The _____ instruments are used to place, condense, and carve the dental material back to the normal anatomy of the tooth. a. restorative b. hand cutting c. accessory d. examination - Answer -a. restorative In the Universal Numbering System, the four lateral incisors would be identified as tooth numbers: a. 7, 10, 23, 26. b. 6, 11, 24, 25. c. 8, 9, 24, 25. d. 7, 10, 24, 25. - Answer -a. 7, 10, 23, 26. What are the "four Ds" that must be present for a malpractice suit against a dentist to be successful? a. duty, dereliction, direct cause, damage b. doctor, dereliction, damage, direct cause c. due care, dentist, damage, dereliction - Answer -a. duty, dereliction, direct cause, damage A finishing bur has _____, because it is used for final stage polishing of a restoration. a. fewer blades on the working end than a restorative bur has b. more blades on the working end than a restorative bur has c. the same number of blades on the working end that a restorative bur has - Answer -b. more blades on the working end than a restorative bur has d. should be discussed using terms the patient will understand. - Answer -d. should be discussed using terms the patient will understand. The most graphic and detailed form in the patient record is the: a. patient registration form. b. clinical examination form. c. treatment plan. d. progress notes. - Answer -b. clinical examination form. To block the flow of saliva and to protect the tissues, a dry-angle isolator is placed on the: a. floor of the mouth under the tongue. b. hard palate. c. buccal mucosa over the Stensen's duct. d. tongue. - Answer -c. buccal mucosa over the Stensen's duct. The examination of the cheeks, mucosa, lips, palate, tonsil area, tongue, and floor of the mouth to detect any abnormalities is the _____ examination. a. soft tissue b. oral cavity c. hard tissue d. oral mucosa - Answer -a. soft tissue The HVE has three main purposes: (1) retract tongue and cheek; (2) keep mouth free of saliva, blood, debris, and water; and (3): a. reduce the bacterial aerosol spray caused by the high-speed handpiece. b. keep the patient's mouth fresh. c. keep oral tissues from dehydrating. d. none of the above - Answer -a. reduce the bacterial aerosol spray caused by the high-speed handpiece. Hand instruments are designed with three specific parts: the handle, the shank, and the _____. a. connector b. gap c. working end d. terminal end - Answer -c. working end The right to privacy, freedom of choice, and the acceptance of responsibility for one's actions are examples of which ethical principle? a. doing no harm b. regard for justice c. regard for self-determination d. promotion of well-being - Answer -c. regard for self-determination At the completion of the diagnostic gathering process, the dentist will: a. review all significant findings. b. present a diagnosis to the patient. c. develop and document a treatment plan with input from the patient. d. formulate an assessment from the findings of the patient's oral health status. - Answer -d. formulate an assessment from the findings of the patient's oral health status. The goal of obtaining medical history information from a dental patient is to: a. become informed of any existing allergies to foods or medications. b. be alert of any medical conditions. c. identify special treatment needs of the patient. d. ensure all of the above. - Answer -d. ensure all of the above. The high-speed handpiece uses _____ burs. a. friction-grip b. straight c. latch d. laboratory - Answer -a. friction-grip A behavior _____ be unethical and still be legal, but it _____ be illegal and still be ethical. a. can; can b. can; cannot c. cannot; can d. cannot; cannot - Answer -b. can; cannot The most frequently used form of pain control in dentistry is: a. local anesthesia. b. topical anesthesia. c. general anesthesia. d. inhalation sedation. - Answer -a. local anesthesia. The use of ambidextrous gloves can place excessive tension on the _____. a. median nerve b. carpal bones c. synovial sheath d. thenar eminence - Answer -Thenar eminence When removing cotton roll isolation, the dental assistant must wet the cotton roll before removal because: a. it is easier to grasp with cotton pliers. b. a dry cotton roll can stick to the lining mucosa and cause injury. c. the patient will like the taste of the wet cotton roll. d. it provides a better isolation. - Answer -b. a dry cotton roll can stick to the lining mucosa and cause injury.