NCCT medical assistant

How many electrodes are placed on a patient when performing a 12 lead ECG?

10

Which of the following is the dose that needs to be administered if a medical assistant receives an order for 0.5 g of erythromycin , but all that is on hand is 250mg tablets?

2 tablets

During a general eye exam, how far should the patient be from the snellen chart?

20 ft.

The physician has ordered 500 mg/mL of medication and on hand there is a 10mL vial of 250mg/mL available. How many mL should the medical assistant give the patient?

2ml

The primary healthcare provider has prescribed clarithromycin(Biaxin XL) 500 mg. tabs , 2 tabs PO B.I.D x10 days. The medical assistant knows that the medication order should be written for how many tablets/

40 Tabs

Which of the following is an appropriate fax machine policy with respect to HIPAA regulations?

A cover sheet that includes a notice of privacy statement.

A patient that does not look the medical assistant in the eye while speaking is most likely demonstrating

A cultural difference.

A patient's insurance for up to two visits a month. A provider unnecessarily schedules appointments for twice a month. Which of the following best describes this tactic?

Abuse

An original charge of $1500.00 was posted, an approved amount was 1380.00, an insurance payment of 1104.00 was posted, what is correct regarding this transition?

Accepting assignment with a WO of 276.00

Which of the following pain relievers should be given to a child suffering from chicken pox?

Acetaminophen(tylenol)

While a parent and infant were waiting in the examination room for the pediatrician, the infant suddenly stopped breathing. Which of the following actions should the medical assistant take first?

Activate EMS and begin CPR.

A patient comes into the office, and has a syncopal episode while walking to the exam room. She is now sitting on the floor, conscious, with difficulty breathing. Which of the following actions should the medical assistant take after calling for help?

Administer oxygen.

Which of the following is within the scope of practice for a medical assistant?

Assisting a patient into a wheelchair for transport is he has a suspected leg fracture.

Which of the following patients should the medical assistant attend first?

Asthma attack.

Which of the following concepts would be when a patient has the right to make their own healthcare decisions, including life and death?

Autonomy

Touching a patient without permission is considered?

Battery

Which of the following establishes quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test is performed?

CLIA

Which of the following grants the ability to perform moderate and high-complexity POL tasks?

CLIA

When billing insurance for a patients feeding tube supplies, the medical assistant should assign the appropriate alpha-numeric code from the:

CPT Category 1

An intoxicated patient arrived at the medical facility and became irate and disorderly in the reception area. The medical assistant escorted the patient into another area, but the patient became combative and threatened the medical assistant. Which of the following actions should the medical assistant take next?

Call security or the police.

A female patient was referred to the office for an abnormal pap smear. Which of the following should the medical assistant anticipate setting up as the next step for this patient?

Cervical biopsy and colposcopy.

An insurance company indicates a billed amount is "not allowed". Which of the following notes would be entered on the patient's account?

Charge

A patient presents to the medical office reporting 12 hours of SOB and wheezing. The appropriate intervention for the medical assistant should be to

Check vital signs immediately and notify the physician.

The preferred method for collecting a urine sample for a UA is for the patient to:

Cleanse the genital area and collect a midstream sample.

The method of scheduling patients with similar appointments on a specific day or block of time is called

Cluster Scheduling.

Releasing personal medical information about a patient without their written consent is considered a breach of

Confidentiality.

Which of the following files or records must be maintained on the provider's professional status for renewal?

Continuing medical education Medical state license DEA license

Which of the following agencies authorizes providers to dispense controlled substances?

DEA

A patient calls the office and frantically tells the medical assistant that his child may have ingested bathroom cleaner. The parent asks to bring the child in immediately to be seen by the practitioner. How should the medical assistant best handle this call?

Direct the parent to contact the poison control center to handle the situation.

The medical assistant is performing a lavage for a cerumen impaction, and the patient complains of dizziness, lightheadedness, and has blood tinged saline. Which of the following actions should the medical assistant take?

Discontinue the procedure immediately and notify the physician.

procedure room in the healthcare facility was used for a patient with a healthcare associated infection seeking follow-up for wound care. Which of the following should the medical assistant do to prepare the procedure room for the next patient?

Disinfect, sanitize, and sterilize the room.

Which of the following should be disposed of in a red biohazard bag?

Disposable vaginal speculums.

A medical assistant was ordered by a physician to obtain a blood specimen on a patient who has had a mastectomy. Which of the following is the appropriate action to take?

Draw the sample from the arm opposite the mastectomy.

Which of the following is the mode of absorption into the GI tract of a drug that is given orally?

Enteric

A 6-year old patient enters the medical office with complaints of fever, fatigue, itchy rash with fluid filled vesicles as well as areas that have scabbed over. The medical assistant should

Escort the patient to an exam room and alert the physician.

For the average patient with normal veins needing a PT/PTT, a CBC, and metabolic panel, which of the following collection methods is preferred?

Evacuated tube.

Which of the following sections should be part of an office safety manual?

Exposure control plan.

When performing an ECG, where should the medical assistant place precordial L4?

Fifth intercostal space, midaxillary line.

A patient diagnosed with congestive heart failure presents with pitting edema of the lower extremities. Which of the following medications should the medical assistant anticipate will be prescribed?

Furosemide(Lasix)

The medical assistant has just performed a venipuncture on an adult who is currently using coumadin. Which of the following types of bandage should be applied to the site?

Gauze with a self-adhering wrap.

When preparing to perform a stress test on a patient, the medical assistant should ensure which of the following items are gathered?

Gown, bp equipment and electrodes

Under which of the following circumstances is the medical assistant permitted to divulge the patient's medical information normally protected by the HIPAA law?

Gunshot wounds to law enforcement.

Which two reference manuals can provide diagnostic and procedure codes for a patient's chart?

HCPCS and PDR

Which of the following should be included in an office policy manual?

Handling, storage, and disposal of biological waste

A false positive for urinary nitrites can indicate the specimen?

Has been stored at room temperature.

If the office sees a patient with medicare and is being offered a service that is not covered, what should the office do?

Have the patient sign an ABN

The medical assitant is drawing blood from a patient with a known bleeding disorder. Which of the following actions should the medical assistant take?

Hold pressure on the site or elevate the arm for a longer time.

A patient presents with slurred speech, in and out of consciousness, cold clammy skin, and anxiousness. BP is 120/80, T 98.6, and the blood sugar is 30. Which if the following is the most likely cause of her symptoms?

Hypoglycemia

The medical assistant is given an order by the physician to administer 0.5 ml of a medication that is meant to be absorbed parenterally at a more rapid absorption rate. The patient is a 12-month old child. Which of the following are appropriate for administering this medication?

IM Vastus lateralis

Which of the following sentences is grammatically correct and contains no spelling errors?

In case of severe weather, take all patients to the basement.

The medical assistant was given the task of educating the patient on the proper way of collecting a sputum sample at home. What is the best time for the patient to collect the sample?

In the morning before breakfast.

A medical assistant is preparing a patient that is 37 weeks pregnant and complaining of tightness in her chest for an ECG. How should the patient be positioned for the procedure?

In the semi-fowler's position.

The results of a patient's recent lab work show a low hemoglobin level and the patient reports fatigue. Which of the following advice should the medical assistant expect the physician to give this patient?

Increase the amount of iron in the diet.

Which of the following consents must be provided first before proceeding with an elective surgery?

Informed

Which of the following documents should be obtained prior to any invasive procedures?

Informed consent.

A patient is using albuterol. Which of the following routes of administration is she using?

Inhalation.

When instructing a patient on the proper technique for using a metered dose inhaler, after taking the inhaler and holding it upright, the medical assistant should then have the patient

Inhale the medication slowly and hold her breath for 10 seconds.

A patient comes into the office for a deep laceration with purulent drainage. The physician has ordered a wound culture. Which of the following should the medical assistant do when collecting the specimen?

Insert the sterile swab into the wound.

The physician informs the medical assistant to collect a sputum specimen. Which of the following is the appropriate action for collecting the specimen.

Instruct the patient to cough deeply prior to expectorating.

The physician prescribes a patient albuterol sulfate(Proventil) to be administered via inhalation. Which of the following is the purpose behind the method of administration?

It dissolves quickly into the bloodstream by absorption through the mucous membranes.

Which of the following is a brand name for the antibacterial drug cephalexin?

Keflex

The MA has drawn up a non-narcotic IM medication that was cancelled. The correct action would now be to

Label and put it back in the medication cupboard

Which of the following should be used to collect a hematocrit sample on a three year patient?

Lancet, capillary tube and alcohol.

The physician orders an in-house hematocrit level on an adult female to check for anemia. Which of the following is the correct site for the medical assistant to use when collecting the specimen?

Lateral great middle finger.

Which of the following leads is associated with the right arm electrode?

Lead 1

When collecting blood from a patient with an elevated temperature, which of the following cellular components of the complete blood cell count without differential should return back with abnormal results?

Leukocytes.

It was determined that a patient has a blood pressure of 170/100. The physician recommended a diet to help control the blood pressure. Which of the following diets would most likely be recommended?

Low Sodium.

A patient calls the office complaining of chest pain radiating down the arm.. The medical assistant should

Maintain contact with the patient and activate EMS.

A medical assistant filling a micropipette should collect blood from the

Middle or ring finger of the non-dominant hand.

Which of the following is known as a patient advocate?

Navigator

Which of the following terms best describes a healthcare acquired infection?

Nosocomial

In cases that do not involve error or malpractice, when the medical assistant does not believe a physician's treatment or course of action will be effective they may

Not interfere with the physicians directives.

The medical assistant has developed an allergy to the hand sanitizer at her workplace. Which if the following would address this issue?

OSHA

Which of the following agencies regulates blood borne pathogens standards?

OSHA

The physician informs the medical assistant to obtain a stool specimen for culture and O & P on a patient who complains of bloody stools. The medical assistant should instruct the patient to:

Obtain a stool sample from the next bowel movement.

The medical assistant is opening the clinic for the day. One task involves organizing and preparing the medications and injectables in the cabinet. This includes

Placing medications in order of expiration date.

Which of the following should the medical assistant provide when scheduling a patient for an outpatient procedure?

Procedure, diagnosis and patients contact information.

The medical assistant is attaching leads for an ECG on a patient with a pacemaker. The medical assistant should expect?

Proceed with a routine ECG procedure.

Which of the following rights does the patient's bill of rights guarantee?

Refuse medical treatment

Which of the following administrative items should be compiled for a new patient's visit before the patient arrives?

Registration form

The office manager has received a subpoena for medical records related to a patient's recent injury in a motor vehicle accident. The medical office manager must

Release the records as requested.

During a venipuncture in which the medical assistant had difficulty locating the vein she noticed that an area around the needle insertion site appears to be developing a hematoma. The requirements for the test are for three separate tubes and only one has been filled. Which of the following should the medical assistant do based on these findings?

Remove the needle and apply pressure.

A patient telephoned the medical office requesting the medical assistant send a copy of her electronic health records to another physician. Which of the following actions should the medical assistant take?

Request a signed authorization of release of information from the patient.

The physician asks a medical assistant to perform a TB skin test on a patient. After the antigen is administered, the medical assistant should instruct the patient to

Return to the clinic within 48-72 hours to read the results.

The physician ordered blood work on a patient. Upon review of the chart the medical assistant noticed that the patient had a unilateral mastectomy on her left side. Which of the following is the preferred site for the venipuncture?

Right median cubital vein.

On a standard 12-lead ECG, the chest lead 1 (precordial lead) is placed where?

Right of the sternum.

An outpatient clinic has recently begun using a new piece of equipment that performs hematology testing. As part of the setup there needs to be an update to the manual that defines risks to chemical exposures due to the cleaner, lyse and diluent used to complete this testing. What manual should be updated by the medical assistant?

SDS

Which of the following are considered mandatory documentation as per OSHA regulations for health care facilities?

SDS, Exposure control plan, and proof of hazardous waste destruction.

The medical assistant receives a telephone call from a patient who is concerned because a new indwelling catheter that was placed 24 hours ago has just fallen out. Which of the following should the medical assistant do?

Schedule an appointment for the patient to come in within several hours.

A medical assistant was informed by the physician to perform an ECG on a patient with breathing problems. Which of the following positions should the medical assistant place the patient in?

Semi-Fowler's

The medical assistant just completed drawing a tube of blood that contains an anticoagulant. Which of the following should the medical assistant do next?

Stand the tube up vertically for 20-30 minutes to allow clotting.

The importance of CEUs for a medical assistant certification is to

Stay abreast of medical advancement.

A medical assistant is preparing a patient for a 12-lead ECG. Which of the following is a correct position for the patient to be placed in?

Supine.

When preparing a patient for an ECG, the patient should be placed in which of the following positions?

Supine.

Which of the following procedures requires surgical asepsis to be observed?

Suturing

Which of the following diseases must be reported to the CDC?

Syphilis

A patient is given a prescription for lipitor 40mg one tab po at hs. Which of the following instructions should be given to the patient for this prescription?

Take one tablet by mouth at bedtime.

If the medical assistant is concerned about the effects of a laboratory chemical spill he should consult

The SDS

A patient called the medical office complaining about a charge for services not covered by her insurance carrier. The patient previously changed her insurance carrier, but did not inform the medical office staff at her previous visit. The services were charged to the original carrier and the claim was denied. The medical assistant should refer the patient to

The billing department.

While off duty, a CPR certified medical assistant encounters an unconscious person in a coffee shop. Upon finding no pulse, the medical assistant proceeds to administer CPR. The patient recovers, but threatens litigation due to a broken rib from the CPR. The medical assistant is protected because the

The medical assistant was acting as a good samaritan.

The medical assistant is entering the patient's chief complaint into the medical record. Which if the following is a correct chief complaint entry in the medical records?

The patient states "I have a headache with sinus pressure".

The physician orders a throat culture, sputum culture, and an injection of ceftriaxone(rocephin) for a patient with a sore throat. After completing the procedure, which of the following should the medical assistant dispose of in a biohazard waste bag?

The used tongue depressor.

A medical assistant would conduct a therapeutic drug monitoring (TDM) blood draw for a patient taking

Theophylline.

The medical assistant is instructing a patient to avoid applying a transdermal patch to more distal extremities. The patient asks why. Which of the following is the correct response?

These areas have too much blood flow to allow for slow and even release of medication.

The MA has an order for a 2cc cephalosporin antibiotic IM(Intramuscular) order. The patient is requesting that the MA use a "small short needle" in her deltoid. How best should the MA respond?

This medication needs to be rapidly absorbed"

A CBC and metabolic panel were ordered. Which of the following pairs of color tops should be used?

Tiger, lavender

Which Of the following diseases is required to be reported to the CDC?

Tuberculosis

The physician has dictated an H & P to the consulting physician describing a 36-year old patient with a history of cardiac palpitations and chronic respiratory infections requiring one to two puffs of albuterol a day. Based on the dictation the medical assistant types the sentence below: "Miss M is a 36 y/o woman with a history of cardiac palpitations, and chronic UTIs requiring i-ii puffs of albuterol a day." Which of the following components of the sentence is a proofreading error?

UTIs

Before placing a patient in an exam room that was recently used by a MRSA patient with an open wound, the medical assistant should do which of the following?

Use a disinfectant on the areas potentially touched by the first patient.

A dressing is ordered for a large dog bite on the calf, but the physician does not specify the type of dressing. The medical assistant should

Use a spiral dressing.

The medical assistant has just completed a successful blood draw, but in the process of removing the needle the medical assistant accidentally sticks himself. Which of the following would most likely have prevented this from happening?

Using an engineered safety device.

Which of the following tasks below should the medical assistant complete when maintaining the ECG machine?

Verify the paper supply and battery charge.

When answering the office phone, the medical assistant should?

Wait for a response before putting a caller on hold.

If there is excessive lotion on a patient's skin, which of the following artifacts is most likely to appear on the strip?

Wandering baseline.

After drawing blood on the patient, the medical assistant accidently punctures herself with the used syringe while disposing of it in the sharps container. Which if the following is the correct first aid for this injury?

Wash the site with soap and warm water.

A medical assistant prepares to collect blood from an 89-year-old patient for a PT/PTT. The medical assistant accesses and realizes that the patient's veins are thin and fragile. Which of the following is the preferred technique for the medical assistant to collect the patient's blood specimen?

Winged infusion set

After finishing with the ECG machine for the day, which of the following should the medical assistant do to maintain it?

Wipe the cables of the machine with a soft, dry cloth.

The physician has ordered CMP, CBC, PT and blood culture. Which of the following is the correct collection order that the medical assistant must follow?

Yellow, blue, SST, lavender

Which of the following should be included in the labeling of specimens?

patients DOB

During intake the patient explains to the medical assistant that she has recently become homeless with her three children. The medical assistant responds by saying, "You must be very frustrated, this has to be hard for you." What is she exhibiting?

empathy

Which of the following documents should be generated daily for every scheduled patient?

encounter form

Which of the following should the medical assistant do when using the POMR method of paper chart management in the medical office?

file forms and progress notes with chief complaint first.

The first three digits of the ICD code are used to

identify the subcategory

Which of the following tubes should the medical assistant draw prior to drawing a lavender tube?

light blue

Which of the following documents would be used for a patient to authorize another individual to make health decisions on the patients behalf?

living will

Which electrode is used as a ground reference when performing a 12 lead ECG?

right leg

The medical assistant should use standard precautions when there is a potential to come into contact with

saliva

Which of the following acts will assist a newly amputated patient return to work?

Americans with disabilities Act

A patient enters the office with a chief complaint of N/V. Which of the following drug classifications would the physician most likely prescribe from?

Antiemetics

A patient with BP of 180/1120 will most likely be placed on an:

Antihypertensive.

The medical assistant is asked to clean a wound on a patient prior to examination by the physician. The medical assistant unwraps the home-made dressing and sees that the wound is bleeding freely. The next appropriate step is to

Apply a pressure dressing without cleaning the area.

While drawing blood, the medical assistant notices the patient's vein swelling, a color discoloration, and blood leaking from the site of the injection. Which of the following actions should the medical assistant take after removing the needle?

Apply pressure with gauze

The medical assistant is preparing paper charts and or documents for the following day's appointments. The best way to organize these documents is in:

Appointment order.

A medical assistant in a busy pediatric office draws up a patient's medication for injection, but she is called to another room to assist a physician for a procedure. Which of the following should the medical assistant do?

Ask her co-worker to administer the injection.

The MA is acting as scribe for the clinician. The clinician is articulating the exam findings as they are performed. However, the MA does not hear the full neurological exam. The MA should

Ask the clinician to clarify the results after leaving the exam room.

n order to examine a patient with build-up of cerumen, the physician will require which of the following instruments?

Otoscope

Which of the following is the best injection site for epinephrine auto-injectors?

Outer thigh

A patient comes in for an annual office visit for in house lab work, what section of the CPT manual would be used for coding?

Pathology and laboratory

The medical assistant would have to reschedule which of the following patients for a blood draw?

Patient with GTT orders who has not fasted.

Which of the following generic medications is commonly used to treat sudden allergic reactions?

Phenergan

The medical assistant needs to send a letter to a patient dismissing her from the practice. Which of the following types of letter should be sent to the patient?

certified

A patient presents with a wart that needs to be removed from her hand. Which of the following procedures is the patient likely to undergo?

cryosurgery

The medical assistant is having a difficult time locating a good vein to draw blood. How many unsuccessful attempts should she make before seeking assistance from her manager or physician?

two