NHA CCMA question 3
A medical assistant is caring for an infant who weighs 15 kg. How many pounds does the infant weigh? 12.8 Ib 6.82 lb 33 1b 17 lb
33 1b
Which of the following cardiac procedures is within a medical assistant's scope of practice and does not require a licensed technician or provider to assist with or perform the procedure? A cardiac Doppler ultrasound A nuclear stress test An angiogram A Holter monitor application
A Holter monitor application
When a medical assistant is performing a venipuncture procedure, which of the following is a preanalytical error that can affect the test results? Identification of the patient Adjusting the order of draw Reading the requisition order Applying the tourniquet 3 inches above the elbow
Adjusting the order of draw
A medical assistant is preparing a patient to transition care to an oncologist due to a recent cancer diagnosis. Which of the following is a personal factor that could potentially influence a patient's perception of their diagnosis? Age Family Peers Social media
Age
A medical assistant is preparing a patient for an EKG. The assistant should wipe the area where the electrodes will be placed on the patient with which of the following substances to remove any sweat or lotion? Alcohol Betadine Hydrogen peroxide Witch hazel
Alcohol
A medical assistant is collecting a forensic specimen at the request of an employer. Which of the following people should sign the documentation for the specimen, according to the chain of custody protocol? The patient who gives the specimen The employer who requested the specimen All personnel that come in contact with the specimen The front office staff who checked in the patient
All personnel that come in contact with the specimen
A medical assistant is performing a patient intake. The patient states, "I eat once a day and exercise four times a day, but I still feel overweight." The assistant should identify that this statement by the patient describes which of the following conditions? Binge-eating disorder Bulimia nervosa Anemia Anorexia nervosa
Anorexia nervosa
A patient has fallen and has a bone protruding through the skin. This injury is an example of which of the following types of fractures? Simple Displaced Comminuted Compound
Compound
A medical assistant receives a call from a patient who is upset about a letter they received from their third- party payer denying a claim. Which of the following statements should the assistant make? "That's not our fault. Your insurance company has several rules about what they cover and don't cover." "I don't take care of those matters. You'll have to call our billing department." "That kind of thing eventually happens to everyone. If the balancATisn't that large, it's better to just pay it than try to fight with them. "Let's see if there is something we can do on our end. I'll ask our claims specialist to review the claim."
"Let's see if there is something we can do on our end. I'll ask our claims specialist to review the claim."
A medical assistant is administering eye ointment to a patient. Which of the following actions should the assistant take? Hold the ointment tube parallel to and above the patient's eye. Apply a thin ribbon of ointment along the conjunctival sac. Apply the ointment from the outer canthus to the inner canthus. Have the patient keep their eye open after application.
Apply a thin ribbon of ointment along the conjunctival sac.
A medical assistant is performing a credit adjustment on a patient account. At which of the following times should the assistant post the adjustment to the patient ledger? At the same time the payment is posted Within 1 week of services performed After the check is returned from the bank Before the balance on the Explanation of Benefits (EOB) is entered
At the same time the payment is posted
A medical assistant is reinforcing teaching with a patient about obtaining a stool sample. Which of the following information should the assistant include? A sample can be obtained from an infant's diaper. Avoid retrieving a sample from tollet water. A sample must be plated within 12 hr. A laxative should be used prior to providing a stool sample
Avoid retrieving a sample from tollet water.
A medical assistant is attempting to perform a routine venipuncture on an older adult patient and is having difficulty locating a palpable vein. Which of the following veins should the assistant use as a last resort? Medial veins Basilic veins Cephalic veins Supplemental cephalic veins
Basilic veins
At which of the following times should a medical assistant schedule a return appointment for an established patient? Prior to the patient being seen for their current appointment Before the patient leaves the office following their current appointment 2 weeks following their current appointment 1 month following their current appointment
Before the patient leaves the office following their current appointment
A medical assistant is obtaining a blood sample from an infant. Which of the following methods should the assistant use to obtain the sample? Evacuated tube method Butterfly assembly Syringe needle Capillary puncture
Capillary puncture
Which of the following is a step in the skin preparation process prior to a surgical procedure? Sterilize the surgical site. Clean the surgical site with antiseptic. Rinse the surgical site with warm water. Scrub the surgical site with a sterile brush.
Clean the surgical site with antiseptic
A pulse oximeter can register an artificially low oxygen saturation measurement for a patient with which of the following conditions? Cold fingers Hyperventilation syndrome Carbon monoxide poisoning
Cold fingers
A medical assistant is preparing a community resource library. Which of the following actions should the assistant take first? Collect feedback from patients about their experiences with the resources. Update the community resource information. Compile a list of local community agencies. Make a spreadsheet that has the contact information of services.
Compile a list of local community agencies.
A medical assistant receives a phone call from a parent of a child who has possibly ingested a household cleaner. Which of the following actions should the assistant take? Tell the parent to call back after obtaining the child's vital signs. Instruct the parent to administer syrup of ipecac to the child. Direct the parent to manually induce vomiting. Contact the local poison control center.
Contact the local poison control center.
Which of the following items is an example of durable medical equipment (DME)? Autoclave Otoscope Syringe Crutches
Crutches
A patient's inability to trust health care workers is an example of which of the following barriers in health care? Language Boundaries Cultural competence Cultural differences
Cultural differences
When assisting a provider with a vaginal examination and Papanicolaou (Pap) test, a medical assistant should identify that which of the following instruments is necessary? Cryoprobe Senn retractor Adson forceps Cytobrush
Cytobrush
A medical assistant is checking a requisition prior to collecting blood from a patient. Which of the following information should the assistant obtain from the patient prior to the procedure? Date of birth Social Security number Diagnosis Address
Date of birth
A medical assistant is speaking with a patient who recently received a terminal diagnosis, The patient states, "I regret not taking better care of myself. Now, I won't be able to accomplish what I wanted to do with my life." The assistant should identify that the patient is in which of the following stages of grief? Anger Bargaining Depression Acceptance
Depression
A medical assistant is cleaning an examination room after assisting a provider with a biopsy. Which of the following actions should the assistant take? Place caps back on needles to reduce the risk of puncturing the sharps container. Break off the tops of any unused ampules and discard the liquid. Dispose of a scalpel in a properly labeled, puncture-proof container. Dispose of the sharps container once it is completely full.
Dispose of a scalpel in a properly labeled, puncture-proof container.
A medical assistant is measuring a patient's weight in pounds, Which of the following actions should the assistant take to convert the measurement into kilograms? Divide the weight by 2.2. Add 2.2 to the weight Subtract 2.2 from the weight. Multiply the weight by 2.2.
Divide the weight by 2.2.
A provider asks a medical assistant to reinforce teaching with a patient about their new diagnosis. Which of the following actions should the assistant take? Outline the educational materials quickly with the patient. Instruct the patient to ask any questions at the end of the teaching. Include personal opinions along with the educational material. Document the patient's response to the teaching.
Document the patient's response to the teaching.
Which of the following test samples are collected as evidence in legal proceedings and require special procedures to prevent tampering? Hemoglobin and hematocrit Thyroid stimulating hormone (TSH) and thyroxine (T4) Drug and alcohol BUN and creatinine
Drug and alcohol
A medical assistant should identify that which of the following designates a specific person who is authorized to make medical decisions for a patient? Durable power of attorney Organ donation status Living will Do-not-resuscitate (DNR) order
Durable power of attorney
Which of the following body systems work together to control and maintain homeostasis? Endocrine and nervous systems Respiratory and muscular systems Cardiovascular and lymphatic systems Integumentary and skeletal systems
Endocrine and nervous systems
A medical assistant is preparing for a patient's upcoming virtual visit. Which of the following actions should the assistant take? Schedule the patient a visit with the hospitalist. Ensure the appropriate release forms are completed by the patient prior to the visit. Ensure the provider has all required equipment in the medical bag for the visit. Tell the patient to arrive to the office 15 min before their scheduled appointment time.
Ensure the appropriate release forms are completed by the patient prior to the visit.
An angry patient confronts a medical assistant in the reception area. Which of the following actions should the medical assistant take? Speak in an assertive tone. Escort the patient to a more private area. Ask the patient to leave. Call security to escort the patient outside.
Escort the patient to a more private area.
A medical assistant is removing staples from a wound. Which of the following actions should the assistant take? Gently place the jaw of the staple remover on the top of the staple. Carefully tilt the staple remover downward until the staple lifts out. Gently place the jaw of the staple remover under the staple. Dispose of staples in the waste basket.
Gently place the jaw of the staple remover under the staple.
Which of the following sexually transmitted infections (STIs) is bacterial? Gonorrhea Herpes simplex Trichomoniasis Pubic lice
Gonorrhea
According to the CDC, which of the following is the correct order for donning personal protective equipment (PPE)? Gloves, gown, goggles, mask Gown, mask, goggles, gloves Mask, goggles, gown, gloves Goggles, mask, gloves, gown
Gown, mask, goggles, gloves
A medical assistant provides a family member confidential information about a patient without checking the release of information form. Which of the following acts does this action violate? Health Insurance Portability and Accountability Act (HIPAA) Affordable Care Act (ACA) Health Information Technology for Economic and Clinical Health Act (HITECH) Controlled Substance Act (CSA)
Health Insurance Portability and Accountability Act (HIPAA)
A medical assistant is obtaining vital signs from a 6-year-old child. The assistant should identify that which of the following vital signs is outside the expected reference range for this patient and should be reported to the provider? Respiratory rate 22/min Heart rate 140/min Blood pressure 110/72 mm Hg Temperature 37° C (98.6° F)
Heart rate 140/min
A medical assistant is processing a referral to transition the care of a patient who has less than 6 months to live. To which of the following care facilities will the medical assistant refer the patient? Assisted living facility Hospice care facility
Hospice care facility
Which of the following must be entered into the electronic health record (EHR) by a provider using computerized physician order entry (CPOE)? Medical laboratory test orders Diagnostic test orders Hospital orders Medications
Hospital orders
At which of the following times of day will a patient's body temperature be at its lowest? In the late afternoon Before bedtime In the morning At midday
In the morning
A medical assistant is walking a patient back to the examination room following a laboratory test. The patient asks about the results of the test. Which of the following actions should the assistant take? Inform the patient that the provider will review the results with them in the examination room Continue escorting the patient to the examination room while discussing their results quietly. Stop the provider in the hallway and have the patient ask about their test results. Have the patient take a seat in an open area and inform them of the results of the test.
Inform the patient that the provider will review the results with them in the examination room
Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? Wandering baseline AC interference Interrupted baseline Somatic tremor
Interrupted baseline
Which of the following organs filters the blood and forms urine? Bladder Gall bladder Kidneys Ureter
Kidneys
Which of the following can prevent a patient from comprehending an informed consent? Active listening Cultural competence Acceptance Language barrier
Language barrier
A medical assistant is preparing a patient for a flexible sigmoidoscopy examination. In which of the following positions should the assistant place the patient? Prone position Fowler's position Lithotomy position Left lateral position
Left lateral position
Which of the following positions is appropriate for a pelvic examination? Lithotomy Prone Supine Fowler's
Lithotomy
A medical assistant is administering an intradermal injection for allergy testing. Which of thefollowing actions should the assistant take? Locate the middle portion of the anterior forearm Pinch the skin between the thumb and forefinger. Insert the needle with the bevel pointed down. Inject the solution rapidly with the needle positioned at a 30° angle to the skin.
Locate the middle portion of the anterior forearm
A medical assistant is preparing a preschooler for a physical. Which of the following therapeutic communication techniques should the assistant use when establishing rapport with the child? Stand above the child. Speak quietly. Maintain eye contact. Offer treatment choices to the patient.
Maintain eye contact.
Which of the following elements is a component of the standard precautions use of personal protective equipment (PPE)? Personal lab jacket Sharps containers Masks
Masks
Which of the following organelle structures serves as the site of cellular respiration and energy production? Nucleolus Ribosomes Nucleus Mitochondrion
Mitochondrion
A medical assistant has scheduled four appointments in the first half of the 1400 time slot, but blocked the last half of the 1400 time slot. Which of the following types of appointment scheduling does this represent? Double booking Open office hours Time-specified Modified wave
Modified wave
A medical assistant is reviewing the laboratory results of a patient who has the Epstein-Barr virus. The assistant should identify that this micro-organism can cause which of the following conditions? Polio Mononucleosis Gastroenteritis Fifth disease
Mononucleosis
While measuring a patient's pulse, the medical assistant should identify that which of the following patient factors can contribute to an erroneous pulse rate? Blood pressure Weight Movement Hydration
Movement
Which of the following terms refers to muscle pain? Myopia Myalgia Myositis Malaise
Myalgia
A medical assistant drops an instrument on the floor while setting up a sterile tray for a procedure. They pick up the instrument and place it back on the sterile field. A few days after the procedure, the patient calls the office concerned that the area surrounding the procedure site is infected. Which of the following torts has the assistant committed? Abandonment Negligence Battery
Negligence
Which of the following procedures should a medical assistant schedule for a patient who requires a kidney stone to be removed? Dialysis Blood transfusion Nephrolithotomy Urostomy
Nephrolithotomy
A medical assistant notices that the medical office is not providing personal protective equipment (PPE) for staff. Which of the following regulatory agencies should the assistant contact? OSHA CLIA The Joint Commission (TIC) Department of Health and Human Services
OSHA
Which of the following is outside of a medical assistant's scope of practice? Performing clinical duties under the direct supervision of the provider Ordering additional laboratory tests to confirm the patient's condition Providing directions to a patient about preparation for a diagnostic test Reinforcing instructions about medications and special diets
Ordering additional laboratory tests to confirm the patient's condition
A medical assistant is preparing to sanitize contaminated equipment. Which of the following pieces of equipment can a medical assistant sanitize and reuse without needing to disinfect or sterilize it? Nasal specula Otoscope Curettes Suture removal instruments
Otoscope
Which of the following parts of Medicare covers durable medical equipment (DME)? Part A Part B Part C Part D
Part B
A medical assistant is classifying services that a patient requires. The assistant should identify which of the following as an ancillary diagnostic service? Cardiology Pathology Oncology Gerontology
Pathology
Which of the following ensures health care professionals uphold and respect a patient's choice regarding their medical care? Affordable Care Act (ACA) Good Samaritan Laws Patient's Bill of Rights Civil Rights Act
Patient's Bill of Rights
A medical assistant is preparing to perform a routine venipuncture. Prior to performing the venipuncture, which of the following information should the assistant obtain to verify the patient's identity? Patient's Social Security number Patient's phone number Patient's full name Patient's place of birth
Patient's full name
Which of the following sections of the health history contains the patient's identifiers, such as the patient's full name and date of birth? Personal data Review of systems Chief compliant Past medical history
Personal data
When performing surgical asepsis, which of the following steps should a medical assistant take to prevent contamination of the sterile field? Place all sterile items in the center of the sterile field. Reach across the sterile field to pick up a specimen container. Hold all sterile items below waist level. Place all soiled dressings on the corner of the sterile field.
Place all sterile items in the center of the sterile field.
A medical assistant administers an injection and the patient faints. Which of the following actions should the assistant take? Elevate the patient's head above their heart. Apply a warm washcloth to the patient's neck. Offer the patient something to drink. Place the patient in a supine position.
Place the patient in a supine position.
A provider asks a medical assistant to give a patient a sample of Prilosec. The assistant should identify that which of the following medications is an example of a look-alike/sound-alike medication for Prilosec? Promethazine Prozac Rosuvastatin Roxicet
Prozac
A medical assistant is documenting in a patient's medical record. Which of the following should the assistant use to notate a patient's statement in their own words? Parentheses Quotation marks Brackets Ellipses
Quotation marks
Which of the following tests is granted waived status under Clinical Laboratory Improvement Amendments (CLIA)? Rapid strep test Urine microscopy analysis Thyroid-stimulating hormone test White blood cell differential
Rapid strep test
A medical assistant is checking a patient in. The assistant should identify that a check-in sheet that requests which of the following information violates HIPAA laws? Patient's appointment time Name of the provider the patient is seeing Reason for the patient's visit Patient's name
Reason for the patient's visit
Which of the following stages of the communication cycle involves translating a message based on subjective perceptions or personal factors? Sender creating the message Receiver decoding the message Receiver creating feedback Sender decoding feedback
Receiver decoding the message
Which of the following terms refers to the process of making sure the balance of a financial account matches the balance on a bank statement? Endorsement Posting payments Cycle billing Reconciliation
Reconciliation
A medical assistant is assisting with a scratch test for a pediatric patient. The assistant should identify that which of the following statements describes the scratch test? Reactions will usually occur within 30 min to 1 hr. Several allergies can be identified at one time. Reactions are typically noted as a numerical value from 10 to 20. Patients may immediately leave after the results of the test are confirmed.
Several allergies can be identified at one time.
A medical assistant is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patient's skin lesions, the assistant should expect to observe which of the following characteristics? Yellow, waxy Gray, crusty Silvery, scaly Brown, flat
Silvery, scaly
A medical assistant asks a patient to complete a health questionnaire. In which of the following sections of the questionnaire should the patient include information about tobacco and alcohol use? Past medical history Social history Family history Surgical history
Social history
A provider asks a medical assistant to administer a nitroglycerin tablet to a patient who is experiencing chest pain. The assistant should identify that which of the following routes involves placing the medication under the patient's tongue for rapid absorption? Buccal Oral Rectal Sublingual
Sublingual
When preparing for a cyst removal, which of the following pieces of equipment should a medical assistant place in the sterile field for the provider? Syringe and needle Splint and/or guard Dressing and/or bandage Specimen container
Syringe and needle
A medical assistant should identify that which of the following types of technology uses webcams and internet video chat to provide medical care and services? Virtual private networks Speech and/or voice recognition Encryption software Telemedicine
Telemedicine
According to the CDC, which of the following immunizations is recommended to be administered every 10 years? Zoster (Zostavax) Influenza Tetanus and diphtheria Pneumococcal conjugate (PCV13)
Tetanus and diphtheria
When coding with the ICD-10-CM, where should the medical assistant begin the process of looking up a diagnosis code for breast cancer? The Tabular List The Alphabetic Index Chapters Subchapters
The Alphabetic Index
Another provider requests the records of an established patient in the provider's office. Which of the following individuals has the right to release this information? The patient's current provider The patient's attorney The patient The patient's third-party payer
The patient
A medical assistant is attempting to resolve a patient complaint. The assistant should identify that which of the following describes the defense mechanism of reaction formation? The patient rejects the information completely. The patient expresses the opposite of what they actually feel. The patient is consciously aware of their feelings but refuses to admit it. The patient reverts to expressively immature behavior.
The patient expresses the opposite of what they actually feel.
When obtaining a blood pressure reading, which of the following describes how high a medical assistant should inflate the cuff? To at least 200 mm Hg to obtain an accurate systolic reading To approximately 30 mm Hg above the previously measured brachial pulse reading To approximately 60 mm Hg above the previously measured brachial pulse reading To no more than 190 mm He to get an accurate sustolic pressure
To approximately 30 mm Hg above the previously measured brachial pulse reading
Which of the following areas of coaching involves the medical assistant instructing patients about procedure follow-up and home care? Disease prevention Diagnostic tests Treatment plans Community resources
Treatment plans
Which of the following actions should a medical assistant take when communicating with a patient? Speak loudly. Use a neutral tone. Use slang. Speak quickly.
Use a neutral tone.
When speaking with an older adult patient who has moderate hearing loss, which of the following actions should a medical assistant take to ad in communication with the patient? Use hand gestures. Speak in a higher pitch. Speak softly Overenunciate words.
Use hand gestures.
When adhering to hand hygiene guidelines, which of the following techniques must the medical assistant follow if their hands are visibly soiled? Use medical aseptic hand washing. Use an alcohol-based hand sanitizer. Disinfect hands using hydrogen peroxide. Sterilize hands using ultraviolet light.
Use medical aseptic hand washing
Which of the following refers to the range of fees charged by providers who have similar training and experience and practice in the same geographical area? Managed Care Organization (MCO) Preferred Provider Organization (PPO) Usual, Customary, and Reasonable (UCR) Affordable Care Act (ACA)
Usual, Customary, and Reasonable (UCR)
Which of the following procedures requires verbal consent? Biopsy Colonoscopy Stress test Venipuncture
Venipuncture
A medical assistant is caring for a patient who has pernicious anemia. The assistant should identify that the patient has a deficiency in which of the following vitamins? Vitamin B1 Vitamin B6 Vitamin B12 Vitamin B3
Vitamin B12
A provider wants to ensure that late patients do not impact the appointment schedule in a negative way so they request that three patients be scheduled at the top of each hour to be seen in the order in which they arrive. Which of the following types of scheduling does this describe? Open hours Double booking Time-specified Wave
Wave
Which of the following is the proper time period for the collection of a newborn screening card? Within 48 to 72 hr after birth Within 24 to 48 hr after birth 8 to 14 days after birth 15 to 28 days after birth
Within 24 to 48 hr after birth
Which of the following techniques should a medical assistant use when bandaging a wound with a roller bandage? Wrap the wound from distal to proximal. Bandage fingers and toes to prevent further injury. Extend the wound dressing 3 to 5 inches beyond the bandage. Moisten and apply ointment before bandaging.
Wrap the wound from distal to proximal.
A medical assistant is collecting multiple blood samples from a patient. Which of the following vacuum tubes should the assistant fill first? Light blue (sodium citrate) Green (heparin) Gray (sodium fluoride) Yellow (blood culture)
Yellow (blood culture)
