NHA Review CCMA practice test

When performing a follow up calls to patients, which of the following actions should the medical assistant take first to notify the provider if the patient provides and unsatisfactory progress report?

Notify the provider immediately

Which of the following fasting blood sugar laboratory results should the medical assistant recognize as abnormal?

101 mg/dL for a nondiabetic

A patient reports feeling depressed due to the recent loss of a partner. In which of the following five stages of the grief process does depression present itself?

Fourth stage

Which of the following letter formats uses indented paragraphs?

semi-block letter

Which is a letter which all elements are left justified?

a full block letter

Which is a letter format that the body and the inside address are left justified, while the date, closing, and signature blocks are centered?

a modified block letter

Which is a letter format where all elements are left justified except for the sender's information?

a simplified letter

Which of the following conditions requires a patient to avoid gluten?

Celiac disease (a digestive and immune disorder)

A medical assistant is speaking to a patient about their social history and the assistant notices the patient is fidgeting and appears anxious. Which of the following nonverbal communication styles is the patient exhibiting?

Passive communication

Passive-Aggresive Communication

warm and friendly

Assertive communication

exhibits fast gestures

Manipulative communication

uses a high-pitched voice

Which of the following statements describes the purpose of the right route as a part of the rights of medication administration?

Administering medication using the physical technique identified by the providers written order

Which of the following means the absence of infection or infectious material?

Asepsis

Medical Asepsis

the destruction of disease-causing organisms

Surgical asepsis

the practice of destroying all microorganisms and is used for invasive procedures

Which of the following is the normal setting for the standardization mark on an EKG?

10 mm/mv

What is the setting for making the tracing smaller on an EKG?

5 mm/mv

What is the setting for increasing the size of the tracing on an EKG?

20 mm/mv

Which is the setting that regulates the speed of the paper during the recording on an EKG?

25 mm/mv

Which of the following instructions should a medical assistant give a patient when administering an enteric-coated tablet?

Swallow the tablet whole with a glass of water

A medical assistant is collecting data from a patient who is experiencing heatstroke. Which of the following manifestations should the assistant expect to find?

hot skin

Which of the following tasks should a medical assistant have a patient complete prior to gowning for a physical examination to ensure that the patient is more comfortable and to make the examination easier for the provider?

Have the patient empty their bladder

Which of the following actions will ensure accurate reimbursement of a claim?

reporting codes that are supported by the encounter documentation

Which of the following processes provides the ability to send prescriptions electronically?

e-prescribing

Computerized provider order entry (CPOE)

allows providers to enter orders for medical laboratory tests, diagnostic tests, and medications into the computer system

Remote patient monitoring (RPM)

allows patients to perform testing at home and submit test results via telehealth to providers

Medical Scribe

enters patient data into the EHR while the provider examines and treats the patient

Which of the following supplies are required for proper handwashing technique?

Paper towels

A medical assistant is reviewing the medical history of a patient who regularly comes into contact with coal and dust. The assistant should recognize that this patient is at risk for developing which of the following disorders?

Emphysema

Which of the following do team members take into consideration within a patient-centered medical home (PCMH)?

Respecting the patients culture with their care needs

Affordable Care Act (ACA)

mandates inclusions of preexisting condition coverage in health insurance plans

A medical assistant is preparing hemostats for sterilization after an invasive procedure. Which of the following techniques should the assistant use?

Autoclave

A medical assistant is preparing to administer buccal medication to a patient. The assistant should instruct the patient to place the medication in which of the following places?

Between the cheeks and gums

A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is "preauthorization required". If the provider deems this procedure emergent, which of the following actions should the assistant take?

submit an appeal for the denied claim

When taking a patient's blood pressure, which of the following is the highest pressure level that occurs, as indicated by the first sound heard?

systolic pressure

Diastolic pressure

the lowest pressure level, and the last sound heard

Which of the following does the Snellen chart measure?

Visual acuity

A medical assistant is sorting mail and is not sure where a particular piece of mail should go. Which of the following is steps should the assistant take?

Ask the office manager or provider how to distribute them

In which of the following positions should a medical assistant place an 18-month old patient when administering ear drops to the right ear?

Right ear facing up with the earlobe pulled down and back

Which of the following classes of fire extinguisher should be used on flammable liquids?

Class B

Class A extinguisher

contains water used on paper, wood,

Class C extinguishers

contains a dry chemical for use on electrical fires

Class D extinguisher

used on combustible metals

A medical assistant is working with a patient who has cognitive impairment that causes them to display short term memory loss. In which of the following ways should the assistant adapt to this barrier?

provide easy-to-read handouts

A patient arrives at the provider's office with a laceration on their right forearm, and the provider determines the patient will need sutures. Which of the following supplies should the medical assistant hand to the provider?

The needle holder with the suture attached

Which of the following form of health information exchange (HIE) does the Office of the National Coordinator for Health Information Technology (ONC) promote in order to provide patients the ability to control the use of their health information?

consumer-mediated exchange

A patient's insurance company calls the office to obtain additional information regarding a recently submitted claim. Which of the following regulations allows the office to release this information to an insurance company without a written authorization?

The HIPAA Privacy Rule

According to OSHA guidelines for proper waste disposal, which of the following should a medical assistant dispose of in a regular waste container?

An empty urine container

Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract?

Cilia

Centrioles

assist in the distribution of chromosomes during cell division

Ribosomes

assist in protein synthesis

Mitochondria

assist in converting energy from nutrients into a form that the body can use

Which of the following actions should a medical assistant take when dealing with an angry patient?

Allow the patient to talk through their anger

A medical assistant is talking with a patient who sustained a foot fracture in a fall. They report managing most tasks at home well, but they have difficulty navigating with their crutches and are currently homebound. To which of the following resources should the assistant refer the patient?

Meals on wheels

When a procedure requires informed consent, which of the following steps should occur prior to the patient signing the form?

the provider should include information about alternative procedures before informed consent is obtained from the patient

Which of the following should the medical assistant verify with the patient prior to the patient receiving a prescription for their acute ear infection?

Medication allergies

A medical assistant is using an alcohol-based hand sanitizer after patient contact. The hand sanitizer should contain at least what percentage of alcohol?

60%

A medical assistant must provide which of the following community resources to a patient who states their partner bent their arm backwards until it broke?

domestic violence shelter

Which of the following sections of the clinical medical record includes a collection of the patient's subjective data obtained by a medical assistant during the clinical intake process?

Health history

When assisting a patient from a different culture, which of the following should the medical assistant do to help the patient feel more comfortable in the medical office setting?

Try to understand their beliefs about disease

A medical assistant has a provider order to draw blood for a lead level on an 18-month old toddler. Which of the following sites should the assistant choose for the venipuncture?

superficial dorsal hand veins

Which of the following is defined by 9 calories per gram?

the number of calories from fat

Which of the following is a component of medical terminology used to ensure the ease of pronounciation?

combining vowel

As the body processes medications, which of the following terms best represents absorption, distribution, metabolism, and excretion?

Pharmacokinetics

Which of the following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty breathing?

Dyspnea

Eupnea

normal breathing

A patient's ability to walk, groom themselves, bathe, and eat is evaluated by which of the following screenings?

Functional status screening

A medical assistant is replacing a sharps disposal container in an examination room and receives a small laceration on their arm from the plastic lid. Which of the following documentation should the assistant complete as a result of this incident?

Incident report

A medical assistant is aiding a provider with a colposcopy procedure. In which of the following positions should the assistant place the patient?

Lithotomy position

A medical assistant is helping a provider who is caring for a patient with a laceration. Which of the following should the assistant recognize is the first step of first aid administration in this situation?

Ensure bleeding of the laceration is under control

Which of the following information should a medical assistant verify at every office visit?

Allergies

Which of the following is a CLIA-waived laboratory test?

Human chorionic gonadotropin (hCG) test (pregnancy)

A medical assistant is preparing a patient to have a mole excised. Which of the following actions should the assistant take?

Cleanse the site with surgical soap and an antiseptic

A medical assistant is preparing to perform a capillary puncture on an adult. Which of the following fingers should they choose?

Middle or ring finger

Which of the following aseptic technique can be achieved using dry heat , moist heat, ultraviolet light, gas, chemicals, or ionizing radiation?

Sterilization

A medical assistant is removing sutures from a patient who has a laceration on their left lower leg. After setting up the sterile field, which of the following actions should the assistant take?

Grasp and lift the knot away from the skin

Which of the following statements describes the doctrine of professional discretion?

When a patient requests a copy of their medical records, the provider may choose not to disclose all of the patient information

A patient is having an EKG performed and is experiencing dyspnea. In which of the following positions should the medical assistant place the patient?

Fowler's position

When performing venipuncture, which of the following is the correct order of draw?

Green, lavender, and gray

Which of the following diagnostics statements is appropriate in the outpatient setting?

Fever of unknown origin

Which of the following methods aids in gathering additional details from the patient regarding their chief complaint?

asking open-ended questions

If a medical assistant experiences an exposure to an infectious disease via a human bite, which of the following steps should they take first?

Immediately flush the exposed area following the exposure

A medical assistant is using a butterfly needle set to obtain a blood sample from a vein in a patient's hand. Which of the following actions should the assistant take?

hold the needle by its wings

A medical assistant is preparing an 837P/CMS-1500 claim form for a patient treated for a burn injury. Which of the following information is required?

current procedural terminology code

A medical assistant in an outpatient facility is preparing a patient for a venipuncture. Which of the following actions should the assistant take to confirm the patient's identity?

ask the patient to state and spell their full name and provide their date of birth

Which of the following dictates the operations of physician office clinical laboratories?

Centers for Medicare and Medicaid Services (CMS)

During which of the following activities is it necessary for a medical assistant to use personal protective equipment (PPE)?

administering injections

In which of the following quadrants is the gallbladder located?

right upper quadrant

Overwhelming experiences often cause which of the following conditions?

posttraumatic stress disorder (PTSD)

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

providing first aid procedures

A medical assistant is preparing to perform a capillary collection from a patient who has poor circulation in their hands. Which of the following techniques should the assistant use to increase circulation at the collection site?

Warm the patients hand

A 45 year old female patient comes in for their annual physical. For which of the following screenings should the medical assistant provide information?

mammography screening (ages 45 and 54)

A medical assistant is preparing to print an after visit summary for a patient. Which of the following direct identifiers should the assistant verify to protect the patient's protected health information (PHI)?

Mailing address

Which of the following aseptic techniques involves using sound waves to vibrate and cleanse surgical instruments?

Ultrasonic sanitization

Which is the following is the purpose of utilizing a centrifuge?

to separate a specimen into different components

Which of the following is considered an adverse reaction?

Anaphylaxis

A medical assistant is performing a scratch allergy test on a patient's back. Which of the following distances describes the correct spacing for the small amounts of allergen scratched onto the skin?

1 1/2 to 2 inches

A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as they listen with a stethoscope. When should they read the diastolic pressure?

When the sound disappears

A medical assistant is billing a patient's third-party payer for today's office visit. Which of the following documents does this require?

An 837P/CMS-1500 claim form