BASELINE CCMA NHA-180 question test

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?

negligance

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

Centers for Medicare and Medicaid Services (CMS)

A medical assistant is preparing a patient for a flexible sigmoidoscopy examination. In which of the following positions should the assistant place the patient?

Left lateral position

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

paper towels

Prior to running an EKG tracing, which of the following is the final step a medical assistant should take to ensure the tracing will be clear with a horizontal baseline?

Double-check the electrodes' attachment

Which of the following letter formats uses indented paragraphs?

A semi block letter

A medical assistant calls a patient from the waiting area to obtain a specimen. Which of the following actions should the assistant do first?

Identify the patient.

Which of the following elements is a component of the standard precautions use of personal protective equipment (PPE)?

Masks

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

101 mg/dL for a nondiabetic

According to the Controlled Substances Act, which of the following is true regarding the storage of controlled substances in the office?

Controlled medications should be stored in a locked cabinet.

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

1 ½ to 2 inches

Which of the following cardiac procedures is within a medical assistant's scope of practice and does not require a license technician or provider to assist with or perform the procedure?

A Holter monitor application

A medical assistant in an outpatient facility is preparing a patient for 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 date of birth.

A medical assistant is weighing a patient that is 72 kg. Which of the following values is the patient's weight converted to pounds?

158.4

Which of the following types of artifacts does the tracing above contain?

Wandering baseline

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

Asking open-ended questions

A medical assistant is talking with a patient who is experiencing home displacement following a hurricane. To which of the following resources should the assistant refer the patient for information, support, and links to community services?

american red cross

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 administers an injection and the patient faints. Which of the following actions should the assistant take?

Place the patient in a supine position.

A medical Assistant is preparing the exam room for a patient's general physical examination. Which of the following should be available to the provider for the examination?

Otoscope

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

The number of calories from fat

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

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

An empty urine container

Which of the following is the recommended age for children to receive their first human papillomavirus (HPV) vaccine?

11 to 12 years of age

Which of the following stages described by the Kubler-Ross grieving process indicates that a patient may attempt to give something up to gain more time?

The bargaining state

Which of the following is a medical assistant required to document in the electronic health record (EHR) when administering immunizations to a patient?

Lot number

Which of the following is the correct placement for lead V4

Fifth intercostal space at the midclavicular line

When a medical assistant is performing a patient interview, it is important they understand the patient's message so that they can relay it accurately to the provider. Which of the following techniques is the assistant using when they state, "I hear what you are saying..."

Paraphrasing

A medical assistant is examining a patient who has a third degree burn on their hands. Which of the following is a first aid procedure the medical assistant can perform?

Separate the patient's burned fingers.

An angry patient confronts a medical assistant in the reception area. Which of the following actions should the medical assistant take?

Escort the patient to a more private area.

Which of the following cell structures provides energy for cells?

Mitochondria

A patient reports severe headaches and chronic tingling in their arms and legs. To which of the following specialties should the provider refer the patient for a consultation?

Neurology

Which of the following is the appropriate instrument for removing stitches?

Suture scissors

A medical assistant has orders to collect blood cultures, a CBC, a prothrombin time (PT) and an iron panel. They forget to draw for the PT. Which of the following actions should the assistant take?

Keep the specimens previously collected and draw the PT.

Which of the following types of advance directives provide information about the person that a patient delegated to make health care decisions on their behalf if they are unable to do so?

Health care proxy

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

Class b

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

E-prescribing

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

Allergies

Which of the following eating disorders is demonstrated by purging, use of laxatives, and mood swings?

Bulimia nervosa

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 speaking with 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

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

A medical assistant is performing an EKG on a patient. Which of the following describes the appropriate placement of the electrodes?

Tabs downward on the arm

A medical assistant needs to draw a blood glucose level on a patient. Which of the following tubes should they use?

Gray top tube

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 medical assistant is preparing to complete an 837P/CMS-1500 claim form. Which of the following components of the form identifies the practitioner who provided the submitted services?

National provider identifier (NPI)

A medical assistant is preparing to apply a transdermal patch for a patient. Which of the following is the correct method?

Apply the patch directly to the skin to maintain effectiveness.

A medical assistant is labeling a blood sample for anemia. Which of the following tests should the assistant label on the requisition form?

STAT-CRIT hematocrit

A medical assistant has acquired a preauthorization for a patient's referral to a specialist. Which of the following is a reason for the insurer to deny the claim submitted by the specialist?

The specialist provided the service after the expiration date of the preauthorization.

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

Ask the office manager or provider how to distribute the item.

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

Incident report

A medical assistant is measuring a patient's oxygen saturation with a pulse oximeter. Which of the following actions should the assistant take?

Check capillary refill in the patient's finger.

If an EKG tracing has an upward and downward movement of the waveform, which of the following types of artifacts is indicated?

Wandering baseline

Which of the following forms 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 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

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 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 reviewing the list of medications a patient reports they are currently taking. The assistant should recognize that which of the following medications is available in sublingual form?

Nitroglycerin

When obtaining a rectal temperature from an infant, which of the following describes how far a medical assistant should insert the probe?

The thermometer should be inserted ½ inch into the rectum.

A medical assistant is composing business correspondence using the simplified letter style. Which of the following features should the assistant use?

Center aligned dateline and salutation

A medical assistant has just completed a successful blood draw. Which of the following information should they record on the labels of the venipuncture tubes prior to transport?

Initials of collector and the time collected

Which of the following types of allergy testing involves applying an allergen to the skin to help detect delayed allergic reactions?

Patch testing

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

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 can prevent a patient from comprehending an informed consent?

Language barrier

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

Medical Asepsis

Which of the following should a medical assistant do to assist with hemostasis following completion of a venipuncture procedure?

The assistant should tell the patient to hold pressure on the site and elevate their arm.

A medical assistant is scheduling a procedure at a local facility with a patient. Which of the following steps should the assistant take first?

Verify insurance will cover the procedure.

A medical assistant is preparing to draw venous blood samples. OSHA regulations require the assistant to wear which of the following pieces of personal protective equipment while performing this procedure?

Gloves

A medical assistant is performing intake for a 6-month-old patient. Which of the following measurements is required to complete the pediatric growth chart?

Head circumference

When a medical assistant is communicating with a patient who is upset, which of the following mechanisms indicates the assistant is receptive and listening?

Maintaining an open posture toward the patient

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

A medical assistant is working with a patient who has a 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 medical assistant is preparing a patient for a urine creatinine test. Over which of the following periods of time should the assistant instruct the patient to collect the specimen?

24 hr

In which of the following quadrants is the gallbladder located?

right upper quadrant

A medical assistant is preparing the autoclave for the sterilization process. Which of the following temperatures is recommended to effectively perform sterilization?

121° to 123° C (250° to 255° F)

A medical assistant fails to document a patient's preference for not using any blood products during their procedure. This error falls under which of the following legal principles?

Negligent torts

Which of the following methods is the best way to measure the amount of body fat on a patient?

Body mass index (BMI)

A medical assistant is processing blood samples obtained for a DNA analysis and paternity testing. Which of the following information must they include on the document in order to maintain chain of custody?

Initials of the person transporting the specimen

Which of the following spatial considerations should the medical assistant take when checking in a patient?

4 to 12 feet

A medical assistant works at a practice that is part of an Accountable Care Organizations (ACO). This designation means the practice's health care team will focus on improving care for patients who have which of the following types of medical coverage?

Medicare

According to the stages of hypertension, which of the following blood pressure readings is considered to be in the elevated stage?

128/78 mm Hg

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?

Reconciliation

A medical assistant is preparing to perform venipuncture for a patient. According to order of draw, which of the following tubes should the assistant draw after obtaining blood cultures?

Light blue

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

Human chorionic gonadotropin (hCG) test

In which of the following positions should a medical assistant place a patient when preparing to perform a 12-lead EKG in the office?

Supine

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

Emphysema

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

Dyspnea

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

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

Sterilization

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

Administering medication using the physical technique identified by the provider's written order

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

A medical assistant is collecting a health history from a patient who exhibits moderate hearing loss. Which of the following actions should the assistant take?

The assistant should face the patient and speak clearly.

A patient comes to the clinic with dysuria, discharge from the penis, and pain in the lower abdomen. A medical assistant should recognize these as manifestations of which of the following disorders?

Gonorrhea

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

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

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.

Which of the following preventative screenings are matched correctly with the age at which they should be initially completed?

Colonoscopy, 45 years old

Which of the following measurements would a medical assistant take during a routine well-child exam when determining if the child has microcephaly?

Head circumference