NHA CCMA Practice Test 2

In addition to receiving a paper copy of their prescription, a patient has requested that their prescription be called in to their pharmacy. After calling the pharmacy, which of the following action should the MA take to complete this request?

A) Provide patient with unaltered copy of the prescription.

B) Provide the patient with a copy of the prescription with "copy only" written in it.

C) provide the patient with a copy of the prescription that reads "dispense as written"

D) Inform the patient that the copy of the prescription cannot be legally made.

B) Provide the patient with a copy of the prescription with "copy only" written in it.

A pulse oximeter can register an artificially low oxygen saturation measurement of a patient with which of the following conditions?

a) cold fingers

b) hyperventilation syndrome

c) carbon monoxide poisoning

d) anemia

a) cold fingers

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

a) 72

b) 158.4

c) 98.2

d) 185.9

b) 158.4

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

a) performing physical examination

b) giving a medical advice

c) providing first aid procedures

d) diagnosing symptoms

c) providing first aid procedures

Which of the following parts of Medicare covers durable medical equipment (DME)

a) Part A

b) Part B

c) Part C

d) Part D

b) Part B

A MA has orders to collect blood cultures, a CBC, a prothrombin time, and iron panel. They forget to draw for the PT. Which action should MA take?

a) discard the collected specimen and redraw all of them.

b) keep the specimen previously collected and draw the PT

c) call another assistant and notify the supervisor of the situation.

d) draw a discard tube, then redraw the blood cultures and a blue top tube.

b) keep the specimen previously collected and draw the PT

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?

a) Remove artifacts

b) enter patient's information into the EKG machine

c) cover the patient with blanket

d) double-check the electrode's attachment

d) double-check the electrode's attachment

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

a) The MA should keep their hands still to avoid distracting the patient

b) The MA should speak in a raised pitch when clarifying information

c) The MA should use longer sentences to keep the patient's attention

d) The MA should face the patient and speak clearly

d) The MA should face the patient and speak clearly

In which of the following quadrants is the Gallbladder located?

a) LUC

b) RLU

c) LLQ

d) RUQ

d) RUQ

Which of the following actions should the MA take when dealing with an angry patient?

a) Match the patient's energy

b) Stand closer to the patient so they will lower their voice

c) Allow the patient to talk through their anger

d) Tell the patient the provider will not see them if they continue to act out their anger

c) Allow the patient to talk through their anger

A MA is removing suture from a patient who has laceration on their left lower leg, After setting up the sterile field, which of the following action should the MA take?

a) Discard each suture immediately after removal

b) grasp and lift the knot away from the skin

c) cut the knot to remove it from the suture

d) use bandage scissors to cut the suture

b) grasp and lift the knot away from the skin

Which of the following is a positive nonverbal behavior?

a) Turning your back towards the other person

b) leaning away from the other person

c) displaying stiff posture towards the other person

d) leaning towards the other person

d) leaning towards the other person

Which of the following aseptic technique uses sound waves to vibrate and cleanse surgical equipment?

a) Sterilization

b) Chemical disinfection

c) Ultrasonic sanitization

d) Autoclave

c) Ultrasonic sanitization

Overwhelming experiences often causes which of the following condition?

a) Attention-deficit/hyperactivity disorder (ADHD)

b) Posttraumatic stress disorder (PTSD)

c) Bipolar disorder

d) Oppositional disorder

b) Posttraumatic stress disorder (PTSD)

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

a) submit an appeal for the denied claim

b) submit a new claim

c) resubmit the claim with different procedure code

d) instruct the patient to contact their insurer about the denial of payment.

a) submit an appeal for the denied claim

When obtaining a rectal temperature from an infant, which of the following describes how far a MA should insert the prove?

a) inserted 1 inch into the rectum

b) inserted 5/8 inch into the rectum

c) inserted 1/2 inch into the rectum

d) A rectal temperature should not be taken on an infant

c) inserted 1/2 inch into the rectum

A MA need to draw a blood glucose level on a patient. Which of the following tubes should they use?

a) Lavender top

b) Red top

c) Light blue top

d) Gray top

d) Gray top

A MA 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?

a) have a patient perform a return demonstration

b) provide easy-to-read handout

c) distribute analgesics as prescribed by the provider

d) offer adaptive equipment for home use

b) provide easy-to-read handout

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

a) the last time the patient had their prescription filled

b) medication allergies

c) other chronic medical conditions

d) the patient's insurance company

b) medication allergies

Which of the following vaccination should patients at 7 years of age or older receive?

a) Hep B

b) Varicella

c) TDap

d) MMR

c) TDap

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

a) Depression screening

b) functional status screening

c) substance use screening

d) elderly safe screening

b) functional status screening

A MA is preparing the exam room for patient's general physical exam. Which of the following instruments should be available to the provider for the exam?

a) forceps

b) otoscope

c) curette

d) endoscope

b) otoscope

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

a) The HIPAA privacy rule

b) The HIPAA security rule

c) The Good Samaritan Act

d) The Health Information Technology for Economic and Clinical Health Act

a) The HIPAA privacy rule

A MA 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 patient?

a) The approved visits are listed in the preauthorization comment section

b) the patient previously submitted and received a referral

c) the preauthorization doesn't include the specialty provider's NPI

d) the specialist provided the service after the expiration date of the preauthorization

d) the specialist provided the service after the expiration date of the preauthorization

An angry patient confronts a MA in the reception area. which of the following actions should the MA take?

a) speak in assertive tone

b) escort the patient to a more private area

c) ask the patient to leave

d) call security to escort the patient outside

b) escort the patient to a more private area

A MA 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 later after the procedure, the patient calls the office concerned that the surrounding area of the procedure site is infected. Which of the following torts has the MA committed?

a) Abandonment

b) Negligence

c) Battery

d) Defamation

b) Negligence

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

a) a patient can read their own chart without completing a release of information form

b) a medical office may turn over unpaid bills to a collection agency only after obtaining written permission from the patient

c) law enforcement can request protected health information only after the patient has signed a release of information form

d) when a patient request copy of their medical records, the provider may choose not to disclose all of the patient's information

d) when a patient request copy of their medical records, the provider may choose not to disclose all of the patient's information

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

a) Ask the office manager or provider how to distribute them

b) open the item and review it to determine who should receive it

c) return the item to mail carrier

d) dispose of the item into trash

a) Ask the office manager or provider how to distribute them

Which of the following can result from outdated or incorrect codes on billing claims?

a) delay of laboratory results

b) reduction of payer reimbursement

c) incomplete discharge summary

d) misfiled progress claim

b) reduction of payer reimbursement

Which of the following is used to collect specimen during a pap test?

a) cervical spatula

b) vaginal speculum

c) uterine dilator

d) uterine sound

a) cervical spatula

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

a) an explanation of benefits (EOB)

b) a release of information form

c) an 837P/CMS-1500 form

d) notice of privacy practices (NPP)

c) an 837P/CMS-1500 form

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

a) Appendicitis

b) Gonorrhea

c) Irritable bowel syndrome

d) inguinal hernia

b) Gonorrhea

A MA 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?

a) ensure bleeding of the laceration is under control

b) suture the laceration

c) pour saline in the laceration

d) apply bandage on the laceration

a) ensure bleeding of the laceration is under control

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

a) try to understand their beliefs about the disease

b) tell the patient "your english is very good"

c) speak very slowly and use medical terms

d) tell the patient "your home remedies will not help as much as the medication that the doctor prescribes"

a) try to understand their beliefs about the disease

which of the following technique should a MA use when bandaging a wound with a roller bandage?

a) wrap the wound from distal to proximal

b) bandage fingers and toes to prevent further injury

c) extend the wound dressing 3 to 5 inches beyond the bandage

d) moisten and apply ointment before bandaging

a) wrap the wound from distal to proximal

Which of the following is a root word?

a) Anti

b) Col

c) Hyper

d) Poly

b) Col

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

a) combining vowel

b) prefix

c) suffix

d) word root

a) combining vowel

During which of the following activities it is necessary for a MA to use PPE?

a) performing EKG

b) assisting a patient with gown

c) performing vital signs

d) administering injection

d) administering injection

Which of the following is required by a MA to document in the EHR when administering immunization to a patient?

a) lot number

b) immunization purchase date

c) patient's home address

d) cost of immunization

a) lot number

which of the following is CLIA waived laboratory test?

a) Papanicolaou Pap test

b) blood typing and crossmatching

c) fecal leukocyte test

d) human chorionic gonadotropin (HcG) test

d) human chorionic gonadotropin (HcG) test

A MA 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?

a) 6 hr

b) 12 hr

c) 24 hr

d) 48 hr

c) 24 hr

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

a) asking open-ended question

b) using visual diagrams

c) asking close-ended question

d) using a audio tool

a) asking open-ended question

Which of the following pulmonary test involves measuring the oxygen saturation of a patient by placing a probe in the finger?

a) pulse oximetry

b) peak flow monitor

c) spirometry test

d) lung volume test

a) pulse oximetry

A MA is collecting a forensic specimen at request of an employer. Which following people should sign the documentation for the specimen, according to chain of custody?

a) the patient who gives the specimen

b) the employer who request the specimen

c) all personnel that come in contact with the specimen

d) the front office staff who checked in the patient

c) all personnel that come in contact with the specimen

Which of the following can prevent a patient from comprehending an informed consent?

a) active listening

b) cultural competence

c) acceptance

d) language barriers

d) language barriers

which of the following pairs of body system work together to move hormones throughout the body?

a) nervous and circulatory

b) musculoskeletal and reproductive

c) circulatory and endocrine system

d) respiratory and circulatory

c) circulatory and endocrine system

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

a) American Medical Technology (AMT)

b) National institute of health (NIH)

c) occupational safety and health administration (OSHA)

d) Centers for Medicare and Medicaid Services (CMS)

d) Centers for Medicare and Medicaid Services (CMS)

A MA is replacing a sharp disposal 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 MA complete as a result of this incident?

a) Advance beneficiary notice (ABN)

b) incident report

c) 837P/CMS-1500 claim form

d) quality control log

b) incident report

which of the following coaching recommendation should a MA provide when educating the patient and their family on reducing the spread of infection?

a) cough or sneeze into open air

b) use only high-level disinfectant on supplies for sanitization purpose

c) routinely wash hands before and after meals

d) avoid using hand sanitizer

c) routinely wash hands before and after meals

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

a) hold the patient's hand above their heart

b) squeeze the patient's finger

c) warm the patient's hand

d)apply tourniquet above the patient's wrist

c) warm the patient's hand

A MA has a blood pressure cuff inflated and partially open the valve to deflate as they listen with a stethoscope. when should they read the diastolic pressure?

a) when the sound disappears

b) when the repetitive sound begins

c) when the sound changes from strong to muffled

d) when the sound changes from swishing to sharp

a) when the sound disappears

Which of the following is considered an adverse reaction?

a) nausea

b) vomiting

c) diarrhea

d) anaphylaxis

d) anaphylaxis

which of the following defines the process of sterilization?

a) killing pathogenic organisms and rendering them ineffective

b) cleansing instruments to reduce microorganisms to a safe level

c) killing all pathogenic organisms and spores

d) cleansing instruments using ultrasonic sound waves in a bath of cleanser and water

c) killing all pathogenic organisms and spores

A MA is performing scratch allergy test on patient's back. which of the following distances describes the correct spacing for the small amount of allergen scratched onto skin?

a) 1 to 1 1/2 inch

b) 1 1/2 to 2 inch

c) 2 1/2 to 3 inch

d) 3 1/2 to 4 inch

b) 1 1/2 to 2 inch

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

a) 30%

b) 50%

c) 60%

d) 40%

c) 60%

which of the following information should MA verify at every office visit?

a) allergies

b) blood pressure

c) surgeries

d) major illness

a) allergies

A MA is using butterfly needle set to obtain blood sample from a vein in patient's hand which of the following action should the assistant take?

a) hold the needle by its wings

b) insert the needle into the skin at 45 degree angle

c) release the tourniquet after 2 mins

d) activate the safety device before removing the needle

a) hold the needle by its wings

A MA is cleaning an examination room after assisting a provider with biopsy. which of the following action should the assistant take?

a) place cap back on needles to reduce the risk of puncturing the sharps container

b) break off the tops of any unused ampules and discard the liquid

c) dispose off scalpel in a properly labeled puncture-proof container

d) dispose of the sharps container once it is completely full

c) dispose off scalpel in a properly labeled puncture-proof container

which of the following types of advance directive provides information about the person that a patient delegated to make healthcare decisions on their behalf if they care unable to do so?

a) living will

b) organ donation

c) DNR

d) health care proxy

d) health care proxy

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

a) dyspnea

b) eupnea

c) pneumothorax

d) pneumonia

a) dyspnea

Which of the following element is a component of the standard precaution use of PPE?

a) personal lab jacket

b) sharps container

c) masks

d) safety needle guard

c) masks

a MA is speaking with a patient about their social history and the assistant notice the patient is fidgeting and appears anxious. which of the following nonverbal communication style is the patient exhibiting?

a) passive-aggressive communication

b) assertive communication

c) passive communication

d) manipulative communication

c) passive communication

which of the following examples of patient coaching addresses disease prevention?

a) explaining how to correctly take prescribed medication

b) supplying a patient with information about self-exam

c) showing instructional video based on patient's treatment plan

d) providing information on the importance of recommended vaccine

d) providing information on the importance of recommended vaccine

which of the following cell structure provides energy for the cells?

a) nucleus

b)cytoplasm

c) lysosomes

d) mitochondria

d) mitochondria

when a MA is performing 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 the assistant using when they state, " I hear that you are saying.."

a) clarification

b) paraphrasing

c) reflection

d) summarizing

b) paraphrasing

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

a) autoclave

b) gas

c) dry heat

d) chemical

a) autoclave

A patient has been diagnosed with a communicable disease. Which of the following is true regarding the reporting of the disease?

a) reported directly to the CDC

b) reported directly to the specific state's public health department

c) reported directly to the centers of medicare and medicaid services

d) reported directly to Occupational Health and Safety Administration Office

b) reported directly to the specific state's public health department

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

a) completing just the insured's name and DOB on the 837P/CMS-1500 claim form

b) reporting codes for services ordered

c) reporting codes that are supported by the encounter documentation

d) failing to sign 837P/CMS-1500 form or not documenting the signature on file (SOF)

c) reporting codes that are supported by the encounter documentation

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

a) 5mm/mV

b) 10mm/mv

c) 20mm/mV

d 25mm/mV

b) 10mm/mv

A MA is talking with a patient who sustained 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 MA refer the patient?

a) hospice services

b) legal aid society

c) meals on wheels

d) American red cross

c) meals on wheels

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

a) a positive culture plate

b) suture staples

c) an empty urine container

d) a capillary tube

c) an empty urine container

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

a) administering gynecologic and prenatal labor and birth care

b) providing a network of contracted providers

c) respecting a patient's culture with their health needs

d) allowing the inclusion of preexisting condition coverage

c) respecting a patient's culture with their health needs

A MA 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?

a) assisted living facility

b) hospice care facility

c) ambulatory care facility

d) tertiary care facility

b) hospice care facility

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

a) lung cancer screening

b) bone density screening

c) cervical cancer screening

d) mammography screening

d) mammography screening

Which of the following is the correct placement of lead 4?

a) fourth intercostal space at the left of the sternum

b) fifth intercostal space at the mid clavicular line

c) fifth intercostal space at the mid axillary line

d) fourth intercostal space at the right of the sternum

b) fifth intercostal space at the mid clavicular line

Which of the following does a Snellen chart measure?

a) visual acuity

b) hearing acuity

c) color vision

d) bone conduction

a) visual acuity

A MA administers an injection and the patient faints. Which of the following action should the assistant take?

a) elevate patient's head above the heart

b)apply warm washcloth to the patient's neck

c) offer the patient something to drink

d) place the patient is supine position

d) place the patient is supine position

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

a) encryption

b) e-prescribing

c) remote patient monitoring (RPM)

d) medical scribe

b) e-prescribing

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

a) time the patient last ate

b) initial of the collector and time

c) providers name

d) patient's social security number

b) initial of the collector and time

PRN stands for

a) twice per day

b) nothing by mouth

c) as needed

d)before eating

c) as needed

A MA is administering and ID injection for allergy testing, which of the following action should the MA take?

a) locate the middle portion of the anterior forearm

b) pinch the skin between the thumb and fore fingers

c) insert the needle with bevel facing downward

d) inject the solution rapidly with the needle positioned at 30 degree angle

a) locate the middle portion of the anterior forearm

Which of the following instruction should the MA give a patient when administering an enteric-coated tablets?

a) swallow the tablet whole with a glass of water

b) chew the tablet thoroughly before swallowing

c) dissolve the tablet in a glass of water before drinking

d) crush the tablet and mix it with applesauce

a) swallow the tablet whole with a glass of water

which of the following fasting blood sugar laboratory results should the MA recognize as abnormal?

a) 70 to 99 mg/dL for a non-diabetic

b) greater than 126mg/dL a diabetic

c) 101mg/dL for a non-diabetic

d) 100 to 125 mg/dL for a pre-diabetic

c) 101mg/dL for a non-diabetic

when performing surgical asepsis, which of the following steps should a MA take to prevent contamination of the sterile field?

a) place all sterile items in the center of the sterile field

b) reach across the sterile field to pick up a specimen container

c) hold all sterile items below waist level

d) place all soiled dressing on the corner of the sterile field

a) place all sterile items in the center of the sterile field

A MA should provide which of the following community resources to a patient who states their partner bent their arms backwards until it broke?

a) women, infant, children

b) domestic violence shelter

c) hospice agency

d)grief support group

b) domestic violence shelter

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

a)report the exposure incident to the supervisor with 48 to 72 hrs

b) utilize an alcohol-based sanitizer to clean the affected area

c) immediately flush the exposed area following exposure

d) write an incident report to be included in the employee's personal file

c) immediately flush the exposed area following exposure

A MA is scheduling a procedure at a local facility for a patient. Which of the following steps should the assistant take?

a) review pre-admission instructions with the patient

b) send the patient's medical records to the facility

c) call and schedule the procedure

d) verify insurance will cover the procedure

d) verify insurance will cover the procedure

Which of the following means the absence of infection and infectious materials?

a) sanitization

b) asepsis

c) medical asepsis

d) surgical asepsis

b) asepsis

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

a) diastolic pressure

b) pulse pressure

c)blood volume

d) systolic pressure

d) systolic pressure

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

a) at birth

b) 6 to 7 years of age

c) 11 to 12 years of age

d) 15 to 16 years of age

c) 11 to 12 years of age

A MA is preparing to print an after visit summary. which of the following direct identifier should the assistant verify to protect the patient's PHI?

a) mailing address

b) insurance carrier

c) employer

d) name of patient's provider

a) mailing address

A 24year old patient has a BMI of 30.5 on their height and weight. WHich of the following describes their BMI category?

a) healthy weight

b) over weight

c) Obese class I

d) Obese class II

c) Obese class I

Which of the following is correct order of draw?

a) lavender, green, gray

b) gray, green, lavender

c) green, gray, Lavender

d) green, lavender, gray

d) green, lavender, gray

A patient arrives at the provider's office with laceration on thier right arm, and the provider determines the patient needs suture. Which of the following supplies should the MA hand to the provider?

a) needle holder and suture separately

b) needle holder with suture attached

c) only the suture

d)only the needle holder

b) needle holder with suture attached

Which of the following conditions require patient to avoid gluten?

a) pyloric stenosis

b) peptic ulcer

c) celiac disease

d) appendicitis

c) celiac disease

which of the following is appropriate to remove suture?

a) a probe

b) suture scissors

c) a retractor

d) a dilator

b) suture scissors

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

a) First

b) second

c) third

d) fourth

d) fourth

An adolescent is covered by two insurance policies held by divorced parents. The patents have birthday in May and august and have joint custody of the adolescent. which of the following policy is primary policy of the adolescent?

a) the policy adolescent choses

b) the policy that names the adolescent as a dependent

c) the policy that was written first

d) the policy of the parent whose birthday comes first

d) the policy of the parent whose birthday comes first

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

a) health history

b) vital signs

c) anthropometric measures

d) radiology reports

a) health history

EKG wandering baseline