NHA PRACTICE TEST #3

The primary code in the CPT coding system consists of how many digits?

5

MA is observing a pt after administering an antibiotic injection. The pt develops an itch rash with pinkish, raised lesions. What term should the MA use when documenting this finding in the pt medical record

URTICARIA

When should the code on glucose cuvettes be compared to the code on the glucometer?

Before a pt is tested

Which of the following should a MA identify as the purpose of a category II code in procedural coding?

Tracks provider performance measures

A pulse oximeter can register an artificially low oxygen saturation measurements for a pt who has which of the following conditions?

Cold fingers

As a MA is collecting a blood sample, the pt begins to faint, Which actions should MA take to ensure pt safety?

Position the pt flat on her back

MA is performing spirometry testing for a pt who has shortness of breath. Which of the following results of the spirometry test indicates a successful maneuver?

A fast and steady flow with no variability

MA is collecting data from a pt who is experiencing heatstroke. What manifestation should the MA expect to find?

Hot skin

MA is administering eye ointment to a pt. What actions should the MA take?

Apply a thin ribbon of ointment along the conjunctival sac

MA is reinforcing teaching with a pt about a lifestyle modification to help regulate his hypertension. What statement by the pt indicates an understanding of the teaching?

I can only smoke half a pack each day. So I'll just cut it out completely

What's the use for antitussive medication?

An antitussive suppresses the cough reflux

OSHA guideline. MA should dispose of blood-soiled gauze dressing to?

Red biohazard bag

Which of the following info should the MA enter into the appointment calendar when scheduling a pt for a skin rash?

Daytime phone number

MA has requested a pre authorization for a pt's referral to a specialist. Which reason for the claim submitted by the specialist to be denied?

The service is provided after the expiration date

MA is disposing of the syringe and needle she used to inject a seasonal influenza vaccine. What actions should MA take?

Drop the syringe, needle first, into the biohazard sharps container

When preparing a pt for Holter monitoring. What actions should MA take?

Vigorously dry the pt's skin prior to electrode placement

MA is preparing a pt who has psoriasis to be examined by the provider. When inspecting the pt's skin lesions, MA should observe for?

Silvery, scaly skin

MA is preparing a pt for a physical exam. Which steps should MA take first?

Verify the pt's identity

Which is types of written correspondence can be signed by a MA?

A notification letter to a pt about surgery arrangements

MA is admminestering an IM immunization to a pt. What action should MA take?

Cleanse the site in a circular motion from the center outward

Which method is used to notify a provider of the denial of a claim by an insurance carrier?

Remittance advice....-it documents itemizes all paid, denied and allowable changes for a pt.

When assisting a CPT code, what is the purpose of a modifier?

Provides additional info or circumstances for a procedure

Which instruction should a MA provide to a pt regarding transdermal patch use and care?

Make sure to rotate patch placement to avoid skin irritation

MA is completing a progress note using the SOAP format. Which pt info should the MA include in the assessment section?

Diagnosis

MA discovers a garbage can fire has started in the break room of the MA office. According to the RACE acronym for emergency response. What action should the MA take first?

Evacuate staff and pt from the immediate area

When performing a first aid procedure to control bleeding of a wound, What actions should a MA take?

Apply layers of sterile gauze

MA is drawing five blood collection tubes. When should MA release the tourniquet?

Within 1 min. of application

First time pt is late arriving to the office, What should MA say first?

Hello, Welcome to our office

MA is collecting multiple blood samples from a pt. Which of the following vacuum tubes should MA fill first?

Yellow (blood culture)

Pt contacts the facility to report a burn injury to her right arm. MA should identify which of the following pieces of info as a necessary when screening for a possible emergency situation?

The cause of the pt's burn

A pt loses consciousness the EKG tracing reveals ventricular fibrillation. which of the following should the MA do first

Call for help and begin CPR

What techniques should MA use when bandaging a wound?

Wrap the wound from distal to proximal

MA is caring for a pt who has come in contact with concrete debris. Upon inspection of the eye, the MA sees debris on thew surface of the sclera. What actions should MA take?

Irrigate the eye starting at the inner canthus and flowing to the outer canthus

What technique should MA use to confirm a pt's understanding of insulin administration?

Observe pt as she/he performs a self- demo

MA is providing instruction to a pt on how to take an extended medication PO. What statements made by the pt indicates for further teaching

I can crush or chew the pill if it's too hard for me to swallow

A MA has a blood pressure cuff inflated and partially opens the valve to deflate as he listens with a stethoscope. When should he read the diastolic pressure?

When sounds disappear

MA is preparing a pt who has intermittent peripheral cyanosis for an examination by the provider. The MA should understand that healthy perfusion of the hand's and feet depends on adequate interaction between which of the following two body system?

Circulatory and Respiratory

MA is preparing a CMS-1500 insurance claim form for a pt who was treated for a burn injury. What pieces of required on the form?

Current procedural terminology code

The parent of a child who has pinworms is asking MA for more info about his child's condition. The MA should begin explaining that pinworms are what types of microorganisms?

Helminths

MA is collecting a urine specimen from a pt for a drug screening. What actions should the MA take to adhere to the chain of custody for specimen

Send the specimen to the testing laboratory on the same day

Which of the following cell structures is the source of energy for a cell?

Mitochondria

Pharmacist calls the clinic to confirm an e-prescription request to fill a pt's medication order. What action should MA take?

Verify the order with the provider prior to confirming the e- prescription

MA is measuring a pt's B/P with an aneroid sphygmomanometer and a stethoscope. What action should MA take?

Make sure the midpoint of the pt's arm is at the level of the pt's heart

Which routes for taking pt's temp is the most accurate?

Rectal

Providers asks a MA to administer oxygen to a pt who is experiencing respiratory distress. What action should MA take when administering oxygen to the pt?

Insert the tips of the cannula into the pt's nostrils

What action should the MA take to safeguard a pt's protected health info?

Log off of the computers when not in use

MA receives a phone call from a pt who seems anxious about the results of a test. What response should MA make?

I know you are concerned about your test results. We'll call you as soon as your results come in

Which body system should be evaluated for a diagnose of pyloric stenosis?

Gastrointestinal..(is the hardening of the pyloric sphincter

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

A subject line in all capital letters

MA is explaining a venipuncture procedure to a pt. What statement should MA make?

I'll be collecting a blood sample from you today. There will be a small stick in your arm

MA is preparing to apply ointment to several abrasive on a pt's leg. What supplies should MA use to remove the medication from the jar?

A tounge blade

MA is measuring vital signs of an adult pt. MA should identify what B?P readings as primary hypertension?

150/95 mm Hg

MA is speaking with a pt who has a seasonal allergies. What health care provider should the MA identify as being able to make a diagnose and initiate the necessary treatment?

Physicians Assistant

MA is reviewing a medicare claim denial. MA determines that there are changes that exceed the usual, customary, and reasonably fees. What action should MA take?

Adjust the pt's account to reflect no unpaid charges and write off the balance

MA is reviewing a discharge info with a pt, who is postoperative following cryosurgery to the cervix. What statement should the MAS include?

You may experience a watery discharge for up to 1 week after your procedure

Pt arrives at the clinic with a tick bite on his leg. The provider ask a a MA to help remove the tick. What actions should MA make?

Use tweezers to pull the tick away from skin slowly

MA is making a new sign- in sheet for the pt who have appointment that day. What info should the sign-in sheet include?

Providers name

MA is caring for a pt who has a body mass index (BMI) of 23 this pt should be categorized as which of the following?

Normal wt

MA is asked to assist a provider with an orthopedic exam. What instrument should the MA prepare for the exam?

Goniometer (to measure joint movement in a single plane)

When speaking with a pt who has moderate hearing loss and reads lips. What action should MA take to aid in communication with the pt?

Use hand gestures

MA is reviewing the medical history of a pt who regulary comes into contact with coal and wood dust. MA should recognize that this pt is at an increased risk for developing which of the following disorder?

Emphysema

MA is preparing a pt for a procedure to have a mole excised. What actions should MA take?

Cleanse the site with the surgical soap and an antiseptic

A MA is measuring the circumference of an infant's head. Which of the following actions should the assistant take?

Place the zero mark of the measuring tape against the infants forehead

A MA in an outpatient facility is preparing a patient for a venipuncture. Which of the following actions should the assistant take to confirm the patients identify?

Ask the pt to state her full name and date of birth

A MA needs to remove all living micro-organisms from a contaminated towel clamp. Which of the following methods should the assistant use to cleanse this instrument?

Sterilization

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

The provider should review alternative procedures with the pt

MA is assisting with the examination of an older adult pt who has a curvature of the thoracic spine. What term should the MA use when documenting this finding in the pt's medical record?

Kyphosis (humpback, curvature of thoracic spine)

MA is educating an older adult pt on wound care. What should the MA do to ensure pt understanding?

Have the pt repeat information

A pt request a female provider to perform her examination due to a religious conviction. A female provider is not available. What is the appropriate response by the MA?

Assist the pt in locating a provider to accomodate the pt's need

MA is checking a pt out of the clinic. Which document should the MA locate info about provider referrals or follow up appointment request for the pt?

Encounter form ( also known as super bills referrals or appointment)

Which steps for a fingerstick should a MA complete first?

Confirm the correct identity of the pt

MA receives a call from a pt who is irate about a letter she received from her insurance carrier denying a claim. What statement should the MA make?

Let's see if there is something we can do at our end. I'll ask our claim specialist to review the claim.

MA is transcribing a pt's routine prescription for oxycodone . What method should the MA use to process the prescription?

Provide the prescription in writing for the pt to take to the pharmacy ( oxycodone is a Schedule 2)

The provider orders the MA to prepare a tablespoon of medication for a pt. How many milliliters of medication should the MA draw up?

15 ml ( there are 15 ml per tablespoon)

What techniques should a MA use to put a 7 yr old child at ease prior to administering an injection

Explain the procedure to the child in simple steps

The parent of a child who has pediculosis is asking MA for more info about her child's condition. The MA should begin by explaining that pediculosis is which type of infection?

Parasitic

MA is preparing to perform a capillary collection from an older adult pt who has poor circulation in his hands. What technique should the MA use to increase circulation at the collection site?

Warm the pt's hands

A provider asks a MA to reinforce teaching with a pt about her new diagnosis. What action should the MA take?

Document the pt's response to the teaching

When assisting a provider with vaginal examination and Papanicolaou PAP test. MA should identify that which instrument is necessary?

Cytobrush

Which of the following medical record documentation templates is organized by the entity that supplied the data?

Source oriented

What type of appointment system allow flexibility to allow for the most consistent pt flow?

Wave scheduling

What position should a MA place an 18 month old pt when administering ear drops to the right ear?

Right ear facing up with the earlobe pulled down and back

A MA is examining the skin on a patient's forearm where the patient reports developing a rash. The assistant notes multiple solid elevations that are less than 0.5 cm (0.2 in) in diameter. Which of the following terms should he use to document his observations in the patient's medical record?

Papules ( common cause is allergic eczema)

MA is in an acute care facility is checking in a pt who has a deep lacerations. The pt tells the MA that he cannot accept blood transfusion due to his religious beliefs. What actions should should the MA take?

Document the statement in the pt's chart

MA is preparing to use a glucometer to measure a pt's blood glucose level. What action should the MA take?

Obtain the blood sample after inserting the test strip into the glucometer

What positions should a MA place a pt when obtaining a rectal temp?

SIMS

MA is adding info to a pt's computerized problem- oriented medical record POMR. Which sections of the POMR should the MA enter the pt's health history and laboratory results?

Database

MA is preparing 1g/kg of activated charcoal for a pt who weighs 176 lb. How many grams of charcoal should the MA prepare?

79 g (to convert from lb to kg multiply 176 lb by 0.45 = 79.2 rounded = 79

What is a CLIA-waived lab test

Human chorionic gonadotropin HCG test

MA is preparing a pt for a PE when he notices that the pt eyes are moving back and forth in a constant involuntary manner. What terms should the MA use when documenting this finding in the pt's medical record?

Nystagmus

MA is preparing to sanitize contaminated equipment. What pieces of equipment can a MA sanitize and reuse without needing to disinfect or sanitize it?

Otoscope

MA at a facility receives a call from a pt who is requesting the total cost of a surgical procedure. What is the appropriate response by the MA?

Provide the pt with an estimated cost for the procedure

What laboratory values should a MA immediately report to a pt's provider?

Blood glucose 500 mg/dL (normal range is 70 to 110mg/dL)

MA is preparing a patient for wearing a Holter monitor. What instructions should the MA include?

You should avoid using an electric blanket during monitoring

A MA 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 it's wings

Pt at an urgent care facility report that she vomited and saw blood in the vomitus. What term should the MA use to document the pt's report?

Hematemesis

MA is monitoring a pt during stress-test. The pt becomes increasingly short of breath and tachycardia. Abnormalities appear in his EKG rhythm. What action should MA make?

Discontinue test

What stages of the cardiac cycle on an EKG strip represents ventricular depolarization

QRS complex

MA is reviewing the laboratory results of a pt who has the Epstein- Barr virus. MA should identify that this micro-organisms can cause what conditions?

Mononucleosis

MA is obtaining information for a pt's medical history and physical exam. The pt reports intermittent episode of tingling in his ears. What terms should the MA use to document this finding

Tinnitus