NHA CCMA Exam

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1

Supine position

When measuring a infant from head to heel. What exam position should you place the infant in?

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2

Infants 6 weeks who has a heart of 80/min

What type of patient would you report to the provider if they had a low apical pulse?

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3

Confidentiality statement

What statement do you provide to patients to be in compliance HIPPA?

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4

When you have symptoms

  1. What information do you need to provide to the patient when wearing a Holter monitor about marker?

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5

Educational material

What information is acceptable to provide to the patient in the waiting room?

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6

Blade down, handle first

What technique would be used when passing a scalpel to the provider during a sterile procedure?

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7

Pathology

  1. A patient being post-op status post left mastectomy. What information should you make sure is on the chart from hospital?

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8

Human chorionic gonadotropin (HCG)

What is the hormone detected in pregnancy test?

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9

Liquid nitrogen

What is used in cryosurgery?

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10

CMS 1500

What is the universal claim for submited outpatient billing?

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11

Plan of care

When reviewing a patient's chart after a visit. Where would you look in the chart to review medication dosage and instructions for the patient?

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12

American w/ Disability Act

Where should you refer a non- ambulatory for, assistance with workplace accommodations?

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13

Tachycardia, Hypotension, Afebrile, Normal Respiration

  1. You have obtained the following vital signs from an adult patient: temperature 37.2 C (99. 0 F), heart rate 106/min, BP 89/50 mm Hg and respiratory rate of 18/min. What should document regarding the vital signs?

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14

Lithotomy Position

What position should you place a patient for a pap smear?

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15

Immediately over the phone

A urgent referral has been submitted to the insurance company. How long should the authorization process take?

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16

Dispose of in a biohazard container

Your gloved hands come in contact with the patient's blood during a procedure. What action should you take?

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17

Semi-Fowler

A patient has COPD and requires an abdominal exam. What position should you place the patient in to manage his/her respiratory status?

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18

Dr./Nurse Practitioner

When working in an ambulatory care center with several other workers. Who is legally responsible for the medical assistant's actions?

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19

Patient & care giver relationship

What should you recognize as a goal of patient- centered care?

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20

Alcoholism

What is a risk factor for developing cirrhosis?

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21

1 inch

When setting a tray for a sterile procedure. How many inches are required to maintain a sterile field?

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22

Contusion

What is a closed wound caused by blunt trauma that results in swelling, ecchymosis, and pain?

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23

Goniometers

What device would you use to measure a patient's range of motion?

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24

Height & Weight

What criteria is used to determine BMI?

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25

Red/Rare Meat

  1. What foods should you instruct a patient to refrain from eating prior to testing for fecal occult blood?

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26

Temperature

What is a cause for a urine specimen to be rejected?

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27

PPE

What items are employers required to provide based on OSHA's Bloodborne Pathogens standards for all employees?

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28

Vertigo

What side effect can you expect from a patient following an ear irrigation?

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29

Brachial Artery

What artery is primarily used for obtaining a manual blood pressure?

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30

National Provider Identification (NPI)

What information is needed from a provider to complete the CMS-1500 form?

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31

Pialative

when using antihistamines to treat allergies this is an example of what kind of care?

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32

3-4 inches

How many inches above the venipuncture site should the tourniquet be placed?

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33

Distilled water

What solution is used in an autoclave for sterilization?

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34

Apply Even Pressre

  1. What action should you take when performing a capillary puncture?

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35

Have the parent to hold the child

When performing a capillary puncture on a 10 month old patient. What action should you take?

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36

Post-op instructions

A patient has had a cyst removed in the office. What information should be provided to the patient prior to leaving the office?

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37

100

When performing CPR how many compressions should be done in a minute?

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38

Forehead

Your patient requires a temporal temperature to be taken. Where should you take this temperature?

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39

Prevent contamination

What is the purpose of the chain of custody for a drug screen?

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40

Chest

Where are electrodes placed on the body for a holter monitor?

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41

The patient can see 20ft while the adverage eye sees 50

Patient's vision is 20/50 according to the Snellen chart. What does this mean?

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42

Break it down and start over

You are setting up a tray for a sterile procedure and your co-worker reaches across it. What action should you take?

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43

Reduce fat intake

When reinforcing teaching to a patient with a new diagnosis of hypercholesterolemia. What dietary changes should you instruct the patient to make?

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44

Run under water

When sanitizing instruments using aseptic techniques. What actions should you take?

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45

Annually or when changes are made

When should facilities review and update exposure control plans according to OSHA?

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46

3

After how many years is a patient considered new in your practice for billing and coding reasons?

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47

Palpate

What method of examination is used to observe deformities and rashes?

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48

Metabolism

What pharmacokinetic process is primarily affected by liver dysfunction?

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49

After collecting the specimen

During the phlebotomy procedure when should your patient's tubes be labeled?

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50

Listen & try to find out concerns

A patient is visibly angry and does not want a venipuncture procedure. What action should you take to respond to the patient?

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51

Carotid Artery

Before starting CPR on a patient where do you check for a pulse?

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52

Fungus

Ringworm is classified as what kind of disease?

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53

Rhinoplasty

Name a surgical reconstruction procedure.

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54

File an appeal or bill the patient

A patient has a test performed that they requested, the patient has signed an ABN. After denial of payment from the insurance company is received, What action should you take?

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55

CDC

A parent has questions regarding mandatory immunizations for their child. What agency should you refer them to?

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56

Close the specimen in front of the patient

When obtaining a urine drug screen from a patient following a work-related injury. What action should you take?

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57

Nose

When performing an infuenza test, Where do you obtain your sample from?

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58

Trendelenburg

What position should you place a patient with a dangerously low blood pressure?

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59

STD's

When assisting with obtaining a Papanicolaou sample, What information do you need to note?

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60

Supralilac

What area is used to measure for body fat?

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61

Name & Date of Birth

What information should you obtain from a patient before administering medication, based on the rights of medication?

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62

Seal the specimen in front of the patient

What action should you take to comply with the chain of custody during a drug screen?

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63

Double booking

When patients are scheduled for the same time and seen in the order in which they arrive. What type of scheduling is this?

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64

Friction & Soap

What actions are needed for effective hand washing?

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65

Clean Perineal

What action should you take when collecting a urine specimen from a 3 month old female patient, before applying the urine collection bag?

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66

Right Atrium

In what chamber of the heart will you find the sinoatrial node?

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67

UA

A patient comes into the office reporting dysuria and side pain. What lab work should anticipate your provider to order?

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68

Purchase Order

What form is needed in order to order supplies for your facility?

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69

Distribution

When medication moves from the site of administration into the body what is it called?

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70

Mainterm

Which part of the diagnostic statement should you use when searching in the alphabetical index

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71

Subjective

A patient coming into the office for a visit and reports having a throbbing headache and a family history of migraines. Where would you document this in the chart?

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72

Get out debris to relieve inflammation

What is a reason for performing an eye irrigation?

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73

Expiration Date & Lot Number

You have given your patient an influenza vaccination. What information needs to be documented in the patient's chart?

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74

Sterile Indicators

What is needed to process instruments for sterilization in an autoolave?

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75

X-Ray

A patient has been scheduled for an orthopaedic consultation. What health record would you send with the patient?

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76

Intromuscular (IM)

What medication route can be used for local or systemic indications?

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77

Figure 8

What technique is used when applying an ace bandage to a patient's injured ankle?

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78

Lavender

What color tube would you use when performing a capillary puncture on an infant?

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79

Clean/Restock

What actions should you take to prepare your exam rooms for patients?

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80

Second digit

What digit should you use for capillary punctures?

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81

Glucose

A patient is experiencing hypoglycemic. What medication should you give the patient?

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82

Can't disclose that information because of HIPPA

The partner of your patient comes in angry demanding to know what their spouse was seen for. How would you handle this situation?

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83

Softening of the bones/Vitamin D Deficiency

What is osteomalacia?

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84

Taking a shower/Getting ot wet

When reinforcing instructions to a patient wearing a holter monitor. What activity should the patient avoid?

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85

0.12-0.2 seconds

What is the normal range for the PR interval on a standard EKG tracing?

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86

Schedule for the last appt. of the day

You have a patient that is constantly late for appointments. How would you handle this situation?

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87

Recognize anxiety

You are interviewing a patient who has anxiety. What action should you take?

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88

8-10ml

When obtaining blood cultures. How many ml of blood are required?

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89

To protect the GI system

What is the purpose of buffered or enteric coated tablets?

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90

Otoscope

A patient comes in with a sore throat. What instrument would you use to view the throat?

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91

Room Temperature

When reinforcing instructional teaching about administering medication to the ear. What information should you provide to them?

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92

RLQ

A patient has acute appendicitis. What quadrant would be tender upon examination?

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93

How far has my red blood cells dropped

Your provider orders an ESR for the patient. What statement shows that your patient understands the reason for the test?

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94

SIM's

What is the correct position for obtaining a rectal temperature?

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95

Tapping

What korotkoff sounds represents the systolic blood pressure?

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96

Resovior Host

What is part of the chain of infection?

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97

Cyst Removal

In what clinical situation would you wear sterile gloves?

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98

When scheduling the patient

When scheduling a new patient when should you verity the insurance for the patient?

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99

Hyperglycema

A patient presents with acetone smell on their breath accompanied by deepn gulping breaths. What condition should you suspect for the patient?

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100

Skin

What route is used when a medication is given topically?

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