NCCT Practice Exam Questions

NCCT Prep

The importance of accurate anatomic positioning of leads on a patient when performing an ECG is to


1. allow interruption of negative electrical conduction.
2. stimulate positive electrical impulses. 
3. capture true cardiac activity.
4. ensure proper machine calibration with universal measurements.

3. \

When performing a capillary puncture on an infant, the medical assistant understands the lateral heel is the proper site for collection due to which of the following?


1. The tissue layers on the finger are more susceptible to permanent nerve damage.  
2. The finger produces a slower flow of blood, making it more difficult to obtain a specimen.
3. The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely.   
4. The blood in the fingertip has been found to contain a higher concentration of hemoglobin than the heel.

3. \

A medical assistant is hired at a Family Medical Practice. According to OSHA requirements the medical assistant must be offered a vaccine within 10 days of hire, free of charge. The medical assistant knows that this vaccination is to protect him from which of the following?


1. Tetanus
2. Varicella
3. Hepatitis B
4. Haemophilus influenza

3. \

The medical assistant schedules the patient with a sebaceous cyst for an I & D.  Which of the following statements best describes this procedure?


1. Excision of lacerated, dead, or contaminated tissue and removal of foreign matter from a wound.
2. Incision into a localized area of infection (abscess), to drain the exudate from the area.
3. Debridement of tissue and skin lesions by using extremely cold temperatures.
4. Excision of a small, painless sac containing a build-up of sebum.

2. \

Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an example of which of the following?


1. Biohazard precautions
2. Sterile technique
3. Surgical asepsis
4. Medical asepsis

4. \

The medical assistant is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the medical assistant dispose of her gloves?


1. Biohazard waste container
2. Red sharps container
3. Regular trash container
4. Specimen transport bag

1. \

A patient questions an outstanding balance when insurance coverage is active and the co-pay has been paid. Which of the following is the most likely reason the balance is the patient’s responsibility?


1. Deductible not met
2. Premiums due
3. The birthday rule applies
4. Pre-authorization not obtained

1. \

The medical assistant asks a patient, “How are you doing today?” The patient yells, “How do you think I’m doing? I just got out of that terrible hospital and they didn’t help me at all! I still have cancer don’t I?” The medical assistant recognizes that this patient is most likely experiencing which of the following stages of dying/grief according to Kubler-Ross?


1. Depression
2. Anger
3. Denial
4. Bargaining

2. \

Which of the following actions by the medical assistant is correct when administering medication to a patient sublingually?


1. Placing the medication between the gum and cheek
2. Asking the patient to swallow the medication
3. Applying the medication directly to the skin
4. Placing the medication under the tongue

4. \

Which term describes the failure to provide care that a prudent and reasonable professional with the same education would provide under similar circumstances?


1. Reasonable doubt
2. Beneficence
3. Negligence
4. Defamation

3. \

When performing a 12-lead ECG, which of the following positions demonstrates correct lead placement?


1. V4 is placed left midclavicular 5th intercostal space
2. V4 is placed left midclavicular 4th intercostal space
3. V5 is placed left midaxillary 5th intercostal space
4. V5 is paced left midclavicular 4th intercostal space

1. \

The medical assistant is performing a 12-lead ECG on a patient and notices that lead III does not appear on the tracing. Which of the following actions should the medical assistant take?


1. Re-center the stylus and repeat the tracing.
2. Check for a loose wire, reconnect, and repeat the tracing.
3. Ask the patient to lie still to reduce somatic interference.
4. Add an extra electrode to the 5th intercostal space.

2. \

When the patient's chart has been subpoenaed, which of the following types of information requires additional consent from the patient or a court order?


1. Psychiatric treatment
2. Blood test results
3. Gunshot wounds
4. PAP smear results

1. \

Which of the following is a likely complication from repeated phlebotomy procedures in the same area?


1. Thrombosis
2. Sclerosed veins
3. Petechiae
4. Varicose veins

2. \

Which of the following are Schedule IV drugs?


1. Controlled narcotics such as morphine
2. Substances with no accepted medical use and a high potential for abuse
3. Antianxiety agents and hypnotics with a low potential for abuse
4. Broad spectrum antibiotics

3. \

The medical assistant should stamp checks with the restrictive endorsement “for deposit only” to prevent


1. overdraft fees.
2. nonsufficient funds.
3. stop-payment.
4. loss or theft.

4. \

The physician has ordered acetaminophen (Tylenol) E.S.1000 mg po q day.  The amount on hand is 500 mg tabs.  What is the correct dose to administer?


1. 2 tabs
2. 1 tab
3. 0.5 tab
4. 2.5 tabs

1. \

A patient’s encounter form contributes to the efficiency and flow of information in the medical office at check-out in which of the following ways?


1. Provides written documentation about medications prescribed during the visit.   
2. Outlines discharge instructions related to the patient’s condition.
3. Lists codes for services and procedures performed during the visit.
4. Summarizes limitations and exclusions in the patient’s insurance policy.

3. \

A patient presents to the provider’s office with a complaint of persistent migraines three days after acquiring a head injury on the job. After the provider assesses the patient, the final diagnosis is a concussion. Which of the following actions should the medical assistant take next?


1. File a claim with the patient’s primary insurance carrier.
2. Bill the patient’s employer directly.
3. Determine if a workman’s compensation claim has been filed.
4. Obtain payment directly from the patient at the time of service.

3. \

If a medical assistant has questions about disposing of outdated hazardous chemicals, where should the medical assistant look to find this information?


1. HIPAA
2. MSDS
3. CLIA
4. NIOSH

2. \

Which of the following resources should the medical assistant use to look up the side effects of (enoxaparin) Lovenox in the medical office?


1. Current Procedural Terminology (CPT) 
2. Healthcare Common Procedure Coding System (HCPCS)
3. Physician’s Desk Reference (PDR)
4. laboratory reference manual

3. \

The medical assistant is collecting a urine sample on a patient to test for pregnancy.  Which of the following is the correct CLIA-waived test?


1. hgb
2. hCG
3. FBG
4. hct

2\.

When preparing a site with alcohol for venipuncture, the medical assistant should cleanse in which of the following motions?


1. Back and forth
2. Up and down 
3. From the inside out
4. From the outside in

3. \

The medical assistant should instruct the patient obtaining a 24-hour urine collection to


1. keep the sample at room temperature.
2. discard the first morning sample.
3. void mid-stream into the collection container.
4. collect samples exactly two hours after each meal.

2. \

A parent calls the pediatrician’s office very upset because her child is vomiting and has a temperature of 103.3 F.  The medical assistant should


1. schedule a same day work-in appointment.
2. place the parent on hold and transfer the call to the physician.
3. instruct the parent to take the child to the emergency room immediately.
4. suggest an over the counter anti-pyretic.

1\.

Which of the following actions should the medical assistant take first after coming in direct contact with a patient’s blood via needlestick injury?


1. Obtain the Hep B vaccine if not currently immunized.
2. Apply pressure at the site to stop bleeding.
3. Flush the area with water and thoroughly wash it.
4. Inform the patient about the incident.

3. \

The physician orders the following blood work to evaluate a patient for sepsis:  CBC, Blood Culture, and BMP.  When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn?


1. Red top, blood culture, lavender top
2. Lavender top, red top, blood culture
3. Blood culture, lavender top, gray top
4. Blood culture, red top, lavender top

4. \

Which of the following conditions may occur if a tourniquet is left in place on a patient’s extremity for longer than 60 seconds?


1. Venous stasis
2. Petechiae
3. Hemolytic anemia
4. Hemangioma

1. \

A Medicare patient presents to an outpatient hospital facility for a scheduled hysterectomy.  To which Medicare plan should the facility submit the claim?


1. Medicare Part A
2. Medicare Part B
3. Medicare Part C
4. Medicare Part D

2. \

A medical assistant is reviewing a chart with the following documentation: patient presented with a complaint of itchy, red bumps on her chest and neck. Diagnosis: Urticaria, Procedure: Expanded Office Visit. The coding reference manual that would contain the term Urticaria and the associated code is the


1. Current Procedural Terminology (CPT) code book.
2. Health Care Financing Administration Common Procedure Coding System (HCPCS) code book.
3. Centers for Medicare and Medicaid Services (CMS) code book.
4. International Classification of Diseases (ICD) code book.

4. \

Which of the following prevents duplication of payment by more than one insurance carrier?


1. Fee‑for‑service
2. Precertification
3. Coordination of benefits
4. Preauthorization

3. \

Which of the following should be included on a patient’s laboratory requisition?


1. Insurance contact number
2. Patient signature
3. Test priority
4. Patient next of kin

3. \

The medical assistant should administer nitroglycerin by which of the following methods?


1. Buccal
2. Sublingual
3. Intramuscular
4. Intradermal

2. \

The pictured rhythm is an example of which of the following?


1. Atrial flutter
2. Premature ventricular contraction
3. Sinus bradycardia
4. Ventricular tachycardia

2. \

The physician orders a random blood sugar on an adult patient newly diagnosed with diabetes who is right hand dominant. The medical assistant notices inappropriate puncture markings on the patient’s fingers. Which of the following statements should the medical assistant use when re-educating the patient in capillary puncture?


1. "It’s best to use the outer edge of the middle or ring finger on your left hand when doing your finger stick."
2. "You should consider using the center of the middle finger on either hand for your blood sugar testing."
3. “Do not use your right hand when checking your blood sugar."
4. "It’s best to use the outer edge of the under-side of your big toe when performing capillary punctures.”

1\.

Which of the following statements is true about the SDS?


1. The SDS contains basic information about specific chemicals.
2. SDS must be kept on file for 30 days.
3. OSHA is responsible for developing the hazard identification system.
4. The SDS is required only in offices with 10 or more employees.

1. \

The mother of a 6-month-old patient arrives at a busy clinic and states the child has a high fever. The medical assistant measures the patient's temperature and confirms a temperature of 103°F. Which of the following is an acceptable course of action for the medical assistant?


1. Administer Tylenol 160 mg PO immediately.
2. Activate EMS.
3. Assess the remaining vital signs and notify the physician.
4. Perform venipuncture for a blood culture and a CBC with Diff.

3. \

Flow charts, progress notes, and narrative notation are all examples of


1. medical record charting styles.
2. patient chart filing systems.
3. recording patient information in a medical record.
4. patient documentation in a SOAP format.

3. \

A clean-catch midstream urinalysis is ordered for a female patient to rule out a urinary tract infection.  The medical assistant should instruct the patient before urinating in the specimen cup to wipe using antiseptic towelettes


1. from front to back.
2. from back to front.
3. in concentric circles.
4. back and forth.

1. \

The medical assistant is assisting a physician with an I & D of a gangrenous abscess.   In addition to mask and gloves, the medical assistant must wear which of the following personal protective equipment when performing this procedure?


1. Protective eyewear
2. N95 respirator mask
3. Hazmat suit
4. Sterile gown

1. \

The medical assistant measures the head circumference on a 6-month-old male infant during a well-baby check.  The circumference is 42 cm.  Which of the following percentiles should the medical assistant assign based on this pediatric growth chart?


1. 3rd
2. 10th
3. 25th
4. 50th

2. \

When preparing to assist the physician with collection of a deep wound culture, the medical assistant should have which of the following available?


1. Blood culture media
2. Viral transport media
3. Bacterial culture swabs
4. Cotton tipped swabs

3. \

During a routine visit, a petite female patient becomes very distraught while discussing the recent death of her husband.  She suddenly faints. Which of the following actions should the medical assistant take next?


1. Protect the patient from injury.
2. Activate EMS.
3. Notify the physician.
4. Draw blood for laboratory tests.

1. \

Which of the following actions should the medical assistant take when disposing of a needle following a venipuncture?


1. Recap the needle and place it immediately in a sharps container.
2. Push the needle guard over the needle until it clicks and then place in a biohazard bag.
3. Place the needle with safety device activated immediately in a sharps container.
4. Recap the needle and place it on the blood collection tray. 

3. \

Venipuncture should be avoided on an arm with


1. excessive hair.
2. muscular hypertrophy.
3. an elbow splint.
4. alopecia.

3. \

A parent brings their four-year old in for a well-child exam.  The medical assistant should assign an ICD-CM code beginning with which of the following?


1. E
2. M
3. V
4. +

3\.V

An established patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for hypertension.  What is the importance of identifying the reason for today’s visit related to billing?


1. To determine the primary diagnosis
2. To ensure a secondary diagnosis is not listed on the claim form
3. To assign a two-digit modifier
4. To assign a V code

1. \

Which of the following is the purpose of scheduling preadmission testing (PAT) prior to surgery?


1. To assess patients’ health to make sure they can tolerate the proposed surgical procedure.
2. To assess preparation and recovery time needed before and after surgery.
3. To ensure the procedure is covered by the patient’s insurance.
4. To provide documentation to the insurance company to waive the copay.

1. \

The medical assistant documents a patient’s temperature as 101.4F.  Which of the following types of medication is this patient most likely to receive?


1. Antipyretic
2. Antihistamine
3. Anticoagulant
4. Antiemetic

1. \

Which government agency oversees HIPAA?


1. OIG
2. CMS
3. HHS
4. OSHA

3\.

Which of the following ECG leads records the electrical activity of the inferior surface of the left ventricle and is closest to the heart? 


1. Lead I
2. aVR
3. Lead II
4. aVL

3. \

The medical assistant preps the median cubital vein for a venipuncture procedure.  How should the medical assistant prep the patient’s skin?


1. Use a circular motion, from the inside out.
2. Use a circular motion, from the outside in.
3. Wipe the area from top to bottom.
4. Wipe the area from bottom to top.

1\.

Which of the following actions by the medical assistant is appropriate when interacting with a patient who is visually impaired?


1. Take special care to enunciate each word.
2. Stand behind the patient and gently guide them into the exam room.
3. Explain where things are positioned by referencing a clock image.
4. Limit communication with the patient.

3\.

Which of the following organizations makes on-site visits to inspect medical office laboratories?


1. WHO
2. DEA
3. CLIA
4. FDA

3. \

An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the medical assistant notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action?


1. Draw blood from the hand using an evacuated tube system.
2. Draw blood from the hand using a winged infusion set.
3. Use a larger gauge needle to penetrate through the scar tissue.
4. Perform a capillary puncture on the lateral thumb.

2. \

Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?


1. Payment of annual dues
2. Current certificate of compliance on file
3. Annual employee safety training
4. Annual inspections conducted by OSHA

3. \

The post office returns a patient’s bill to the clinic with the notation “address unknown.”  Which of the following steps are appropriate in handling this situation? (Select the three (3) correct answers.)


1. Resend the bill to the same address requesting return receipt.
2. Verify the mailing address on file in the clinic database.
3. Call the patient's emergency contact number.
4. Document the postmark date.
5. Prepare a new envelope with the corrected address and new postage.

2,4,5

The patient receiving an albuterol treatment by nebulizer in the clinic complains of tremors, nausea, blurred vision, and headache.  Which of the following actions should the medical assistant take?


1. Decrease the oxygen flow meter to three liters per minute.
2. Report these symptoms to the physician.
3. Place the patient on NPO status.
4. Tell the patient these are common side effects.

2. \

The endocrinologist requested the patient to return to the outpatient clinic the next day for a glucose tolerance test.  Which of the following preparations should the medical assistant instruct the patient to do the night before the test?


1. NPO after midnight.
2. Ingest 10 ounces of oral glucose solution.
3. Refrain from tobacco use for 24 hours.
4. Drink at least 32 ounces of water.

1. \

The main function of a centrifuge is to


1. freeze cells for transport.
2. determine the concentration of glucose.
3. magnify blood components. 
4. separate cells from plasma.

4\.

Older adult patients are the population most at risk for which of the following medication complications due to a declining liver function?


1. Anaphylaxis
2. Toxicity
3. Tinnitus
4. Polyuria   

2. \

When managing multiple incoming calls, the medical assistant should handle which of the following calls first?


1. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.                
2. A patient calling to cancel today’s appointment for a needle biopsy of a breast mass.
3. A lawyer with a subpoena asking for patient information.
4. A neurologist seeing a patient on consult.

4. \

A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient?


1. Deltoid
2. Ventrogluteal
3. Dorsogluteal
4. Vastus lateralis

4. \

A patient with diabetes has missed all scheduled appointments in the past 18 months.  The physician requests that written notification be sent to the patient to make an appointment immediately.  This letter should be sent


1. priority.
2. certified.
3. express.
4. standard.

2. \

The adult patient has a puncture wound on the sole of the right foot due to stepping on a nail in a construction area.  Which of the following immunizations is particularly important for the medical assistant to ask about while taking the patient’s history?   


1. HepB
2. Td
3. PCV
4. DTaP 

2. \

Which of the following components are included in the “4 D’s” of negligence? (Select the four (4) correct answers.)


1. Denial
2. Damages
3. Duty
4. Direct cause
5. Dereliction

2,3,4,5

The patient is not able to distinguish certain numbers on an Ishihara test. This indicates a problem with which of the following?


1. Rods
2. Cones
3. Pupils
4. Sclera

2. \

A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin.  The ordered dose (based on today’s weight) is 91 mg every 8 hours.  The patient is to receive a first dose of medication before leaving the office and the suspension available is 125 mg/5 mL.  How much medication should the medical assistant administer?


1. 7.2 mg
2. 7.3 mL
3. 3.6 mL
4. 1.8 mg

3. \

What does the color of an evacuated collection tube represent?


1. A visual identifier for tests expected to be above or below normal range.
2. The minimum volume of blood to be obtained.
3. The personal protective equipment required for collection.
4. The type or absence of an additive.

4\.

The order reads cefaclor (Ceclor) 250 mg p.o. stat, then 150 mg q 2 h. How should the medical assistant interpret this medication order?


1. Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours.
2. Give 250 micrograms of cefaclor (Ceclor) orally immediately, and then give 150 micrograms every 2 hours.
3. Give 250 milliliters of cefaclor (Ceclor) post-operatively as needed, and then give 150 milliliters every 2 hours.
4. Give 250 milligrams of cefaclor (Ceclor) post-operatively, and then give 150 milligrams every 2 hours.

1\.

While exiting a patient’s room after performing a venipuncture, a medical assistant is approached by a nurse in the hallway, who asks if the HIV blood sample was obtained. The medical assistant responds, “Yes.”  This situation violates the policies of which of the following associations?


1. AABB (American Association of Blood Bank)
2. NPA (National Phlebotomy Association)
3. ANA (American Nurses Association)
4. AHA (American Hospital Association)

4. \

The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is


1. first thing in the morning.
2. after lunch.
3. at bedtime.
4. after breakfast.

1\.

The provider prescribed and ordered a wheel chair for a patient with a below the knee amputation. Which of the following manuals should the medical assistant use to code these services?


1. ICD-10-CM
2. CPT
3. HCPCS
4. CPT-assistant

3\.

Prior to purging and destroying paper medical charts, a medical assistant should consult which of following guidelines?


1. Municipal
2. AMA
3. OSHA
4. State and Federal

4\.

Placement of the ground lead on an ECG is on the


1. RL on the muscular portion of the leg.
2. LL on the soft tissue of the leg.
3. RL on the soft tissue of the leg.
4. LL on the muscular portion of the leg.

3\.

A patient called the office complaining his hydromorphone prescription was not honored at the pharmacy.  The patient stated, “The doctor gave me this prescription six weeks ago when I was in the office.”  The prescription was denied because it is a schedule


1. I drug.
2. II drug.
3. III drug.
4. IV drug.

2. \

When inspecting a patient’s arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation?


1. Evacuated tube
2. Needle and syringe
3. Butterfly needle
4. Capillary puncture

3. \

Which of the following documents is also called an advanced directive?


1. Assignment of benefits
2. Subpoena
3. Living will
4. Informed consent

3

Which of the following agencies are physicians required to maintain registration with in order to prescribe, dispense, or administer controlled substances?


1. Food and Drug Administration (FDA)
2. Drug Enforcement Administration (DEA)
3. Department of Health and Human Services (DHHS)
4. American Medical Association (AMA)

2\.

The medical assistant receives a call from an attorney requesting information about an established patient’s operative report.  Which of the following actions is required prior to fulfilling the request?


1. Call the patient to request verbal consent.
2. Check the patient’s file for authorization of release of information listing the name of the attorney.
3. Ask for the name and number of the attorney and return the call to confirm the identity of the caller.
4. Refer the call to be handled by the physician directly to prevent liability.

2\.

What does the abbreviation HIPAA stand for?


1. Health Information Privacy Adjustment Association
2. History Inquiry of Professional Assertive Assistance
3. Health Insurance Portability and Accountability Act
4. Health Inquiry for Permission of Accountability Association

3\.

Which of the following forms must be signed by the patient and kept on file, allowing physicians to be paid directly from the insurance carrier?


1. HIPAA waiver
2. CMS-1500
3. Assignment of benefits
4. Living will

3\.

Which of the following indicates a medical office is compliant with the Americans with Disabilities Act?


1. Providing interpreting services for a non-English speaking patient.
2. Providing employees the opportunity to receive the Hepatitis B vaccine.
3. Providing hand rails in at least one restroom stall.
4. Providing up to 12 weeks of unpaid leave to an employee that has a critically ill child.

3\.

Which of the following diseases is a healthcare worker at the greatest risk of developing following an exposure incident with blood from a needle stick injury?


1. HSV
2. HAV
3. HPV
4. HBV

4\.

Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following?


1. Americans with Disabilities Act
2. The Patient’s Bill of Rights
3. Informed Consent
4. Good Samaritan Law

2\.

The physician orders “Xanax (alprazolam) 0.5mg po tid X 3 days.”  Xanax 1 mg scored tablets are available.  The medical assistant should write which of the following numbers of tablets on the dispense line for this prescription?


1. 1.5
2. 3
3. 4.5
4. 6

3\.

A finger stick capillary puncture should be performed at which of the following sites to prevent injury?


1. At the most distal end of the fingertip
2. Slightly to the side of the center of the fingertip
3. Directly in the center of the fingertip
4. Proximal to the skin crease located at the first joint on the fingertip

2

Which of the following actions should the medical assistant take to ensure proper monitoring of a patient during a stress test?  (Select the three (3) correct answers.)


1. Instruct the patient to start at a rapid pace.
2. Instruct the patient to report any symptoms.
3. Adjust the temperature of the room to the patient’s preference.
4. Measure blood pressure and heart rate frequently.
5. Observe facial expressions, skin color and perspiration.

2,4,5

Sterilized instruments should be stored


1. for a maximum of 90 days.
2. with the tape side down to avoid susceptibility to contamination.
3. for a maximum of 10 days.
4. in a temperature controlled environment to prevent moisture accumulation.

4\.

An incorrect dose of medication is delivered to a patient in the medical clinic.  As a result, the patient experienced mild kidney damage.  The responsible health care providers and/or clinic is at risk for which of the following?


1. Slander
2. Libel
3. Defamation
4. Negligence

4\.

The primary care provider hands the medical assistant a referral for a patient to get an MRI.  Which of the following should the medical assistant do first?


1. Call the facility and schedule the MRI.
2. Call the insurance company and process an authorization.
3. Fax pertinent medical records to the facility.
4. Document the precertification number in the patient’s chart.

2\.

When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of respiratory distress, the medical assistant obtains a reading of 79%.  Which of the following actions should the medical assistant take next?


1. Notify the physician
2. Supplement the child with oxygen per protocol
3. Reposition the finger probe
4. Take a full set of vital signs

3. \

Which part of Medicare covers office visits with a primary care provider?


1. Part A
2. Part B
3. Part C
4. Part D

2. \

The patient was seen in the office for follow up evaluation post CVA.  The doctor noticed significant weakness on the patient’s left side.  Which of the following should the medical assistant expect to perform?


1. Full weight bearing exercise assistance
2. Active assist range of motion
3. Crutch training
4. Pulmonary function test

2. \

A CMP is ordered for an older adult patient whose veins continue to collapse despite drinking water.  Which of the following is the best collection method for this patient?


1. Evacuated tube system
2. Needle and syringe
3. Capillary puncture
4. Butterfly needle

4\.

Which of the following rhythms is shown in the strip above?


1. Atrial fibrillation
2. Premature atrial complex
3. Atrial flutter
4. Atrial tachycardia

3\.

A female patient has come in for an ECG following a mastectomy. ECG electrodes should be placed


1. three inches above the surgery site to avoid disruption of the site.
2. as close to the surgery site as possible without touching the site.
3. three inches lower than the surgery site in order to avoid disruption of the site.
4. in the intercostal spaces above the heart to avoid the surgical site.

2\.

Which of the following acts involves the termination of a patient from the care of a physician without reasonable, written notice of withdrawal from the case?


1. Slander
2. Discrimination
3. Battery
4. Abandonment

4\.

A patient notices the symbol above on the door and asks what it means.  The medical assistant should tell the patient the symbol means


1. isolation precautions required.
2. hazardous chemicals in use.
3. emergency eye wash station.
4. biohazardous material present.

4\.

A medical assistant is reviewing a patient’s encounter that is documented in the medical record prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical office assistant has the ethical obligation to


1. change the code.
2. debate the code.
3. alter the code.
4. down code the code.

2\.