WorksheetsNHA 12-17
Total questions: 90
Worksheet time: 45mins
Name
Class
Date
1.
A medical assistant has completed a blood collection. Which of the following actions should the assistant take to ensure proper specimen processing?
a)
Verify that the requisition form has been completed.
b)
Provide the patient with postprocedure instructions.
c)
Place all specimens in the refrigerator.
d)
Centrifuge all blood tubes collected.
2.
A medical assistant is performing phlebotomy on an 80-year-old patient who has small veins. Which of the following venipuncture methods should the assistant use for this patient?
a)
Finger puncture
b)
Evacuated tube
c)
Heel stick
d)
Butterfly needle
3.
When reviewing a patient's blood work results, a medical assistant notices a fasting blood glucose of 200 mg/dL. Which of the following actions should the assistant take?
a)
Notify the patient's provider of the results.
b)
Inform the patient that the results confirm diabetes.
c)
Schedule the patient for a same-day appointment.
d)
Send the provider an urgent aler
4.
After receiving a patient's blood test results from the reference laboratory, which of the following actions should the medical assistant take?
a)
Have a provider review the results.
b)
Have the medical records staff review the lab results.
c)
Interpret the lab results and contact the patient.
d)
Schedule the patient for a follow-up appointment.
5.
To avoid hemoconcentration during venipuncture, which of the following actions should a medical assistant take?
a)
Apply an ice pack to the area.
b)
Remove the tourniquet before 1 min has elapsed.
c)
Instruct the patient to keep his arm bent.
d)
Insert the needle into the vein with the bevel down.
6.
Which of the following veins should a medical assistant recognize as the preferred vein for routine phlebotomy?
a)
Basilic vein
b)
Cephalic vein
c)
Median cubital vein
d)
Median antebrachial vein
7.
A medical assistant is obtaining a sample for a sedimentation rate test. Which of the following tubes should the assistant use for blood collection?
a)
Serum separator
b)
Green
c)
Lavender
d)
Light blue
8.
Which of the following tubes should a medical assistant select first when adhering to the proper order of draw
a)
Red
b)
Yellow
c)
Green
d)
Gray
9.
At which point during a patient's venipuncture process should a medical assistant label the blood specimen tube?
a)
Before the patient is discharged
b)
After the patient is discharged
c)
Prior to venipuncture
d)
During venipuncture
10.
A medical assistant is obtaining samples for a CBC test. Which of the following tubes should the assistant select?
a)
Royal blue
b)
Lavender
c)
Yellow
d)
Gray
11.
Which of the following locations should a medical assistant identify as the preferred site for capillary puncture on an adult patient?
a)
Fifth digit
b)
Fourth digit
c)
Second digit
d)
First digit
12.
When drawing blood cultures, a medical assistant should prepare a patient's skin using which of the following products?
a)
Hydrogen peroxide
b)
Glutaraldehyde
c)
Sterile water
d)
Iodine solution
13.
Prior to performing a phlebotomy procedure, a medical assistant should ask the patient to verify which of the following information?
a)
Patient's account number
b)
Patient's power of attorney
c)
Patient's phone number
d)
Patient's date of birth
14.
A medical assistant removes a needle from the antecubital space of a patient following a phlebotomy procedure and applies pressure. Which of the following steps should the assistant take next?
a)
Apply a bandage.
b)
Label the tubes.
c)
Dispose of the needle.
d)
Confirm the ordered tests.
15.
A medical assistant should allow a serum specimen tube without an anticoagulant additive to stand for which of the following lengths of time prior to centrifuging?
a)
2 hr
b)
15 min
c)
45 min
d)
20 min
16.
What is the ratio of applied leads to recorded leads for a standard EKG machine?
a)
10:10
b)
3:6
c)
10:12
d)
9:12
17.
A provider requests a rhythm strip in addition to a regular EKG tracing for a patient. The medical assistant should identify that which of the following leads provides the clearest recording of the heart rhythm?
a)
I
b)
II
c)
III
d)
V2
18.
A medical assistant is calibrating an EKG machine. Which of the following should the assistant identify as the standard speed of the recording?
a)
25 mm/sec
b)
50 mm/sec
c)
10 mm/sec
d)
5 mm/sec
19.
When performing an EKG on a patient, a medical assistant notices a widened QRS complex on the patient's EKG strip. Which of the following is a possible cause of this type of artifact?
a)
Atrial fibrillation
b)
Bradycardia
c)
Sinus dysrhythmia
d)
Premature ventricular contraction
20.
A medical assistant is performing an EKG on a patient who has a heart rate of 105/min. The assistant should identify this finding as an indication of which of the following conditions?
a)
Sinus rhythm
b)
Atrial fibrillation
c)
Bradycardia
d)
Tachycardia
21.
A medical assistant is providing teaching to a patient who is to undergo Holter monitoring. Which of the following information should the assistant include?
a)
"You can place a piece of tape over the electrode if it becomes loose."
b)
"You can wear the monitor while you take a shower."
c)
"You should refrain from doing your usual activities."
d)
"Your diary should focus on your food intake."
22.
A medical assistant is preparing to perform an EKG recording on a patient. The assistant should recognize that which of the following information is true of limb leads and electrodes?
a)
Limb leads are unipolar.
b)
Leads V1 through V6 are limb leads.
c)
Limb leads are placed on the fleshy areas of the skin.
d)
The left leg lead wire serves as the ground.
23.
A medical assistant is preparing a patient for an EKG. Which of the following instructions should the assistant provide to the patient?
a)
"Avoid food or drink for 4 hours prior to the test."
b)
"Remove all clothing from the waist up."
c)
"Apply moisturizing lotion to the electrode placement sites."
d)
"Maintain a full bladder for the duration of the test."
24.
A patient's EKG tracing shows an expected P wave, QRS complex, and T wave configuration. There are five complete cardiac cycles on a 6-second strip. The assistant should recognize that this represents which of the following cardiac rhythms
a)
Sinus bradycardia
b)
Atrial fibrillation
c)
Ventricular fibrillation
d)
Sinus tachycardia
25.
A medical assistant is preparing a patient for an EKG. In which of the following locations should the assistant place the V4 lead?
a)
In the 5th intercostal space at the anterior axillary line
b)
In the 5th intercostal space at the midaxillary line
c)
Midway between V3 and V5
d)
In the 5th intercostal space at the midclavicular line
26.
Which of the following is a state of cellular rest that is represented by a flatline on an EKG strip?
a)
Myocardial infarction
b)
Polarization
c)
Premature atrial contraction
d)
Somatic tremor
27.
A medical assistant notes a wandering baseline throughout an EKG tracing. The assistant should recognize that which of the following electrocardiograph issues could have resulted in this occurrence?
a)
The electrode pads were defective or poorly attached.
b)
The machine was missing the grounding prong for the outlet.
c)
The machine did not have the proper standardization settings set.
d)
The cable tips were loose or had become separated
28.
A medical assistant is preparing a patient who has shortness of breath for an EKG. In which of the following positions should the assistant place the patient?
a)
Prone
b)
Semi-Fowler's
c)
Supine
d)
Sims'
29.
A medical assistant notices rhythmic sharp spikes throughout an EKG tracing. The assistant should identify that which of the following artifacts is occurring?
a)
Wandering baseline
b)
Interrupted baseline
c)
AC interference
d)
Somatic tremor
30.
A medical assistant is providing instructions to a female patient prior to a stress test. Which of the following instructions should the assistant include?
a)
"Eat a large meal before coming to the test."
b)
"You should wear a dress on the day of the test."
c)
"Take your medications on the day of the test."
d)
"You can wear sandals when completing the test."
31.
A medical assistant is reviewing the chart of a patient who is scheduled for an appointment later that day. Which of the following tasks should the assistant complete prior to the patient's appointment?
a)
Verify the patient's known allergies
b)
Refill any medications needed
c)
Confirm all pertinent information is available.
d)
Pre-order tests for the patient's follow-up visit.
32.
A patient has recently been diagnosed with malignant melanoma. When transitioning the patient's care from a primary care provider (PCP) to an oncologist, which of the following processes is the PCP taking part in?
a)
Quality control
b)
Audit
c)
Continuity of care
d)
Termination of care
33.
A medical assistant should recognize that which of the following actions involves health coaching?
a)
Helping the patient find community resources related to health care needs
b)
Directing the patient to an agency that can refer him to a specialist
c)
Encouraging the patient to live a sedentary lifestyle
d)
Meeting Medicare's Meaningful Use criteria
34.
Recognizing patients' needs and barriers, coordinating care, and identifying resources to meet those needs best describes the responsibilities of which of the following positions?
a)
Physician assistant
b)
Nurse practitioner
c)
Emergency provider
d)
Patient navigator
35.
Which of the following community resources should a medical assistant recommend to an elderly patient who lost his partner 3 months ago?
a)
Department of Health and Human Services
b)
Parks and Recreation Department
c)
Organized support groups
d)
Hospice care centers
36.
A medical assistant is caring for a patient who has a new medication prescription from a provider. Which of the following actions should the assistant take to facilitate patient understanding and medication compliance?
a)
Instruct the patient to discontinue the medication once symptoms subside.
b)
Review the dosage and administration instructions with the patient.
c)
Recommend possible over-the-counter replacements for the medication.
d)
Inform the patient that side effects are expected and do not need to be reported.
37.
Which of the following actions is important for a medical assistant to take to serve patients effectively?
a)
Avoid referencing patients' barriers to wellness.
b)
Instruct the patient to refer to family members for assistance options.
c)
Work independently from the clinical staff.
d)
Assist the patient with locating appropriate community resources.
38.
A medical assistant is reviewing the plan of care summary with the adult son of an 81-year-old patient who has dementia. The patient's son states he is feeling overwhelmed with his mother's care. Which of the following community-based organizations should the assistant recommend?
a)
Hospice services
b)
Grief support
c)
Rehabilitation services
d)
Adult day care
39.
When reviewing a patient's medical record prior to an appointment with a primary care provider (PCP), it is important for a medical assistant to verify that which of the following items is in the chart?
a)
Current medication list
b)
Updated insurance card
c)
Specialist authorization form
d)
Diagnostic test results
40.
Which of the following describes the purpose of a patient's discharge summary in a provider's office?
a)
To give a complete record of the patient's hospitalization
b)
To document information necessary for continuity of care
c)
To complete authorization requests for hospitalization
d)
To provide the patient with information about her diagnosis
41.
A medical assistant is part of a team that is caring for a patient who is being discharged from the hospital. Which of the following actions would contribute to a successful transition of care?
a)
The provider communicates all medications used by the patient in the hospital with the primary care provider and relays the information to the patient and the rest of the team.
b)
The assistant schedules a meeting with the medical staff members of the team.
c)
The provider receives laboratory results and reviews them alone prior to filing.
d)
The assistant follows up with the patient 1 week after discharge from the hospital.
42.
A medical assistant should identify which of the following features as part of the patient-centered medical home (PCMH) model of care?
a)
Focuses on evidence-based patient care and shared decision making
b)
Adheres to a uniform plan of care for patients who have similar diagnoses
c)
Identifies the provider as the primary source of comprehensive care for the patient
d)
Provides stability by adhering to industry-standard office hours and accessibility
43.
Which of the following approaches should a medical assistant take when discussing a patient's compliance to dietary guidelines?
a)
Maintain an empathetic tone.
b)
Deliver the information quickly.
c)
Avoid providing written instructions.
d)
Maintain a closed posture.
44.
Which of the following information should a medical assistant include when creating a list of community-based organizations related to a patient's physical health care needs?
a)
Board of directors
b)
Volunteer opportunities
c)
Physical addresses
d)
Cost of services
45.
A patient-centered medical home (PCMH) has five core functions and attributes. Which of the following features is included in those functions?
a)
Ambulatory services
b)
Comprehensive care
c)
Electronic health records incentives
d)
Affordable health care
46.
Which of the following terms describes a collection of associated files that functions as a basis for retrieving information?
a)
Cookies
b)
Cache
c)
Queries
d)
Database
47.
A medical assistant is performing inventory for a clinic. Which of the following actions should the assistant take while performing inventory?
a)
Prepare a purchase order.
b)
Dispose of all unused medical supplies.
c)
Review the clinic's overhead costs.
d)
Send an invoice to the supply vendor.
48.
Which of the following allows a patient to confirm or cancel an appointment remotely?
a)
Automated call routing
b)
Appointment cards
c)
Wave scheduling
d)
Advanced booking
49.
Which of the following methods of filing paper medical records involves placing newer reports on top of older reports?
a)
Alphabetic
b)
Purging
c)
Shingling
d)
Numeric
50.
Which of the following terms describes the act of unlawfully increasing the reimbursement amount from a third-party payer?
a)
Downcoding
b)
E/M codes
c)
Add-on codes
d)
Upcoding
51.
A medical assistant is helping a patient check out. Which of the following actions should the assistant take?
a)
Ask the patient for photo identification.
b)
Review the patient's medical record.
c)
Have the patient fill out a registration form.
d)
Verify the patient's insurance policy.
52.
A medical assistant is performing claim submission for a medical office. Which of the following processes involves the electronic auditing and sorting of claims?
a)
Clearinghouse submission
b)
Direct billing
c)
Intelligent character recognition
d)
Universal claim form
53.
Which of the following medical record content areas includes a patient's demographic data?
a)
Objective
b)
Assessment
c)
Subjective
d)
Plan
54.
A medical assistant is performing bookkeeping duties using the office's electronic health record software. For which of the following reasons should the assistant enter an adjustment on a patient's account?
a)
Insufficient funds check
b)
Duplicate payment
c)
Insurance refund
d)
Insurance disallowance
55.
Which of the following resources provides a standard language for services provided during a medical visit?
a)
Centers for Medicare and Medicaid Services
b)
Current Procedural Terminology manual
c)
Centers for Disease Control and Prevention
d)
International Classification of Diseases, Tenth Revision
56.
A medical assistant is posting charges to a patient's account. The assistant should obtain the necessary information from which of the following sources?
a)
Pegboard system
b)
Fee profile
c)
Fee schedule
d)
Itemized statement
57.
A medical assistant receives instructions from a primary care provider to refer a patient to a dermatologist. Which of the following actions should the assistant take first?
a)
Give the patient a copy of the authorization code.
b)
Complete a patient referral form.
c)
Obtain prior authorization.
d)
Document the date of referral approval.
58.
In which of the following categories would a medical assistant find a wheelchair listed?
a)
Consumable item
b)
Expendable item
c)
Intangible item
d)
Durable item
59.
Which the following resources provides information about the use of chemicals in a medical facility?
a)
Safety data sheet (SDS)
b)
OSHA Form 301
c)
Emergency action plan
d)
Code of Federal Regulations (CFR)
60.
A provider notifies a medical assistant that she will be arriving 20 min late to the office. Which of the following actions should the assistant take?
a)
Cancel the next scheduled patient's appointment.
b)
Tell the next scheduled patient that she must see a different provider.
c)
Notify the next scheduled patient about the delay.
d)
Have the next scheduled patient wait in an exam room.
61.
To be a successful member of a team, which of the following actions should a medical assistant take?
a)
Include personal feelings in work decisions.
b)
Report all team conflicts to the supervisor.
c)
Focus on achieving individual goals.
d)
Demonstrate willingness to perform extra duties.
62.
A medical assistant is checking in a patient who is hearing impaired. Which of the following actions should the assistant take?
a)
Speak loudly to the patient.
b)
Use firm touch to get the patient's attention.
c)
Stand within the patient's field of vision.
d)
Minimize hand gestures when speaking to the patient
63.
When communicating on the telephone with a patient, which of the following actions by a medical assistant demonstrates the use of appropriate technique for outgoing calls?
a)
Placing the patient on hold when accessing information
b)
Speaking with an unchanging pitch
c)
Holding the receiver a minimum 5 cm (2 in) from the mouth
d)
Allowing the patient to be the one to end the call
64.
In which of the following locations should the inside address appear in a business letter?
a)
Between the letterhead and the dateline
b)
Between the dateline and the salutation
c)
Between the salutation and the subject line
d)
Between the signature block and the identification line
65.
A medical assistant is approached by a patient who is angry and yelling. Which of the following actions should the assistant take?
a)
Display emotion.
b)
Remain calm.
c)
Avoid apologizing.
d)
Speak loudly.
66.
Which of the following elements is essential for successful teamwork?
a)
Related short-term and long-term goals
b)
Large number of team members
c)
Similar abilities and skill sets
d)
Suppression of negative information
67.
A medical assistant is preparing a business correspondence. Which of the following is a characteristic of the modified block letter style?
a)
Each paragraph is indented.
b)
The signature is in all capital letters.
c)
All lines are flush with the left margin.
d)
The complimentary closing is centered on the page.
68.
A patient in the waiting room approaches a medical assistant and states, "I've been waiting 30 minutes to see my doctor. Can't you do something?" Which of the following responses by the assistant is an example of active listening?
a)
"You sound frustrated about how long you've been waiting."
b)
"You won't have to wait much longer. I promise."
c)
"You don't want to leave and miss your appointment, do you?"
d)
"Maybe you should file a complaint and reschedule the appointment."
69.
A medical assistant is providing discharge instructions for a patient who is visually impaired. Which of the following actions should the assistant take?
a)
Use a low tone of voice when communicating with the patient.
b)
Notify the patient when entering the room.
c)
Use body gestures when communicating with the patient.
d)
Provide small-font printed material for the patient
70.
A medical assistant is engaging in conversation with a patient who was recently terminated from the practice. The patient has come to the office and is demanding an explanation. Which of the following actions should the assistant take?
a)
Dissociate from the conversation.
b)
Sympathize with the patient.
c)
Defend the provider's decision.
d)
Acknowledge the patient's concern.
71.
During the admission process, a patient explains the manifestations of his chief complaint to the medical assistant. Which of the following actions should the assistant take?
a)
Provide advice about temporary relief measures.
b)
Document the patient's concerns in the medical record.
c)
Reassure the patient that there is no immediate cause for worry.
d)
Evaluate the relevance of the patient's concerns.
72.
A patient calls into the office to report that her medication is "not working." Which of the following responses should the medical assistant make?
a)
"I will notify the provider about your situation."
b)
"You should keep taking the medication until it works."
c)
"You should double the dose of the medication."
d)
"I will call the pharmacy to authorize a refill for your medication."
73.
A medical assistant is checking in a patient who does not speak the same language as the assistant. Which of the following actions should the assistant take?
a)
Ask a bilingual staff member to assist with communication.
b)
Address the patient by her first name.
c)
Use medical terminology when speaking to the patient.
d)
Avoid using body gestures when communicating.
74.
A medical assistant is caring for a patient who is frustrated and states, "My doctor doesn't have any idea how to treat my condition." Which of the following responses by the assistant is an example of therapeutic communication?
a)
"Your provider is doing everything she can to help you."
b)
"Don't you want your provider to keep trying to help you get better?"
c)
"Are you saying that you don't think your provider knows how to help you?"
d)
"If you don't remain calm, we'll have to ask you to leave the office."
75.
A medical assistant is speaking with a patient. Which of the following might occur as a barrier to communication?
a)
Empathy
b)
Rapport
c)
Stereotyping
d)
Active listening
76.
A medical assistant witnesses a coworker knowingly commit an unlawful and wrongful act. The assistant should identify this act as which of the following types of negligence?
a)
Misfeasance
b)
Malpractice
c)
Malfeasance
d)
Misdemeanor
77.
When measuring the vital signs of a 10-year-old child, a medical assistant recognizes indications of abuse. Which of the following actions should the assistant take
a)
Notify the child's school counselor.
b)
Question the child.
c)
Question the child's parent.
d)
Notify the child's provider.
78.
A patient expresses to a medical assistant that he would like to designate his daughter as his health care proxy. The assistant should inform him that which of the following is the minimum age to be eligible as a health care proxy?
a)
14
b)
16
c)
21
d)
18
79.
A medical assistant is assisting a provider with a gynecological examination on a patient. The patient says, "My religious beliefs do not allow me to use contraception." The assistant should expect the provider to make which of the following statements?
a)
"You have the right to make choices regarding your health."
b)
"You should reconsider your stance on contraception."
c)
"I am your provider, so you need to listen to my advice."
d)
"I am very concerned about the potential consequences to your health."
80.
A medical assistant should recognize that which of the following provides instructions for an emergency medical technician to follow when transporting an elderly or critically ill patient?
a)
Medical Order for Life-Sustaining Treatment
b)
Uniform Anatomical Gift Act
c)
Patient Self-Determination Act
d)
Patients' Bill of Rights
81.
A medical assistant should recognize that which of the following entities must adhere to HIPAA guidelines?
a)
Workers' compensation
b)
Public health authorities
c)
State agencies
d)
Health care clearinghouses
82.
A medical assistant sees a coworker take a pain medication from a locked cabinet. The assistant knows that the coworker is a single mother who has a child who was recently injured. Which of the following types of ethical situations does this problem create for the assistant?
a)
Ethical dilemma
b)
Locus of authority issue
c)
Dilemma of justice
d)
Ethical distress
83.
A medical assistant should identify which of the following as the legal document that states the lifesaving procedures a patient authorizes in the event he is incapable of verbalizing his desire for medical treatment?
a)
Organ and tissue donation consent
b)
Living will
c)
Durable power of attorney for health care
d)
Do-not-resuscitate order
84.
Which of the following moral codes should a medical assistant reference when facing an ethical dilemma?
a)
AMA Code of Ethics
b)
Hippocratic Oath
c)
Code of Hammurabi
d)
Percival's Code
85.
A medical assistant left her computer unlocked with a patient's chart visible. Which of the following actions should the assistant take in the future to prevent unauthorized viewing of patient information?
a)
Place privacy filters on the monitor screen.
b)
Set up encryption software.
c)
Install firewalls.
d)
Perform a records audit.
86.
A medical assistant should recognize that once advance directives are in place, they can be updated at which of the following times?
a)
Never
b)
At any time
c)
Every 10 years
d)
Annually
87.
Which of the following gives patients the rights over their health care information, including the right to receive a copy of their information, the right to ensure their medical records are correct, and the right to know who had access to their records?
a)
ADA
b)
HIPAA
c)
Family Medical Leave Act (FMLA)
d)
Protected health information (PHI)
88.
Employers are accountable for providing a safe and healthy workplace for employees by setting and enforcing standards. This environment is achieved by providing training, outreach, education, and assistance. Which of the following regulatory agencies oversees this standard?
a)
Centers for Disease Control and Prevention (CDC)
b)
Occupational Safety and Health Administration (OSHA)
c)
National Institutes of Health (NIH)
d)
Department of Health and Human Services (HHS)
89.
A patient believes that her health care privacy has been violated. A medical assistant should know that the patient's complaint must be filed within how many days?
a)
30
b)
90
c)
180
d)
365
90.
When designating a medical power of attorney, a medical assistant should identify which of the following people as an acceptable choice for a health care proxy?
a)
The patient's provider
b)
The executor of the patient's will
c)
A member of the patient's faith community
d)
The patient's attorney
100 %
