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CCMA NHA PRACTICE TEST 3 VERSION C

Total questions: 147

Worksheet time: 1hrs 15mins

Name
Class
Date
1.

An MA is explaining a venipuncture to a pt. Which of the following statements should the MA make ?

a)

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

b)

" I'm here to draw a blood sample for a test.It wont hurt at all."

c)

" I'll be puncturing your vein with this needle. Hopefully you wont feel the vacuum in the tude draw your blood"

d)

" I'm going to draw a blood sample. I'm sure that you aren't going to faint"

2.

An MA is assisting a pt who is obese with an insulin injection. Which of the following is the correct angle for the pt's injection

a)

15

b)

25

c)

30

d)

90

3.

Which of the following is outside of a MAs scope of practice ?

a)

peform clinical duties under the direct supervision of the provider

b)

order additional laboratory test to confirm the pt's condition

c)

provide directions to a pt about preparation for a diagnostic test

d)

Reinforce instructions about medications and special diets

4.

An MA is assisting in the treatment of a pt who experienced a chemical burn.Which of the following steps should the MA take ?

a)

remove any chemical covered clothes

b)

apply ice to the burn

c)

apply an adhesive bandage to the burn

d)

cleanse the burn with hydrogen peroxide

5.

Am MA is assisting with the examination of an older adult pt who has curvature of the thoracic spine. Which of the following terms should the MA use when documenting this finding in the pt's medical record

a)

lordosis

b)

subluxation

c)

kyphosis

d)

scoliosis

6.

When unloading an autoclave machine , a MA notices spots on the instruments. The MA should recognize that this is a result of which of the following?

a)

mineral deposits from tap water

b)

improper cleaning of the chamber

c)

clogged chamber drain

d)

Exposure to hard chemicals

7.

An MA is an outpatient facility is preparing a pt for a venipuncture. Which of the following actions should the MA take to confirm a pt's identity

a)

ask the pt to sate their age and address

b)

ask the pt to verify their examination room number

c)

ask the pt to state and spell full name and provide their date of birth

d)

ask the pt for their providers name

8.

Which of the following actions should a MA take to verify the quality of venipuncture supplies before beginning a blood draw ?

a)

determine that the tourniquet is the proper size

b)

check the vacuum of the tube

c)

inspect the integrity of the needles seal

d)

verify that the adapter is the correct color

9.

the parent of a child who has pediculosis is asking a MA for more information about her childs condition. The MA should begin by explaining that pediculosis is which of the following types of infection ?

a)

fungal

b)

bacterial

c)

parasitic

d)

helminthic

10.

An MA is providing instructions to a pt on how to take extended release medication PO. Which of the following statements made by the pt indicates a need for further teaching

a)

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

b)

i should drink plenty of water when taking the extended release pill

c)

extended release pills provide a consistent amount of medication for my body to use over a period of time

d)

i should take my pills at the same time each day

11.

An MA discovers a garbage can fire has started in the break room of the medical office. According to the RACE acronym for emergency response, which of the following actions should the MA take first

a)

use the office fire extinguisher

b)

evacuate staff and pts from the immediate area

c)

close the doors and widows

d)

turn off oxygen in the adjacent examination rooms

12.

which of the following terms should a MA use to tell a provider that a pt is having discomfort and difficulty breathing

a)

Dyspnea

b)

Eupnea

c)

Pneumothorax

d)

Pneumonia

13.

An MA is collecting data from a pt who is experiencing heatstroke. Which of the following manifestations should the MA expect to find

a)

Bradycardia

b)

excessive sweating

c)

slow breathing

d)

hot skin

14.

An MA is explaining a venipuncture to a pt. Which of the following statements should the MA make ?

a)

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

b)

" I'm here to draw a blood sample for a test.It wont hurt at all."

c)

" I'll be puncturing your vein with this needle. Hopefully you wont feel the vacuum in the tude draw your blood"

d)

" I'm going to draw a blood sample. I'm sure that you aren't going to faint"

15.

A pt requests a female provider to perform her examination due to religious conviction.A female provider is not available.Which of the following is the appropriate response by the medical assistant

a)

decline treatment of the pt

b)

assist the pt in locating a provider to accommodate the pt's needs

c)

reassure the pt that the male provider will be respectful

d)

instruct the pt to visit an emergency room

16.

An MA is reviewing the laboratory results of a pt who has the Epstien-Barr virus. The MA should identify that this micro-organism can cause which of the following conditions

a)

Polio

b)

Mononucleosis

c)

Gastroenteritis

d)

Fifth disease

17.

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

a)

two digits

b)

five digits

c)

four digits

d)

seven digits

18.

A medical assistant has a request to collect a routine CBC from a healthy 10-month old infant.Which of the following is the most appropriate collection site

a)

third finger of left hand

b)

median antecubital vein

c)

cephalic vein

d)

left heel

19.

Which of the following techniques should an MA use to confirm a pt's understanding of insulin administration

a)

provide the pt with written instructions

b)

observe the pt as she performs a self demonstration

c)

off the pt a website to visit for directions

d)

repeat the instructions to the pt

20.

An MA is measuring a pt's blood pressure with an aneroid sphygmomanometer and a stethoscope .Which of the following actions should the MA take ?

a)

wrap the cuff loosely around the pt's arm

b)

make sure the lower edge of the cuff is 1.3 cm(0.5 in) above the antecubital space

c)

use a cuff whose bladder encircles only 60% of the pt's upper arm

d)

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

21.

Which of the following is a CLIA waived laboratory test ?

a)

Papanicolaou (pap) test

b)

blood typing and crossmatching

c)

fecal leukocyte test

d)

human chorionic gonadotropin (HCG) test

22.

Which of the following actions should the MA take to safeguard a pt's protected health information

a)

discuss pt information quietly with a provider in the hallway

b)

record the reason for the visit on the sign-in sheet

c)

log off computers when not in use

d)

store paper charts on an open shelf at the front desk

23.

During a routine venipuncture the pt becomes pale and diaphoretic.What condition is most likely to occur in this pt ?

a)

Syncope

b)

Seizure

c)

Nausea

d)

Shock

24.

An MA is using a scale with a height bar to measure a pt's height.Which of the following actions should an MA take

a)

lower the horizontal bar gently to rest on top of the pt's head

b)

have the pt stand straight up and look to one side

c)

have the pt face the weight indicators on the scale

d)

raise the height bar when the pt is standing on the scale

25.

A MA is administering eye ointment to a pt.Which of the following actions should the MA take ?

a)

hold the ointment tube parallel to and above the pt's eye

b)

apply a thin ribbon of ointment along the conjunctival sac

c)

apply the ointment from the inner canthus to the outer canthus

d)

have the pt keep her eye open after the application

26.

An MA is preparing a pt for a physical examination and is helping the pt into the dorsal recumbent position .The assistant should identify that this position is described by which of the following ?

a)

lying face down, with the legs supported by the table

b)

lying face up , with the legs bent and feet flat on the table

c)

sitting straight up, with the table at a 90 degree angle

d)

sitting semi-upright , with the table at a 45 degree angle

27.

An MA is checking a pt's hearing using the Rinne test.Which of the following actions should the MA take?

a)

position the vibrating tuning fork on the top of the pt's head

b)

invert the vibrating tuning fork and place it 5 cm (2 in) in front of the ear canal

c)

ask the pt to raise his hand when he no longer hears any sound

d)

place the headphones over the pt's ears and adjust for comfort

28.

An MA is reinforcing teaching with a pt about self administration of insulin injections.Which of the following pt statements indicates an understanding of the teaching ?

a)

i'll roll the bottle between my hands before drawing the medication

b)

i'll blow on the site to make sure the alcohol dries

c)

i will consistently use the same site for my injections

d)

i'll hold the needle at a 15-degree angle for the injection

29.

Which of the following is within the scope of practice for an MA in a clinical setting ?

a)

Administering IV medication

b)

removing sutures from a healing laceration

c)

Interpreting a 12-lead EKG tracing

d)

Identifying whether a skin lesion is malignant

30.

An MA is preparing sterilization for hemostats before the invasive procedure.Which of the following techniques should the MA use ?

a)

autoclave

b)

gas

c)

dry heat

d)

chemical

31.

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

a)

obstructive sleep apnea

b)

emphysema

c)

atelectasis

d)

carcinoma of the larynx

32.

Which of the following groups of EKG leads are bipolar?

a)

leads V1,V2, and V3

b)

leads V4,V5,and V6

c)

leads aVR, aVL, and aVF

d)

leads l, ll, lll

33.

An MA is preparing a pt who has psoriasis to be examined by the provider.When inspecting the pt's skin lesions the Ma should expect to observe which of the following characteristics

a)

gray, crusty

b)

yellow , waxy

c)

silvery , scaly

d)

brown, flat

34.

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

a)

physical address where the injury occured

b)

pt's health savings account number

c)

current procedural terminology code

d)

pt's medical record number

35.

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

a)

use a clean dry piece of gauze to sweep debris out of the eye

b)

position a bulb syringe on the lid of the eye during extraction

c)

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

d)

irrigate the eye by flushing it out with cold tap water

36.

An MA is preparing to sanitize contaminated equipment.Which of the following pieces of equipment can the MA sanitize and reuse without needing to disinfect or sterilize it ?

a)

nasal specula

b)

otoscope

c)

curettes

d)

suture removal instruments

37.

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

a)

the cause of the pt's burn

b)

the pt's location of where the burn occured

c)

the date of the pt's most recent tetanus immunization

d)

the pt's current insurance benefits

38.

An MA is reporting a pt fall that occured in front of the clinic.What is the purpose of the MA preparing an incident report ?

a)

to remove liability from the clinic

b)

to avoid future reoccurrences

c)

to document pt responsibility for the fall

d)

to create documentation for the pt's medical record

39.

Which of the following laboratory results is abnormal ?

a)

blood glucose 500 mg/dL

b)

Potassium 4.1 mEq/L

c)

hematocrit 42%

d)

hemoglobin 15 g/dL

40.

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

a)

squeeze the pt's fingers

b)

hold the pt's hand above his heart

c)

apply a tourniquet above the pt's wrist

d)

warm the pt's hand

41.

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

a)

79 g

b)

387 g

c)

352 g

d)

76 g

42.

at what time of the day will a pt's body temperature be at it's lowest ?

a)

in the late afternoon

b)

before bedtime

c)

in the morning

d)

at midday

43.

Which of the following terms describes the body's internal adaptation and change to keep body functions in balance ?

a)

peristalsis

b)

hematopoiesis

c)

physiology

d)

homeostasis

44.

a pt arrives at the clinic with a tick bite on his leg. The provider ask a MA to help remove the tick.Which of the following actions should the MA take?

a)

grasp the tick at the point furthest from the skin

b)

squeeze the body of the tick firmly to remove

c)

use tweezers to pull the tick away from the skin slowly

d)

discard the tick in the trash can

45.

A MA is speaking with a pt who has seasonal allergies.Which of the following health care providers should the MA identify as being able to make a diagnosis and initiate the necessary treatment ?

a)

pharmacist

b)

physician assistant

c)

respiratory therapist

d)

registered nurse

46.

Which of the following organs is located on the right upper quadrant of the abdomen ?

a)

gallbladder

b)

spleen

c)

appendix

d)

stomach

47.

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

a)

disinfection

b)

sanitization

c)

sterilization

d)

ultrasonic

48.

When preforming a first aid procedure to control bleeding of a wound, which of the following actions should a MA take ?

a)

flush the wound with sterile water

b)

suture the wound

c)

apply layers of sterile gauze

d)

sterilize her hands

49.

A MA is witnessing a pt sign an informed consent form.Which of the following is the responsibility of the MA acting as a witness ?

a)

ensure the pt understands the procedure

b)

validate the pt's signature

c)

evaluate if the pt is competent

d)

recommend alternative treatments to the pt

50.

According to OSHA guidelines for universal precautions , which of the following types of pt contact would require a MA to wear gloves, a mask, a face shield, and protective apparel ?

a)

measuring a pt's blood pressure

b)

assisting a provider with the removal of a cyst

c)

applying medicated nose drops as indicated by a provider

d)

providing a pt with a cardiopulmonary resuscitation

51.

In which of the following positions should a MA place a pt when obtaining a rectal temperature ?

a)

sim's

b)

knee-chest

c)

lithotomy

d)

dorsal recumbent

52.

In which of the positions should an MA place an 18 month old pt when administering ear drops to the right ear ?

a)

right ear facing up with the pinna pulled up and back

b)

right ear facing up with the earlobe pulled down and back

c)

right ear facing down with the pinna pulled up and back

d)

right ear facing down with the earlobe pulled down and back

53.

Where should a MA place the electrode for lead V5 ?

a)

on the left midaxillary line horizontal to V4

b)

on the left anterior axillary line horizontal to V4

c)

on the left midclavicular line fifth intercostal space

d)

on the right margin of the sternum, fourth intercostal space

54.

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

a)

diagnosis code for dermatitis

b)

daytime phone number

c)

date of birth

d)

pt's identification number

55.

A MA is administering an intramuscular immunization to a pt.Which of the following actions should the MA take ?

a)

select the pt's forearm as site of injection

b)

hold the needle and syringe at a 45 degree angle to the skin

c)

cleanse the site in a circular motion from the center outward

d)

cleanse the site with povidone iodine solution

56.

A provider ask a MA to reinforce teaching with a pt about her new diagnosis.Which of the following actions should the MA take ?

a)

outline the educational materials quickly with the pt

b)

instruct the pt to ask any questions at the end of teaching

c)

include personal opinions along with educational material

d)

document the pt's response to the teaching

57.

A MA is administering an intradermal injection for allergy testing.Which of the following actions should the MA take ?

a)

locate the area two to three finger widths below the antecubital space

b)

pinch the skin between the thumb and forefinger

c)

insert the needle with the bevel pointed down

d)

inject the solution rapidly with the needle positioned at a 30 degree angle to the skin

58.

A provider requests a MA to initiate a referral for a pt to a mental health facility.Which of the following pieces of information is required for the MA to include in the initial referral

a)

current medication

b)

diagnosis

c)

age

d)

family history

59.

A MA is checking a pt out of the clinic. IN which of the following documents should the MA locate information about provider referrals or follow up appointment request for the pt ?

a)

encounter form

b)

CMS-1500 claim form

c)

OSHA form 301

d)

Informed consent

60.

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

a)

after the needle is removed

b)

after a flash of blood is seen in the hub of the first tube

c)

within 1 min of application

d)

between 2 and 3 min after application

61.

A MA receives a call from a pt who is irate about a letter she received from her insurance carrier denying a claim. Which of the following statements should the assistant make ?

a)

"thats not our fault. your insurance company has several rules about what they cover and dont cover "

b)

"i don't take care of those matters. you'll have to call our billing department"

c)

"that kind of thing eventually happens to everyone. if the balance isn't that large it's better to just pay it then try to fight with them"

d)

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

62.

Which of the following steps for a fingerstick should a MA complete first ?

a)

cleanse the site with an antiseptic wipe

b)

select the appropriate part of the third or fourth finger

c)

position the blade of the lancet across the lines of the fingertip

d)

confirm the correct identity of the pt

63.

A MA is performing hand hygiene using an alcohol based hand rub. The MA should recognize that which of the following information about alcohol based hand rubs is correct ?

a)

allergic contact dermatitis is common with the use of alcohol based hand rub

b)

alcohol based hand rub should be generously applied to visibly soiled hands

c)

alcohol based hand rub should be applied to one hand and then rubbed between both hands

d)

alcohol based hand rubs for clinical use should have an alcohol content of 45% to 50%

64.

A MA is reinforcing teaching a pt about lifestyle modifications to help regulate his hypertension.Which of the following statements by the pt indicates understanding of the teaching ?

a)

" i'll cut back my salt intake to 4 grams per day"

b)

" i'll watch my potassium intake and keep it low "

c)

" i'll restrict my exercise regimen to only 2 days per week"

d)

" i only smoke a half a pack each day so i'll just cut it out completely "

65.

As a MA is collecting a blood sample, the pt begins to faint.Which of the following actions should the MA take to help ensure the pt's safety ?

a)

Position the pt flat on her back

b)

Use an ammonia capsule to revive the pt

c)

Apply a warm cloth to the pt's forehead

d)

have the pt remain in office for 5 min

66.

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

a)

endoplasmic reticulum

b)

ribosomes

c)

golgi apparatus

d)

mitochondria

67.

Prior to a pt's follow up appointment ,which of the following should an MA report to the provider

a)

anthropometric measurements

b)

the date of an upcoming mammogram appointment

c)

recent laboratory results

d)

a change in pt's insurance policy

68.

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

a)

ensure the specimen has a volume of 20 mL

b)

record the specimen's temperature 8 min after collection

c)

send the specimen to the testing laboratory on the same day as the collection

d)

ask the provider to supervise the collection and shipment of the specimen

69.

Which of the following types of appointment system allows flexibility to allow for the most consistent pt flow ?

a)

double booking

b)

cluster booking

c)

wave scheduling

d)

stream scheduling

70.

A pt is entitled to which of the following medical records ?

a)

detailed psychotherapy notes

b)

list of medications with diagnosis

c)

original chest x-rays

d)

information compiled for legal proceedings

71.

A MA is preparing a pt for a procedure to have a mole excised.Which of the following actions should the MA take ?

a)

Administer the anesthetic to the pt

b)

don sterile gloves and gown

c)

cleanse the site with surgical soap and an antiseptic

d)

open a sterile pack and lay instruments on the counter

72.

which of the following body systems should be evaluated for a diagnosis of pyloric stenosis ?

a)

Urinary

b)

Gastrointestinal

c)

Nervous

d)

Cardiovascular

73.

A MA is preparing the room for a patient's General physician examination. The MA Should recognize that which of the following instruments should be available to the provider for the examination?

a)

forceps

b)

otoscope

c)

curette

d)

endoscope

74.

A MA Receives a phone call from a parent of a child who has possibly ingested a household cleaner. Which of the following actions should the MA take ?

a)

tell the parent to call back after obtaining the child's vital signs

b)

instruct the parent to administer syrup of ipeacac to the child

c)

direct the parent to manually induce vomiting

d)

contact the local poison control center

75.

A MA should follow chain of custody guidelines for which of the following types of Laboratory results? 

a)

digoxin levels

b)

blood cultures

c)

parentage testing

d)

lead levels

76.

which of the following should an MA identify as the purpose of a category ll code in procedural coding?

a)

indicates special circumstances

b)

works as a temporary code

c)

tracks provider performance measures

d)

Identifies preventive measures

77.

A patient arrives at a clinic with a bill for x-rays that were required due to an injury at the patient's place of employment. The patient has private insurance and is eligible for workers compensation. The assistant should recognize that which of the following parties is responsible for payment of this bill

a)

paid in full by the pt

b)

paid in full by the pt's private insurance

c)

paid in full by worker's compensation

d)

paid in part by private insurance and in part by workers compensation

78.

An MA in an acute care facility is checking on a patient who has a deep laceration. The patient tells the assistant that he cannot accept blood transfusions due to his religious beliefs. Which of the following actions should the assistant take ?

a)

document the statement in the pt's chart

b)

obtain a specimen for blood type cross and match

c)

inform the pt that a transfusion is mandatory for his treatment

d)

have the pt sign an against medical advice (AMA) form

79.

A MA Is reviewing the list of medications a patient reports currently taking. The assistant should recognize that which of the following medications is available in a sublingual form ?

a)

Atorvastatin

b)

Metoprolol

c)

Nitroglycerin

d)

Propranolol

80.

A pharmacist calls the clinic to confirm an e-prescription request to fill a pt medication order.Which of the following actions should an MA take ?

a)

verbally authorize the e-prescription after confirming the order with another medical assistant

b)

authorize the e-prescription to last until the pt's next appointment

c)

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

d)

contact the pt for verification of the e-prescription

81.

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

a)

remittance advice

b)

coordination of benifits

c)

eligibility for insurance

d)

CMS-1500 claim form

82.

Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper ?

a)

wandering baseline

b)

AC interference

c)

interrupted baseline

d)

somatic tremor

83.

Which of the following techniques should a MA use to put a 7 y/o child at ease prior to administering an injection

a)

show the child the needle that will be used for the procedure

b)

use medical terminology when discussing the procedure with the child

c)

tell the child that the procedure will not hurt

d)

explain the procedure to the child in simple steps

84.

A MA is asked to assist a provider with an orthopedic examination. Which of the following instruments should the MA prepare for the examination ?

a)

goniometer

b)

hemostat

c)

retractor

d)

tonometer

85.

When speaking with a pt who has moderate hearing loss and reads lips, which of the following actions should a MA take to aid in communication with the pt

a)

use hand gestures

b)

speak loudly

c)

speak slowly

d)

overnunciate words

86.

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

a)

a complimentary closing

b)

a subject line in all capital letters

c)

indented paragraphs in the body of the letter

d)

center aligned dateline and salutation

87.

In which of the following locations should an MA place the electrode for lead V4 ?

a)

the fifth intercostal space, left midclavicular line

b)

the fourth intercostal space , left sternal border

c)

the left midaxillary line, lateral to V5

d)

the anterior location to place electrode V5

88.

A MA is preparing to use a glucometer to measure a pt's blood glucose level.Which of the following actions should the MA take ?

a)

obtain blood sample after inserting the test strip into the glucometer

b)

touch the testing pad on the test strip to make sure the surface is smooth

c)

apply the first drop of blood that appears after the puncture to the test strip

d)

smear the blood on the test pad

89.

A MA is to use the snellen chart to test an adult pt's visual acuity. The MA should instruct the pt to stand which of the following distances away ?

a)

10 feet

b)

20 feet

c)

30 inches

d)

14 inches

90.

When performing diagnostic coding. How many characters are used to provide the highest level of specificity with an ICD-10-CM code ?

a)

two characters

b)

four characters

c)

five characters

d)

seven characters

91.

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

a)

cold fingers

b)

anemia

c)

carbon monoxide poisoning

d)

Hyperventilation syndrome

92.

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

a)

after a new package of cuvettes is opened

b)

before a pt is tested

c)

at the beginning of the shift

d)

following an error code

93.

An MA is making a new sign-in sheet for the pt's who have appointments that day.Which of the following information should the sign in sheet include ?

a)

insurance policy number

b)

providers name

c)

pt DOB

d)

reason for visit

94.

The MA is reviewing the progress notes of a pt's record that uses SOAP format. Which of the following would the MA find in the assessment section ?

a)

family history

b)

laboratory results

c)

chief complaint

d)

diagnosis

95.

A MA has requested a preauthorization for a pt's referral to a specialist.Which of the following is a reason for the claim submitted by the specialist to be denied ?

a)

the approved visits are listed in the authorization comments section

b)

the pt previously submitted and received a self referral

c)

the specialty providers national provider identifier (NPI) is not included in the authorization

d)

the service is provided after the expiration date

96.

A MA is administering cough syrup to a pt.Which of the following actions should the MA take ?

a)

shake the bottle vigorously

b)

keep the label side of the bottle on the bottom when pouring

c)

view the medication cup at eye level when pouring

d)

match the mark for the medication dosage to the upper edge of the meniscus

97.

A MA is using a butterfly needle set to obtain a blood sample from a vein in a pt's hand.Which of the following actions should the MA take ?

a)

hold the needle by it's wings

b)

insert the needle into the skin at a 45 degree angle

c)

release the tourniquet after 2 min

d)

activate the safety device before removing the needle

98.

A MA should complete documentation in a pt's medical record at which of the following times ?

a)

Immediately following a procedure

b)

prior to the procedure

c)

during the procedure

d)

after completing all procedures for the day

99.

A MA is monitoring a pt during a stress test.The pt becomes increasingly SOB and tachycardic. Abnormalities appear in his EKG rhythm, which of the following actions should the MA take first ?

a)

obtain the pt's vital signs

b)

discontinue the test

c)

instruct the pt to take slow, deep breaths

d)

ask the pt if he is experiencing chest pain

100.

Which of the following actions should a MA take when performing aseptic hand washing ?

a)

lather in circular motion with fingertips pointed up

b)

open paper towel dispenser to collect paper towels

c)

turn off the faucet with paper towel

d)

use hot water and rinse hands

101.

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

a)

inform the pt that the cost will be determined after the procedure is complete

b)

instruct the pt to contact her insurance carrier for a price

c)

provide the pt with an estimated cost for the procedure

d)

advise the pt that all procedure pricing must be communicated by mail

102.

When assigning a CPT code, which of the following is the purpose of a modifier ?

a)

indicates the complexity of the medical history that led to the procedure

b)

provides the clinical setting in which the procedure was performed

c)

indicates the amount of time the provider has spent on the procedure

d)

provides additional information or circumstances for a procedure

103.

A MA is preparing a pt for a physical examination.Which of the following steps should the MA take first ?

a)

verify the pt's identity

b)

give the pt a paper gown

c)

assist the pt into fowler's position

d)

record the pt's vital signs

104.

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 

a)

papules

b)

macules

c)

vesicles

d)

pustules

105.

A MA is measuring vital signs of an adult pt. The MA should identify which of the following blood pressure readings as stage 2 hypertension ?

a)

110/80 mm Hg

b)

135/80 mm Hg

c)

150/95 mm HG

d)

120/85 mm Hg

106.

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

a)

source oriented

b)

problem oriented

c)

SOAP format

d)

CHEADDAR format

107.

A MA receives a telephone call from a pt who seems anxious about the results of a test.Which of the following responses should the MA make ?

a)

The doctor is busy right now and will call you back. you dont really want me to give you results do you ?

b)

i'm afraid it's bad news.i would get a second opinion if i were you

c)

dont worry about it.until we say you have something to worry about, try to relax

d)

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

108.

a medical assistant is preparing a pt for wearing a holter monitor. Which of the following instructions should the MA include ?

a)

you should avoid using an electric blanket during monitoring

b)

you can bathe and shower as usual during monitoring

c)

you will be required to wear the monitor for 2-4 hours

d)

you should avoid your regular exercise routine during monitoring

109.

A MA is educating an older pt on wound care.Which of the following should the MA do to ensure pt understanding

a)

speak louder to the pt

b)

stand beside the pt

c)

have an additional medical staff present to explain information

d)

have the pt repeat information

110.

A MA is reviewing a medicare claim denial.The MA determines that there are charges that exceed the usual, customary, and reasonable fees.Which of the following actions should the MA take ?

a)

leave the unpaid balance on the record until the end of the revenue cycle

b)

wait until an overpayment of the approximate amount balances the deficit

c)

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

d)

request payment at the point of service during the pt's next visit

111.

A MA is preparing to apply ointment to several abrasions on a pt's leg.Which of the following supplies should the MA use to remove the medication from the jar

a)

a gloved finger

b)

a syrringe

c)

a cotton ball

d)

a tongue blade

112.

A provider is performing a routine rectal exam on a pt.Which of the following supplies should a MA have available during the examination

a)

lubricating jelly

b)

curette

c)

otoscope

d)

tuning fork

113.

A 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 hands and feet depends on adequate interaction between which of the following two body systems

a)

Muscular and digestive

b)

integumentary and lymphatic

c)

Endocrine and skeletal

d)

circulatory and respiratory

114.

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

a)

the MA should explain the procedure to the pt

b)

the MA should describe the risks of the procedure to the pt

c)

the provider should review alternative procedures with the pt

d)

the provider should review the pt's insurance coverage for the procedure

115.

A MA is reinforcing teaching with a pt who is going home after having extensive suturing to a laceration.Which of the following instructions should the MA include ?

a)

do not attempt to change your dressing until your next visit

b)

be sure to call your provider if you have a fever over 100 degrees Fahrenheit

c)

keep the dressing damp so the moisture can surround the wound

d)

red streaks near the wound are normal and can be addressed at your next visit

116.

Which of the following techniques should a MA use when bandaging a wound ?

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

117.

A MA discovers an unidentifiable liquid on the floor of one of the clinics treatment rooms.Which of the following materials should the MA use to remove and dispose of the liquid ?

a)

a clean up kit

b)

a mop and bleach

c)

floor cleaning solution

d)

a surgical towel double bagged in trash bags

118.

When assisting a provider with a vaginal examination and papanicolaou (pap) test, a MA should identify that which of the following instruments is necessary ?

a)

cytobrush

b)

adson forceps

c)

senn retractor

d)

cyroprobe

119.

Which of the following instructions should a MA provide to a pt regarding transdermal patch use and care ?

a)

only sponge baths are allowed while wearing the patch

b)

make sure to rotate the patch placement to avoid skin irritation

c)

keep all used patches for inspection at your next appointment

d)

apply each new patch at a different time during the day

120.

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

a)

recap the needle before disposing of it in the biohazardous sharps container

b)

use a gauze square to break off the needle and place it in the biohazardous sharp container

c)

drop the syringe needle first into the biohazardous sharps container

d)

replace the biohazardous sharps container once it's half full

121.

A 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 ?

a)

obese

b)

underweight

c)

normal weight

d)

overweight

122.

The MA is obtaining information for a pt's medical history and physical examination.The pt reports intermittent episodes of ringing in his ears.Which of the following terms should the MA use when documenting this finding in the pt's medical record

a)

presbycusis

b)

otosclerosis

c)

otalgia

d)

tinnitus

123.

A pt reports getting a bill that includes services she did not receive.Which if the following actions should a MA take to reconcile these charges ?

a)

review that day's encounter forms to determine if another pt received the services

b)

instruct the pt to pay for the services to avoid the collection procedures

c)

ask the provider to write off the charges on the pt's account

d)

detrimine if the pt has a previous balance

124.

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

a)

15 mL

b)

5 mL

c)

30 mL

d)

2.5 mL

125.

A MA is adding information to a pt's computerized problem oriented medical record (POMR). into which of the following sections of the POMR should the MA enter the pt's health history and laboratory results

a)

problem list

b)

database

c)

progress notes

d)

diagnostic and treatment plan

126.

A MA is measuring the circumference of an infants head. Which of the following actions should the MA take ?

a)

position the infant

b)

place the measuring tape so it covers the infant's ears

c)

place the zero mark of the measuring tape against the infant's forehead

d)

mark the measuring tape and record the measurement after the visit

127.

A pt loses consciousness. the EKG tracing reveals ventricular fibrillation.which of the following actions should a MA take first ?

a)

notify the provider

b)

call for help and begin CPR

c)

get the automated external defibrillator

d)

adminster

oxygen

128.

A MA is preparing a patient for a physical examination when he notices that the patient's eyes are moving back and forth in a constant involuntary manner. Which of the following terms should the assistant use when documenting this finding in the patient's medical record?

a)

strabismus

b)

nystagmus

c)

conjunctivitis

d)

hordeolum

129.

A MA is reviewing discharge information with a pt who is postoperative following cryosurgery to the cervix. Which of the following statements should the MA include ?

a)

you can resume sexual activity 3 days after the procedure

b)

it is normal for pain to last for up to 1 week after your procedure

c)

your menstrual cycle will cease for 3-4 months following the procedure

d)

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

130.

A MA should recognize which of the following blood pressure readings as indicative of an adult pt whose blood pressure level is classified as elevated ?

a)

115/75 mm Hg

b)

128/78 mm Hg

c)

100/65 mm Hg

d)

140/90 mm Hg

131.

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

a)

a medical report for an insurance carrier

b)

a referral letter for a pt to an outside provider

c)

a letter containing medical advice to the parents of a child

d)

a notification letter to a pt about surgery arrangements

132.

A MA is preparing to draw a venous blood samples.The MA is required by OSHA regulations to wear which of the following pieces of ppe while performing this procedure ?

a)

gloves

b)

eye protection

c)

surgical mask

d)

gown

133.

A MA is observing a pt after administering an antibiotic injection.The pt develops an itchy rash with pinkish, raised lesions.Which of the following terms should the MA use when documenting this finding in the pt's medical record ?

a)

anaphylaxis

b)

uritcaria

c)

rhinitis

d)

erythema

134.

A MA receives a chemical splash in her eyes. Which of the following should the MA take first ?

a)

check the material safety data sheet

b)

call emergency services

c)

complete an incident report

d)

flush eyes with tepid water

135.

A MA is talking with an older patient who sustained a foot fracture in a fall. She reports managing most tasks at home well but has difficulty navigating with her crutches and is currently homebound. To which of the following resources should the assistant refer the patient?

a)

hospice service

b)

legal aid society

c)

meals on wheels

d)

american red cross

136.

A provider prescribes oxycodone for a pt after abdominal surgery.Which of the following describes this type of medication?

a)

schedule l controlled substance and has a low potential for abuse

b)

schedule V controlled substance and has a high potential for abuse

c)

schedule lV controlled substance and has a low potential for abuse

d)

schedule ll controlled substance and has a high potential for abuse

137.

According to OSHA guidelines a MA should dispose of blood soiled gauze dressings in which of the following ?

a)

red biohazard bag

b)

sharps container

c)

trash can with clear leak proof lid

d)

purple medical waste container

138.

Which of the following stages of the cardiac cycle on an EKG strip represents ventricular depolarization ?

a)

T wave

b)

ST segment

c)

QRS complex

d)

P wave

139.

Which of the following routes for taking a pt's temperature is the most accurate ?

a)

Axillary

b)

Rectal

c)

Oral

d)

Temporal

140.

A pt at an urgent care facility reports that she vomited and saw blood in the vomitus,Which of the following terms should the MA use to document the pt's report

a)

melena

b)

hemopytsis

c)

hematuria

d)

hematemesis

141.

A MA is preparing to collect a pt's temperature via the tympanic membrane. In which of the following locations should the MA place the thermometer ?

a)

on the forehead

b)

in the ear

c)

under the tongue

d)

under the arm

142.

The parent of a child who has pinworms is asking a MA for more information about this childs condition.The MA should begin by explaining that pinworms are which of the following types of micro organism ?

a)

fungi

b)

bacteria

c)

protozoa

d)

helminths

143.

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

a)

light blue (sodium citrate)

b)

green (heparin)

c)

gray (sodium fluoride)

d)

yellow (blood culture)

144.

A MA Is reviewing a provider's instructions as a patient is preparing to leave the office. The provider recommends that the patient purchase an over-the-counter antitussive but the patient tells the system that she does not know what an antitussive. Which of the following responses should the assistant make?

a)

its a medication that reduces nasal membrane swelling

b)

it is a medication that helps with coughing up mucus

c)

it is a medication that relieves allergy symptoms

d)

it is a medication that suppresses the cough reflex

145.

A MA is discussing information with a pt about new medication that the provider prescribed.Which of the following actions should the MA take ?

a)

instruct the pt to stop taking the medication when the symptoms resolve

b)

reinforce teaching about the frequency of medication administration

c)

tell the pt to disregard new adverse effects

d)

tell the pt's to modify the dose as necessary

146.

A first time pt is late arriving to the office.Which of the following should the MA say first ?

a)

have a seat, we will be with you shortly

b)

hello, welcome to our office

c)

what is the best phone number? we couldn't reach you this morning

d)

please complete these forms and return them to the desk

147.

A provider ask a MA to administer oxygen to a pt who is experiencing respiratory distress.Which of the following actions should the MA take when administering oxygen to the pt

a)

open the cylinder on the tank two clockwise turns

b)

set the flow meter to 8 L/min

c)

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

d)

instruct the pt to an open window when smoking