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CCMA Practice 1

Total questions: 50

Worksheet time: 2hrs 40mins

Name
Class
Date
1.

An MA is preparing to file a paper chart for Mary St. Thomas. Where should this file be placed when filed along with the charts for Mary Perez, Elizabeth Saint, and John A. Thomas?

a)

After John A. Thomas

b)

Before Mary Perez

c)

After Elizabeth Saint and before John A. Thomas

d)

After Mary Perez and before Elizabeth Saint

2.

When choosing a diagnosis code, a medical assistant should consider which of the following actions in order to avoid an insurance denial?

a)

Coding the appropriate modifier with the diagnosis code

b)

Coding to the highest level of specificity

c)

Coding using bundled codes

d)

Coding with HCPCS

3.

A medical assistant is transcribing for magnesium sulfate into a patient's medical record. Which of the following should the assistant use to document this medication?

a)

MS

b)

MgS04

c)

Magnesium

d)

Magnesium sulfate

4.

When assisting a provider with a punch biopsy of a mole, which of the following tasks should a medical assistant expect to perform?

a)

Receive and prepare tissue specimens for processing.

b)

Swab fluids from the biopsy site.

c)

Retract the edges of the biopsy site.

d)

Place the sutures at the incision site.

5.

A medical assistant is writing a piece of professional correspondence to a consulting provider. In which of the following ways should the assistant record the date on the letter?

a)

January 1st, 2020

b)

January 1, 2020

c)

1st of January, 2020

d)

01/01/2020

6.

Which of the following routes of administration should a medical assistant use performing a tuberculin skin test?

a)

Intramuscular

b)

Intradermal

c)

Intravenous

d)

Subcutaneous

7.

Which of the following actions should the medical assistant take when obtaining the head circumference of an infant?

a)

Place the infant in a prone position.

b)

Allow the parent or guardian to obtain the reading if it soothes the infant.

c)

Record the measurement to the nearest 0.6 cm (1/4 in).

d)

Position the measuring tape around the head just below the infant's ears.

8.

The medical assistant drops an instrument on the floor while setting up a sterile tray for a procedure. He picks up the instrument and places it back on the sterile field. A few days after the procedure, the patient calls the office, concerned that the area surrounding the procedure site is infected. Which of the following torts has the assistant committed?

a)

Abandonment

b)

Negligence

c)

Battery

d)

Defamation

9.

A medical assistant receives a call from a patient requesting a refill for fentanyl patches for chronic pain. Which of the following actions should the assistant take?

a)

Call the prescription in to the patient's pharmacy

b)

Tell the patient to schedule an office visit

c)

Fax the prescription to the patient's pharmacy

d)

Refer the patient's request to the provider

10.

A medical assistant is applying a transdermal patch for a patient. Which of the following actions should the assistant take?

a)

Apply the patch to the patient's forearm.

b)

Apply the patch to a hairless area of the patient's skin.

c)

Tell the patient not to shower while wearing the patch.

d)

Tell the patient to apply subsequent patches to the same area.

11.

A medical assistant is preparing a patient for an enema. In which of the following positions should the assistant place the patient for this procedure?

a)

Fowler's position

b)

Sem-Fowler's position

c)

Sim's position

d)

Lithotomy position

12.

A medical assistant is caring for a patient who is 5'7" tall. Which of the following is the patient's height in centimeters?

a)

170 cm

b)

145 cm

c)

114 cm

d)

26 cm

13.

A medical assistant is caring for a patient who has terminal cancer with a life expectancy of 6 months. The patient states, "I don't know if it's time to begin hospice care yet." Which of the following statements should the assistant make?

a)

"It's not the right time to talk end-of-life care yet. You still have some time."

b)

"If you want to begin hospice care, you will need to have your partner approve your decision first."

c)

"You will need to create a Do Not Resuscitate Order before making any decision about end-of-life care."

d)

"Hospice can help manage your pain and comfort during the final months of your life."

14.

A medical assistant is administering heparin subcutaneously to a patient. Which of the following actions should the assistant take?

a)

Spread the skin taut over the injection site.

b)

Insert the needle at a 30* angle.

c)

Inject the medication slowly.

d)

Massage the site after removing the needle.

15.

A medical assistant s reviewing a patient's recent medical history and notes that she has a healing fracture of the distal femur. Where on the patient's body should the assistant expect to find the injury?

a)

Just above the knee

b)

Just above the elbow

c)

Just below the hip

d)

Just below the shoulder

16.

Several patients arrive at a clinic at the same time requesting care. A medical assistant should recognize that which of the following patient's chief complaints is the priority for the provider to address?

a)

An adult who reports continuing symptoms of GERD

b)

A young adult patient who is irritable and has a localized rash on her upper body

c)

A middle adult patient who demonstrates depression and frustration

d)

An adult patient who is experiencing dyspnea and congestion

17.

A medical assistant must invert anticoagulant tubes to prevent which of the following?

a)

Hemolysis

b)

Clotting

c)

Hemoconcentration

d)

Reflux

18.

A medical assistant is preparing to administer a liquid, oral medication to a patient. Which of the following methods should the assistant use to ensure the correct dose is delivered?

a)

Pour the medication to the prescribed dose in the medicine cup on a flat surface

b)

Add slightly more than the prescribed dose to account for the medication adhering to the sides of the cup

c)

Pour the medication into the container's lid for easy administration

d)

Measure the dose at the top of the meniscus cup

19.

A medical assistant should understand that the chain of custody form is used for which of the following?

a)

Ensuring that a specimen is handled by only one administrative assistant

b)

Ensuring that a specimen is packaged as directed

c)

Ensuring that the patient receives the test results

d)

Ensuring that the results are sent to the provider

20.

After a patient leaves an examination room, which of the following actions should a medical assistant take to prepare the examination table for the next patient?

a)

Wipe the table with a 50% solution of household bleach.

b)

Roll up the disposable paper on the table tightly and quickly.

c)

Crumple the paper before disposing of it.

d)

Place the pillow on top of the fresh paper on the table.

21.

A medical assistant should use which of the following solutions to prepare a patient's skin prior to drawing blood cultures?

a)

Benzoin tincture

b)

Hydrogen peroxide

c)

Isopropyl alcohol

d)

Chlorhexidine

22.

A medical assistant is caring for a child who has varicella zoster virus. The assistant should recognize that varicella is transferred through which of the following modes of transmission?

a)

Airborne

b)

Bloodborne

c)

Vector-borne

d)

Foodborne

23.

A medical assistant should identify that which of the following vitamins is fat soluble?

a)

Niacin

b)

Folate

c)

Vitamin C

d)

Vitamin A

24.

A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make?

a)

"I think that you feel that your treatment is not effective"

b)

"I'm sure that the provider can help you get better"

c)

"That isn't fair. Our office treats many patients successfully"

d)

"You could take a different medication and then you'll feel better."

25.

A medical assistant observes a hematoma developing at the site of a venous blood draw. The assistant should do which of the following?

a)

Observe the site to see if the hematoma worsens

b)

Ask the patient to apply pressure to the area

c)

Release the tourniquet and stop the draw

d)

Call for a nurse and assess the patient's condition

26.

A medical assistant is performing an EKG on a patient. Which of the following describes the appropriate placement of the electrodes?

a)

Tabs downward on the arm

b)

Tabs downward on the knee

c)

Tabs upward on the chest

d)

Tabs downward on the lower leg

27.

A medical assistant is assisting with the repair of a laceration on a patient's head. The provider's prescription for the procedure includes an injection of 10mL of lidocaine with epinephrine. The assistant should recognize that which of the following is the purpose of epinephrine in the local anesthetic?

a)

To reduce bleeding at the site

b)

To reduce the patient's blood pressure

c)

To prevent an allergic reaction to the lidocaine

d)

To decrease the likelihood of infection

28.

When completing documentation in a patient's paper medical record, a medical assistant realizes she made an error. Which of the following actions should the assistant take?

a)

Leave the error in the medical record.

b)

Draw a line through the error and initial it.

c)

Erase the entry in the medical record.

d)

Use correction fluid to correct the entry.

29.

A clinic schedules all cardiac patients on Mondays and Wednesdays and all oncology patients on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using?

a)

Stream scheduling

b)

Cluster scheduling

c)

Wave scheduling

d)

Modified-wave scheduling

30.

Which of the following is a medical assistant's role in pulmonary function testing (PFT)?

a)

Coach the patient through the test

b)

Check the patient's vital signs during the test to ensure stability

c)

Administer the proper medication prior to the test

d)

Instruct the patient in the use of the inhaler used in testing

31.

A medical assistant is cleaning countertops and other surfaces after a surgical procedure in a provider's office. Which of the following disinfectants should the assistant use for this purpose?

a)

A 1:10 bleach and water solution

b)

Benzalkonium chloride solution

c)

Chlorhexidine

d)

Alcohol

32.

A medical assistant is performing a review of items in a clinic's inventory. How should the assistant classify dressings and bandages for inventory purposes?

a)

As office supplies

b)

As office equipment

c)

As clinical supplies

d)

As clinical equipment

33.

Which of the following tests is granted waived status under Clinical Laboratory Improvement Amendments (CLIA)?

a)

Rapid Strep Test

b)

Urine microscopy analysis

c)

Thyroid-stimulating hormone

d)

White blood cell differential

34.

A medication container states there is 250mg of medication in each scored tablet. The provider orders 375mg. How many tablets should the medical assistant give the patient?

a)

1.5 tablets

b)

1 tablet

c)

2 tablets

d)

0.5 tablets

35.

A medical assistant is reviewing laboratory results that confirm a patient has varicella zoster virus. The assistant should identify that this micro-organism causes which of the following types of infections?

a)

Mumps

b)

Measles

c)

Rubella

d)

Chickenpox

36.

A medical assistant is collecting vital signs from a 6-year-old child. the assistants should recognize that which of the following vital signs is outside of the expected reference range for this patient and should be reported to the provider?

a)

Respiratory rate 22/min

b)

Heart rate 140/mm

c)

Blood pressure 110/72 mm Hg

d)

Temperature 37* C (98.6* F)

37.

Which of the following parenteral medication routes should a medical assistant administer for a slow release of medication into the blood stream?

a)

Transdermal

b)

Sublingual

c)

Buccal

d)

Inhalation

38.

A medical assistant is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching?

a)

"Cold hands improve the test's accuracy"

b)

"Remove your nail polish before the test"

c)

"Clip the probe onto your second toe"

d)

"This test will measure your pulmonary capacity."

39.

A medical assistant is preparing to assist a provider with suturing a wound. Which of the following items should be in the sterile field?

a)

Bandages

b)

Skin retractor

c)

Scalpel

d)

Hemostat

40.

Which of the following is a step in the process of skin preparation prior to a surgical procedure?

a)

Sterilize the surgical site

b)

Clean the surgical site with antiseptic

c)

Rinse the surgical site with warm water

d)

Scrub the surgical site with a sterile brush

41.

A medical assistant is performing a 12-lead EKG on a patient. Which of the following electrodes should the assistant place to the left of the sternum at the fourth intercostal space?

a)

V4

b)

V3

c)

V2

d)

V1

42.

Which of the following is the largest and uppermost section of the brain?

a)

Cerebrum

b)

Cerebellum

c)

Brainstem

d)

Diencephalon

43.

A patient reports feeling depressed due to the recent loss of a partner. In which of the five stages of the grief process does depression present itself.

a)

First

b)

Second

c)

Third

d)

Fourth

44.

A medical assistant is preparing to administer a subcutaneous injection for a patient. Which of the following needle sizes should the assistant choose?

a)

1/2 to 5/8-inch needle, 25 gauge

b)

1 to 2 inch needle, 18 gauge

c)

3/8 to 5/8 inch needle, 27 gauge

d)

1/2 to 1 inch needle, 21 gauge

45.

Which of the following statements made by a medical assistant demonstrates an understanding of required patient identification techniques?

a)

"I can obtain the patient's name by looking in the patient's chart prior to obtaining blood samples"

b)

"I will ask the patient to state and spell her full name and provide her date of birth before administering vaccines"

c)

"I can look at the daily schedule to obtain the patient's name and the reason for the visit when checking the patient in"

d)

"I will ask a coworker to confirm the identity of the patient prior to collecting a urine specimen"

46.

A medical assistant is faxing a prescription to a patient's pharmacy. Which of the following actions should the assistant take?

a)

Send the prescription without a cover page

b)

Shred the confirmation of transmission message to ensure the patient's privacy

c)

Request that the provider verify the prescription after faxing it to the pharmacy

d)

Call the pharmacy to confirm receipt of the faxed prescription

47.

A medical assistant is entering a new prescription into a patient's electronic medical record (EMR). While entering the prescription, an alert notifying the assistant of a medication interaction appears on the screen. Which of the following actions should the assistant take?

a)

Override the alert and enter the prescription

b)

Call the pharmacist to obtain information about alternative medications

c)

Notify the patient of possible interactions with the prescribed medication

d)

Consult with the provider before continuing to process the prescription

48.

A medical assistant is assisting a patient whose insurance does not cover immunizations. To which of the following community resources should the assistant refer the patient?

a)

American Red Cross

b)

Department of Health and Human Services (HHS)

c)

Centers for Disease Control and Prevention (CDC)

d)

Child Protective Services

49.

A medical assistant needs to type a professional business letter from the office. Which of the following formats is appropriate?

a)

Keep flush with the left margin

b)

Leave two lines between the closing and typed signature

c)

Center the inside address and greeting

d)

Omit the date and the typed signature

50.

A medical assistant is performing an ear irrigation for an adult patient who has cerumen impaction. Which of the following steps should the assistant complete prior to administering the irrigation solution?

a)

Cool the irrigation solution to 15.6* C (60* F)

b)

Place the patient in the prone position

c)

Pull the pinna of the ear up and back

d)

Insert a cotton-tipped applicator into the ear canal