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COMPREHENSIVE NHA CCMA STUDY
GUIDE
The primary code in the CPT coding system consists of how many digits? - \Five digits A medical assistant is observing a patient after administering an antibiotic injection. The patient develops an itchy rash with pinkish, raised lesions. Which of the following terms should the assistant use when documenting this finding in the patient's medical record?
\Urticaria A rash on the skin that consists of hives or wheals, which are itchy, raised lesions. It is a sign of an allergic reaction. When should the code on glucose cuvettes be compared to the code on the glucometer? - \Before a patient is tested Which of the following should a medical assistant identify as the purpose of a Category II code in procedural coding? - \Tracks provider performance measures A pulse oximeter can register an artificially low oxygen saturation measurement for a patient who has which of the following conditions? - \Cold fingers Cold fingers indicate low perfusion and might result in an artificially low pulse oximetry reading. As a medical assistant is collecting a blood sample, the patient begins to faint. Which of the following actions should the medical assistant take to help ensure the patient's safety? - \Position the patient flat on her back A medical assistant is performing spirometry testing for a patient who has shortness of breath. Which of the following results of the spirometry test indicates a successful maneuver? - \A fast and steady flow with no variability A medical assistant is collecting data from a patient who is experiencing heatstroke. Which of the following manifestations should the assistant expect to find? - \Hot skin
A medical assistant is administering eye ointment to a patient. Which of the following actions should the assistant take? - \Apply a thin ribbon of ointment along the conjuctival sac A medical assistant is reinforcing teaching with a patient about lifestyle modifications to help regulate his hypertension. Which of the following statements by the patient indicates an understanding of the teaching? - "I only smoke a half a pack each day, so I'll just cut it out completely." A medical assistant is reviewing a provider's instructions as the patient is preparing to leave the office. The provider recommends that the patient purchase an over-the- counter antitussive, but the patient tells the assistant that she does not know what an antitussive is. Which of the following responses should the assistant take? - "It is a medication that suppresses the cough reflex." According to OSHA guidelines, a medical assistant should dispose of blood-soiled gauze dressings in which of the following? - \Red biohazard bag Which of the following information should the medical assistant enter into the appointment calender when scheduling a patient for a skin rash? - \Daytime phone number A medical assistant has requested a preauthorization for a patient's referral to a specialist. Which of the following is a reason for the claim submitted by the specialist to be denied? - \The service is provided after the expiration date A medical assistant is disposing of the syringe and needle she used to inject a seasonal influenza vaccine. Which of the following actions should the assistant take? - \Drop the syringe, needle first, into the biohazardous sharps container. When preparing a patient for Holter monitoring, which of the following actions should a medical assistant take? - \Vigorously dry the patient's skin prior to electrode placement A medical assistant is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patient's skin lesions, the assistant should expect to observe which of the following characteristics? - \Silvery, scaly A medical assistant is preparing a patient for a physical examination. Which of the following steps should the assistant take first? - \Verify the patient's identity
A patient contacts the facility to report a burn injury to her right arm. A medical assistant should identify which of the following pieces of information as necessary when screening for a possible emergency situation? - \The cause of the patient's burn A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following should the EKG technician do first? A) Notify the physician of the arrest B) Call for help and begin CPR C) Go get the automated external defibrillator D) Administer oxygen - \Call for help and begin CPR Which of the following techniques should a medical assistant 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 - \Wrap the wound from distal to proximal A medical assistant is caring for a patient who has come in contact with concrete debris. Upon inspection of the eye, the assistant 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 the 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 with cold tap water - \Irrigate the eye starting at the inner canthus and flowing to the outer canthus Which of the following techniques should a medical assistant use to confirm a patient's understanding of insulin administration? A) Observe the patient as she performs a self-demonstration B) Provide the patient with written instructions C) Offer the patient a website to visit for directions D) Repeat the instructions to the patient - \Observe the patient as she performs a self-demonstration A medical assistant is providing instruction to a patient on how to take an extended- release medication PO. Which of the following statements made by the patient indicates a need for further teaching? A) "I can crush or chew the pill if it is 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 pill at the same time each day." -
"I can crush or chew the pill if it is too hard for me to swallow." A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as he listens with a stethoscope. When should he read the diastolic pressure? A) When repetitive sounds begin B) When the sound disappears C) When the sounds change from strong to muffled D) When the sounds change from swishing to sharp - \When the sound disappears A medical assistant is preparing a patient who has intermittent peripheral cyanosis for an examination by the provider. The assistant 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 - \Circulatory and respiratory A medical assistant is preparing a CMS-1500 insurance claim form for a patient 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) Patient's health savings account number C) Current procedural terminology code D) Patient's medical record number - \Current procedural terminology code The parent of a child who has pinworms is asking a medical assistant for more information about his child's condition. The assistant should begin by explaining that pinworms are which of the following types of microorganism? A) Fungi B) Bacteria C) Protozoa D) Helminths - \Helminths A medical assistant is collecting a urine specimen from a patient for a drug screening. Which of the following actions should the assistant take to adhere to the chain of custody for this specimen? A) Ensure the specimen has a volume of 20mL 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 - \Send the specimen to the testing laboratory on the same day as the collection
C) Store paper charts on an open shelf at the front desk D) Discuss patient information quietly with a provider in the hallway - \Log off of computers when not in use A medical assistant receives a telephone call from a patient who seems anxious about the results of a test. Which of the following responses should the assistant take? A) "I know you are concerned about your test results. We'll call you as soon as your results come in." B) "The doctor is busy right now and will call you back. You don't really want me to give you the results, do you?" C) "I'm afraid it's bad news. I would get a second opinion if I were you." D) "Don't worry about it. Until we say you have something to worry about, try to relax." - "I know you are concerned about your test results. We'll call you as soon as your results come in." A medical assistant is composing business correspondence using the simplified letter style. Which of the following features should the assistant take? 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 - \A subject line in all capital letters Which of the following body systems should be evaluated for a diagnosis of pyloric stenosis? A) Urinary B) Nervous C) Gastrointestinal D) Cardiovascular - \Gastrointestinal A medical assistant is explaining a venipuncture procedure to a patient. Which of the following statements should the assistant make? A) "I'll be collecting a blood sample from you today. There will be a small stick in your arm." B) "I'm here to draw a blood sample for a test. It won't hurt at all." C) "I'll be puncturing your vein with this needle. Hopefully, you won't feel the vacuum in the tube draw your blood." D) "I'm going to draw a sample blood. I'm sure that you aren't going to faint." - "I'll be collecting a blood sample from you today. There will be a small stick in your arm." A medical assistant is preparing to apply ointment to several abrasions on a patient's leg. Which of the following supplies should the medical assistant use to remove the medication from the jar? A) A gloved finger
B) A syringe C) A cotton ball D) A tongue blade - \A tongue blade A medical assistant is measuring the vital signs of an adult patient. The assistant 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 - \150/95 mm Hg A medical assistant is speaking with a patient who has seasonal allergies. Which of the following health care providers should the assistant identify as being able to make a diagnosis and initiate the necessary treatment? A) Pharmacist B) Physician assistant C) Respiratory therapist D) Registered nurse - \Physician assistant A medical assistant is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual, customary, and a reasonable fees. Which of the following actions should the assistant 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 patient's account to reflect no unpaid charges and write off the balance D) Request payment at the point of service during the patient's next visit - \Adjust the patient's account to reflect no unpaid charges and write off the balance A medical assistant is reviewing discharge information with a patient who is postoperative following cryosurgery to the cervix. Which of the following statements should the assistant include? A) "You can resume sexual activity 3 days after your procedure." B) "It is normal for pain to last up for 1 week after your procedure." C) "Your menstrual cycle will cease for 3 to 4 months following the procedure." D) "You may experience a watery discharge for up to 1 week after your procedure." - "You may experience a watery discharge for up to 1 week after your procedure." A patient arrives at the clinic with a tick bite on his leg. The provider asks a medical assistant to help remove the tick. Which of the following actions should the assistant take? A) Use tweezers to pull the tick away from the skin slowly B) Squeeze the body of the tick firmly to remove it C) Grasp the tick at a point furthest from the skin
A medical assistant is preparing a patient for procedure to have a mole excised. Which of the following actions should the assistant take? A) Administer the anesthetic to the patient 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 - \Cleanse the site with surgical soap and an antiseptic A medical assistant is measuring the circumference of an infant's head. Which of the following actions should the assistant take? A) Position the infant prone on the examination table B) Place the measuring table 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 - \Place the zero mark of the measuring tape against the infant's forehead A medical assistant in an outpatient facility is preparing a patient for a venipuncture. Which of the following actions should the assistant take to confirm the patient's indentity? A) Ask the patient to state her full name and date of birth B) Ask the patient for her provider's name C) Ask the patient to stage her age and address D) Ask the patient to verify her examination room number - \Ask the patient to state her full name and date of birth A medical assistant needs to remove all living micro-organisms from a contaminated towel clamp. Which of the following methods should the assistant use to cleanse this instrument? A) Disinfection B) Sanitization C) Sterilization D) Ultrasonic - \Sterilization When informed consent is required for a procedure, which of the following steps should occur prior to the patient signing the form? A) The medical assistant should explain the procedure to the patient B) The medical assistant should describe the risks of the procedure to the patient C) The provider should review alternative procedures with the patient D) The provider should review the patient's insurance coverage for the procedure - \The provider should review alternative procedures with the patient A medical assistant is assisting with the examination of an older adult patient who has a curvature of the thoracic spine. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? A) Lordosis
B) Subluxation C) Kyphosis D) Scoliosis - \Kyphosis A medical assistant is educating an older patient on wound care. Which of the following should the assistant do to ensure patient understanding? A) Speak louder to the patient B) Stand beside the patient C) Have additional medical staff present to explain information D) Have the patient repeat information - \Have the patient repeat information A patient 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 patient B) Assist the patient in locating a provider to accommodate the patient's needs C) Reassure the patient that the male provider will be respectful D) Instruct the patient to visit an emergency room - \Assist the patient in locating a provider to accommodate the patient's needs A medical assistant is checking a patient out of the clinic. In which of the following documents should the assistant locate information about provider referrals or follow-up appointment requests for the patient? A) Encounter form B) CMS-1500 claim form C) OSHA form 301 D) Informed consent - \Encounter form Which of the following steps for a fingerstick should a medical assistant 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 patient - \Confirm the correct identity of the patient A medical assistant receives a call from a patient 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) "That's not our fault. Your insurance company has several rules about what they cover and don't 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 than try to fight with them."
A provider asks a medical assistant to reinforce teaching with a patient about her new diagnosis. Which of the following actions should the assistant take? A) Outline the educational materials quickly with the patient B) Instruct the patient to ask any questions at the end of the teaching C) Include personal opinions along with the educational material D) Document the patient's response to the teaching - \Document the patient's response to the teaching When assisting a provider with a vaginal examination and Papanicolaou (Pap) test, a medical assistant should identify that which of the following instruments is necessary? A) Cryoprobe B) Senn retractor C) Cytobrush D) Adson forceps - \Cytobrush 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) CHEDDAR format - \Source-oriented Which of the following types of appointment systems allow flexibility to allow for the most consistent patient flow? A) Wave scheduling B) Double booking C) Cluster booking D) Stream scheduling - \Wave scheduling In which of the following positions should a medical assistant place an 18-month-old patient when administering ear drops to the right ear? A) Right ear facing down with the earlobe pulled down and back B) Right ear facing up with the pinna pulled up and back C) Right ear facing up with the earlobe pulled down and back D) Right ear facing down with the pinna pulled up and back - \Right ear facing up with the earlobe pulled down and back A medical assistant 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 - \Papules A medical assistant in an acute facility is checking in a patient who has 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 patient's chart B) Obtain a specimen for blood type cross and match C) Inform the patient that a transfusion is mandatory for his treatment D) Have the patient sign an Against Medical Advice (AMA) form - \Document the statement in the patient's chart A medical assistant is preparing to use a glucometer to measure a patient's blood glucose level. Which of the following actions should the assistant take? A) Obtain the 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 test strip D) Smear the blood on the test pad - \Obtain the blood sample after inserting the test strip into the glucometer` In which of the following positions should a medical assistant place a patient when obtaining a rectal temperature? A) Sims' B) Knee-chest C) Lithotomy D) Dorsal Recumbent - \Sims' A medical assistant is adding information to a patient's computerized problem-oriented medical record (POMR). Into which of the following sections of the POMR should the assistant enter the patient's health history and laboratory results? A) Problem list B) Database C) Progress notes D) Diagnostic and treatment plan - \Database A medical assistant is preparing 1 g/kg of activated charcoal for a patient who weighs 176 lb. How many grams of charcoal should the assistant prepare? A) 79 g B) 387 g C) 352 g D) 76 g - \79 g
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 to 4 hours." D) "You should avoid your regular exercise routine during monitoring." - "You should avoid using an electric blanket during monitoring." A medical assistant is using a butterfly needle set to obtain a blood sample from a vein patient's hand. Which of the following actions should the assistant take? A) Hold the needle by its wings B) Insert the needle into the skin at 45 degree angle C) Release the tourniquet after 2 min D) Activate the safety device before removing the needle - \Hold the needle by its wings A patient at an urgent care facility reports that she vomited and saw blood in the vomitus. Which of the following terms should a medical assistant use to document the patient's report? A) Melena B) Hemoptysis C) Hematuria D) Hematemesis - \Hematemesis A medical assistant is monitoring a patient during a stress test. The patient becomes increasingly short of breath and tachycardic. Abnormalities appear in his EKG rhythm. Which of the following actions should the assistant take first? A) Discontinue the test B) Instruct the patient to take slow; deep breaths C) Obtain the patient's vital signs D) Ask the patient if he is experiencing chest pain - \Discontinue the test Which of the following stages of cardiac cycle of an EKG strip represents ventricular depolarization? A) T wave B) ST segment C) QRS complex D) P wave - \QRS complex A medical assistant is reviewing the laboratory results of a patient who has the Epstein- Barr virus. The assistant should identify that this micro-organism can cause which of the following conditions? A) Polio B) Mononucleosis C) Gastroenteritis
D) Fifth disease - \Mononucleosis A medical assistant is obtaining information for a patient's medical history and physical examination. The patient reports intermittent episodes of ringing in his ears. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? A) Presbycusis B) Otosclerosis C) Otalgia D) Tinnitus - \Tinnitus A medical assistant is reporting a patient fall that occurred in the front lobby of the clinic. What is the purpose of the assistant preparing an incident report? A) To remove liability from the clinic B) To avoid future reoccurences C) To document patient responsibility for the fall D) To create documentation for the patient's medical record - \To avoid future reoccurences Which of the following organs is located in the right upper quadrant of the abdomen? A) Gallbladder B) Spleen C) Appendix D) Stomach - \Gallbladder A medical assistant is preparing to collect a patient's temperature via the tympanic membrane. In which of the following locations should the assistant place the thermometer? A) On the forehead B) In the ear C) Under the tongue D) Under the arm - \In the ear Which of the following terms describes the body's internal adaption and change to keep body functions in balance? A) Peristalsis B) Hematopoiesis C) Physiology D) Homeostasis - \Homeostasis
C) Ask the provider to write off the charges on the patient's account D) Determine if the patient has a previous balance - \Review that day's encounter forms to determine if another patient received the services A medical assistant should recognize which of the following blood pressure readings as indicative of an adult patient 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 - \128/78 mm Hg A medical assistant receives a phone call from a parent of a child who has possibly ingested a household cleaner. Which of the following actions should the assistant take? A) Tell the parent to call back after obtaining the child's vital signs B) Instruct the parent to administer syrup of ipecac to the child C) Direct the parent to manually induce vomiting D) Contact the local poison control center - \Contact the local poison control center A provider requests a medical assistant to initiate a referral for a patient to a mental health facility. Which of the following pieces of information is required for the assistant to include in the initial referral? A) Diagnosis B) Current medications C) Age D) Family history - \Diagnosis Which of the following groups of EKG leads are bipolar? A) Leads V1, V2 and V B) Leads V4, V5, and V C) Leads aVR, aVL, and aVF D) Leads I, II, and III - \Leads I, II, and III 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 worker's compensation. The assistant should recognize that which of the following parties is responsible for payment of this bill? A) Paid in full by the patient B) Paid in full by the patient's private insurance C) Pain in full by workers compensation D) Paid in part by private insurance and in part by worker's compensation - \Pain in full by workers compensation
According to OSHA guidelines for universal precautions, which of the following types of patient contact would require a medical assistant to wear gloves, a mask, a face shield, and protective apparel? A) Measuring a patient's blood pressure B) Assisting a provider with the removal of a cyst C) Applying medical nose drops as indicated by a provider D) Providing a patient with cardiopulmonary resuscitation - \Assisting a provider with the removal of a cyst A medical assistant is reinforcing teaching with a patient who is going home after having extensive suturing to a laceration. Which of the following instructions should the assistant 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 moisture can surround the wound." D) "Red streaks near the wound are normal and can be addressed at your next visit." - "Be sure to call your provider if you have a fever over 100 degrees Fahrenheit." 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 - \Interrupted baseline A medical assistant is to use the Snellen chart to test an adult patient's visual acuity. The assistant should instruct the patient to stand which of the following distances away? A) 10 feet B) 20 feet C) 14 inches D) 30 inches - \20 feet A medical assistant is preparing the room for a patient's general physical examination. The assistant 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 - \Otoscope A patient is entitled to which of the following medical records? A) Detailed psychotherapy notes B) List of medications with diagnosis
