NCCT EXAM TEST REVIEW QUESTIONS AND ANSWERS, Exams of Health sciences

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NCCT EXAM TEST REVIEW

A patient presents to the medical office with nausea and vomiting. Which of the following types of medication is likely to be prescribed? - antiemetic A medical assistant obtains the tracing shown above on a patient. Which of the following actions should the medical assistant take? - Remind the patient to remain as still as possible The transfer of information such as patient eligibility, payment remittances, claims, claim status, authorizations and referrals are addressed under the HIPAA Administrative Simplification and Compliance Act as electronic - data interchange Which of the following is a CLIA waived test that can be performed by the medical assistant? - chemical urinalysis In most cultures in the United States, when a medical assistant is speaking with a patient, making direct eye contact encourages - open communication The primary care provider hands the medical assistant a referral for a patient to get an MRI. Which of the following should the medical assistant do first? - Call the insurance company and process an authorization If a medical assistant has questions about disposing of outdated hazardous chemicals, where should the medical assistant look to find this information? - MSDS A patient presents to the clinic with a paper towel wrapped around a deep laceration to his hand. The medical assistant removes the paper towel and finds it is heavily saturated with blood. The paper towel should be disposed of in a - biohazard waste bin Which of the following types of scheduling provides built in flexibility to accommodate unforeseen situations, such as patients who require more time with the physician. - wave Which of the following actions should the medical assistant take first after coming in direct contact with a patient's blood via needlestick injury? - Flush the area with water and thoroughly wash it The medical assistant should access which of the following sections of the electronic health record or paper chart to retrieve patient contact information? - billing When preparing to assist the physician with collection of a deep wound culture, the medical assistant should have which of the following available? - bacterial culture swabs

When performing a capillary puncture on an infant, the medical assistant understands the lateral heel is the proper site for collection due to which of the following? - The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely A medical office assistant is reviewing a patient's encounter that is documented in the medical record prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical office assistant has the ethical obligation to - debate the code A child's weight should be recorded in - Kg Which of the following actions should the medical assistant take to ensure proper monitoring of a patient during a stress test? (Select the three [3] correct answers.) - Instruct the patient to report any symptoms, Measure blood pressure and heart rate frequently, Observe facial expressions, skin color and perspiration A patient complains of nausea and vomiting, and has been unable to keep fluids down over the course of two days. A suppository has been ordered. Which of the following abbreviations is the correct route of administration? - PR During a routine visit, a petite female patient becomes very distraught while discussing the recent death of her husband. She suddenly faints. Which of the following actions should the medical assistant take next? - Protect the patient from injury The mother of a 6-month-old patient arrives at a busy clinic and states the child has a high fever. The medical assistant measures the patient's temperature and confirms a temperature of 103°F. Which of the following is an acceptable course of action for the medical assistant? - Assess the remaining vital signs and notify the physician The medical assistant applies pressure to the venipuncture site using gauze. After two minutes the medical assistant observes that bleeding has not stopped. The next appropriate action would be to - elevate the arm while applying pressure. The medical assistant preps the median cubital vein for a venipuncture procedure. How should the medical assistant prep the patient's skin? - Use a circular motion, from the inside out For which of the following incidents is employer provided post-exposure follow-up indicated? - a polycup containing urine splashed into the eye of an employee The main function of a centrifuge is to - separate cells from plasma. Which of the following techniques is correct when collecting a throat culture? - Use a tongue depressor and swab both sides of the throat.

A physician's office is about to convert from paper format to an electronic format. The office manager has implemented a Medical Practice Management Program. Which of the following is a task the medical office assistant should be able to do with the new software? - patient registration When reviewing a patient's SOAP note in the medical record, which of the following documentation entries is an example of objective data? - 10 mm laceration noted above the left eye. The medical assistant should refer to which of the following agencies to access updated immunization schedules? - CDC A patient expresses cultural beliefs about an alternative method of pain management that differs from the medical assistant's own view. How should the medical assistant respond? - Tell me more about how this approach has worked for you When inspecting a patient's arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation? - butterfly needle The medical assistant is assisting a physician with an I & D of a gangrenous abscess. In addition to mask and gloves, the medical assistant must wear which of the following personal protective equipment when performing this procedure? - protective eyewear The patient was seen in the office for follow up evaluation post CVA. The doctor noticed significant weakness on the patient's left side. Which of the following should the medical assistant expect to perform? - Active assist range of motion Which of the following medical office software applications uses an electronic signature? - EHR The medical assistant is caring for an adult patient with a history of coronary artery disease. Which of the following BP measurements should prompt the medical assistant to notify the health care provider? (Select the three (3) correct answers.) - 162/96 mmHg, 138/98 mmHg, 92/44 mmHg The medical assistant is scheduling a patient for a gallbladder study. Which of the following terms should the medical assistant use on the patient test order? - cholecystography The physician orders a PT/PTT. Which of the following evacuated tubes should the medical assistant select for collecting the specimen - light blue Which of the following names should come first when working with an alpha-numeric filing system? - Peter G. Burns Jr.

A large open container of isopropyl alcohol is spilled on the floor in the clinic waiting area. The medical office assistant should use which of the following resources for information about the chemical and any necessary procedure? - Material Safety Data Sheet A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient? - vastus lateralis When the patient's chart has been subpoenaed, which of the following types of information requires additional consent from the patient or a court order? - psychiatric treatment The physician orders a random blood sugar on an adult patient newly diagnosed with diabetes who is right hand dominant. The medical assistant notices inappropriate puncture markings on the patient's fingers. Which of the following statements should the medical assistant use when re-educating the patient in capillary puncture? - It's best to use the outer edge of the middle or ring finger on your left hand when doing your finger stick. While scheduling an appointment, the medical office assistant's computer freezes. When attempting to restart the program, which of the following should the medical office assistant do first? - Press the Ctrl, Alt and Delete keys. The patient is referred to a neurosurgeon. Entering the specialist's NPI number and number of visits requested into the patient's insurance carrier's website is part of which of the following processes? - precertification When preparing a site with alcohol for venipuncture, the medical assistant should cleanse in which of the following motions? - from the inside out Which of the following forms must be signed by the patient and kept on file, allowing physicians to be paid directly from the insurance carrier? - assignment of benefits Which of the following is necessary before ordering or paying for medical office supplies? - purchase order The use of smaller electrodes while running an ECG on a four year old pediatric patient will require which of the following modifications? - Increase the paper speed. Placement of the ground lead on an ECG is on the - RL on the soft tissue of the leg. Which of the following diseases is a healthcare worker at the greatest risk of developing following an exposure incident with blood from a needle stick injury? - HBV Prior to purging and destroying paper medical charts, a medical office assistant should consult which of following guidelines? - State and Federal

The medical assistant performs daily accounts receivable (AR) procedures in the medical office to identify - amounts owed to the physician. Which of the following is the correct definition of Standard Precautions? - Control measures that treat all body fluid as if it could be infectious. When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of respiratory distress, the medical assistant obtains a reading of 79%. Which of the following actions should the medical assistant take next? - reposition the finger probe When performing a 12-lead ECG, which of the following positions demonstrates correct lead placement? - V4 is placed left midclavicular 5th intercostal space The patient presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of the following actions should the medical assistant take prior to witnessing the consent form to ensure it is legally binding? - Confirm the surgeon has explained all risks and benefits of the procedure. A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin. The ordered dose (based on today's weight) is 91 mg every 8 hours. The patient is to receive a first dose of medication before leaving the office and the suspension available is 125 mg/5 mL. How much medication should the medical assistant administer? - 3.6 mL The medical assistant performs a urine hCG on a patient whose results are inconclusive. Which of the following actions should the medical assistant take next? - Ensure the daily quality control has been performed. Flow charts, progress notes, and narrative notation are all examples of - recording patient information in a medical record. Older adult patients are the population most at risk for which of the following medication complications due to a declining liver function? - toxicity A patient presents to the urgent care office reporting a burn that occurred a few minutes ago from hot coffee. The left wrist is painful, red, swollen and has blisters. The medical assistant takes the patient directly to an exam room. Which of the following actions should the medical assistant take next? - Place the wrist under cool running water The medical assistant should stamp checks with the restrictive endorsement "for deposit only" to prevent - loss or theft The physician excises a mole and wants to send it to the pathology laboratory for further analysis. The sample should be placed with care into which of the following collection containers? - sterile specimen container with formalin

Which of the following government agencies requires the medical office to develop an exposure control plan? - OSHA The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is - first thing in the morning. Which of the following is required for permission to treat a patient scheduled for a complex procedure? - informed consent Which of the following are the major filing systems used in the health care setting? (Select the three (3) correct answers.) - numeric, alphabetic, subject The endocrinologist requested the patient to return to the outpatient clinic the next day for a glucose tolerance test. Which of the following preparations should the medical assistant instruct the patient to do the night before the test? - NPO after midnight. Which of the following blood components are visible in a centrifuged, evacuated red top tube? (Select the two (2) correct answers.) - serum, blood clot Which type of medication is used to increase urinary output? - diuretic Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy? - Run the daily control checks on urinalysis dipsticks. The medical assistant is collecting a urine sample on a patient to test for pregnancy. Which of the following is the correct CLIA-waived test? - hCG Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? - The Patient's Bill of Rights The medical assistant should administer nitroglycerin by which of the following methods? - sublingual Which of the following are Schedule IV drugs? - antianxiety agents and hypnotics with a low potential for abuse A patient's encounter form contributes to the efficiency and flow of information in the medical office at check-out in which of the following ways? - Lists codes for services and procedures performed during the visit. Which of the following conditions may occur if a tourniquet is left in place on a patient's extremity for longer than 60 seconds? - venous stasis Which of the following mail classifications is the most cost-efficient for sending an office newsletter to patients and associates? - standard

The patient complains of joint pain and swelling. The physician wants to remove synovial fluid for analysis. The medical assistant should set up for which of the following procedures? - arthrocentesis The adult patient has a puncture wound on the sole of the right foot due to stepping on a nail in a construction area. Which of the following immunizations is particularly important for the medical assistant to ask about while taking the patient's history? - Td The medical assistant receives a call from an attorney requesting information about an established patient's operative report. Which of the following actions is required prior to fulfilling the request? - Check the patient's file for authorization of release of information listing the name of the attorney. The order reads cefaclor (Ceclor) 250 mg p.o. stat, then 150 mg q 2 h. How should the medical assistant interpret this medication order? - Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours. When giving a nebulizer treatment with bronchodilator, the medical assistant should most closely monitor for which of the following complications? - persistent tachycardia Place the following PPE in the correct order of removal prior to leaving the exam room of a patient who is in contact-droplet isolation. - gloves, gown, bonnet, mask What does the color of an evacuated collection tube represent? - the type or absence of an additive The medical assistant should instruct the patient obtaining a 24 hour urine collection to - discard the first morning sample. The primary objective of which of the following agencies is to regulate and ensure quality of clinical laboratory testing? - CLIA Which of the following is the best way to correct AC interference on an ECG? - Check that the patient does not have a cell phone close by. The medical assistant demonstrates proper handling of sharps containers by doing which of the following? - Discard the sharps container in a biohazard waste container when it is two-thirds full. Beginning with the infectious agent, place the elements in the correct order of the chain of infection. (Click and drag the options in the left column to their correct order in the right column). - reservoir host, portal of exit, means of transmission, portal of entry, susceptible host Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? - annual employee safety training

Which of the following acts involves the termination of a patient from the care of a physician without reasonable, written notice of withdrawal from the case? - abandonment What does the abbreviation HIPAA stand for? - Health Insurance Portability and Accountability Act Which of the following resources should the medical assistant use to look up the code for a laceration repair? - Current Procedural Terminology An established patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for hypertension. What is the importance of identifying the reason for today's visit related to billing? - to determine the primary diagnosis Which of the following phone calls should be handled first? - A patient complaining of chest pain and shortness of breath Which of the following needle gauges is most commonly used for venipuncture? - 21 - 23 The physician's office sets aside Monday afternoons for high school sports physicals. This is an example of which method of scheduling? - clustering Which government agency oversees HIPAA? - HHS A patient is discharged from the hospital with a diagnosis of HIV and MRSA and comes to the office for a follow-up appointment. What is the best method the medical assistant could use to clean the nasal speculum, forceps, and hemostat used in the exam? - steam sterilization A medical assistant is hired at a Family Medical Practice. According to OSHA requirements the medical assistant must be offered a vaccine within 10 days of hire, free of charge. The medical assistant knows that this vaccination is to protect him from which of the following?

• Hepatitis B When removing a suture from a patient's leg, the medical assistant should use which of the following instruments? - dressing forceps The physician has instructed the medical assistant to obtain a patient's temperature. Before placing the oral thermometer in the patient's mouth, it is important to ensure the accuracy of the reading by asking the patient if she has - recently ingested hot or cold food or beverages. The medical assistant is performing a 12-lead ECG on a patient and notices that lead III does not appear on the tracing. Which of the following actions should the medical assistant take? - Check for a loose wire, reconnect, and repeat the tracing.

For how many years should a provider store medical records (select the least number of years that maintains compliance with state and federal regulations)? - 10 years To prevent the likelihood of somatic tremor artifact, the medical assistant should - make the patient calm and comfortable to minimize movement. When managing multiple incoming calls, the medical assistant should handle which of the following calls first? - A neurologist seeing a patient on consult. Which of the following should be included on a patient's laboratory requisition? - test priority The medical assistant measures the head circumference on a 6-month-old male infant during a well-baby check. The circumference is 42 cm. Which of the following percentiles should the medical assistant assign based on this pediatric growth chart? - 10th The medical assistant asks a patient, "How are you doing today?" The patient yells, "How do you think I'm doing? I just got out of that terrible hospital and they didn't help me at all! I still have cancer don't I?" The medical assistant recognizes that this patient is most likely experiencing which of the following stages of dying/grief according to Kubler-Ross? - anger When reading the results of an HCT the medical assistant should read starting at the - top of the packed cells. A medical assistant is positioning a patient for sigmoidoscopy. Which of the following positions would be appropriate for the procedure? - sims Which of the following resources should the medical assistant use to look up the side effects of (enoxaparin) Lovenox in the medical office? - Physician's Desk Reference (PDR) What is the proper term describing when a patient is informed about the possible consequences of both having and not having a medical procedure? - informed consent A patient calls requesting to see their provider with report of intense burning and urgency upon urination. This is an example of which of the following types of special scheduling? - same-day appointment A finger stick capillary puncture should be performed at which of the following sites to prevent injury? - slightly to the side of the center of the fingertip The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn? - blood culture, red top, lavender top The post office returns a patient's bill to the clinic with the notation "address unknown." Which of the following steps are appropriate in handling this situation? (Select the three

(3) correct answers.) - Verify the mailing address on file in the clinic database., Document the postmark date., Prepare a new envelope with the corrected address and new postage. Which of the following actions should the medical assistant take when disposing of a needle following a venipuncture? - Place the needle with safety device activated immediately in a sharps container. Which of the following ECG leads records the electrical activity of the inferior surface of the left ventricle and is closest to the heart? - lead II A clean-catch midstream urinalysis is ordered for a female patient to rule out a urinary tract infection. The medical assistant should instruct the patient before urinating in the specimen cup to wipe using antiseptic towelettes - from front to back Which of the following describes proper aseptic technique in the cleaning of the venipuncture site? - Let the alcohol air dry before inserting the needle A patient with diabetes has missed all scheduled appointments in the past 18 months. The physician requests that written notification be sent to the patient to make an appointment immediately. This letter should be sent - certified Which of the following is the most common means of transmission of Hepatitis A? - contact with fecal contaminated food/water Which of the following are legitimate reasons to document in a patient's chart when he "no- shows" for his appointment? (Select the three (3) correct answers.) - To protect the physician from liability in case his condition worsens., To communicate the reason he missed his appointment., To document whether or not he rescheduled. The importance of accurate anatomic positioning of leads on a patient when performing an ECG is to - capture true cardiac activity. Which of the following insurance programs covers active duty military personnel? - tricare The medical assistant is reprocessing instruments in the medical office. Which of the following indicates the instrument pack is sterile? - The indicator strip darkens. A patient with dyspnea comes in for an ECG. In which of the following positions should the patient be placed for the procedure? - semi Fowlers The physician believes a patient might have problems with her spleen. Where would the doctor palpate to feel for the spleen? - left side of the patient's abdomen beneath the diaphragm

When preparing liquid medications for administration, the medical assistant should check the medication and expiration date, then place the cap with attached dropper face - up and read the volume at the bottom of the meniscus. Which of the following statements reflects open-ended communication? - "Tell me what brings you in today." Which of the following actions should the medical assistant take to eliminate the artifact shown in the strip shown above? - Check the bed plugin at the wall socket or unplug the bed. Which of the following forms of medication can be administered vaginally? - creams and suppositories The medical assistant schedules the patient with a sebaceous cyst for an I & D. Which of the following statements best describes this procedure? - Incision into a localized area of infection (abscess), to drain the exudate from the area. Forced Vital Capacity is measured by instructing the patient to - forcefully breath air out and continue to exhale for at least 6 seconds. Which of the following actions should the medical assistant take in the event of a chemical disinfectant spill? - refer to the MSDS An adult patient presents with fever, muscular pain, and congestion. Which of the following is the appropriate response for the medical assistant following the physician's orders? - administer acetaminophen (Tylenol) 650 mg po Which of the following organizations makes on-site visits to inspect medical office laboratories? - CLIA The patient receiving an albuterol treatment by nebulizer in the clinic complains of tremors, nausea, blurred vision, and headache. Which of the following actions should the medical assistant take? - Report these symptoms to the physician. The pictured rhythm is an example of which of the following? - premature ventricular contraction Which of the following types of licensure must a physician have and maintain to legally dispense, prescribe, or administer controlled substances? - narcotics An incorrect dose of medication is delivered to a patient in the medical clinic. As a result, the patient experienced mild kidney damage. The responsible health care providers and/or clinic is at risk for which of the following? - negligence

A patient notices the symbol above on the door and asks what it means. The medical assistant should tell the patient the symbol means - biohazard material present. The medical assistant schedules a follow-up appointment for a patient following surgical removal of their uterus. The medical term for this procedure is - hysterectomy. An effective way for a medical office assistant to communicate office policies and procedure information to their patients is to - develop a brochure. Which of the following pieces of equipment should the medical assistant anticipate using when taking a patient's blood pressure? - sphygmomanometer Venipuncture should be avoided on an arm with - an elbow splint Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an example of which of the following? - medical asepsis Which of the following complications occurs from prolonged lack of muscle use? - atrophy