NHA-Medical Assistant(CCMA) Certification Practice Test 2.0 A-with 100% verified solutions, Exams of Nursing

Download NHA-Medical Assistant(CCMA) Certification Practice Test 2.0 A-with 100% verified solutions and more Exams Nursing in PDF only on Docsity!

Certification Practice Test 2.0 A-with 100%

verified solutions-2023-

A medical assistant is preparing a patient who has congestive heart failure (CHF) for an examination by the provider. Which of the following manifestations should the assistant expect? Shortness of breath (SOB) Expected manifestations of CHF include shortness of breath, fatigue, and edema When measuring a patients respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading? Count the respiration's while the patient thinks his pulse is being obtained. In order to obtain the most accurate reading, the assistant should count the respirations without the patient being aware that his breathing is being assessed. The patient can easily control or alter breathing patterns when he is conscious that the assistant is paying attention to his respirations. Which of the following laboratory results should the medical assistant recognize is abnormal? Potassium 3 mEq/L This potassium level is below the expected reference range of 3.5 to 5 mEq/L. A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. Which of the following instruments should the assistant include on the tray? Scissors Scissors are considered cutting and dissecting instruments because they include a sharp blade or surface that can cut, dissect, or scrape.

NHA-Medical Assistant(CCMA)

A medical assistant is replacing a sharps container in an examination room and receives a small laceration on her arm from the plastic lid. Which of the following types of documentation should the assistant complete as a result of this incident? OSHA Form 301 The assistant should recognize that the OSHA Form 301 is an incident report used when reporting details about a work-related injury or illness. A medical assistant is reviewing a patient's history prior to the patient's appointment. Which of the following laboratory results indicates the need to schedule an extension of the current visit? Fasting blood glucose 168 mg/dL This fasting blood glucose level is above the expected reference range of 70 to 130 mg/dL. The assistant should notify the provider and schedule an extension of the patient's visit. A medical assistant is reinforcing instructions with a patient about how to take a buccal tablet.which of the following instructions should the assistant give the patient? "Place the tablet between you or gums and cheek." The assistant should instruct the patient to place the buccal tablet between his gums and his cheek. A buccal tablet acts faster than oral tablets because it does not need to pass through the gastrointestinal tract to be absorbed. Which of the following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty breathing? Dyspnea Dyspnea is a term used to indicate that a patient is experiencing difficult or painful breathing.

Which of the following methods is used to notify a provider of the denial of a claim by an insurance carrier? Remittance advice A remittance advice document itemizes all paid, denied, and allowable charges for a patient. This document notifies the provider of any and all claim denials. Which of the following positions is appropriate for a pelvic exam? Lithotomy The lithotomy position is appropriate for pelvic examinations. Which of the following cardiac procedures is within a medical assistants scope of practice and does not require a licensed technician or provider to assist or perform it? Holter monitor application A Holter monitor is a system for recording cardiac activity for 24 hr or longer. It is within an assistant's scope of practice to place and remove a Holter monitor. Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? Interrupted baseline Interrupted baseline is caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper. 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 make? "I know you are concerned about your test results. We'll call you as soon as your results come in." This response shows empathy and active listening skills on the part of the assistant, which communicates to the patient that the assistant recognizes his emotions.

Empathy allows the assistant to validate the patient's emotions without becoming unprofessional and losing objectivity. This response is an example of an appropriate way to communicate with the patient. A medical assistant is assisting with the physical examination of a patient who has scabies. Besides gloves, which of the following pieces of personal protective equipment should the assistant wear? Gown Scabies requires contact precautions; therefore, the assistant should wear gloves and a gown. Other patient conditions that require contact precautions include hepatitis A, rotavirus, and herpes zoster (shingles). A patient loses consciousness. The EKG reveals ventricular fibrillation. Which of the following actions should a medical assistant take first? Call for help and begin CPR According to the American Heart Association's resuscitation guidelines, the assistant should call for help and perform CPR immediately after witnessing a cardiac arrest. A medical assistant is composing business correspondence using the simplified letter style. Which of the following features should the assistant use? A subject line in all capital letters. In the simplified letter style, the subject line is in all capital letters and replaces the salutation. Where should a medical assistant place the electrode for lead V5? On the left anterior axillary line, horizontal to V4. This is the proper placement for lead V5. A medical assistant is caring for a patient who is 5'7" tall. Which of the following is the patient's height in centimeters?

170 cm When making this conversion, the assistant should first convert 5' 7'' to 67 inches. Next, the assistant should convert inches to centimeters by multiplying by 2.54. The result is 170.18 cm, which rounds to 170 cm. Which of the following techniques should a medical assistant use when bandaging a wound? Wrap the wound from distal to proximal Wounds should always be wrapped from distal to proximal. Which of the following is outside of a medical assistant's scope of practice? Order additional laboratory tests to confirm the patient's condition. It is outside of a medical assistant's scope of practice to order additional laboratory tests without a provider's prescription. A patient is seen in an urgent care center for a laceration to the left foot. The provider evaluates the injury, determines sutures are not needed, applies a dressing, and releases the patient. Which of the following levels of examination should a medical assistant use for the procedural coding for this visit? Problem focused examination. Problem-focused examinations are limited to the single body area or system mentioned in the chief complaint. Prior to a patient's follow-up appointment, which of the following information should a medical assistant report to the provider? Recent laboratory results. The assistant should report recent laboratory results to the provider prior to the visit so the provider can review them with the patient during the follow-up appointment.

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 make? "It is a medication that suppresses the cough reflex." An antitussive suppresses the cough reflex. One of the active ingredients used in antitussive medications is dextromethorphan. A medical assistant is reinforcing teaching with a patient about the use and care of a transdermal patch. Which of the following instructions should the assistant include in the teaching? Select a different application location for each new patch. The assistant should instruct the patient to rotate the location of application for each new patch to help avoid skin irritation. Areas of excess body hair and scaring should be avoided in order to maximize medication absorption. In which of the following positions should a medical assistant place a healthy patient in preparation for a rectal examination. Sims' The Sims' position is appropriate for a rectal examination. Which of the following steps for a finger stick should a medical assistant complete first? Confirm the correct identity of the patient. The assistant should confirm the patient's identity before preparing for the fingerstick procedure. Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? Cilia

Cilia are hairlike projections found in the lungs that are capable of movement and are instrumental in helping with mobilizing and secreting mucus from the respiratory tract. A medical assistant in an outpatient facility is preparing for a venipuncture. Which of the following actions should the assistant take to confirm the patient's identity? Ask the patient to state and spell their full name and provide their date of birth. Acceptable identifiers include the patient's name and date of birth. The patient should state and spell their full name as well as provide their date of birth. When the patient provides this information, the assistant should compare it with the name and date of birth on the requisition form and labels. A medical assistant is reinforcing teaching about a cardiac event monitor with a patient. Which of the following statements by the patient indicates an understanding of the procedure? "I will record any symptoms I experience in the event log." This statement indicates an understanding of the procedure. The patient should update the event log with any irregular symptoms he experiences during cardiac event monitoring. When assisting a provider with a punch biopsy of a mole, which of the following tasks should a medical assistant expect to perform? Receive and prepare tissue specimens for processing. The assistant is responsible for receiving and preparing tissue specimens obtained from a punch biopsy for processing by the laboratory. Which of the following actions should a medical assistant take to verify the quality of venipuncture supplies before beginning a blood draw? Inspect the integrity of the needles seal. Inspecting the needle's seal helps ensure the sterility of the needle.

A medical assistant is contacting a patient to schedule a repeat Papanicolaou test due to abnormal results. The assistant should identify that which of the following factors can interfere with the test results? Using an over-the-counter vaginal cream prior to the test. A patient should avoid using over-the-counter vaginal creams prior to the test. 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. The assistant should recognize that an authorization provided for a specialist indicates a range of dates for evaluation and treatment. Any action taken outside of this range is subject to denial of payment. 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? Left heel If a child is under 12 months of age, an assistant should select the child's heel as the collection site for routine testing, even if there is a well-developed vein available. The heel stick is sufficient and causes less trauma.

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? "I think that you feel that your treatment is not effective." This response validates the patient's feelings. This also allows the assistant to restate the patient's words in order to verify an understanding of what is being communicated. A medical assistant is preparing a community resource library. Which of the following actions should the assistant take first? Compile a list of local community agencies. The first step the assistant should take is to research, identify, and create a list of available local community resources and services. Which of the following information should the medical assistant enter into the appointment calendar when scheduling a patient for a skin rash? Daytime phone number. The assistant should enter the patient's name, daytime telephone number, and a brief description of the purpose of the patient's visit into the appointment calendar. A patient asks a medical assistant to explain the difference between a liniment and a medical lotion. Which of the following responses should the assistant make?

"Liniments contain a higher portion of oil than medicated lotions." The assistant should recognize that liniments are made to contain a higher portion of oil than medicated lotions in order to protect dry and cracked skin. A medical assistant is removing sutures from a patient who has a laceration on his lower left leg. After setting up the sterile field, which of the following actions should the assistant take? Lift the first knot away from the skin. Lifting the first knot away from the skin allows room for the assistant to slip one tip of the suture scissors under the suture. A medical assistant is reviewing a patient's recent medical history and notes that she has a healing fracture of the distal femur. Where on the patients body should the assistant expect to find the injury? Just above the knee. The femur is the large bone that connects the hip to the knee. The term distal refers to a point farthest away from the trunk of the body. Therefore, the distal femur would be located just above the knee. A patient reports getting a bill that includes services she did not receive. Which of the following actions should a medical assistant take to reconcile these charges?

Review that days encounter forms to determine if another patient received the services. The purpose of the encounter form is to account for current charges, payments, and balances for each patient. The assistant can review these documents to determine that the patient was seen on the indicated date of service and what services the patient received. A medical assistant is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the assistant should perform? Head Circumference Microcephaly refers to an abnormally small head. Therefore, the assistant should measure the infant's head circumference when monitoring for microcephaly. A medical assistant is faxing a prescription to a patients pharmacy. Which of the following actions should the assistant take? Call the pharmacy to confirm receipt of the faxed prescription. In order to guarantee that all necessary information for the patient's prescription has been correctly communicated, the assistant should call the patient's pharmacy to confirm the faxed prescription was received.

A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. Which of the following actions should the assistant take? Remain within the patient's view to allow lip-reading. Remaining within the patient's view allows for lip-reading and association of facial expressions with verbal communication. This technique promotes successful communication with patients who exhibit moderate hearing loss. 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. An acceptable spirometry maneuver must have an expiratory flow that is fast and steady with no variability and must also be consistent with two other spirometry maneuvers. A medical assistant is measuring a patient's oxygen saturation with a pulse oximeter. Which of the following actions should the assistant take? Check capillary refill in the patients finger. If capillary refill is adequate, the assistant should apply the sensor to the patient's finger. If not, an earlobe or the nose should provide an accurate measurement.

A medical assistant is reinforcing teaching with a patient about the self- administration of insulin injections. Which of the following patient statements indicates an understanding of the teaching? I will roll the bottle between my hands before drawing the medication. The patient should roll the bottle of insulin between his hands prior to injection to ensure the medication is suspended properly. Shaking the bottle of insulin is discouraged because it can cause bubbles to form in the insulin, leading to an inaccurate dose of medication. When performing the palpatory method for obtaining blood pressure, which of the following indicates the level at which the medical assistant should inflate the cuff? 30 mm Hg above the radial pulse cessation. The palpatory method requires the assistant to inflate the cuff 30 mm Hg above the cessation of the radial pulse. Which of the following items included on the CMS-1500 claim form should a medical assistant recognize as indicating the medical necessary of a procedure? Diagnosis code The assistant should recognize that a diagnosis code indicates the medical necessity for the performance of a procedure or provided treatment. Without a supported diagnosis, the provider will not receive reimbursement for the procedure.

A provider examines an older adult patient who is disabled and has a lesion on her arm. A medical assistant should anticipate a referral for this patient to which of the following ancillary services? Home healthcare Home health care organizations provide assistance with medications, wound care, and other services that need to be provided in a patient's place of residence. Home health care is the most appropriate service to provide daily wound care for this patient. A medical assistant is determining the amount a patient will be required to pay for a scheduled procedure that has an allowable amount of $200. The patient has a 90/ coinsurance and has met his deductible. What is the total amount the patient will pay the provider for this procedure? $ The patient's deductible has been met and the patient's coinsurance is 90/10. The patient's responsibility of coinsurance is 10% of $200, which is $20. Therefore, the patient should pay a total of $20. A medical assistant is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. Which of the following foods should the assistant recommend as the best source of insoluble fiber? Pears with skin A medium pear with skin contains 4 g of insoluble fiber per serving.

A medical assistant is cleaning an examination room after assisting a provider with a biopsy.which of the following actions should the assistant take? Hold sharps by the blunt end to avoid a needlestick injury. The assistant should hold sharps by the blunt end to avoid an injury. A provider places an open sharps container in the linen hamper by mistake. Which of the following is appropriate action for the medical assistant to take? dispose of the linen hampers contents as a biohazard. The linen hamper's contents must be considered a biohazard and should be disposed of properly. A patient calls the clinic to cancel a postoperative appointment and states that she will reschedule at a later date. For which of the following reasons should the medical assistant document to see information on the patient's chart? To prove that the office was not negligent. Documenting this information is a legal responsibility and covers the clinic for liability. Because the patient said she would reschedule, this communication breaks the physician-patient contract and places responsibility for any postoperative care issues on the patient, not the provider.

A medical assistant is entering a new prescription into a patient's electronica medical record. While entering the prescription, and alert notifying this is another medication interaction appears on the screen. Which of the following actions should the assistant take? Consult with the provider before continuing to process the prescription. If an alert appears while entering a prescription into an EMR, the assistant should recognize that the provider needs to be consulted due to the medication's potential interactions with other medications or certain foods. The assistant should consult the provider before continuing with prescription entry. 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 mode of transmission? Airborne Varicella zoster virus, also known as chickenpox, is spread by airborne and contact transmission. Contaminated particles can be inhaled through tiny droplets that are exhaled by the infected person. Which of the following techniques should a medical assistant use to confirm a patient's understanding of insulin administration? Observe the patient as she performs a self-demonstration.

Having the patient physically demonstrate her understanding of insulin administration allows the assistant to evaluate her comprehension. An adolescent is covered by two insurance policies under her divorced parents who have birthdays in May and August and have joint custody. Which policy is the primary policy for the adolescent? The policy of the parent who has the earliest birth month. According to the third-party payer guidelines, the primary insurance policy is determined by which parent has the earliest birth month. This is also known as "the birthday rule." Which of the following routes of administration should a medical assistant use when performing a tuberculin skin test? Intradermal The assistant should use the intradermal route to administer a tuberculin skin test. This route of administration applies the medication to the epidermal layer of the skin and allows for subsequent evaluation of the reaction to the tuberculin testing agent. A medical assistant is preparing to create a report about patients who have a family history of breast cancer. Which of the following types of software will allow the assistance to sort, retrieve, and combine information for this report? Database management

The assistant should use a database management system to sort and retrieve information quickly. A database allows the assistant to track specific information and create customized applications to sort the information and create reports. 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. Psoriasis is a chronic skin disease characterized by pink or red lesions, with scaly patches that have a silvery appearance. 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 conjunctival sac. Ointment should be applied along the conjunctival sac from the inner canthus to the outer canthus. A medical assistant 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 assistant take first? Evacuate staff and patients from the immediate area.

Using the RACE acronym, the first action the assistant should take is to remove staff and patients who are in immediate danger from the fire. A patient request a female provider to perform her examination due to a religious conviction. A female provider is not available. Which of the following is the appropriate response by the medical assistant? Assist the patient in locating a provider to accommodate the patient's needs. The medical assistant should make every effort to accommodate the patient's religious convictions. In medical system is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual, customary, and reasonable fees. Which of the following actions should the assistant take? Adjust the patient's account to reflect no unpaid charges and write off the balance. According to Medicare guidelines, the fee schedule must follow the usual, customary, and reasonable requirements for repayment. The charges on the patient's account should be written off. A medical assistant is caring for a 4 month old infant who has a temperature of 100. Fahrenheit. Which of the following is the temperature when converted to Celsius? 38 C

To convert a temperature from Fahrenheit to Celsius, the assistant should subtract 32 from the Fahrenheit temperature and multiply the result by 5/9: (100.4° F - 32) x 5/9 = 38° C. A medical assistant should use which of the following solutions to prepare a patient's skin prior to drawing blood cultures? Chlorhexidine Chlorhexidine is an antiseptic agent that is used to clean skin before a blood culture draw. Which of the following cell structures is the source of energy for cell? mitochondria Mitochondria assist with converting energy from nutrients into a form that can be used by cells. Which of the following items in a medical office are considered administrative office supplies? Letterhead, envelopes, and business cards.

Letterhead, envelopes, business cards, stationery, copy paper, pens, and pencils are considered administrative office supplies necessary for the administration of the practice. A medical assistant is speaking with a patient who recently received a terminal diagnosis. The patient states I regret not taking better care of myself. Now, I won't be able to accomplish what I wanted to do with my life. The assistant should identify that the patient is in which of the following stages of grief? Depression This patient is in the depression stage of grief. This stage of grief is often characterized by patients expressing regret over unfulfilled goals or about not having taken better care of their health. When completing documentation in a patient's paper medical record, a medical assistant realize that she made an error. Which of the following actions should the assistant take? Draw a line through the error and initial it. The assistant should draw a line through the error, insert the correction, write the date next to the correction, and initial or sign the correction.

A medical assistant is measuring the vital signs of an adult patient. The assistant should identify which of the following blood pressure readings a stage two hypertension? 150/95mm Hg The assistant should identify that a blood pressure value of 150/95 mm Hg indicates stage 2 hypertension. Stage 2 hypertension is indicated by a systolic pressure of greater than 140 mm Hg or a diastolic pressure of greater than 90 mm Hg. A medical assistant is administering an intradermal injection for allergy testing. Which of the following actions should the assistant take? Locate the area two to three finger widths below the antecubital space. The assistant should locate this area of the patient's inner forearm for the intradermal injection. The assistant should avoid discolored, pigmented, or scarred areas of skin. A medical assistant is explaining to a female patient how to collect a clean catch urine specimen. Which of the following instruction should the assistant include? With the labia spread, urinate a small amount into the toilet before collecting the sample. A clean-catch urine specimen is a midstream specimen. The patient must begin urinating into the toilet, stop, and then catch the "mid-stream" of the urine with the specimen container.

A medical assistant is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques shit Assistant use? Autoclave The assistant should use an autoclave to sterilize the hemostats. Instruments that penetrate skin or tissue should be sterilized by an autoclave, which uses wet heat and is effective against spores. Which of the following techniques should a medical system is for the routine cleaning of EKG cables? Disinfection This is the proper technique to use when cleaning EKG cables. Disinfection is effective on surfaces that come in contact with micro-organisms and will not damage EKG cables. When using a centrifuge, a medical assistant must do which of the following to ensure safety and accuracy? Cap the tubes to avoid emission of aerosols. The assistant should ensure the tubes are capped to prevent the emission of aerosols.

At what time of day will a patient's body temperature be at its lowest? In the morning The patient's body temperature is at its lowest in the morning and increases throughout the day, reaching its highest temperature in the late afternoon. A medical assistant is administering an intramuscular immunization to a patient. What is the following actions should the medical assistant take? Cleanse the site in a circular motion from the center outward. The assistant should cleanse the site from the center outward before letting the site dry. This technique helps to make the center of the site as pathogen-free as possible. A medical assistant is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching? Remove your nail polish before the test. There is a light on the oximetry probe that measures a patient's pulse and oxygen saturation. Nail polish can affect the reading if it interferes with the light. Medical assistant is transcribing a prescription for magnesium sulfate into a patient's medical record. Which of the following should the assistant use to document this medication? Magnesium sulfate

When transcribing a prescription for magnesium sulfate, the medication name should always be spelled in full. A medical assistant is witnessing a patient sign an informed consent form. Which of the following is the responsibility of the assistant acting as a witness? Validate the patient signature. The assistant should validate the patient's signature when acting as a witness. Medical assistant is speaking with a patient who has seasonal allergies. Which of the following healthcare providers should assistant identify as being able to make a diagnosis and initiate the necessary treatment? Physician assistant As a licensed health care provider, a physician assistant is able to manage patient care, make a diagnosis, and initiate treatment, which includes writing prescriptions for medication. When should the code on glucose cuvettes be compared to the code on the glucometer? Before a patient is test