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NCCT Exam with 100% correct Answers
At what time should a test tube be labeled with the patient's identification? - Answer - Before leaving the patient's room, after drawing the blood After a phlebotomist has successfully followed all the steps for blood collection, the patient informs the phlebotomist that he tends to bleed longer than the average person. What would be the next course of action for the phlebotomist? - Answer -confirm hemostasis and apply paper tape After a phlebotomy draw, the phlebotomist realizes the tourniquet was on the patient's arm for an extensive length of time. Which of these is the most common complication? - Answer -hemoconcentration The patient reports feeling faint, and slumps forward during a venipuncture. After calling for assistance, which of the following actions should the medical assistant take next? - Answer -remove the tourniquet The medical assistant collects blood for a test that requires a blood smear. What is the terminology that would indicate that the sample clumped (therefore requiring a redraw)?
- Answer -coagulation A syringe is preferred over a vacuum collection device when - Answer -The patient's veins are fragile After centrifuging a blood specimen, the medical assistant notes the serum has a reddish appearance. Which of the following has occurred? - Answer -The specimen is hemolyzed The laboratory requisition indicates that you are to collect a venous blood specimen for hematology CBC testing, serum chemistry testing, and coagulation studies. What is the proper order of collections for these tubes? need to know the order of - Answer - Light blue, red, lavender (Light blue: coagulation studies, red: serum chemistry, lavender: hematology CBC) The phlebotomist is drawing blood from a patient that is taking blood thinners. Which of the following is necessary piece of additional equipment to have at the drawing station?
- Answer -non-adhering bandage
A centrifuge functions in which of the following ways? - Answer -rotates to separate components of a patient's blood Capillary blood specimens are typically collected on patients that - Answer -are extremely obese Capillary blood specimen collections are contraindicated in patients with - Answer - peripheral edema When preforming a fingerstick on a patient, the phlebotomist must pay close attention to the extremity that has been compromised by - Answer -Circulation, swelling, and infection After a patient's skin is punctured to obtain a blood glucose level, what should be the phlebotomist's next step? - Answer -Use a sterile gauze pad to remove the first drop. A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the medical assistants best option for collections the largest amount of blood for this patient? - Answer -Microtainer tube For which of the following patients is the use of an adhesive bandage contraindicated? - Answer -Newborn with hyperbilirubinemia The medical assistant is collecting a sample on a 2 year old outpatient by finger stick. Following the collections, the medical assistant holds firm pressure on the site until bleeding has stopped. How should the medical assistant proceed? - Answer -Do not bandage site Forceful shaking of blood in an evacuated collection tube will cause which of the following complications? - Answer -hemolysis To help prevent a hematoma at the site after drawing blood, which of the following actions does the medical assistant take? - Answer -apply direct pressure with cotton gauze After preforming a venipuncture on a patient the medical assistant notices the patient is bending his elbow to hold the gauze in place. The action is contraindicated because bending the elbow is likely to - Answer -Create a hematoma When inserting a needle during venipuncture, the bevel should be in which of the following positions in relation to the vein? - Answer -Up When preforming a venipuncture on an infant, the amount of blood taken from the infant should be monitored to avoid - Answer -Anemia
Since special precautions are needed for patients with Vascular Access Devices, which of the following devices are contraindicated for any type of blood draws? - Answer - Fistula The medical assistant completes a venipuncture in the antecubital area without complications. Pressure is placed on the site following the collection. The patient is still bleeding after five minutes of continuous pressure by the medial assistant and there is bruising at the site. The medical assistant asks the patient if she is on anticoagulants. The patient indicates that she is, and states that this is normal for her. How should the medical assistant proceed? - Answer -Hold direct pressure until bleeding stops, apply a bandage, and notify nurse Patient has a DVT in left arm and the patient is also on blood thinners, where would be the best site for drawing blood? - Answer -Draw right arm and hold for 5 minutes An entry level medical assistant goes to collect blood from a 70 year old woman with diabetes who had a mastectomy of the left breast. The medical assistant notices a PICC line in the patients right arm. For this specimen collection, the medical assistant should - Answer -ask a nurse to collect the specimen. A phlebotomist has received a requisition for a PT/ aPTT to evaluate the patient for Von Willebrand'a disease. Because of the patient's potential diagnosis, the phlebotomist should be sure to - Answer -Hold pressure on the draw site until bleeding has stopped The medical assistant is asked to draw blood from a patient with an I.V. whose opposite, left arm is inaccessible. Drawing blood from which of the following sites would be appropriate without a physician's approval? - Answer -Draw from the right arm distal to the I.V. site A test tube with which of the following colored stoppers has a glycolytic inhibitor? - Answer -Gray Which of the following actions should the medical Assistant take to prevent hemolysis of a blood specimen in an EDTA tube? - Answer - Gently invert the tube after collecting the specimen A patient is at the lab for their weekly PT/INR. Which of the following tubes should the medical assistant collect for this test? - Answer -light blue top The phlebotomist is drawing red, lavender, and blue top tunes. Upon completion of the blood drawn, the phlebotomist noticed that an order that requires a SST has been missed. What would be the next action? - Answer -Share the pain red top specimen for the SST test
When collection specimens for alanine aminotransferase (ALT) or aspartate aminotransferase (AST), avoid gray-topped sodium fluoride tubes because the anticoagulant - Answer -Destroys many enzymes A physician asked you to draw a INR on Mr. Jones which tube and additive would you choose - Answer -Light blue, sodium citrate A phlebotomist is staffing the outpatient clinic at a remote site. There is a centrifuge at the sight, but it is not functional. The courier will be arriving to pick up all samples collected at 1300, and will deliver to the testing laboratory at 1500. A patient arrives at 1200 with orders for Complete Blood Count, Prothrombin Time, and Basic Metabolic Panel. Which tubes should the phlebotomist use for blood collection? - Answer - Lavender, blue, green, gray Which of the following steps is completed first in preforming venipuncture? - Answer - identify the patient Which of the following should be avoided as a form of patient identification? - Answer - insurance number Name the two most used patient identifiers. - Answer -Patient's name and date of birth The medical assistant has an order to collect a CBC with diff, Pt, a basic metabolic panel (BMP), and blood cultures. - Answer -blood culture bottles, light blue, red, lavender A phlebotomist is asked to collect a CBC, PT, and Chem 7 on a patient that requires a hand stick with a butterfly needle into evacuated tubes. The correct order of draw for this collection would be - Answer -Two Light Blue Top Tubes, Green Top Tube, Lavender Top Tube The physician orders a prothrombin time. Which of the following tubes should be used to collect the specimen? - Answer -light blue Which of the following types of additives is present in an EDTA tube? - Answer - anticoagulant Which of the following tubes should the medical assistant select in collecting a blood sample for a Complete Blood Count (CBC)? - Answer -lavender top, ethylenediaminetetraacetic acid additive which of the following is the additive in the light blue top tube? - Answer -sodium citrate Filling evacuated tubes to the indicated level results in the correct ratio of - Answer - Additive to blood
the physician orders a hemoglobin level to be checked on a 2-month-old patient. which of the following sites should the medical assistant use to obtain the specimen? - Answer -heel of the foot which of the following is a likely complication from repeated phlebotomy procedures in the same area? - Answer -sclerosed veins while preforming a venipuncture in the antecubital space, the patient verbalizes an extreme amount of pain and the blood in the collection tube is noted to be bright red. which of the following sites is most likely to have been inadvertently punctured? - Answer -brachial artery while preforming a venipuncture using evacuated tube, a small amount of blood enters the tube and then stops. which of the following conditions is likely to lead to this? - Answer -collapsing vein an infant is brought to the clinic for a cbc. after performing a heelstick, not enough blood is collected to perform the test. which of the following actions should the medical assistant take? - Answer -apply a warm compress when performing venipuncture on a patient with a left mastectomy, which site should the medical assistant use? - Answer -right antecubital fossa while perform a venipuncture, the medical assistant removes the filled tubes, but forgets to remove the tourniquet prior to the needle withdrawl? - Answer -hematoma the medical assistant is collecting four tubes of blood on a patient who begins wheezing. she asks the patient if he is ok, he states that he has asthma. the medical assistant is in the process of switching to the fourth tube when the patient faints in the phlebotomy chair. which of the following steps should the medical assistant take? - Answer -stop the collection, apply pressure to site, call for help, and assist the patient A patient's past history indicates episodes of syncope. Which of the following would be the best course of action the phlebotomist would perform to prevent complications of syncope? - Answer -have the patient lie down on a hospital bed or exam table when preforming a venipuncture, sudden swelling is observed at the insertion site. which of the following actions should the medical assistant take? - Answer -release the tourniquet, remove the needle, and immediately apply pressure at the site a medical assistant needs to draw a bilibrubin on a jaundicted infant. the medical assistant should - Answer -collect the specimen in an amber tube to protect from light which of the following evacuated tubes should the medical assistant select for collection of electrolytes? - Answer -green top
after several minutes if searching the medical assistant can only palpate a small vein. the patient is prepared and the venipuncture is preformed. the blood is filling the tube, but slows and then stops even though the patient and medical assistant take? - Answer -use a smaller tube because the vein has collapsed After the phlebotomist puts on latex gloves and ties a non-latex tourniquet on the patient's arm, the patient indicates that he is highly allergic to latex. Which of the following is the phlebotomist's best course of action? - Answer -remove the tourniquet, wash hands, change to non-latex gloves and use a new tourniquet which of the following arteries provides direct blood flow to the foot? - Answer -dorsalis pedis the medical assistant is educating the patient on fasting diet requirements prior to a glucose tolerance test. which of the following is the minimum time frame the patient must remain NPO before the start of the test? - Answer -8-12 hours the phlebotomist needs to draw routine labs. the skin preparation for this procedure would be - Answer -cleanse the sire by using a circular motion from center to periphery when preforming a skin puncture on an infant what is the preferred site? - Answer -the plantar surface of the heel which of the following actions should the medical assistant take to make a vein more prominent when attempting to select a venipuncture site? - Answer -apply a warm compress to the area for 5 minutes when preforming a CBC on a six year old, the parent insists upon using an anesthetic at the venipuncture site. which would be correct? - Answer -EMLA the phlebotomist should send a specimen collected in a yellow stopper tube with SPS additive to which of the following laboratory departments? - Answer -microbiology which of the following tube tops contain silica particles to enhance clotting and a thixotropic gel to assist in the separation of serum and blood cells? - Answer -marbled red and gel which of the following Vacutainer tubes is routinely used for hematology testing? - Answer -Lavender-topped which of the following tests is required in all 50 states to screen newborns for metabolic disease? - Answer -PKU which of the following forms is the medical assistant responsible for having the patient sign when a specimen is being collected for substance abuse screening for employment? - Answer -chain-of-custody
when educating a patient on how to collect a stool specimen at home, which of the following statements is correct? - Answer -the stool specimen should not be contaminated with urine as this can destroy microorganisms in the stool when collecting a throat culture, the medical assistant should instruct the patient to - Answer -open mouth wide, and say "ah" Scheduling an early morning appointment facilitates collection for which of the following types of stool specimens? - Answer -pinworms which of the following urinalysis collections methods is used to obtain the most concentrated specimen? - Answer -first morning void the agency that regulates physician office labs is - Answer -CLIA which of the following are examples of CLIA waived tests that may be preformed by a medical assistant who has received appropriate training? (select the 3 correct answers)
- Answer -spun hematocrit, urine hcg, rapid strep a patient's urine specimen is noted to be dark yellow with sediment, and has a strong, ammonia-like order. which of the following is most likely to be present when processing the specimen? - Answer -bacteria ECG machines with LCD displays allow which of the following information to be added before the test? (Select the two (2) correct answers). - Answer -patient name, blood pressure the medical assistant is responsible for preforming which of the following QC measures? (select the 3 correct answers) - Answer -checking the expiration dates of venipuncture supplies, monitoring temperatures of specimen refrigerators, routine cleaning of surfaces where specimens are process the medical assistant is preparing to administer a Mantoux test. from the list below, select the correct syringe, angle, and site. (select 3 correct answers) - Answer -TB syringe, 5-15 degree angle, Anterior foreman how should the medical assistant store an instrument with a ratchet when it is not in use? - Answer -unlocked (open) position from which of following anatomic structures should a medical assistant collect a specimen for a Rapid Strep Test? - Answer -pharynx which of the following patient specimens would be removed from the thoracic cavity? - Answer -pleural fluid
a medical assistant has obtained a specimen from a wound using a sterile swab. how should the specimen be prepared before sending it for culture? - Answer -place the swab in the original protective sheath of the culturette and break the ampule inside What is the approximate amount of time for the QRS complex to record on an ECG? - Answer -0.06-0.10 seconds Where should the V4 electrode be placed on the body? - Answer -left midclavicular line which of the following are appropriate actions for the ECG technician to take placing electrodes on a patient's skin for a 24 hour Holter monitor? (select the 3 correct answers) - Answer -avoid scars and incisions., tape the lead wires to the patients skin., abrade the skin with an alcohol pad or dry 4x the ECG technician is preforming an ECG on a patient who is obese, and wandering baseline is present. which of the actions should the technician take? (select 2 correct answers) - Answer -ensure that new electrodes and clean tips are used., ensure good skin preparations a patient with Parkinson's comes in for an ECG with noticeably severe tremors. which of the following should the medical assistant do to ensure a proper reading? - Answer - have the patient slide their hands under their buttocks what is the abbreviation for electroencephalogram? - Answer -EEG which of the following diagnostic procedures uses ultrasounds to display an image of the structure of the heart? - Answer -echocardiogram After validating an ECG order, collecting all supplies, and ensuring the machine is in proper working order, the technician's next action should be to - Answer -identify the patient which of he following actions by the ECG technician are likely to be performed prior to exercise stress testing? (select the 4 correct answers) - Answer -inform the patient of expectations during the testing., explain he symptoms to report if experienced during testing., obtain he patient's medical history and current medications., have a crash cart with defibrillator close at hand while preforming an ECG on a patient, electrodes keep falling off. which of the following should the medical assistant do? (select the 2 correct answers) - Answer -place the tape over the wires of the electrodes., clean the skin with 70% isopropyl after preforming an ECG, the medical assistant notices wandering baselines in precordial leads. which of the following is the most appropriate next step? - Answer -re- evaluate chest leads
which of these would be recorded under the "S" in a patient's EHR if using the SOAP format? (select the 4 correct responses) - Answer -Symptoms, Social history, Feeling of Fatigue, History of present complaint Where is the diagnosis entered under the SOAP format? - Answer -A If a physician places a patient on high blood pressure medication after a routine physical, where would it be recorded using the SOAP format? - Answer -P a medical assistant is taking a patient's history and entering it directly into the EHR. The patient's main reason for seeing the doctor is a severe migraine headache. if this office uses the CHEDDAR format of documentation, under which letter would this information be entered? - Answer -C which of the following are internet search engines? (select 3 correct answers) - Answer -Bing, Google, Yahoo while reconciling electronic payments at the end of the day, the medical assistant leaves the front desk to help a coworker. when the medical assistant returns, the computer screen is blank. there is evidence that the office cleaning crew has vacuumed and emptied the trash around the front desk. how should the medical assistant initially troubleshoot this issue? ( select four correct answers) - Answer -click the mouse, press a key on the keyboard, verify that the computer is plugged in and turned on., check to see that the monitor is connected to the computer Which peripheral office device is used to capture images for display or editing on a computer? - Answer -scanner Prior to performing a venipuncture, the phlebotomist explains the procedure to the patient and obtains their signature on which of the following? - Answer -informed consent Under recommendation of the physician, a patient has opted to undergo an invasive procedure. When serving as a witness to the patients consent to treatment, the medical office assistant is attesting to the fact that the - Answer -patients signature was his/her own *If a Medical Assistant collects blood sample from a minor patient without obtaining parental consent, for which of the following crimes would they most likely face charges?
- Answer -Assault and Battery which of the following regulations set the minimum standards for medical laboratory practice and quality? - Answer -CLIA
according to the American Hospital Association, if a Spanish speaking patient requested a translator but was not provided one, it would be considered a violation of - Answer - Patients Bill of Rights A coworker admitting to taking drug samples home for personal use without permission violates standards of - Answer -Professional ethics The statement, "A physician shall respect the law" is a part of which of the following? - Answer -AMA Principals of Medical Ethics Negligence by a health care professional is considered which of the following? - Answer -Malpractice which of the following is considered an unintentional tort? - Answer -Negligence *An offense committed in violation of a public law is known as which of the following? - Answer -tort A cardiac surgeon who provides testimony to a court for the purpose of verifying the standard of care was followed for a heart surgery, is referred to as which of the following ? - Answer -expert witness *Which of the following refers to an illness or injury occurring unexpectedly, requiring treatment? - Answer -acute *Permission for treatment based on a full understanding of possible risks of unpreventable results is known as which of the following? - Answer -informed consent *A 19 year-old patient offers her arm to the medial assistant when she comes in with blood pressure cuff and stethoscope. This is an example of - Answer -implied consent The documentation signed by a patient agreeing to have a venipuncture procedure after the phlebotomist explains the method, risks, and consequences is called - Answer - informed consent the legal responsibility for an act or occurrence refers to which of the following? - Answer -liability The entitlement to fair treatment under the law is known as which of the following? - Answer -due process A certified medical assistant must maintain their credentials through which of the following methods? - Answer -Continuing education which of the following is an event that must be reported to a government agency? - Answer -violence-related injury
*Which of the following types of coverage provide protection up to a maximum limit in cases of catastrophic or prolonged illness? - Answer -major medical *Which of the following forms should be transmitted to obtain reimbursement following a physician's office visit for a patient with active Medicaid coverage? - Answer -CMS- 1500 *When filling an electronic insurance claim, the medical assistant processes which of the following forms? - Answer -CMS- Which of the following patient documents should a medical office assistant refer to In order to complete the patient information question block section of the CMS-1500 form?
- Answer -registration form If a provider charges for services that were not performed, it is considered - Answer - fraud Hospitalization benefits under insurance plans are usually limited to a total monetary amount or a maximum number of - Answer -days For reimbursement purposes, the medical assistant should check to make sure that which of the following key pieces are provided on the insurance claim form? - Answer - ICD-10-CM and CPT codes A patient sustained broken ribs in an automobile accident in which she was the passenger. After completion of an office follow up visit, which of the following should the medical office assistant submit the insurance claim to first? - Answer -the driver's automobile insurance *Which is the correct procedure for keeping an industrial patient's financial and health records when the same physician is also seeing the person as a private patient? - Answer -Separate financial and health records must be used An added feature to a patient's insurance policy expanding or placing limits on standard coverage is a - Answer -rider A 64-year old indigent veteran (recently diagnosed disabled but has a part-time job) receiving outpatient peritoneal dialysis was referred to his federal primary care provider for stomatitis. The patient then went to his PCP for an assessment plan an IV antibiotics. The patient died at 2:00 pm the following day, on his 65th birthday. Which of the following entities should be billed for the medical expenses? - Answer -Tricare Which of the following forms should the medical assistant submit to request insurance reimbursement for a physician office visit? - Answer -CMS-
The physician asks the medical assistant to fill out a CMS-1500 for a patient who came in for 30 minute office visit and was treated for hypertension. Which of the following should the medical assistant use to locate the code for hypertension? - Answer -ICD- CM A physician has admitted a Medicare patient to the hospital for shortness of breath. After reviewing the patient's medical record, the hospital coder codes the admission as
- On which of the following claims forms should the hospital coder submit this patient's charges? - Answer -UB- *Which of the following should the medical assistant assign to a patient's main CPT code, indicating unusual circumstances were present related to the procedure? - Answer -modifier Which of the following classifications of patient care is received at a medical facility on a walk-in basis, where an overnight stay is not required? - Answer -Outpatient Which part of medicare covers hospitalization expenses? - Answer -Part A Which type of insurance begins direct payment to the patient after they have been injured and unable to work for a specific period of time? - Answer -Disability Which of the following plans, funded by state and federal funds, exists to aid those with a limited or low income with health care costs? - Answer -Medicaid *Which of the following government sponsored health insurance programs primarily serves older adults over 65 years of age? - Answer -Medicare The most effective method to manage patient statements and other financial invoices, and avoid payment delays is to - Answer -collect fees at the time of service When coding for urine screen, under which of the following sections of the CPT is the service line found? - Answer -pathology and lab Which of the following Information must be gathered when processing a credit cad payment by telephone? (select three correct answers) - Answer -credit card number, expiration date, CVC number Which of the following front office tasks performed by the medical assistant describes the translation of words into numbers so that insurance claims may be filed? - Answer - coding The patient is scheduled for an EGD. When assigning a CPT code, the medical assistant understands which of the following body systems is primarily involved? - Answer -Gastrointestinal
*Premiums are payments made systematically to insurance companies in exchange for which of the following? - Answer -benefits Which of the following is the predetermined amount of total eligible charges a patient must pay before insurance plan benefits begin? - Answer -Deductible The set dollar amount collected at the time of each visit for a patient's portion of health care costs is referred to as which of the following? - Answer -copayment A provider who has a contractual agreement to accept an insurance company's pre- negotiated rate for health care services is considered to be - Answer -in-network A child is covered by the insurance policies of each of his parents: United Health Care and Blue Cross/Blue Shield. According to the birthday rule, which of the following plans should become the primary insurance? - Answer -the plan of the policyholder whose birthday comes first in the calendar year *Which of the following actions should the medical assistant take when handling a worker's compensation claim? - Answer -Promptly verify the patient's insurance coverage with their employer Which of the following patients below meet Medicare's eligibility criteria? - Answer - year old women that has been blind since birth The main purpose for verifying a patient's insurance coverage at every visit is to - Answer -prevent claim rejection due to ineligibility or non-active status Which of the following must be filled out by the patient in order to forward payment to the physician's office? - Answer -Assignment of benefits *Which of the following documents does the provider or facility need to submit in order to receive reimbursement from an insurance company? - Answer -CMS- *Which of the following forms is used by the medical office to ensure that insurance payments are made directly to the physician? - Answer -assignment of benefits When posting an insurance payment via an EOB, the amount that is considered contractual is the - Answer -Insurance allowed amount *A list of all account balances and the amounts owed to the medical practice at the end of the day is called an - Answer -accounts receivable report A medical office assistant's knowledge of a statue of limitations for collecting an overdue account is an example of managing the collections process while complying with - Answer -state and federal guidelines
Identifying 10 out of 14 color pages is considered within normal limits for which of the following visual acuity exams? - Answer -Ishihara The medical assistant is performing a visual acuity test in the clinic using a Snellen eye chart. The patient should be positioned away from the eye chart at a distance of - Answer -20 feet Which of the following charts should the medical assistant use to assess color blindness? - Answer -Ishihara When performing visual acuity testing, which screening tool is necessary in checking distance acuity? - Answer -Snellen chart Snellen visual acuity screening should be performed - Answer -at a distance of 20 feet from the chart Which of the following eye tests checks for distance visual acuity? - Answer -Snellen The patient is not able to distinguish certain numbers on an Ishihara test. This indicates a problem with which of the following? - Answer -cones *In which of the following positions should the medical assistant position the patient who is experiencing dyspnea? - Answer -Fowler's *Which of the following positions should the medical assistant place the patient in when preparing to install an enema? - Answer -Sims The humerus is distal to which of the following? - Answer -scapula *If the physician asks the medical assistant to place the patient in an anatomic position, the medical assistant should position the patient standing up straight and facing - Answer -forward, arms at the side with palms turned toward the front The femur is located in the - Answer -lower extremity *An older adult patient with COPD and on continuous oxygen per nasal cannula presents for a physical exam. Which of the following positions should the medical assistant place the patient in? - Answer -Fowler's The physician has ordered a suppository to be administered to a patient with chronic constipation. The medical should place the patient in which of the following position? - Answer -Sims A pulse oximetry monitor measures which of the following? - Answer -oxygen saturation
