RMA Exam Questions and Answers 2024, Exams of Nursing

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RMA Exam Questions and Answers 2024

An example of a "ball and socket" joint is the? A: knee B: elbow C: hip D: ankle - Answer C: hip The kidneys are located behind the? A: peritoneum B: spinal column C: bladder D: sternum - Answer A: peritoneum During swallowing, the larynx is covered by the? A: tongue B: epiglottis C: soft palate D: uvula - Answer B: epiglottis The origin of a muscle is? A: where the muscle ends B: always attached to a bone C: where the muscle begins D: attached to another muscle - Answer C: where the muscle begins WOTF constitutes as 2-4% of the WBC's? A: neutrophils B: eosinophils C: platelets D: basophils - Answer B: eosinophils constitute 2-4% of the WBC's which use detoxification of toxins and harmful substances and neutralize histamine, which is released by basophils during an allergic reaction When a muscle contracts, it becomes? A: shorter and thinner B: longer and thicker C: shorter and thicker D: longer and thinner - Answer C: shorter and thicker

the insertion end of the tendon is attached to the bone that will move when the tendon contracts. The origin end of the tendon is attached to the movable bone the axial skeleton consists of _________ bones? A: 206 B: 200 C: 126 D: 80 - Answer D: 80 there are 80 bones in the axial skeleton which consists of the head, neck, and trunk Bilirubin specimens require what special preparation? A: freezing B: incubation C: protection from light D: refrigeration - Answer C: protection from light these type of specimens used for bilirubin testing MUST be protected from light WOTF is the most common eye condition associated with aging? A: glaucoma B: presbyopia C: conjunctivitis D: astigmatism - Answer B: presbyopia is a defect of vision in advancing age The surgical incision into the abdomen is? A: ileostomy B: vagotomy C: hemiotomy D: laparotomy - Answer D: laparotomy "Lapar" mean abdomen and the surgical incision medical term is "ostomy" The prefix "ad" means? A: to move away from B: to add to C: around D: removal of - Answer B: to add to "Ad" is a latin prefix meaning "toward" for example, in adduction (movement of a limb toward the midline of the body) or adrenal (toward the kidney) Abnormal widening of the arterial wall that is weak and bulges defines what?

When educating your patient, WOTF is NOT recommended for prevention of deep vein thrombosis? A: avoid compression stockings B: if anticoagulants have been prescribed, eat foods high in Vit. K in small amounts C: avoid sitting still for long periods D: walk around several times during the day or move the legs frequently - Answer A: avoid compression stockings patient should wear compression stockings as ordered by the physician Instructing the patient in the collection of a clean-catch, midstream urine specimen is especially important in order to avoid contamination, WOTF is INCORRECT in patient education? A: cleanse each side of the urinary meatus with a front-to-back motion from the pubic to the anus B: on the second motion, cleanse directly across the meatus, back-to-front, using another antiseptic wipe C: allow the initial flow of urine to pass into the toilet flushing the opening of the urethra D: fill the container half way - Answer B: on the second motion, cleanse directly across the meatus, back-to-front, using another antiseptic wipe patient should do this to ensure a good clean catch is made A written authorization by the patient giving the insurance company the right to pay the physician directly for billed services is known as? A: copayment B: deductible C: assignment of benefits D: premium - Answer C: assignment of benefits is the written authorization by the patient giving the insurance company the right to pay the physician directly for billed services Types of health insurance and plan benefits: this type of benefit covers catastrophic or prolonged illness or injury. This insurance takes over when basic medical, hospitalization, and surgical benefits end A: disability B: major medical C: special risk D: long-term care - Answer B: major medical after the limits of coverage have been exhausted under the basic plan, major medical then covers medical expenses relating to the room and board, physician fees, miscellaneous expenses such as bandages, operating room expenses, drugs, X-rays, or fluoroscopy

Claims for Medicaid patients enrolled in a managed care plan are paid according to what fee schedule? A: PPO B: Medicaid C: Medicare D: capitated - Answer D: capitated when filing a claim for Medicaid patient who is enrolled in a managed care program, there is a bill sent to the program and not Medicaid fiscal agent or carrier. The HMO then receives the payment for services rendered, via the capitation method Medicare Part B pays physician's on a fee scale consisting of three parts; 1. physician's work 2. charge-based professional liability expenses 3. charge-based overhead. This fee scale is known as? A: resource-based relative value scale (RBRVS) B: diagnostic related group (DRG) C: CMS- D: fee-for-service scale - Answer A: resource-based relative value scale (RBRVS) a fee scale is used to determine how much money medical providers should be paid. this fee scale assigns procedures to be performed by a physician or other medical provider of a relative value which is adjusted by geographic regions. The value is then X by a fixed conversion factor, which changes annually, to determine the amount of payment A payment method used by many managed care organizations in which the fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services are received or how many visits are made is? A: remittance advice B: rider C: capitation D: premium - Answer C: capitation a payment method for health care services in which the physician, hospital, or other health care provider is paid a contracted rate for each member assignment, referred to as a "per-member-per-month" rate, regardless of the number or nature of the service provided A person who holds a health benefit plan is a? A: subscriber B: rider C: dependent D: medical indigent - Answer A: subscriber a subscriber is the person who has been insured, an insurance policy holder

more than four or five installments are needed in order to the considered part of the Regulation Z of the Truth in Lending Act When a bankruptcy notice is received in the office it is beneficial to? A: send a statement to the patient's employer B: submit a form to the court trustee C: file a claim in small claims court D: assign the account to a collection agency - Answer B: submit a form to the court trustee in a straight petition in bankruptcy, a person should file a claim on the appropriate form, obtainable from a stationary store, or by writing the referee in bankruptcy In collection situation, when a statement is returned marked "moved-no forwarding address", the account may be termed? A: indignet B: adandoned C: skip D: deserted - Answer C: a skip skip is generally accepted as an indication that the patient is attempting to avoid liability for debt This bookkeeping entry occurs when a patient has paid in advance or when an over payment or duplicate has been made is? A: debit B: disbursement C: secured D: credit balance - Answer D: credit balance an overpayment occurs when the patient makes a partial payment and then later the insurance allowance is more than the remaining balance To properly void a check write "VOID" across the front and? A: retain it when canceled checks, in numeric order B: destroy it after receiving the bank statement C: return the check D: destroy it immediately - Answer A: retain it when canceled checks, in numeric order write the word "VOID" in large letters on the face in ink, the check is then retained as proof of the invalid status To prevent back pain or a workplace injury when working with an object, ergonomically, WOTF ergonomic stance is NOT recommended? A: get close to the object

B: bend the knees when lowering the object C: keep feet together D: tuck the chin in slightly - Answer C: keep feet together ergonomically, the employee should keep feet slightly apart to prevent workplace injury The MA develops a matrix or a template prior to creating the physician's schedule in order to? A: establish the legality of the appointment book B: prevent overcrowding in the reception area C: block out the time slots when the physician is not available to see patients D: allow the patient to self schedule - Answer C: block out time slots when the physician is not available to see patients the matrix is established to block out time slots when the physician is not there for patients WOTF is the best method of interacting with an angry patient in the reception area? A: be assertive in calming the patient down B: sit down next to the patient and gently pat his or her back to soothe the patient C: invite the patient into a room out of the reception area D: ignore the patient, when ignored, the patient will stop unacceptable behavior - Answer C: invite the patient into a room out of the reception area angry patients indirectly harass fellow and receptionists in the reception area. He/she should be escorted to a treatment room Medical records in this medical office are filed alphabetically. Arrange the following names in alphabetical order to prepare them to be filed. Select the correct sequence. (1): Smith, James (2): Smithson, Jane (3): Smithy, J. (4): Smithe, John A: 1,4,2, B: 3,2,4, C: 2,3,1, D: 4, 2, 3, 1 - Answer A: 1, 4, 2, 3 indexing rules specify that last names are considered first in filing. initials precede a name beginning with the same letter When an order arrives from a supplier, the box should be inventoried, the list of the items included in the shipment is called the? A: invoice B: warranty C: receipt

sanitation is the cleansing process that removes debris so that later disinfection with chemicals or sterilization can penetrate the instruments or equipment's surface WOTF is NOT associated with insulin-dependent diabetes mellitus? A: due to lack of insulin B: type 1 C: type 1A and type 1B D: type II - Answer D: type II diabetes mellitus is due to a lack of insulin in the body. It has a sudden onset. Type 1 is insulin-dependent diabetes mellitus (IDDM). Type 1A develops during the childhood and young adult years. Type 1B develops in the adult years. Type II is non-insulin dependent diabetes melliuts (NIDDM). This type has a slower onset than IDDM To obtain the MOST accurate rate, respiration's should be counted for? A: 10 seconds X 6 B: 15 seconds X 4 C: 30 seconds X 2 D: 60 seconds - Answer D: 60 seconds (1 minute) to obtain the most accurate rate or respiration should be counted for 60 seconds Normal bacteria that are found in the intestinal tract and are the most common cause of lower-tract urinary infections (due to improper hygiene after bowel movements), are? A: ketones B: nitrites C: E. coli D: electrolytes - Answer C: E. coli E. coli are normal bacteria that are founded in the intestinal tract and are the most common cause of lower-tract urinary infections due to improper hygiene The signs and symptoms of IDDM (insulin-dependent diabetes mellitus) DO NOT include? A: ketonuria and glycosuria B: hyperglycemia and polyuria C: weight gain D: weight loss - Answer C: weight gain ketonuria (ketones excreted in the urine), glycouria (glucose excreted in the urine), hyperglycemia (elevated blood glucose levels), polyuria (excessive urination) and weight loss are all symptoms of diabetes mellitus Type 1 The correct site for an adult IM injection is the? A: gluteus medius B: gluteus minmus

C: gluteus maximus D: gastrocnemius - Answer A: gluteus medius the sites used for intramuscular injections are; gluteus medius (dorsogluteal, ventrogluteal) vastus lateralis, and deltoid muscles Tim is newly diagnosed with Type 1 diabetes mellitus. Tim is receiving insulin. His MA knows that Tim needs to be taught to be cautious about WOTF effects? A: hypoglycemic reaction B: malignant hyperthermia C: malignant hypertension D: severe hyperglycemia - Answer A: hypoglycemic reaction patients taking insulin must be taught the signs of hypoglycemia- tachycardia, palpitations, sweating, nervousness, headache, confusion, and fatigue A syringe marked with U 100 would be used for administering WOTF? A: allergy testing B: chemotherapy C: insulin D: tuberculin testing - Answer C: insulin an insulin syringe is marked in units, commonly either 50 units or 100 units While administering an intramuscular injection, the MA inadvertently aspirates blood into the syringe. WOTF is the most appropriate next step? A: change the needle angle B: continue the injection C: insert the needle deeper D: withdraw the needle immediately and start the procedure over - Answer D: withdraw the needle immediately and start the procedure over blood aspirated into the syringe means that the needle is in a blood vessel, you may NOT administer the medication via IV route. If the blood is aspirated, remove the needle and discard the syringe, place a compress on the site and start the procedure over WOTF is NOT a physical therapy modality? A: massage B: whirlpool C: diathermy D: immobilization - Answer D: immobilization whirlpool, massage, and diathermy are modalities used to restore normal function to injured tissues. Immobilization is NOT considered a physical therapy modality Excessive squeezing around a capillary puncture site will cause?

When preparing a patient for an EKG, leads should be placed? A: on the costals B: anywhere on the upper chest C: on the intercostal spaces D: on the sternum - Answer C: on the intercostal spaces correct placement on the leads is on the intercostals spaces. By putting them directly on the bone, you may receive artifacts The basic EKG has how many leads? A: 6 B: 8 C: 10 D: 12 - Answer D: 12 the standard EKG is 12 leads with 10 sensors Mrs. Smith suspects that her child has ingested a corrosive poison because the child had been playing in their shed and was complaining of feeling sick. She brought the child to the doctor's office quite concerned. What is the next step regarding treatment? A: gather as much information as possible from the mother about the products in the shed B: induce vomiting immediately C: call poison control center D: administer activated charcoal - Answer A: gather as much information as possible from the mother about the products in the shed the first thing would be to gather as much information about what the possible corrosive poison may have been ingested and determine the approximate time of the ingestion and how much may have been ingested, then the poison control center should be contacted The appropriate first response to a syncope episode is to? A: place the patient supine with legs elevated B: assist the patient into a sitting position C: offer sips of cold water to the patient D: call "911" - Answer A: place the patient supine with legs elevated the standard procedure for managing syncope episode is to lay the patient down, head lower than the heart if possible (supine), loosen clothing, obtain vital signs and place a cool cloth on the forehead Fire extinguishers must be inspected and recharged, if necessary when? A: every six months B: once a year

C: every two years D: as needed - Answer B: once a year have fire extinguishers services and inspected once per year. At the time the fire extinguishers may be recharged if necessary The urinary bladder is located in the? A: abdominal cavity B: dorsal cavity C: pelvic cavity D: ventral cavity - Answer C: pelvic cavity urinary bladder is a hallow, muscular organ Digestion DOES NOT involve which organ? A: tongue B: spleen C: large intestine D: liver - Answer B: spleen the spleen is part of the body's defense mechanism, it does not aid in digestion Urine is formed in the? A: bladder B: glomerulus C: nephron D: kidney - Answer C: nephron the kidneys have 2 million or more nephron's from urine The urinary system consists of? A: two kidneys and the urethra B: two kidneys, two ureters, urinary bladder and the urethra C: the urinary bladder, two kidneys and the urethra D: the urethra, two kidneys and two ureters - Answer B: two kidneys, two ureters, urinary bladder and urethra Which term is best described as "destruction by burning"? A: cryosurgery B: fulguration C: electrocauterization D: anastomosis - Answer C: electrocauterization is the destruction of tissue with a caustic, an electric current, a hot iron ex: the wound was cauterized to remove granulated dead tissue

D: using both ICD-10 and CPT codes - Answer B: using "rule out" diagnosis diagnosis is provided to justify treatment and for appropriate payment Traditional health insurance plans that pay for all or share of the cost of covered services, regardless of which physician, hospital, or other licensed healthcare provider is used. Policyholders and their dependents choose when and where to get healthcare services? A: indemnity plan B: health maintenance organization plan C: self-insured plan D: managed care plan - Answer A: indemnity plan is a type of reimbursement plan where the insurance company reimburses the covered party regardless of the where or with whom the covered party seeks health care services from The routine waiving of co-payments is? A: is allowed for professional courtesy B: shows goodwill by a physician C: is against federal guidelines D: helps lower receivables - Answer C: is against federal guidelines in most situations, both private and federal insurers ban waiving of the co-payment. The physician could be accused of not treating everyone with the same insurance equally. There is one exception to this rule; Medicare recognizes a credit adjustment for this purpose on a doctor-to-doctor basis Employers are required by law to withhold certain amounts from employees' earnings. These amounts must be reported and forwarded to the IRS to be applied toward payment of income tax. The income tax withholding is also known as? A: W- B: W- C: W- D: form 1040 - Answer B: W- the amount to be withheld are based on total earnings of the employee, number of withholding allowances claimed, marital status of the employee, and length of the pay period involved. The W-4 is known as Employee's Withholding Allowance certificate An employer is required to make payments for WOTF? A: FICA B: FUTA C: Medicare D: Medicaid - Answer B: FUTA

the Federal Unemployment Tax Act (FUTA) is a U.S. federal law that imposes a federal employer tax used to help fund state workforce agencies. Employers report this tax and filing an annual form 940 with the IRS. It covers a federal share of the costs of administering the unemployment insurance and job service programs in every state WOTF represents the total of all patients outstanding balances owed to the practice? A: accounts payable B: accounts receiveable C: charges D: receipts - Answer B: accounts receivable are monies owed to the physician or facility for services or goods WOTF is the correct accounting equation? A: assets= liabilities + proprietorship (capital) B: assets= liabilities - proprietorship (capital) C: liabilities = assets + proprietorship (captial) D: proprietorship (capital) = liabilities - assets - Answer A: assets = liabilities + proprietorship (capital) the accounting equation is a double-entry bookkeeping system that is inexpensive but requires a trained, experienced bookkeeper or an accountant The person who signs his or her name on the back of a check for the purpose of transferring title to another person is the? A: drawee B: drawer C: endorser D: holder - Answer C: endorser an endorsement is a signature plus any other writing on the back of a check by which the endorse transfers all rights in the check to another party Expenses that will most likely be included in the capital budget for a medical facility are? A: medical equipment B: rent or mortgage C: salaries D: office supplies - Answer A: medical equipment capital budgeting is the process by which the practice decides which long-term investments to make. Much of the medical equipment purchased for the physician's office is considered a capital purchase An afebrile patient is? A: with fever B: having a heart attack

electro-surgery and cautery is used for removal of benign skin lesions, such as; warts, polyps or skin tags by electric current. It can also be used to control bleeding during a procedure WOT statments is true regarding angioplasty? A: an angiogram and angioplasty are the same procedure B: angioplasty is used to restore blood flow to ischemic myocardial tissue C: angioplasty is use to diagnose heart disorders D: angioplasty is a small battery operated device - Answer B: angioplasty is used to restore blood flow to ischemic myocardial tissue is used to balloon open a closing arteries in order to prevent infarction. It is a catheter that is used with a balloon on the end and a stent or wire like a "cage" is put in the artery to prevent recurring stenosis to that area Excessive squeezing around a capillary puncture site will cause? A: dilution of the sample with tissue fluid B: permanent nerve damage C: excessive bleeding D: the site to become cyantoic - Answer A: dilution of the same with tissue fluid squeezing a capillary puncture site frees tissue fluids which are then mixed with the blood, resulting in a diluting of the same If it is necessary to move an unconscious, adult victim quickly away from a scene unassisted, you should? A: drag the patient by the heels to safety B: sling the patient over your shoulder C: shake the patient and try to get the patient to wake and walk D: drag the patient by the head to safety - Answer A: drag the patient by the heels to safety there may be a time when you must get the patient to safety by moving them and you may be by yourself and need to drag them by their heels as quickly as possible The protein in epidermal cells that makes the skin the relatively waterproof is? A: elastin B: keratin C: melanin D: collagen - Answer B: keratin The duodenum is part of the? A: small intestine B: liver C: large intestine D: stomach - Answer A: small intestine

The site of fertilization is usually the? A: ovary B: vagina C: uterus D: fallopian tubes - Answer D: fallopian tubes The mucous membrane that lines the inner surface of the eyelid is called? A: conjunctiva B: epithelium C: lacrimal apparatus D: tears - Answer A: conjunctiva Bilirubin specimens require what special preparation? A: freezing B: incubation C: protection from light D: refrigeration - Answer C: protection from light Digestion that breaks food down into tiny pieces is? A: mechanical B: chemical C: peristaisis D: relaxation - Answer A: mechanical The ventral cavity refers to the? A: cranial cavity B: spinal cavity C: anterior body cavities D: posterior body cavities - Answer C: anterior body cavities A nerve impulse is carried across the synapse by? A: an axon B: a neuron C: dendrite D: neurotransmitter - Answer D: neurontransmitter Where is the stomach located? A: under the diaphragm B: above the heart C: below the small intestine D: below the large intestine - Answer A: under the diaphragm A type of bone fracture producing many bone fragments is? A: an open fracture B: compound fracture