2022 NHA CCMA Test 2: MA EXAM NB: MA= medical assistant 1. A MA is using a scale with a height bar to measure a patient’s height. Which of the following ... [Show More] actions should the assistant take? -Raise the height bar when the patient is standing on the scale. -Have the patient face the weight indicators on the scale. -Have the patient stand up straight and look to one side. -Lower the horizontal bar gently so that it rests on the top of the patient’s head. 2. Which of the following techniques should a MA use for the routine cleaning of EKG cables? -Disinfection -Sanitization -Sterilization -Soaking 3. Which of the following laboratory results should the MA recognize is abnormal? -Sodium 138mEq/L -Red blood cell count 5.2/mmꝪ -Platelets 350/ mmꝪ -Potassium 3mEq/L 4. Which of the following positions is appropriate for a pelvic examination? -Lithotomy -Prone -Supine -High-Fowler’s 5. A MA receives a denial of payment for a patient’s cholecystectomy. The reason stated is “no covered service.” If this procedure was deemed emergent by the provider, which of the following actions should the assistant take? -Submit an appeal for the denied claim. -Submit a new claim. -Resubmit the claim with a different procedure code. -Instruct the patient to contact the insurer about the denial of payment. 6. The parent of a child who has pinworms is asking a MA for more information about his child’s condition. The assistant should begin by explaining that pinworms are which of the following types of micro-organism? -Fungi -Bacteria -Protozoa -Helminths 7. Which of the following is MA’s role in pulmonary function testing (PFT)? -Coach the patient through the test. -Check the patient’s vital signs during the test to ensure stability. -Administer the proper medication prior to the test. -Instruct the patient in the use of the inhaler used in testing. 8. A MA 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 return the monitor after wearing it for 24 hours.” -“I will discontinue my usual exercise routine.” -“I will avoid removing the electrodes.” -“I will record symptoms I experience in the event log.” 9. Which of the following should a MA identify as the purpose of a Category II code in procedural coding? -Indicates special circumstances -Works as a temporary code -Tracks provider performance measures -Identifies preventive measures 10. When should the code on glucose cuvettes be compared to the code on the glucometer? -After a new package of cuvettes is opened -Before a patient is tested -At the beginning of the shift -Following an error code 11. Which of the following routes of administration should a MA use when performing a tuberculin skin test? -Intramuscular -Intradermal -Intravenous -Subcutaneous 12. The MA drops an instrument on the floor while setting up a sterile tray for a procedure. He picks up the instrument and places it back on the sterile filed. A few days after the procedure, the patient calls the office, concerned that the area surrounding the procedure site is infected. Which of the following torts has the assistant committed? -Abandonment -Negligence -Battery -Defamation 13. Which of the following medical record documentation templates is organized by the entity that supplied the data? -Source-oriented -Problem-oriented -OAP format -CHEDDAR format 14. A MA 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? -Leave the unpaid balance on the record until the end of the revenue cycle. -Wait until an overpayment of the approximate amount of balances the deficit. -Adjust the patient’s account to reflect no unpaid charges and write off the balance. -Request payment at the point of service during the patient’s next visit. 15. A MA is faxing a prescription to a patient’s pharmacy. Which of the following actions should the assistant take? -Send the prescription without a cover page. -Shred the confirmation of transmission message to ensure the patient’s privacy. -Request that the provider verify the prescription after faxing it to the pharmacy. -Call the pharmacy to confirm receipt of the faxed prescription. 16. A MA receives a telephone call from a patient who is hesitant about discussing a new medical concern unless the conversation is with a provider. The assistant should use which of the following techniques to address the patient’s reluctance? -Tell the patient he has nothing to worry about. -Ask the patient why he does not trust the assistant with the information. -Use a reflective statement to recognize the patient’s concerns. -Provide examples of patients who have similar concerns to reassure the patient. 17. A clinic schedules all cardiac patients on Mondays and Wednesdays and all oncology patients on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using? -Stream scheduling -Cluster Scheduling -Wave scheduling -Modified-wave scheduling 18. A MA receives a chemical splash in her eyes. Which of the following actions should the assistant take first? -Check the material safety data sheet. -Call emergency services. -Complete an incident report. -Flush the eyes with tepid water. 19. In which of the following positions should a MA place a healthy patient in preparation for rectal examination? -Lithotomy -Sims’ -Supine -Trendelenburg 20. A MA is examining the skin on a patient’s forearm where the patient reports developing a rash. The assistant notes multiple solid elevations that are less than 0.5 cm (0.2 in ) in diameter. Which of the following terms should he use to document his observations in the patient’s medical record? -Papules -Macules -Vesicles -Pustules 21. A MA is preparing to collect a patient’s temperature via the tympanic membrane. In which of the following locations should the assistant place the thermometer? -On the forehead -In the ear -Under the tongue -Under the arm 22. Which of the following types of written correspondence can be signed by a MA? -A medical report for an insurance carrier -A referral letter for a patient to an outside provider -A letter containing medical advice to the parents of a child -A notification letter to a patient about surgery arrangements 23. At what time of day will a patient’s body temperature be at its lowest? -In the late afternoon -Before bedtime -In the morning -At midday 24. A MA is reinforcing instructions with a patient about how to take a buccal tablet. Which of the following instructions should the assistant give the patient? -“Swallow the tablet whole.” -“Place the tablet under your tongue.” -“Dissolve the tablet in water.” -“Place the tablet between your gums and cheek.” 25. When measuring a patient’s respiratory rate, which of the following actions should a MA take to ensure an accurate reading? -Count the respirations while the patient thinks his pulse is being obtained. -Instruct the patient to breathe normally while counting his breaths. -Count the respirations for 15 seconds and multiply by 2. -Instruct the patient to take deep breaths while obtaining his pulse. 26. A MA is transcribing a prescription for a medication that a patient should take before meals. Which of the following abbreviations should the assistant use to indicate when the patient should take the medication? -Pc -Hs -Ac -Prn 27. A MA is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques should the assistant use? -Autoclave -Gas -Dry heat -Chemical 28. A MA 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? -Advance Beneficiary Notice (ABN) -OSHA Form 301 -CMS-1500 claim form -Quality control log 29. A MA is determining the amount a patient will be required to pay for a scheduled procedure that has an allowable amount of $2oo. The patient has $2o copayment, a 90/10 coinsurance, and has met his deductible. What is the total amount the patient will pay the provider for this procedure? -$ 20 -$30 -$40 -$50 30. A MA 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 reduces nasal membrane swelling.” -“It is medication that helps with coughing up mucus.” -“It is a medication that relieves allergy symptoms.” -“It is a medication that suppresses the cough reflex.” 31. A MA is caring for a child who has varicella zoster virus. The assistant should recognize that varicella is transferred through which of the following modes of transmission? -Airborne -Blood borne -Vector-borne -Foodborne 32. When preparing a patient for Holter monitoring, which of the following actions should a MA take? -Vigorously dry the patient’s skin prior to electrode placement. -Apply the electrodes while the patient is in a standing position. -Ensure tension is on the lead wires after electrodes are in place. -Wash the patient’s skin with soap and water prior to electrode placement. 33. When using a centrifuge, a MA must do which of the following to ensure safety and accuracy? -Use an odd number of tubes in the centrifuge. -Place metal cups at the bottom of carrier cups. -Open the centrifuge as it begins to slow in speed. 34. The primary code in the CPT coding system consists of how many digits? -Two digits -Four digits -Five digits -Seven digits 35. A MA 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. -Pinch the skin between the thumb and forefinger. -Insert the needle with the bevel pointed down. -Inject the solution rapidly with the needle positioned at 30° angle to the skin. 36. 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 MA document this information on the patient’s chart? -To prove that the office was not negligent -To explain the loss of revenue -To deny future appointments -To demonstrate confidentiality 37. A MA is performing a review of items in a clinic’s inventory. How should the assistant classify dressings and bandages for inventory purposes? -As office supplies -As office equipment -As clinical supplies -As clinical equipment 38. A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following actions should a MA take first? -Notify the provider of the arrest. -Call for help and begin CPR. -Get the automated external defibrillator. -Administer oxygen. 39. A MA is assisting a patient who is obese with an insulin injection. Which of the following is the correct angle for this patient’s injection? -15° -25° -30° -90° 40. A MA is witnessing a patient sign an informed consent form. Which of the following is the responsibility of the assistant acting as a witness? -Ensure the patient understands the procedure. -Validate the patient’s signature. -Evaluate if the patient is competent. -Recommend alternative treatments to the patient. 41. A MA 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? -“Do not shower with the patch on.” -“Select a different application location for each new path.” -“Apply lotion to your skin before applying the patch.” -“Remove the old patch 1 hour before applying a new path.” 42. A patient is seen in 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 MA use for the procedural coding for this visit? -Problem-focused examination -Expanded problem-focused examination -Detailed examination -Comprehensive examination 43. A MA is reviewing a patient’s medical history prior to the patient’s appointment. Which of the following laboratory results indicates the need to schedule an extension of the current visit? -Hematocrit 42.2% -BUN 10mg/dL -Potassium 4.3 mEq/L -Fasting blood glucose 168mg/Dl 44. Which of the following steps for a finger stick should a MA complete first? -Cleanse the site with an antiseptic wipe. -Select the appropriate part of the third or fourth finger. -Position the blade of the lancet across the lines of the fingertip. -Confirm the correct identity of the patient. 45. A MA is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the assistant should perform? -Length -Weight -Chest circumference -Head circumference 46. A MA is collecting data from a patient who has cold sores on his lips. The assistant should identify that which of the following viruses causes this condition? -Influenza A -Herpes simplex type 1 -Epstein-Barr -Rhabdovirus 47. Which of the following pieces of legislation keeps health care staff safe from retaliation by their employers when they report cases of patient neglect and abuse? -Good Samaritan Act -HITECH Act -Whistleblower Protection Act -Patients’ Bill of Rights 48. A first-time patient is late arriving to the office. Which of the following should the MA say first? -“Have a sear. We will be with you shortly.” -“Hello. Welcome to our office.” -“What is your best phone number? We couldn’t reach you this morning.” -“Please complete these forms and return them to the desk.” 49. Which of the following techniques should a MA use when bandaging a wound? -Wrap the wound from distal to proximal. -Bandage fingers and toes to prevent further injury. -Extend the wound dressing 3 to 5 inches beyond the bandage. -Moisten and apply ointment before bandaging. 50. A MA 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? -Palpitations -Headaches -Chest pain -Shortness of breath 51. Which of the following routes for taking a patient’s temperature is the most accurate? -Axillary -Rectal -Oral -Temporal 52. A MA is administering eye ointment to a patient. Which following actions should the assistant take? -Hold the ointment tube parallel to and above the patient’s eye. -Apply a thin ribbon of ointment along the conjunctival sac. -Apply the ointment from the outer canthus to the inner canthus. -Have the patient keep her eye open after application. 53. Which of the following laboratory values should a MA immediately report to a patient’s provider? -Blood glucose 500mg/dL -Potassium 4.1 mEq/L -Hematocrit 42 % -Hemoglobin 15 g/dL 54. In which of the following locations should a MA place the electrode for lead V4? -The fifth intercostal space, left midclavicular line -The fourth intercostal space, left sternal border -The left midaxillary line, lateral to V5 -The anterior axillary line, lateral to V6 55. A MA is caring for a patient who is 5’7” tall. Which of the following is the patient’s height in centimeters? -170 cm -145 cm -114 cm -26 cm [Show Less]
