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
... [Show More] following 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]