NHA CCMA with correct answers

NHA CCMA Supine position - correct answer When measuring a infant from head to heel. What exam position should you place the infant in? Infants 6 weeks who has a heart of 80/min - correct answer What type of patient would you report to the provider if they had a low apical pulse? Confidentiality statement - correct answer What statement do you provide to patients to be in compliance HIPPA? When you have symptoms - correct answer 4. What information do you need to provide to the patient when wearing a Holter monitor about marker? Educational material - correct answer What information is acceptable to provide to the patient in the waiting room? Blade down, handle first - correct answer What technique would be used when passing a scalpel to the provider during a sterile procedure? Pathology - correct answer 7. A patient being post-op status post left mastectomy. What information should you make sure is on the chart from hospital? Human chorionic gonadotropin (HCG) - correct answer What is the hormone detected in pregnancy test? Liquid nitrogen - correct answer What is used in cryosurgery? CMS 1500 - correct answer What is the universal claim for submited outpatient billing? Plan of care - correct answer When reviewing a patient's chart after a visit. Where would you look in the chart to review medication dosage and instructions for the patient? American w/ Disability Act - correct answer Where should you refer a non- ambulatory for, assistance with workplace accommodations? Tachycardia, Hypotension, Afebrile, Normal Respiration - correct answer 13. You have obtained the following vital signs from an adult patient: temperature 37.2 C (99. 0 F), heart rate 106/min, BP 89/50 mm Hg and respiratory rate of 18/min. What should document regarding the vital signs? Lithotomy Position - correct answer What position should you place a patient for a pap smear? Immediately over the phone - correct answer A urgent referral has been submitted to the insurance company. How long should the authorization process take? Dispose of in a biohazard container - correct answer Your gloved hands come in contact with the patient's blood during a procedure. What action should you take? Semi-Fowler - correct answer A patient has COPD and requires an abdominal exam. What position should you place the patient in to manage his/her respiratory status? Dr./Nurse Practitioner - correct answer When working in an ambulatory care center with several other workers. Who is legally responsible for the medical assistant's actions? Patient & care giver relationship - correct answer What should you recognize as a goal of patient- centered care? Alcoholism - correct answer What is a risk factor for developing cirrhosis? 1 inch - correct answer When setting a tray for a sterile procedure. How many inches are required to maintain a sterile field? Contusion - correct answer What is a closed wound caused by blunt trauma that results in swelling, ecchymosis, and pain? Goniometers - correct answer What device would you use to measure a patient's range of motion? Height & Weight - correct answer What criteria is used to determine BMI? Red/Rare Meat - correct answer 25. What foods should you instruct a patient to refrain from eating prior to testing for fecal occult blood? Temperature - correct answer What is a cause for a urine specimen to be rejected? PPE - correct answer What items are employers required to provide based on OSHA's Bloodborne Pathogens standards for all employees? Vertigo - correct answer What side effect can you expect from a patient following an ear irrigation? Brachial Artery - correct answer What artery is primarily used for obtaining a manual blood pressure? National Provider Identification (NPI) - correct answer What information is needed from a provider to complete the CMS-1500 form? Pialative - correct answer when using antihistamines to treat allergies this is an example of what kind of care? 3-4 inches - correct answer How many inches above the venipuncture site should the tourniquet be placed? Distilled water - correct answer What solution is used in an autoclave for sterilization? Apply Even Pressre - correct answer 35. What action should you take when performing a capillary puncture? Have the parent to hold the child - correct answer When performing a capillary puncture on a 10 month old patient. What action should you take? Post-op instructions - correct answer A patient has had a cyst removed in the office. What information should be provided to the patient prior to leaving the office? 100 - correct answer When performing CPR how many compressions should be done in a minute? Forehead - correct answer Your patient requires a temporal temperature to be taken. Where should you take this temperature? Prevent contamination - correct answer What is the purpose of the chain of custody for a drug screen? Chest - correct answer Where are electrodes placed on the body for a holter monitor? The patient can see 20ft while the adverage eye sees 50 - correct answer Patient's vision is 20/50 according to the Snellen chart. What does this mean? Break it down and start over - correct answer You are setting up a tray for a sterile procedure and your co-worker reaches across it. What action should you take? Reduce fat intake - correct answer When reinforcing teaching to a patient with a new diagnosis of hypercholesterolemia. What dietary changes should you instruct the patient to make? Run under water - correct answer When sanitizing instruments using aseptic techniques. What actions should you take? Annually or when changes are made - correct answer When should facilities review and update exposure control plans according to OSHA? 3 - correct answer After how many years is a patient considered new in your practice for billing and coding reasons? Palpate - correct answer What method of examination is used to observe deformities and rashes? Metabolism - correct answer What pharmacokinetic process is primarily affected by liver dysfunction? After collecting the specimen - correct answer During the phlebotomy procedure when should your patient's tubes be labeled? Listen & try to find out concerns - correct answer A patient is visibly angry and does not want a venipuncture procedure. What action should you take to respond to the patient? Carotid Artery - correct answer Before starting CPR on a patient where do you check for a pulse? Fungus - correct answer Ringworm is classified as what kind of disease? Rhinoplasty - correct answer Name a surgical reconstruction procedure. File an appeal or bill the patient - correct answer A patient has a test performed that they requested, the patient has signed an ABN. After denial of payment from the insurance company is received, What action should you take? CDC - correct answer A parent has questions regarding mandatory immunizations for their child. What agency should you refer them to? Close the specimen in front of the patient - correct answer When obtaining a urine drug screen from a patient following a work-related injury. What action should you take? Nose - correct answer When performing an infuenza test, Where do you obtain your sample from? Trendelenburg - correct answer What position should you place a patient with a dangerously low blood pressure? STD's - correct answer When assisting with obtaining a Papanicolaou sample, What information do you need to note? Supralilac - correct answer What area is used to measure for body fat? Name & Date of Birth - correct answer What information should you obtain from a patient before administering medication, based on the rights of medication? Seal the specimen in front of the patient - correct answer What action should you take to comply with the chain of custody during a drug screen? Double booking - correct answer When patients are scheduled for the same time and seen in the order in which they arrive. What type of scheduling is this? Friction & Soap - correct answer What actions are needed for effective hand washing? Clean Perineal - correct answer What action should you take when collecting a urine specimen from a 3 month old female patient, before applying the urine collection bag? Right Atrium - correct answer In what chamber of the heart will you find the sinoatrial node? UA - correct answer A patient comes into the office reporting dysuria and side pain. What lab work should anticipate your provider to order? Purchase Order - correct answer What form is needed in order to order supplies for your facility? Distribution - correct answer When medication moves from the site of administration into the body what is it called? Mainterm - correct answer Which part of the diagnostic statement should you use when searching in the alphabetical index Subjective - correct answer A patient coming into the office for a visit and reports having a throbbing headache and a family history of migraines. Where would you document this in the chart? Get out debris to relieve inflammation - correct answer What is a reason for performing an eye irrigation? Expiration Date & Lot Number - correct answer You have given your patient an influenza vaccination. What information needs to be documented in the patient's chart? Sterile Indicators - correct answer What is needed to process instruments for sterilization in an autoolave? X-Ray - correct answer A patient has been scheduled for an orthopaedic consultation. What health record would you send with the patient? Intromuscular (IM) - correct answer What medication route can be used for local or systemic indications? Figure 8 - correct answer What technique is used when applying an ace bandage to a patient's injured ankle? Lavender - correct answer What color tube would you use when performing a capillary puncture on an infant? Clean/Restock - correct answer What actions should you take to prepare your exam rooms for patients? Second digit - correct answer What digit should you use for capillary punctures? Glucose - correct answer A patient is experiencing hypoglycemic. What medication should you give the patient? Can't disclose that information because of HIPPA - correct answer The partner of your patient comes in angry demanding to know what their spouse was seen for. How would you handle this situation? Softening of the bones/Vitamin D Deficiency - correct answer What is osteomalacia? Taking a shower/Getting ot wet - correct answer When reinforcing instructions to a patient wearing a holter monitor. What activity should the patient avoid? 0.12-0.2 seconds - correct answer What is the normal range for the PR interval on a standard EKG tracing? Schedule for the last appt. of the day - correct answer You have a patient that is constantly late for appointments. How would you handle this situation? Recognize anxiety - correct answer You are interviewing a patient who has anxiety. What action should you take? 8-10ml - correct answer When obtaining blood cultures. How many ml of blood are required? To protect the GI system - correct answer What is the purpose of buffered or enteric coated tablets? Otoscope - correct answer A patient comes in with a sore throat. What instrument would you use to view the throat? Room Temperature - correct answer When reinforcing instructional teaching about administering medication to the ear. What information should you provide to them? RLQ - correct answer A patient has acute appendicitis. What quadrant would be tender upon examination? How far has my red blood cells dropped - correct answer Your provider orders an ESR for the patient. What statement shows that your patient understands the reason for the test? SIM's - correct answer What is the correct position for obtaining a rectal temperature? Tapping - correct answer What korotkoff sounds represents the systolic blood pressure? Resovior Host - correct answer What is part of the chain of infection? Cyst Removal - correct answer In what clinical situation would you wear sterile gloves? When scheduling the patient - correct answer When scheduling a new patient when should you verity the insurance for the patient? Hyperglycema - correct answer A patient presents with acetone smell on their breath accompanied by deepn gulping breaths. What condition should you suspect for the patient? Skin - correct answer What route is used when a medication is given topically? AV NODE - correct answer What is simulated after the sinoatrial node in the heart? To avoid a self medication - correct answer Why should you wear gloves when administering topical medication? CLIA - correct answer What body governs laboratory testing? Avoid taking antihistamine - correct answer 104. When scheduling a patient for allergy testing. What instructions need to be given to the patient prior to testing? Sphygmomanometer - correct answer What instrument is used to measure blood pressure? Site - correct answer When assisting with a cervical biopsy. What information is required on specimen label? Point, Aim, Shoot, Spray (PASS) - correct answer What pneumonic device is used to describe the correct use of a fire extinguisher? Safety Training - correct answer What office protocol meets OSHA regulations and standards? Mitochondria - correct answer What cell is responsible for energy production? Passive - correct answer Breastfeeding enhances which acquired immunity? Walking status - correct answer What determines if you do a heel stick or finger stick on child? Myocardial Infraction - correct answer If a patient reports a previous history of a heart attack. What medical term would you document in the patient's chart? Wait 5-10 min/Recheck - correct answer When taking blood pressure from a upset patient. What action should you take? Admission to hospital - correct answer What is an example of a patient's transition care? Apply Sunscreen - correct answer A patient has been given a new prescription for an antibiotic. The patient needs to wear sunscreen while taking this medication. What instruction would you give the patient Medication & the site - correct answer What information should be documented in a patient's chart after receiving an injection? Injections - correct answer What is an in-office procedure that requires the use of gloves? Lift the knot away from the wound - correct answer When removing sutures what action should you take? Portal of exit - correct answer After the reservoir host what is next in the chain of infection? Make eye contact & speak in even tones - correct answer A patient has mild hearing loss in the examination room. What action should you take? Type 2 - correct answer What is the most common form of diabetes? 2.2kg x 80kg=176kg - correct answer Convert patient's weight from 80kg to pounds. Smile friendly - correct answer How should you convey a friendly attitude during telephone calls? 1:10 clorox water - correct answer What solutions should you use to clean a blood spill? Patient is in a semi private room - correct answer What is an acceptable of incidental disclosure of protected health information? Time released patch - correct answer What type of medication is designed to be given slowly over a specific time period? Dual use plugs - correct answer What should you report to the safety team to ensure that your medical office is prepared for fire? 25mm per second - correct answer What is the normal rate of EKG paper at normal speed? Lavender - correct answer When drawing blood and the specimen requires the tube to contain EDTA. What color tube would you use? Hands - correct answer A patient needs a CBC drawn and they have hematomas both antecubital spaces. What site would you use for the venipuncture? Females - correct answer What population primarily is affected by systemic lupus erythematosus? Repeating the conversation - correct answer What action when speaking with a patient on the phone regarding a bill demonstrates active listening? Balance the scale - correct answer What action should you take prior to weighing a patient to ensure accuracy? Place into a secondary - correct answer What action should you take before disposing of a sharps container? Forcepts - correct answer What instrument is used to grab skin during a procedure? Create new notes - correct answer You have documented in a patient's paper chart, and you notice an error. What action should you take? Fraud - correct answer What is a legal tort that shows deception? Discussing a patient info in the hallway - correct answer Describe a scenario of a HIPPA violation. Allergy to Shell Fish - correct answer A patient is scheduled for a CT of the abdomen. What information do you need to collect prior to the procedure? No Show - correct answer A patient has several NS next to appointments in their chart. What does this stand for? Living Will - correct answer What legal document is needed if a patient wants to donate organs for scientfic studies? Latex - correct answer Contact dermatitis can result from what substance? 6 - correct answer On a 12 lead EKG how many leads should be placed in the precordial area Place the walker over the scale - correct answer How can you assist a patient that has balance issues during the weigh in process? Begin the referral process - correct answer Your provider has determined that your patient needs a referral to a specialist What action should you take at this time? Otoscope - correct answer A patient reports ear pain and nausea. What piece of equipment would you need to examine the ear? Forceps - correct answer What instrument is needed in the post- surgical suture removal? Wave - correct answer When scheduling patients that are all having the same procedure done on the first Thursday of the month. What type of scheduling is this? Speak to the patient - correct answer You enter into a laboratory and a patient is already seated. What should you do first? Encounter form - correct answer When checking out a patient after an office visit. What document should you check to see when they need to return it? JACHO - correct answer What agency can provide information about accreditation for a provider's office? 3 - correct answer How many maneuvers are required from the patient before the results can be calculated for a pulmonary function test? Refer to community agency - correct answer A patient comes in and reports intimate partner abuse. What action should you take? Lift ear up and pull back - correct answer What should you do when performing an ear irrigation on an adult patient? Rinse the instrument with water - correct answer What is a step in the sanitization process? Colostomy - correct answer What is surgícal procedure to redirect the colon if a patient has a bowel blockage? The patient - correct answer An emancipated minor has a test done. Who is responsible for payment for the test? Take vital signs - correct answer Name a action within the medical assistant's scope of practice? American Heart Association - correct answer A patient recently had CABG surgery. What community resource would you refer them to? 0.1ml - correct answer How much of a protein derivative solution should you use for an injection? Syncope Vertigo - correct answer Sweating, flushed extremities, ringing ears and dizziness are a sign of what? Reprocess - correct answer You find wrapped sterile instruments without dates on them. What action should you take? Sexual contact - correct answer Name the route of transmission for syphilis. Inform patient & begin procedure - correct answer After checking the physician order for an eye irrigation. What action should you take next? Spreadsheet - correct answer What method should you use to monitor your in office supplies? Uticaria, redness & swelling - correct answer What would you identify as a manifestation of anaphylaxis during the intake process? Ishihara - correct answer What is the name of the chart used to identify color vision? Denial - correct answer A patient has recently lost their partner, they refuse to accept this. What stage of grief is this? Smoking - correct answer What activities can interfere with the results of a patient's pulmonary function test? Percussions - correct answer What is it called when a physical uses a small hammer or tapping with his finger over the body to elicit sounds or vibratory sensations? The patient - correct answer A 15 year old has a pregnancy test done. Who should the results be given to? Hemoglobin A1C - correct answer What laboratory needs to be included in a patient's chart for a six month diabetic follow up? Somatic Tremors - correct answer A patient is shivering during and EKG what kind of artifact will this produce? Groin - correct answer You have a patient that has a left above-the-knee amputation. Where would you place the lower limb electrodes? Referral - correct answer If a patient has an AMD insurance plan. The provider wants them to see a specialist. What would you use for this request? ICD 10 - correct answer When looking for a diagnosis code for an injury. What reference guide would you use? Mix Additives - correct answer What is the purpose for inverting a tube after venipuncture? 4 - correct answer How many chambers are located in the heart? PTH - correct answer An increase in calcium levels releases what hormone? Type 1 hereditary, Type 2 developed it - correct answer Describe the difference between Type 1 and Type 2 diabetes mellitus