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Exam (elaborations)

NCCT Medical Assistant Exam with Complete Solutions

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NCCT Medical Assistant Exam with Complete Solutions

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NCCT Medical Assistant Exam with
Complete Solutions

The medical assistant is providing instructions for a patient with pneumonia. The optimal
time a sputum specimen should be collected is
A. first thing in the morning.
B. after lunch.
C. at bedtime.
D. after breakfast. - ANSWER-A. first thing in the morning.

While performing a Snellen visual acuity test, the patient misses two letters on the 20/70
line with his right eye. How should the medical assistant document this finding?

A. Snellen chart OD 20/70-2
B. Snellen chart OD 20/80
C. Snellen chart OS 20/80
D. Snellen chart OS 20/70-2 - ANSWER-A. Snellen chart OD 20/70-2

Venipuncture should be avoided on an arm with
A. excessive hair.
B. muscular hypertrophy.
C. an elbow splint.
D. alopecia. - ANSWER-C. an elbow splint.

The importance of accurate anatomic positioning of leads on a patient when performing
an ECG is to

A. allow interruption of negative electrical conduction.
B. stimulate positive electrical impulses.
C. capture true cardiac activity.
D. ensure proper machine calibration with universal measurements. - ANSWER-C.
capture true cardiac activity.

For which of the following incidents is employer provided post-exposure follow-up
indicated?

A. An employee fall from a step stool while obtaining medical records.
B. A polycup containing urine splashed into the eye of an employee.
C. Loss of power during an ECG procedure.
D. An employee falls in the parking lot, resulting in a hand laceration. - ANSWER-B. A
polycup containing urine splashed into the eye of an employee.

,The medical assistant is scheduling a patient for a gallbladder study. Which of the
following terms should the medical assistant use on the patient test order?

A. Angiography
B. Cystography
C. Cholecystography
D. Cholangiography - ANSWER-C. Cholecystography

A patient's encounter form contributes to the efficiency and flow of information in the
medical office at check-out in which of the following ways?

A. Provides written documentation about medications prescribed during the visit.
B. Outlines discharge instructions related to the patient's condition.
C. Lists codes for services and procedures performed during the visit.
D. Summarizes limitations and exclusions in the patient's insurance policy. - ANSWER-
C. Lists codes for services and procedures performed during the visit.

An incorrect dose of medication is delivered to a patient in the medical clinic. As a
result, the patient experienced mild kidney damage. The responsible health care
providers and/or clinic is at risk for which of the following?

A. Slander
B. Libel
C. Defamation
D. Negligence - ANSWER-D. Negligence

The medical assistant reviews instructions with the patient with hypertension about
techniques to manage this condition at home. Which of the following statements by the
patient indicates teaching has been successful? (Select the three (3) correct answers.)

A. "I will take prescribed medications regularly at the same time each day."
B. "I will monitor my blood pressure and record readings daily."
C. "I will increase salt intake in my diet."
D. "I will incorporate moderate exercise into my daily routine."
E. "I will check my blood sugar regularly." - ANSWER-A,B,D. "I will take prescribed
medications regularly at the same time each day.", "I will monitor my blood pressure
and record readings daily.", "I will incorporate moderate exercise into my daily routine."

A patient has refused to pay for a medical procedure that was performed six months
ago. The medical procedure was not listed under the patient's schedule of benefits, and
she is now fully responsible for all costs. Her account has now been turned over to a
collection agency. This scenario is most likely an example of failure of the medical office
assistant to properly

A. code the procedure.

,B. bill the procedure.
C. explain the non-coverage billing policies.
D. explain the statute of limitations. - ANSWER-C. explain the non-coverage billing
policies.

The endocrinologist requested the patient to return to the outpatient clinic the next day
for a glucose tolerance test. Which of the following preparations should the medical
assistant instruct the patient to do the night before the test?

A. NPO after midnight.
B. Ingest 10 ounces of oral glucose solution.
C. Refrain from tobacco use for 24 hours.
D. Drink at least 32 ounces of water. - ANSWER-A. NPO after midnight.

Which of the following agencies are physicians required to maintain registration with in
order to prescribe, dispense, or administer controlled substances?

A. Food and Drug Administration (FDA)
B. Drug Enforcement Administration (DEA)
C. Department of Health and Human Services (DHHS)
D. American Medical Association (AMA) - ANSWER-B. Drug Enforcement
Administration (DEA)

A medical assistant is hired at a Family Medical Practice. According to OSHA
requirements the medical assistant must be offered a vaccine within 10 days of hire,
free of charge. The medical assistant knows that this vaccination is to protect him from
which of the following?

A. Tetanus
B. Varicella
C. Hepatitis B
D. Haemophilus influenza - ANSWER-C. Hepatitis B

Which government agency oversees HIPAA?

A. OIG
B. CMS
C. HHS
D. OSHA - ANSWER-C. HHS

The patient presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of
the following actions should the medical assistant take prior to witnessing the consent
form to ensure it is legally binding?

A. Verify the patient has not had anything to eat or drink for eight hours prior to the
procedure.

, B. Obtain a copy of the patient's insurance card.
C. Confirm there is someone in the waiting room available to drive the patient home.
D. Confirm the surgeon has explained all risks and benefits of the procedure. -
ANSWER-D. Confirm the surgeon has explained all risks and benefits of the procedure.

Which of the following actions should the medical assistant take when disposing of a
needle following a venipuncture?

A. Recap the needle and place it immediately in a sharps container.
B. Push the needle guard over the needle until it clicks and then place in a biohazard
bag.
C. Place the needle with safety device activated immediately in a sharps container.
D. Recap the needle and place it on the blood collection tray. - ANSWER-C. Place the
needle with safety device activated immediately in a sharps container.

Employees of a major automobile manufacturer are provided health insurance under a
master contract issued to their employer. Which of the following types of coverage does
this reflect?

A. Indemnity plan
B. Group policy
C. Coinsurance
D. Fee-for-service plan - ANSWER-B. Group policy

A medical assistant is reviewing a patient's encounter that is documented in the medical
record prior to completing a CMS-1500 form. She notices that the physician upcoded
the encounter. The medical office assistant has the ethical obligation to

A. change the code.
B. debate the code.
C. alter the code.
D. down code the code. - ANSWER-B. debate the code.

The medical assistant should stamp checks with the restrictive endorsement "for deposit
only" to prevent

A. overdraft fees.
B. nonsufficient funds.
C. stop-payment.
D. loss or theft. - ANSWER-D. loss or theft.

The pictured rhythm is an example of which of the following?

A. Atrial flutter
B. Premature ventricular contraction
C. Sinus bradycardia

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