NCCT EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ Flow charts, progress notes, and narrative notation are all
examples of
A. medical record charting styles.
B. patient documentation in a SOAP format.
C. recording patient information in a medical record.
D. patient chart filing systems.
Answer: Correct response:
recording patient information in a medical record.
Rationale: Patient information can be recorded in the medical record
in a variety of ways. Progress notes, flow charts and narrative
notation are all effective ways to document a patient's medical
information. The SOAP format is the documentation system chosen
by many physicians. S=Subjective patient interview information,
O=Objective information such as vitals, lab values, etc.,
A=Assessment of the "S" and "O" data, P=Plan for treatment or
follow-up. Medical records of various styles are generally kept in
charts, which are filed according to a filing system.
,◉ When measuring oxygen saturation on a child breathing room air,
with normal color, and no signs of respiratory distress, the medical
assistant obtains a reading of 79%. Which of the following actions
should the medical assistant take next?
A. supplement the child with oxygen per protocol
B. take a full set of vital signs
C. reposition the finger probe
D. notify the physician
Answer: Correct response:
reposition the finger probe
Rationale: Oxygen saturation (O2 Sat or Pulse Ox) on a child with a
structurally normal heart should be >92% . Patient movement, poor
probe attachment, or nail polish can distort the sensor reading
during monitoring. Always observe the child's condition first, and
machine reading 2nd when troubleshooting. O2 saturation should
be obtained and documented as part of a full set of vital signs for
patients being evaluated for respiratory conditions.
◉ Which of the following is the best way to correct AC interference
on an ECG?
A. Ask the patient not to move while performing the test.
B. Move the patient to a quiet room.
C. Check that the patient does not have a cell phone close by.
,D. Offer the patient a blanket if she is cold.
Answer: Correct response:
Check that the patient does not have a cell phone close by.
Rationale: AC is alternating current interference and it can be caused
by a nearby electrical device (such as a cell phone). Patient
movement (either voluntary or shivering from the cold) can cause
other artifact on an ECG, but not the same as AC interference.
Moving the patient to a quiet room would not alleviate AC
interference.
◉ Which of the following documents is also called an advanced
directive?
A. subpoena
B. informed consent
C. living will
D. assignment of benefits
Answer: Correct response:
living will
Rationale: A living will is a formal document, written in advance,
that gives health care professionals instructions about the patient's
medical wishes regarding end of life care, and is the same as an
advanced directive. Assignment of benefits refers to the patient's
wishes on who and where they want their money sent to, a
subpoena is an order given to someone who is supposed to go to
court, and informed consent refers to a document that a patient fills
, out which gives permission to the healthcare providers to perform
certain tasks or procedures.
◉ Beginning with the infectious agent, place the elements in the
correct order of the chain of infection. (Click and drag the options in
the left column to their correct order in the right column).
reservoir host
portal of exit
means of transmission
portal of entry
susceptible host
Answer: Correct response:
reservoir host, portal of exit, means of transmission, portal of entry,
susceptible host
Rationale: Infectious diseases are spread through a series of steps
known as the "chain of infection". For an infection to occur and
spread, each of the six links of the chain must take place. Removing
any link in the chain will stop the cycle. Therefore, identifying and
instituting appropriate actions at different steps in the cycle will halt
the spread of the infection. The chain begins with the infectious
agent (bacteria, virus,etc.) and spreads to a reservoir (place to live,
like an animal, insect, water, etc.). The portal of exit is a way for the
microorganism to leave the reservoir (in a cough, feces, etc.) to
transmit the disease. The mode of infection refers to how infectious
diseases are spread: by contact, by vehicle, by vector, and by
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ Flow charts, progress notes, and narrative notation are all
examples of
A. medical record charting styles.
B. patient documentation in a SOAP format.
C. recording patient information in a medical record.
D. patient chart filing systems.
Answer: Correct response:
recording patient information in a medical record.
Rationale: Patient information can be recorded in the medical record
in a variety of ways. Progress notes, flow charts and narrative
notation are all effective ways to document a patient's medical
information. The SOAP format is the documentation system chosen
by many physicians. S=Subjective patient interview information,
O=Objective information such as vitals, lab values, etc.,
A=Assessment of the "S" and "O" data, P=Plan for treatment or
follow-up. Medical records of various styles are generally kept in
charts, which are filed according to a filing system.
,◉ When measuring oxygen saturation on a child breathing room air,
with normal color, and no signs of respiratory distress, the medical
assistant obtains a reading of 79%. Which of the following actions
should the medical assistant take next?
A. supplement the child with oxygen per protocol
B. take a full set of vital signs
C. reposition the finger probe
D. notify the physician
Answer: Correct response:
reposition the finger probe
Rationale: Oxygen saturation (O2 Sat or Pulse Ox) on a child with a
structurally normal heart should be >92% . Patient movement, poor
probe attachment, or nail polish can distort the sensor reading
during monitoring. Always observe the child's condition first, and
machine reading 2nd when troubleshooting. O2 saturation should
be obtained and documented as part of a full set of vital signs for
patients being evaluated for respiratory conditions.
◉ Which of the following is the best way to correct AC interference
on an ECG?
A. Ask the patient not to move while performing the test.
B. Move the patient to a quiet room.
C. Check that the patient does not have a cell phone close by.
,D. Offer the patient a blanket if she is cold.
Answer: Correct response:
Check that the patient does not have a cell phone close by.
Rationale: AC is alternating current interference and it can be caused
by a nearby electrical device (such as a cell phone). Patient
movement (either voluntary or shivering from the cold) can cause
other artifact on an ECG, but not the same as AC interference.
Moving the patient to a quiet room would not alleviate AC
interference.
◉ Which of the following documents is also called an advanced
directive?
A. subpoena
B. informed consent
C. living will
D. assignment of benefits
Answer: Correct response:
living will
Rationale: A living will is a formal document, written in advance,
that gives health care professionals instructions about the patient's
medical wishes regarding end of life care, and is the same as an
advanced directive. Assignment of benefits refers to the patient's
wishes on who and where they want their money sent to, a
subpoena is an order given to someone who is supposed to go to
court, and informed consent refers to a document that a patient fills
, out which gives permission to the healthcare providers to perform
certain tasks or procedures.
◉ Beginning with the infectious agent, place the elements in the
correct order of the chain of infection. (Click and drag the options in
the left column to their correct order in the right column).
reservoir host
portal of exit
means of transmission
portal of entry
susceptible host
Answer: Correct response:
reservoir host, portal of exit, means of transmission, portal of entry,
susceptible host
Rationale: Infectious diseases are spread through a series of steps
known as the "chain of infection". For an infection to occur and
spread, each of the six links of the chain must take place. Removing
any link in the chain will stop the cycle. Therefore, identifying and
instituting appropriate actions at different steps in the cycle will halt
the spread of the infection. The chain begins with the infectious
agent (bacteria, virus,etc.) and spreads to a reservoir (place to live,
like an animal, insect, water, etc.). The portal of exit is a way for the
microorganism to leave the reservoir (in a cough, feces, etc.) to
transmit the disease. The mode of infection refers to how infectious
diseases are spread: by contact, by vehicle, by vector, and by
