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NCCT Practice exam Recent Questions with
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Q: For how many years should a provider store medical records (select
the least number of years that maintains compliance with state and
federal regulations)?
A. 15 years
B. 10 years
C. 5 years
D. 20 years
Ans: Correct response:
10 years
Rationale: Federal and state regulations require a minimum storage time
frame for medical records. State regulations may require a longer or
shorter time frame, depending on the state. Every medical provider
should routinely check state and federal requirements to remain
compliant. As of the date this question was submitted (2015), a 7 to 10
year time frame would meet all federal and state medical record
storage requirements.
Q: 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.
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,D. patient chart filing systems.
Ans: 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.
Q: 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
Ans: 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
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, and documented as part of a full set of vital signs for patients being
evaluated for respiratory conditions.
Q: 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.
Ans: 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.
Q: Which of the following documents is also called an advanced
directive?
A. subpoena
B. informed consent
C. living will
D. assignment of benefits
Ans: Correct response:
living will
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, 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.
Q: 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
Ans: 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,
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