NHA CCMA Actual Exam with 100% Correct Answers |A GRADE GUARANTEE

Which of the following cell structures is the source of energy for a cell? -------- Correct Answer --------- Mitochondria *Mitochondria assist with converting energy from nutrients into a form that can be used by cells.* A medical assistant is test a patient's visual acuity using a Snellen chart. Which of the following actions should the assistant take? -------- Correct Answer --------- Make sure the patient does not lean forward during the test During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? -------- Correct Answer --------- Syncope *The assistant should recognize these manifestations as the onset of syncope and should take the necessary precautions in case the patient faints.* A patient calls the clinic to cancel a postoperative appointment and states that she will reschedule at a late date. For which of the following reasons should the medical assistant document this information on the patient's chart? -------- Correct Answer -------- - To prove that the office was not negligent When completing documentation in a patient's paper medical record, a medical assistant realizes she made an error. Which of the following actions should the assistant take? -------- Correct Answer --------- Draw a line through the error and initial Which of the following items included on the CMS-1500 claim form should a medical assistant recognizes as indicating the medical necessity of a procedure? -------- Correct Answer --------- Diagnosis code Which of the following techniques should a medical assistant use to confirm a patient's understanding of insulin administration? -------- Correct Answer --------- Observe the patient as she performs a self-demonstration A medical assistant is preparing a community resource library. Which of the following actions should the assistant take first? -------- Correct Answer --------- Complete a list of local community agencies A medical assistant is disposing of the syringe and needle she used to inject a seasonal influenza vaccine. Which of the following actions should the assistant take? -------- Correct Answer --------- Drop the syringe, needle first into the biohazardous sharp container A medical assistant is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patient's skin lesions, the assistant should expect to observe which of the following? -------- Correct Answer --------- Silvery, scaly *Psoriasis is a chronic skin disease characterized by pink or red lesions, with scaly patches that have a silvery appearance.* A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is "non-covered service." If this procedure was deemed emergent by the provider, which of the following actions should the assistant take? -------- Correct Answer --------- Instruct the patient to contact the insurer about the denial of payment *The assistant serves as an advocate on behalf the patient in terms of treatment and care. In an instance of denial of payment due to a non-covered service, it is the responsibility of the patient to contact the insurer to discuss any existing disputes regarding payment.* Which of the following actions should a medical assistant take to verify the quality of venipuncture supplies before beginning a blood draw? -------- Correct Answer --------- Inspect the integrity of the needle's seal *Inspecting the needle's seal helps ensure the sterility of the needle.* Which of the following instructions should a medical assistant give to a patient when administering an enteric-coated tablet? -------- Correct Answer --------- "Swallow the tablet whole with a glass of water." *Enteric-coated tablets should not be crushed, chewed, or dissolved. The tablets need to arrive in the small intestines whole.* A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. Which of the following actions should the assistant take? -------- Correct Answer --------- Remain within the patient's view to allow lip-reading A medical assistant is assisting with the physical examination of a patient who has scabies. Besides gloves, which of the following pieces of personal protective equipment should the assistant take? -------- Correct Answer --------- Gown *Scabies requires contact precautions; therefore, the assistant should wear gloves and a gown. Other patient conditions that require contact precautions include hepatitis A, rotavirus, and herpes zoster (shingles).* 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? -------- Correct Answer --------- Cluster scheduling *Cluster scheduling is grouping patients who have similar conditions into specific time slots or days.* The parent of a child who has pediculosis is asking a medical assistant for more information about her child's condition. The assistant should begin by explaining that pediculosis is which of the following types of infections? -------- Correct Answer --------- Parasitic *The assistant should recognize that pediculosis, also known as lice, is a common parasitic infection that is highly contagious.* A medical assistant is reviewing a provider's instructions as the patient is preparing to leave the office. The provider recommends that the patient purchase an over-thecounter antitussive, but the patient tells the assistant that she does not know what an antitussive is. Which of the following responses should the assistant take? -------- Correct Answer --------- "It is a medication that suppresses the cough reflex." When performing the palpatory method for obtaining blood pressure, which of the following indicates the level at which the medical assistant should inflate the cuff? -------- Correct Answer --------- 30 mm Hg above the radial pulse cessation *The palpatory method requires the assistant to inflate the cuff 30 mm Hg above the cessation of the radial pulse.* A first-time patient is late arriving to the office. Which of the following should the medical assistant say first? -------- Correct Answer --------- "Hello. Welcome to our office." A medical assistant is administering an intramuscular immunization to a patient. Which of the following actions should the medical assistant take? -------- Correct Answer -------- - Cleanse the site in a circular motion from the center outward A medical assistant is explaining a venipuncture procedure to a patient. Which of the following statements should the assistant make? -------- Correct Answer --------- "I'll be collecting a blood sample from you today. There will be a small stick in your arm." A medical assistant 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? -------- Correct Answer ------- -- Papules *Papules are solid elevations that are less than 0.5 cm (0.2 in) in diameter. A common cause is allergic eczema.* A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make? -------- Correct Answer --------- "I think that you feel that your treatment is not effective." *This response validates the patient's feelings. This also allows the assistant to restate the patient's words in order to verify an understanding of what is being communicated.* A medical assistant is assisting a provider with an abdominal examination. When the provider palpates the major portion of the liver, the assistant should recognize that he is palpating which of the following abdominal quadrants? -------- Correct Answer --------- Right upper *The right upper quadrant contains the major portion of the liver. It is also the quadrant that contains the gallbladder.* A patient is seen in an 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 medical assistant use for the procedural coding for this visit? -------- Correct Answer --------- Problem-focused examination *Problem-focused examination are limited to the single body area or system mentioned in the chief complaint.* Which of the following information should the medical assistant enter into the appointment calendar when scheduling a patient for a skin rash? -------- Correct Answer --------- Daytime phone number A medical assistant discovers a garbage can fire has started in the break room of the medical office. According to the RACE acronym for emergency response, which of the following actions should the assistant take first? -------- Correct Answer --------- Evaluate staff and patients from the immediate area A medical assistant is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. Which of the following foods should the assistant recommend as the best source of insoluble fiber? -------- Correct Answer ------- -- Pears with skin *A medium pear with skin contains 4 g of insoluble fiber per serving.* A medical assistant 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? -------- Correct Answer --------- Shortness of breath *Expected manifestations of CHF include shortness of breath, fatigue, and edema.* A medical assistant is discussing information with a patient about a new medication that the provider prescribed. Which of the following actions should the assistant take? -------- Correct Answer --------- Reinforce teaching about the frequency of medication administration A patient arrives at a clinic with a bill for x-rays that were required due to an injury at the patient's place of employment. The patient has private insurance and is eligible for workers' compensation. The assistant should recognize that which of the following parties is responsible for payment of this bill? -------- Correct Answer --------- Paid in full by workers' compensation A medical assistant in an outpatient facility is preparing a patient for a venipuncture. Which of the following actions should the assistant take to confirm the patient's identity? -------- Correct Answer --------- Ask the patient to state and spell their full name and provide their date of birth A medical assistant is using a scale with a height bar to measure a patient's height. Which of the following actions should the assistant take? -------- Correct Answer --------- Lower the horizontal bar gently so that it rests on the top of the patient's head A medical assistant 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? -------- Correct Answer --------- OSHA Form 301 *The assistant should recognize that the OSHA Form 301 is an incident report used when reporting details about a work-related injury or illness.* Which of the following medical record documentation templates is organized by the entity that supplied the data? -------- Correct Answer --------- Source-oriented Which of the following laboratory results should the medical assistant recognize is abnormal? -------- Correct Answer --------- Potassium 3 mEq/L *The potassium level is below the expected reference range of 3.5 to 5 mEq/L.* A medical assistant is transcribing a prescription for magnesium sulfate into a patient's medical record. Which of the following should the assistant use to document this medication? -------- Correct Answer --------- Magnesium sulfate *When transcribing a prescription for magnesium sulfate, the medication name should always be spelled in full.* Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? -------- Correct Answer --------- Interrupted baseline *Interrupted baseline is caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper.* A medical assistant is measuring a patient's oxygen saturation with a pulse oximeter. Which of the following actions should the assistant take? -------- Correct Answer --------- Check capillary refill in the patient's finger *If capillary refill is adequate, the assistant should apply the sensor to the patient's finger. If not, an earlobe or the nose should provide an accurate measurement.* A medical assistant 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? -------- Correct Answer --------- Airborne *Varicella zoster virus, also known as chickenpox, is spread by airborne and contact transmission. Contaminated particles can be inhaled through tiny droplets that are exhaled by the infected person.* Which of the following steps for a fingerstick should a medical assistant complete first? - ------- Correct Answer --------- Confirm the correct identity of the patient A medical assistant is scheduling diagnostic tests for a patient's liver and pancreas. Which of the following systems is being assessed? -------- Correct Answer --------- Digestive *The liver and pancreas are both accessory organs to the digestive system. Performing diagnostic tests on these organs provide assessment data about the digestive system.* At work, a medical assistant cared for a neighbor who sustained multiple injuries in a fall. After work, another neighbor asks the assistant what happened to the neighbor who fell. Following the American Association of Medical Assistants' (AAMA) Code of Ethics, which of the following responses should the assistant make? -------- Correct Answer ----- ---- "I can't share any information about what happens at my job." A medical assistant is caring for a patient who is 5'7" tall. Which of the following is the patient's height in centimeters? -------- Correct Answer --------- 170 cm *When making this conversion, the assistant should first convert 5'2" to 67 inches. Next, the assistant should convert inches to centimeters by multiplying by 2.54. The result is 170.18 cm, which rounds to 170 cm.* A medical assistant is using a butterfly needle to obtain a blood sample from a vein in a patient's hand. Which of the following actions should the assistant take? -------- Correct Answer --------- Hold the needle by its wings A medical assistant is preparing 1 g/kg of activated charcoal for a patient who weighs 176 lb. How many grams of charcoal should the assistant prepare? -------- Correct Answer --------- 79 g *To convert from lb to kg, multiply 176 lb by 0.45. The correct answer is 79.2, which is rounded to 79. Since the preparation of activated charcoal is 1 g/kg, the ratio of grams of activated charcoal to the patient's weight in kg should be 1:1. Therefore, the amount of activated charcoal the assistant should prepare is 79 g.* A medical assistant is reviewing the list of medications a patient reports currently taking. The assistant should recognize that which of the following medication is available in a sublingual form? -------- Correct Answer --------- Nitroglycerin *Nitroglycerin is a vasodilator that is used to treat angina or chest pain. It is available in a sublingual tablet and sublingual spray.* When should the code on glucose cuvettes be compared to the code on the glucometer? -------- Correct Answer --------- Before a patient is tested *The assistant should check the coding every time the glucometer is used to ensure most accurate results.* A medical assistant should follow chains of custody guidelines for which of the following types of laboratory results? -------- Correct Answer --------- Parentage testing *Chain of custody guidelines apply to drug screens, forensic studies, blood alcohol levels, and parentage testing.* In which of the following locations should a medical assistant place the electrode for lead V4? -------- Correct Answer --------- The fifth intercostal space, left midclavicular line A provider places an open sharps container in the linen hamper by mistake. Which of the following is the appropriate action for the medical assistant to take? -------- Correct Answer --------- Dispose of the linen hamper's contents as a biohazard A patient requests a female provider to perform her examination due to a religious conviction. A female provider is not available. Which of the following is the appropriate response by the medical assistant? -------- Correct Answer --------- Assist the patient in locating a provider to accommodate the patient's needs Which of the following items in a medical office are considered administrative office supplies? -------- Correct Answer --------- Letterhead, envelopes, and business cards A medical assistant is preparing to assist a provider with suturing a wound. Which of the following items should be in the sterile field for this procedure? -------- Correct Answer --- ------ Hemostat A medical assistant is measuring the vital signs of an adult. The assistant should identify which of the following blood pressure readings as stage 2 hypertension? -------- Correct Answer --------- 150/95 mm Hg *The assistant should identify that a blood pressure value of 150/95 mm Hg indicates stage 2 hypertension. Stage 2 hypertension is indicated by a systolic pressure of greater than 140 mm Hg or a diastolic pressure of greater than 90 mm Hg.* A medical assistant is determining the amount a patient will be required to pay for a scheduled procedure that has an allowable amount of $200. The patient has a $20 copayment, a 90/10 coinsurance, and has met his deductible. What is the total amount the patient will pay the provider for this procedure? -------- Correct Answer --------- $40 *The patient's deductible has been met and the patient's coinsurance is 90/10. The patient's responsibility of coinsurance is 10% of $200, which is $20, plus the copayment of $20. Therefore, the patient should pay a total of $40.* Which of the following routes for taking a patient's temperature is the most accurate? --- ----- Correct Answer --------- Rectal *The rectal route is the most accurate method for obtaining a patient's temperature because the rectum is the most closed cavity.* Which of the following cardiac procedures is within a medical assistant's scope of practice and does not require a licensed technician or provider to assist or perform it? -- ------ Correct Answer --------- Holter monitor application *A Holter monitor is a system for recording cardiac activity for 24 hr or longer. It is within an assistant's scope of practice to place and remove a Holter monitor.* A medical assistant needs to remove all living micro-organisms from a contaminated towel clamp. Which of the following methods should the assistant use to cleanse this instrument? -------- Correct Answer --------- Sterilization