NCCT MOCK EXAM UPDATED QUESTIONS AND VERIFIED
ANSWERS
The primary objective of which of the following agencies is to regulate and ensure
quality of clinical laboratory testing?
A. DEA
B. FDA
C. OSHA
D. CLIA
Correct response:
CLIA
Rationale: CLIA - Clinical Laboratory Improvements Amendments of 1988 are United
States federal regulatory standards that apply to all clinical laboratory testing performed
on humans in the United States, except clinical trials and basic research. OSHA -
Occupational Safety and Health Administration, a federal agency of the United States
that regulates workplace safety and health. FDA - Food & Drug Administration is a
federal agency of the United States Department of Health and Human Services. DEA -
Drug Enforcement Administration is a United States federal law enforcement agency
under the U.S. Department of Justice, tasked with combating drug smuggling and use
within the United States.
The medical assistant documented an IM injection as follows: 10/12/XX @ 1030,
Rocephin 1 gram IM patient tolerated procedure well. Amy Ray, medical assistant.
Which of the following necessary pieces of documentation is missing?
A. physician signature
B. site of administration
C. frequency of administration
D. use of the medication
Correct response:
site of administration
Rationale: Anatomical site of injection should always be documented for reassessment
of local and/or systemic reaction. Every intramuscular injection should be documented
with date, time, injection site, medication, dosage, person who gave the injection, and
,record anything relative to the patient's tolerance of the procedure and response to the
medication. Immediately report to the physician any adverse effects from the injection.
Physician signature should be on the order, so it isn't necessarily needed on the
injection documentation. Medication uses and frequency should be noted elsewhere on
the medical record as well.
Which of the following resources should the medical assistant use to look up the
side effects of (enoxaparin) Lovenox in the medical office?
A. laboratory reference manual
B. Physician's Desk Reference (PDR)
C. Healthcare Common Procedure Coding System (HCPCS)
D. Current Procedural Terminology (CPT)
Correct response:
Physician's Desk Reference (PDR)
Rationale: The PDR (Physician's Desk Reference) is published annually, and is the
most common drug reference book. It provides information about medications, their
functions, side effects, contraindications, etc. The Healthcare Common Procedure
Coding System (HCPCS) is a system of healthcare codes put in place to ensure
insurance claims are handled correctly. A laboratory reference manual would contain
information about laboratory tests, not medications. Current Procedural Terminology
(CPT) codes are used to classify medical procedures and services, therefore these
codes don't include information on medication side effects.
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. Drink at least 32 ounces of water.
D. Refrain from tobacco use for 24 hours.
Correct response:
NPO after midnight.
Rationale: Before a glucose tolerance test the patient needs to be NPO (nothing by
, mouth) after midnight the night before the test. The glucose tolerance test is
administered to determine how the body breaks down sugar, so the patient should not
eat or drink anything after midnight to ensure the results are not skewed. The patient
will ingest the oral glucose solution close to the time of the test. It is recommended that
the patient refrain from tobacco use and since the patient needs to be NPO, drinking
water the night before is incorrect.
A clean-catch midstream urinalysis is ordered for a female patient to rule out a
urinary tract infection. The medical assistant should instruct the patient before
urinating in the specimen cup to wipe using antiseptic towelettes
A. back and forth.
B. in concentric circles.
C. from front to back.
D. from back to front.
Correct response:
from front to back.
Rationale: The patient should be instructed to always wipe from front to back to prevent
infection. When a patient wipes from back to front, in circles, or back and forth, germs
from the rectum can be spread to the hand and the urethra. This can get into the urinary
tract and cause infections, so it is extremely important that the patient knows to always
wipe from front to back.
A parent calls the pediatrician's office very upset because her child is vomiting
and has a temperature of 103.3 F. The medical assistant should
A. instruct the parent to take the child to the emergency room immediately.
B. place the parent on hold and transfer the call to the physician.
C. schedule a same day work-in appointment.
D.suggest an over the counter anti-pyretic.
Correct response:
schedule a same day work-in appointment.
Rationale: A child presenting with a high fever is an acute situation. In this case, it is
best to work the child in for an appointment that same day. Treatment should be started
as soon as possible to minimize the side effects brought on by a high fever.
ANSWERS
The primary objective of which of the following agencies is to regulate and ensure
quality of clinical laboratory testing?
A. DEA
B. FDA
C. OSHA
D. CLIA
Correct response:
CLIA
Rationale: CLIA - Clinical Laboratory Improvements Amendments of 1988 are United
States federal regulatory standards that apply to all clinical laboratory testing performed
on humans in the United States, except clinical trials and basic research. OSHA -
Occupational Safety and Health Administration, a federal agency of the United States
that regulates workplace safety and health. FDA - Food & Drug Administration is a
federal agency of the United States Department of Health and Human Services. DEA -
Drug Enforcement Administration is a United States federal law enforcement agency
under the U.S. Department of Justice, tasked with combating drug smuggling and use
within the United States.
The medical assistant documented an IM injection as follows: 10/12/XX @ 1030,
Rocephin 1 gram IM patient tolerated procedure well. Amy Ray, medical assistant.
Which of the following necessary pieces of documentation is missing?
A. physician signature
B. site of administration
C. frequency of administration
D. use of the medication
Correct response:
site of administration
Rationale: Anatomical site of injection should always be documented for reassessment
of local and/or systemic reaction. Every intramuscular injection should be documented
with date, time, injection site, medication, dosage, person who gave the injection, and
,record anything relative to the patient's tolerance of the procedure and response to the
medication. Immediately report to the physician any adverse effects from the injection.
Physician signature should be on the order, so it isn't necessarily needed on the
injection documentation. Medication uses and frequency should be noted elsewhere on
the medical record as well.
Which of the following resources should the medical assistant use to look up the
side effects of (enoxaparin) Lovenox in the medical office?
A. laboratory reference manual
B. Physician's Desk Reference (PDR)
C. Healthcare Common Procedure Coding System (HCPCS)
D. Current Procedural Terminology (CPT)
Correct response:
Physician's Desk Reference (PDR)
Rationale: The PDR (Physician's Desk Reference) is published annually, and is the
most common drug reference book. It provides information about medications, their
functions, side effects, contraindications, etc. The Healthcare Common Procedure
Coding System (HCPCS) is a system of healthcare codes put in place to ensure
insurance claims are handled correctly. A laboratory reference manual would contain
information about laboratory tests, not medications. Current Procedural Terminology
(CPT) codes are used to classify medical procedures and services, therefore these
codes don't include information on medication side effects.
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. Drink at least 32 ounces of water.
D. Refrain from tobacco use for 24 hours.
Correct response:
NPO after midnight.
Rationale: Before a glucose tolerance test the patient needs to be NPO (nothing by
, mouth) after midnight the night before the test. The glucose tolerance test is
administered to determine how the body breaks down sugar, so the patient should not
eat or drink anything after midnight to ensure the results are not skewed. The patient
will ingest the oral glucose solution close to the time of the test. It is recommended that
the patient refrain from tobacco use and since the patient needs to be NPO, drinking
water the night before is incorrect.
A clean-catch midstream urinalysis is ordered for a female patient to rule out a
urinary tract infection. The medical assistant should instruct the patient before
urinating in the specimen cup to wipe using antiseptic towelettes
A. back and forth.
B. in concentric circles.
C. from front to back.
D. from back to front.
Correct response:
from front to back.
Rationale: The patient should be instructed to always wipe from front to back to prevent
infection. When a patient wipes from back to front, in circles, or back and forth, germs
from the rectum can be spread to the hand and the urethra. This can get into the urinary
tract and cause infections, so it is extremely important that the patient knows to always
wipe from front to back.
A parent calls the pediatrician's office very upset because her child is vomiting
and has a temperature of 103.3 F. The medical assistant should
A. instruct the parent to take the child to the emergency room immediately.
B. place the parent on hold and transfer the call to the physician.
C. schedule a same day work-in appointment.
D.suggest an over the counter anti-pyretic.
Correct response:
schedule a same day work-in appointment.
Rationale: A child presenting with a high fever is an acute situation. In this case, it is
best to work the child in for an appointment that same day. Treatment should be started
as soon as possible to minimize the side effects brought on by a high fever.
