NCCT Preliminary Exam Graded A+
A. "I'm sorry I cannot release that information." - ANSWER-A husband and wife enter
the medical office for a visit. The wife is called back and the husband makes the
decision to stay in the waiting room. The husband proceeds to ask the medical assistant
when his wife's next appointment is. Which of the following is the correct response from
the medical assistant?
A. "I'm sorry I cannot release that information."
B. "Your wife's next appointment is in 3 months."
C. "She doesn't have a follow-up would you like to schedule?"
D. "Let me check with the doctor."
A. 10th - ANSWER-The medical assistant measures the head circumference on a 6-
month-old male infant during a well-baby check. The circumference is 42 cm. Which of
the following percentiles should the medical assistant assign based on this pediatric
growth chart?
A. 10th
B. 25th
C. 50th
D. 3rd
A. 138/98 mmHg
C. 92/44 mmHg
E. 162/96 mmHg - ANSWER-The medical assistant is caring for an adult patient with a
history of coronary artery disease. Which of the following BP measurements should
prompt the medical assistant to notify the health care provider? (Select the three (3)
correct answers.)
A. 138/98 mmHg
B. 129/88 mmHg
C. 92/44 mmHg
D. 132/78 mmHg
E. 162/96 mmHg
A. 45 degrees - ANSWER-A physician wrote an order for the medical assistant to give
an insulin injection to an adult patient. Which of the following is the appropriate angle of
insertion?
A. 45 degrees
B. 30 degrees
C. 60 degrees
D. 15 degrees
A. A neurologist seeing a patient on consult. - ANSWER-When managing multiple
incoming calls, the medical assistant should handle which of the following calls first?
A. A neurologist seeing a patient on consult.
B. A lawyer with a subpoena asking for patient information.
,C. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.
D. A patient calling to cancel today's appointment for a needle biopsy of a breast mass.
A. Active assist range of motion - ANSWER-The patient was seen in the office for follow
up evaluation post CVA. The doctor noticed significant weakness on the patient's left
side. Which of the following should the medical assistant expect to perform?
A. Active assist range of motion
B. Crutch training
C. Full weight bearing exercise assistance
D. Pulmonary function test
A. Allow the alcohol air dry before inserting the needle. - ANSWER-Which of the
following describes proper aseptic technique regarding the cleaning of the venipuncture
site?
A. Allow the alcohol air dry before inserting the needle.
B. Allow the alcohol to soak into the skin, then wipe off excess with sterile gauze.
C. Wipe the site in a back and forth motion with an alcohol wipe, then immediately insert
the needle.
D. Wave above the site with a gloved hand to dry the alcohol faster.
A. Antiemetic - ANSWER-A patient presents to the medical office with nausea and
vomiting. Which of the following types of medication is likely to be prescribed?
A. Antiemetic
B. Antiarrhythmic
C. Antitussive
D. Antidiarrheal
A. Arthrocentesis - ANSWER-The patient complains of joint pain and swelling. The
physician wants to remove synovial fluid for analysis. The medical assistant should set
up for which of the following procedures?
A. Arthrocentesis
B. Arthrodesis
C. Arthrogram
D. Arthroscopy
A. Atrial flutter - ANSWER-Which of the following rhythms is shown in the strip above?
A. Atrial flutter
B. Atrial fibrillation
C. Atrial tachycardia
D. Premature atrial complex
A. Blood culture, red top (BMP), lavender top (CBC) - ANSWER-The physician orders
the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP.
When using the evacuated tube method for venipuncture, in which of the following
orders should the tubes be drawn?
A. Blood culture, red top, lavender top
, B. Red top, blood culture, lavender top
C. Lavender top, red top, blood culture
D. Blood culture, lavender top, gray top
A. certified. - ANSWER-A patient with diabetes has missed all scheduled appointments
in the past 18 months. The physician requests that written notification be sent to the
patient to make an appointment immediately. This letter should be sent
A. certified.
B. priority.
C. express.
D. standard.
A. CLIA - ANSWER-Which of the following organizations makes on-site visits to inspect
medical office laboratories?
A. CLIA
B. FDA
C. WHO
D. DEA
A. Cones - ANSWER-The patient is not able to distinguish certain numbers on an
Ishihara test. This indicates a problem with which of the following?
A. Cones
B. Pupils
C. Sclera
D. Rods
A. Confirm the surgeon has explained all risks and benefits of the procedure. -
ANSWER-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. Confirm the surgeon has explained all risks and benefits of the procedure.
B. Confirm there is someone in the waiting room available to drive the patient home.
C. Verify the patient has not had anything to eat or drink for eight hours prior to the
procedure.
D. Obtain a copy of the patient's insurance card.
A. Deductible not met - ANSWER-A patient questions an outstanding balance when
insurance coverage is active and the co-pay has been paid. Which of the following is
the most likely reason the balance is the patient's responsibility?
A. Deductible not met
B. The birthday rule applies
C. Premiums due
D. Pre-authorization not obtained
A. Dereliction
B. Damages
A. "I'm sorry I cannot release that information." - ANSWER-A husband and wife enter
the medical office for a visit. The wife is called back and the husband makes the
decision to stay in the waiting room. The husband proceeds to ask the medical assistant
when his wife's next appointment is. Which of the following is the correct response from
the medical assistant?
A. "I'm sorry I cannot release that information."
B. "Your wife's next appointment is in 3 months."
C. "She doesn't have a follow-up would you like to schedule?"
D. "Let me check with the doctor."
A. 10th - ANSWER-The medical assistant measures the head circumference on a 6-
month-old male infant during a well-baby check. The circumference is 42 cm. Which of
the following percentiles should the medical assistant assign based on this pediatric
growth chart?
A. 10th
B. 25th
C. 50th
D. 3rd
A. 138/98 mmHg
C. 92/44 mmHg
E. 162/96 mmHg - ANSWER-The medical assistant is caring for an adult patient with a
history of coronary artery disease. Which of the following BP measurements should
prompt the medical assistant to notify the health care provider? (Select the three (3)
correct answers.)
A. 138/98 mmHg
B. 129/88 mmHg
C. 92/44 mmHg
D. 132/78 mmHg
E. 162/96 mmHg
A. 45 degrees - ANSWER-A physician wrote an order for the medical assistant to give
an insulin injection to an adult patient. Which of the following is the appropriate angle of
insertion?
A. 45 degrees
B. 30 degrees
C. 60 degrees
D. 15 degrees
A. A neurologist seeing a patient on consult. - ANSWER-When managing multiple
incoming calls, the medical assistant should handle which of the following calls first?
A. A neurologist seeing a patient on consult.
B. A lawyer with a subpoena asking for patient information.
,C. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.
D. A patient calling to cancel today's appointment for a needle biopsy of a breast mass.
A. Active assist range of motion - ANSWER-The patient was seen in the office for follow
up evaluation post CVA. The doctor noticed significant weakness on the patient's left
side. Which of the following should the medical assistant expect to perform?
A. Active assist range of motion
B. Crutch training
C. Full weight bearing exercise assistance
D. Pulmonary function test
A. Allow the alcohol air dry before inserting the needle. - ANSWER-Which of the
following describes proper aseptic technique regarding the cleaning of the venipuncture
site?
A. Allow the alcohol air dry before inserting the needle.
B. Allow the alcohol to soak into the skin, then wipe off excess with sterile gauze.
C. Wipe the site in a back and forth motion with an alcohol wipe, then immediately insert
the needle.
D. Wave above the site with a gloved hand to dry the alcohol faster.
A. Antiemetic - ANSWER-A patient presents to the medical office with nausea and
vomiting. Which of the following types of medication is likely to be prescribed?
A. Antiemetic
B. Antiarrhythmic
C. Antitussive
D. Antidiarrheal
A. Arthrocentesis - ANSWER-The patient complains of joint pain and swelling. The
physician wants to remove synovial fluid for analysis. The medical assistant should set
up for which of the following procedures?
A. Arthrocentesis
B. Arthrodesis
C. Arthrogram
D. Arthroscopy
A. Atrial flutter - ANSWER-Which of the following rhythms is shown in the strip above?
A. Atrial flutter
B. Atrial fibrillation
C. Atrial tachycardia
D. Premature atrial complex
A. Blood culture, red top (BMP), lavender top (CBC) - ANSWER-The physician orders
the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP.
When using the evacuated tube method for venipuncture, in which of the following
orders should the tubes be drawn?
A. Blood culture, red top, lavender top
, B. Red top, blood culture, lavender top
C. Lavender top, red top, blood culture
D. Blood culture, lavender top, gray top
A. certified. - ANSWER-A patient with diabetes has missed all scheduled appointments
in the past 18 months. The physician requests that written notification be sent to the
patient to make an appointment immediately. This letter should be sent
A. certified.
B. priority.
C. express.
D. standard.
A. CLIA - ANSWER-Which of the following organizations makes on-site visits to inspect
medical office laboratories?
A. CLIA
B. FDA
C. WHO
D. DEA
A. Cones - ANSWER-The patient is not able to distinguish certain numbers on an
Ishihara test. This indicates a problem with which of the following?
A. Cones
B. Pupils
C. Sclera
D. Rods
A. Confirm the surgeon has explained all risks and benefits of the procedure. -
ANSWER-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. Confirm the surgeon has explained all risks and benefits of the procedure.
B. Confirm there is someone in the waiting room available to drive the patient home.
C. Verify the patient has not had anything to eat or drink for eight hours prior to the
procedure.
D. Obtain a copy of the patient's insurance card.
A. Deductible not met - ANSWER-A patient questions an outstanding balance when
insurance coverage is active and the co-pay has been paid. Which of the following is
the most likely reason the balance is the patient's responsibility?
A. Deductible not met
B. The birthday rule applies
C. Premiums due
D. Pre-authorization not obtained
A. Dereliction
B. Damages
