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CCMA NHA exam 2023 with Comprehensive
Questions and Answers
A first-time patient is late arriving to the office. Which of the following should the medical assistant say first? ✓"Hello. Welcome to our office." A MA has a request to collect a routine CBC from a healthy 10-month- old infant. What is the most appropriate collection site? ✓Left heel A MA has requested a preauthorization for a pt's referral to a specialist. What is a reason for the claim submitted by the specialist to be denied? ✓The service is provided after the expiration date A MA have just received a derogatory email from a dissatisfied patient what action should you take? ✓Print email and make notes about topics to be addressed prior to formulating a response A MA is administering an intradermal immunization to a patient. What actions should the medical assistant take? ✓Cleanse the site using a back and forth motion A MA is administering an intramuscular injections into the gluteus medius of an adult patient. What angle should the assistant insert the needle? ✓90 degree angle A MA IS APPLYING A TRANSDERMAL PATCH FOR A PATIENT. WHICH ACTIONS SHOULD THE MA TAKE? ✓APPLY THE PATCH TO A HAIRLESS AREA OF THE PATIENT'S SKIN A MA is assisting with the physical exam. Of a patient what has scabies. Besides gloves , what other PPE should you wear? ✓Gown
A MA is caring for a childe who has varicella zoster virus. The assistant should recognize that varicella is transferred through what mode of transmission? ✓Airborne A MA is caring for a patient who is 5' 7" tall. What the patient's height in centimeters? ✓170 cm A MA is caring for a patient who is experiencing chills, nausea, and dizziness. The patient's face appears pale. The assistant should recognize that the patient is exhibiting manifestations of which of the following medical emergencies? ✓Syncope A MA is caring for an infant who suddenly become unresponsive for unknown reasons. What action should you take? ✓Initiate cardiopulmonary resuscitation A MA is checking a patient out of the clinic. Where/what documentation would you find info on referral and follow up appointments? ✓Encounter form A MA is checking a patient's hearing using the Weber test. What actions should the assistant take? ✓ask the patient if he hears the vibration louder in one ear than the other A MA is cleaning countertops and other surfaces after a surgical procedure in a provider's office. Which of the following disinfectants should the assistant use for this purpose? ✓A 1:10 bleach and water solution A MA is collecting a urine specimen from a patient for a drug screening. What actions should the assistant take to adhere to the chain of custody for this specimen? ✓Send the specimen to the testing lab on the same day as the collection
A MA IS FAXING A PRESCRIPTION TO A PATIENT'S PHARMACY. WHAT
ACTIONS SHOULD THE MA TAKE? ✓Call the pharmacy to confirm recipe of the faxed prescription A MA is monitoring an infant patient for microcephaly. What describes the anthropometric measurements that the assistant should perform? ✓Head circumference A MA is performing an EKG on a patient. Which of the following describes the appropriate placement of the electrodes? ✓Tabs downward on the arm A MA is preparing a patient for an enema. What position should you place the patient in? ✓Sims A MA is preparing a patient to have cryosurgery following an abnormal Pap test. What statement should you make to explain this procedure? ✓"Cryosurgery involves an extremely cold probe to freeze and kill abnormal cells" A MA is preparing a patient who has anemia for an exam. What manifestation should you expect? ✓Irregular heartbeat A MA is preparing a patient who has intermittent peripheral cyanosis for an examination by the provider. The assistant should understand that healthy profusion of the hands and feet depends on adequate interactions between what two body systems? ✓Circulatory and respiratory A MA IS PREPARING STERILIZATION FOR HEMOSTATS BEFORE AN INVASIVE PROCEDURE. WHICH TECHNIQUES SHOULD THE MA USE? ✓Autoclave A MA IS PREPARING TO CALCULATE A PATIENT'S HEART RATE FROM AN EKG TRACING. WHICH METHODS SHOULD THE MA USE FOR THIS
CALCULATION? ✓Divide 1,500 by the number of small boxes between two R waves A MA is preparing to collect a patient's temperature via tympanic membrane. In what location shout the assistant place the thermometer? ✓In the ear A MA is reinforcing teaching about a cardiac event monitor with a patient. What statement by the patients ensures understanding? ✓"I will record any symptoms I experience in the event log" A MA is reinforcing teaching with a patient about pulse oximetry. What statements should the assistant include in the teaching? ✓"Remove your nail polish before the test" A MA is reviewing a patients recent med. history and notes that she has a healing fracture of the distal femur. Where in the patients body is the injury? ✓Just above the knee A MA is reviewing lab requisitions. For what patient conditions should the assistant perform a capillary collection rather than a venipuncture? ✓Previous thromboses A MA is reviewing lab results that confirm a patient has varicella zoster virus. The assistant should identify that this microorganism cause what infection? ✓Chickenpox A MA is reviewing medical history of a patient who regularly comes into contact with coal and wood dust. What should you recognize the patient is at risk of developing? ✓Emphysema A MA is reviewing the list of medications a patient reports currently taking. The assistant should recognize that what medication is available in a sublingual form? ✓Nitroglycerin
A MA should follow chain of custody guidelines for what types of laboratory results? ✓Parentage testing A medical assist discovers a garbage fire in the break room. According to the RACE acronym, what actions should you take? ✓Evacuate staff and patients from the immediate area A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as he listens with a stethoscope. When should he read the diastolic pressure? ✓When the sound disappears A medical assistant in an emergency clinic is admitting several patients. The assistant should recognize that the provider should see which of the patients first? ✓An older patient who has diabetes and has a blood pressure of 80/42 mm Hg A medical assistant is administering an injection, and the patient faints. What action should you take? ✓Place the patient in a supine position A medical assistant is administering an intradermal injection for allergy testing. What actions should the assistant take? ✓Locate the area two to three finger widths below the antecubital space A medical assistant is administering eye ointment to a patient. What actions should the assistant take? ✓Apply a thin ribbon of ointment along the conjunctival sac A medical assistant is assisting a patient who is obese with an insulin injection. What is the correct angle for this patient injection? ✓90 degree angle A medical assistant is assisting a patient whose insurance doesn't cover immunizations. Where should you refer them too? ✓Department of health and human services
A medical assistant is assisting a provider with an abdominal exam. When the provider palpates the major portion of the liver, the assistant should recognize the he is palpating which abdominal quadrant? ✓Right upper A medical assistant is assisting a provider with the repair of a laceration on pt head. The provider prescribed an injection of lidocaine and epinephrine. What is the purpose of the epinephrine? ✓To reduce bleeding at the site A medical assistant is caring for a 4-month old infant who has a temperature of 100.4. What is the temperature converted to Celsius? ✓ 38 degrees Celsius ( (100.4 - 32)x5/9=38 ) A medical assistant is caring for a pt who has active tuberculosis. What PPE should you use during or care? ✓N95 respirator A medical assistant is classifying services that a patient requires. The assistant should identify which of the following is an ancillary diagnostic service? ✓Pathology A medical assistant is coding an office visit during which the provider revised the systems related to a patients chief complaints but did not discuss patient family history or social. What procedures code should you use? ✓Expanded problem focused history A medical assistant is collecting vital signs from a 6 year old. The assistant should recognize what vital signs are outside the reference range and should be reported to provide? ✓Heart rate 140/min A medical assistant is entering patient data into an electronic medical record system. What Information should be entered into the patient demographic section of the EMR? ✓Occupation
A medical assistant is preparing to assist a provider with suturing a wound. What items should be in the sterile field for this procedure? ✓Hemostat A medical assistant is preparing to dispose of bandages that have been removed from a patients open wound. Per OSHA guidelines where/what should you dispose the bandage (in)? ✓Place the bandages in a red biohazard bag A medical assistant is preparing to file the paper chart for Mary St. Thomas. Where should this file be place along with the charts for Mary Perez, Elizabeth Saint and John A. Thomas? ✓After Elizabeth and before John A. Thomas A medical assistant is reinforcing teaching with a patient who is scheduled for a standard 12-lead EKG. What statement should you make? ✓"You should refrain from talking during the procedure" 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 and over the counter antitussive, how would you explain what this is to a patient? ✓"It is a medication that suppresses the cough reflex" A medical assistant is scheduling diagnostic tests for a patient's liver and pancreas. What organ system do they belong too? ✓Digestive A medical assistant is speaking with a patient who has seasonal allergies. What health care provider should the assistant identify as being able to make a diagnosis and initiate the necessary treatment? ✓Physicians assistant A medical assistant is talking with a patient who reports forgetting whether she took her medication each day. What response should you make? ✓"Try putting your medication in a weekly med. dispenser for the upcoming week"
A medical assistant is testing a patients visual acuity using a snellen chart. What actions should the assistant take? ✓Make sure the patient doesn't lean forward during test A medical assistant is transcribing a prescription for magnesium sulfate into a patients medical record. How should the assistant document this medication? ✓Magnesium Sulfate A medical assistant is using a butterfly needle set to obtain a blood sample from a vein in a patients hand. What actions should the assistant take? ✓Hold the needle by it's wings A medical assistant is witnessing a patient sign an informed consent form. What is the responsibility of the assistant as a witness? ✓Validate patient's signature A medical assistant needs to remove all living microorganisms from a contaminated towel clamp. What method should the assistant use to cleanse this instrument? ✓Sterilization A medical assistant notices that the medical office is not providing PPE for staff. Which agency should you contact? ✓OSHA A medical assistant observes a hematoma developing at the site of a venous blood draw. What action should you take? ✓Release tourniquet and stop the draw A medical assistant receives a chemical splash in her eyes. What actions should you take first? ✓Flush eyes with tepid water A medical assistant should identify what as a characteristic of anorexia nervosa? ✓Excessive exercising
A patient complains of getting headache when looking at the computer monitor. Where should you place this information in the SOAP method in medical records? ✓Subjective A patient is given 6 months life expectancy after terminal diagnosis. The patient states "I don't know if it's time to begin hospice care yet" what should your response be? ✓"Hospice can help manage your pain and comfort during the final months of your life" 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 release the patient. What procedural coding would you use for this visit? ✓Problem focused examination A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. What actions should a medical assistant take first? ✓Call for help and start CPR A patient presents to an emergency department with a large laceration to the wrist. What action should you take first? ✓Don gloves A patient received a terminal diagnosis and starts to cry. What action should you take? ✓Let the patient cry A patient reports a bill that includes services they did not receive. What actions should you take to reconcile these charges? ✓Review the days encounter forms to determine if another patient received the services A patient reports feeling depressed after a recent loss. What stage of grief are they in? ✓Fourth
A patient request a female provider for exam due to religious beliefs. But a female provider is not available. What response should the MA have? ✓Assist the patient in finding a provider to accommodate the patient needs. A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. What is an appropriate response for the assistant to make? ✓"I think that you feel that your treatment is not effective" A patient weights 72kg. What is their weight in lbs? ✓158.4 (72x2.2) A patient who has vulvovaginal candidiasis asks a MA for more info about her infection. The assistant should begin by explaining candidiasis is what type of infection? ✓Fungal A primary care provider suspects that a patient has fibromyalgia. A MA should expect the provider to refer the patient to which specialist? ✓Rheumatologist A provider examines an older patient with who is disabled and has a lesion in her arm. What referral should you anticipate from one of the ancillary services? ✓Home health care A provider places an open sharps container in the linen hamper by mistake. What is the appropriate action for the medical assistant to take? ✓Dispose of the linen hampers contents as a biohazard A provider prescribes oxycodone for a patient after abdominal surgery. Which of the following describes this type of medication? ✓Oxycodone is a Schedule II controlled substance and has a high potential for abuse.
An MA is contacting a patient to schedule a repeat pap. Test due to abnormal results. What factors can interfere with results? ✓Using over the counter vaginal cream prior to test An MA is determining the amount a patient will be required to pay for a scheduled procedure that has an allowable amount of $200. The patient had a 90/10 coinsurance and has met his deductible. What is the total amount the patient will pay? ✓$20 (10% of 200 is 20) An MA is disposing of the syringe and needle she used to inject a seasonal flu vaccine. What actions should the assistant take? ✓Drop the syringe, needle first, into the biohazardous sharps container An MA is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. What foods should you recommend as the best source of insoluble fiber? ✓Pears with skin An MA is entering a new prescription into a patient's electronic Medical record (EMR). While entering the prescription, and alert for medication interaction appears on the screen. What actions should the assistant take? ✓Consult with the provider before continuing to process the prescription An MA is explaining to a female patient how to collect a clean catch urine specimen. What instructions should the MA give to the patient? ✓With the labia spread, urinate a small amount into the toilet before collecting the sample. An MA is measuring the circumference of an infants head. what actions should the assistant make? ✓Place the zero mark of the measuring tape against the infants forehead An MA is performing an ear irrigation for an adult patient who has a cerumen impaction. What steps should the assistant complete prior to administering the irrigation solution? ✓Pull the pin a of the ear up and back
An MA is performing spirometry testing for a pt who has shortness of breath. What results of the spirometry test indicates a successful maneuver? ✓A fast and steady flow with no variability An MA is pertains a patient who has psoriasis to be examine by the provider. When inspecting the patients lesions, you should expect what characteristics? ✓Silvery, scaly An MA is preparing a pt who has bilateral below the knee amputations for an EKG. What sites should the assistant select for electrode placement? ✓Abdomen An MA is preparing to administer a liquid, oral medication to a patient. What method should the assistant use to ensure the correct dose? ✓Pour the medication to the prescribed dose in the medicine cup on a flat surface An MA is preparing to apply ointment to several abrasions on a patients leg. What supplies should the MA use to remove the medication from the jar? ✓A tongue blade An MA is preparing to create a report about patients who have family history of breast cancer. What types of software will allow the assistant to sort, retrieve and combine info for this report? ✓Database management An MA is reinforcing teaching with a patient about how to take buccaneering tablets. What instructions should the MA give the patient? ✓"Place the tablet between your gums and cheek" An MA is reinforcing teaching with a patient about the self administration of insulin injection. What patient statement indicates understanding? ✓"I will roll the bottle between my hands before the drawing the medication"
An MA is writing a piece of professional correspondence to a consulting provider. When what way should the assistant record the date on the letter? ✓Month day, year An MA receives a telephone call from a patient who is hesitant about discussing a new medical concern unless the conversation is with a provider. The assistant should use what technique to acknowledge the patient's reluctance? ✓Use a reflective statement to recognize the patients concerns An MA works at an Urgent Care Center that uses open hours scheduling. Which of the following describes this form of scheduling? ✓pts arrive at their convenience and are seen on first come, first served basis At what stage of an EKG does ventricular depolarization occur ✓QRS complex At what time of day will a patient's body temperature be at its lowest? ✓in the mornings At work, a MA cared for a neighbor who sustained multiple injuries. After work, another neighbor asks what happened to patient. Following the american association of medical assistants code do ethics. What response should you give? ✓"I cant share any information about what happens at my job" During a procedure the patients becomes pale and diaphoretic. What condition is most likely occurring? ✓Syncope During a rinne hearing test what action should you take? ✓Ask the patient to raise his hand when he no longer hears any sounds. For a 12-lead EKG, which of the following is the correct placement for the V4 electrode? ✓Fifth intercostal space, left midclavicular line.
In the OVD-10-CM, where should the MA search for the diagnosis code for breast cancer? ✓The alphabetic index In which location should a medical assistant place the electrode for lead v4? ✓Fifth intercostal space, left midclavicular line. In which of the following scenarios should a medical assistant choose a CPT modifier? ✓For special circumstances applied to a procedure performed by the provider medical assistant is performing a fecal occult blood test using a Guaiac card. What action should you take. ✓Interpret a blue color as a positive result medical assistant is preparing a patient who has congestive heart failure (chf) for an exam by the provider. What manifestation should the assistant expect? ✓Shortness of breath medical assistant is preparing to perform capillary collection from and older patient who has poor circulation on his hands. What technique should the assistant use to increase circulation at the collection site? ✓Warm the patients hand Prior to a patient's follow-up appointment, what information should a medical assistant report to the provider? ✓Recent laboratory results Schedule 1 drugs ✓Have no accepted medical use (Highest potential for abuse, no medical/ therapeutic use, (Heroine marijuana LSD)
