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NCCT EXAM TEST REVIEW
A patient presents to the medical office with nausea and vomiting. Which of the following types of medication is likely to be prescribed? - antiemetic A medical assistant obtains the tracing shown above on a patient. Which of the following actions should the medical assistant take? - Remind the patient to remain as still as possible The transfer of information such as patient eligibility, payment remittances, claims, claim status, authorizations and referrals are addressed under the HIPAA Administrative Simplification and Compliance Act as electronic - data interchange Which of the following is a CLIA waived test that can be performed by the medical assistant? - chemical urinalysis In most cultures in the United States, when a medical assistant is speaking with a patient, making direct eye contact encourages - open communication The primary care provider hands the medical assistant a referral for a patient to get an MRI. Which of the following should the medical assistant do first? - Call the insurance company and process an authorization
If a medical assistant has questions about disposing of outdated hazardous chemicals, where should the medical assistant look to find this information? - MSDS A patient presents to the clinic with a paper towel wrapped around a deep laceration to his hand. The medical assistant removes the paper towel and finds it is heavily saturated with blood. The paper towel should be disposed of in a - biohazard waste bin
When performing a capillary puncture on an infant, the medical assistant understands the lateral heel is the proper site for collection due to which of the following? - The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely A medical office assistant is reviewing a patient's encounter that is documented in the medical record prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical office assistant has the ethical obligation to - debate the code A child's weight should be recorded in - Kg Which of the following actions should the medical assistant take to ensure proper monitoring of a patient during a stress test? (Select the three [3] correct answers.) - Instruct the patient to report any symptoms, Measure blood pressure and heart rate frequently, Observe facial expressions, skin color and perspiration A patient complains of nausea and vomiting, and has been unable to keep fluids down over the course of two days. A suppository has been ordered. Which of the following abbreviations is the correct route of administration? - PR During a routine visit, a petite female patient becomes very distraught while discussing the recent death of her husband. She suddenly faints. Which of the following actions should the medical assistant take next? - Protect the patient from injury The mother of a 6 - month-old patient arrives at a busy clinic and states the child has a high fever. The medical assistant measures the patient's temperature and confirms a
temperature of 103°F. Which of the following is an acceptable course of action for the medical assistant? - Assess the remaining vital signs and notify the physician The medical assistant applies pressure to the venipuncture site using gauze. After two minutes the medical assistant observes that bleeding has not stopped. The next appropriate action would be to - elevate the arm while applying pressure.
A physician's office is about to convert from paper format to an electronic format. The office manager has implemented a Medical Practice Management Program. Which of the following is a task the medical office assistant should be able to do with the new software? - patient registration When reviewing a patient's SOAP note in the medical record, which of the following documentation entries is an example of objective data? - 10 mm laceration noted above the left eye. The medical assistant should refer to which of the following agencies to access updated immunization schedules? - CDC A patient expresses cultural beliefs about an alternative method of pain management that differs from the medical assistant's own view. How should the medical assistant respond? - Tell me more about how this approach has worked for you When inspecting a patient's arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation? - butterfly needle The medical assistant is assisting a physician with an I & D of a gangrenous abscess. In addition to mask and gloves, the medical assistant must wear which of the following personal protective equipment when performing this procedure? - protective eyewear 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? - Active assist range of motion
Which of the following medical office software applications uses an electronic signature? - EHR 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
A large open container of isopropyl alcohol is spilled on the floor in the clinic waiting area. The medical office assistant should use which of the following resources for information about the chemical and any necessary procedure? - Material Safety Data Sheet A 6 - month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient? - vastus lateralis When the patient's chart has been subpoenaed, which of the following types of information requires additional consent from the patient or a court order? - psychiatric treatment The physician orders a random blood sugar on an adult patient newly diagnosed with diabetes who is right hand dominant. The medical assistant notices inappropriate puncture markings on the patient's fingers. Which of the following statements should the medical assistant use when re-educating the patient in capillary puncture? - It's best to use the outer edge of the middle or ring finger on your left hand when doing your finger stick. While scheduling an appointment, the medical office assistant's computer freezes. When attempting to restart the program, which of the following should the medical office assistant do first? - Press the Ctrl, Alt and Delete keys. The patient is referred to a neurosurgeon. Entering the specialist's NPI number and number of visits requested into the patient's insurance carrier's website is part of which of the following processes? - precertification When preparing a site with alcohol for venipuncture, the medical assistant should cleanse in which of the following motions? - from the inside out
Which of the following forms must be signed by the patient and kept on file, allowing physicians to be paid directly from the insurance carrier? - assignment of benefits Which of the following is necessary before ordering or paying for medical office supplies? - purchase order
The medical assistant performs daily accounts receivable (AR) procedures in the medical office to identify - amounts owed to the physician. Which of the following is the correct definition of Standard Precautions? - Control measures that treat all body fluid as if it could be infectious. 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? - reposition the finger probe When performing a 12 - lead ECG, which of the following positions demonstrates correct lead placement? - V4 is placed left midclavicular 5th intercostal space 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? - Confirm the surgeon has explained all risks and benefits of the procedure. A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin. The ordered dose (based on today's weight) is 91 mg every 8 hours. The patient is to receive a first dose of medication before leaving the office and the suspension available is 125 mg/5 mL. How much medication should the medical assistant administer? - 3.6 mL
The medical assistant performs a urine hCG on a patient whose results are inconclusive. Which of the following actions should the medical assistant take next? - Ensure the daily quality control has been performed. Flow charts, progress notes, and narrative notation are all examples of - recording patient information in a medical record. Older adult patients are the population most at risk for which of the following medication complications due to a declining liver function? - toxicity
Which of the following government agencies requires the medical office to develop an exposure control plan? - OSHA The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is - first thing in the morning. Which of the following is required for permission to treat a patient scheduled for a complex procedure? - informed consent Which of the following are the major filing systems used in the health care setting? (Select the three (3) correct answers.) - numeric, alphabetic, subject 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? - NPO after midnight. Which of the following blood components are visible in a centrifuged, evacuated red top tube? (Select the two (2) correct answers.) - serum, blood clot Which type of medication is used to increase urinary output? - diuretic Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy? - Run the daily control checks on urinalysis dipsticks.
The medical assistant is collecting a urine sample on a patient to test for pregnancy. Which of the following is the correct CLIA-waived test? - hCG Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? - The Patient's Bill of Rights
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? - arthrocentesis The adult patient has a puncture wound on the sole of the right foot due to stepping on a nail in a construction area. Which of the following immunizations is particularly important for the medical assistant to ask about while taking the patient's history? - Td The medical assistant receives a call from an attorney requesting information about an established patient's operative report. Which of the following actions is required prior to fulfilling the request? - Check the patient's file for authorization of release of information listing the name of the attorney. The order reads cefaclor (Ceclor) 250 mg p.o. stat, then 150 mg q 2 h. How should the medical assistant interpret this medication order? - Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours. When giving a nebulizer treatment with bronchodilator, the medical assistant should most closely monitor for which of the following complications? - persistent tachycardia Place the following PPE in the correct order of removal prior to leaving the exam room of a patient who is in contact-droplet isolation. - gloves, gown, bonnet, mask What does the color of an evacuated collection tube represent? - the type or absence of an additive
The medical assistant should instruct the patient obtaining a 24 hour urine collection to - discard the first morning sample. The primary objective of which of the following agencies is to regulate and ensure quality of clinical laboratory testing? - CLIA
