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NHA A 2023 Medical assistant Certification with
Comprehensive Questions and Answers
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? ✓Cluster scheduling 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 DISCOVERS A GARBAGE CAN FIRE HAS STARTED IN THE BREAK ROOM. ACCORDING TO THE "RACE" ACRONYM FOR EMERGENCY RESPONSE. WHICH ACTION SHOULD MA TAKE FIRST? ✓EVACUATE STAFF & PATIENTS from the IMMEDIATE area A MA has a BP 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 MA has a request to collect a routine CBC from a healthy 10-month- old infant. Which of the following is the most appropriate collection site? ✓Left heel A MA has requested a preauthorization for a patient's referral to a specialist. Which of the following is a reason for the claim submitted by the specialist to be denied? ✓THE SERVICES IS PROVIDED AFTER THE EXPIRATION DATE A MA IS ADMINISTERING AN INTRADERMAL INJECTION FOR ALLERGY TESTING. WHICH ACTIONS SHOULD THE MA TAKE? ✓LOCATE THE AREA 2 TO 3 FINGER-WIDTHS BELOW THE ANTECUBITAL SPACE
A MA is administering an intramuscular immunization to a patient. Which of the following actions should the MA take? ✓Cleanse the site in a circular motion from the center outward A MA is administering an intramuscular injection into a gluteus medius on An adult patient. at which of the following angles should the assistant insert the needle? ✓ 90 ° angle A MA is administering eye ointment to a patient. Which of the following actions should the assistant take? ✓Apply a thin ribbon of ointment along the conjunctival sac A MA is administering heparin subcutaneously to a patient. Which of the following actions should the assistant take? ✓Inject the medication slowly a MA is an outpatient facility is preparing a pt for a venipuncture. which of the following actions should the MA take to confirm the pts identity? ✓Ask the patient to state and spell their full name and provide there date of birth A MA is assisting a patient who is obese with an insulin injection which of the following is the correct angle for this patients injection? ✓ 90 ° A MA 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? ✓right upper A MA IS ASSISTING WITH THE PHYSICAL EXAMINATION OF A PATIENT WHO HAS SCABIES. BESIDES GLOVES. WHICH PIECES OF PERSONAL PROTECTIVE EQUIPMENT SHOULD THE MA WEAR? ✓gown a MA is caring for a 4 month old infant who has a temp. Of 100.4° F. Which of the following is this temp when converted to Celsius? ✓ 38 °C
A MA is contacting a patient to schedule a repeat Papanicolaou test due to abnormal results. The assistant should identify that which of the following factors can interfere with the test results? ✓Using an over-the-counter vaginal cream prior to the test A MA IS DETERMINING THE AMOUNT A PATIENT WILL BE REQUIRED TO PAY FOR A SCHEDULED PROCEDURE THAT HAS AN ALLOWABLE AMOUNT OF $200. THE PATIENT HAS A 90/10 COINSURANCE & MET HIS DEDUCTIBLE. WHAT IS THE TOTAL AMOUNT THE PATIENT WILL PAY THE PROVIDER FOR THIS PROCEDURE? ✓$ A MA is discussing info with a patient about a new medication that the provider prescribed. Which of the following actions should the assistant take? ✓Reinforce teaching about the frequency of medication administration A MA is disposing of the syringe and needle she used to inject a seasonal influenza vaccine Which of the following actions should the assistant take? ✓DROP THE SYRINGE, NEEDLE FIRST, INTO THE BIOHAZARDS SHARP CONTAINER A MA IS ENCOURAGING A PATIENT TO INCREASE HER INTAKE OF INSOLUBLE FIBER TO HELP PREVENT CONSTIPATION & HEMORRHOIDS. WHICH FOODS SHOULD THE MA RECOMMEND AS THE BEST SOURCE OF INSOLUBLE FIBER? ✓PEARS WITH SKIN A MA is entering a new prescription into a patient's electronic medical record (EMR). While entering the prescription, an alert notifying the assistant of a medication interaction appears on the screen. Which of the following actions should the assistant take? ✓Consult with the provider before continuing to process the prescription A MA 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? ✓papules A ma is explaining a venipuncture procedure to a patient. Which of the following statements should the assistant make? ✓"Ill be collecting a blood sample from you today, there will be a small stick in your arm" A MA is explaining to a female patient how to collect a clean catch urine specimen. Which of the following instructions should the assistant include. ✓With the labia spread, urinate a small amount into the toilet before collecting the sample A MA IS FAXING A PRESCRIPTION TO A PATIENT'S PHARMACY. WHICH ACTIONS SHOULD THE MA TAKE? ✓Call the pharmacy to confirm receipt of the faxed prescription A MA is measuring a patients oxygen saturation with a pulse oximeter. Which of the following actions should the assistant take? ✓check capillary refill in patient finger. A MA is measuring the circumference of an infant's head. Which of the following actions should the assistant take? ✓Place the zero mark of the measuring tape against the infants forehead A MA is measuring the vitals signs of an adult patient. The assistant should identify which of the following BP readings as stage 2 hypertension ✓150/95Hg A MA is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the assistant should perform? ✓head circumference A MA is obtaining a blood pressure measurement from an adult patient. Which of the following actions should the assistant take to ensure an
interaction between which of the following 2 body systems? ✓Circulatory and respiratory A MA is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patients skin lesions the assistant should expect to observe which of the following characteristics? ✓Silvery, scaly A MA IS PREPARING STERILIZATION FOR HEMOSTATS BEFORE AN INVASIVE PROCEDURE. WHICH TECHNIQUES SHOULD THE MA USE? ✓Autoclave A MA is preparing to administer a liquid, oral medication to a patient. Which of the following methods should the assistant use to ensure the correct dose is delivered? ✓Pour the medication to the prescribed dose in the medicine cup on a flat surface. A MA is preparing to apply ointment to several abrasions on a patients leg. which of the following supplies should the MA use to remove the medication from the jar. ✓A tongue blade A MA is preparing to assist a provider with suturing a wound. Which of the following items should be in the sterile field for this procedure ✓hemostat A MA is preparing to calculate a patients heart rate from an EKG tracing. Which of the following methods should the assistant use for this calculation ✓Divide 1500 by the number of small boxes between two R waves A MA is preparing to collect a patients temp. Via the tympanic membrane, in which of the following locations should the assistant place the thermometer? ✓On the forehead A MA is preparing to create a report about a patients who have a family history of breast cancer. Which of the following types of software will allow
the assistant to sort, retrieve and combine information for this report? ✓Database management A MA is preparing to perform a capillary collection from an older adult patient who has poor circulation in his hands. Which of the following techniques should the assistant use to increase circulation at the collection site? ✓Warm the patients hand A MA is reinforcing instructions with a patient about how to take a buccal tablet. Which of the following instructions should the assistant give the patient? ✓Place the tablet between your gums and cheek A MA is reinforcing teaching about a cardiac event monitor with a patient. Which of the following statements by the patient indicates an understanding of the procedure? ✓I will record any symptoms I experience in the event log A MA is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching? ✓Remove your nail polish before the test A MA is reinforcing teaching with a patient about the self administration of insulin injections. Which of the following patient statements indicates an understanding of the teaching? ✓I will roll the bottle between my hands before drawing the medication A MA is reinforcing teaching with a patient about the use and care of a transdermal patch. Which of the following instructions should the assistant include in the teaching? ✓Select a different application location for each new patch A MA is removing sutures from a patient who has a laceration on his left lower leg. After setting up the sterile field, which of the following actions should the assistant take? ✓Lift the first knot away from the skin
A MA is reviewing the list of medications a patient reports currently taking. The assistant should recognize that which of the following medications is available in a sublingual form ✓nitroglycerin A MA IS SCHEDULING DIAGNOSTIC TESTS FOR A PATIENT'S LIVER & PANCREAS. WHICH SYSTEMS IS BEING ASSESSED? ✓digestive A MA is speaking with a patient who has seasonal allergies. Which of the following health care providers should the assistant identify as being able to make a diagnosis & initiate the necessary treatment ✓physician assistant A MA is speaking with a patient who recently received a terminal diagnosis. The patient states, "I regret not taking better care of myself. Now, I won't be able to accomplish what I wanted to do with my life." The assistant should identify that the patient is in which of the following stages of grief? ✓depression A MA IS TALKING WITH A PATIENT WHO IS EXPERIENCING HOME DISPLACEMENT FOLLOWING A HURRICANE. TO WHICH RESOURCES SHOULD THE MA REFER THE PATIENT FOR INFORMATION, SUPPORT, AND LINKS TO COMMUNITY SERVICES? ✓American Red Cross A MA is testing a patients visual activity using a snellen chart. Which of the following actions should the assistant take? ✓Make sure the patient does not lean forward during the test. A MA is transcribing a prescription for a medication that a patient should take before meals. Which of the following abbreviations should the assistant use to indicate when the patient should take the medication? ✓ac- before meals A MA 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? ✓magnesium sulfate
A MA IS USING A BUTTERFLY NEEDLE SET TO OBTAIN A BLOOD SAMPLE
FROM A VEIN IN A PATIENT'S HAND. WHICH ACTIONS SHOULD THE MA
TAKE? ✓Hold the needle by its wings A MA is using a scale with a height bar to measure a patient's height. Which of the following actions should the assistant take? ✓LOWER THE HORIZONTAL BAR GENTLY SO THAT IT RESTS ON THE TOP OF THE PATIENTS HEAD A MA IS WITNESSING A PATIENT SIGN AN INFORMED CONSENT FORM. WHICH IS THE RESPONSIBILITY OF THE MA ACTING AS A WITNESS? ✓Validate the patient's signature A ma is writing a piece of professional correspondence to a consulting provider. In which of the following ways should the ma read the date on the letter? ✓January 1, 2020 A MA 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? ✓sterilization A MA receives a chemical splash in her eyes. Which of the following actions should the assistant take first? ✓Flush the eyes with tepid water A MA receives a denial payment for a patients cholecystectomy. The reason state "non covered service" if this is procedure was deemed emergent by the provider which of the following actions should the assistant take ✓Instruct the patient to contact the insurer about the denial of payment A 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 which of the following techniques to
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? ✓Problem-focused examination A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. Which of the following actions should a medical assistant take first? ✓Call for help and begin CPR A patient reports getting a bill that includes services she did not receive. Which of the following actions should a medical assistant take to reconcile these charges? ✓Review that day's encounter forms to determine if another patient received the services. 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? ✓Assist the patient in locating a provider to accommodate the patient's needs A PATIENT TELLS A MA THAT HIS PROVIDER'S OFFICE IS INCOMPETENT, AS THERE IS NO IMPROVEMENT IN HIS CONDITION. WHICH IS AN APPROPRIATE RESPONSE FOR THE MA TO MAKE? ✓I THINK THAT YOU FEEL THAT YOUR TREATMENT IS NOT EFFECTIVE A provider examines an older adult patient who is disabled and has a lesion on her arm. A medical assistant should anticipate a referral for this patient to which of the following ancillary services? ✓home health care A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. Which of the following instruments should the assistant include on the tray? ✓scissors A provider placed an open sharps container in the linen hamper by mistake. Which of the following is the appropriate action for the medical
assistant to take? ✓DISPOSE OF THE LINEN HAMPER'S 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. (Oxycodone is a schedule II controlled substance with significant restrictions. Schedule II substances have a high risk of abuse and dependency.) According to OSHA guidelines for universal precautions, which of the following types of patient contact would require a medical assistant to wear gloves, a mask, a face shield, and protective apparel? ✓Assisting a provider with the removal of a cyst An adolescent is covered by two insurance policies under her divorced parents who have birthdays in May and August and have joint custody. Which policy is the primary policy for the adolescent? ✓The policy of the parent who has the earliest birth month At what time of day will a patient's body temperature be at its lowest? ✓in the morning At work, a MA cared for a neighbor who sustained multiple injuries in a fall. After work, another neighbor ask the assistant what happened to the neighbor who fell. Following the American association of medical assistant (AAMA) code of ethics, which of the following responses should the assistant make? ✓"I can't share any information about what happens at my job" During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? ✓syncope I'm which of the following locations should a MA place the electrode for lead V4? ✓The fifth intercostal space, left midclavicular line
actions should the assistant take? ✓Draw a line through the error and initial it When informed consent is required for a procedure. Which of the following steps should occur prior to a patient signing the form? ✓The provider should review alternative procedures with the patient. When measuring a patient's respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading? ✓Count the respirations while the patient thinks his pulse is being obtained When performing the palpatory method for obtaining BP. Which of the following indicates the level at which the MA should inflate ✓30 mm Hg above the radial pulse cessation When should the code on glucose cuvettes be compared to the code on the glucometer? ✓Before a patient is tested When using a centrifuge, a medical assistant must do which of the following to ensure safety and accuracy? ✓Cap the tubes to avoid emission of aerosols WHERE SHOULD A MA PLACE THE ELECTRODE FOR LEAD V5? ✓On the left anterior axillary line, horizontal to V Which of the following actions should a MA take to verify the quality of venipuncture supplies before beginning a blood draw ✓Inspect the integrity of the needle's seal Which of the following actions should the MA take when obtaining the length of an infant during a well child visit? ✓Position the infant on his back.
Which of the following cardiac procedures is within a MA's scope of practice and does not require a licensed technician or provider to assist or perform it? ✓Holter monitor application Which of the following cell structures is instrumental in helping the body mobilize & secrete mucus from the respiratory tract ✓cilia Which of the following cell structures is the source of energy ✓Mitochondria Which of the following EKG artifacts is caused by a disconnected electrode and result in the tracing going into the margins of the paper? ✓Interrupted baseline Which of the following groups of EKG leads are bipolar ✓Leads I, II, and III Which of the following information should the MA enter into the appointment calendar when scheduling a patient for a skin rash? ✓Daytime phone number Which of the following instructions should the MA give to a patient when administering on enteric-coated tablet ✓"Swallow the tablet thoroughly with a glass of water" Which of the following is a MA's role in pulmonary function testing (PFT)? ✓Coach the patient through the test Which of the following is outside of a MA'a scope of practice ✓Order additional laboratory tests to confirm the patients condition.
Which of the following should a MA identify as the purpose of a category || code in procedural coding? ✓Tracks provider performance measures Which of the following steps for a finger stick should a ma complete first? ✓Confirm the correct identity of the patient Which of the following techniques should a MA use for the routine cleaning of EKG cables ✓Disinfection Which of the following techniques should a MA use to confirm a patients understanding of insulin administration ✓Observe the patient as she performs a self-demonstration Which of the following techniques should a MA use when bandaging a wound? ✓Wrap the wound distal to proximal Which of the following terms should a MA use to tell a provider that a patient is having discomfort and difficulty breathing ✓dyspnea Which of the following types of written correspondence can be signed by the MA? ✓A notification letter to a patient about surgery arrangements
