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NHA CCMA 4
Which of the following instruments should a medical assistant have prepared for a cervical polypectomy surgical procedure? Uterine curette Vaginal speculum Uterine dilator - Uterine curette A medical assistant is collecting a health history from a patient who exhibits moderate hearing loss. Which of the following actions should the assistant take? The assistant should keep their hands still to avoid distracting the patient. The assistant should speak in a raised pitch when clarifying information The assistant should use longer sentences to keep the patient's attention. The assistant should face the patient and speak clearly. - The assistant should face the patient and speak clearly. A medical assistant is providing instructions to a patient who is hard of hearing. Which of the following positions should the assistant choose when speaking to the patient? Face the patient when speaking Turn away from the patient Speak very low when talking to the patient - Face the patient when speaking Which of the following should a medical assistant do to assist with hemostasis following completion of a venipuncture procedure? The assistant should tell the patient to hold pressure on the site with their arm below their heart. The assistant should instruct the patient to bend their elbow to help place pressure on the site. The assistant should tell the patient to hold pressure on the site and elevate their arm. The patient should place the bandage themselves and leave immediately after the procedure. - The assistant should tell the patient to hold pressure on the site and elevate their arm. Which of the following pairs of body systems work together to move hormones throughout the body?
Nervous and circulatory Musculoskeletal and reproductive Circulatory and endocrine Respiratory and circulatory - Circulatory and endocrine A medical assistant is preparing a patient for a urine creatinine test. Over which of the following periods of time should the assistant instruct the patient to collect the specimen? 6hr 12 hr 24 hr 48 hr - 24 hr Which of the following pulmonary function tests involves measuring the oxygen saturation of a patient's blood by placing a probe on their finger? Pulse oximetry Peak flow monitor Spirometry test - Pulse oximetry Which of the following can result from the use of outdated or incorrect codes on a billing claim? Delay of laboratory results Reduction of payer reimbursement Incomplete discharge summary - Reduction of payer reimbursement According to the stages of hypertension, which of the following blood pressure readings is considered to be in the elevated stage? 116/74 mm Hg 128/78 mm Hg 182/124 mm Hg - 128/78 mm Hg
A medical assistant is examining a patient who has a third-degree burn on their hands. Which of the following is a first aid procedure the medical assistant can perform? Remove burned clothing stuck to the patient's skin Lower the patient's hands below their waist. Separate the patient's burned fingers. Have the patient increase their breathing. - Separate the patient's burned fingers. In addition to receiving a paper copy of their prescription, a patient has requested that the prescription be called in to their pharmacy. After calling the pharmacy, which of the following actions should the medical assistant take to complete this request? Provide the patient with an unaltered copy of the prescription. Provide the patient with a copy of the prescription with "Copy only" written on it. Provide the patient with a copy of the prescription that reads "Dispense as written." - Provide the patient with a copy of the prescription with "Copy only" written on it. A medical assistant has just completed a successful blood draw. Which of the following information should they record on the labels of the venipuncture tubes prior to transport? Time the patient last ate Initials of collector and the time collected - Initials of collector and the time collected Which of the following stages described by the Kübler-Ross grieving process indicates that a patient may attempt to give something up to gain more time? The denial stage The anger stage The acceptance stage The bargaining stage - The bargaining stage Which of the following vaccinations should patients receive at 7 years of age or older? Hepatitis B Varicella Tetanus, diphtheria, and pertussis (Tdap) Measles, mumps, and rubella (MMR) - Tetanus, diphtheria, and pertussis (Tdap)
A medical assistant has orders to collect blood cultures, a CBC, a prothrombin time (PT), and an iron panel. They forget to draw for the PT. Which of the following actions should the assistant take? Discard the collected specimens and redraw all of them. Keep the specimens previously collected and draw the PT. Call another assistant and notify the supervisor of the situation. Draw a discard tube, then redraw the blood cultures and a blue top tube. - Keep the specimens previously collected and draw the PT. Which of the following is a medical assistant required to document in the electronic health record (EHR) when administering immunizations to a patient? Lot number Immunization purchase date Patient's home address Cost of-immunization - Lot number A medical assistant is cleaning countertops and other surfaces after a surgical procedure. Which of the following disinfectants should the assistant use for this purpose? A 1:10 bleach and water solution Benzalkonium chloride solution Chlorhexidine Alcohol - A 1:10 bleach and water solution Which of the following is the appropriate instrument for removing stitches? A probe Suture scissors A retractor - Suture scissors A medical assistant is preparing the exam room for a patient's general physical examination. Which of the following instruments should be available to the provider for the examination? Forceps Otoscope
Tabs downward on the arm Which of the following coaching recommendations should a medical assistant provide when educating a patient and their family on reducing the spread of infection? Cough or sneeze into the open air. Use only high-level disinfectants on supplies for sanitization purposes. Routinely wash hands before and after meals. Avoid using hand sanitizer. - Routinely wash hands before and after meals. A medical assistant has acquired a preauthorization for a patient's referral to a specialist. Which of the following is a reason for the insurer to deny the claim submitted by the specialist? The approved visits are listed in the preauthorization comments section. The patient previously submitted and received a self-referral. The preauthorization does not include the specialty provider's National Provider Identifier (NPI). The specialist provided the service after the expiration date of the preauthorization. - The specialist provided the service after the expiration date of the preauthorization. A medical assistant calls a patient from the waiting area to obtain a specimen. Which of the following actions should the assistant do first? Identify the patient. Proceed with obtaining the specimen. Educate the patient about correct specimen collection technique. Provide the patient with the lab requisition form. - Identify the patient. Prior to running an EKG tracing, which of the following is the final step a medical assistant should take to ensure the tracing will be clear with a horizontal baseline? Remove artifacts Enter patient information into the EKG machine Cover the patient with a blanket Double-check the electrodes' attachment - Double-check the electrodes' attachment
According to OSHA guidelines for proper waste disposal, which of the following should a medical assistant dispose of in a regular waste container? A positive culture plate Suture staples An empty urine container A capillary tube - An empty urine container Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? Centrioles Ribosomes Cilia Mitochondria - Cilia Which of the following actions should a medical assistant take when dealing with an angry patient? Match the patient's energy. Stand closer to the patient so that they will lower their voice. Allow the patient to talk through their anger. Tell the patient the provider will not see them if they continue to act out their anger. - Allow the patient to talk through their anger. A medical assistant is talking with a patient who sustained a foot fracture in a fall. They report managing most tasks at home well, but they have difficulty navigating with their crutches and are currently homebound. To which of the following resources should the assistant refer the patient? Hospice services Legal Aid Society Meals on Wheels American Red Cross - Meals on Wheels When a procedure requires informed consent, which of the following steps should occur prior to the patient signing the form?
Vital signs Anthropometric measurements - Health history When assisting a patient from a different culture, which of the following should the medical assistant do to help the patient feel more comfortable in the medical office setting? Try to understand their beliefs about disease. Tell the patient, "Your English is very good." Speak very slowly and use medical terms. - Try to understand their beliefs about disease. A medical assistant has a provider order to draw blood for a lead level on an 18-month-old toddler. Which of the following sites should the assistant choose for the venipuncture? Deep brachial veins Superficial dorsal hand veins Scalp vein - Superficial dorsal hand veins Which of the following is defined by 9 calories per gram? The number of calories per serving The number of calories in the entire container The number of calories from fat The number of calories from carbohydrates - The number of calories from fat Which of the following is a component of medical terminology used to ensure the ease of pronunciation? Combining vowel Prefix Suffix - Combining vowel Which of the following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty with breathing? Dyspnea Eupnea
Pneumothorax Pneumonia - Dyspnea A patient's ability to walk, groom themselves, bathe, and eat is evaluated by which of the following screenings? Depression screening Functional status screening Substance use screening - Functional status screening A medical assistant is replacing a sharps disposal container in an examination room and receives a small laceration on their arm from the plastic lid. Which of the following types of documentation should the assistant complete as a result of this incident? Advance Beneficiary Notice (ABN) Incident report 837P/CMS-1500 claim form Quality control log - Incident report A medical assistant is aiding a provider with a colposcopy procedure. In which of the following positions should the assistant place the patient? Supine position Dorsal recumbent position Lithotomy position Lateral semi-prone recumbent position - Lithotomy position A medical assistant is helping a provider who is caring for a patient with a laceration. Which of the following should the assistant recognize is the first step of first aid administration in this situation? Ensure bleeding of the laceration is under control. Suture the laceration. Pour saline on the laceration. - Ensure bleeding of the laceration is under control.
Cut the knot to remove it from the suture. Use bandage scissors to cut the suture. - Grasp and lift the knot away from the skin. Which of the following statements describes the doctrine of professional discretion? A patient can read their own chart without completing a release of information form. A medical office may turn over unpaid bills to a collection agency only after obtaining written permission from the patient. Law enforcement can request protected health information only after the patient has signed a release of information form. When a patient requests a copy of their medical records, the provider may choose not to disclose all of the patient information. - When a patient requests a copy of their medical records, the provider may choose not to disclose all of the patient information. A patient is having an EKG performed and is experiencing dyspnea. In which of the following positions should the medical assistant place the patient? Fowler's position Knee-chest position Lithotomy position Dorsal recumbent position - Fowler's position When performing venipuncture, which of the following is the correct order of draw? Lavender, green, gray Gray, green, lavender Green, gray, lavender Green, lavender, gray - Green, lavender, gray Which of the following methods aids in gathering additional details from the patient regarding their chief complaint? Asking open-ended questions Using visual diagrams Asking closed-ended questions - Asking open-ended questions
Which of the following diagnostic statements is appropriate in the outpatient setting? Fever of unknown origin Suspected strep throat Knee pain and arthritis - Fever of unknown origin If a medical assistant experiences an exposure to an infectious disease via a human bite, which of the following steps should they take first? Report the exposure incident to the supervisor within 48 to 72 hr Utilize an alcohol-based hand sanitizer to cleanse the exposed area. Immediately flush the exposed area following the exposure. Write an incident report to be included in the employee's personal file. - Immediately flush the exposed area following the exposure. A medical assistant is using a butterfly needle set to obtain a blood sample from a vein in a patient's hand. Which of the following actions should the assistant take? Hold the needle by its wings. Insert the needle into the skin at a 45° angle. Release the tourniquet after 2 min. - Hold the needle by its wings. A medical assistant is preparing an 837P/CMS-1500 claim form for a patient treated for a burn injury. Which of the following information is required? Physical address where the injury occurred Patient's health savings account number Current procedural terminology code - Current procedural terminology code A medical assistant in an outpatient facility is preparing a patient for a venipuncture. Which of the following actions should the assistant take to confirm the patient's identity? Ask the patient to state and spell their full name and provide their date of birth. Ask the patient for their provider's name. Ask the patient to state their age and address. - Ask the patient to state and spell their full name and provide their date of birth. Which of the following dictates the operations of physician office clinical laboratories?
Diagnosing symptoms - Providing first aid procedures A medical assistant is preparing to perform a capillary collection from a patient who has poor circulation in their hands. Which of the following techniques should the assistant use to increase circulation at the collection site? Hold the patient's hand above their heart. Squeeze the patient's finger. Warm the patient's hand. Apply a tourniquet above the patient's wrist. - Warm the patient's hand. A 45-vear-old female patient comes in for their annual physical. For which of the following screenings should the medical assistant provide information? Lung cancer screening Bone density screening Cervical cancer screening Mammography screening - Mammography screening A medical assistant is preparing to print an after-visit summary for a patient. Which of the following direct identifiers should the assistant verify to protect the patient's protected health information (PHI)? Mailing address Insurance carrier Employer - Mailing address Which of the following aseptic techniques involves using sound waves to vibrate and cleanse surgical instruments? Sterilization Chemical disinfection Ultrasonic sanitization - Ultrasonic sanitization Which of the following is the purpose of utilizing a clinical centrifuge? To separate a specimen into-different components
To aspirate plasma off the cells To transfer plasma to another tube To avoid hemolysis of the specimen - To separate a specimen into-different components Which of the following is considered an adverse reaction? Nausea Vomiting Diarrhea Anaphylaxis - Anaphylaxis A medical assistant is performing a scratch allergy test on a patient's back. Which of the following distances describes the correct spacing for the small amounts of allergen scratched onto the skin? 1 to 1 ½ inches 1 ½ to 2 inches 2 ½ to 3 inches - 1 ½ to 2 inches A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as they listen with a stethoscope. When should they read the diastolic pressure? When the sound disappears When repetitive sounds begin When the sounds change from strong to muffled When the sounds change from swishing to sharp - When the sound disappears A medical assistant is billing a patient's third-party payer for today's office visit. Which of the following documents does this require? An explanation of benefits (EOB) A release of information form An 837P/CMS-1500 claim form Notice of privacy practices (NPP) - An 837P/CMS-1500 claim form
Suture staples An empty urine container A capillary tube - An empty urine container Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? Centrioles Ribosomes Cilia Mitochondria - Cilia Which of the following actions should a medical assistant take when dealing with an angry patient? Match the patient's energy. Stand closer to the patient so that they will lower their voice. Allow the patient to talk through their anger. Tell the patient the provider will not see them if they continue to act out their anger. - Allow the patient to talk through their anger. A medical assistant is talking with a patient who sustained a foot fracture in a fall. They report managing most tasks at home well, but they have difficulty navigating with their crutches and are currently homebound. To which of the following resources should the assistant refer the patient? Hospice services Legal Aid Society Meals on Wheels American Red Cross - Meals on Wheels When a procedure requires informed consent, which of the following steps should occur prior to the patient signing the form? The medical assistant should explain the procedure to the patient. The medical assistant should describe the risks of the procedure to the patient.
The provider should include information about alternative procedures before informed consent is obtained from the patient. The provider should review the patient's insurance coverage for the procedure. - The provider should include information about alternative procedures before informed consent is obtained from the patient. Which of the following should the medical assistant verify with the patient prior to the patient receiving a prescription for their acute ear infection? The last time the patient had a prescription filled Medication allergies Other chronic medical conditions - Medication allergies A medical assistant is using an alcohol-based hand sanitizer after patient contact. The hand sanitizer should contain at least what percentage of alcohol? 30% 50% 60% 40% - 60% A medical assistant must provide which of the following community resources to a patient who states their partner bent their arm backwards until it broke? Women, Infant, and Children (WIC) Domestic violence shelter Hospice agency Grief support group - Domestic violence shelter Which of the following sections of the clinical medical record includes a collection of the patient's subjective data obtained by a medical assistant during the clinical intake process? Health history Vital signs Anthropometric measurements - Health history
