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NHA CCMA Practice Questions with Complete Correct Solutions, Exams of Nursing

A set of practice questions and answers for the certified medical assistant (cma) exam administered by the national healthcareer association (nha). The questions cover various aspects of medical assisting, including patient care, administrative tasks, and clinical procedures. Each question includes a detailed explanation of the correct answer, providing valuable insights into the concepts tested on the cma exam.

Typology: Exams

2024/2025

Available from 03/21/2025

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NHA CCMA PRACTICE QUESTIONS WITH COMPLETE CORRECT SOLUTIONS
"A medical assistant is checking a patient out of the clinic. In which of the following documents
should the assistant locate information about the provider referrals or follow-up appointment
request for the patient?
a. Encounter form
b. CMS-1500 claim form
c. OSHA form 301
d. Informed consent - CORRECT ANSWER a. Encounter form
- the encounter form aka "superbill" contains information about any and all services provided by
clinic staff, as well as any additional actions required, including referrals and follow-up
appointments
- the CMS-1500 claim form is the standard billing that contains procedural coding related to
patient care during the visit; it doesn't contain information about referrals or future
appoinments"
- the electronic blanket can interfere with recording
- the patient wears the Holter monitor for 24 to 48 hours"
"A medical assistant is adding information to a patient's computerized problem-oriented medical
record (POMR). Into which of the following sections of the POMR should the assistant enter the
patient's health history and laboratory results?
a. Problem list
b. Database
c. Progress notes
d. Diagnostic and treatment plan - CORRECT ANSWER b. Database
- The problem list includes the patient's problems/conditions, including those involving social,
demographic, medical, or surgical concerns
- The database includes the patient's medical history, diagnostic and laboratory results, review of
systems, and CC
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NHA CCMA PRACTICE QUESTIONS WITH COMPLETE CORRECT SOLUTIONS

"A medical assistant is checking a patient out of the clinic. In which of the following documents should the assistant locate information about the provider referrals or follow-up appointment request for the patient? a. Encounter form b. CMS-1500 claim form c. OSHA form 301

d. Informed consent - CORRECT ANSWER a. Encounter form

  • the encounter form aka "superbill" contains information about any and all services provided by clinic staff, as well as any additional actions required, including referrals and follow-up appointments
  • the CMS-1500 claim form is the standard billing that contains procedural coding related to patient care during the visit; it doesn't contain information about referrals or future appoinments"
  • the electronic blanket can interfere with recording
  • the patient wears the Holter monitor for 24 to 48 hours" "A medical assistant is adding information to a patient's computerized problem-oriented medical record (POMR). Into which of the following sections of the POMR should the assistant enter the patient's health history and laboratory results? a. Problem list b. Database c. Progress notes

d. Diagnostic and treatment plan - CORRECT ANSWER b. Database

  • The problem list includes the patient's problems/conditions, including those involving social, demographic, medical, or surgical concerns
  • The database includes the patient's medical history, diagnostic and laboratory results, review of systems, and CC
  • The provider should enter progress notes on every problems recorded on the problem list; the notes should be in chronological order and should include the CC, tx, and response to treatments
  • In the diagnostic and treatment plan the provider should document the treatment plan for each condition as well as laboratory and diagnostic test prescriptions" "A medical assistant is to use the Snellen Chart to test and adult's visual acuity. The assistant should instruct the patient to stand which of the following distances away? a. 10 feet b. 20 feet c. 14 inches

d. 30 inches - CORRECT ANSWER b. 20 feet

  • 10 feet is for patients 5 years old or younger for the Snellen chart test
  • 14 inches away is for the Jaeger Near Vision acuity test
  • 30 inches is for the Ishihara color vision test" "A medical assistant is talking with an older patient who sustained a foot fracture in a fall. She reports managing most tasks at home well but has difficulty navigating with her crutches and is currently homebound. To which of the following resources should the assistant refer the patient? a. Hospice services b. Legal Aid Society c. Meals on Wheels

d. American Red Cross - CORRECT ANSWER c. Meals on Wheels

  • Meals on Wheels is a program designed to support older adult patients who are considered homebound by delivering meals daily.
  • The Legal Aid Society provides legal support for people who have low incomes" "In which of the following positions should a medical assistant place a patient when obtaining a rectal temperature? a. Sims b. Knee-chest

"A medical assistant is reviewing the medical history of a patient who regularly comes into contact with coal and wood dust. The assistant should recognize that this patient is at an increased risk for developing which of the following disorders? a. Obstructive sleep apnea b. Emphysema c. Atelectasis

d. Carcinoma of the larynx - CORRECT ANSWER b. Emphysema

  • Atelectasis "collapsed lung" can be the result of an obstruction of disorder that allows air to leak from the lung into the area between the lungs and the chest wall, causing the lungs to collapse
  • "A" = not
  • "ectasis" = exspansions/dilation" "A patient is entitled to which of the following medical records? a. Detailed psychotherapy notes b. List of medications with diagnosis c. Original x-rays

d. Information compiled for legal procedings - CORRECT ANSWER b. list of medications with

diagnosis

  • A patient is entitled to a summary of the psychotherapy notes, not the detailed notes themselves
  • A patient is entitled to a copy of the chest x-rays, not the original" "A medical assistant is preparing a patient for a physical examination when he notices that the patient's eyes are moving back and forth in a constant, involuntary manner. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? a. Strabismus b. Nystagmus c. Conjunctivitis

d. Hordeolum - CORRECT ANSWER b. Nystagmus

  • Nystagmus = the constant, involuntary movement of the eyes in a circular, vertical, or horizontal pattern
  • Strabismus = the failure of the eye to look in the same direction at the same time
  • Hordeolum = a stye, which is an infection of a sebaceous gland on the eyelid" "A patient contacts the facility to report a burn injury to her right arm. A medical assistant should identify which of the following pieces of information as necessary when screening for a possible emergency situation? a. The cause of the patient's burn b. The patient's location when the burn occured c. The date of the patient's most recent tetanus immunization

d. The patient's current insurance benefits - CORRECT ANSWER a. The cause of the patient's

burn

  • The MA should ask screening questions based on the injury itself; determining where the burn is located and what caused it are critical pieces of information when screening for possible emergency situations." "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? a. Hold the needle by its wings b. Insert the needle into the skin at a 45 degree angle c. Release the tourniquet after 2 min

d. Activate the safety device before removing the needle - CORRECT ANSWER a. Hold the

needle by its wings

  • holding the butterfly needle by its wings helps the assistant control the needle
  • the assistant should insert the needle at a 10-15 degree angle, almost parallel to the skin" "A medical assistant is performing a spirometry testing for a patient who has shortness of breath. Which of the following results of the spirometry test indicated a successful maneuver? a. A slow and progressive start b. A fast and steady flow with no variability

"A medical assistant is asked to assist a provider with an orthopedic examination. Which of the following instruments should the assistant prepare for the examination? a. Goniometer b. Hemostat c. Retractor

d. Tonometer - CORRECT ANSWER a. Goniometer

  • Goniometer = used to measure joint movement in a single plane
  • Hemostat = used for grasping and clamping blood vessels during surgical procedures
  • Tonometer = used to measure intraocular pressure; used for ophthalmology examinations" "A medical assistant should recognize which of the following blood pressure readings as indicative of an adult patient whose blood pressure level is classified as elevated? a. 115/75 mm Hg b. 128/78 mm Hg c. 100/65 mm Hg

d. 140/90 mm Hg - CORRECT ANSWER b. 128/78 mm Hg

  • a systolic pressure less than 120 and a diastolic pressure less than 80 are considered optimal bp reading for an adult patient
  • a systolic pressure between 120-129 and a diastolic pressure less than 80 indicates that an adult patient has a bp that is elevated
  • a systolic pressure 140+ and a diastolic pressure 90+ indicates stage 2 hypertension" "Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? a. Wandering baseline b. AC interference c. Interrupted baseline

d. Somatic tremor - CORRECT ANSWER c. Interrupted baseline

  • Interrupted Baseline = caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper
  • Wandering Baseline = caused by poorly attached electrodes or patient movement and results in a gradual shift of the tracing away from the center of the paper
  • AC Interference = caused by electrical currents from nearby wiring or equipment and results in a series of even, small spikes in the tracing
  • Somatic Tremor = caused by muscle movement and results in irregular, jagged peaks with a shifting baseline in the tracing" "Which of the following positions should a medical assistant place an 18-month old patient when administering ear drops to the right ear? a. Right ear facing down with the earlobe pulled down and back b. Right ear facing up with the pinna pulled up and back c. Right ear facing up with the earlobe pulled down and back

d. Right ear facing down with the pinna pulled up and back - CORRECT ANSWER c. Right ear

facing up with the earlobe pulled down and back

  • When administering ear drops to a child under the age of 3 years, the patient should be positioned with the ear facing up and the earlobe pulled down and back to allow medication to flow into the canal and reach the affected area
  • When administering drops to a patient, the ear into which the drops will be administered should be facing up" "A medical assistant is preparing a patient for a procedure to have a mole excised. Which of the following actions should the assistant take? a. Administer the anesthetic to the patient b. Put on sterile gloves and gown c. Cleanse the site with surgical soap and an antiseptic swab

d. Open a sterile pack and lay instruments on the counter - CORRECT ANSWER c. Cleanse the

site with surgical soap and an antiseptic swab

"A medical assistant is observing a patient after administering an antibiotic injection. The patient develops an itchy rash with pinkish, raised lesion. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? a. Anaphylaxis b. Urticaria c. Rhinitis

d. Erythema - CORRECT ANSWER b. Urticaria

  • Urticaria = a rash on the skin that consists of hives, which are itchy, raised lesions; it is a sign of an allergic reaction
  • Rhinitis = inflammation of the membrane that lines the nasal passages
  • Erythema = a redness of the skin; however, it does not cause the skin to become itchy or raised" "Which of the following organs is located in the right upper quadrant of the abdomen? a. Gallbladder b. Spleen c. Appendix

d. Stomach - CORRECT ANSWER a. Gallbladder

  • LUQ = spleen, stomach, left lobe of liver, and body of pancreas
  • RLQ = appendix, cecum, right ureter" "A medical assistant is collecting data from a patient who is experiencing heat stroke. Which of the following manifestations should the assistant expect to find? a. Hot skin b. Bradycardia c. Excessive sweating

d. Slow breathing - CORRECT ANSWER a. Hot skin

  • The assistant should expect a patient who is experiencing heatstroke to have hot, red, dry skin
  • The assistant should expect them to have tachycardia
  • The assistant should expect them to exhibit rapid, shallow breathing" "A medical assistant is performing hand hygiene using an alcohol-based hand rub. The assistant should recognize that which of the following information about alcohol-based hands rubs is correct? a. Allergic contact dermatitis is common with the use of alcohol-based hand rub. b. Alcohol-based hands rub should be generously applied to visibly soiled hands c. Alcohol-based hand rub should be applied to one hand and then rubbed between both hands

d. Alcohol-based hand rubs for clinical use should have an alcohol content of 45% to 50% -

CORRECT ANSWER c. Alcohol-based hand rub should be applied to one hand and then rubbed

between both hands

  • The use of alcohol-based hand rubs can be a substitute for hand washing, except for when hands are visibly soiled.
  • Alcohol-based hand rubs intended for clinical use should have an alcohol content between 60% to 95%" "A medical assistant is preparing to sanitize contaminated equipment. Which of the following pieces of equipment can a medical assistant sanitize and reuse without needing to disinfect or sterilize it? a. Nasal specula b. Otoscope c. Curettes

d. Suture removal instruments - CORRECT ANSWER b. Otoscope

  • Sanitation + Disinfection = nasal specula, laryngoscopes, and glassware
  • Sanitation only = otoscope, ophthalmoscope, stethoscope, penlights, and tuning forks
  • Disinfection + Sterilization = curettes and vaginal specula
  • Sanitation + Disinfection + Sterilization = instruments needed for suture removal"

b. Before bedtime c. In the morning

d. At midday - CORRECT ANSWER c. In the morning

  • The patient's body temperature is at its lowest in the morning and increases throughout the day, reaching its highest temperature in the late afternoon" "A medical assistant is obtaining information for a patient's medical history and physical examination. The patient reports intermittent episodes of ringing in his ears. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? a. Presbycusis b. Otosclerosis c. Otalgia

d. Tinnitus - CORRECT ANSWER d. Tinnitus

  • Presbycusis = a type of sensorineural hearing loss that is common in older adults
  • Otosclerosis = an overgrowth of bone inside the ear that results in hearing loss" "A medical assistant is composing a correspondence using the simplified letter style. Which of the following features should the assistant use? a. A complimentary closing b. A subject line in all capital letters c. Indented paragraphs in the body of the letter

d. Center aligned dateline and salutation - CORRECT ANSWER b. A subject line in all capital

letters In simplified letter style:

  • The complimentary closing is omitted and the signature is types in all capital letters
  • The subject line in all caps replaces the salutation
  • All lines are flush with the left margin and paragraphs are not indented" "A medical assistant is assisting in the treatment of a patient who experienced a chemical burn. Which of the following steps should the assistant take? a. Apply ice to the burn

b. Remove any chemical-covered clothing c. Cleanse the site with hydrogen peroxide

d. Apply an adhesive bandage to the burn - CORRECT ANSWER b. Remove any chemical-

covered clothing

  • The assistant should flush the burn with cool water for 15 minutes
  • The assistant should apply a sterile dressing to the patient's burn to reduce the risk of infection" "A medical assistant is assisting a patient who is obese with an insulin injection. Which of the following is the correct angle for this patient's injection? a. 15 degrees b. 25 degrees c. 30 degrees

d. 90 degrees - CORRECT ANSWER d. 90 degrees

  • SC injection are usually administered at a 45 degree angle; however it should be administered at 90 degrees for a patient who is obese" "A medical assistant discovers a garbage can fire has started in the break room of the medical office. According to the RACE acronym for emergency response, which of the following actions should the assistant take first? a. Close the doors and windows b. Turn off the oxygen in the adjacent examination room c. Use the fire extinguisher

d. Evacuate staff and patients from the immediate area - CORRECT ANSWER d. Evacuate staff

and patients from the immediate area RACE:

  • R = Remove all staff and patients from immediate danger from the fire
  • A = Alarm by pulling the closest fire pull-station and by dialing 811 or 77 (or 911 in offcampus and leased facilities) and reporting the location of the fire
  • C = contain the fire (turn off oxygen in adjacent room and close windows and doors)
  • E = Extinguish the fire using the PASS method" "Which of the following body systems should be evaluated for a diagnosis of pyloric stenosis?

a. Phenylketonuria b. Too much garlic consumption c. Uncontrolled diabetes

d. An infection - CORRECT ANSWER d. An infection

  • Urine that smells like ammonia may indicate concentration of waste products, and usually indicates the presence of an infection" "Proteins are necessary for all of the following EXCEPT: a. Promoting growth and repair of tissues b. Providing the framework for bones, muscles, and blood c. Aiding in digestion

d. Producing energy - CORRECT ANSWER c. Aiding in digestion

  • Your body uses proteins to:
  1. build and repair tissues
  2. make enzymes, hormones, and other body chemicals
  3. Is an important building block of blood" "What is the final stage in Erikson's model of psychosocial development? a. Identity vs. role confusion b. Generativity vs. stagnation c. Ego integrity vs. despair

d. Intimacy vs. isolation - CORRECT ANSWER c. Ego integrity vs. despair

  • Successful Outcome = results in a feeling of self-worth
  • Unsuccessful Outcome = dissatisfaction in the life they have lived
  • Happens 65+ years or older" "The pancreas is located just below the ______? a. Diaphragm b. Heart c. Stomach

d. Bowels - CORRECT ANSWER c. Stomach

  • The pancreas is primarily responsible for regulating blood sugar levels by releasing glucagon (alpha islets) or insulin (beta islets)" "What is abnormal redness of the skin occurring over widespread areas of the body called? a. Melanoderma b. Erythroderma c. Xeroderma

d. Leukoderma - CORRECT ANSWER b. Erythroderma

  • Melanoderma = Increased skin pigmentation, darkening of the skin.
  • Xeroderma = any of various diseases characterized by extreme dryness of the skin
  • Leukoderma = a condition in which the pigment is lost from areas of the skin, causing whitish patches, often with no clear cause." "In which pharmacokinetics process is medication broken down by the liver and kidneys? a. Distribution b. Excretion c. Absorption

d. Metabolism - CORRECT ANSWER d. Metabolism

  • Metabolism can be understood as the beginning of the end of a medication's active life in the body.
  • After the active chemicals are broken down by the liver and kidneys into substances that can be excreted out of the body" "Of the following leukocytes, which one is NOT granular? a. Eosinophils b. Lymphocytes c. Neutrophils

d. Basophils - CORRECT ANSWER b. Lymphocytes

  • Schedule III drugs include ketamine, testosterone, and anabolic steroids" "A medical assistant is preparing a referral slip for a patient who reports symptoms of vertigo. The medical assistant should refer the patient to which of the following specialists? a. Ophthalmologist b. Neurologist c. Otolaryngologist

d. Anesthesiologist - CORRECT ANSWER c. Otolaryngologist"

"What is the term for medical information that is linked to a specific patient? a. Private information b. Portable health information c. Confidential health information

d. Protected health information - CORRECT ANSWER d. Protected health information

  • Medical information that is linked to a specific patient is called PHI (protected health information)" "Which of the following best describes atelectasis? a. A genetic disorder that produces a thick mucus secretion b. Obstructive pulmonary disease c. Viral or bacterial infection causing inflammation of the lungs

d. Decreased or absence of air in all of the lung and alveoli - CORRECT ANSWER d. Decreased

or absence of air in all of the lung and alveoli

  • Atelectasis = a decreased or absence of air in part or in all of the lung and alveoli resulting from collapse of these structures" "A patient-centered medical home (PCMH) has 5 core functions and attributes. Which of the following features is included in those functions? a. Ambulatory services b. Affordable health care c. Electronic medical record incentives

d. Comprehensive care - CORRECT ANSWER d. Comprehensive care

  • Five Core PCMH Functions:
  1. Comprehensive care
  2. Patient-centered care
  3. Coordinated care
  4. Accessible services
  5. Quality and safety communication" "Who is known as the "Father of Sterile Surgery"? a. Robert Koch b. Joseph Lister c. Albert Sabin

d. John Hunter - CORRECT ANSWER b. Joseph Lister"

"Vitamin D is a nonessential nutrient a. True

b. False - CORRECT ANSWER a. True

  • Nonessential nutrients are nutrients that the body CAN make and therefore do not need to be consumed as part of your diet
  • Vitamin D and cholesterol are both examples of nonessential nutrients" "A patient in your care is experiencing a hypoglycemic emergency. Of the following, which is the most appropriate action to be taken to help this patient? a. Give the patient orange juice to drink b. Give the patient bottled water to drink c. Give the patient a candy bar

d. Administer insulin to the patient - CORRECT ANSWER a. Give the patient orange juice to

drink" "Which domain of learning refers to the learner's self-interest, attitude, and self motivation? a. Affective learning b. Psychomotor learning c. Cognitive learning

d. Environmental learning - CORRECT ANSWER a. Affective learning