This BUNDLE contains 8 sets of different study materials guaranteed to ace your exams NHA CCMA Exams!
CCMA Exam 2023
If a patient wish to withhold life-sustaining treatment, which of the following
advance directives should the medical assistant add to the patient’s chart
Do-not-resuscitate (DNR) prescription
A medical assistant discovers blood-saturated gauze in the reception area. To which
of the following plans should the assistant refer to determine what action to take?
Environment exposure safety plan
Which of the following actions should a medical assistant take during
handwashing?
Use liquid soap and friction.
A lumbar tap is used to collect which of the following types of nonblood specimen?
Cerebrospinal fluid
A medical assistant is obtaining a sample from a patient for a PT/INR test. Which of
the following additives should be in the Vacutainer for this test?
Sodium citrate
A provider is running 2 hr. behind schedule. The medical assistant should apologize
for the delay and do which of the following?
Double-book per modified wave schedule.
While performing a routine EKG, a medical assistant notices that the patient is
shivering. Which of the following artifacts should the assistant identify on the
tracing?
Somatic tremor
Which of the following instruments is used to grasp during a procedure?
Forceps
A medical assistant is caring for a patient who reports bilateral side pain and
dysuria. The assistant should expect an order for which of the following diagnostics
procedures?
Urinalysis
Which of the following guidelines applies to sending orders for schedule II
prescriptions?
Orders can either be written or an e-prescription.
A medical assistant notes the abbreviation “NS” next to several appointments from
the previous day’s office schedule. Which of the following is the correct description
of this abbreviation?
No show
An advantage of breastfeeding is that it enhances which of the following types of
acquired immunity?
Passive natural
Which of the following action should a medical assistant take when interviewing a
patient who has anxiety?
Acknowledge the patient’s anxiety.
Which of the following micro-organism is the causative of syphilis?
Treponema pallidum
When performing a standard 12-lead EKG. How many electrodes should the
medical assistant place on the precordial area?
6
A patient’s blood stains a medical assistant’s uniform. Which of the following should
the medical assistant do first?
Finish the procedure
A provider has prescribed the following diagnostic tests for a patient: gallbladder
series, chest x-ray, abdomen CT scan and lower Gl studies. The medical assistant
should schedule which of the following test first?
Chest x-ray
A medical assistant should take which of the following actions when removing
sutures?
Clean the wound with a disinfectant
Which of the following conditions is a cause for specimen rejection for a routine
urinalysis?
Urine specimen volume is 6 ml.
Which of the following legal documents appoints a health care proxy to make
medical decisions for a patient in the event that they cannot?
Durable power of attorney
CCMA Study Guide
Questions you should answer ( I will attach the Study Guide Answer Key below )
1.) If the CCMA schedules 3 patients at 12:30pm. And starts to see them 15 minutes apart. What is this called?
2.) If someone is perfectly healthy, what precautions should you take?
3.) Ms. Norman reports chest pain, lab results come back that she has Pneumonia. What precautions should the CCMA
take?
4.) How would you take blood? (Tubes In order by Color)
5.) What is the Joint Commission?
6.) When should you wash your hands?
7.) Debra walks into Ms. Cline’s room and takes her history. She walks out into the hallway and tells the nurse that is
handling Mr. Smith’s history about Ms. Cline’s test results. She continues to laugh. What law did Debra break?
8.) What needle size should the CCMA get for a subcutaneous injection?
9.) What is OSHA?
10.) Pete Ryans enters the clinic, he tells the CCMA he is ready for his surgery. The CCMA prepares him for surgery.
She then checks with insurance to see if it will be covered. Insurance company says no the surgery is not diagnostic, it is
cosmetic. How should the CCMA handle this?
11.) Which position should the CCMA lay the client who is getting her annual pap smear?
12.) A medical assistant enters the room to discharge a patient. The patient asks can she prescribe her Vancomycin for
her infection, since the doctor won’t? The CCMA says yes, What is this called?
13.) When the patient is lying flat but their head is below their waist. What position is this?
14.) A woman enters the room for an annual pap smear. Please Set up the room.
15.) What form would you submit for the provider’s insurance claim?
16.) What is -ectomy?
17.) When taking blood pressure, which number is the top number?
18.) A client returns to the clinic, for a tb reading. The reading shows the client has been exposed to TB. What does the
CCMA do next?
19.) What is considered hypertension?
20.) The NP is listening to the patient’s heart beat, what is the medical term for this?
21.) Second layer of skin
22.) Third layer of skin
23.) Fourth layer under the skin
24.) What is an ECG/EKG monitor?
25.) Where would you place the Nodules?
26.) Myo means?
27.) Arteries pump blood _ the heart? 28.) Ventricles pump blood __ the heart?
29.) A patient comes into the hospital and states they are having pain is 7/10. You proceed to gain information, you see
there oxygen is decreasing during your history check. You ask the patient again if you are experiencing pain. They say
no. But no pain medication was administered. What is happening You are observing the doctor touch all 4 quadrants of
the patient’s abdomen, what is the medical term for this?
30.) Where is the Axillary temperature taken?
31.) How long do you listen to the Apical pulse?
32.) What is HIV? ( What are the Letters )
33.) Where is the radial pulse?
34.) Where is the brachial pulse?
35.) You notice that the other CCMA took the used needle out of the room. What should you do?
36.) You just gave an TB injection, but pricked your finger. What are the 4 things you should do in order?
37.) What is Medicaid?
38.) What is medicare?
39.) A woman who is 23 enters into the clinic and she reports stomach pain and NVD. What indication tells you she
CCMA Study Guide
Name: ____________ Class: _______ Date: _ ID: A
2
CCMA Review 2020 Update
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which of the following should a medical assistant instruct a patient to do before a scheduled pulmonary function test? a. Consume dairy products in limited amounts c. Undergo a nebulizer treatment 3 hr before the test begins. b. Refrain from using bronchodilators. d. Perform a cardiac stress test prior to arrival. 2. Which of the following should a medical assistant use when sending out reminders to patients for their yearly
appointment?
a. A tickler file c. A ledger card
b. An audit trail d. A CMS-1500 form
3. A medical assistant has performed quality control testing on urine dipstick tests, which has failed to produce the required control results as per the package insert. Which of the following actions should the assistant take? a. Warm the reagent solution and retest. c. Dilute solution before retesting b. Verify the reagent solution expiration date. d. Chill the solution before retesting. 4. Which of the following criteria are used to determine BMI?
a. Weight and gender c. Height and weight
b. Weight and activity level d. Height and age
_ 5. Which of the following methods should a medical assistant use when weighing a patient who has balance
issues?
a. Have the patient sit in a chair on the
scale.
c. Position a cane on the scale between her
feet.
b. Have the patient hold on to the wall
while weighing.
d. Position a walker over the scale.
Name: ____________ ID: A
2
_ 6. Which of the following instructions should a medical assistant give to a patient about the use of a Holter monitor equipped with an event marker? a. “Press the marker when symptoms begin.” c. “Press the marker when your exercising routine begins.” b. “Press the marker when the monitoring period begins.” d. “Press the marker when you stand up.” 7. A medical assistant has a question about the accreditation standards for the provider’s office. Which of the
following resources should the assistant consult?
a. The Joint Commission c. CLIA
b. The Affordable Care Act d. OSHA
8. Which of the following actions should a medical assistant take when performing an ear irrigation? a. Place the irrigation tip directly into the ear canal. c. Leave a cotton ball in place for 15 to 20 min following the procedure. b. Send the solution to the laboratory for culture following the procedure. d. Ensure the solution is warm prior to use. 9. Which of the following routes should be used for an insulin injection
a. Intramuscular c. Subcutaneous
b. Intravenous d. Intradermal
10. A provider will be performing a physical examination on a patient who has a sore throat. Which of the following supplies should the medical assistant prepare for the exam? a. Peak flow meter c. Otoscope b. Reagent strip d. Microscope slide 11. A medical assistant pretends to be busy rather than speak to a coworker with whom they have a conflict. The
assistant is demonstrating which of the following types of passive-aggressive behavior?
a. Denial c. Reflection
b. Distraction d. Avoidance
___ 12. Which of the following actions should a medical assistant take prior to obtaining an EKG tracing
a. Check for presence of artifacts c. Calibrate the unit
b. Clean the skin using adhsive gel d. Check paper level
Name: ____________ ID: A
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_ 13. Which of the following is the current universal claim form submitted for outpatient medical billing? a. Superbill c. CMS-1500 b. HCFA-1500 d. UB-04 14. A medical assistant obtains an elevated blood pressure reading from a visibly upset patient. Which of the
following actions should the assistant
a. Use the palpatory method for blood
pressure.
c. Measure blood pressure at the wrist.
b. Perform orthostatic blood pressure. d. Recheck the blood pressure after a few
minutes.
15. A medical assistant is preparing to perform a capillary collection on a child. Which of the following factors should the assistant consider to determine whether to use the heel-stick or finger-stick method? a. Child’s age c. Parent’s preference b. Ease of access d. Pain tolerance 16. An influenza vaccination was ordered by the provider and performed on the patient by the medical assistant.
Which of the following information should the assistant document in the patient’s chart upon completion of
this procedure?
a. ICD-10 and CPT code for the vaccination c. Compound of the vaccination
b. Payment method d. Expiration date and lot number
17. A medical assistant is confirming that a patient is in the basal state prior to a procedure. Which of the following responses by the pat acceptable? a. “I have not slept for the past 8 hours.” c. “I have not eaten anything for 12 hours. b. “I have not taken any medications for 10 hours.” d. “I have not voided for 4 hours.” _ 18. To be in compliance with HIPAA, a medical assistant should ensure that which of the following statements is
provided to patients?
a. Waiver of accountability statement c. ADA accommodations statement
b. Policies and procedures statement d. Confidentiality statement
NHA CCMA Exam Q & A
An MA discovers an unidentifiable liquid on the floor of ones of the clinic’s
treatment rooms. which of the following materials should the Assistant use to
remove and dispose of the liquid?
A clean-up kit
A medical assistant has just received a derogatory e-mail from a dissatisfied
patient. what action should the assistant take?
Print the e-mail and take notes about topics to be addressed prior to formulating a
response
What should the assistant ask the patient to do when performing a Weber test?
If he hears the vibration louder in one ear than the other
Rinne test
The patient is instructed to raise his hand when the sound disappears
Prior to a patient’s follow-up appointment, which of the following information
should a MA report to the provider?
Recent laboratory results
Why should the assistant place the removed sutures on a gauze pad?
To determine the number of sutures removed
Several patients arrive at the clinic at the same time requesting care. A MA should
recognize that which of the following patient’s chief complaints is the priority for
the provider to address?
An adult patient who is experiencing dyspnea and congestion
A medical assistant is caring for an infant who suddenly becomes unresponsive for
unknown reasons. what action should the assistant take?
Initiate cardiopulmonary resuscitation
A medical assistant is reviewing a patient’s medical history prior to the patient’s
appointment. which of the following laboratory results indicates the need to
schedule an extension of the current visit?
Fasting blood glucose 168mg/dl
Which of the following terms refers to the range of fees charged by providers who
have similar training and experience and practice in the same geographical area?
Customary
Which of the following action should the medical assistant take when obtaining the
head circumference of an infant?
Record the measurement to the nearest 0.6 cm (1/4 in)
A medical assistant is preparing a patient for edema. in which position should the
assistant place the patient for this procedure?
Sims’ position
How many digits are there in CPT codes?
Five digits
Urticariap
A rash on the skin that consists of hives or wheals, which are itchy, raised lesions.
it is a sign of an allergic reaction
Category 11 Code
Used to track provider performance measures
A pulse oximeter can register an artificially low oxygen saturation measurement for
a patient who has which of the following conditions?
Cold fingers
A medical assistant is collecting data from a patient who is experiencing heatstroke.
which of the following manifestations should the assistant expect to find?
Hot skin
A medical Assistant is administering eye ointment to a patient. what action should
the assistant take?
Apply a thin ribbon of ointment along the conjunctival sac
Antitussive
Suppresses the cough reflex
A medical assistant has requested a pre authorization for a patient referral to a
specialist. what reason for the claim submitted by the specialist to be denied?
The service is provided after the expiration date
Psoriasis
A chronic skin disease characterized by pink or red lesions, with scaly patches have
a silvery appearance
What type of written correspondence can be signed by a medical Assistant
A notification letter to a patient about surgery arrangements
Remittance advice
Itemized all paid, denied and allowable charges for a patient
A MA is completing a progress note using the SOAP format. what patient
information should the Assistant include in the assessment section?
Diagnosis
When performing a first aid procedure to control bleeding of a wound, which of the
following actions should a medical assistant take?
Apply layers of sterile gauze
A clinical medical assistant is drawing five blood collection tubes. When should the
tourniquet be released?
Within 1 min of application of the tourniquet
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
Which of the following techniques should a medical assistant use when bandaging a
wound?
Wrap the wound from distal to proximal
A medical assistant is providing instruction to a patient on how to take an
extended- release medication PO. which of the following statements made by the
patient indicates a need for further teaching?
I can crush or chew the pill if it is too hard for me to swallow
NHA CCMA Exam Certification Study Guide
Which blood tests can NOT be done using dermal puncture?
ESR, BC
You have the right to caring staff who believe your reports of pain
Example of the patient bill of rights for pain management
Method of taking pulse used on children and patient with irregular heartbeat?
Apical pulse
Modes of transmission?
Contact (direct or indirect) droplet, airborne, common vehicle, vector
What is the least expensive and most available disinfectant for surfaces?
1:10 bleach solution
Define surgical asepsis?
All microbial life, pathogen and non-pathogens are destroyed
What is used at 250-254F, 15 pounds of pressure for 20-40 minutes?
Autoclave
Used for instruments that easily corrode?
Dry heat sterilization
What is the most important means of preventing the spread of infections?
Handwashing
PPE includes?
Mask, Goggles, Face shields, Respirator
What defines standard precautions?
All patients are presumed to be infective for blood borne pathogens
This is an infection control method designed to prevent direct contact with blood or
other body fluids?
Standard precautions
This replaces universal precautions and body substance isolation?
Standard precautions
Don gloves, face shields if danger of splashing, dispose of all needles without
recapping into the sharps container
Standard Precautions
This is the second tier of precautions used when patient is contagious?
Transmission based precautions
Define contact precautions?
Reducing the risk of transmission of microorganisms direct or indirect
Special air handling and ventilation are required to prevent?
Airborne diseases under Airborne Precautions
This is an emerging and important problem in the health care field
Latex Sensitivity
Every health care worker with this latex allergy should wear this?
Medical alert bracelet
CC
Chief Complaint
Segment
Line between two wave forms
P-wave
Atrial Depolarization
How many 1mm boxes are in a 6 second Rhythm strip?
30 one millimeter boxes
The SA node represents which waveform on the EKG?
Only the P-wave
What is the reading you can get from the RR interval?
Ventricular Pulse
What is the primary stage of Hemolisis?
Vascular phase and platelet phase together
NHA CCMA Exam Study Guide
What is an EKG?
Electrocardiogram
Graphic representation of the hearts electrical activity
Where does deoxygenated blood enter the heart?
Right atrium
What does the P-wave represent?
Atrial depolarization
What does the QRS complex represent?
Ventricular depolarization
__ converts cardiac arrhythmia into normal sinus rhythm.
Cardioinversion
Where is the lead for a V6 reading placed?
Horizontal to V4 at left mid axillary line
Why must an EKG machine be standardized?
To determine whether the machine is set and working properly
EKG tracing should be performed in a quiet, warm room away from electrical
equipment to_____ . Reduce artifacts What is the next step in the EKG procedure after the electropad sensors are removed? Assist patient as needed tests require injecting the patient with a radioactive substance.
Thallium stress test
A patient wearing a holter monitor must remember to_______.
Keep a diary of times
An example of an artifact cause by electrical interference is _ AC interference __ can be caused by poor quality electrolyte gel.
Wandering baseline
Why should the MA place the power cord pointing away from patient and not allow
cable to go underneath cable?
Reduce wandering baseline
4 reasons to have EKG?
- Detect myocardial ischemia
- Estimates damage from MI
- Evaluate arrhythmias
- Assess cardiac meds on heart
What is the body’s natural pacemaker?
SA node
What does the cardiac cycle represent?
One heartbeat
The contraction of cardiac cells from electrical discharge is . Depolarization When myocardial cells recover electrically it’s called
Repolarization
The standard EKG records how many leads?
12
An is a device placed on the skin that picks up electrical impulses given off by
the heart.
Electrode
Why should an electrolyte be used when running an EKG?
The skin is a poor conductor of electricity
Leads I, II, and III are also called .
Bipolar leads
If the metal tip of a lead wire becomes detached from an electrode __ occurs.
Interrupted baseline
NHA CCMA Exam Q & A
You are alone, providing CPR for a very small 3-year-old child. What is the correct
technique to follow in performing chest compressions on this child?
Use the heel of one hand
Who should correct an error in a patient’s chart?
The person who originally charted the entry
Which wave should a CCMA use to determine the regularity of ventricular
depolarization?
R Wave
Orders are to collect CBC, PTT, and Iron. The CCMA forgets to draw the PTT. What
does she do?
Keep the specimens and draw the PTT
What dressing do you use for burns or wounds with necrotic tissues?
Hydrogels
To determine therapeutic monitoring levels, what information is most important?
What time the next does is due
When should a patient with a Holter Monitor record?
While running
How many mL are in one tablespoon?
15
Where are V7, V8, and V9 placed?
Evenly spaced on the back between the axillary line and the vertebral column at the
5th intercostal space
What is proper transporting procedure after collecting an ammonia specimen?
Place the specimen in an ice water slurry
What can cause a hemolyzed specimen?
Shaking the tube vigorously
What gauge needle do you use for a SubQ injection?
25
Where is V4 placed?
5th intercostal space, left mid-clavicle line
What is the anticipated finding of an impaired conduction through an AV node?
Prolonged PR interval
Where is the collection site for a CBC to be done on a 10 month old?
Left heel
When do you collect a newborn screening card?
1-7 days’ old
MA Certification Test
Which of the following is the standard speed for an EKG machine?
25 mm/second
An intermuscular medication should be administered?
At a 90-degree angle and aspirated
To determine our ventricular pulse, the EKG technician would?
Calculate the spacing between the P waves
Three premature ventricular complexes (PVCs) in a row is called an?
Triplet
The leads used to read Lead II?
Left leg to right arm
Which of the following would not be a cause or reason to stop the exercise
electrocardiography?
Patients heart rate is considered normal
When a person stays in the same position all the time, pressure causes the skin to?
Weaken and become necrotic
What is the correct pathway that the impulse takes through the ventricles?
AV Bundle, Bundle branches, conduction myofibers
What is the purpose of using an electrode?
To promote a good reading from the EKG
On ECG paper horizontal measurements are used to determine the?
Heart rate
What is the reference point to identify the changing electrical amplitude?
Isoelectric line
The boundaries for the approved area in performing heel punctures are?
The medial line extending from the fourth and fifth digit
The primary pacemaker of the heart is called?
Sinoatrial node
One method to calculate heart rate from an EKG strip is to?
A count small boxes between the R-R interval and divide into 1500
When attaching the black limb lead, place it on the?
Left arm
Sinus _ is a slow dysrhythmia
Bradycardia
Automaticity refers to?
The ability to respond to an electrical stimulus
Asystole
Produces a complete cessation of cardiac output
Regulation of heart rate, speed of electrical conduction and strength of contraction
are influenced by brain via the __ nervous system
Autonomic
Impulses that arise from outside the SA node?
Are called P prime (P’) waves
Movement away from the baseline is called?
Wave form
Which limb sensor is the reference or ground electrode?
Right leg
Normal QRS complexes are those that?
Are upright and narrow
The correct lead from the center of the heart to the positive pole of the leg is?
AVF
A monitor that a patient wear for 24 hours is called a(n)?
Holter
The term used to describe the ability if the cardiac cells to shorten in response to an
electrical stimulus is?
Contractility