NHA CCMA Medical Assistance Practice Exam A New Latest Version with All Questions and 100% Correct Answers
NHA CCMA Medical Assistance Practice Exam A
New Latest Version with All Questions and 100%
Correct Answers
A medical assistant is preparing a patient who has congestive heart failure (CHF) for an
examination by the provider. Which of the following manifestations should the assistant
expect? ———- Correct Answer ———- Shortness of breath (SOB)
Expected manifestations of CHF include shortness of breath, fatigue, and edema
When measuring a patients respiratory rate, which of the following actions should a
medical assistant take to ensure an accurate reading? ———- Correct Answer ———-
Count the respiration’s while the patient thinks his pulse is being obtained.
In order to obtain the most accurate reading, the assistant should count the respirations
without the patient being aware that his breathing is being assessed. The patient can
easily control or alter breathing patterns when he is conscious that the assistant is
paying attention to his respirations.
Which of the following laboratory results should the medical assistant recognize is
abnormal? ———- Correct Answer ———- Potassium 3 mEq/L
This potassium level is below the expected reference range of 3.5 to 5 mEq/L.
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? ———- Correct Answer ———- Scissors
Scissors are considered cutting and dissecting instruments because they include a
sharp blade or surface that can cut, dissect, or scrape.
A medical assistant is replacing a sharps container in an examination room and
receives a small laceration on her arm from the plastic lid. Which of the following types
of documentation should the assistant complete as a result of this incident? ———-
Correct Answer ———- OSHA Form 301
The assistant should recognize that the OSHA Form 301 is an incident report used
when reporting details about a work-related injury or illness.
A medical assistant is reviewing a patient’s history prior to the patient’s appointment.
Which of the following laboratory results indicates the need to schedule an extension of
the current visit? ———- Correct Answer ———- Fasting blood glucose 168 mg/dL
This fasting blood glucose level is above the expected reference range of 70 to 130
mg/dL. The assistant should notify the provider and schedule an extension of the
patient’s visit.
A medical assistant is reinforcing instructions with a patient about how to take a buccal
tablet.which of the following instructions should the assistant give the patient? ———-
Correct Answer ———- “Place the tablet between you or gums and cheek.”
The assistant should instruct the patient to place the buccal tablet between his gums
and his cheek. A buccal tablet acts faster than oral tablets because it does not need to
pass through the gastrointestinal tract to be absorbed.
Which of the following terms should a medical assistant use to tell a provider that a
patient is having discomfort and difficulty breathing? ———- Correct Answer ———-
Dyspnea
Dyspnea is a term used to indicate that a patient is experiencing difficult or painful
breathing.
Which of the following methods is used to notify a provider of the denial of a claim by an
insurance carrier? ———- Correct Answer ———- Remittance advice
A remittance advice document itemizes all paid, denied, and allowable charges for a
patient. This document notifies the provider of any and all claim denials.
Which of the following positions is appropriate for a pelvic exam? ———- Correct
Answer ———- Lithotomy
The lithotomy position is appropriate for pelvic examinations.
Which of the following cardiac procedures is within a medical assistants scope of
practice and does not require a licensed technician or provider to assist or perform it? —
——– Correct Answer ———- Holter monitor application
A Holter monitor is a system for recording cardiac activity for 24 hr or longer. It is within
an assistant’s scope of practice to place and remove a Holter monitor.
Which of the following EKG artifacts is caused by a disconnected electrode and results
in the tracing going into the margins of the paper? ———- Correct Answer ———-
Interrupted baseline
Interrupted baseline is caused by an electrical disconnection or a detached electrode
and results in the tracing moving into the margins of the paper.
A medical assistant receives a telephone call from a patient who seems anxious about
the results of a test. Which of the following responses should the assistant make? ——–
— Correct Answer ———- “I know you are concerned about your test results. We’ll call
you as soon as your results come in.”
This response shows empathy and active listening skills on the part of the assistant,
which communicates to the patient that the assistant recognizes his emotions. Empathy
allows the assistant to validate the patient’s emotions without becoming unprofessional
and losing objectivity. This response is an example of an appropriate way to
communicate with the patient.
A medical assistant is assisting with the physical examination of a patient who has
scabies. Besides gloves, which of the following pieces of personal protective equipment
should the assistant wear? ———- Correct Answer ———- Gown
Scabies requires contact precautions; therefore, the assistant should wear gloves and a
gown. Other patient conditions that require contact precautions include hepatitis A,
rotavirus, and herpes zoster (shingles).
A patient loses consciousness. The EKG reveals ventricular fibrillation. Which of the
following actions should a medical assistant take first? ———- Correct Answer ———-
Call for help and begin CPR
According to the American Heart Association’s resuscitation guidelines, the assistant
should call for help and perform CPR immediately after witnessing a cardiac arrest.
A medical assistant is composing business correspondence using the simplified letter
style. Which of the following features should the assistant use? ———- Correct Answer
———- A subject line in all capital letters.
In the simplified letter style, the subject line is in all capital letters and replaces the
salutation.
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A medical Assistant is caring for a patient who has come in contact with concrete debris. Upon inspection of the eye, the assistant sees debris on the surface of the sclera. Which of the following actions should the assistant take? A. Use a clean, dry piece of gauze to sweep the debris out of the eye.B. Position a bulb syringe on the lid of the eye during extraction.C. Irrigate the eye starting at the inner canthus and flowing to the outer canthus.(answer)D. Irrigate the eye by flushing it with cold tap water.
When removing debris from the patient’s eye, the assistant should irrigate the eye beginning at the inner canthus and allowing the solution to flow to the outer canthus. This allows the debris to move away from the cornea and decreases the chance of causing further injury to the patient’s eye. Answer C from last card reasoning-When removing debris from the patient’s eye, the assistant should irrigate the eye beginning at the inner canthus and allowing the solution to flow to the outer canthus. This allows the debris to move away from the cornea and decreases the chance of causing further injury to the patient’s eye.
Which of the following groups of EKG leads are bipolar? A. Leads V1, V2, and V3B. Leads V4, V5, and V6C. Leads aVR, aVL, and aVFD. Leads I, II, and III(answer make up Einthoven’s Triangle.)
A Medical Assistant is preparing 1g/kg of activated charcoal for a patient who weighs 176lb. How many grams of charcoal should the assistant prepare? A. 79g (answer To convert from lb to kg, multiply 176 lb by 0.45. The correct answer is 79.2, which is rounded to 79. Since the preparation of activated charcoal is 1 g/kg, the ratio of grams of activated charcoal to the patient’s weight in kg should be 1:1. Therefore, the amount of activated charcoal the assistant should prepare is 79 g.)B. 387gC. 352gD. 76g
A medical assistant is preparing a patient who has psoriasis to be examined by the provider/ When inspecting the patient’s skin lesions, the assistant should expect to observe which of the following characteristics? A. Yellow, waxyB. Gray, crustyC. Silvery, scaly(answer)D. Brown, flat
Dorsal Recumbent Lying face up, with the legs bent and feet flat on the table
An MA is caring for a patient who has a body mass index(BMI) of 23. This patient should be categorized as which of the following? A. ObeseB. UnderweightC. Normal Weight (answer BMI of 18.5 to 24.9 is within the normal weight range for a healthy adult.)D. Overweight
A medical assistant is preparing a patient for a physical exam when he notices that the patient’s eyes are moving back and forth in a constant, involuntary movement. Which of the following terms should the assistant use when documenting this finding? A. StrabismusB. Nystagmus (answer Nystagmus is the constant involuntary movement of the eyes in a circular, vertical, or horizontal pattern. Nystagmus can be caused by brain injury or by the adverse effects of medications.C. ConjunctivitisD. Hordeolum
Which of the following stages of the cardiac cycle on an ekg strips represents ventricular depolarization? A. T WaveB. ST SegmentC. QRS Complex (answer)D. P Wave
An MA is checking a patient’s hearing using the Rinne test. Which of the following actions should the MA take? A. Position the vibrating tuning fork on the top of the patient’s head.B. Invert the vibrating tuning fork and place it 5 cm (2 in) in front of the ear canal.C. Ask the patient to raise his hand when he no longer hears any sound. (answer During the Rinne test, the patient is instructed to raise his hand when the sound disappears.)D. Place headphones over the patient’s ears and adjust for comfort.
Which of the following types of appointment systems allows flexibility to allow for the most consistent patient flow? A. Double BookingB. Cluster BookingC. Wave Scheduling (answer Wave scheduling organizes patients in the first 30 min of the hour to allow for patients who are early, patients who are late, and patients who do not show up for appointments. All patients scheduled for that hour are seen within that hour.)D. Stream Scheduling
A patient who vomited and saw blood in her vomitus. Which of the following terms should the medical use to document the patients report? A. MelenaB. HemoptysisC. HematuriaD. Hematemesis ( answer Hematemesis is a term used to document blood in the patient’s vomitus. The assistant should use this term to document the finding in the patient’s report.)
remittance advice A remittance advice document itemizes all paid, denied, and allowable charges for a patient. This document notifies the provider of any and all claim denials.
Negligence Negligence is the failure to exercise proper care for a patient, such as a provider or assistant not performing hand hygiene before starting a procedure.
Assualt An example of assault would be intentionally harming a patient’s body with force.
Slander An example of slander would be someone making false statements against a patient.
Abandonment An example of abandonment would be discontinuing a patient’s medical care without advance notice.
Goniometer The provider uses a goniometer to measure joint movement in a single plane. This instrument is used for orthopedic examinations.
Interrupted Baseline Interrupted baseline is caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper.
AC interference AC interference is caused by electrical currents from nearby wiring or equipment and results in a series of even, small spikes in the tracing.
Wandering Baseline Wandering baseline is caused by poorly attached electrodes or patient movement and results in a gradual shift of the tracing away from the center of the paper.
Somatic Tremor Somatic tremor is caused by muscle movement and results in irregular, jagged peaks with a shifting baseline in the tracing.
when should the code on glucose cuvettes be compared to the code on the glucometer? Before a patient is tested
Urticaria Urticaria is a rash on the skin that consists of hives or wheals, which are itchy, raised lesions. It is a sign of an allergic reaction.
Which of the following should a medical assistant identify as the purpose of a Category II code in procedural coding? A. Indicates special circumstancesB. Works as a temporary codeC. Tracks provider performance measures (answer A Category II code is used to track provider performance measures, such as preventive care for cancer disorders and substance use treatment plans.)D. Identifies preventive measures
A medical assistant is reviewing discharge information with a patient who is postoperative following cryosurgery to the cervix. Which of the following statements should the assistant include? “A. “”You can resume sexual activity 3 days after your procedure.””B. “”It is normal for pain to last for up to 1 week after your procedure.””C. “”Your menstrual cycle will cease for 3 to 4 months following the procedure.””D. “”You may experience a watery discharge for up to 1 week after your procedure.”” (answer The assistant should tell the patient to expect to experience a watery discharge that can last up to 1 week following the cryosurgery procedure.)”
A medical assistant notices spots on an instrument after unloading from an autoclave; the assistant should recognize that is a result of which of the following? A. Mineral deposits from tap water(answer The assistant should recognize that spots or stains on instruments are caused by mineral deposits from the tap water.) B. Improper cleaning of the chamberC. Clogged chamber drainD. Exposure to hard chemicals
Kyphosis Kyphosis, or humpback, is a curvature of the thoracic spine that is a common result of aging. Kyphosis can also be caused by vertebral disk problems resulting from osteoporosis (loss of bone density).
Inches to cm conversion inchesX2.54=cm
Expanded problem-focused examination Expanded problem-focused examinations include the body area or system mentioned in the chief complaint as well as related body areas or systems. The examination provided to this patient is not an expanded problem-focused examination.
Detailed examination Detailed examinations are more extensive than problem-focused examinations because they include the related body areas or systems as well as the patient’s present and past medical history. The examination provided for this patient is not a detailed examination.
Comprehensive examination Comprehensive examinations are a complete examination of multiple body systems. The examination provided for this patient is not a comprehensive examination.
Problem-focused examination Problem-focused examinations are limited to the single body area or system mentioned in the chief complaint.
Microcephaly refers to an abnormally small head. Therefore, the assistant should measure the infant’s head circumference when monitoring for microcephaly.
Palpatory method for blood pressure 30 mm Hg above the radial pulse cessation
Fahrenheit to Celcius (F-32)x(5/9)(F-32)x(0.556)
Celcius to Fahrenheit F=(9/5C)+32F=(1.8xC)+32
Weber Hearing test When performing the Weber test, the assistant should ask the patient if he hears the vibration louder in one ear than the other. The Weber test is used to determine if a patient’s hearing is better in one ear than the other.
Pounds(lb) to Kilograms(kg)kg to lb kg=lbsx0.45lb=kgx2.2