NHA: Medical Assistant (CCMA) Certification Practice Test 2.0 A, Questions with accurate answers. 2022

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NHA: Medical Assistant (CCMA) Certification Practice Test 2.0 A, Questions with accurate answers. 2022 A medical assistant is preparing a patient who has congestive heart failure (CHF) for an ex... amination by the provider. Which of the following manifestations should the assistant expect? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔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? - ✔✔A subject line in all capital letters. In the simplified letter style, the subject line is in all capital letters and replaces the salutation. Where should a medical assistant place the electrode for lead V5? - ✔✔On the left anterior axillary line, horizontal to V4. This is the proper placement for lead V5. A medical assistant is caring for a patient who is 5'7" tall. Which of the following is the patient's height in centimeters? - ✔✔170 cm When making this conversion, the assistant should first convert 5' 7'' to 67 inches. Next, the assistant should convert inches to centimeters by multiplying by 2.54. The result is 170.18 cm, which rounds to 170 cm. Which of the following techniques should a medical assistant use when bandaging a wound? - ✔✔Wrap the wound from distal to proximal Wounds should always be wrapped from distal to proximal. Which of the following is outside of a medical assistant's scope of practice? - ✔✔Order additional laboratory tests to confirm the patient's condition. It is outside of a medical assistant's scope of practice to order additional laboratory tests without a provider's prescription. 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. Problem-focused examinations are limited to the single body area or system mentioned in the chief complaint. Prior to a patient's follow-up appointment, which of the following information should a medical assistant report to the provider? - ✔✔Recent laboratory results. The assistant should report recent laboratory results to the provider prior to the visit so the provider can review them with the patient during the follow-up appointment. A medical assistant is reviewing a provider's instructions as the patient is preparing to leave the office. The provider recommends that the patient purchase an over-the-counter antitussive, but the patient tells the assistant that she does not know what an antitussive is. Which of the following responses should the assistant make? - ✔✔"It is a medication that suppresses the cough reflex." An antitussive suppresses the cough reflex. One of the active ingredients used in antitussive medications is dextromethorphan. A medical assistant 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. The assistant should instruct the patient to rotate the location of application for each new patch to help avoid skin irritation. Areas of excess body hair and scaring should be avoided in order to maximize medication absorption. In which of the following positions should a medical assistant place a healthy patient in preparation for a rectal examination. - ✔✔Sims' The Sims' position is appropriate for a rectal examination. Which of the following steps for a finger stick should a medical assistant complete first? - ✔✔Confirm the correct identity of the patient. The assistant should confirm the patient's identity before preparing for the fingerstick procedure. Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? - ✔✔Cilia Cilia are hairlike projections found in the lungs that are capable of movement and are instrumental in helping with mobilizing and secreting mucus from the respiratory tract. A medical assistant in an outpatient facility is preparing 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. Acceptable identifiers include the patient's name and date of birth. The patient should state and spell their full name as well as provide their date of birth. When the patient provides this information, the assistant should compare it with the name and date of birth on the requisition form and labels. A medical assistant 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." This statement indicates an understanding of the procedure. The patient should update the event log with any irregular symptoms he experiences during cardiac event monitoring. When assisting a provider with a punch biopsy of a mole, which of the following tasks should a medical assistant expect to perform? - ✔✔Receive and prepare tissue specimens for processing. The assistant is responsible for receiving and preparing tissue specimens obtained from a punch biopsy for processing by the laboratory. Which of the following actions should a medical assistant take to verify the quality of venipuncture supplies before beginning a blood draw? - ✔✔Inspect the integrity of the needles seal. Inspecting the needle's seal helps ensure the sterility of the needle. A medical assistant 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 patient should avoid using over-the-counter vaginal creams prior to the test. A medical assistant 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 service is provided after the expiration date. The assistant should recognize that an authorization provided for a specialist indicates a range of dates for evaluation and treatment. Any action taken outside of this range is subject to denial of payment. A medical assistant 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 If a child is under 12 months of age, an assistant should select the child's heel as the collection site for routine testing, even if there is a well-developed vein available. The heel stick is sufficient and causes less trauma. A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make? - ✔✔"I think that you feel that your treatment is not effective." This response validates the patient's feelings. This also allows the assistant to restate the patient's words in order to verify an understanding of what is being communicated. A medical assistant is preparing a community resource library. Which of the following actions should the assistant take first? - ✔✔Compile a list of local community agencies. [Show More]

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