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CCMA Exam Practice 2
Medical Assistant
| Question | Answer |
|---|---|
| A medical assistant is obtaining a blood pressure measurement from an adult patient. Which of the following actions should the assistant take to ensure an accurate reading? | Place the stethoscope's diaphragm over the patient's palpated artery. |
| A medical assistant is caring for a patient who has recently received a terminal diagnosis and is crying. Which of the following actions should the assistant take? | Allow the patient to cry. |
| When coding with the ICD-10-CM, where should the medical assistant begin the process of looking up a diagnosis code for breast cancer? | The Alphabetic Index |
| A medical assistant is collecting information from a patient who reports persistent pain in the left upper quadrant. The assistant should note that this area contains which of the following organs? | Stomach |
| A medical assistant observes a hematoma developing at the site of a venous blood draw. The assistant should do which of the following? | Release the tourniquet and stop the draw. |
| A medical assistant is caring for a patient who weighs 72 kg. What is this patient's weight in lb? | Multiple the patient's weight in kilograms by 2.2: 72 kg x 2.2 = 158.4. Therefore, the patient's converted weight is 158.4 lb. |
| When measuring a patient's respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading? | Count the respirations while the patient thinks his pulse is being obtained. |
| A medical assistant is explaining to a female patient how to collect a clean-catch urine specimen. Which of the following instructions should the assistant include? | With the labia spread, urinate a small amount into the toilet before collecting the sample. |
| A medical assistant is collecting vital signs from a 6-year-old child. The assistant should recognize that which of the following vital signs is outside of the expected reference range for this patient and should be reported to the provider? | Heart rate of 140/min. The reference range for heart rate for a school aged child is 70-130min |
| A medical assistant is collecting data from a patient who has cold sores on his lips. The assistant should identify that which of the following viruses causes this condition? | Herpes simplex type 1 |
| A medical assistant is caring for an infant who suddenly becomes unresponsive for unknown reasons. Which of the following actions should the assistant take? | Initiate cardiopulmonary resuscitation. |
| A medical assistant is transcribing a prescription for a medication that a patient should take before meals. Which of the following abbreviations should the assistant use to indicate when the patient should take the medication? | ac |
| A medical assistant is assisting a patient whose insurance does not cover immunizations. To which of the following community resources should assistant refer the patient? | Department of Health and Human Services. |
| 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 |
| A medical assistant should use which of the following solutions to prepare a patient's skin prior to drawing blood cultures? | Chlorhexidine (CHX) is a disinfectant and antiseptic that is used for skin disinfection before surgery and to sterilize surgical instruments. |
| A medical assistant is reinforcing teaching with a patient who is scheduled for a standard 12-lead EKG. Which of the following statements should the assistant make? | "You should refrain from talking during the procedure." |
| A patient presents to an emergency department with a large laceration to the wrist that is bleeding profusely. Which of the following actions should the medical assistant take first? | Don gloves |
| A medical assistant is administering an intramuscular injection into the gluteus medius of an adult patient. At which of the following angles should the assistant insert the needle? | 90° angle |
| A medical assistant is preparing to assist a provider with suturing a wound. Which of the following items should be in the sterile field for this procedure? | A hemostat |
| According to the regulation of controlled substances, which of the following is true of a Schedule I drug? | Have no currently accepted medical use |
| The laboratory report on a patient indicates a hemoglobin level of 7 g/dL. Which of the following is the first action for the medical assistant to take? | Notify the provider. |
| A medical assistant is performing an EKG on a patient. Which of the following describes the appropriate placement of the electrodes? | Tabs downward on the lower leg |
| A clinic schedules all cardiac patients on Mondays and Wednesdays and all oncology patients on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using? | Cluster scheduling |
| An MA cares for a neighbor who sustained multiple injuries in a fall. After work, another neighbor asks the MA what happened to the neighbor who fell. Following the (AAMA) Code of Ethics, which of the following responses should the assistant make? | "I can't share any information about what happens at my job." |
| A patient states they experience natural disaster. Where should the MA refer the patient? | American Red Cross |
| A medical assistant is preparing a patient who has bilateral below-the-knee amputations for an EKG. Which of the following sites should the assistant select for electrode placement? | abdomen |
| When completing documentation in a patient's paper medical record, a medical assistant realizes she made an error. Which of the following actions should the assistant take? | Draw a line through the error and initial it. |
| 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 |
| A medical assistant is preparing a patient for an enema. In which of the following positions should the assistant place the patient for this procedure? | Sims' position |
| While measuring a patient's pulse, the medical assistant should recognize that which of the following patient factors can contribute to an erroneous pulse rate? | Movement |
| Which of the following tests is granted waived status under Clinical Laboratory Improvement Amendments (CLIA)? | Rapid Strep Test |
| A provider examines an older adult patient who is disabled and has a lesion on her arm. A medical assistant should anticipate a referral for this patient to which of the following ancillary services? | Home Health Care |
| Which of the following statements made by a medical assistant demonstrates an understanding of required patient identification techniques? | "I will ask the patient to state and spell her full name and provide her date of birth before administering vaccines." |
| A medical assistant receives a telephone call from a patient who is hesitant about discussing a new medical concern unless the conversation is with a provider. The assistant should use which of the following techniques to address the patient's reluctance? | Use a reflective statement to recognize the patient's concerns. |
| A medical assistant needs to type a professional business letter from the office. Which of the following formats is appropriate? | Keep flush with the left margin. |
| A medical assistant is preparing to administer a subcutaneous injection for a patient. Which of the following needle sizes should the assistant choose? | 1/2- to 5/8-inch needle, 25 gauge 5-gauge |
| Which of the following is the largest and uppermost section of the brain? | Cerebrum |
| 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 for processing |
| The MA works at a practice that is part of an Accountable Care Organization (ACO). This designation means that the practice's health care team will focus on improving care for patients who have which of the following types of medical coverage? | Medicare |
| Which of the following parenteral medication routes should a medical assistant administer for a slow release of medication into the blood stream? | Transdermal |
| According to OSHA's guidelines for proper waste disposal, which of the following should a medical assistant place in a regular waste container? | An empty urine container. |
| Several patients arrive at a clinic at the same time requesting care. A medical assistant 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 should identify that which of the following vitamins is fat soluble? | Vitamin A |
| A medical assistant should identify which of the following as a characteristic of anorexia nervosa? | excessive exercising |
| A medical assistant is preparing to file the paper chart for Mary St. Thomas. Where should this file be placed when filed along with the charts for Mary Perez, Elizabeth Saint, and John A. Thomas? | After Elizabeth Saint and before John A. Thomas |
| A patient informs a medical assistant that he gets headaches when he reads from a computer monitor. The assistant should place this information in which of the following locations when using the SOAP approach to organizing medical records? | Subjective |
| The Medical assistant is gathering ... | Database management |
| For a 12-lead EKG, which of the following is the correct placement for the V4 electrode? | 5th Intercostal space at the midclavicular line |
| MA is entering a new prescription into a patient's electronic medical record (EMR). While entering the prescription, an alert notifying the MA of a medication interaction appears on the screen. Which of the following actions should the assistant take? | consult with the provider before continuing to process the prescription |
| Which of the following statements made by a new medical assistant, regarding an artifact, demonstrates a need for further teaching? | "Electrical interference on the EKG is not caused by cell phones." |
| 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 168 mg/dL |
| A medical assistant is reviewing laboratory results that confirm a patient has varicella zoster virus. The assistant should identify that this micro-organism causes which of the following types of infections? | Chickenpox |
| A patient presents to an office for treatment. After reading the consent form, she expresses concerns about the treatment. Who is responsible for counseling the patient? | Provider |
| A medical assistant is caring for a child who has varicella zoster virus. The assistant should recognize that varicella is transferred through which of the following modes of transmission? | Airborne |
| Which of the following laboratory results should the medical assistant recognize is abnormal? | Potassium 3 mEq/L Potassium Range is (3.5-5) |
| An adolescent is covered by two insurance policies under her divorced parents who have birthdays in May and August and have joint custody. Which policy is the primary policy for the adolescent? | The policy of the parent who has the earliest birth month. |
| A medical assistant is talking with a patient who reports forgetting whether she has taken her prescribed medication each day. Which of the following responses should the assistant make? | "Try putting your medication in a weekly medication dispenser for the upcoming week." |
| A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg. How many tablets should the medical assistant give the patient? | 1.5 tablet (250/375=1.5) |
| A medical assistant is reviewing laboratory requisitions. For which of the following patient conditions should the assistant perform a capillary collection rather than a venipuncture? | Previous Thrombosis |
| Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? | Cilia |
| 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 |
| 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 |
| A medical assistant is testing a patient's visual acuity using a Snellen chart. Which of the following actions should the assistant take? | Make sure the patient does not lean forward during the test. |
| 100.4 fahrenheit convert to Celsius | 38°C — to convert a temperature from Fahrenheit to Celsius, the assistant should subtract 32 from the Fahrenheit temperature and multiply the result 5/9. |
| Where do cardiac electrical impulses originate in the heart? | SinoAtrial node, or SA node |
| Which of the following documents indicates how a patient's medical records will be used and disclosed by a medical office? | (NPP) Notice of Privacy Practices |
| 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? | (SOB) Shortness of breath |
| Which of the following items in a medical office are considered administrative office supplies? | Letterhead, envelopes, business cards |
| MA is coding an office visit during which the provider reviewed the systems related to a patient's chief complaint but did not discuss the patient's family or social history. Which of the following procedure codes should the assistant use for this visit? | Expanded problem-focused history |
| A medical assistant is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the assistant should perform? | Head Circumference |
| A medical assistant is performing an ear irrigation for an adult patient who has a cerumen impaction. Which of the following steps should the assistant complete prior to administering the irrigation solution? | Pull the pinna of the ear up and back. |
| A medical assistant is reviewing a patient's recent medical history and notes that she has a healing fracture of the distal femur. Where on the patient's body should the assistant expect to find the injury? | Just above the knee |
| A medical assistant is caring for a patient who has terminal colorectal cancer with a life expectancy of 6 months. The patient states, "I don't know if it's time to begin hospice care yet." Which of the following statements should the assistant make? | "Hospice can help manage your pain and comfort during the final months of your life." |
| A medical assistant is preparing to calculate a patient's heart rate from an EKG tracing. Which of the following methods should the assistant use for this calculation? | Divide 1,500 by the number of small boxes between two R waves. |
| 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 |
| A medical assistant is responsible for cleaning the instruments used in a minor surgery. Which of the following is the first step in this process? | Sanitation - All instruments that come in contact of pt skin should be sanitized before they are disinfected and sterilized. |
| A medical assistant is preparing to administer a liquid, oral medication to a patient. Which of the following methods should the assistant use to ensure the correct dose is delivered? | Pour the medication to the prescribed dose in the medicine cup on a flat surface |
| A medical assistant is preparing a patient who has anemia for an examination by the provider. Which of the following manifestations should the assistant expect to find? | Irregular heartbeat |
| A medical assistant must invert anticoagulant tubes to prevent which of the following? | Clotting |
| When performing the palpatory method for obtaining blood pressure, which of the following indicates the level at which the medical assistant should inflate the cuff? | 30 mm Hg above the RADIAL pulse cessation |
| In which of the following scenarios should a medical assistant choose a CPT modifier? | For special circumstances applied to a procedure performed by the provider |
| A medical assistant is assisting a provider with an abdominal examination. When the provider palpates the major portion of the liver, the assistant should recognize that he is palpating which of the following abdominal quadrants? | RIGHT UPPER |
| A medical assistant is collecting blood samples to measure a patient's cholesterol levels. Which of the following actions should the assistant take before collecting the patient's blood? | Make sure the patient did not eat any food for the past 12 hr. |
| A medical assistant has just received a derogatory e-mail from a dissatisfied patient. What action should the assistant take? | Print the email and make notes about topics that need to be addressed prior to formulating a response. |
| Which of the following actions 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). |
| Which of the following routes of administration should a medical assistant use when performing a tuberculin skin test? | INTRADERMAL |
| A medical assistant in an emergency clinic is admitting several patients. The assistant should recognize that the provider should see which of the following patients first? | An older adult patient who has diabetes and has a blood pressure of 80/42 mm Hg |
| A patient reports feeling depressed due to the recent loss of a partner. In which of the five stages of the grief process does depression present itself? | Fourth |
| A medical assistant should understand that the chain of custody form is used for which of the following? | Ensuring that a specimen is packaged as directed |
| 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 your gums and cheek |
| To provide culturally competent care, which of the following actions should a medical assistant take first when encountering patients? | Examine personal religious and cultural values and beliefs to identify any bia |
| A medical assistant is applying a transdermal patch for a patient. Which of the following actions should the assistant take? | Apply the patch to a hairless area of the patient's skin. |
| A medical assistant is writing a piece of professional correspondence to a consulting provider. In which of the following ways should the assistant record the date on the letter? | January 1, 2020 |
| A medical assistant is performing a review of items in a clinic's inventory. How should the assistant classify dressings and bandages for inventory purposes? | As clinical supplies |
| A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is "noncovered service." If this procedure was deemed emergent by the provider, which of the following actions should the assistant take? | Instruct the patient to contact the insurer about the denial of payment |
| A medical assistant is scheduling a patient for an outpatient procedure. Which of the following actions should the assistant take first? | Obtain an oral or written order from the provider for the procedure. |
| A patient asks a medical assistant to explain the difference between a liniment and a medicated lotion. Which of the following responses should the assistant make? | liniment contain a higher portion of oil than medication lotions. |
| A medical assistant is preparing to dispose of bandages that have been removed from a patient's open wound. Per OSHA guidelines, which of the following actions should the assistant plan to take? | Place the bandages in a red biohazard bag. |
| A medical assistant works at an urgent care center that uses open hours scheduling. Which of the following describes this form of scheduling? | Patients arrive at their convenience and are seen on a first-come, first-served basis. |
| When removing sutures, why is it important for a medical assistant to place the removed sutures on a gauze pad? | To determine the number of sutures removed. |
| 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.” |
| A medical assistant receives a call from a patient requesting a refill for fentanyl patches for chronic pain. Which of the following actions should the assistant take? | .The assistant should recognize fentanyl as a Schedule II drug that requires a written prescription from the provider. The first step when reviewing a refill request is to contact the provider. |
| Which of the following actions should a medical assistant take when obtaining the length of an infant during a well-child visit? | Position the infant on his back. |
| A patient who recently received a terminal diagnosis. The patient states, "I regret not taking better care of myself. Now, I won't be able to accomplish what I wanted to do with my life." The patient is in which of the following stages of grief? | Depression |
| The MA drops an instrument on floor while setting up a sterile tray . MA picks up instrument and places on the sterile field. Days later the patient calls the office, concerned that the area is infected. Which of the following was committed? | Negligence |
| A medical assistant is performing a 12-lead EKG on a patient. Which of the following electrodes should the assistant place to the left of the sternum at the fourth intercostal space? | V2 |
| Which of the following items included on the CMS-1500 claim form should a medical assistant recognize as indicating the medical necessity of a procedure? | Diagnosis Code |
| Which of the following cardiac procedures is within a medical assistant's scope of practice and does not require a licensed technician or provider to assist or perform it? | Holter Monitor Application |
| A medical assistant is cleaning an examination room after assisting a provider with a biopsy. Which of the following actions should the assistant take? | Hold sharps by the blunt end to avoid a needlestick injury. |
| Which of the following instructions should a medical assistant give to a patient when administering an enteric-coated tablet? | Swallow the tablet whole with a glass of water." |
| The MA requests that a patient pay her insurance copayment at the time she arrives for her appointment. The patient becomes defensive and asks why she should pay for care she has not yet received. Which of the following responses should the MA reply? | "I understand you're concerned, so you're welcome to pay at the end of your appointment." |
| A medical assistant is cleaning countertops and other surfaces after a surgical procedure in a provider's office. Which of the following disinfectants should the assistant use for this purpose? | A 1:10 bleach and water solution. |
| A medical assistant is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching? | "Remove your nail polish before the test." |
| A patient is seen at urgent care for a laceration to the left foot. The provider evaluates the injury, determines sutures aren't needed, applies a dressing, & releases patient. What is the level for this visit? | Problem focused Examination |
| Which of the following angles is used during a venipuncture? | 15° angle |
| A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. Which of the following actions should the assistant take? | Remain within the patient's view to allow lip-reading. |
| A medical assistant is transcribing a prescription for magnesium sulfate into a patient's medical record. Which of the following should the assistant use to document this medication? | magnesium sulfate |
| A medical assistant notices that the medical office is not providing personal protective equipment (PPE) for staff. Which of the following regulatory agencies should the assistant contact? | OSHA OCCUPATIONAL SAFETY and HEALTH ADMINISTRATION |
| Which of the following additives should be used when performing a CBC? | EDTA: Lavender Top contains EDTA (anticoagulant) |
| A medical assistant is checking a patient's hearing using the Weber test. Which of the following actions should the assistant take? | Ask the patient if he hears the vibration louder in one ear than the other. |
| A medical assistant is caring for a patient who has active tuberculosis. Which of the following pieces of personal protective equipment (PPE) must be used during the patient's care? | N95 respirator |
| A medical assistant is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. Which of the following foods should the assistant recommend as the best source of insoluble fiber? | Pears with Skin |
| A medical assistant is classifying services that a patient requires. The assistant should identify which of the following as an ancillary diagnostic service? | Pathology |
| Which of the following pieces of legislation keeps health care staff safe from retaliation by their employers when they report cases of patient neglect and abuse? | Whistleblower Protection Act. |
| A patient calls the clinic to cancel a postoperative appointment and states that she will reschedule at a later date. For which of the following reasons should the medical assistant document this information on the patient's chart? | To prove that the office was not negligent |
| A medical assistant is entering patient data into an electronic medical record (EMR) system. Which of the following information should be entered into the Patient Demographics section of the EMR? | Occupation |
| A patient who has vulvovaginal candidiasis asks a medical assistant for more information about her infection. The assistant should begin by explaining that candidiasis is which of the following types of infections? | Fungal |
| A medical assistant is scheduling diagnostic tests for a patient's liver and pancreas. Which of the following systems is being assessed? | Digestive |
| Which of the following is a medical assistant's role in pulmonary function testing (PFT)? | Coach the Patient through the test. |
| Which of the following is a step in the process of skin preparation prior to a surgical procedure? | The assistant should clean the site with antiseptic to decrease the number of micro-organisms on the skin and reduce the risk of wound contamination. |
| Which of the following is a formal authorization that identifies an individual as legally able to make decisions on behalf of a patient? | Durable power of attorney for health care |
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