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Medical Assisting > NHA Practice > Flashcards

NHA Practice Flashcards

1
Q

What is 5’7” in centimeters?

A

67*2.54=170cm

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2
Q

While measuring a patient’s pulse, the MA should recognize that what factor can contribute to a erroneous pulse rate?

A

movement

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3
Q

What is 100.4F in C?

A

(100.4F-32)*5/9=38C

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4
Q

A clinic schedules all cardiac patients on Mondays and Wednesdays and all oncology patients on Tuesdays and Thursdays. What type of scheduling is this?

A

cluster scheduling

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5
Q

A MA is coding an office visit during which the provider reviewed the systems related to a patient’s chief complain but did not discuss the patient’s family or social history. What procedure code should the MA use for this visit?

A

expanded problem-focused history

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6
Q

A MA is encouraging a patient to increase their 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?

A

pears with skin

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7
Q

Where does the V4 electrode go for a 12-lead EKG?

A

at the 5th intercostal space, left midclavicular line

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8
Q

What abdominal quadrant is the major portion of the liver in?

A

right upper quadrant

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9
Q

A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg. How many tablets should the MA give the patient?

A

1.5 tablets

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10
Q

A MA is collecting blood samples to measure a patient’s cholesterol levels. What should the MA do before collecting the patient’s blood?

A

make sure the patient didn’t eat any food for the past 12 hours

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11
Q

A MA is assisting a provider with a repair of a laceration on a patient’s head. The provider’s prescription for the procedure includes an injection on 10 mL of lidocaine with epinephrine. What is the purpose of the epinephrine in the local anesthetic?

A

to reduce bleeding at the site

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12
Q

What cell structure is instrumental in helping the body mobilize and secrete mucus from the respiratory tract?

A

cilia

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13
Q

What document indicates how a patient’s medical records will be used and disclosed by a medical office?

A

notice of privacy practices

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14
Q

A MA is classifying services that a patient requires. The MA should identify what as an ancillary diagnostic service?

A

pathology

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15
Q

Which patient should be seen first?
- adult runner with heart rate of 50/min
- older adult patient with diabetes and blood pressure of 80/42 mm Hg
- infant who is bottle fed and heart rate of 130/min
- adolescent gymnast with blood pressure of 108/64 mm Hg

A

older adult patient who has diabetes and a blood pressure of 80/42 mm Hg

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16
Q

A MA is contacting a patient to schedule a repeat Papanicolaou test due to abnormal results. What factor can interfere with the test results?

A

using an OTC vaginal cream prior to the test

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17
Q

A 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. How should the MA respond?

A

I understand you’re concerned, so you’re welcome to pay at the end of your appointment.

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18
Q

What term refers to the range of fees charged by providers who have similar training and experience and practice in the same geographical area?

A

customary

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19
Q

A MA is talking to a patient who is experiencing home displacement following a hurricane. What resource should the MA refer the patient for information, support, and links to community services?

A

American Red Cross

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20
Q

A MA is reviewing a patient’s recent medical history and notes that she has a healing fracture of the distal femur. Where is this injury?

A

just above the knee

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21
Q

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. What level of examination should a MA use for the procedural coding for this visit?

A

problem-focused examination

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22
Q

A MA is collecting a health history from an older adult patient who exhibits moderate hearing loss. What should the MA do?

A

remain within the patient’s view to allow lip-reading

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23
Q

A MA 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, what should the MA do?

A

instruct the patient to contact the insurer about the denial of payment

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24
Q

A MA is cleaning countertops and other surfaces after a surgical procedure in a provider’s office. What disinfectant should the MA use for this?

A

1:10 bleach and water solution

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25
Q

A MA is collecting information from a patient who reports persistent pain in the left upper quadrant. What organ is here?

A

stomach

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26
Q

A patient reports feeling depressed due to the recent loss of a partner. What stage of grief is this?

A

fourth
Denial
Anger
Bargaining
Depression
Acceptance

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27
Q

A MA is caring for a patient who has recently received a terminal diagnosis and is crying. What should the MA do?

A

allow the patient to cry

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28
Q

A MA is preparing to administer a liquid, oral medication to a patient. How should the MA dispense the medication?

A

pour the medication to the prescribed dose in the medicine cup on a flat surface

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29
Q

When performing the palpatory method for obtaining blood pressure, what level should the MA inflate the cuff?

A

30 mm Hg above the radial pulse cessation

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30
Q

What are characteristics of anorexia nervosa?

A

excessive exercising

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31
Q

The Patients’ Bill of Rights protects individuals from what?

A

denial of care due to the patient’s age

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32
Q

A MA is performing an ear irrigation for an adult patient who is a cerumen impaction. What should the MA do before administering the irrigation solution?

A

pull the pinna of the ear up and back

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33
Q

A MA should use what to prepare a patient’s skin prior to drawing blood cultures?

A

chlorhexidine

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34
Q

A MA works at an urgent care center that uses open hours scheduling. What does that mean?

A

patients arrive at their convenience and are seen at a first-come, first-served basis

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35
Q

A MA is caring for a patient who has active tuberculosis. What PPE must be used during the patient’s care?

A

N95 respirator

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36
Q

What instructions should a MA give to a patient when administering an enteric-coated tablet?

A

swallow the tablet whole with a glass of water

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37
Q

A MA should understand that the chain of custody form is used for why?

A

ensuring that a specimen is packaged as directed

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38
Q

What is the formal authorization that identifies an individual as legally able to make decisions on behalf of a patient?

A

durable power of attorney

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39
Q

A MA is performing a review of items in a clinic’s inventory. How should the MA classify dressings and bandages for inventory purposes?

A

as clinical supplies

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40
Q

A MA is speaking with 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.” What stage of grief is this?

A

depression

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41
Q

A MA is responsible for cleaning the instruments used in a minor surgery. What is the first step in this process?

A

sanitization

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42
Q

A MA is talking to a patient who reports forgetting whether she has taken her prescribed medication each day. What should the MA suggest?

A

Try putting your medications in a weekly medication dispenser for the upcoming week.

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43
Q

A provider has requested a dissecting instrument on a sterile tray that a MA is preparing. What should the MA include on the tray?

A

scissors

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44
Q

A MA is transcribing a prescription for magnesium sulfate into a patient’s medical record. How should the MA document this medication?

A

magnesium sulfate

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45
Q

When choosing a diagnosis code, a MA should do what to avoid an insurance denial?

A

coding to the highest level of specificity

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46
Q

A MA is reviewing a patient’s medical history prior to the patient’s appointment. What laboratory result indicates the need to schedule an extension of the current visit?
- hematocrit 42.296
- BUN 10 mg/Dl
- potassium 4.3 mEq/L
- fasting blood glucose 168 mg/dL

A

fasting blood glucose 168 mg/dL

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47
Q

A MA is reinforcing teaching with a patient who is scheduled for a standard 12-lead EKG. What should the MA tell the patient?

A

You should refrain from talking during the procedure.

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48
Q

What angle should the needle be inserted during venipuncture?

A

15 degrees

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49
Q

A MA is reinforcing teaching with a patient about pulse oximetry. What should the MA tell the patient?

A

Remove your nail polish before the test.

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50
Q

What cardiac procedure is with a MA’s scope of practice and doesn’t require a licensed technician or provider to assist or perform it?

A

holter monitor application

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51
Q

A MA is replacing a sharps container in an exam room and receives a small laceration on her arm from the plastic lid. What documentation should the MA complete as a result of this?

A

OSHA Form 301

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52
Q

What should the MA do to obtain head circumference of an infant?

A

record the measurement to the nearest quarter inch (0.6 cm)

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53
Q

What electrode goes on the left of the sternum at the 4th intercostal space?

A

V2

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54
Q

What is the correct way to record the date on a letter?

A

January 1, 2020

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55
Q

What test is granted waived under the Clinical Laboratory Improvement Amendments (CLIA)?

A

rapid step test

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56
Q

A MA is applying a transdermal patch for a patient. What should the MA do?

A

apply the patch to a hairless area of the patient’s skin

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57
Q

How can a MA demonstrate an understanding of required patient identification techniques?

A

I will ask the patient to state and spell her full name and provide her date of birth before administering vaccines.

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58
Q

What is true about a schedule I drug?

A

have no accepted medical use

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59
Q

A patient tells a MA that his provider’s office is incompetent, as there is no improvement in his condition. What is an appropriate response?

A

I think that you feel that your treatment is not effective

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60
Q

A MA is preparing a patient who has congestive heart failure (CHF) for an examination by the provider. What manifestations should the MA expect?

A

shortness of breath

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61
Q

A MA receives a call from a patient who is requesting the total cost of a surgical procedure. What is an appropriate response by the assistant?

A

Provide the patient with an estimated cost for the procedure

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62
Q

What written correspondence can be signed by a MA?

A

notification letter to a patient about surgery arrangements

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63
Q

What is outside of a medical assistant’s scope of practice?

A

order additional laboratory tests to confirm the patient’s condition

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64
Q

When preparing a patient for holter monitoring, what should a MA do?

A

vigorously dry the patient’s skin prior to electrode placement

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65
Q

A MA is talking with an older adult 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. What resources should the MA refer the patient?

A

meals on wheels

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66
Q

What EKG leads are bipolar?

A

leads I, II, III

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67
Q

What position should a MA place a patient when obtaining a rectal temperature?

A

Sims

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68
Q

A patient contacts the facility to report a burn injury to her right arm. A MA should identify what information as necessary when screening for a possible emergency situation?

A

cause of the patient’s burn

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69
Q

A MA is performing spirometry testing for a patient who has shortness of breath. What result of the spirometry test indicates a successful maneuver?

A

fast and steady flow with no variability

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70
Q

What is used to notify a provider for the denial of a claim by an insurance carrier?

A

remittance advice

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71
Q

A medical assistant should recognize what blood pressure reading as an adult patient whose blood pressure level is classified as elevated?

A

120-129 mm Hg systolic
below 80 mm Hg diastolic

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72
Q

What EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper?

A

interrupted baseline

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73
Q

A pulse oximeter can register an artificially low oxygen saturation measurement for a patient who has what condition?

A

cold fingers

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74
Q

A MA is reinforcing teaching with a patient about the self-administration of insulin injections. What statement would prove the patient understands?

A

I will roll the bottle between my hands before drawing the medication.

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75
Q

When performing a first aid procedure to control bleeding of a wound, what should the MA do first?

A

apply layers of sterile gauze

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76
Q

When should the code on glucose cuvettes be compared to the code on the glucometer?

A

before a patient is tested

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77
Q

What route for taking a patient’s temperature is the most accurate?

A

rectal

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78
Q

A provider asks a medical assistant to reinforce teaching with a patient about her new diagnosis. What should the MA do?

A

document the patient’s response to the teaching

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79
Q

When assigning a CPT code, what is the purpose of a modifier?

A

provides additional information or circumstances for a procedure

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80
Q

A MA is providing instruction to a patient on how to take an extended-release medication by mouth. What should the MA tell the patient?

A

I can crush or chew the pill if it is too hard for me to swallow.

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81
Q

Where does the electrode for lead V5 go?

A

left anterior axillary line, horizontal to V4

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82
Q

A MA receives a call from a patient who is irate about a latter she received from her insurance carrier denying a claim. What should the MA say?

A

Let’s see if there is something we can do at our end. I’ll ask our claims specialist to review the claim.

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83
Q

A patient reports getting a bill that includes services she did not receive. What should the MA do to reconcile these charges?

A

review the day’s encounter forms to determine if another patient received the services

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84
Q

What information should the MA enter into the appointment calendar when scheduling a patient for a skin rash?

A

daytime phone number

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85
Q

When assisting a provider with a vaginal examination and papanicolaou (pap) test, a MA should identify what instrument as necessary?

A

cytobrush

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86
Q

A MA is observing a patient after administering an antibiotic injection. The patient develops an itchy rash with pinkish, raised lesions. What term should the MA use when documenting this finding in the patient’s medical record?

A

urticaria

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87
Q

What organ is in the RUQ of the abdomen?

A

gallbladder

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88
Q

A MA is collecting data from a patient who is experiencing heatstroke. What manifestation is expected?

A

hot skin

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89
Q

A provider requests a MA to initiate a referral for a patient to a mental health facility. What information is required for the assistant to include in the initial referral?

A

diagnosis

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90
Q

A MA is reviewing a medicare claim denial. The MA determines that there are charges that exceed the usual, customary, and reasonable fees. What should the MA do?

A

adjust the patient’s account to reflect no unpaid charges and write off the balance

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91
Q

A MA is preparing sterilization for hemostats before an invasive procedure. What technique should the MA use?

A

autoclave

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92
Q

A MA is educating an older patient on wound care. What should the MA do to ensure patient understanding?

A

have the patient repeat information

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93
Q

What should the MA do when bandaging a wound?

A

wrap the wound from distal to proximal

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94
Q

A MA is checking a patient out of the clinic. What document should the MA use to locate information about provider referrals or follow-up appointment requests for the patient?

A

encounter form

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95
Q

A MA is preparing a patient for wearing a holter monitor. What should the MA tell the patient?

A

you should avoid using an electric blanket during monitoring

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96
Q

A MA is preparing to apply ointment to several abrasions on a patient’s leg. What supply should the MA use to remove the medication from the jar?

A

tongue blade

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97
Q

Prior to a patient’s follow-up appointment, what information should a MA report to the provider?

A

recent laboratory results

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98
Q

A MA is reviewing the laboratory results of a patient who has the Epstein-Barr virus. What does this cause?

A

mononucleosis

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99
Q

A MA is adding information to a patient’s computerized problem-oriented medical record (POMR). Into what section of the POMR should the assistant enter the patient’s health history and laboratory results?

A

database

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100
Q

A MA is speaking with a patient who has seasonal allergies. What health care provider should the MA identify as being able to make a diagnosis and initiate the necessary treatment?

A

physician assistant

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101
Q

A MA is explaining a venipuncture procedure to a patient. What should the MA say?

A

I’ll be collecting a blood sample from you today. There will be a small stick in your arm.

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102
Q

A MA is to use the Snellen chart to test an adult patient’s visual acuity. How far should the patient stand?

A

20 feet

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103
Q

A MA is monitoring a patient during a stress test. The patient becomes increasingly short of breath and tachycardiac. Abnormalities appear in his EKG rhythm. What should the MA do immediately?

A

discontinue the test

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104
Q

A MA is caring for a patient who has come in contact with concrete debris. Upon inspection of the eye, the MA sees debris on the surface of the sclera. What should the MA do?

A

irrigate the eye starting at the inner canthus and flowing to the outer canthus

105
Q

What blood pressure readings are considered stage 2 hypertension?

A

140/90 mm Hg or higher

106
Q

A patient arrives at a clinic with a bill for x-rays that were required due to an injury at the patient’s place of employment. The patient has private insurance and is eligible for workers’ compensation. The MA should recognize who as responsible for payment of this bill?

A

paid in full by workers’ compensation

107
Q

A MA is reinforcing teaching with a patient about lifestyle modifications to help regulate his hypertension. What should the patient say to show understanding?

A

I only smoke half a pack each day, so I’ll just cut it out completely.

108
Q

A MA is preparing 1 g/kg of activated charcoal for a patient who weights 176 lb. How many grams of charcoal should the assistant prepare?

A

176/2.2 = 80kg = 80 g

109
Q

A MA is making a new sign-in sheet for the patients who have appointments that day. What information should the sign-in sheet include?

A

provider’s name

110
Q

A MA is preparing a patient who has psoriasis to be examined by the provider. What are the characteristics of it?

A

silvery, scaly

111
Q

A MA is reviewing the medical history of a patient who regularly comes into contact with coal and wood dust. the MA should recognize that this patient is at an increased risk for developing what?

A

emphysema

112
Q

A MA is preparing a patient for a physical examination and is helping the patient into the dorsal recumbent position. The assistant should identify that this position is described as what?

A

lying face up, with the legs bent and feet flat on the table

113
Q

A patient is entitled to what medical records?

A

list of medications with diagnosis

114
Q

The parent of a child who has pediculosis is asking a MA for more information about her child’s condition. The MA should begin by explaining that pediculosis is what type of infection?

A

parasitic
- lice

115
Q

A MA is caring for a patient who has a body mass index of 23. The patient is categorized as what?

A

normal weight

116
Q

A MA 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. What term is used to document this in the medical record?

A

nystagmus

117
Q

How many milliliters are in a tablespoon?

A

15 mL

118
Q

A MA receives a telephone call from a patient who seems anxious about the results of a test. What should the MA say?

A

I know you are concerned about your test results. We’ll call you as soon as your results come in.

119
Q

How many digits is in the primary code in the CPT coding system?

A

5 digits

120
Q

What stage of the cardiac cycle on an EKG strip represents ventricular depolarization?

A

QRS complex

121
Q

A MA is checking a patient’s hearing using the Rinne test. What should the MA tell the patient?

A

ask the patient to raise his hand when he no longer hears any sound

122
Q

A MA is preparing to perform a capillary collection from an older adult patient who has poor circulation in his hands. What should the MA do to increase circulation at the collection site?

A

warm the patient’s hand

123
Q

What type of appointment system allows flexibility to allow for the most consistent patient flow?

A

wave scheduling

124
Q

A MA is using a butterfly needle set to obtain a blood sample from a vein in a patient’s hand. What should the MA do?

A

hold the needle by its wings

125
Q

A MA is preparing a CMS-1500 insurance claim form for a patient who was treated for a burn injury. What information is required on the form?

A

current procedural terminology (CPT) code

126
Q

A MA is witnessing a patient sign an informed consent form. What is the reason the MA acts as a witness?

A

validates the patient’s signature

127
Q

A MA is administering an intramuscular immunization to a patient. What should the MA do first?

A

cleanse the site in a circular motion from the center outward

128
Q

A MA receives a chemical splash in her eyes. What is the first step the MA should do?

A

flush the eyes with tepid water

129
Q

A patient at an urgent care facility reports that she vomited and saw blood in the vomitus. What term is to be documented in the patient’s report?

A

hematemesis

130
Q

A MA observes a provider failing to perform hand hygiene before beginning to remove sutures from a patient’s hand. The patient’s hand later becomes infected. What legal tort is this?

A

negligence

131
Q

A first-time patient is late arriving to the office. What should the MA say first?

A

Hello, welcome to our office.

132
Q

A provider is performing a routine rectal examination on a patient. What supply should a MA have available during the examination?

A

lubricating jelly

133
Q

A MA is administering an intradermal injection for allergy testing. What should the MA do?

A

locate the area 2-3 finger widths below the antecubital space

134
Q

A MA is asked to assist a provider with an orthopedic examination. What instrument should the MA prepare for the examination?

A

goniometer

135
Q

A MA is measuring the circumference of an infant’s head. What should the MA do?

A

place the zero mark of the measuring tape against the infant’s forehead

136
Q

What position should a MA place an 18-month-old patient when administering ear drops to the right ear?

A

right ear facing up with the earlobe pulled down and back

137
Q

A MA is preparing a patient for a physical examination. What is the first step the MA should do?

A

verify the patient’s identify

138
Q

A MA is collecting multiple blood samples from a patient. What vacuum tube should the assistant fill first? (light blue, green, gray, yellow)

A

yellow

139
Q

A MA receives a phone call from a patient of a child who has possibly ingested a household cleaner. What should the MA do first?

A

contact local poison control center

140
Q

Which of the following tasks is within the scope of practice for a medical assistant in a clinical setting?
- administering IV medication
- removing sutures from a healing laceration
- interpreting a 12-lead EKG tracing
- whether a skin lesion is malignant

A

removing sutures from a healing laceration

141
Q

A MA is examining the skin on a patient’s forearm where the patient reports developing a rash. The assistant notes multiple solid elevations that are less than 0.5 cm in diameter. What term is used to document this?

A

papules

142
Q

A MA in an acute care facility is checking in a patient who has a deep laceration. The patient tells the assistant that he can’t accept blood transfusions due to his religious beliefs. What should the MA do?

A

document the statement in the patient’s chart

143
Q

A patient requests a female provider to perform her examination due to a religious conviction. A female provider isn’t available. What is an appropriate response by the MA?

A

assist the patient in locating a provider to accommodate the patient’s needs

144
Q

A patient arrives at the clinic with a tick bite on his leg. The provider asks a MA to help remove the tick. What should the MA do?

A

use tweezers to pull the tick away from the skin slowly

145
Q

A MA is preparing a patient for a procedure to have a mole excised. What should the MA do?

A

cleanse the site with surgical soap and an antiseptic

146
Q

A MA in an outpatient facility is preparing a patient for a venipuncture. What should the MA do to confirm the patient’s identity?

A

ask the patient to state and spell their full name and provide their date of birth

147
Q

The parent of a child who has pinworms is asking a MA for more information about his child’s condition. What type of infection is this?

A

helminthic

148
Q

A MA is reinforcing teaching with a patient who is going home after having extensive suturing to a laceration. What should the MA say?

A

Be sure to call your provider if you have a fever over 100F

149
Q

What term means having discomfort and difficulty breathing?

A

dyspnea

150
Q

What are antitussive medications for?

A

suppresses the cough reflex

151
Q

What is the source of energy for a cell?

A

mitochondria

152
Q

A MA is preparing to use a glucometer to measure a patient’s blood glucose level. What should the MA do?

A

obtain the blood sample after inserting the test strip into the glucometer

153
Q

What should the MA do to verify the quality of venipuncture supplies before beginning a blood draw?

A

inspect the integrity of the needle’s seal

154
Q

A patient loses consciousness. The EKG tracing reveals ventricular fibrillation. What should the MA do first?

A

call for help and begin CPR

155
Q

A MA is performing hand hygiene using an alcohol-based hand rub. What is the proper way to use these rubs?

A

Alcohol-based hand rub should be applied to one hand and then rubbed between both hands.

156
Q

A MA has requested preauthorization for a patient’s referral to a specialist. What is a possible reason this claim would be denied?

A

The service is provided after the expiration date.

157
Q

A MA has a request to collect a routine CBC from a healthy 10-month-old infant. What is the most appropriate collection site?

A

left heel

158
Q

What schedule is oxycodone? What type of potential for abuse is this?

A

schedule II controlled substance
- high potential for abuse

159
Q

A MA is preparing to draw venous blood samples. What PPE is required for this procedure by OSHA?

A

gloves

160
Q

When informed consent is required for a procedure, what should happen before the patient signs the form?

A

The provider should review alternative procedures with the patient.

161
Q

A MA is testing a patient’s visual acuity using the Snellen chart. The patient reads the 20/20 line with the right eye and misses one letter. What should the results be recorded as?

A

OD 20/20-1

162
Q

A patient presents for spirometry testing. What position should the patient be in?

A

seated upright with their chin elevated

163
Q

A MA is preparing samples for centrifugation. What guideline should the MA follow when preparing the sample?

A

tubes must be balanced

164
Q

A provider performs a lumbar tap on a patient and gives the specimen to the MA. What fluid should the MA document on the laboratory paperwork?

A

cerebrospinal fluid

165
Q

An elderly patient comes to the office to establish care. What should the MA do when communicating with the patient?

A

assume a position at eye level with the patient

166
Q

A MA suspects that a pediatric patient is being abused. What should the MA do?

A

notify the provider

167
Q

What is 50 lb in kg?

A

50/2.2 = 22/7 kg

168
Q

A MA has performed quality control testing on urine dipstick tests which has failed to produce the required control results as per the package insert. What should the MA do next?

A

check the reagent solution expiration date

169
Q

The MA is preparing to triage a patient who is following up for dyspnea. What vital would be abnormal?

A

respirations

170
Q

A CCMA is performing a 12-lead EKG and notices the patient’s heart rate is 44/min. What does this mean?

A

bradycardia

171
Q

A patient reports taking medication to lower body temperature. What type of medication is this?

A

antipyretics

172
Q

What procedure is typically performed by a nurse or respiratory therapist?

A

arterial blood draw

173
Q

A MA obtains an elevated blood pressure reading from a visibly upset patient. What should the MA do?

A

recheck the blood pressure after a few minutes

174
Q

According to the CDC guidelines, standard precautions prevent the spread of infections from what?

A

blood
nonintact skin
mucus membranes

175
Q

A MA is preparing to do an EKG on a patient who has known dextrocardia. What leads require placement modification for this patient?

A

precordial
- dextrocardia = heart on opposite side

176
Q

A MA is preparing to do an EKG on a cardiac patient. What position should the patient be in?

A

supine position

177
Q

What does AC interference look like?

A

vibrating baseline

178
Q

What is the process for the complete removal of microorganisms using heat, ionizing radiation, or chemicals?

A

sterilization

179
Q

In Maslow’s hierarchy of needs, what is the need for spontaneity and creativity under?

A

self-actualization

180
Q

What describes the movement of a medication from its site of administration to the body system it affects?

A

distribution

181
Q

What schedule of controlled substance is classified as having no accepted medical use?

A

I

182
Q

What should a MA do to prepare an examination room?

A

stock rooms with materials required for standard precautions

183
Q

What leukocyte produces antibodies?

A

lymphocytes

184
Q

What cell contains hemoglobin?

A

erythrocytes

185
Q

A MA is preparing a patient for a cast application. What should the MA do before the provider begins the cast application?

A

observe the condition of the skin

186
Q

A patient presents with the complaint of excessive bleeding. What vital would be abnormal?

A

thrombocytes

187
Q

A patient reports sudden, severe abdominal pain. If the patient has acute appendicitis, what quadrant will be tender?

A

right lower quadrant

188
Q

What is the normal level for leukocytes?

A

4.5-11 thousand/mm3

189
Q

What insurance plan was developed to provide affordable, comprehensive, healthcare to policyholders?

A

HMO

190
Q

A patient has an insurance that requires manual submission for payment. What form should the MA use?

A

CMS-1500

191
Q

The office receives a rejected health insurance claim. What should the MA do?

A

verify coding and resubmit claim

192
Q

Treponema pallidum is the causative agent for what disease?

A

syphilis

193
Q

What is an example of a controlled substance?

A

oxycodone

194
Q

The CMA is reviewing the release form of a patient who is a dependent minor. Who should sign the release form?

A

legal guardian

195
Q

Based on HIPAA guidelines, a CMA should do what before leaving a workstation?

A

log off from the station

196
Q

If a child has parents who both have insurance how does the MA file the claim?

A

the claim is filed to the parent with the birthday that comes first in the calendar year

197
Q

HIPAA stands for?

A

Health Insurance Portability and Accountability Act

198
Q

Recording a patient’s smoking status, maintaining a current med list and obtaining and documenting vitals at every visit are all core objectives of what?

A

meaningful use

199
Q

What document will inform loved ones of the patient’s decision related to whether he or she wishes their life to be prolonged in a situation when they are medically unable to communicate?

A

living will

200
Q

A patient reports that have whopping cough. The CCMA recognizes the causative agent as what?

A

pertussis

201
Q

A patient reports that they have ringworm. What is the causative agent?

A

tinea corporis

202
Q

3 patients are scheduled on the hour and then again on the half hour and they will be seen in the order of arrival. What type of scheduling is this?

A

modified wave

203
Q

A patient reports they are taking medication for leg pain. What type of medication is this?

A

analgesics

204
Q

A MA is assembling a paper chart for a new patient. What should be left out of the medical record?

A

insurance payments

205
Q

A 24 year old patient reports having difficulty seeing things up close. What condition is this?

A

hyperopia

206
Q

What document directs medical personnel how to proceed when the patient is found with no heartbeat and/or no breathing?

A

DNR order

207
Q

A patient has a new prescription medication she wants to mail order. The MA would advise the patient that which of the following parts of Medicare will pay for the medication?

A

Part D

208
Q

What injection site should a MA use for an intramuscular medication administration?

A

upper lateral thigh

209
Q

The CCMA is preparing the chart for a patient being seen in consultation for knee pain. What is needed for this evaluation?

A

radiology report

210
Q

When performing a capillary puncture on an 8 month old patient, what should the CCMA do?

A

have the parent hold the child during the procedure

211
Q

A MA is giving instructions to a patient whose provider has ordered a 24-hour urine test. What should the CCMA include?

A

discard the first urine sample on the start date

212
Q

A newly hired medical assistant is receiving training on the office Quality Assurance Plan. What is the goal of the plan?

A

ensure clinical lab accuracy

213
Q

What is an example of a CLIA-waived test that can be performed in the physician office laboratory by the medical assistant?

A

rapid strep test

214
Q

When preparing a patient for an EENT exam, does the patient need to disrobe?

A

Patients may need to disrobe for an EENT exam if it is part of a complete physical exam

215
Q

What abbrievation means right eye?

A

OD

216
Q

What is epistaxis?

A

nosebleed

217
Q

The CCMA is the post-hospitalization paperwork for the patient’s follow-up visit and notices the patient was admitted for ishemia. What is this condition?

A

lack of blood flow and oxygen

218
Q

What is the best way for a MA to enhance effective communication with a conflict arises in the medical practice?

A

adhere to the chain of command

219
Q

A patient presents complaining of abnormal bleeding, easy bruising, nosebleeds, bleeding gums, and prolonged bleeding after an injury. What condition could this be?

A

hemophilia

220
Q

Mary has contracted COVID but she goes to work anyway. What mode would the pathogen use to enter a new reservoir?

A

portal of entry

221
Q

A MA has a laboratory order from a provider which includes monocyte testing? What does -cyte mean?

A

cell

222
Q

When receiving new employee education regarding the infection control policy, what would indicate the MA has had adequate instruction?

A

every body fluid, except sweat, must be considered infectious

223
Q

A MA who is triaging a patient needs to choose the appropriate PPE. What is the means of indirect contact transmission?

A

inhaling air droplets after a sneeze

224
Q

A MA needs to triage a very young pediatric patient. Where should temperature not be obtained from?

A

the neck

225
Q

When preparing to obtain a set of vitals for a patient during triage, what can affect measurements?

A

infection, activity, metabolism

226
Q

A MA is reviewing the patient’s chart for their health maintenance prior to the visit. What test is recommended for yearly cancer screening after the age of 50?

A

fecal occult blood test

227
Q

A provider is caring for a patient who has a kidney stone. What is the medical name for that?

A

nephrolithiasis

228
Q

A MA is preparing to obtain a plasma sample from a patient. What is plasma?

A

fluid portion of unclotted blood

229
Q

A MA is administering lidocaine ointment. What is the route of absorption?

A

topical

230
Q

A MA has completed a venipuncture and realizes she tied the tourniquet too tight and has caused the capillaries in the area to rupture. What is the medical term for this?

A

petechiae

231
Q

A MA performing an EKG notices the patient is sweating profusely. What artifact should they anticipate on the tracing?

A

wandering baseline

232
Q

A MA has an order for a rapid streptococcal test. What location must the specimen be from?

A

pharynx

233
Q

A MA is preparing to perform a venipuncture. What should the MA instruct the patient to do?

A

make a fist, but do not pump

234
Q

After completing a venipuncture, a MA accidentally sticks herself with the used needle. What should the MA do first?

A

wash the exposed areaThe M

235
Q

A has an order for a hemoglobin A1C assay. They need to use a tube containing what additive?

A

EDTA

236
Q

The MA has reviewed a laboratory prescription from a provider for a patient. What tube requires the additive oxalate?

A

gray

237
Q

A MA is preparing a patient for an EKG. What would the MA do if the electrodes’ adhesives appear to be ineffective?

A

attach the leads with cloth tape

238
Q

What angle should the needle be inserted for a venipuncture using a winged collection device?

A

15 degrees

239
Q

A patient presents for a finger-stick glucose level and reports her skin is sensitive to alcohol. What is the best alternative for skin asepsis?

A

chlorhexidine

239
Q

After attempting a venipuncture on a patient who has small, fragile veins, a CCMA misses the patient twice. The CCMA should do what?

A

ask another CCMA to obtain the specimen

240
Q

What needle size should a MA select for an intradermal injection?

A

25-28 gauge

241
Q

Why should a MA wear gloves when administering topical medications?

A

to prevent self-administration

242
Q

A MA needs to obtain the head circumference measurement on an infant. Where is the correct placement of the tape for the measurement?

A

at a level slightly above the eyebrows

243
Q

A MA is providing information to a patient who has questions about syphilis. What is the most common transmission method?

A

sexual contact

244
Q

A patient has been diagnosed with ringworm by the provider. What type of infection is this?

A

fungal

245
Q

A newly hired medical assistant must undergo training for pathogens and transmission routes. What organization enforces this requirement?

A

OSHA

246
Q

A CCMA needs to make 100 mL of a 10% bleach solution for a blood spill. What is the correct combination?

A

10 mL bleach with 90 mL distilled water

247
Q

A MA is setting up a dermal puncture. What PPE is needed for this procedure?

A

sterile gloves

248
Q

A MA will be assisting in a minor surgical procedure in the office. What would be correct for maintaining surgical asepsis?

A

maintain a 1-inch border around the sterile field

249
Q

A MA is checking the patient’s bathroom and finds blood on the floor. What should the MA reference for direction?

A

exposure control plan

250
Q

The MA is preparing a specimen for transport to the laboratory. What should be documented on the specimen label?

A

source of the sample

251
Q

The provider has ordered a rapid strep test. What should the MA do to properly obtain a specimen?

A

open the patient’s mouth wide

252
Q

A MA is performing a finger stick on a patient to assess their hemoglobin level using a point of care testing device. What should the MA do to ensure accurate results?

A

run controls on the machine

253
Q

After stocking the exam rooms, what should the MA use to track inventory of clinical supplies?

A

spreadsheet

254
Q

A MA notices that the exam rooms are running critically low on gauze. What form must be used to order supplies?

A

purchase order

255
Q

A patient is referred to a hematologist for abnormal blood results. What should the MA do?

A

initiate a patient referral with the patient’s insurance company

256
Q

A patient presents with a closed wound caused by blunt trauma. They now also have swelling, bruising, and pain at the site. How would the MA document this?

A

contusion

257
Q

A MA is providing education for a patient with a new diagnosis of osteoporosis. What should the patient take?

A

vitamin D

Medical Assisting (51 decks)

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