When measuring the circumference of an infants head, which of the following action should you take?

Place the zero mark of the measuring tape against the infants forehead

When drawing blood, when should the tourniquet be removed?

Within one minute of application

Which of the following action should you take if a parent calls in reporting that her child has ingested house cleaner?

Contact the local poison control center

You’re reviewing a Medicare claim denial and realize the charges exceed the usual fees. Which action should you take?

Adjust the pts account to reflect no unpaid charges, and write off balance

Which of the following is NOT true of an extended release pill?

It can be crushed or chewed, if it is too hard to swallow

A pt receives a bill for an x-ray he had due to an injury at work.He has private insurance; is eligible for workers comp

Paid in full by Worker’s Compensation

Which of the following should occur before a patient signs an informed consent form?

The provider should review alternative procedures with the patient

How can you observe a patient’s understanding of insulin administration

Observe the patient as he/she performs a self demonstration

When administering cough syrup to a patient which of the following action should you take?

View the medication cup at eye level when pouring

A patient calls in and is nervous about test results. Which is an appropriate response?

“I know you’re concerned about your test results We’ll call ASA results in”

What action should you take if a patient reports getting a bill for services she did not receive?

Review that days encounter form to determine if another pt received service

Where should you place the electrode for V4?

The fifth intercostal space, left midclavicular line

When preparing a patient for Holter monitoring, which of the following action should be taken?

Vigorously dry, the patient’s skin prior to electrode placement

Which of the following instructions is correct and reinforcing teaching to a pt who receives suturing of a laceration?

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

Which of the following statements should you make when explaining venipuncture to a patient?

“I’ll be collecting a blood sample from you. There will be a small stick.”

When educating an older patient, which of the following ensures patient understanding?

Have the patient repeat information

Which of the following is a proper statement when a patient is irate about a claim denial?

“Let’s see if there is something we can do on our end”

Which of the following is an appropriate way to confirm a patient’s identity?

Ask the patient to state and spell their full name, and provide their DOB

According to the RACE acronym, what is the first action an assistant should take after discovering a fire?

Evacuate staff and patients from the immediate area

When preparing a CMS-1500 form, which of the following is required on the form?

Current procedural terminology code

Which of the following action should you take when preparing a patient for a procedure to have a mole excised?

Cleanse the site with surgical soap and an antiseptic

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NHA EXAM

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1
Which of the following refer to ringing in the ears?
Tinnitus
Otosclerosis
Otalgia
Presbycusis
2
When measuring the circumference of an infants head, which of the following action should you take?
Position infant prone on the examination table
Place the measuring tape, so it covers infants ears
Place the zero mark of the measuring tape against the infants forehead
Mark the measuring tape and record the measurement after the visit
3
A pulse oximeter may inaccurately measure low oxygen saturation due to the following circumstance?
Cold fingers
Anemia
Carbon monoxide poisoning
Hyperventilation syndrome
4
When drawing blood, when should the tourniquet be removed?
After a flash of blood is seen in the hub of the first tube
Within one minute of application
Between two and three minutes after application
After the needle is removed
5
Which of the following insurance should be available for a general physical examination?
Endoscope
Curette
Forceps
Otoscope
6
Which of the following action should you take if a parent calls in reporting that her child has ingested house cleaner?
Tell the parent to call back after obtaining the child’s vital signs
Contact the local poison control center
Instruct the parent to administer syrup of ipecac to the child
Direct the parent to manually induce vomiting
7
When initiating a referral for a patient, which of the following should be included?
Diagnosis
Age
Current medications
Family history
8
If pt becomes tachycardic and sob during a stress test, and you notice abnormalities in EKG,what action should MA take ?
Obtain the patient’s vital signs
Discontinue the test
Ask the patient if they are experiencing chest pain
Instruct the patient to take slow, deep breaths
9
When controlling bleeding, the assistant should do which of the following?
Apply layers of sterile gauze
Suture the wound
Sterilize her hands
Flush the wound with sterile water
10
You’re reviewing a Medicare claim denial and realize the charges exceed the usual fees. Which action should you take?
Leave the unpaid balance on the record until the end of the revenue cycle
Request payment to the point of service during the patient’s next visit
Adjust the pts account to reflect no unpaid charges, and write off balance
Wait until an overpayment of the approximate amount balances the deficit
11
Which of the following is NOT true of an extended release pill?
It should be taken at the same time each day
Extended release pills provide a consistent amount of medication
The pt should drink plenty of water when taking the extended release pill
It can be crushed or chewed, if it is too hard to swallow
12
Which of the following EKG artifacts is caused by a disconnected electrode?
Wandering baseline
Interrupted baseline
Somatic tremor
AC interference
13
Which of the following terms is the body’s adaptation and change to keep body functions in balance?
Peristalsis
Homeostasis
Hematopoiesis
Physiology
14
Which of the following terms should be documented when a patient reports that they saw blood in their vomit?
Hematemesis
Hematuria
Melena
Hemoptysis
15
Which of the following should the assistant immediately report to the patient’s provider?
Hematocrit 42%
Blood glucose 500 mg/dL
Hemoglobin 15 g/dL
Potassium 4.1 mEq/L
16
Which of the following stages of the cardiac cycle represents ventricular depolarization?
P-wave
QRS complex
ST segment
T-wave
17
Pyloric stenosis is a condition of which of the following body systems?
Nervous
Urinary
Gastrointestinal
Cardiovascular
18
Which of the following increases circulation before a fingerstick?
Squeeze the patient’s finger
Warm the patient’s hand
Apply a tourniquet above the patient’s wrist
Hold the patient’s hand above his heart
19
A pt receives a bill for an x-ray he had due to an injury at work.He has private insurance; is eligible for workers comp
Paid in full by the patients private insurance
Paid in part by private insurance, and in part by Worker’s Compensation
Paid in full by the patient
Paid in full by Worker’s Compensation
20
Patient’s eyes are moving back and forth and a constant, involuntary manner. What findings should this be documented as?
Conjunctivitis
Hordeolum
Strabismus
Nystagmus
21
A patient who has a body mass index (BMI) of 23 should be categorized as?
Underweight
Obese
Normal weight
Overweight
22
Which of the following should be included in the appointment calendar when scheduling a patient?
Patient’s identification number
Date of birth
Diagnosis code
Daytime phone number
23
Which of the following appointment methods allows flexibility for the most consistent patient flow?
Cluster booking
Stream scheduling
Wave scheduling
Double booking
24
Which of the following should occur before a patient signs an informed consent form?
The MA should describe the risks of the procedure to the patient
The medical assistant should explain the procedure to the patient
The provider should review alternative procedures with the patient
The provider should review the pt’s insurance coverage for the procedure
25
How can you observe a patient’s understanding of insulin administration
Repeat the instructions to the patient
Provide the patient with written instructions
Offer the patient a website to visit for directions
Observe the patient as he/she performs a self demonstration
26
When administering cough syrup to a patient which of the following action should you take?
Keep the label side of the bottle on the bottom when pouring
Shake the bottle vigorously
Match the mark for the medication dosage to the upper edge of the meniscus
View the medication cup at eye level when pouring
27
According to OSHA’S guidelines, blood-soiled gauze should be disposed of in which of the following?
Trashcan with clear leakproof liner
Red biohazard bag
Sharps container
Purple medical waste container
28
Which of the following forms indicate when a patient needs a referral and/or follow up appointments?
Encounter form
OSHA form 301
Informed consent
CMS-1500 claim form
29
A patient calls in and is nervous about test results. Which is an appropriate response?
“The doctor is busy right now and will call you back.”
“I’m afraid it’s bad news. I would get a second opinion if I were you.”
“Don’t worry about it. Try to relax.”
“I know you’re concerned about your test results We’ll call ASA results in”
30
What action should you take if a patient reports getting a bill for services she did not receive?
Determine if the patient has a previous balance
Review that days encounter form to determine if another pt received service
Instruct the patient to pay for the services to avoid collection procedures
Ask the provider to write off the charges on the patient’s account
31
When you need to remove all living microorganisms from an instrument, which of the following methods should you use?
Ultrasonic
Sterilization
Sanitization
Disinfection
32
When using a POMR (problem oriented medical record) where should you enter the patient’s health history & lab results?
Progress note
Database
Problem list
Diagnostic and treatment plan
33
Where should you place the electrode for V4?
The anterior axillary line, lateral to V6
The fourth intercostal space, left sternal border
The left midaxillary line, lateral to V5
The fifth intercostal space, left midclavicular line
34
You have to apply ointment to a patient’s wound. Which should you use to remove the medication from the jar?
A syringe
A tongue blade
A gloved finger
A cotton ball
35
When preparing a patient for Holter monitoring, which of the following action should be taken?
Apply the electrodes while the patient is in a standing position
Vigorously dry, the patient’s skin prior to electrode placement
Wash the patient’s skin with soap and water prior to electrode placement
Ensure tension is on the lead wires after electrodes are in place
36
Which of the following instructions is correct and reinforcing teaching to a pt who receives suturing of a laceration?
“Red streaks are normal near the wound and can be addressed at next visit”
“Keep the dressing damp, so moisture can surround the wound”
“Do not attempt to change your dressing until your next visit”
“Be sure to call your provider if you have a fever over 100°F”
37
Which of the following can be used for an orthopedic exam?
Tonometer
Goniometer
Hemostat
Retractor
38
Which of the following statements should you make when explaining venipuncture to a patient?
“I’m going to draw a blood sample. I’m sure that you aren’t going to faint”
“I’m here to draw a blood sample for a test. It won’t hurt at all.”
“I’ll be puncturing your vein with this needle.Hopefully you won’t feel it”
“I’ll be collecting a blood sample from you. There will be a small stick.”
39
You are checking blood pressure and listening with a stethoscope when should you read the diastolic pressure?
When repetitive sounds begin
When the sounds change from strong to muffled
When the sounds change from swishing to sharp
When the sound disappears
40
When educating an older patient, which of the following ensures patient understanding?
Stand beside the patient
Have the patient repeat information
Have additional medical staff present to explain information
Speak louder to the patient
41
Psoriasis can be identified by which of the following characteristics?
Brown, flat
Silvery, scaly
Yellow, waxy
Gray, crusty
42
Which of the following is a proper statement when a patient is irate about a claim denial?
“That’s not our fault. your insurance company chooses what they cover”
“Let’s see if there is something we can do on our end”
“I don’t take care of those matters. You’ll have to contact billing.”
“That eventually happens to everyone.It’s better to just pay then fight it”
43
Which of the following is an appropriate way to confirm a patient’s identity?
Ask the patient for their providers name
Ask the patient to verify their examination room number
Ask the patient to state and spell their full name, and provide their DOB
Ask the patient to state their age and address
44
When collecting a blood sample, which of the following tubes should be drawn first?
Light blue (sodium citrate)
Gray (sodium fluoride)
Yellow (blood culture)
Green (heparin)
45
Which of the following notifies the provider of a claim denial by an insurance company?
CMS-1500 claim form
Coordination of benefits (COB)
Eligibility for insurance
Remittance advice (RA)
46
Which of the following is the purpose of completing an incident report for a patient fall that occurred in the lobby?
To create documentation for the patient’s medical record
To document patient responsibility for the fall
To avoid future reoccurrences
To remove liability from the clinic
47
According to the RACE acronym, what is the first action an assistant should take after discovering a fire?
Close the doors and windows
Evacuate staff and patients from the immediate area
Turn off the oxygen in the adjacent exam rooms
Use the office fire extinguisher
48
How many primary digits does a CPT code consist of?
2
4
7
5
49
Stage two hypertension can be identified by which of the following blood pressure readings?
135/80 mm Hg
110/80 mm Hg
150/95 mm Hg
120/85 mm Hg
50
When preparing a CMS-1500 form, which of the following is required on the form?
Physical address where the injury occurred
Patient’s medical record number
Current procedural terminology code
Patient’s health savings account number
51
Which of the following action should you take when preparing a patient for a procedure to have a mole excised?
Cleanse the site with surgical soap and an antiseptic
Don sterile gloves and gown
Administer the anesthetic to the patient
Open a sterile pack, and lay instruments on the counter
52
How should the MA greet a new patient that has arrived to the office late?
“Have a seat. We will be with you shortly.”
“Hello. Welcome to our office.”
“What is your best phone number? We couldn’t reach you this morning.”
“Please complete these forms and return them to the desk.”
53
When disposing of a used needle and syringe, what action should the MA take?
Drop the syringe, needle first, into the sharps container
Replace the sharps container once it is half full
Use a gauze to break off the needle and place it in the sharps container
Recap the needle before disposing of it in the sharps container
54
When performing a fingerstick, which of the following should happen first?
Cleanse the site with an antiseptic wipe
Confirm the correct identity of the patient
Position the blade of the lancet across the lines of the fingertip
Select the appropriate part of the third or fourth finger
55
When preparing a patient for a physical examination, which of the following should the assistant take first?
Record the patient’s vital signs
Give the patient a paper gown
Verify the patients identity
Assist the patient into Fowlers position
56
When writing a business correspondence using the simplified letter style, which of these features should you use?
A subject line in all capital letters
Center aligned dateline and salutation
Indented paragraphs in the body of the letter
A complimentary closing
57
When using the Snellen chart to test visual activity on an adult, the MA should have the pt stand how far away?
20 feet
14 inches
10 feet
30 inches
58
When preparing to use a glucometer to measure a patient’s blood sugar, which of the following action should the MA take?
Apply the first drop of blood that appears after the puncture to the strip
Smear the blood the the rest pad
Obtain the blood sample after inserting, the test strip into the glucometer
Touch the testing pad on the test strip to make sure the surface is smooth
59
After giving a pt an injection; the pt starts to develop a itchy rash w/ pink lesions. Which should MA use to document?
Rhinitis
Urticaria
Erythema
Anaphylaxis
60
When preparing a patient to wear a Holter monitor, which of the following instruction should the assistant include?
“You can bathe and shower as usual during monitoring”
“You should avoid your regular exercise routine during monitoring”
“You should avoid using an electric blanket during monitoring”
“You will be required to wear the monitor for 2 to 4 hours.”
61
After requesting preauthorization for a patient’s referral to a specialist, what is one reason the claim may be denied?
The approved visits are listed in the authorization comments section
The patient previously submitted and received a self referral
The service is provided after the expiration date
The specialty provider’s NPI is not included in the authorization
62
Which of the following techniques should be used when bandaging a wound?
Extend the wound dressing 3 to 5 inches beyond the bandage
Wrap the wound from distal to proximal
Bandage fingers and toes to prevent further injury
Moisten and apply ointment before bandaging
63
Which action should you take when removing a tick from a patient’s leg after a tick bite?
Squeeze the body of the tick firmly to remove it
Discard the tick in trashcan
Use tweezers to pull the tick away from the skin slowly
Grasp the tick at a point furthest from the skin
64
Oxycodone is which type of medication?
Is a schedule V controlled substance and has a high potential for abuse
Is a schedule II controlled substance and has a high potential for abuse
Is a schedule I controlled substance and has a low potential for abuse
Is a schedule IV controlled substance and has a low potential for abuse
65
Which of the following instruction should an assistant give regarding transdermal patch and use?
“Apply each new patch at a different time during the day”
“Keep all used patches for inspection at your next appointment”
“Only sponge baths are allowed while wearing the patch”
“Make sure to rotate patch placement to avoid skin irritation”
66
Pediculosis is what type of infection?
Bacterial
Fungi
Parasitic
Helminthic
67
Which of the following is a CLIA-waived laboratory test
Fecal leukocyte test
Pap test
Blood typing and crossmatching
Human chorionic gonadotropin (HCG) test
68
How does an antitussive work?
Helps with coughing up mucus
Suppresses the cough reflex
It reduces nasal membrane swelling
Relieves allergy symptoms
69
Which of the following is outside of the scope of a MA??
Perform clinical duties under the direct supervision of the provider
Reinforce instructions about medication‘s and special diets
Provide directions to a patient about preparation for a diagnostic test
Order additional laboratory test to confirm the patient’s condition
70
A patient experiencing heatstroke may manifest which of the following?
Bradycardia
Slow breathing
Excessive sweating
Hot skin
71
When trying to clear debris out of a patients eye, which of the following action should the MA take?
Irrigate the eye by flushing it with cold tap water
Use a clean, dry piece of gauze, to sweep the debris out of the eye
Position a bulb syringe on the lid of the eye during extraction
Irrigate the eye starting at the inner canthus and flowing to the outer
72
When using the SOAP format, which of the following would be found in the assessment section?
Family history
Chief complaint
Diagnosis
Laboratory results
73
Which of the following instruments can be sanitized and reused without needing disinfection or sterilization?
Curettes
Otoscope
Suture removal instruments
Nasal specula
74
Which of the following action should you take when using the butterfly method to obtain a blood sample?
Activate the safety device before removing a needle
Insert the needle into the skin at a 45° angle
Hold the needle by its wings
Release the tourniquet after two minutes
75
Which of the following cell structures is the source of energy for a cell?
Mitochondria
Golgi apparatus
Ribosomes
Endoplasmic reticulum
76
Which of the following microorganisms is caused by the Epstein-Barr virus?
Gastroenteritis
Polio
Mononucleosis
Fifth disease
77
Which of the following instrument is necessary for a Papanicolaou (Pap) test?
Senn retractor
Adson forceps
Cytobrush
Cryoprobe
78
A MA is preparing 1g/kg of activated charcoal for a pt who weighs 176lb. How many grams of charcoal should a MA prepare?
387 g
76 g
79 g
352 g
79
What is the purpose of a modifier when assigning a CPT code?
Indicates the complexity of the medical history that led to the procedure
Provides additional information or circumstances for a procedure
Indicates the amount of time the provider has spent on the procedure
Provides the clinical setting, in which the procedure was performed
80
Pinworms are which of the following microorganisms?
Protozoa
Fungi
Bacteria
Helminths
81
When measuring a patient’s temperature via the tympanic membrane, where should you place a thermometer?
Under the tongue
On the forehead
Under the arm
In the ear
82
A patient begins to faint as an MA is drawing her blood. What should the MA do?
Have the patient remain in the office for five minutes
Position the patient flat on her back
Use an ammonia capsule to revive the patient
Apply warm cloth to the patience for head
83
How many milliliters of medication are in a tablespoon?
30 mL
5 mL
2.5 mL
15 mL
84
When administrating eye ointment to a patient, which of the following action, should an MA take?
Apply the ointment from the outer canthus to the inner canthus
Hold the ointment tube parallel to and above the patient’s eye
Apply a thin ribbon of ointment along the conjunctival sac
Have the patient keep her eye open after application
85
Which of the following medical records is a patient entitled to?
List of medications with diagnosis
Detailed psychotherapy notes
Information complied for legal proceedings
Original chest x-rays
86
A pt requests a female provider due to religious convictions, but there isn’t one available. Which is appropriate?
Assist the patient in locating a provider to accommodate the pt’s needs
Decline treatment of the patient
Instruct the patient to visit the emergency room
Reassure the patient that the male provider will be respectful
87
Which route is more accurate when checking a patient’s temperature?
Oral
Axillary
Rectal
Temporal
88
How should you communicate with a patient who has moderate hearing loss and reads lips?
Speak loudly
Speak slowly
Use hand gestures
Overenunciate words
89
When administering an intramuscular injection, which of the following actions should the MA take?
Cleanse the site in a circular motion from the center outward
Select the patient’s forearm as the site of injection
Cleanse the site with povidone iodine solution
Hold the needle and syringe at a 45° angle to the skin
90
Which of the following documentation templates is organized by the entity that supplied the data?
SOAP format
Problem-oriented
Source-oriented
CHEDDAR format
91
Which of the following is within the scope of a medical assistant?
Identifying whether a skin lesion is malignant
Interpreting a 12 lead EKG tracing
Removing sutures from a healing laceration
Administering IV medication
92
Which of the following can be signed by a medical assistant?
A notification letter to a patient about surgery arrangements
A referral letter for a patient to an outside provider
A medical report for an insurance carrier
A letter containing medical advice to the parents of a child
93
When obtaining a rectal temperature, which of the following position should the patient be placed in?
Sims
Knee-chest
Lithotomy
Dorsal recumbent
94
Which of the following conditions refer to curvature of the thoracic spine?
Subluxation
Scoliosis
Lordosis
Kyphosis
95
How should you put a seven-year-old at ease prior to administering an injection?
Tell the child that the procedure will not hurt
Show the child the needle that will be used for the procedure
Explain the procedure to the child in simple steps
Use medical terminology when discussing the procedure with the child
96
Which of the following is the purpose of category II codes in procedural coding?
Works as a temporary code
Track provider performance measures
Identifies preventative measures
Indicates special circumstances
97
If a patient asked about the cost of a surgical procedure, which response is appropriate?
Provide the pt with an estimated cost for the procedure
Advise the pt that all procedure pricing must be communicated by mail
Instruct the pt to contact her insurance carrier for a price
Inform the pt that the cost will be determined after the procedure is done
98
An EKG tracing shows ventricular fibrillation on an unconscious patient. What action should you take first?
Administer oxygen
Call for help and begin CPR
Notify the provider of the arrest
Get the automated external defibrillator (AED)
99
When should the code on glucose cuvettes be compared to the code on the glucometer?
At the beginning of the shift
Before a patient is tested
After a new package of cuvettes is opened
Following an error code
100
Which of the following organs is located in the right upper quadrant of the abdomen?
Appendix
Spleen
Gallbladder
Stomach

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