Where should the MA place the electrode for V5?

On the left anterior axillary line, horizontal to V4

MA is measuring a pt oxygen saturation with pulse oximeter. Which action should assistant take?

Check capillary refill in pt finger

MA gets phone call from pt who is nervous about results. Which response should MA make?

I know you are concerned. We will call as soon as your results are in

MA discovers a garbage fire has started. According to RACE acronym, what is the first action MA should take?

Evacuate the staff and pt from the immediate area

MA is reinforcing teaching w/ a pt about use of a transdermal patch. Which instruction should the MA include in teaching

Select a different application location for each new patch

Pt is to repeat Papanicolaou test due to abnormal results. MA should identify which factors can interfere with results?

Using OTC vaginal cream prior to test

MA recieves denial of payment for pt. Reason stated "noncovered service". If procedure is emergent, what should MA do?

Instruct pt to contact insurer about denial of payment

A MA in a out pt facility is preparing pt for venipuncture. Which actions should the MA take to confirm the pt identity?

Ask pt to state and spell full name and provide their DOB

MA is entering new prescription in pt EMR and alert of medication interaction appears. Which action should MA take?

Consult provider before continuing to process the prescription

Pt tell MA his provider is incompetent, as there no improvement in his condition. Which is appropriate response?

I think that you feel that your treatment is not effective

MA is collecting urine for drug test. Which of the following actions should MA take to adhere chain of custody for urine

Send specimen to testing lab same day as collection

Which of the steps for a fingertsick should a MA complete first?

Confirm the correct identity of the pt

MA is collecting health history from adult pt who exhibits mederate hearing loss. Which action should MA take?

Remain within the pt view to allow lip-reading

MA is removing sutures from a pt who has a laceration on left lower leg. Which action should MA take?

Lift first knot away from the skin

MA is transcribing pt routine prescription for oxycodone. Which method should MA use to process prescription?

Provide the prescription in writing for the pt to take to the pharmacy

MA is preparing a resource library. Which of the following actions should the assistant take first?

Compile list of local community agencies

MA is teaching pt about self administration of insulin. Which pt statment shows understanding of teaching?

I will roll bottle between hands before drawing medication

MA is resting a pt visual acuity using Snellen chart. Which actions should MA take?

Make sure pt does not lean forward

MA is faxing precription to a pt pharmacy. Which of the following actions should MA take?

Call pharmacy to confirm the receipt of faxed prescription

Which of the following should an MA identify as the purpose of a category II code in procedural coding?

Tracks provider performance meaures

MA is reviewing instruction with pt with OTC antitussive, but pt doesn't know what it is? Which is correct response?

It's medication that surpresses cough reflex

When assisting a provider with a punch biopsy of a mole, which of the following tasks should a MA expect to preform?

Recieve and prepare tissue specimens for processing

MA is reviewing a pt medical history prior to appt. Which lab results indicate need to schedule an extension of visit?

Fasting Blood Glucose 168 mg/dL

MA is administering eye oitment to a pt. Which action should MA take?

Apply a thin ribbon of ointment along conjunctival sac

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CCMA Test Review Part 1

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Questions 100

Answers

1
MA is reviewing list of medications pt is taking. MA should recognize which medication is available in sublingual form?
Propranolol
Metoprolol
Nitoglyercin
Atorvastation
2
A MA is caring for a pt who is 5'7ft tall. Which is the pt height in cm?
145 cm
26 cm
114 cm
170 cm
3
MA is preparing a pt who has bilateral below the knee amputations for an EKG. Which sites should MA select for electrode
Lower arms
Elbows
Knees
Abdomen
4
Where should the MA place the electrode for V5?
On the left anterior axillary line, horizontal to V4
On the midclavicular line, 5th intercostal space
On the right margin of the sternum, 4th intercostal space
On the left midaxillary line, horizontal to V4
5
Provider requested a dissecting instrument for MA to prepare. Which of the instruments should assistant include on tray?
Thumb Forceps
Scissors
Retractors
Probes
6
MA is measuring a pt oxygen saturation with pulse oximeter. Which action should assistant take?
Report a reading of 97% to provider
Instruct the pt to take several deep breaths while the sensor is in place
Wash site with soap and water
Check capillary refill in pt finger
7
Which of the following an MA role in pulmonary function testing (PFT)?
Check the pt vitals during the test to ensure stability
Instruct the pt in the use of the inhaler used in testing
Coach pt through the test
Administer the proper medication prior to the test
8
MA gets phone call from pt who is nervous about results. Which response should MA make?
The doc is busy right now. You really don't want me to give you the results
Don't worry about it. Until we say you have something to worry about, relax
I'm afraid its bad news. I would get a second opinion
I know you are concerned. We will call as soon as your results are in
9
The parent of a child who has pediculosis is asking for more info. The MA should explain it's which type of infection?
Fungal
Helminthic
Parasitic
Bacterial
10
Which technique should MA use for routine cleaning of EKG cables?
Sanitization
Disinfection
Sterilization
Soaking
11
MA is administering heparin subcutaneously. Which actions should the MA take?
Spread the skin taut over the injection site
Insert the needle at a 30 degree angle
Inject medication slowly
Massage the site after removing the needle
12
MA discovers a garbage fire has started. According to RACE acronym, what is the first action MA should take?
Turn off the oxygen in the adjacent exam room
Use the fire extinguisher
Close the doors and windows
Evacuate the staff and pt from the immediate area
13
MA is reinforcing teaching w/ a pt about use of a transdermal patch. Which instruction should the MA include in teaching
Do not shower with patch on
Apply lotion to your skin before applying the patch
Select a different application location for each new patch
Remove the old patch 1 hr before apply the new patch
14
Pt is to repeat Papanicolaou test due to abnormal results. MA should identify which factors can interfere with results?
Taking prescribed oral birth control pills
Engaging in intercourse 48 hr prior to test
Douching 1 week prior to the test
Using OTC vaginal cream prior to test
15
MA recieves denial of payment for pt. Reason stated "noncovered service". If procedure is emergent, what should MA do?
Submit an appeal for the denied claim
Instruct pt to contact insurer about denial of payment
Resubmit the claim with new diagnosis code
Submit new claim
16
Prior to a pt follow up appt, which of the following info shuld MA report to the provider?
Anthropometric measurements
Date of upcoming mammogram
A change in the pt insurance
Recent lab results
17
MA needs to remove all living microorganisms from a contaminated towel clamp. Which method should MA use?
Ultrasonic
Disinfection
Sterilization
Sanitization
18
A MA in a out pt facility is preparing pt for venipuncture. Which actions should the MA take to confirm the pt identity?
Ask pt to state and spell full name and provide their DOB
Ask the pt to confirm their exam room
Ask the pt to state their age and address
Ask the pt for the name of their provider
19
MA is entering new prescription in pt EMR and alert of medication interaction appears. Which action should MA take?
Override the alert and enter prescription
Call the pharmacist to obtain info about alternative medication
Consult provider before continuing to process the prescription
Notify the pt of possible interactions with prescribed medication
20
MA is composing a business correspondence using simplified letter style. Which feature should assistant use?
Complimetary closing
Indented paragraph in the body of the letter
Center-aligned dateline and salutation
Subject line in all caps
21
Pt tell MA his provider is incompetent, as there no improvement in his condition. Which is appropriate response?
I'm sure that the provider can help you get better
I think that you feel that your treatment is not effective
You could take a different medication and then you'll feel better
That isn't fair. Our office treats many pt successfully
22
MA is determining payment of pt for a appt of 200. Pt has a $20 copay, a 90/10 coinsurance, and met deductible. Total is
$40
$20
$30
$50
23
MA is collecting urine for drug test. Which of the following actions should MA take to adhere chain of custody for urine
Ensure specimen has volume of 20 mL
Send specimen to testing lab same day as collection
Ask provider to supervise collection and shipment of specimen
Record specimen temp. 8 min after collection
24
Which of the following lab results should the MA recognize as abnormal?
RBC count 5.2/mm^3
Platelets 350/mm^3
Potassium 3 mEq/L
Sodium 138 mEq/L
25
Which of the steps for a fingertsick should a MA complete first?
Select the appropriate part of the 3rd or 4th finger
Cleanse the site with an antiseptic wipe
Confirm the correct identity of the pt
Position the blade of the lancet across the lines of the fingertips
26
An MA should follow chain of custody guidlines for which of the following types of lab results?
Lead levels
Digoxin levels
Blood cultures
Parentage testing
27
What is the most accurate method to take a pt temperature?
Oral
Axillary
Rectal
Temporal
28
MA is collecting health history from adult pt who exhibits mederate hearing loss. Which action should MA take?
Speak with raised pitch when clarifying info
Keep her hands still to avoid distracting the pt
Remain within the pt view to allow lip-reading
Use longer sentences to keep the pt attention
29
MA is writing professional correspondence to consulting provider. Which is the appropriate way to date the letter?
January 1, 2019
01/01/2019
January 1st, 2019
1st of January, 2019
30
MA is removing sutures from a pt who has a laceration on left lower leg. Which action should MA take?
Discard each of the sutures
Cut the first knot away from the skin
Lift first knot away from the skin
Use bandage scissors to cut the suture
31
MA is speaking with pt with seasonal allergies. Which health care provider should MA identify as able to make diagnosis?
Registered Nurse
Physician assistant
Respiratory therapist
Pharmacist
32
Which cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract?
Ribosomes
Mitochondria
Cilia
Centrioles
33
MA examine skin on forearm where pt report rash, MA sees elevations <.5 cm in diameter. Which term documents obervation?
Vesicles
Pustules
Macules
Papules
34
MA is transcribing pt routine prescription for oxycodone. Which method should MA use to process prescription?
Provide the prescription in writing for the pt to take to the pharmacy
Submit prescription electronically to pharmacist
Give the prescription verbally to the pharmacist
Fax the prescription to the pharmacy
35
MA is preparing a resource library. Which of the following actions should the assistant take first?
Collect feedback from pt about their experiences with the resources
Make a spreadsheet that has the contact info of services
Compile list of local community agencies
Update the community resource info
36
MA is applying ointment to abrasions on pt leg. Which supplies should a MA use to remove medication from jar?
Cotton ball
Tongue blade
Syringe
Gloved finger
37
MA is teaching pt about self administration of insulin. Which pt statment shows understanding of teaching?
I will blow on the site to make sure the alcohol dries
I will hold the needle at 15 degree angle for injecttion
I will roll bottle between hands before drawing medication
I will consistently use the same site for my injections
38
Which abbreviations is correct when transcribing prescription to be taken before meals?
hs
ac
prn
pc
39
According to AAMA' Code of Ethics, you can't share any info about what happens at work with people outside office
False
True
40
MA is resting a pt visual acuity using Snellen chart. Which actions should MA take?
Make sure pt does not lean forward
Ask pt to read smallest line first then the largest
Have pt close left eye behind an occluder when testing the right eye
Position pt 40 ft from the chart
41
MA is faxing precription to a pt pharmacy. Which of the following actions should MA take?
Request fax from provider
Send prescription without cover page
Call pharmacy to confirm the receipt of faxed prescription
Shred the confirmation of transmission
42
Which of the following positions is appropriate for a pelvic exam?
Prone
Supine
Lithotomy
High-Fowlers
43
Which of the following should an MA identify as the purpose of a category II code in procedural coding?
identifies preventive measures
Tracks provider performance meaures
Indicates special circumstances
Works as a temporary code
44
MA is reviewing instruction with pt with OTC antitussive, but pt doesn't know what it is? Which is correct response?
It's a medication that reduces nasal membrane swelling
It's a medication that relieves allergy symptoms
It's medication that surpresses cough reflex
It's a medication that helps with coughing up mucus
45
When assisting a provider with a punch biopsy of a mole, which of the following tasks should a MA expect to preform?
Recieve and prepare tissue specimens for processing
Retract the edges of the biopsy site
Place sutures at the incision
Swab fluids from the biopsy site
46
MA is reviewing a pt medical history prior to appt. Which lab results indicate need to schedule an extension of visit?
BUN 10 mg/dL
Hematocrit 42.2%
Potassium 4.3 mEq/L
Fasting Blood Glucose 168 mg/dL
47
Pt loses consciousness. EKG reveals ventricular fibrillation. Which action should assistant take first?
Notify the provider of the arrest
Get automated external defibrillator
Administer oxygen
Call for help and begin CPR
48
MA is administering eye oitment to a pt. Which action should MA take?
Apply a thin ribbon of ointment along conjunctival sac
Apply ointment from the outer canthus to the inner canthus
Have a pr keep their eye open after the application
Hold the ointment tube parallel to and above the pt eye
49
MA is replacing sharp container and recieves small laceration from lid. Which type of documentation should MA complete?
Advance Beneficiary Notice
CMS-1500 form
Quality control log
OSHA form 301
50
An MA is using butterfly needle to obtain blood sample from a vein in a pt hand. Which actions should the MA take?
Hold needle by its wings
Activate the safety device before removing the needle
Insert the needle at 45 degree angle
Release the tourniquet after 2 min
51
MA is reviewing pt recent Hx and notes that she has healing fracture of distal femur. Where on pt body should MA inspect
Just above the elbow
Just below the hip
Just above the knee
Just below the shoulder
52
Which of action should an MA take to verify the quality of the venipuncture supplies before beginning a blood draw?
Inspect the integrity of the needle's seal
Determine that the tourniquet is the proper size
Verify that the adapter is the correct color
Check the vacuum of the tube
53
MA requested preauthorization for pt referral to specialist. Which is a reason for the claim submitted to be denied?
Service is provided after the expiration date
Specialty provider's NPI is not included in the authorization
Pt is previously submitted and received a self-referral
Approved visits are listed in the authorization comments section
54
Which items included on the CMS 1500 claim form should a MA indicate as the medical necessity of a procedure?
Charges
Diagnosis code
Place of service
Modifier
55
Which term should an MA use to tell provider that a pt is having discomfort and difficulty breathing?
Eupnea
Dyspnea
Pneumothorax
Pneumonia
56
MA is caring for child who has varicella zoster virus. MA should recognize it is transferred through which transmission
Bloodborne
Airborne
Vector-borne
Foodborne
57
Which should the MA enter into the appt. calender when scheduling a pt for a skin rash?
Pt identification number
DOB
Diagnosis code of dermatitis
Daytime phone number
58
MA is monitoring an infant for microcephaly. Which describes the anthropometric measurements that the MA should preform?
Head circumference
Chest circumference
Length
Weight
59
Which method is used to notify a provider of the denial of a claim by an inssurance carrier?
CMS-1500 claim form
Remittance Advice
Coordination of Benefits
Eligibility for Insurance
60
Which of the following should a MA use when bandaging a wound?
extend the wound dressing 3-5in beyond the bandage
bandage fingers and toes to prevent further injury
moisten and apply ointment before bandaging
wrap the wound from distal to proximal
61
MA drops tool while setting up sterile tray and places back on tray, then pt calls due to infection. Which did MA commit
Negligence
Abandonment
Defamation
Battery
62
Which EKG artifacts is caused by disconnected electrode and results in tracing going into margins of the paper?
Wandering Baseline
Interrupted Baseline
Somatic Tremor
AC Interference
63
MA is talking to pt who is experiencing home displacement after hurricane. Which resource should MA refer to pt?
National council on aging
Dept. of health and human services
American red cross
Centers for disease control and prevention
64
MA is preforming the physical exam with a pt who has scabies. Which PPE should assistant wear?
Goggles
Mask
Gown
N95 Respiratory
65
MA disposing of syring and needle used for influenza vaccine. Which action should MA take?
Use gauze square to break off needle and place in sharps container
Drop syring, needle first, into sharps container
Replace sharps container when it's full
Recap needle before disposing into the sharps container
66
MA is checking a pt hearing using Weber test. Which of the following action should MA take?
Instruct the pt to raise his hand when he no longer hears any sound
Ask pt if he hears the vibration louder in one ear than other
Invert vibrating tuning fork while pt still hears the sound
Position a vibrating tuning fork over the pt mastoid process
67
Pt asks MA to explain difference of liniment and medicated lotion. Which responses is correct?
Medicated lotions are emulsions used to protect dried or cracked skin
Medicated lotions are used to treat disorders in the muscle and bones
Liniments are used to control itching
Liniments contain a higher portion of oil than medicated lotions
68
Which techniques should MA use to confirm pt understanding of insulin administration?
Observe pt as they self demonstrate
Offer the pt a website to visit for instructions
Provide the pt with written instructions
Repeat the instructions to the pt
69
MA is reinforcing intsructions on how to take buccal tablet. Which instruction should assistant give pt?
"Place under your tongue"
"Swallow the tablet whole"
"Place between your gums and cheek"
"Dissolve in water"
70
Which cardiac procedures is within a MA's scope of practice and does not require a licensed tech. or provider?
Angiogram
Cardiac Doppler
Nuclear Stress Test
Holter Monitor Application
71
When preparing a pt for Holter monitor, which actions should MA take?
Wash the pt skin with soap and water prior to electrode placement
Vigorously dry the pt skin prior to electrode placement
Apply the electrodes while ot is in a standing position
Ensure tension is on the lead wires after electrodes are in place
72
MA prepares pt with peripheral cyanosis for exam. MA understand perfusion of hand and feet involve which two body system
Integumentary and lymphatic
Circulatory and respiratory
Endocrine and skeletal
Muscular and digestive
73
Which of the following groups of EKG leads are bipolar?
Leads V1, V2, V3
Leads V4, V5, V6
Leads aVR, aVL, aVF
Leads I, II, III
74
MA is preforming spirometry testing for pt who has shortness of breath. Which results indicate successful maneuver?
A fast and steady flow with no variability
An exhalation of 3 seconds
Light coughing during the test
A slow and progressive start
75
Which action should MA take when obtaining the length of an infant?
Wrap infant in a blanket for warmth
Position infant on its back
Keep infants knees flexed
Remove infant diaper
76
Pt has x ray bill required by employement. Pt has private insurance and workers comp. Which party is responsible to pay?
Paid in full by pt private insurance
Paid in full by pt
Paid in full by workers comp
Paid in part by insurance and part by workers comp
77
A MA is preparing a pt who has congestive heart failure for an exam by the provider. Which of the following are seen?
Palpitations
Shortness of Breath
Headaches
Chest Pain
78
Measuring a pt respiratory rate, which action should MA take to ensure accurate reading?
Instruct pt to breathe normal while counting breaths
Count the respirations for 15 sec and multiply by 2
Instruct the pt to take deep breaths while obtaining the oulse
Count the respirations while pt thinks pulse is being taken
79
Provider places an open sharps container in hamper by mistake. Which action is appropriate for MA to take?
Prepare report for OSHA
Question the provider
Disinfect the contents of the hamper with bleach
Dispose of hamper's contents as a biohazard
80
A pt is seen for a laceration on left foot that doesn't need sutures but applies dressing. What is the procedural coding
Detailed exam
Problem-focused exam
Comphrensive exam
Expanded problem-focused exam
81
MA should use which of the following solutions to prepare a pt skin prior to drawing blood cultures?
Hydrogen Peroxide
Isopropyl Alcohol
Chlorhexidine
Benzoin Tincture
82
MA is creating a report about pt with family Hx of breast cancer. Which software sort, retrieve, combine this info
Database management
Appt. scheduling
Word processor
Accounting and billing
83
MA is assisting pt who is obese with an insulin injection. What is the angle at which the needle should be inserted?
25 degree
90 degree
30 degree
15 degree
84
MA is cleaning examination room after assisting with biopsy. Which action should MA take?
Hold sharps by the blunt end to avoid a needlestick injury
Break off tops of unused ampules and discard the liquid
Place caps back on needle to reduce puncturing sharps container
Dispose of the sharps container once full
85
MA tell pt to increase intake of insoluble fiber. Which foods should MA recommend as best source of insoluble fiber?
Pears with skin
Popcorn
Cooked white rice
Strawberries
86
Pt request female provider due to religious reasons. A female provider is not available. Which is correct response?
Decline treatment to pt
Assist pt in locating provider to accommodate her needs
Reassure pt male provider is respectful
Instruct pt to visit ER
87
MA has request to collect CBC from 10 month infant. Which is the most appropriate collection site?
Cephalic vein
Medial antecubital (AC) vein
Left heel
3rd finger of left hand
88
Pt reports getting bill that included services she did not recieve. Which action should MA take to reconile the charges?
Determine if the pt has a previous balance
Review days' encounter form to determine if other pt recived the services
Ask provider to write off the charges on pt account
Instruct pt to pay for the service to avoid collection procedure
89
MA is witnessing a pt sign informed consent form. Which is the responsibility of the MA acting as a witness?
Recommend alternative treatments to the pt
Validate the pt signature
Evaluate if the pt is competent
Ensure the pt understands the procedure
90
Pt calls the clinic to cancel a postoperative appt to reschedule for later date. Why should MA document info on pt chart
Demonstrate confidentiality
Deny future appointments
Explain the loss of renevue
Prove office was not negligent
91
In which of the following locations should an MA place the electrode for lead V4?
4th intercostal space, left sternal border
Anterior axillary line, lateral to V6
Left midaxillary line, lateral to V5
5th intercostal space, left midclavicular line
92
In which of the following position should a MA place a healthy pt in preparation for a rectal exam?
Sims
Trendelenburg
Supine
Lithotomy
93
Which of the following is outside of an MA scope of practice?
order additional lab tests to confirm the pt condition
reinforce instructions about medications and special diets
provide directions to a pt about preparation for a diagnostic test
preform clinical duties under the direct supervision of the provider
94
Which legislation keeps staff safe from retaliation by their employers when they report cases of pt neglect and abuse?
Patient Bill of Right
Good Samaritain Act
Whistleblower Act
HITECH Act
95
Provider examines a adult pt who is disabled and has lesion on arm. Which ancillary service should MA expect a referral
Hospice care
Diagnostic services
Home health care
Rehabilitation services
96
When preforming the palpatory method for obtaining blood pressure. Which indicates the level where MA should place cuff?
30 mm Hg above brachial pulse cessation
30 mm Hg above the reapperance of the brachial pulse
30 mm Hg of reapperance of the radial pulse
30 mm Hg above the radial pulse cessation
97
MA is responsible for cleaning the instruments used in minor surgery. Which is the next step in this process?
Disinfection
Sanitization
Chemical sterilization
Autoclave
98
A MA is teaching about a cardiac event monitor to a pt Which statement by the pt indicates an understanding of procedure
I will avoid removing the electrodes
I will return the monitor after wearing it for 24 hr
I will discontinue my usual exercise routine
I will record any symptoms I experience in the event log
99
MA is administering an intradermal injection for allergy tetsing. Which actions should MA take?
Locate area 2-3 finger widths below the antecubitcal space
Insert needle with bevel pointed down
Pinch skin between thumb and forefinger
Inject solution rapidly with needle at 30 degree angle
100
MA is performing an ear irrigation for pt with cerumen impaction. What should MA do before giving irrigation solution?
Place the pt in prone position
Insert a cotton tipped applicator into the ear canal
Pull the pinna of the ear up and back
Cool irrigation solution to 15.6 C

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