What steps should a MA take if unsure what tube to use what obtaining a blood specimen?

Consult the lab reference manual

Which of the following is a purpose of equipment inspection log

To document a timeline of scheduled maintenance

What could cause a specimen to be rejected from the lab?

The name on the specimen label does not match the lab requisition

Preparing an EKG there is a break in the baseline and the screen displays flat lines across all leads. Why?

There is a disconnected lead wire

Which of the following individuals can give informed consent to a participate in a clinical trail?

A 16-year old who has enlisted in the military

Which of the following is a function of performing charge reconciliations

Posting the amounts of the patient's account

A MA is checking out a patient following their appointment. What action should the MA take

Review the after visit summary with the patient

While assisting with a cardiac stress test, the MA observes the pt. BP reading 204/108. What should the MA do?

Stop the procedure Immediately and notify the provider

which of the should the electrode for the lead V2 be placed

The left side of the Sternum, fourth intercostal space

Which of the following places should the electrode for the V4 be placed

The left side of the sternum, fifth intercostal space midclavicular line

What questions should a MA ask a patient prior to obtaining for a lipid panel?

When was the last time you had anything to eat or drink?

Which of the following is the main goal of a patient-centered medical home (PCMH)

Improve patient outcomes and reduce costs

Which of the following can a patient still receive if they have a do-not-resuscitate (DNR) order in file?

Antibiotics, chemotherapy, and dialysis

Which of the following demonstrates how somatic tremors can differentiate from 60-cycle interference?

Somatic tremors produce irregular spikes

Which of the following individuals cannot serve as a healthcare proxy with durable power of attorney in all states

A patient's healthcare provider

Which of the following actions can cause a wandering baseline artifact

A patient with lotion or cream on their skin

What is considered proper technique to avoid contamination during collection of a urine sample

Avoid touching the inside of the container of the lid

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CCMA Exam NHA Test

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Answers

1
Which of the following is a symptom of shingles?
decreased urine output
Facial droop
Distorted vision
Blistering Rash
2
When using chemical sterilization how long do instruments need to be submerged to be considered sterilized?
8 hours
6 hours
24 hours
10 hours
3
Which of the following artifacts is a result of patient movement with breathing?
60-cycle interference
wandering baseline
Somatic tremor
interrupted baseline
4
Which of the following is the height of a standard calibration box
20 mm
0.5 mm
10 mm
15 mm
5
A MA is performing a strep test, the pt opens her mouth. What consent is being implied
Express consent
Informed Consent
Guardian Consent
Implied Consent
6
What steps should a MA take if unsure what tube to use what obtaining a blood specimen?
Ask another MA
Consult the lab reference manual
Draw one extra red top tube
Draw one tube of each color
7
Which of the following is included in risk management for a healthcare organization
Controlling inventory levels
Reducing spending in the budget
Ensuring a safe environment
Decreasinf the number of staff
8
Which of the following holds employers accountable for providing a safe workplace?
Controlled Substances Act (CSA)
CLIA
OSH Act
Emergency Medical Treatment and Active Labor Act (EMTALA)
9
What is the appropriate needle size when using a butterfly system?
20-gauge, 5/8-inch
22-gauge, 1/2 inch
20-gauge, 1/2 inch
22-gauge, 1/4 inch
10
Which of the following parties does ownership of a pt. medical records usually remain with
Courts
Patient
Third Party payer
Health care provider
11
Which of the following is a purpose of equipment inspection log
To keep track of the depreciation value
To monitor who uses the equipment
To document a timeline of scheduled maintenance
To determine sales on equipment
12
Which of the following codes are determined by reviewing the reason for a patient's visit
HCPCS codes
ICD -10 -PCS
Diagnosis codes (ICD-10-CM)
Procedural codes (CPT)
13
Which of the following does the healthcare facility provide a patient with to log into their patient portal
A fee schedule
An email address
A username and access code
A referral
14
Which of the following has an impact on determining the duration of an appointment
Patient availability
Reimbursement methods
Third party payer requirements
Provider preferences
15
Which of the following is the duration of a standard calibration box?
0.04 seconds
0.2 seconds
4 seconds
2 seconds
16
What places should a MA first attempt to locate a vein?
Antecubital space
Back of the hand
Wrist
Foot
17
What is the minimum amount of time a MA should instruct a pt should leave their bandage on after a capillary puncture?
10 min
15 min
20 min
5 min
18
What could cause a specimen to be rejected from the lab?
A fasting lab was drawn on a pt who ate breakfast
The name on the specimen label does not match the lab requisition
The urine specimen was left at room temperature in a urine collection cup
A handwritten lab requisition was sent with the specimen
19
Using coding guidelines, which of the following should be supported with code sections when preparing a billing request
Predetermination findings
Explanation of benefits
Verification of insurance coverage
Medical necessity
20
Which of the following is the main reason for patient deficiencies during a transition of care?
Insufficient staffing
Insufficient financial resources
Lack of family support
Lack of communication
21
Which of the following describes how an abnormal tympanogram appears on a graph when completed?
A declining line
A continuous up and down line
A peak line
A flat line
22
What basic elements of negence protects a provider if he fails to give care and after our emergencies involving A non-pt
Direct cause
Damages
Dereliction of duty
Duty of care
23
Preparing an EKG there is a break in the baseline and the screen displays flat lines across all leads. Why?
Patient is asystole
an electrical interference has occurred
There is a disconnected lead wire
The pt. is in ventricular fibrillation
24
Which of the following screenings would be recommended for a 65-year-old male who has a history of smoking?
Breast Cancer
Bone Density
Abdominal aortic aneurysm
Hepatitis C
25
Which of the following is the correct number of electrodes needed to record a 12-lead EKG
6
12
10
5
26
Which of the following forms of telehealth is a substitute for in-person visits
Stored forward telemedicine
Mobile health (m health)
Live video
Remote patient monitoring (RPM)
27
Regarding prescription medications, what steps must be completed prior to a patient leaving the medical office
Provide medication education
Verifying the patient's pharmacy hours
Verifying insurance coverage
Inquire about the patient's employment status
28
Which of the following individuals can give informed consent to a participate in a clinical trail?
32-year old who is in a coma
75-year old with advanced dementia
17-year old who is employed but lives with parents
A 16-year old who has enlisted in the military
29
Which of the following often requires chain of custody documentation?
Chemistry studies
Blood cultures
Plasma determinations
Drug screening
30
What can be diagnosed during a colonoscopy?
Urinary Tract Infection (UTI)
GERD
Diverticulosis
Celiac Disease
31
What is an autoimmune disorder leading to change in the connective tissues of the body, especially the joints?
Rheumatoid arthritis
Myalgia
Gout
Muscular dystrophy
32
What is required to be included on a urine specimen label prior to sending it to the laboratory
Insurance carrier
Diagnosis of the patient
Medication patient is taking
Time the urine was collected
33
What is a common symptom of contracting an infectious disease
Blurry Vision
Difficultly breathing
Headaches
Numbness and tingleing
34
Ishihara color plates are used to screen for what sensory disorder?
Distance vision
Color deficiency
Vision acuity
Near Vision
35
Which of the following is a function of performing charge reconciliations
Obtaining pre-authorization
Verifying patient eligibility
Continuity of care
Posting the amounts of the patient's account
36
What additives is found in light blue blood tubes?
Serum separator gel
Sodium citrate
Lithium heparin
Clot activator
37
What is a error that would affect test results in the preanalytical phase(before the specimen is sent to the lab)
Order entry error
Equipment malfunction
Failure to report
Excessive turnaround time
38
What is the preferred alcohol concentration for disinfecting the skin prior to a phlebotomy test?
40%
100%
70%
90%
39
A MA is checking out a patient following their appointment. What action should the MA take
Request to see the patient's photo identification
Review the after visit summary with the patient
Ask the patient what medications they are currently taking
Evaluate the patient's past family and social history
40
While assisting with a cardiac stress test, the MA observes the pt. BP reading 204/108. What should the MA do?
Decrease the treadmill speed and check the electrodes
Finish performing the stress test and notify the provider
Stop the procedure Immediately and notify the provider
Administer aspirin to the patient and stop the test
41
which of the should the electrode for the lead V2 be placed
the left arm
The left side of the Sternum, fourth intercostal space
the left leg
the right leg
42
Which of the following places should the electrode for the V4 be placed
the left leg
The left side of the chest, midaxillary line
the right arm
The left side of the sternum, fifth intercostal space midclavicular line
43
In the health care setting, what is the minimum amount of alcohol content that can be used in an alcohol-based sanitizer
60%
55%
40%
90%
44
What questions should a MA ask a patient prior to obtaining for a lipid panel?
Do you smoke cigarettes?
Do you have any medical conditions?
Have you taken acetaminophen within the last 12 hours
When was the last time you had anything to eat or drink?
45
Which of the following is the main goal of a patient-centered medical home (PCMH)
Improve patient outcomes and reduce costs
Positively contribute to the revenue cycle
Increase the needs of health care services
Decrease travel and time for the patient
46
Which of the following can a patient still receive if they have a do-not-resuscitate (DNR) order in file?
Chemotherapy, CPR, and Dialysis
Chemotherapy, Dialysis, and intubation
Antibiotics, CPR, and chemotherapy
Antibiotics, chemotherapy, and dialysis
47
Which of the following demonstrates how somatic tremors can differentiate from 60-cycle interference?
Somatic tremors produce an interrupted baseline
60-cycle interference produces an irregular QRS rhythm
Somatic tremors produce irregular spikes
60-cycle interference produces wandering baseline
48
Which of the following actions should the inmate take for a claim that was denied for a lack of medical necessity
Right off the amount
Resubmit the claim
Submit an appeal
Bill the patient
49
Which of the following individuals cannot serve as a healthcare proxy with durable power of attorney in all states
A patient's court appointed guardian
A patient, spouse or domestic partner
A patient's healthcare provider
A patient's adult child
50
Which of the following actions can cause a wandering baseline artifact
A patient with lotion or cream on their skin
The patient shaking due to anxiety
Poor grounding of the machine
A disconnected or broken lead wire
51
What is considered proper technique to avoid contamination during collection of a urine sample
Ask the patient to wear gloves during collection into the container
Avoid touching the inside of the container of the lid
Add a preservative to the midstream container
Do not urinate directly into the urine container
52
Which of the following is a social determinant that can prevent a patient from meeting their needs?
Sickle cell anemia
Adequate transportation
smoking
Weather or climate change
53
Which of the following questions should be asked during the screening process to determine the type of appt needed
What is your previous address
Who is your employer
What medications are you currently taking
What is the reason for the visit
54
What color tube should be drawn first
Gray and red marbled
Green
Lavender
Red
55
Medical assistant should identify that which of the following regulates blood in your testing
The emergency medical treatment and active Labor act (EMTALA)
CLIA
Control substances act (CSA)
OSH Act
56
Which of the following places should the black limb lead placed?
the right arm
the left arm
the left leg
the right leg
57
What is a postanalytical consideration in phlebotomy?
Improper data entry
error in patient identification
Insufficient quantity for testing
Mislabeling of specimen tubes
58
OSHA regulations require employers to make what vaccines available at no cost to health care workers?
Measles, mumps, and rubella (MMR)
Hepatitis A
Varicella
Hepatitis B
59
Which of the following is a benefit of a medical assistant calling to remind a patient of an upcoming visit
Less patient financial responsibility
Decreased claim denials
Increase reimbursement
Decrease no-show rates
60
When the following reports is used to show healthcare service charge amounts that are outstanding to the organization
Remittance advice
A/R Aging report
Bank deposit statement
A/P aging report
61
Which of the following waves represents atrial depolarization?
Q wave
U wave
T wave
P wave
62
A clinic received lab results, there was a error with the sample. What should the MA first steps be?
Forward the results and alert the ordering provider
Schedule a follow up appt. with the pt.
Call the pt. and inform them about the mistake in the Lab
Input the results in the pt. medical record
63
When should gloves be worn during what medical office task
Handling unused suture scissors
performing a blood pressure for a patient
Cleaning the front office table
Handling anything with blood
64
What describes the body's systems and biological processes to maintain stability?
Digestion
Filtration
Respiration
Homeostasis
65
Which of the following is a component of active listening skills?
Asking the pt. to wait to ask questions until the info. has been presented
Paraphrasing what is being said
Correcting the pt. mid-sentence
Responding to emails during the conversation
66
An adult with normal hearing should be able to hear tones at which of the following decibels?
10 decibels
15 decibels
25 decibels
20 decibels
67
For which of the following can be diagnosed during a colonoscopy?
UTI
GERD
Diverticulosis
Celiac disease
68
What preventative measures can a medical assistant use to educate a patient regarding communicable disease?
Sneezing into the air
Washing hands only if soiled
Covering a cough
Avoid touching hand sanitizer bottles
69
What identifiers should be used to verify a pt before obtaining a specimen for lab collection
Patients name and insurance information
address and patient identification number
Diagnosis and insurance information
name and date of birth
70
Which of the following applications should be used to create an encounter form
Practice management software
Inventory software
Excel
Word
71
Which of the following types of patient visits is more resource intensive
Sports physical
New patient
Follow up
Established patient
72
Which of the following serves as a conductor of impulses during an EKG
EKG paper
Down this road. Electrocardiograph
Lead wires
Electrolyte gel
73
Which of the following services can require case management and pre-authorization from a third party player
Elective and costly medical services
Follow-Up care for a burn
Preventive medical services
Annual wellness exam
74
A MA is performing Aseptic handwashing, how long should the MA rub their hands vigorously with soap?
15-20 sec
5-10 sec
10-15 sec
2-3 min
75
What of the following is required when obtaoning and transporting a drug screening?
Chain of custody
Medical insurance card
Chain of command
Authorize forms from an employer
76
When performing a scratch test for allergen testing, what is the time that needs to pass before checking wheal formation
5 min
10 min
15 min
25 min
77
What can cause a false positive when obtaining a specimen for fecal occult blood testing
collecting the sample from the first bowel movement of the day
Consuming a high fiber diet
consuming vitamin C and iron supplements
Discontinuing prescription medication
78
Which of the following vocal traits should be used when speaking with pt. over the telephone
Speak warmly using a louder tone
Speak sternly using a lower tone
Speak slowly using monotone
Speak using a warm and natural tone
79
Which of the following describes the purpose of interoperability
Arlington reviews
Reimbursement methodologies
Supports the importance of documentation
Credentialing
80
Which of the following differentiates sinus tachycardia from ventricular tachycardia?
Sinus arrest
Atrial fibrillation
Ventricular fibrillation
Sinus rhythm
81
Which of the following positions is best for performing an EKG?
Left Lateral
Supine
prone
Fowlers
82
How long should unwrapped items be sterilized in an autoclave?
10 min
20 min
24 hours
15 min
83
What is the best resource to refer to a caretaker of an adult patient who can no longer care for themselves
Local Hospitals
Long-term care facilities
Assisted living facilities
Adult Day programs
84
Which specimen collection performs test for substances that are sporadically released into the urine?
random
24-hour clean catch
clean catch
first void
85
What situation does a patient have to authorize release of their medical records
The patient is being charged with assault, and there is a court order
The pt. family physicians refers them to a specialist for additional care
The pt. has injured himself on the job and applying for workers comp
The pt. was in contact with a person who was diagnosed with tuberculosis
86
Which of the following is the normal range for a total cholesterol
40-150 mg/dL
130-200 mg/dL
150-220 mg/dL
70-100 mg/dL
87
A MA is preparing to record a EKG on a pt with pulmonary disease. The pt. has SOB what should you do
tell the pt to hold your breath
Elevate the head (semi-fowlers position)
Record the EKG with the patient standing
Administer oxygen to the patient
88
Which of the following is mandatory for a health care provider to report
A 6-month old pt. whose parents refuse to allow immunizations for them
A 35-year-old patient who tested positive for strep throat
A 10yo pt. who has a Hx of fractures/bruises in multiple stages of healing
A 68-year-old who reports they are unable to pay their bills
89
Listening to a MA explain ways to decrease dietary intake of sodium is considered which of the following learning styles
Visual learning
Auditory learning
Tactile learning
Kinesthetic learning
90
Which of the following is the advised timeframe for the patients aged 40 years and older to have mammogram screenings?
Annually
Biannually
Every 5 years
Every 3 years
91
Which of the following immunizations should be given regularly during a lifetime
Hepatitis A vaccine
Hepatitis B vaccine
Influenza vaccine
Varicella vaccine
92
A MA should identify that a clinic is violating which of the following laws but failing to provide PPE to its employee
OSH Act
Controlled substances act (CSA)
Emergency medical treatment and active Labor act (EMTALA)
CLIA
93
According to HIPAA, which of the following is not covered entity
Health insurance plans
Clearinghouse
Health care providers
Employers
94
What is the number of successful and measured breathing maneuvers that a pt must complete during spirometry testing
4
2
1
3
95
Which of the following is a benefit of using drop down menus when entering patient information into medical records
Less information needed
More specificity
Greater accuracy
More consistency
96
Which of the following is the best method to instruct a patient on remembering to take their medication each day
Utilize medication boxes that are arranged for the week
Send a daily text to remind the patient to take their medication
Ask the patient to write their medication schedule on their calendar
Warn the patient they may not get better if they don't remember there meds
97
What can be further classified as protozoa, helminths, and ectoparasite?
Parasites
Viruses
Bacteria
Fungi
98
What information should be included on a lab requisition form?
Patients height
Patients weight
Diagnosis code
Providers tax identification number
99
How should light-sensitive samples be prepared for transport?
They should be rolled in a bio-hazard bag
They should be wrapped in foil
They should be placed in Gauze
they should be positioned in an ice bath
100
What should be included when labeling a patients specimen?
Address
Diagnosis
Collectors initials
Insurance company
101
What scenarios should a MA use medical aseptic techniques?
Assisting in the removal of a cyst
Assisting with placing sutures on a cut leg
cleaning a deep wound on the forearm
Washing hands prior to and after each patient encounter
102
Which of the following is the best way to assist a patient with finding resources for their specific needs?
Refer the patient to internet searches
Maintain a list of local community resources
Provide the patient with a screening questionnaire to return to the office
Schedule a visit with a social worker
103
What is the minimum temp that must be reached to ensure the sterility of autoclaved items?
93.3 C or 200 F
107.2 C OR 225 F
121.1 C or 250 F
135 C or 275 F
104
A MA is performing a phlebotomy draw a a pt who reports feeling lightheaded. What action should the assistant take?
Stop the procedure and alert the provider
Finish the procedure as quickly as possible
Have the patient squeeze the assistants hand for comfort
Ask the patient to take some deep breaths
105
Haw many times should an EDTA tube be inverted?
4-6 times
8-10 times
2 to 4 times
6-8 times
106
Which of the following can be a barrier when providing patient education
College-level education
Self-employment
Visual Impairment
Color deficiency
107
The physician has spoken to pt. about quitting smoking. The patient agrees to seek help. What action should the MA take?
Ask the pt to contact the insurance provider for a referral to help quit
Sure with the pt that a previous pt. had success with smoking cessation gum
Provide the patient with several names and numbers for support
Ask the provider for a written referral
108
Which of the following is the amount of time it takes to process a result for a urine pregnancy test?
15 min
Immediately
5 min
1 min
109
How long should serum specimens be allowed to clot prior to centrifugation?
30 min
15 min.
5 min
2 hours
110
Which of the following is a virus
Escherichia coli (E coli)
Pinworms
Varicella
Histoplasmosis
111
Which of the following is the purpose of evaluating the patient after an educational session?
To determine if the patient has a learning deficit
To determine if the patient understood the information or skill
To determine if the material was correct
To determine correct evaluation techniques to the provider
112
Which of the following statements made by a medical assistant demonstrates an understanding of patient privacy?
Please remove all clothing from the waist up and you can get dressed after
You can leave all your clothes on and I'll work around them
you can cover with a blanket as soon as I'm done placing the EKG electrodes
I can turn the heat up if your cold as you'll need to remain unclothed
113
What is a direct mode of transmission
Contact with an inected person
Contact with a pen
Contact with a contaminated exam table
Contact with a tick
114
A MA nnotices that the centrifuge is 3 months out of date when the MA goes to use it. What should the assistant do?
Run the sample
Attempt to calibrate the device themselves
Remove the service label and use the centerfuge
Notify the Lab supervisor and use another devices
115
Which of the following is a normal range for a hemoglobin A1c
less than 12.0%
less than 7.0%
less than 5.7%
less than 8.0%
116
In what phases of quality assurance are instruments maintained and calibrated?
Postanalytical phase
Midanalytical phase
Preanalytical phase
Analytical phase
117
What is a history of inflammatory bowel disease a risk factor
Colorectal cancer
Chronic kidney disease
Osteoporosis
COPD
118
What protects pts. health information and sets rules and limits on who can see the information
HIPAA
Affordable Care Act (ACA)
Health Information Technology for Economic and Clinical Health (HITECH) Act
Protected health information (CSA)
119
How often should the exposure control plan be updated if there are no changes to be made?
Quarterly
Annually
Every 5 years
Monthly
120
Which of the following is a cultural factor that can affect a patient's compliance with treatment
Beliefs related to food and diet
Beliefs related to tradition
beliefs related to values
Beliefs related to education
121
According to CDC guidelines when can sterilized packages be used
If the package was stored near a sink on a open shelf
If the package was stored in a cool, dry area and does not show watermarks
If the packages has a small tear patched with tape
if the package is intact and has no tears but does show watermark
122
How many days prior to skin testing should the patient discontinue antihistamines?
15 days
7 days
3 days
30 days
123
Which of the following is a characteristic of collecting timed specimens?
They must be collected in the morning
They require specific preparation of the skin
They must be obtained from the basilic vein
They monitor therapeutic medication levels
124
What should a health care provider take if a child is brought in with a fractured arm and doesn't speak undernourished
Refer the child to a pediatrician for further follow-up
Contact the police or Child Protective Services
Investigate the child's injury to prevent a wrongful report and lawsuit
Schedule a follow up appointment to monitor for future injuries
125
What precautions should a MA consider when a person is coughing or sneezing
Droplet precautions
Airborne Precautions
Contact precautions
Transmission-based precautions
126
How should critical laboratory values be handled when they are received at the office?
Call the pt and ask them to schedule an Appointment
Enter the values in the patients chart
Report the Critical values to the provider and document provider was told
Ask the nurse to check the report
127
What is the goal of surgical asepsis?
To try to reduce the risk of contamination
To eliminate pathogenic micro-organism
To reduce the number of microorganisms
To prohibit the growth of micro-organisms
128
While preparing a blood draw, the MA sees the pt appears anxious, What is the best question to ensure the pt safety?
Have you ever fainted during a phlebotomy test?
Can you sit still for the procedure?
Would you like some water?
Why are you so anxious
129
Which of the following timelines is suggested for individuals to screen for colorectal cancer
Starting at age 40 only with family history
Starting at age 40 years old
Starting at age 45 only with family history
Starting at age 45 years old
130
Which of the following might result of ineffective communication between medical providers during transition of care?
Greater availability of medical resources
Decreased medical costs
Rehospitalization
optimal health care services
131
Which of the following services does a clearing House provide
Claims adjustment for third-party player
Processing payroll for the healthcare organization
Billing patience for their financial responsibility
Safety inspections and evaluating procedures
132
Which of the following actions should an MMA take if a patient is having trouble logging into a telehealth visit
Request and interpreter to assist
Assist the patient with logging in and verifying their settings are correct
Ask them to reschedule when a family member is there to assist
Ask the patient to contact tech support at their local computer store
133
What describes an illness consistently present in a community
Endemic
Pandemic
Epidemic
Outbreak
134
A medical assistant notices frequent, regular spikes on the EKG tracing. What actions should the MA take?
offer the patient a warm blanket
Reattach the faulty electrode
Have the patient hold their breath for 10 seconds
Turn off nearby electric equipment
135
A pt. has a fee for service Medicare plan. What forms should a pt use when a service might not be medically necessary
Advance directives
Patient Bill of Rights
Notice a privacy practices
Advanced beneficiary notice of non-cartridge
136
What items should a MA dispose of in a bio-hazard bag?
A used needle
Gauze the fell on the ground
Gauze contaminated with blood
A used mask
137
According to the CDC what is the first step a MA should take after exposure to blood
Wash the area with soap and water
Receive a medical evaluation
Report it to their supervisor
Receive health councling
138
How often are health care facilities required to train their staff on guidelines for exposure to bloodborne pathogens
The health care system can determine when they want to train their staff
Biannually
Annually
Every two years

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