Pt calls to cancel appt, states she will reschedule later. Why should the MA document this info in the Pt chart

To prove the office was not negilgent

In which of the following locations should a medical assistant place the electrode for lead V4?

The 5th intercostal space, left midclavicular line

You receive a phone call from a Pt anxious about test results, which is the correct response?

I know you are concerned about your test results. Will call when results in

Which of the following techniques should an MA use to confirm a Pt's understanding of insulin administration>

Observe the Pt as she performs a self demonstration

Where should an MA place the electrode for the lead V5?

On the left anterior axillary line, horizontal to V4

Which lab result is abnormal?

Fasting blood glucose 168 mg/dL

Preparing a liquid oral medication, which method to ensure correct dose?

Pour medication in the medicine cup on a flat surface

An MA is collecting a health history from an older Pt who has moderate hearing loss. Which action should the MA take?

Remain within the Pt's view to allow lip-reading

When reinforcing teaching with a Pt about self administration of insulin injection, which indicates understanding of Pt?

"I will toll the bottle between my hands before drawing up the medication"

A Pt tells an MA the office is incompetent, because no improvement in his condition. Which response is appropriate?

"I think you feel that your treatment is not effective"

An MA is explaining a venipuncture procedure to a Pt. Which statements should the MA make?

"I'll collect a blood sample today. You will feel a small stick in you arm"

Which of the items are considered administrative office supplies in a medical office ?

Letterhead envelopes and business cards

Collecting a urine specimen for a drug screening, which of the following actions is to adhere to custody of specimen?

Send the specimen to the testing lab on the same day as the collection

MA is measuring a Pt's oxygen saturation with a pulse oximeter. Which actions should the MA take?

Check capillary refill in the patients finger

Which of the following types of correspondence can be signed by an MA?

A notification letter to a patient about surgery arrangements

An MA receives denial of payment for Pt's surgery. The reason, "noncovered", it was emergent per provider, which action?

Instruct the Pt to contact the insurer about the denial of payment

An MA receives a chemical splash in her eyes. Which of the following actions should the MA take first?

Flush the eyes with tepid water

An MA is administering an IM immunization to a Pt. Which action should the MA take?

Cleanse the site using a back and forth motion

Preparing a Pt for venipuncture, which action should the MA take to confirm Pt's identity?

Ask the Pt to state and spell full name and provide their date of birth

Which action should an MA Take to verify the quality of venipuncture supplies before beginning a blood draw?

Inspect the integrity of the needles seal

Which of the following is outside of MA's scope of practice

Order additional labs to confirm the Pt's condition

Which of the following techniques should a medical assistant use when bandaging a wound?

Wrap the wound from distal to proximal

Performing the palpatory method for obtaining B/P, which indicates the level at which the MA should inflate the cuff?

30 mmHg above the radial pulse cessation

Child has 2 medical policies by divorced parents having Birthday in May & August & joint custody. Which will be used?

The policy of the parent who has the earliest birthday

A Pt requests a female provider for her exam due to religious conviction. One is NOT available. Which response?

Assist the Pt in locating a provider to accommodate the Pt's needs

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Quiz 3

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Answers

1
Pt calls to cancel appt, states she will reschedule later. Why should the MA document this info in the Pt chart
To explain the loss of revenue
To demonstrate confidentiality
To deny future appts
To prove the office was not negilgent
2
In which of the following locations should a medical assistant place the electrode for lead V4?
The 5th intercostal space, left midclavicular line
The left midaxillary line, lateral to V5
The anterior axillary line, lateral to V6
The 4th intercostal space, left sternal border
3
You should use which of the following solutions to prepare a Pt's skin prior to drawing BLOOD Cultures?
Hydrogen peroxide
Isopropyl alcohol
Benzoin tincture
Chlorhexidine
4
Which stage of grief, when a terminal Pt states "I regret not taking care of myself, I won't be able to care for myself?
Acceptance
Bargaining
Depression
Anger
5
An MA is assisting with suturing a wound. Which items should be in the sterile field?
Scalpel
Skin retractor
Bandages
Hemostat
6
An MA needs to remove all living micro-organisms from a contaminated clamp. Which method should be used?
Disinfection
Sterilization
Ultrasonic
Sanitization
7
MA is caring for a child who has varicella zoster virus. It is transmitted by which mode of transmission
Airborne
Vector-borne
Foodborne
Bloodborne
8
Which EKG artifact is caused by disconnected electrode and results in the tracing going into the margins of the paper?
AC interference
Wandering baseline
Interrupted baseline
Somatic tremor
9
You receive a phone call from a Pt anxious about test results, which is the correct response?
"The MD is busy and will call you back. You want me to give you the result
I'm afraid it's bad news, I would get a 2nd opinion
Don't worry about it, until we say you have something to worry about
I know you are concerned about your test results. Will call when results in
10
Which of the following techniques should an MA use to confirm a Pt's understanding of insulin administration>
Repeat the instructions to the Pt
Observe the Pt as she performs a self demonstration
Provide the patient with written instructions
Offer the Pt a website to visit for directions
11
Preparing a capillary collection from an older Pt with poor circulation, Which technique will increase circulation?
Warm the Pt's hand
Squeeze the Pt's finger
Apply a tourniquet above the Pt's wrist
Hold the Pt's hand above his heart
12
Where should an MA place the electrode for the lead V5?
On the left anterior axillary line, horizontal to V4
On the left midaxillary line, horizontal to V4
On the right margin of the sternum, fourth intercostal space
On the left midclavicular line, fifth intercostal space
13
Which lab result is abnormal?
Hematocrit 42.2%
Potassium 4.3 mEq/L
Fasting blood glucose 168 mg/dL
BUN 10 mg/dL
14
Preparing a liquid oral medication, which method to ensure correct dose?
Add slightly more to account for the medication adhering to sides of cup
Pour medication into the container lid for easy administration
Measure the dose at the top of the meniscus in the medicine cup
Pour medication in the medicine cup on a flat surface
15
An MA is collecting a health history from an older Pt who has moderate hearing loss. Which action should the MA take?
Speak with a raised pitch when clarifying information
Keep her hands still to avoid distracting the Pt
Use longer sentences to keep the Pt's attention
Remain within the Pt's view to allow lip-reading
16
Which of the following lab results should the MA recognize is abnormal?
Sodium 138 mEq/L
Potassium 3 mEq/L
Red blood cell count 5.2/mm3
Platelets 350/mm3
17
When reinforcing teaching with a Pt about self administration of insulin injection, which indicates understanding of Pt?
"I will blow on the site to make sure alcohol is dry"
"I will consistently use the same site for my injections"
"I will toll the bottle between my hands before drawing up the medication"
"I will hold the needle at a 15 degree angle for the injection"
18
A Pt tells an MA the office is incompetent, because no improvement in his condition. Which response is appropriate?
"You could take a different medication and then you'll feel better"
"That isn't fair. Our office treats many patients successfully"
"I think you feel that your treatment is not effective"
"I'm sure that the provider can help you get better"
19
Pt has Congested heart failure. Which of the following, should the MA expect?
Palpatations
Chest Pain
Shortness of breath
Headaches
20
Which items on the CMS-1500 claim form should an MA recognize as indicating the medical necessity of a procedure?
Place of service
Diagnosis code
Modifier
Charges
21
An MA is explaining a venipuncture procedure to a Pt. Which statements should the MA make?
"I'm going to draw a blood sample. I'm sure you will not faint"
"I'll collect a blood sample today. You will feel a small stick in you arm"
"I'm here to draw a blood sample for a test. It won't hurt at all"
"Sticking your vein with this needle. You'll not feel the vacuum of blood
22
MA is encouraging a Pt to increase intake of insoluble fiber to help prevent constipation, the best source of fiber is?
Cooked white rice
Pears with skin
Popcorn
Strawberries
23
Pt has below knee amputations. Which of the following sites do you use for EKG?
Lower arms
Abdomen
Elbows
Knees
24
Which of the following cell structures, is a source of energy for the cell?
Mitochondria
Endoplasmic Reticulum
Ribosomes
Golgi Apparatus
25
Which of the following medical record documentation templates is organized by the entity that supplied the data?
Source-oriented
Problem-oriented
SOAP format
CHEDDAR format
26
Preparing 1g/kg of activated charcoal for a Pt who weighs 176lbs. How many grams of charcoal should be prepared?
387 g
352 g
80 g
76 g
27
Which of the items are considered administrative office supplies in a medical office ?
Letterhead envelopes and business cards
File cabinets, storage bins and shelves for records
Computers, telephones and chairs
Exam table paper, stethoscopes and otoscopes
28
A clinic schedules all cardiac Pt's on Mon and Wed and all oncology on Tues and Thurs. Which type of scheduling?
Stream scheduling
Cluster scheduling
Wave Scheduling
Modified wave scheduling
29
Collecting a urine specimen for a drug screening, which of the following actions is to adhere to custody of specimen?
Ask the provider to supervise the collection and shipment of the specimen
Send the specimen to the testing lab on the same day as the collection
Ensure the specimen has a volumn of 20 mL
Record the specimen's temperature 8 min after collection
30
When replacing a sharps container, the MA receives a small laceration on her arm. Which documentation needs completed?
Quality control log
CMS-1500 claim form
OSHA form 301
Advance beneficiary notice
31
A Pt loses consciousness. The EKG tracing reveals ventricular fibrillation. Which action should be first?
Call for help and begin CPR
Notify the provider of the arrest
Get the automated external defibrillator
Administer oxygen
32
MA is measuring a Pt's oxygen saturation with a pulse oximeter. Which actions should the MA take?
Check capillary refill in the patients finger
Report a reading of 97% to the provider
Wash the site with soap and warm water
Instruct the Pt to take several deep breaths while the sensor is in place
33
An MA is witnessing a Pt sign an informed consent form. Which is the responsibility of the MA acting as a witness?
Ensure the Pt understands the procedure
Evaluate if the patient is competent
Recommend alternative treatments to the Pt
Validate the Pt's signature
34
Which of the following types of correspondence can be signed by an MA?
A medical report for an insurance carrier
A referral letter for a patient to an outside provider
A notification letter to a patient about surgery arrangements
A letter containing medical advice to the parents of a child
35
Which cell structure is instrumental in helping the body mobilize and secrete mucus from the respiratory tract?
Ribosomes
Mitochondria
Cilia
Centrioles
36
An MA is assisting with the PE of a Pt who has scabies. Besides gloves, which of the following PPE should the MA wear?
N95 respirator
Goggles
Mask
Gown
37
Which B/P of an adult is stage 2 hypertension?
150/95
135/80
110/80
120/85
38
An MA assisting with an abdominal exam. When the MD palpates the major portion of the liver, which quadrant is this?
Left upper
Left lower
Right lower
Right upper
39
Which of the following lab values should an MA immediately report to a Pt's provider?
Hematocrit 42%
Blood glucose 500 mg/dL
Hemoglobin 15 g/dL
Potassium 4.1 mEq/L
40
An MA receives denial of payment for Pt's surgery. The reason, "noncovered", it was emergent per provider, which action?
Instruct the Pt to contact the insurer about the denial of payment
Resubmit the claim with a different procedure code
Submit an appeal for the denied claim
Submit a new claim
41
Which should the MA enter into the appt calendar when scheduling a Pt for a skin rash?
Date of birth
Daytime phone number
Pt's identification number
Diagnosis code for dermatitis
42
An MA receives a chemical splash in her eyes. Which of the following actions should the MA take first?
Check the material safety data sheet
Flush the eyes with tepid water
Complete an incident report
Call emergency services
43
An MA is administering an IM immunization to a Pt. Which action should the MA take?
Cleanse the site using a back and forth motion
Hold the needle and syringe at a 45 degree angle to the skin
Cleanse the site with povidone-iodine solution
Select the Pt's forearm as the site of injection
44
Preparing a Pt for venipuncture, which action should the MA take to confirm Pt's identity?
Ask the Pt to state their age and address
Ask the Pt for their providers name
Ask the Pt to state and spell full name and provide their date of birth
Ask the Pt to verify their examination room number
45
Which action should an MA Take to verify the quality of venipuncture supplies before beginning a blood draw?
Check the vacuum of the tube
Inspect the integrity of the needles seal
Verify that the adapter is the correct color
Determine that the tourniquet is the proper size
46
Which of the following is outside of MA's scope of practice
Order additional labs to confirm the Pt's condition
Reinforce instructions about medications and special diets
Perform clinical duties under the direct supervision of the provider
Provide directions to a Pt about preparation for a diagnostic test
47
Which of the following techniques should a medical assistant use when bandaging a wound?
Extend the wound dressing 3-5 inches beyond the bandage
Bandage fingers and toes to prevent further injury
Moisten and apply ointment before bandaging
Wrap the wound from distal to proximal
48
Performing the palpatory method for obtaining B/P, which indicates the level at which the MA should inflate the cuff?
30 mmHg above the reappearance of the radial pulse
30 mmHg above the radial pulse cessation
30 mmHg above the brachial pulse cessation
30 mmHg above the reappearance of the brachial pulse
49
Which of the following ways should the MA record the date on a letter to send to a consulting MD?
January 1, 2020
January 1st, 2020
01/01/2020
1st of January, 2020
50
Child has 2 medical policies by divorced parents having Birthday in May & August & joint custody. Which will be used?
The policy the adolescent chooses
The policy written in which the adolescent is the dependent
The policy of the parent who has the earliest birthday
The policy written first
51
A Pt requests a female provider for her exam due to religious conviction. One is NOT available. Which response?
Reassure the Pt that the male provider will be respectful
Instruct the patient to visit and emergency room
Decline treatment of the patient
Assist the Pt in locating a provider to accommodate the Pt's needs
52
A garbage can fire has started in the break room of medical office. Using RACE acronym, which action is first?
Use the office fire extinguisher
Turn off the oxygen in the adjacent exam rooms
Close the doors and windows
Evacuate the staff and Pt's from the immediate area.
53
A bill for a work place injury. Pt has private insurance and is eligible for workers comp. Which party is responsible?
Paid in full by the patient
Paid in full by workers' compensation
Paid in full by the patient's private insurance
Paid in part by private insurance and part by workers' compensation
54
Pt experiencing home displacement following hurricane. Which resource should you refer to for support, services?
National Council on Aging
Centers for Disease Control and Prevention
American Red Cross
Department of Health and Human Services
55
When should the code on glucose cuvettes be compared to the code on the glucometer?
Following the error code
At the beginning of the shift
After a new package of cuvettes is opened
Before a patient is tested
56
Pt has a laceration to left foot, sutures are not needed, dressing applied and Pt released. Level of exam coded?
Problem focused exam
Detailed exam
Comprehensive exam
Expanded problem-focused exam
57
A procedure has an allowable amount of $200. The Pt has 90/10 coinsurance and met his deductible. What will the Pt pay?
$50
$30
$20
$40
58
Which cardiac procedure is within an MA's scope of practice and does not require a licensed Tech to assist/perform it?
Angiogram
Cardiac doppler
Nuclear stress test
Holter monitor application
59
An MD puts an open sharps container in the linen hamper by mistake. Which of the following is the correct action?
Disinfect the contents of the linen hamper with bleach
Dispose of the linen hamper's contents as a biohazard
Question the MD
Prepare a report for OSHA
60
MA is discussing a new medication with the Pt, which action should the MA take?
Tell the Pt to modify the dose as necessary
Instruct the Pt to stop taking the medication when symptoms resolve
Reinforce teaching about the frequency of medication administration
Tell the Pt to disregard new adverse effects
61
An instrument is dropped on the floor and placed on sterile field, days later, Pt has infection to site, which tort?
Defamation
Battery
Abandonement
Negligence
62
Administering an IM into the gluteus medius of an adult Pt, which angle should the needle be inserted?
15 degree angle
25 degree angle
45 degree angle
90 degree angle
63
During a routine venipuncture, the patient becomes pale and diaphoretic. What is most likely to occur in this patient?
Nausea
Seizure
Shock
Syncope
64
Which route should the MA use to perform a tuberculin skin test?
Intradermal
Intravenous
Intramuscular
Subcutaneous
65
Which piece of legislation keeps health care staff safe from retaliation by their employers when they report neglect?
HITECH Act
Patient's Bill of Rights
Good Samaritan Act
Whistleblower Protection Act
66
Which of the following steps for a fingerstick should a medical assistant complete first?
Position the blade of the lancet across of the fingertip
Cleanse the site with an antiseptic wipe
Select the appropriate part of the third or fourth finger
Confirm the correct identity of the patient
67
An MA is preparing a Pt for exam with psoriasis. When inspecting the skin lesion, what should you expect to see?
Brown, flat
Silvery, scaly
Yellow, waxy
Gray, crusty
68
Caring for a Pt who is 5'7" tall. Which of the following is the Pt's height in centimeters?
170 cm
145 cm
26 cm
114 cm
69
When scheduling diagnostic tests for a Pt's liver ad pancreas. Which of the following symptoms are being assessed?
Respiratory
Digestive
Integumentary
Cardiovascular
70
MA is using a scale with a height bar to measure a Pt's height, which action should the MA take first?
Raise the height bar when the Pt is standing on the scale
Lower the horizontal bar gently so that it rests on the top of the Pts head
Have the Pt face the weight indicators on the scale
Have the Pt stand up straight and look to one side
71
Which of the following groups of EKG leads are bipolar?
Leads l, ll, and lll
Leads aVR, aVL, and aVF
Leads V1, V2, and V3
Leads V4, V5, and V6
72
A provider recommends the Pt take an OTC antitussive, but the Pt does not know what an antitussive is. Which response?
A medication that reduces nasal membrane swelling
A medication that suppresses the cough reflex
A medication that relieves allergy symptoms
A medication that helps with coughing up mucus
73
An MA has a request to collect a CBC from a 10 month old infant. Which site is the most appropriate?
Cephalic vein
Median antecubital vein
Third finger on left hand
Left heel
74
A parent ask for more info on their child's condition, Pediculosis. What type of infection is this?
Bacterial
Helminthic
Fungal
Parasitic
75
Which of the following Pt conditions should you perform a capillary sample, instead of venipuncture?
Edema in fingers
Hypothyroidism
HIV positive
Previous thromboses
76
Pt has cold sores on their lips, which viruses cause this condition?
Influenza A
Epstein Barr
Rhabdovirus
Herpes Simplex type 1
77
At work, you cared for an injured friend. After work, another friend asked for details. Your response?
Broke a couple of bones, but will be fine
It was nothing serious, you'll see her soon enough
I can't share any information about what happens at my job
We'll see her every week or so during recovery
78
When performing Spirometry testing for a Pt having SOB, which results indicates successful maneuver?
An exhalation of 3 seconds
A slow and progressive start
Light coughing during the test
A fast and steady flow with no variability
79
Which of the following routes for taking a Pt's temp is most accurate?
Temporal
Rectal
Oral
Axillary
80
Which following actions should you take when obtaining the length of an infant during a well visit?
Remove the infants diaper
Keep the infants knees flexed
Position the infant on their back
Wrap the infant in a blanket for warmth
81
Which of the following instructions should an MA give to a Pt when administering an enteric-coated tablet?
Dissolve the tablet in a glass of water before drinking
Swallow the tablet whole with a glass of water
Crush the tablet and mix it with applesauce
Chew the tablet thoroughly before swallowing
82
Which of the following should an MA identify as the purpose of a Category ll code in procedural coding?
Tracks provider performance measures
Indicates special circumstances
Works as a temporary code
Identifies preventive measures
83
An MA is transcribing a prescription for Magnesium Sulfate in to a Pt's chart. How should it be documented?
MS
Magnesium
Magnesium Sulfate
MgSO4
84
An MA should follow chain of custody guidelines for which type of lab results?
Parentage testing
Blood cultures
Digoxin levels
Lead levels
85
Completing documentation in a Pt's paper chart, realizes she made an error. Which action should she take?
Use correction fluid to correct the entry
Leave the error in the medication record
Draw a line through the error and initial it
Erase the entry in the medical record
86
An MA is speaking with a Pt who has seasonal allergies, Which health care provider can make a diagnosis for treatment?
Pharmacist
Registered nurse
Physician assistant
Respiratory therapist
87
B/P cuff is inflated and partially opens the valve to deflate and listens with a stethoscope. You hear diastolic when?
When the sounds change from strong to muffled
When repetitive sounds begin
When the sound changes from swishing to sharp
When the sound disappears
88
A first time Pt is late arriving to the office, which of the following should the MA say first?
"Hello. Welcome to our office"
What is your best phone number? We couldn't reach you this am"
"Have a seat. We will be with you shortly"
"Please complete these forms and return them to the desk"
89
The primary code in the CPT coding system consists of how many digits?
Two digits
Seven digits
Four digits
Five digits
90
An MA is preparing a community resource library. Which action should the MA take first?
Collect feedback from patients about their experience with the resources
Update the community resource information
Make a spreadsheet that has the contact information of services
Compile a list of local community agencies
91
An MA is testing a patient's visual acuity using a Snellen chart. Which actions should you take?
Position the patient 40 feet from the chart
Make sure the patient does not lean forward during the test
Ask the patient to read the smallest line, then proceed to the largest
The patient closes her eye behind an occluder, when testing the other eye
92
An MA is disposing of the syringe and needle she used to inject a flu vaccine. Which action should the MA take?
Replace the sharps container once it is half full
Use a gauze square to break off the needle, place in the sharps container
Recap the needle before disposing of it in the biohazard sharps container
Drop the syringe needle first, into the sharps container
93
An MA is administering heparin SubQ, which of the following actions should the assistant take?
Inject the medication slowly
Massage the site after removing the needle
Insert the needle at 30 degree angle
Spread the skin taut over the injection site
94
When measuring a respiratory rate, which action should the MA take to ensure an accurate reading?
Instruct the Pt to take deep breaths while obtaining his pulse
Instruct the Pt to breathe normally while counting the breaths
Count the respirations while the Pt thinks her pulse is being obtained
Count the respirations for 15 seconds and multiply by 2
95
An MA is examining the rash on a Pt's forearm. Note multiple solid elevations less the 0.2" in diameter. Correct term?
Papules
Vesicles
Macules
Pustules
96
When assisting an MD with a punch biopsy of a mole, which of the following tasks should an MA expect to perform?
Place sutures at the incision site
Swab fluids from the biopsy site
Receive and prepare tissue specimens for processing
Retract the edges of the biopsy site
97
Reviewing a list of medications a Pt is currently taking, which of the following is available in sublingual form?
Nitroglycerin
Atorvastatin
Metoprolol
Propranolol
98
How do you classify dressings and bandages in a clinics inventory?
As office equipment
As office supplies
As clinical supplies
As clinical equipment
99
An MA works at an urgent care using Open hours scheduling, which describes this form of scheduling?
Pts arrive at their convenience and are seen on a 1st come, 1st serve basis
Pts have the same disorders seen on a specific day or same block time
3 Pts are schedued for the same time and taken to be seen as they arrive
Each Pt arrives at assigned time with enough time for reason of the visit
100
An MA is using a butterfly needle set to obtain a blood sample from a vein. Which action should the MA take?
Release the tourniquet after 2 min
Insert the needle into the skin at a 45 degree angle
Hold the needle by its wings
Activate the safety device before removing the needle

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