MA is to collect multiple blood samples for various coagulation tests. Which of the tubes would she use first?

yellow (SPS), light blue (sodium citrate)

When communicating with elderly pts. which approach is most effective in ensuring understanding?

speak slowly and use simple language

Which is most crucial in a pts medication log to ensure compliance with legal and clinical standards?

date and time of administration

Which is most accurate method for measuring blood pressure?

position pts arm at heart level and use appropriately sized cuff

Prior authorization is needed for a pts MRI. MA has checked insurance coverage & filled out necessary forms. What next?

contact insurance provider to confirm receipt of forms

When collecting and storing a MOLST form, what is essential to ensure validity and proper documentation

confirm form is stored in pts EHR

When documenting healthcare proxy, which is essential to ensure validity?

Document must be signed by patient and 2 witnesses

Pt needs nutritional counseling, transport to appts, assistance with meds. Who should MA contact to assist with this?

refer to social worker who can assist with accessing all required services

What is the primary purpose of generating an aging report in a medical practice?

To identify overdue accounts for follow-up

During procedure, autoclave malfunctions. What should be immediate action to ensure proper sterilization before use?

switch to using presterilized disposable instruments

During inventory, MA notices supplies near expiration date. What action is taken to ensure best inventory management

rotate stock-items with nearer expiration dates go in front-use them first

When developing pt care plan, which is most critical factor

patients individual needs and preferences

Which step is most critical to ensure prior authorization for a medication

collect relevant clinical documentation

Which are mandatory requirements for obtaining CCMA certification?

Completion of an accredited medical assisting program

When documenting an unusual occurrence in healthcare setting, which is most crucial detail to report?

detailed description of event including time, location, and action taken

When administering subcutaneous injection of insulin to diabetic pt, which steps are utilized to administer

pinch skin at injection site before inserting needle at 45-degree angle

During an audit a pts. medical records contain duplicate entries for lab results. What action should be taken?

consult your supervisor before making any changes

Which question is most appropriate for an MA to ask during initial consultation with a patient?

Can you describe any allergies you have to medications

MD is preparing electronic rx. Which is a legal requirement for content and transmission of this prescription?

must be transmitted through secure encrypted system

Pt w/ hx COPD. Presents w/ SOB, fatigue. VS= T 99.1, P: 110, R 28, O2 89. What should MA do next?

Administer O2 and notify physician if

When performing CLIA-waived glucose testing, which step is critical to ensure accurate results?

ensure the test strip is not expired

During audit, it is discovered pt records are not being disposed of properly. Which rule applies?

follow state regulations and guidelines for record retention and disposal

Which is requirement for submitting claims to third-party payor (ins) for compliance and prompt reimbursement?

use standardized codes from ICD-10-CM and CPT manuals

Pt here for staple removal following abdominal surgery. You notice slight redness and swelling around site. Next step

delay staple removal and consult with physician

Which step is most critical in ensuring effective hand hygiene prior to minor office surgery?

scrub all surfaces of hands, including under nails for at least 20 seconds

If drawing blood from a patient with known hepatitis B, what act is crucial to prevent transmission of BBP

immediately dispose of used needles in sharps container

How would the MA assist dermatologist in exam with suspected melanoma?

prepare biopsy kit and ensure proper labeling of specimens

58 y/o pt presents w/ sudden onset severe h/a, nausea, visual disturbances. BP 190/120 mmHg. What action should MA take

report symptoms to physician immediately

A pt is concerned with possible side effects of a new medicine. How would you address this?

listen empathetically, explain possible side effects, provide written info

A pt's caregiver is upset about the patient's care plan. What strategy is most effective to de-escalate the situation?

actively listen to concerns & validate bf discussing potential solutions

Which is a critical step in insuring the accuracy in POCT results?

performing daily quality control checks on POCT devices

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NHA MA Certification Review Practice Test 1

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Questions 74

Answers

1
What instrument is used during a gynecological exam to visualize the cervix?
laryngoscope
colposcope
ophthalmoscope
otoscope
2
Which narcotic has a high risk for abuse with psychological and physical dependence but also has accepted medical uses?
Schedule I
Schedule III
Schedule IV
Schedule II
3
MA is to collect multiple blood samples for various coagulation tests. Which of the tubes would she use first?
red top (serum)
lavender (EDTA)
yellow (SPS)
light blue (sodium citrate)
4
What type of suture is most appropriate for closing subcutaneous layer due to absorbability with minimal tissue reaction
silk
polypropylene (prolene)
nylon
polyglactin 9 1 0 (vicryl)
5
45 y/o pt has FB glucose level of 130mg/dL. How is this result interpreted?
diabetes mellitus
normal fasting blood glucose
hypoglycemia
impaired fasting blood glucose
6
Pt needs coordinated care with multiple specialties. Which resource will ensure these needs are met?
primary care physician
social worker
case manager
psychiatrist
7
When communicating with elderly pts. which approach is most effective in ensuring understanding?
use medical jargon to explain conditions clearly
assume they are hard of hearing and raise your voice
speak slowly and use simple language
provide written instructions only.
8
Which is most crucial in a pts medication log to ensure compliance with legal and clinical standards?
date and time of administration
patients full name and DOB
prescribing physicians contact information
medication name and dosage
9
Which is most accurate method for measuring blood pressure?
using automated bp monitor while patient is standing up
take multiple readings in quick succession without allowing rest periods
measuring bp immediately after patient exercises
position pts arm at heart level and use appropriately sized cuff
10
Which instrument is used to examine the internal structures of the ear during a general physical exam?
ophthalmoscope
otoscope
sphygmomanometer
stethoscope
11
Prior authorization is needed for a pts MRI. MA has checked insurance coverage & filled out necessary forms. What next?
schedule MRI before receiving authorization confirmation
contact insurance provider to confirm receipt of forms
submit forms directly to MRI facility
inform patient he can proceed with scheduling his MRI
12
When collecting and storing a MOLST form, what is essential to ensure validity and proper documentation
confirm form is stored in pts EHR
Form must be signed by both patient and witness
form includes specific instructions for EMS
form should be reviewed annually by healthcare provider
13
4 y/o asserting her independence & playing w/ peers. Per Eriksons stages of psychosocial development which stage is this
initiative vs guilt
autonomy vs Shame & Doubt
industry vs inferiority
Trust vs Mistrust
14
When documenting healthcare proxy, which is essential to ensure validity?
document must include patients medical history
document must be notarized by a licensed notary public
document must specify patient's primary care physician
Document must be signed by patient and 2 witnesses
15
PT with hx of COPD presents with fever, productive cough, SOB. Sputum culture reveals gram negative rods. Likely dx?
mycoplasma pneumoniae
streptococcus pneumoniae
haemophilus influenzae
staphylococcus aureus
16
What instrument is specifically designed for the removal of skin staples?
needle holder
staple remover
hemostat
suture scissors
17
Pt needs nutritional counseling, transport to appts, assistance with meds. Who should MA contact to assist with this?
refer to social worker who can assist with accessing all required services
Home health aide for medication assistance
coordinate with local transportation service
make appt with registered dietician for nutritional counseling
18
Which structure in the respiratory system is primarily responsible for gas exchange?
bronchioles
trachea
bronchi
alveoli
19
What is the primary purpose of generating an aging report in a medical practice?
to monitor staff performance
To identify overdue accounts for follow-up
to determine the total amount of revenue generated
To track daily patient appointments,
20
During procedure, autoclave malfunctions. What should be immediate action to ensure proper sterilization before use?
Re-run instruments through autoclave after fixing it
use chemical sterilization as alternate method
Perform manual cleaning followed by high-level disinfection
switch to using presterilized disposable instruments
21
45 y/o male presents w/ severe epigastric pain radiating to his back. Which organ is most likely affected
stomache
liver
pancrease
gallbladder
22
During inventory, MA notices supplies near expiration date. What action is taken to ensure best inventory management
Immediately dispose of items nearing expiration to maintain standards
rotate stock-items with nearer expiration dates go in front-use them first
increase reorder quantity of those items to avoid future shortages
delay ordering new stock until current items are used to minimize waste
23
When administering subcutaneous injection, what is the desired angle of the needle?
90 degrees
45 degrees
15 degrees
30 degrees
24
When developing pt care plan, which is most critical factor
standardized treatment protocols
patients individual needs and preferences
latest clinical guidelines
primary physician's recommendations
25
Which abbreviation indicates a medication should be administered subcutaneously?
SL
SC
IM
IV
26
Which step is most critical to ensure prior authorization for a medication
communicate directly with prescribing physician
collect relevant clinical documentation
submit prior authorization request promply
verify patient eligibility and benefits
27
Which are mandatory requirements for obtaining CCMA certification?
passing background check and drug screening
minimum of two years work experience in clinical setting
obtaining letter of recommendation from licensed physician
Completion of an accredited medical assisting program
28
When documenting an unusual occurrence in healthcare setting, which is most crucial detail to report?
personal opinions of what caused the incident
medical history of patient invovled
names of all staff members present during the incident
detailed description of event including time, location, and action taken
29
When administering subcutaneous injection of insulin to diabetic pt, which steps are utilized to administer
insert needle at 90-degree angle without pinching skin
administer injection into deltoid muscle
massage injection site immediately after administering insulin
pinch skin at injection site before inserting needle at 45-degree angle
30
Pt needs injectable med at dosage of 0.5 mg/kg. Pt weighs 70 kg. Med is available in vials of 50mg/10mL. How many mL?
2.5 mL
5 mL
3 mL
7 mL
31
When determining best venipuncture site for elderly pt with fragile veins, which site is usually best?
cephalic cein
median cubital vein
dorsal hand veins
basilic vein
32
Which filing system is most useful for a practice that needs to retrieve patient records based on their last names?
alphabetical
geographical
numerical
subject
33
During an audit a pts. medical records contain duplicate entries for lab results. What action should be taken?
Delete one of the entries without further documentation
consult your supervisor before making any changes
merge duplicate entries into a single record and document the correction
leave both entries as they are but make note about duplication in pts file
34
Which question is most appropriate for an MA to ask during initial consultation with a patient?
Do you have any family history of chronic illnesses?
Can you describe any allergies you have to medications
How often do you exercise and what exercises do you do?
What do you think caused your current symptoms?
35
What does the abbreviation PRN mean in medical terminology?
by mouth
every night
before meals
as needed
36
A pt requires specialized med not available commercially. Which type of pharmacy is best suited to prepare this medicine
retail pharmacy
compounding pharmacy
nuclear pharmacy
hospital pharmacy
37
MD is preparing electronic rx. Which is a legal requirement for content and transmission of this prescription?
must include prescribers NPI (national provider identifer)
must be transmitted through secure encrypted system
must be printed and signed prior to electronic submission
must contain patients full name and dob
38
Which abnormal rhythm has an irregularly irregular rhythm with no distinct P waves on an ECG
sinus arrhythmia
ventricular tachycardia,
atrial fibrillation
atrial flutter
39
Pt w/ hx COPD. Presents w/ SOB, fatigue. VS= T 99.1, P: 110, R 28, O2 89. What should MA do next?
encourage dep breathing exercises and reassess in 1 hour
recheck vital signs in 15 minutes
administer an antipyretic for elevated temperature
Administer O2 and notify physician if
40
When performing CLIA-waived glucose testing, which step is critical to ensure accurate results?
calibrate the glucometer before each use
ensure the test strip is not expired
record patient information accurately
wear gloves to prevent contamination
41
During audit, it is discovered pt records are not being disposed of properly. Which rule applies?
transfer all records to an offsite storage facility after 2 years
Shred all patient records immediately after 5 years of
dispose of records by incineration regardless of age
follow state regulations and guidelines for record retention and disposal
42
Which is requirement for submitting claims to third-party payor (ins) for compliance and prompt reimbursement?
provide detailed narrative description of each service rendered
sumbit claims only after receiving prior authorization for all services
include patients social security number on every claim
use standardized codes from ICD-10-CM and CPT manuals
43
Pt here for staple removal following abdominal surgery. You notice slight redness and swelling around site. Next step
proceed with removing all staples as planned
delay staple removal and consult with physician
remove only half of the staples and schedule follow-up visit
apply antibiotic ointment and proceed with staple removal
44
Which step is most critical in ensuring effective hand hygiene prior to minor office surgery?
rinse hands thoroughly under running water before applying soap
dry hands completely with sterile towel after washing
scrub all surfaces of hands, including under nails for at least 20 seconds
use alcohol-based hand sanitizer immediately after washing w/ soap & water
45
If drawing blood from a patient with known hepatitis B, what act is crucial to prevent transmission of BBP
wear a surgical mask during procedure
disinfect the puncture site with alcohol before inserting the needle
immediately dispose of used needles in sharps container
use gloves and change them between patients
46
How would the MA assist dermatologist in exam with suspected melanoma?
educate patient regarding post=biopsy wound care
position patient under adequate lighting for optimal visualization
prepare biopsy kit and ensure proper labeling of specimens
document patients family history of skin cancer
47
58 y/o pt presents w/ sudden onset severe h/a, nausea, visual disturbances. BP 190/120 mmHg. What action should MA take
administer OTC pain medication and reassess in an hour
document symptoms and schedule urgent f/u appt
advise pt to rest and monitor symptoms at home
report symptoms to physician immediately
48
A pt is concerned with possible side effects of a new medicine. How would you address this?
listen empathetically, explain possible side effects, provide written info
suggest they discuss concerns with physician
explain potential side effects and provide written information
Reassure medication is safe and physician is knowledgable
49
A pt's caregiver is upset about the patient's care plan. What strategy is most effective to de-escalate the situation?
redirect conversation to focus on positive aspects of patients care
actively listen to concerns & validate bf discussing potential solutions
Asserting the medical facts and emphasize need to trust caregiver
provide detailed explanations of medical procedures and outcomes
50
Which is a critical step in insuring the accuracy in POCT results?
performing daily quality control checks on POCT devices
ensure POCT devices are used by certified personnel only
calibrating POCT devices annually
regularly updating the softare of POCT devices
51
Which of the following medication pairs is most likely to be confused due to their similar names?
Zantac and Xanax
Celebrex and Celexia
Lamictal and Lamisil
Plavix and Paxil
52
Pt. admitted to hosp. for UTI caused by e-coli. Develops pneumonia. Which break in chain of infection likely caused?
lack of isolation precautions for respiratory infections
improper sterilization of medical equipment
Improper hand hygiene by healthcare workers
contaminated urinary catheter
53
Which diagnostic is most common for confirming dx of deep vein thrombosis (DVT) in pt w/ unilateral leg swelling & pain
D-dimer test
venous duplex ultrasound
magnetic resonance imaging (MRI)
computed tomography (CT) angiography
54
Lab MA is distributing lab results. After verifying results are for the correct patient, what would be the next step?
send encrypted email with lab results to ordering provider
document in pts record results have been distributed & then fax to provider
Use EHR system to securely send lab results to ordering provider
call the ordering providers office and verbally communicate results
55
Which route of administration is most appropriate for medication that requires rapid action and complete absorption?
oral (PO)
Intravenous (IV)
intramuscular (IM)
subcutaneous (SC)
56
After collecting blood for a CBC what is most critical step to ensure specimen is correctly matched and labeled?
label tube immediately after drawing blood-info from req form and wristband
label tube immediately after drawing blood -pt verbal confirmation of name
label tube before drawing blood using info from pts medical record
label tube immediately after drawing blood-info from another pts wristband
57
Pt needs referral to orthopedic specialist. What is important to MA in processing this request correctly?
Verify insurance plan covers and obtain prior authorization if required
Ensure all of pts records are sent to orthopedic before her appointment
contact orthopedic to discuss case and ensure they accept her insurance
schedule appointment w/ orthopedic and inform pt of out of pocket expense
58
What is most critical step MA must take when preparing pt for minor surgical procedure?
ensure patient has fasted for at least 8 hours prior to procedure
provide detailed post-procedure care instructions prior to the procedure
obtain and verify patients informed consent before starting procedure
position the patient comfortably on the exam table
59
Which principle is most explicitly stated in the original Hippocratic Oath?
justice
Beneficence
autonomy
Non-maleficence
60
Elderly pt with COPD d/c from hospital. MD recommends home health care. Which resources would be most appropriate?
Social worker to assist with community resources and support
telehealth service for remote monitoring and consultation
Visiting nurse for daily medication administration
PT for weekly rehab sessions
61
A prescription for a pt with HTN reads "Metoprolol 50mg PO BID" How would you interpret this?
Metoproplol 50 mg by mouth twice daily
metoprolol 50 mg intravenous twice daily
metorprolol 50 mg by mouth once daily
metoprolol 50 mg subcutaneously twice daily
62
Pt presents with chest pain & SOB. EKG shows ST-segmental elevation in leads II, III & aVF. What does this indicate?
lateral myocardial infarction
inferior myocardial infarction
posterior myocardial infarction
anterior myocardial infarction
63
Pt. with a hx of HTN is prescribed Lisinopril. After 1 wk she c/o persistent dry cough. What is the most likely cause?
adverse effect of lisinopril
contraindication for using lisinopril
common side effect of lisinopril
Allergic reaction to lisinopril
64
During gynecological exam what is most crucial step MA must take to ensure accurate results?
prepare and label specimen containers accurately
position patient in lithotomy position
ensure patient has empty bladder
verify patients medical history
65
Pt is prescribed topical med for pain relief. What type of med should remain on surface w/o absorption into deep skin.
liquid
balm
ointment
elixir
66
During surgery, MA accidentally touches edge of sterile field with gloved hand. What should she do next?
continue with procedure as long as her gloves look clean and
use antiseptic wipe on her gloves before continuing
Ask doctor to examine her gloves for contamination
remove gloves, perform hand hygiene, don new sterile gloves
67
Which type of infectious agent typically causes tuberculosis in humans?
fungus
virus
bacterium
protozoan
68
Office needs automated appointment reminders in scheduling software to reduce no-shows. Which feature prioritizes this?
customizable calendar views
automated SMS and email reminders
integration with patient EHR
real time appointment booking updates
69
What step is critical to ensure accurate verification of coverage for a specific procedure for a new patient?
Check offices EHR system for previous coverage information
contact insurance company directly to confirm coverage details
review patients insurance card for policy and group numbers
ask the patient for detailed info about their past medical procedures
70
Which is most critical step for ensuring integrity of blood specimen for glucose testing
mix blood with anticoagulant immediately after collection
centrifuge the specimen within 2 hours of collection
transport specimen in light protected container
store specimen at room temp immediately after collection
71
When documenting an event in a pt record, which point is crucial for integrity and reliability of documentation?
document evens immediately after they occur
include only relevent information about
use abbreviations for efficiency
use medical jargon to ensure precision
72
Pt for surgery informed her re procedure, risks, benefits and alternatives. Pt verbally agrees to proceed. What's next
obtain written consent before proceeding with surgery
document verbal consent in medical record
proceed with surgery
have pt sign waiver form acknowledging her verbal agreement
73
Pt has sneezing, itchy eyes, runny nose & states is worse in spring when outside. Which allergen is most likely at fault
pet dander
dust mites
tree pollen
mold spores
74
Orders are CBC and coagulation studies. Which is correct for type of tubes, order of draw, # of inversions & fill level
light blue tube first, invert 3-4 times, fill to at least 90% capacity
lavender tube first, invert 8-10 times, fill to at least 75% capacity
light blue tube first, invert 3-4 times, fill to at least 50% capacity
lavender tube first, invert 5-6 times, fill to at least 50% capacity

NHA MA Certification Review Practice Test 1 Flashcards | StudBud