NCCT Medical Asst. 2016 Ful Pratice Test

108 Questions | Total Attempts: 309

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NCCT Medical Asst. 2016 Ful Pratice Test

The National Center for Competency Testing (NCCT) is an accredited body that tests and certifies medical practitioners and health care professionals. The medical asst. 2016 full practice test helps you with this. Enjoy as you learn.


Questions and Answers
  • 1. 
    A patient presents to the medical office with nausea and vomiting. Which of the following types of medication is likely to be prescribed?
    • A. 

      Antiarrhythmic

    • B. 

      Antitussive

    • C. 

      Antidiarrheal

    • D. 

      Antiemetic

  • 2. 
    • A. 

      To determine the primary diagnosis

    • B. 

      To ensure a secondary diagnosis is not listed on the claim form

    • C. 

      To assign a two-digit modifier

    • D. 

      To assign a V code

  • 3. 
    A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient?
    • A. 

      Deltoid

    • B. 

      Ventrogluteal

    • C. 

      Dorsogluteal

    • D. 

      Vastus lateralis

  • 4. 
    Which of the following medical office software applications uses an electronic signature? 
    • A. 

      Spreadsheets

    • B. 

      EHR

    • C. 

      Encoders

    • D. 

      Scheduling

  • 5. 
    The transfer of information such as patient eligibility, payment remittances, claims, claim status, authorizations and referrals are addressed under the HIPAA Administrative Simplification and Compliance Act as electronic
    • A. 

      Report management.

    • B. 

      Remittance advice.

    • C. 

      Data interchange.

    • D. 

      Clearinghouse.

  • 6. 
    The patient was seen in the office for follow up evaluation post CVA.  The doctor noticed significant weakness on the patient’s left side.  Which of the following should the medical assistant expect to perform?
    • A. 

      Full weight bearing exercise assistance

    • B. 

      Active assist range of motion

    • C. 

      Crutch training

    • D. 

      Cold chemical pack application

  • 7. 
    • A. 

      Quantity to dispense and directions for taking the medication

    • B. 

      Quantity to dispense and EIN

    • C. 

      Directions for taking the medication and superscription

    • D. 

      Superscription and EIN

  • 8. 
    A patient expresses cultural beliefs about an alternative method of pain management that differs from the medical assistant’s own view.  How should the medical assistant respond?
    • A. 

      Perhaps you should see a neurologist."

    • B. 

      "Tell me more about how this approach has worked for you."

    • C. 

      "The physician does not recommend that approach."

    • D. 

      "Standard pharmaceutical methods of pain management are proven to be more effective."

  • 9. 
    Which of the following actions by the medical assistant demonstrates compliance with the ADA?
    • A. 

      Ensure hallways to exam rooms remain free of obstructions

    • B. 

      Wear personal protective equipment prior to irrigating a wound

    • C. 

      Obtain hepatitis B vaccination series offered by employer

    • D. 

      Maintain confidentiality of protected health information

  • 10. 
    • A. 

      Ask the patient to clarify the date of her LMP.

    • B. 

      Draw a blood specimen for hCG testing.

    • C. 

      Collect another urine sample.

    • D. 

      Ensure the daily quality control has been performed.

  • 11. 
    Flow charts, progress notes, and narrative notation are all examples of
    • A. 

      Medical record charting styles.

    • B. 

      Patient chart filing systems.

    • C. 

      Recording patient information in a medical record.

    • D. 

      Patient documentation in a SOAP format.

  • 12. 
    • A. 

      Remove the instruments and set them on the counter to dry.

    • B. 

      Remove the instruments and place them on the Mayo stand for surgery.

    • C. 

      Leave the instruments in the autoclave with the door cracked to dry.

    • D. 

      Leave the instruments in the autoclave and run the cycle again.

  • 13. 
    Forced Vital Capacity is measured by instructing the patient to
    • A. 

      Forcefully breath air out and continue to exhale for at least 6 seconds.

    • B. 

      Complete a minimum of eight acceptable efforts to validate the test.

    • C. 

      Move the one way valve to a minimum of 4000 ml capacity.

    • D. 

      Blow out as fast and hard as possible and document the highest reading.

  • 14. 
    Which of the following forms must be signed by the patient and kept on file, allowing physicians to be paid directly from the insurance carrier?
    • A. 

      HIPAA waiver

    • B. 

      CMS-1500

    • C. 

      Assignment of benefits

    • D. 

      Living will

  • 15. 
    A patient complains of nausea and vomiting, and has been unable to keep fluids down over the course of two days.  A suppository has been ordered.  Which of the following abbreviations is the correct route of administration?
    • A. 

      IM

    • B. 

      PR

    • C. 

      SC

    • D. 

      INH

  • 16. 
    For which of the following incidents is employer provided post-exposure follow-up indicated?
    • A. 

      An employee fall from a step stool while obtaining medical records

    • B. 

      A polycup containing urine splashed into the eye of an employee

    • C. 

      Loss of power during an ECG procedure

    • D. 

      An employee fall in the parking lot, resulting in a hand laceration

  • 17. 
    A patient with dyspnea comes in for an ECG. In which of the following positions should the patient be placed for the procedure?
    • A. 

      Supine

    • B. 

      Trendelenburg

    • C. 

      Semi Fowlers

    • D. 

      Sims

  • 18. 
    The medical assistant documented an IM injection as follows:  10/12/XX @ 1030, Rocephin 1 gram IM patient tolerated procedure well. Amy Ray, medical assistant.  Which of the following necessary pieces of documentation is missing?
    • A. 

      Physician signature

    • B. 

      Use of the medication

    • C. 

      Site of administration

    • D. 

      Frequency of administration

  • 19. 
    When managing multiple incoming calls, the medical assistant should handle which of the following calls first?
    • A. 

      A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.

    • B. 

      A patient calling to cancel today’s appointment for a needle biopsy of a breast mass.

    • C. 

      A lawyer with a subpoena asking for patient information.

    • D. 

      A neurologist seeing a patient on consult.

  • 20. 
    The patient is referred to a neurosurgeon. Entering the specialist’s NPI number and number of visits requested into the patient’s insurance carrier’s website is part of which of the following processes?
    • A. 

      Precertification

    • B. 

      Compensation

    • C. 

      Electronic claims submission

    • D. 

      Assignment of benefits

  • 21. 
    When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of respiratory distress, the medical assistant obtains a reading of 79%.  Which of the following actions should the medical assistant take next?
    • A. 

      Notify the physician

    • B. 

      Supplement the child with oxygen per protocol

    • C. 

      Reposition the finger probe

    • D. 

      Take a full set of vital signs

  • 22. 
    The medical assistant is caring for an adult patient with a history of coronary artery disease.  Which of the following BP measurements should prompt the medical assistant to notify the health care provider?   (Select the three (3) correct answers.) 
    • A. 

      162/96 mmHg,138/98 mmHg,162/96 mmHg

    • B. 

      162/96 mmHg,98/88 mmHg,138/98 mm Hg

    • C. 

      129/88 mmHg,162/96 mmHg,92/44 mmHg

    • D. 

      92/44 mmHg,138/98 mmHg,162/96 mmHg

  • 23. 
    When preparing liquid medications for administration, the medical assistant should check the medication and expiration date, then place the cap with attached dropper face
    • A. 

      Up and read the volume at the bottom of the meniscus.

    • B. 

      Up and read the volume at the top of the meniscus.

    • C. 

      Down and read the volume at the bottom of the meniscus.

    • D. 

      Down and read the volume at the top of the meniscus.

  • 24. 
    Which of the following is necessary before ordering or paying for medical office supplies?
    • A. 

      Purchase order

    • B. 

      Inventory list

    • C. 

      Packing slip

    • D. 

      Order number

  • 25. 
    A patient’s encounter form contributes to the efficiency and flow of information in the medical office at check-out in which of the following ways?
    • A. 

      Provides written documentation about medications prescribed during the visit.

    • B. 

      Outlines discharge instructions related to the patient’s condition.

    • C. 

      Lists codes for services and procedures performed during the visit.

    • D. 

      Summarizes limitations and exclusions in the patient’s insurance policy.

  • 26. 
    A medical assistant is hired at a Family Medical Practice. According to OSHA requirements the medical assistant must be offered a vaccine within 10 days of hire, free of charge. The medical assistant knows that this vaccination is to protect him from which of the following?
    • A. 

      Tetanus

    • B. 

      Varicella

    • C. 

      Hepatitis B

    • D. 

      Haemophilus influenza

  • 27. 
    Which of the following needle gauges is most commonly used for venipuncture?
    • A. 

      21-23

    • B. 

      24-25

    • C. 

      18-20

    • D. 

      16-17

  • 28. 
    Which of the following insurance programs covers active duty military personnel?
    • A. 

      CHAMPVA

    • B. 

      TRICARE

    • C. 

      BCBS

    • D. 

      Medicare

  • 29. 
    Which of the following acts involves the termination of a patient from the care of a physician without reasonable, written notice of withdrawal from the case?
    • A. 

      Slander

    • B. 

      Discrimination

    • C. 

      Battery

    • D. 

      Abandonment

  • 30. 
    The physician believes a patient might have problems with her spleen. Where would the doctor palpate to feel for the spleen?
    • A. 

      Right side of the patient's abdomen beneath the diaphragm

    • B. 

      Middle of the patient's abdomen beneath the diaphragm

    • C. 

      Left lower portion of the patient's abdomen

    • D. 

      Left side of the patient's abdomen beneath the diaphragm

  • 31. 
    The medical assistant should access which of the following sections of the electronic health record or paper chart to retrieve patient contact information?
    • A. 

      Consultations

    • B. 

      Laboratory orders

    • C. 

      Progress notes

    • D. 

      Billing

  • 32. 
    Placement of the ground lead on an ECG is on the
    • A. 

      RL on the muscular portion of the leg.

    • B. 

      LL on the soft tissue of the leg.

    • C. 

      RL on the soft tissue of the leg.

    • D. 

      LL on the muscular portion of the leg.

  • 33. 
    The medical assistant should administer nitroglycerin by which of the following methods?
    • A. 

      Buccal

    • B. 

      Sublingual

    • C. 

      Intramuscular

    • D. 

      Intradermal

  • 34. 
    Which of the following organizations makes on-site visits to inspect medical office laboratories?
    • A. 

      WHO

    • B. 

      DEA

    • C. 

      CLIA

    • D. 

      FDA

  • 35. 
    A patient presents to the clinic with a paper towel wrapped around a deep laceration to his hand.  The medical assistant removes the paper towel and finds it is heavily saturated with blood.  The paper towel should be disposed of in a
    • A. 

      Biohazard sharps container.

    • B. 

      Yellow trash bin.

    • C. 

      Biohazard waste bin.

    • D. 

      Medical waste recycling container.

  • 36. 
    The medical assistant schedules a follow-up appointment for a patient following surgical removal of their uterus.  The medical term for this procedure is
    • A. 

      Oophorectomy

    • B. 

      Hysterectomy.

    • C. 

      Uteroscopy.

    • D. 

      Amniocentesis.

  • 37. 
    The post office returns a patient’s bill to the clinic with the notation “address unknown.”  Which of the following steps are appropriate in handling this situation? (Select THE 3 that apply)
    • A. 

      Resend the bill to the same address requesting return receipt,Call the patient's primary phone number,Document the postmark date.

    • B. 

      Verify the mailing address on file in the clinic database., Document the postmark date., Prepare a new envelope with the corrected address and new postage.

  • 38. 
    Older adult patients are the population most at risk for which of the following medication complications due to a declining liver function?
    • A. 

      Anaphylaxis

    • B. 

      Toxicity

    • C. 

      Tinnitus

    • D. 

      Polyuria

  • 39. 
    A parent calls the pediatrician’s office very upset because her child is vomiting and has a temperature of 103.3 F.  The medical assistant should
    • A. 

      Schedule a same day work-in appointment.

    • B. 

      Place the parent on hold and transfer the call to the physician.

    • C. 

      Instruct the parent to take the child to the emergency room immediately.

    • D. 

      Suggest an over the counter anti-pyretic.

  • 40. 
    When preparing to assist the physician with collection of a deep wound culture, the medical assistant should have which of the following available?
    • A. 

      Blood culture media

    • B. 

      Viral transport media

    • C. 

      Bacterial culture swabs

    • D. 

      Cotton tipped swabs

  • 41. 
    Prior to purging and destroying paper medical charts, a medical office assistant should consult which of following guidelines?
    • A. 

      Municipal

    • B. 

      AMA

    • C. 

      OSHA

    • D. 

      State and Federal

  • 42. 
    Which of the following types of scheduling provides built in flexibility to accommodate unforeseen situations, such as patients who require more time with the physician.
    • A. 

      Wave

    • B. 

      Specified time

    • C. 

      Procedures grouping

    • D. 

      Double booking

  • 43. 
    An incorrect dose of medication is delivered to a patient in the medical clinic.  As a result, the patient experienced mild kidney damage.  The responsible health care providers and/or clinic is at risk for which of the following?
    • A. 

      Slander

    • B. 

      Libel

    • C. 

      Defamation

    • D. 

      Negligence

  • 44. 
    The primary objective of which of the following agencies is to regulate and ensure quality of clinical laboratory testing?
    • A. 

      OSHA

    • B. 

      FDA

    • C. 

      DEA

    • D. 

      CLIA

  • 45. 
    Which government agency oversees HIPAA?
    • A. 

      OIG

    • B. 

      CMS

    • C. 

      HHS

    • D. 

      OSHA

  • 46. 
    To prevent the likelihood of somatic tremor artifact, the medical assistant should
    • A. 

      Make the patient calm and comfortable to minimize movement.

    • B. 

      Attach V2 at the fourth intercostal space at the right margin of the sternum.

    • C. 

      Move limb electrodes as far away from the trunk as possible.

    • D. 

      Ask the patient to remove any metal objects to reduce interference.

  • 47. 
    The physician orders a random blood sugar on an adult patient newly diagnosed with diabetes who is right hand dominant. The medical assistant notices inappropriate puncture markings on the patient’s fingers. Which of the following statements should the medical assistant use when re-educating the patient in capillary puncture?
    • A. 

      It’s best to use the outer edge of the middle or ring finger on your left hand when doing your finger stick."

    • B. 

      "You should consider using the center of the middle finger on either hand for your blood sugar testing."

    • C. 

      “Do not use your right hand when checking your blood sugar."

    • D. 

      "It’s best to use the outer edge of the under-side of your big toe when performing capillary punctures.”

  • 48. 
    Which of the following ECG leads records the electrical activity of the inferior surface of the left ventricle and is closest to the heart? 
    • A. 

      Lead I

    • B. 

      Lead II

    • C. 

      AVF

    • D. 

      AVR

  • 49. 
    The medical assistant is completing front office opening tasks prior to the start of the day.  Which of the following indicates the reception area is prepared to receive patients? (Select the three (3) correct answers.)
    • A. 

      A throw rug is folded up at one corner., Sharps containers are placed by the entrance for biohazard pick-up., The path from the entrance to the front desk is direct and unobstructed.

    • B. 

      Magazines are stacked on the side tables., Lights are turned on., The path from the entrance to the front desk is direct and unobstructed.

  • 50. 
    Which of the following is the most common means of transmission of Hepatitis A?
    • A. 

      Sexual contact

    • B. 

      Contact with contaminated needles

    • C. 

      Contact with fecal contaminated food/water

    • D. 

      Forceful coughing

  • 51. 
    The patient complains of joint pain and swelling.  The physician wants to remove synovial fluid for analysis.  The medical assistant should set up for which of the following procedures?
    • A. 

      Arthrocentesis

    • B. 

      Arthroscopy

    • C. 

      Arthrodesis

    • D. 

      Arthrogram

  • 52. 
    Which of the following techniques is correct when collecting a throat culture?
    • A. 

      Depress the patient’s tongue and place the swab in a viral media tube following collection.

    • B. 

      Insert swab into the nostril and rub against the turbinate to absorb mucous.

    • C. 

      Use a tongue depressor and swab both sides of the throat.

    • D. 

      Swab both sides of the mouth, tongue, and nasopharnyx.

  • 53. 
    Which of the following statements reflects open-ended communication?
    • A. 

      "Tell me what brings you in today."

    • B. 

      "Have you had a fever in the past 24 hours?"

    • C. 

      "Are you experiencing significant pain?"

    • D. 

      "Is the cough keeping you awake at night?"

  • 54. 
    Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an example of which of the following?
    • A. 

      Biohazard precautions

    • B. 

      Sterile technique

    • C. 

      Surgical asepsis

    • D. 

      Medical asepsis

  • 55. 
    Which of the following resources should the medical assistant use to look up the side effects of (enoxaparin)  Lovenox in the medical office?
    • A. 

      Current Procedural Terminology (CPT)

    • B. 

      Healthcare Common Procedure Coding System (HCPCS)

    • C. 

      Physician’s Desk Reference (PDR)

    • D. 

      Laboratory reference manual

  • 56. 
    The medical assistant is reprocessing instruments in the medical office.  Which of the following indicates the instrument pack is sterile?
    • A. 

      The autoclave tape turns black.

    • B. 

      The 20-minute, 250 degree cycle is complete.

    • C. 

      The indicator strip darkens.

    • D. 

      The autoclave door unlocks.

  • 57. 
    Which of the following conditions may occur if a tourniquet is left in place on a patient’s extremity for longer than 60 seconds?
    • A. 

      Venous stasis

    • B. 

      Venous insufficiency

    • C. 

      Hemolytic anemia

    • D. 

      Hemangioma

  • 58. 
    The medical assistant is scheduling a patient for a gallbladder study. Which of the following terms should the medical assistant use on the patient test order?
    • A. 

      Angiography

    • B. 

      Cystography

    • C. 

      Cholecystography

    • D. 

      Cholangiography

  • 59. 
    The medical assistant reviews instructions with the patient with hypertension about techniques to manage this condition at home.  Which of the following statements by the patient indicates teaching has been successful?  (Select the three (3) correct answers.)
    • A. 

      “I will take prescribed medications regularly at the same time each day.”, “I will monitor my blood pressure and record readings daily.”, “I will incorporate moderate exercise into my daily routine.”

    • B. 

      I will increase salt intake in my diet.” “I will incorporate moderate exercise into my daily routine.” “I will check my blood sugar regularly.”

  • 60. 
    Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?
    • A. 

      Payment of annual dues

    • B. 

      Current certificate of compliance on file

    • C. 

      Annual employee safety training

    • D. 

      Annual inspections conducted by OSHA

  • 61. 
    What does the abbreviation HIPAA stand for?
    • A. 

      Health Insurance Portability and Accountability Act

    • B. 

      History Inquiry of Professional Assertive Assistance

    • C. 

      Health Inquiry for Permission of Accountability Association

    • D. 

      Health Information Privacy Adjustment Association

  • 62. 
    Which of the following rhythms is shown in the strip?
    • A. 

      Atrial fibrillation

    • B. 

      Premature atrial complex

    • C. 

      Atrial flutter

    • D. 

      Atrial tachycardia

  • 63. 
    Files for patients who have died or moved away are known as
    • A. 

      Closed

    • B. 

      Active

    • C. 

      Inactive

    • D. 

      Archived

  • 64. 
    The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is
    • A. 

      First thing in the morning.

    • B. 

      After lunch.

    • C. 

      At bedtime.

    • D. 

      After breakfast.

  • 65. 
    The endocrinologist requested the patient to return to the outpatient clinic the next day for a glucose tolerance test.  Which of the following preparations should the medical assistant instruct the patient to do the night before the test?
    • A. 

      NPO after midnight.

    • B. 

      Ingest 10 ounces of oral glucose solution.

    • C. 

      Refrain from tobacco use for 24 hours.

    • D. 

      Drink at least 32 ounces of water.

  • 66. 
    • A. 

      Upper limb leads symmetrically placed as close to original site as possible

    • B. 

      Upper limb leads placed substernally at the acromion process

    • C. 

      Left upper limb lead placed as close to original site as possible

    • D. 

      Left upper limb lead placed substernally at the acromion process

  • 67. 
    What does the color of an evacuated collection tube represent?
    • A. 

      A visual identifier for tests expected to be above or below normal range

    • B. 

      The minimum volume of blood to be obtained

    • C. 

      The personal protective equipment required for collection

    • D. 

      The type or absence of an additive

  • 68. 
    • A. 

      At the most distal end of the fingertip

    • B. 

      Slightly to the side of the center of the fingertip

    • C. 

      Directly in the center of the fingertip

    • D. 

      Proximal to the skin crease located at the first joint on the fingertip

  • 69. 
    The medical assistant is collecting a urine sample on a patient to test for pregnancy.  Which of the following is the correct CLIA-waived test?
    • A. 

      HCG

    • B. 

      Hgb

    • C. 

      FBG

    • D. 

      Hct

  • 70. 
    The physician excises a mole and wants to send it to the pathology laboratory for further analysis.  The sample should be placed with care into which of the following collection containers?
    • A. 

      Sterile specimen container with formalin

    • B. 

      Sterile swab collection and transport system

    • C. 

      Sterile test tube with anticoagulant

    • D. 

      Sterile Thin-PrepTM collection container

  • 71. 
    A female patient has come in for an ECG following a mastectomy. ECG electrodes should be placed
    • A. 

      Three inches above the surgery site to avoid disruption of the site.

    • B. 

      As close to the surgery site as possible without touching the site.

    • C. 

      Three inches lower than the surgery site in order to avoid disruption of the site.

    • D. 

      In the intercostal spaces above the heart to avoid the surgical site.

  • 72. 
    In most cultures in the United States, when a medical assistant is speaking with a patient, making direct eye contact encourages
    • A. 

      Open communication

    • B. 

      Emotional reasoning

    • C. 

      A subordinate relationshi

    • D. 

      Control of the conversation

  • 73. 
    The importance of accurate anatomic positioning of leads on a patient when performing an ECG is to
    • A. 

      Allow interruption of negative electrical conduction.

    • B. 

      Stimulate positive electrical impulses.

    • C. 

      Capture true cardiac activity.

    • D. 

      Ensure proper machine calibration with universal measurements.

  • 74. 
    A patient calls requesting to see their provider with report of intense burning and urgency upon urination.  This is an example of which of the following types of special scheduling?
    • A. 

      Grouping

    • B. 

      Modified wave

    • C. 

      Same-day appointment

    • D. 

      Procedural

  • 75. 
    Which of the following names should come first when working with an alpha-numeric filing system?
    • A. 

      Jonathan A. Mendez I

    • B. 

      Jonathan A. Mendez II

    • C. 

      Peter G. Burns Jr.

    • D. 

      Peter G. Burns S

  • 76. 
    When removing a suture from a patient’s leg, the medical assistant should use which of the following instruments?
    • A. 

      Dressing forceps

    • B. 

      Tissue forceps

    • C. 

      Splinter forceps

    • D. 

      Sponge forceps

  • 77. 
    The physician’s office sets aside Monday afternoons for high school sports physicals.  This is an example of which method of scheduling?
    • A. 

      Single-booking

    • B. 

      Double-booking

    • C. 

      Clustering

    • D. 

      Streaming wave

  • 78. 
    The order reads cefaclor (Ceclor) 250 mg p.o. stat, then 150 mg q 2 h. How should the medical assistant interpret this medication order?
    • A. 

      Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours.

    • B. 

      Give 250 micrograms of cefaclor (Ceclor) orally immediately, and then give 150 micrograms every 2 hours.

    • C. 

      Give 250 milliliters of cefaclor (Ceclor) post-operatively as needed, and then give 150 milliliters every 2 hours.

    • D. 

      Give 250 milligrams of cefaclor (Ceclor) post-operatively, and then give 150 milligrams every 2 hours.

  • 79. 
    Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy?
    • A. 

      Check controls on urinalysis dipsticks daily.

    • B. 

      Ensure supplies in venipuncture trays are no more than one month beyond the expiration date.

    • C. 

      Ensure reusable supplies in venipuncture trays are recycled.

    • D. 

      Check glucometer controls monthly.

  • 80. 
    Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following?
    • A. 

      The Patient’s Bill of Rights

    • B. 

      Good Samaritan Law

    • C. 

      Informed Consent

    • D. 

      Americans with Disabilities Act

  • 81. 
    A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin.  The ordered dose (based on today’s weight) is 91 mg every 8 hours.  The patient is to receive a first dose of medication before leaving the office and the suspension available is 125 mg/5 mL.  How much medication should the medical assistant administer?
    • A. 

      7.2 mg

    • B. 

      7.3 mL

    • C. 

      3.6 mL

    • D. 

      1.8 mg

  • 82. 
    Beginning with the infectious agent, place the elements in the correct order of the chain of infection.
    • A. 

      Reservoir host, portal of exit, means of transmission, portal of entry, susceptible host

    • B. 

      Reservoir host, susceptible host, means of transmission, portal of entry, portal of exit

  • 83. 
    Which of the following are Schedule IV drugs?
    • A. 

      Controlled narcotics such as morphine

    • B. 

      Substances with no accepted medical use and a high potential for abuse

    • C. 

      Antianxiety agents and hypnotics with a low potential for abuse

    • D. 

      Broad spectrum antibiotics

  • 84. 
    A patient is discharged from the hospital with a diagnosis of HIV and MRSA and comes to the office for a follow-up appointment.  What is the best method the medical assistant could use to clean the nasal speculum, forceps, and hemostat used in the exam?
    • A. 

      Chemical sterilization

    • B. 

      Disinfect with 70% isopropyl alcohol

    • C. 

      Disinfect with sodium hypochlorite (1:10)

    • D. 

      Steam sterilization

  • 85. 
    Which of the following actions should the medical assistant take to ensure proper monitoring of a patient during a stress test?  (Select the three [3] correct answers.)
    • A. 

      Instruct the patient to report any symptoms., Measure blood pressure and heart rate frequently., Observe facial expressions, skin color and perspiration.

    • B. 

      Instruct the patient to start at a rapid pace., Adjust the temperature of the room to the patient’s preference., Observe facial expressions, skin color and perspiration.

  • 86. 
    The medical assistant should refer to which of the following agencies to access updated immunization schedules?
    • A. 

      FDA

    • B. 

      DEA

    • C. 

      CDC

    • D. 

      FEMA

  • 87. 
    When performing a 12-lead ECG, which of the following positions demonstrates correct lead placement?
    • A. 

      V4 is placed left midclavicular 5th intercostal space

    • B. 

      V4 is placed left midclavicular 4th intercostal space

    • C. 

      V5 is placed left midaxillary 5th intercostal space

    • D. 

      V5 is paced left midclavicular 4th intercostal space

  • 88. 
    The medical assistant measures the head circumference on a 6-month-old male infant during a well-baby check.  The circumference is 42 cm.  Which of the following percentiles should the medical assistant assign based on this pediatric growth chart?
    • A. 

      3rd

    • B. 

      10th

    • C. 

      25th

    • D. 

      50th

  • 89. 
    Which of the following is required for permission to treat a patient scheduled for a complex procedure?
    • A. 

      Implied consent

    • B. 

      Informed consent

    • C. 

      Advanced directive

    • D. 

      Living will

  • 90. 
    • A. 

      Have the patient sit on their hands.

    • B. 

      Ensure proper adhesion of the electrodes.

    • C. 

      Have the patient remove jewelry.

    • D. 

      Check the bed plugin at the wall socket or unplug the bed.

  • 91. 
    A toddler is brought into the office by a parent with complaints of coughing, sneezing, runny nose, and temperature of 102.2 F.  At a minimum, which of the following PPE should the medical assistant put on before taking vital signs on the patient?
    • A. 

      Gown, gloves, and mask

    • B. 

      Mask and protective eyewear

    • C. 

      Gloves and protective eyewear

    • D. 

      Respirator mask and gown

  • 92. 
    Which of the following resources should the medical assistant use to look up the code for a laceration repair?
    • A. 

      International Classification of Disease

    • B. 

      Physician’s Desk Reference

    • C. 

      Healthcare Common Procedural Coding System

    • D. 

      Current Procedural Terminology

  • 93. 
    Venipuncture should be avoided on an arm with
    • A. 

      An elbow splint.

    • B. 

      Alopecia.

    • C. 

      Muscular hypertrophy.

    • D. 

      Excessive hair.

  • 94. 
    A medical assistant is positioning a patient for sigmoidoscopy.  Which of the following positions would be appropriate for the procedure?
    • A. 

      Lithotomy

    • B. 

      Trendelenburg

    • C. 

      Supine

    • D. 

      Sims

  • 95. 
    A medical office assistant is reviewing a patient’s encounter that is documented in the medical record prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical office assistant has the ethical obligation to
    • A. 

      Change the code.

    • B. 

      Debate the code

    • C. 

      Alter the code.

    • D. 

      Down code the code.

  • 96. 
    The pictured rhythm is an example of which of the following?
    • A. 

      Atrial flutter

    • B. 

      Premature ventricular contraction

    • C. 

      Sinus bradycardia

    • D. 

      bradycardia

  • 97. 
    When reading the results of an HCT the medical assistant should read starting at the
    • A. 

      Top of the packed cells.

    • B. 

      Bottom of the meniscus

    • C. 

      Top of the buffy coat.

    • D. 

      Bottom of the plasma.

  • 98. 
    The physician orders the following blood work to evaluate a patient for sepsis:  CBC, Blood Culture, and BMP.  When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn?
    • A. 

      Red top, blood culture, lavender top

    • B. 

      Lavender top, red top, blood culture

    • C. 

      Blood culture, lavender top, gray top

    • D. 

      Blood culture, red top, lavender top

  • 99. 
    The medical assistant schedules the patient with a sebaceous cyst for an I & D.  Which of the following statements best describes this procedure?
    • A. 

      Incision into a localized area of infection (abscess), to drain the exudate from the area.

    • B. 

      Excision of lacerated, dead, or contaminated tissue and removal of foreign matter from a wound.

    • C. 

      Excision of a small, painless sac containing a build-up of sebum.

    • D. 

      Debridement of tissue and skin lesions by using extremely cold temperatures.

  • 100. 
    The medical assistant witnesses the medical office receptionist taking money from the cash drawer.  The receptionist learns the medical assistant saw her and asks her not to tell the office manager, as it was to pay for her electric bill.  Which of the following actions should the medical assistant take?
    • A. 

      Tell the office manager about the incident and request that confidentiality be maintained

    • B. 

      Tell the receptionist that she will not tell as long as the money is put back in one week

    • C. 

      Tell the receptionist that she understands why she is taking the money

    • D. 

      Tell other employees in the office so it will get back to the office manager

  • 101. 
    Which of the following blood components are visible in a centrifuged, evacuated red top tube?
    • A. 

      Individual erythrocytes blood clot

    • B. 

      Serum, blood clot

    • C. 

      Plasma serum individual erythrocytes

    • D. 

      Individual erythrocytes platelets blood clot

  • 102. 
    Which of the following mail classifications is the most cost-efficient for sending an office newsletter to patients and associates?
    • A. 

      Priority

    • B. 

      Express

    • C. 

      Standard

    • D. 

      Certified

  • 103. 
    When giving a nebulizer treatment with bronchodilator, the medical assistant should most closely monitor for which of the following complications?
    • A. 

      Persistent tachycardia

    • B. 

      Hyperventilation

    • C. 

      Nausea and vomiting

    • D. 

      Epistaxis

  • 104. 
    A personal check is returned to the medical office due to nonsufficient funds for an established patient recently placed on hospice care services.  Which of the following actions should the medical assistant take?
    • A. 

      Enter the returned check amount in accounts payable to begin collections process.

    • B. 

      Use a statement reconciliation form to document the returned check in aged accounts receivable.

    • C. 

      Increase the patient’s account balance due by the same amount of the returned check plus the penalty fee.

    • D. 

      Apply petty cash funds to the patient’s account to cover the amount of the returned check.

  • 105. 
    The medical assistant is performing a 12-lead ECG on a patient and notices that lead III does not appear on the tracing. Which of the following actions should the medical assistant take?
    • A. 

      Check for a loose wire, reconnect, and repeat the tracing.

    • B. 

      Add an extra electrode to the 5th intercostal space.

    • C. 

      Ask the patient to lie still to reduce somatic interference.

    • D. 

      Re-center the stylus and repeat the tracing.

  • 106. 
    The medical assistant performs daily accounts receivable (AR) procedures in the medical office to identify
    • A. 

      Outstanding debts not yet paid.

    • B. 

      Amounts owed to the physician.

    • C. 

      Total assets and liabilities.

    • D. 

      The amount available in petty cash fund.

  • 107. 
    Which of the following types of appointment scheduling would be the best method for an office with standard hours, multiple practitioners, and accommodating work-in appointments?
    • A. 

      Clustering

    • B. 

      Stream

    • C. 

      Double booking

    • D. 

      Wave

  • 108. 
    When reading the results of an HCT the medical assistant should read starting at the
      • A. 

        Top of the packed cells.

      • B. 

        Bottom of the meniscus.

      • C. 

        Top of the buffy coat.

      • D. 

        Bottom of the plasma.