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CMA NHA REVIEW EXAM WITH COMPLETE SOLUTIONS
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A certified medical assistant is taking a patient's visual acuity with the Snellen chart. Which one of the following is what she should do first? - ANSWER She makes sure that he does not sit forward when given the test
During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? - ANSWER syncope
Which of the structures in a cell provides the cell's energy source? - ANSWER Mitochondria
A patient calls to cancel a postoperative appointment. She says she will reschedule at a later date. Document this information on the patient's chart because: For which of the following reasons - ANSWER To prove that the office was not negligent
When filling out documentation in a patient's paper medical record, a medical assistant discovers she has made a mistake. What should the assistant do? - ANSWER Draw a line through the mistake and sign it
Which of the following items on the CMS-1500 claim form should a medical assistant identify as indicating the medical necessity of a procedure? - ANSWER Diagnosis code
which of the following techniques should a medical assistant use to confirm a patients understanding of insulin administration? - ANSWER Observe the patient as she performs a self-demonstration
A medical assistant is preparing a community resource library. Which of the following actions should the technician take first? - ANSWER Compile a list of local community agencies
A medical assistant is disposing of the syringe and needle she used to administer a seasonal influenza vaccine. Which of the following should the technician do? - ANSWER drop the syringe, needle first, into the biohazardous sharps container
A medical assistant is preparing a patient who has psoriasis to be examined by the provider. Examining the patient's skin lesions, the assistant should expect to observe which of the following characteristics? - ANSWER Silvery, scaly
A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is "non covered service." If this procedure was deemed emergent by the provider, which of the following actions should the assistant take? - ANSWER Instruct the patient to contact the insurer about the denial of payment
Which of the following should a medical assistant do to check the quality of the venipuncture supplies before initiating a blood draw? - ANSWER Check the integrity of the seal of the needle
Which of the following would a medical assistant instruct a patient regarding an enteric-coated? - ANSWER "Swallow the tablet whole with a glass of water"
A medical assistant is obtaining a health history from a patient who is elderly and presents with moderate hearing loss. What action should the assistant take? ANSWER Stay in sight of the patient so lip-reading can occur
A medical assistant is helping with the physical examination of a patient with scabies. In addition to gloves, what personal protective equipment should the assistant use? - ANSWER gown
A clinic sees all its cardiac patients on Mondays and Wednesdays and all its oncology patients on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using? - ANSWER Cluster scheduling
A medical assistant is helping a provider do an abdominal exam. When the provider feels the liver and is on the major part of the liver, the assistant will know this is which one of the following quadrants of the abdomen?
A patient presents to the urgent care center with lacerations of the left foot. The provider examines the injury, decides no sutures are required, applies a dressing, and discharges the patient. Which one of the following levels of examination should a medical assistant use for the procedural coding for the visit? ANSWER Problem-focused examination
which of the following information should the medical assistant enter into the appointment calendar when scheduling a patient for a skin rash? - ANSWER daytime phone number
A medical assistant discovers that a garbage can fire has started in the break room of the medical office. Utilizing the RACE acronym for responding to emergencies, which of the following is the first action for the assistant? - ANSWER evacuate staff and patients from the immediate area
A medical assistant is advising a patient to increase her intake of insoluble fiber to prevent constipation and hemorrhoids. Which of the following foods should the assistant recommend as the best source of insoluble fiber? - ANSWER Pears with skin
A medical assistant is cleaning an examination room after assisting a provider with a biopsy. Which of the following actions should the assistant take? - ANSWER Hold sharps by the blunt end to avoid a needle stick injury
In which of the following positions should a medical assistant place a healthy patient in preparation for a rectal examination? - ANSWER Sims'
According to OSHA guidelines for universal precautions, which of the following types of patient contact would require a medical assistant to wear gloves, a mask, a face shield, and protective apparel? - ANSWER Assisting a provider with the removal of a cyst
A patient asks a medical assistant to explain the difference between a liniment and a medicated lotion. Which of the following responses should the assistant make? - ANSWER "Liniments contain higher portion of oil than medicated lotions"
A medical assistant is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques should the assistant use? - ANSWER Autoclave
Pior to patient's follow-up appointment, which of the following information should a medical assistant report to the provider? - ANSWER Recent laboratory results
A medical assistant is explaining to a female patient how to collect a clean-catch urine specimen. Which of the following instructions should the assistant include? - ANSWER With the labia spread, urinate a small amount into the toilet before collecting the sample
Which of the following is a method used to notify a provider that a claim has been denied by a carrier? - ANSWER remittance advice
A medical assistant is inserting an intradermal injection for allergic testing. The assistant should A. Identify the location two to three finger-widths below the antecubital space
A medical assistant is faxing a prescription to a patient's pharmacy. What should the assistant do? - ANSWER Call the pharmacy to confirm receipt of the faxes prescription
There is a laceration on the inner aspect of patient's left lower extremity. A suture is now being removed. After preparing and setting up this sterile field what should the first assist done be? A. Lift first knot away from skin
A provider is assessing an elderly, disabled patient who has a lesion on her arm. A medical assistant should anticipate a referral for this patient to which of the following ancillary services? - ANSWER Home health care
Where should a MA place the electrode for lead V5?
On the left anterior axillary line, horizontal to V
A MA is talking with a patient about a new medication that the provider ordered. Which of the following should the assistant do?
reinforce teaching regarding medication administration schedule
A MA is performing an ear irrigation for an adult patient who has cerumen impaction. Which of the following steps should the assistant complete prior to administering the irrigation solution?
pull the pinna of the ear up and back
A MA is using a scale with a height. Which of the following actions should the assistant take?
lower the horizontal bar slowly to rest on the top of the patient's head
Which of the following is the proper technique for the routine cleaning of EKG cables for a MA?
disinfection
Which of the following laboratory values should the MA recognize as abnormal?
potassium 3 mEq/L
Which of the following pelvic examination positions is correct?
lithotomy
A MA receives a denial of payment for a patient cholecystectomy. The reason stated is "noncovered service". If this procedure was determined emergent by the provider, which of the following should the assistant do?
teach the patient to contact the insurance about denial of payment
the payment of a child who has pinworms is asking a MA for more information about his child condition. the assistant should begin by explaining that pinworms are which of the following types of micro-organism?
helminths
Which of the following is a MA role in a pulmonary function test (PFT)?
coach the patient through the test
A MA is reinforcing teaching about a cardiac event monitor with a patient. Which of the following statements by the patient indicates an understanding of the procedure?
"I will record any symptoms I experience in the event log"
Which of the following should a MA identify as the purpose of a category II code in procedural coding?
tracks provider performance measures
When should the code on glucose cuvettes be compared to the code on the glucometer?
before a patient is tested
We have an expert-written solution to this problem!
Which of the following routes of administration should a MA use when performing a tuberculin skin test?
intradermal
clinic doing?
cluster scheduling
A MA experiences a chemical splash to her eyes. Which of the following is the assistant to do first?
rinse the eyes with lukewarm water
In which of the following positions should a MA place a healthy patient in preparation for rectal examination?
sims
A MA is examining the skin on a patient's forearm where the patient reports developing a rash. The assistant notes the multiple solid elevations that are less than 0.5 cm (0.2 in ) in diameter. Which of the following terms should he use to document his observation in the patient medical record?
papules
A MA is going to take a patient's temperature by using the tympanic membrane. Which of the following sites should the assistant insert the thermometer?
in the ear
Which of the following types of letter can a MA sign ？
notification letter to patient about surgical plans
What will be the lowest time of the day that a patient's body temperature would have?
In the morning
A MA is reinforcing instructions with a patient about how to take a buccal tablet. Whish of the following instructions should the assistant give the patient?
"place the tablet between your gum and cheek"
When measuring a patient's respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading?
Count the respirations while the patient thinks his pulse is being obtained
A MA is writing a prescription for a medication that a patient should take before meals. Which of the following abbreviations should the assistant use to indicate when the patient should take the medications?
ac
A MA is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques should the assistant use?
autoclave
A MA is changing a sharps container in the exam room and when putting the new lid on, receives a small laceration to her arm from the plastic lid. What type of form should the assistant fill out based on this injury?
OSHA Form 301
A MA is determining how much a patient will have to pay for an expected procedure which has an allowable of $200. The patient has 90/10 coinsurance and has met his deductible. How much is the total amount that a patient pays a provider for this procedure?
$
reschedule for later. The MA should document this information on the patient's chart for which of the following reasons?
to support the fact that the office was not negligent
A MA is reviewing items in a clinic's inventory. How would the assistant categorize dressings and bandages for inventory purposes?
as clinical supplies
A patient becomes comatose. The EKG tracing shows ventricular fibrillation. What should a MA do first?
Call for help and begin CPR
A MA is caring for a patient who is classified as overweight and requires an injection of insulin. Which of the following is appropriate for this patient's injections?
90 degrees
A MA is having a patient sign an informed consent form. Which of the following is the responsibility of the assistant serving as a witness?
Make sure that the patient's signature is readable
A MA is reinforcing teaching with a patient who has a patient about the use and care of a transdermal patch. Which of the following instructions should the assistant include in the teaching?
"choose a different application location for each new patch
A patient is seen in a walk-in emergency center for an injury to the left foot-a laceration. The practitioner evaluates the condition determines that stitches are not necessary, applies a dressing, and discharges the patient home. Which of the following types of
examination should the MA perform for this procedure code on this visit?
problem-focused examination
Which of the following steps should a MA follow when performing a fingerstick?
Confirm the correct identify of the patient
A MA is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurements that the assistant should perform?
head circumference
A MA is collecting data from a patient who has cold sores on his lips. The assistant should identify that which of the following viruses causes this conditions?
Herpes simplex type 1
Which of the above laws protect the health care worker from the employer retaliation against reporting the cases of patient neglect and abuse?
whistleblower protection Act
A new patient is running late to come in to the office. What does the medical assistant do first?
hello, welcome to our office
Which of the above techniques do a MA use when bandaging a wound?
Wrap the wound distal to proximal
A MA is assisting a patient who has congestive heart failure (CHF) to prepare for an examination by the provider. Which of the following manifestations should the assistant
Stratum Corneum - ANSWER This sublayer of the epidermis (outermost layer) consists of layers of dead cells full of keratin:
Reinforce parental interaction with the child - ANSWER Which of the following is appropriate when communicating with a child?
Anus - ANSWER The combining form "an/o" refers to the:
Hemi- - ANSWER The prefix meaning "half"
Prevent movement of the affected area and instruct for an x-ray - ANSWER The best response to a patient presenting with a suspected fracture of a limb is to:
V - ANSWER Which cranial nerve spasm causes Trigeminal neuralgia?
Denial - ANSWER Freud's concept that the patients may lie to themselves about their illness's severity is what
Before Birth - ANSWER What is the word "antenatal" mean?
Material Safety Data Sheets (MSDS) and product label - ANSWER Your facility is bringing in a new cleaning solution to clean patient rooms. Where would you find information about the chemicals found within the cleaning solution?
sterile catheterization kit and sterile specimen cup - ANSWER A physician has ordered a collection of a sterile urine specimen from your patient. To collect the specimen, you will need ____.
Plasma - ANSWER What blood component accounts for more than 50% of blood volume?
o Right patient
o Right dose
o Right medication
o Right time
o Right route
o Right education right to refuse
o Right assessment
o Right evaluation
o Proper documentation - ANSWER 10 R's of medication administration
CMS-1500 - ANSWER "super bill" or "encounter form"
universal claim form used by physicians
monthly - ANSWER how often should alcohol swabs be ordered
ice - ANSWER special delivery for arterial blood gas is on what?
10% bleach to 90% water - ANSWER best solution to clean up urine of the floor
V codes - ANSWER used to describe encounters with circumstances other than disease or injury
E codes - ANSWER supplemental codes that capture the external cause of injury or poisoning, the intent and the place where the event occured
Erythrocyte Sedimentation Rate - ANSWER rate at which RBC's sediment in a period of one hour. anticoagulated blood is placed in Westergren tube and measured and recorded in mm/h
Subcutaneous (Sub Q) - ANSWER 15 degree angle
Transdermal patches - ANSWER gives medications in a way that they are absorbed slowly creating a constant time released systemic effect
glucose tolerance test - ANSWER medical test which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood
hemophilia - ANSWER group of hereditary genetic disorders that impair the body's ability to control blood clotting or coagulation
thrombus - ANSWER blood clot
hematoma - ANSWER bruise
CLIA of 1988 - ANSWER US federal regulatory standards that apply to all clinical laboratory testing performed on humans in US
OSHA - ANSWER agency to "assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance
antiseptics - ANSWER antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection, sepsis or putrefaction.
antibacterial - ANSWER compound or substance that kills or slows down the growth of bacteria
metastasis - ANSWER spread of disease from one organ to another non-adjacent organ
amenorrhea - ANSWER absense of menstrual period in a woman of reproductive age
dysmenorrhea - ANSWER pain during menstruation
Subjective - ANSWER one's own opinion by asking questions
Objective - ANSWER measurable like taking vital signs
Health Insurance Portability and Accountability Act - ANSWER what does HIPAA stand for?
encounter form - ANSWER used as charge slip and often called super bill.'
chief complain - ANSWER reason why patient came to the physician
systems review - ANSWER orderly and systemic check of each organ and system of the body by questions
body temperature
respiration
heart function - ANSWER three body processes necessary for life
temperature
blood pressure
pulse
respiration - ANSWER four vital signs of body functions are:
fever - ANSWER elevated bod temperature beyond normal range
