National Healthcareer Association
ECITCARP · AMCC
★ + ★
NHA Certified Clinical Medical Assistant (CCMA)
EST. 1989
E M P O W E R I N G P E O P L E . A D V A N C I N G H E A LT H C A R E .
NHA CCMA — Practice Examination
C E RT I F I E D C L I N I C A L M E D I C A L A SS I STA N T P RACT I C E T E ST
INSTITUTION National Healthcareer Association EXAM CODE CCMA
(NHA)
CREDENTIAL Certified Clinical Medical Assistant ACADEMIC YEAR
EXAM TYPE Practice Examination TOTAL QUESTIONS 76 Questions
SUBJECT Clinical Medical Assisting FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ This practice exam covers clinical procedures, medical terminology, pharmacology, EKG, phlebotomy,
and administrative duties.
▸ Correct answers and detailed rationales appear below each question for self-assessment.
, CCMA PRACTICE EXAMINATION — ALL DOMAINS Questions 1 – 76
1. What would you use to disinfect after a surgical procedure in an exam room?
A. 70% isopropyl alcohol
B. 1:10 bleach and water solution
C. Hydrogen peroxide
D. Povidone-iodine solution
CORRECT ANSWER B — 1:10 bleach and water solution
RATIONALE A 1:10 bleach and water solution is the standard disinfectant used after surgical
procedures. It is the least expensive and most commonly used disinfectant in
healthcare settings. The solution must be prepared fresh daily as bleach loses
potency when diluted.
2. What term describes the usual fees charged by providers in a specific geographic area?
A. Premium fees
B. Customary fees
C. Fixed fees
D. Capitation fees
CORRECT ANSWER B — Customary fees
RATIONALE Customary fees refer to the usual fees charged by providers within a specific
geographic area for a particular service. These are part of the usual, customary,
and reasonable (UCR) fee structure used by many insurance plans to determine
reimbursement rates.
,3. What is the additive in a CBC (Complete Blood Count) tube?
A. Sodium citrate
B. Heparin
C. EDTA
D. Sodium fluoride
CORRECT ANSWER C — EDTA
RATIONALE EDTA (ethylenediaminetetraacetic acid) is the anticoagulant in the lavender top
tube used for CBC. It works by binding calcium in the specimen, preventing
coagulation. The tube must be filled at least two-thirds full and inverted eight
times after collection.
4. A medical assistant is coding an office visit where the provider reviewed the systems
related to the patient's chief complaint but did not discuss the patient's family history.
What type of history is this?
A. Problem focused history
B. Expanded problem focused history
C. Detailed history
D. Comprehensive history
CORRECT ANSWER B — Expanded problem focused history
RATIONALE An expanded problem focused history includes the chief complaint, a brief history
of present illness, and a problem-pertinent system review. It does not require
discussion of family history or a complete review of systems, which distinguishes
it from detailed and comprehensive histories.
, 5. On the CMS-1500 form, which item indicates the medical necessity of a procedure?
A. Procedure code
B. Diagnosis code
C. Place of service code
D. Provider NPI number
CORRECT ANSWER B — Diagnosis code
RATIONALE The diagnosis code (ICD-10-CM) on the CMS-1500 form indicates the medical
necessity of a procedure by establishing the reason the service was performed.
Insurance payers use the diagnosis code to determine whether the procedure was
medically necessary and therefore reimbursable.
6. Which vitamin is fat-soluble?
A. Vitamin C
B. Vitamin B12
C. Vitamin A
D. Vitamin B6
CORRECT ANSWER C — Vitamin A
RATIONALE Vitamin A is a fat-soluble vitamin, along with vitamins D, E, and K. Fat-soluble
vitamins are stored in the body's fatty tissue and liver, unlike water-soluble
vitamins (B-complex and C) which are not stored and must be consumed
regularly. The mnemonic "ADEK" helps remember the fat-soluble vitamins.
ECITCARP · AMCC
★ + ★
NHA Certified Clinical Medical Assistant (CCMA)
EST. 1989
E M P O W E R I N G P E O P L E . A D V A N C I N G H E A LT H C A R E .
NHA CCMA — Practice Examination
C E RT I F I E D C L I N I C A L M E D I C A L A SS I STA N T P RACT I C E T E ST
INSTITUTION National Healthcareer Association EXAM CODE CCMA
(NHA)
CREDENTIAL Certified Clinical Medical Assistant ACADEMIC YEAR
EXAM TYPE Practice Examination TOTAL QUESTIONS 76 Questions
SUBJECT Clinical Medical Assisting FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ This practice exam covers clinical procedures, medical terminology, pharmacology, EKG, phlebotomy,
and administrative duties.
▸ Correct answers and detailed rationales appear below each question for self-assessment.
, CCMA PRACTICE EXAMINATION — ALL DOMAINS Questions 1 – 76
1. What would you use to disinfect after a surgical procedure in an exam room?
A. 70% isopropyl alcohol
B. 1:10 bleach and water solution
C. Hydrogen peroxide
D. Povidone-iodine solution
CORRECT ANSWER B — 1:10 bleach and water solution
RATIONALE A 1:10 bleach and water solution is the standard disinfectant used after surgical
procedures. It is the least expensive and most commonly used disinfectant in
healthcare settings. The solution must be prepared fresh daily as bleach loses
potency when diluted.
2. What term describes the usual fees charged by providers in a specific geographic area?
A. Premium fees
B. Customary fees
C. Fixed fees
D. Capitation fees
CORRECT ANSWER B — Customary fees
RATIONALE Customary fees refer to the usual fees charged by providers within a specific
geographic area for a particular service. These are part of the usual, customary,
and reasonable (UCR) fee structure used by many insurance plans to determine
reimbursement rates.
,3. What is the additive in a CBC (Complete Blood Count) tube?
A. Sodium citrate
B. Heparin
C. EDTA
D. Sodium fluoride
CORRECT ANSWER C — EDTA
RATIONALE EDTA (ethylenediaminetetraacetic acid) is the anticoagulant in the lavender top
tube used for CBC. It works by binding calcium in the specimen, preventing
coagulation. The tube must be filled at least two-thirds full and inverted eight
times after collection.
4. A medical assistant is coding an office visit where the provider reviewed the systems
related to the patient's chief complaint but did not discuss the patient's family history.
What type of history is this?
A. Problem focused history
B. Expanded problem focused history
C. Detailed history
D. Comprehensive history
CORRECT ANSWER B — Expanded problem focused history
RATIONALE An expanded problem focused history includes the chief complaint, a brief history
of present illness, and a problem-pertinent system review. It does not require
discussion of family history or a complete review of systems, which distinguishes
it from detailed and comprehensive histories.
, 5. On the CMS-1500 form, which item indicates the medical necessity of a procedure?
A. Procedure code
B. Diagnosis code
C. Place of service code
D. Provider NPI number
CORRECT ANSWER B — Diagnosis code
RATIONALE The diagnosis code (ICD-10-CM) on the CMS-1500 form indicates the medical
necessity of a procedure by establishing the reason the service was performed.
Insurance payers use the diagnosis code to determine whether the procedure was
medically necessary and therefore reimbursable.
6. Which vitamin is fat-soluble?
A. Vitamin C
B. Vitamin B12
C. Vitamin A
D. Vitamin B6
CORRECT ANSWER C — Vitamin A
RATIONALE Vitamin A is a fat-soluble vitamin, along with vitamins D, E, and K. Fat-soluble
vitamins are stored in the body's fatty tissue and liver, unlike water-soluble
vitamins (B-complex and C) which are not stored and must be consumed
regularly. The mnemonic "ADEK" helps remember the fat-soluble vitamins.
