NHA: Medical Assistant(CCMA) Certification Practice Test 2.0 A,B & C With their Correct Answers

A medical assistant is preparing a patient who has congestive heart failure (CHF) for an examination by the provider. Which of the following manifestations should the assistant expect? A) Nausea B) Shortness of breath (SOB) C)Headache D)Cough - B. Expected manifestations of CHF include shortness of breath, fatigue, and edema When measuring a patient’s respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading? A) Place stethoscope over apex of the heart. B) Tell patient that you are about to take their respiratory rate. C) Count each inhale and exhale as 1. D) Count the respiration's while the patient thinks his pulse is being obtained. - D. In order to obtain the most accurate reading, the assistant should count the respirations without the patient being aware that his breathing is being assessed. The patient can easily control or alter breathing patterns when he is conscious that the assistant is paying attention to his respirations. Which of the following laboratory results should the medical assistant recognize is abnormal? A) Creatine 1 mg/dl B) Potassium 3 mEq/L C) Glucose 87 mg/dl D) Sodium 138 mmoI/L - B. This potassium level is below the expected reference range of 3.5 to 5 mEq/L. A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. Which of the following instruments should the assistant include on the tray? A) Scissors B) Lancet C) Forceps D) Mosquito Clamp - A. Scissors are considered cutting and dissecting instruments because they include a sharp blade or surface that can cut, dissect, or scrape. A medical assistant is replacing a sharps container in an examination room and receives a small laceration on her arm from the plastic lid. Which of the following types of documentation should the assistant complete as a result of this incident? A) OSHA Form 301 B) CMS 1500 C) Form A223 D) General Incident Report - A. The assistant should recognize that the OSHA Form 301 is an incident report used when reporting details about a work-related injury or illness. A medical assistant is reviewing a patient's history prior to the patient's appointment. Which of the following laboratory results indicates the need to schedule an extension of the current visit? A) Fasting blood glucose 87 mg/dL B) Ceruloplasmin 32 mg/dL C) Fasting blood glucose 168 mg/dL D) Magnesium 1.8 mEq/L - C. This fasting blood glucose level is above the expected reference range of 70 to 130 mg/dL. The assistant should notify the provider and schedule an extension of the patient's visit. A medical assistant is reinforcing instructions with a patient about how to take a buccal tablet. Which of the following instructions should the assistant give the patient? A) "Place the tablet under your tongue." B) "Take the tablet with a full glass of water." C) "Place the tablet between you or gums and cheek." D) "Let the tablet fully dissolve on your tongue." - C. The assistant should instruct the patient to place the buccal tablet between his gums and his cheek. A buccal tablet acts faster than oral tablets because it does not need to pass through the gastrointestinal tract to be absorbed. Which of the following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty breathing? A) Apnea B) Cyanosis C) Dysphasia D) Dyspnea - D. Dyspnea is a term used to indicate that a patient is experiencing difficult or painful breathing. Which of the following methods is used to notify a provider of the denial of a claim by an insurance carrier? A) Remittance advice B) Flow Board C) Daily report D) CCMS 1500 - A. A remittance advice document itemizes all paid, denied, and allowable charges for a patient. This document notifies the provider of any and all claim denials. Which of the following positions is appropriate for a pelvic exam? A) Prone B) Lithotomy C) Supine D) Trendelenburg - B. The lithotomy position is appropriate for pelvic examinations. Which of the following procedures is within a medical assistants scope of practice and does not require a licensed technician or provider to assist or perform it? A) Cyst removal B) Physical Assessment C) PAP D) Holter monitor application