NCCT Practice exam updated with frequently tested 2024
updated questions and answers complete
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
Correct response:
contact with fecal contaminated food/water
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
Correct response:
vastus lateralis
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
Correct response:
medical asepsis
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
Correct response:
left side of the patient's abdomen beneath the diaphragm
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.
Correct response:
NPO after midnight.
,patient who has Chronic Obstructive Pulmonary Disease is evaluated in the
medical office for hypertension. What is the importance of identifying the reason
for today's visit related to billing?
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
Correct response:
to determine the primary diagnosis
presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of the
following actions should the medical assistant take prior to witnessing the
consent form to ensure it is legally binding?
A. Verify the patient has not had anything to eat or drink for eight hours prior to
the procedure.
B. Obtain a copy of the patient's insurance card.
C. Confirm there is someone in the waiting room available to drive the patient
home.
D. Confirm the surgeon has explained all risks and benefits of the procedure.
.
Correct response:
Confirm the surgeon has explained all risks and benefits of the procedure.
An older adult patient arrives to have blood drawn. While assessing the arms for
venipuncture, the medical assistant notices scar tissue in the anticubital areas
and is unable to palpate a vein. Which of the following is an appropriate
alternative course of action?
A. Draw blood from the hand using an evacuated tube system.
B. Draw blood from the hand using a winged infusion set.
C. Use a larger gauge needle to penetrate through the scar tissue.
D. Perform a capillary puncture on the lateral thumb.
correct response:
Draw blood from the hand using a winged infusion set.
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
Correct response:
steam sterilization
Which of the following needle gauges is most commonly used for venipuncture?
A. 24-25
B. 21-23
C. 18-20
D. 16-17
,Correct response:
21-23
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.
Correct response:
schedule a same day work-in appointment.
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.
Correct response:
hysterectomy.
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.
correct response:
A neurologist seeing a patient on consult.
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
Correct response:
persistent tachycardia
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.
B. Magazines are stacked on the side tables.
C. Sharps containers are placed by the entrance for biohazard pick-up.
D. Lights are turned on.
E. The path from the entrance to the front desk is direct and unobstructed.
.
, Correct response:
Magazines are stacked on the side tables., Lights are turned on., The path from the
entrance to the front desk is direct and unobstructed.
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
Correct response:
Sims
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.
Correct response:
biohazard waste bin.
The medical assistant should instruct the patient obtaining a 24 hour urine
collection to
A. keep the sample at room temperature.
B. discard the first morning sample.
C. void mid-stream into the collection container.
D. collect samples exactly two hours after each meal.
.
Correct response:
discard the first morning sample.
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
Correct response:
toxicity
medical assistant following the physician's orders?
A. perform a rapid flu test
B. place the patient in an exam room and provide a mask
C. apply 10 liters of oxygen via non-rebreather
D. administer acetaminophen (Tylenol) 650 mg po
Correct response:
administer acetaminophen (Tylenol) 650 mg po
Which of the following is a CLIA waived test that can be performed by the medical
assistant?
updated questions and answers complete
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
Correct response:
contact with fecal contaminated food/water
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
Correct response:
vastus lateralis
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
Correct response:
medical asepsis
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
Correct response:
left side of the patient's abdomen beneath the diaphragm
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.
Correct response:
NPO after midnight.
,patient who has Chronic Obstructive Pulmonary Disease is evaluated in the
medical office for hypertension. What is the importance of identifying the reason
for today's visit related to billing?
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
Correct response:
to determine the primary diagnosis
presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of the
following actions should the medical assistant take prior to witnessing the
consent form to ensure it is legally binding?
A. Verify the patient has not had anything to eat or drink for eight hours prior to
the procedure.
B. Obtain a copy of the patient's insurance card.
C. Confirm there is someone in the waiting room available to drive the patient
home.
D. Confirm the surgeon has explained all risks and benefits of the procedure.
.
Correct response:
Confirm the surgeon has explained all risks and benefits of the procedure.
An older adult patient arrives to have blood drawn. While assessing the arms for
venipuncture, the medical assistant notices scar tissue in the anticubital areas
and is unable to palpate a vein. Which of the following is an appropriate
alternative course of action?
A. Draw blood from the hand using an evacuated tube system.
B. Draw blood from the hand using a winged infusion set.
C. Use a larger gauge needle to penetrate through the scar tissue.
D. Perform a capillary puncture on the lateral thumb.
correct response:
Draw blood from the hand using a winged infusion set.
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
Correct response:
steam sterilization
Which of the following needle gauges is most commonly used for venipuncture?
A. 24-25
B. 21-23
C. 18-20
D. 16-17
,Correct response:
21-23
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.
Correct response:
schedule a same day work-in appointment.
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.
Correct response:
hysterectomy.
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.
correct response:
A neurologist seeing a patient on consult.
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
Correct response:
persistent tachycardia
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.
B. Magazines are stacked on the side tables.
C. Sharps containers are placed by the entrance for biohazard pick-up.
D. Lights are turned on.
E. The path from the entrance to the front desk is direct and unobstructed.
.
, Correct response:
Magazines are stacked on the side tables., Lights are turned on., The path from the
entrance to the front desk is direct and unobstructed.
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
Correct response:
Sims
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.
Correct response:
biohazard waste bin.
The medical assistant should instruct the patient obtaining a 24 hour urine
collection to
A. keep the sample at room temperature.
B. discard the first morning sample.
C. void mid-stream into the collection container.
D. collect samples exactly two hours after each meal.
.
Correct response:
discard the first morning sample.
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
Correct response:
toxicity
medical assistant following the physician's orders?
A. perform a rapid flu test
B. place the patient in an exam room and provide a mask
C. apply 10 liters of oxygen via non-rebreather
D. administer acetaminophen (Tylenol) 650 mg po
Correct response:
administer acetaminophen (Tylenol) 650 mg po
Which of the following is a CLIA waived test that can be performed by the medical
assistant?
