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NCCT Practice Exam Comprehensive Review Questions with Answers and Rationales Study Guide

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This document provides a structured set of NCCT (National Center for Competency Testing) practice exam questions with detailed answers and explanations. It covers key certification topics such as patient care, medical terminology, anatomy and physiology, infection control, safety procedures, and clinical procedures relevant to allied health roles. The material is designed to support exam preparation by reinforcing core knowledge areas and improving test-taking confidence. It aligns with NCCT certification exam domains and is useful for review and self-assessment.

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Copyright © OLIVIAWEST2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED




NCCT Practice exam Practice Questions

and Answers 100% Pass


For how many years should a provider store medical records (select the least number of years that

maintains compliance with state and federal regulations)?


A. 15 years


B. 10 years


C. 5 years


D. 20 years - ANSWER✔✔-Correct response:


10 years


Rationale: Federal and state regulations require a minimum storage time frame for medical records.

State regulations may require a longer or shorter time frame, depending on the state. Every medical

provider should routinely check state and federal requirements to remain compliant. As of the date this

question was submitted (2015), a 7 to 10 year time frame would meet all federal and state medical

record storage requirements.


Flow charts, progress notes, and narrative notation are all examples of


A. medical record charting styles.


B. patient documentation in a SOAP format.


C. recording patient information in a medical record.


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D. patient chart filing systems. - ANSWER✔✔-Correct response:


recording patient information in a medical record.


Rationale: Patient information can be recorded in the medical record in a variety of ways. Progress notes,

flow charts and narrative notation are all effective ways to document a patient's medical information.

The SOAP format is the documentation system chosen by many physicians. S=Subjective patient

interview information, O=Objective information such as vitals, lab values, etc., A=Assessment of the "S"

and "O" data, P=Plan for treatment or follow-up. Medical records of various styles are generally kept in

charts, which are filed according to a filing system.


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. supplement the child with oxygen per protocol


B. take a full set of vital signs


C. reposition the finger probe


D. notify the physician - ANSWER✔✔-Correct response:


reposition the finger probe


Rationale: Oxygen saturation (O2 Sat or Pulse Ox) on a child with a structurally normal heart should be

>92% . Patient movement, poor probe attachment, or nail polish can distort the sensor reading during

monitoring. Always observe the child's condition first, and machine reading 2nd when troubleshooting.

O2 saturation should be obtained and documented as part of a full set of vital signs for patients being

evaluated for respiratory conditions.


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Which of the following is the best way to correct AC interference on an ECG?


A. Ask the patient not to move while performing the test.


B. Move the patient to a quiet room.


C. Check that the patient does not have a cell phone close by.


D. Offer the patient a blanket if she is cold. - ANSWER✔✔-Correct response:


Check that the patient does not have a cell phone close by.


Rationale: AC is alternating current interference and it can be caused by a nearby electrical device (such

as a cell phone). Patient movement (either voluntary or shivering from the cold) can cause other artifact

on an ECG, but not the same as AC interference. Moving the patient to a quiet room would not alleviate

AC interference.


Which of the following documents is also called an advanced directive?


A. subpoena


B. informed consent


C. living will


D. assignment of benefits - ANSWER✔✔-Correct response:


living will


Rationale: A living will is a formal document, written in advance, that gives health care professionals

instructions about the patient's medical wishes regarding end of life care, and is the same as an

advanced directive. Assignment of benefits refers to the patient's wishes on who and where they want

their money sent to, a subpoena is an order given to someone who is supposed to go to court, and


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informed consent refers to a document that a patient fills out which gives permission to the healthcare

providers to perform certain tasks or procedures.


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

(Click and drag the options in the left column to their correct order in the right column).


reservoir host


portal of exit


means of transmission


portal of entry


susceptible host - ANSWER✔✔-Correct response:


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


Rationale: Infectious diseases are spread through a series of steps known as the "chain of infection". For

an infection to occur and spread, each of the six links of the chain must take place. Removing any link in

the chain will stop the cycle. Therefore, identifying and instituting appropriate actions at different steps

in the cycle will halt the spread of the infection. The chain begins with the infectious agent (bacteria,

virus,etc.) and spreads to a reservoir (place to live, like an animal, insect, water, etc.). The portal of exit is

a way for the microorganism to leave the reservoir (in a cough, feces, etc.) to transmit the disease. The

mode of infection refers to how infectious diseases are spread: by contact, by vehicle, by vector, and by

inhalation. The infectious agent enters a susceptible host through a portal of entry.Correct response:


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


Rationale: Infectious diseases are spread through a series of steps known as the "chain of infection". For

an infection to occur and spread, each of the six links of the chain must take place. Removing any link in


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