NCCT PRACTICE EXAM SET OF QUESTIONS AND CORRECT
ANSWRS ALREADY GRADED A+ GUARANTEED SUCCESS
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.
D. patient chart filing systems.
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.
The medical assistant performs a urine hCG on a patient whose results are inconclusive. Which
of the following actions should the medical assistant take next?
A. Ask the patient to clarify the date of her LMP.
B. Ensure the daily quality control has been performed.
C. Immediately retest the sample.
D. Collect another urine sample.
Correct response:
Ensure the daily quality control has been performed.
Rationale: The first thing a medical assistant should do in this instance is to check to make sure
quality control has been performed. There can be various reasons for an inconclusive result, one
of which is a malfunction of some sort. Quality control should be completed at the appropriate
intervals (as set by the manufacturer or laboratory) to ensure that the assay is performing
appropriately. If there is an issue with the hCG assay, it is likely that the controls could be out of
range. Retesting of the sample would not be advisable if the quality controls have not been run or
if they are not within acceptable parameters (so it is important to check QC first). Drawing a
blood specimen should not be the first approach, since it is an invasive procedure to the patient
and the assay itself could be performing inadequately.
,The medical assistant is scheduling a patient for a gallbladder study. Which of the following
terms should the medical assistant use on the patient test order?
A. cystography
B. angiography
C. cholangiography
D. cholecystography
Correct response:
cholecystography
Rationale: The suffix "graphy" refers to writing, recording or otherwise representing something
(data, image, etc.). Angio= blood or vessel Cysto= cyst, urinary bladder or sack of fluid Chole=
gall or bile Therefore, a gallbladder study would include a cholecystography.
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.
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
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 informed consent refers to a document that a patient fills out which gives
permission to the healthcare providers to perform certain tasks or procedures.
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
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.
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
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 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.
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. amniocentesis.
B. oophorectomy.
C. uteroscopy.
D. hysterectomy
Correct response:
hysterectomy.
Rationale: The definition of a Hysterectomy is Hyster- = uterus, ectomy = surgical removal of.
An Oophorectomy is the surgical removal of an ovary or ovaries, an Ureteroscopy is an
examination of the upper urinary tract, and Amniocentesis is a test used to determine whether an
unborn baby has any genetic abnormalities.
When inspecting a patient's arm before performing a venipuncture, the most desirable site
appears to be the back of the hand. Which of the following venipuncture methods is most
appropriate in this situation?
A. butterfly needle
B. capillary puncture
C. needle and syringe
ANSWRS ALREADY GRADED A+ GUARANTEED SUCCESS
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.
D. patient chart filing systems.
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.
The medical assistant performs a urine hCG on a patient whose results are inconclusive. Which
of the following actions should the medical assistant take next?
A. Ask the patient to clarify the date of her LMP.
B. Ensure the daily quality control has been performed.
C. Immediately retest the sample.
D. Collect another urine sample.
Correct response:
Ensure the daily quality control has been performed.
Rationale: The first thing a medical assistant should do in this instance is to check to make sure
quality control has been performed. There can be various reasons for an inconclusive result, one
of which is a malfunction of some sort. Quality control should be completed at the appropriate
intervals (as set by the manufacturer or laboratory) to ensure that the assay is performing
appropriately. If there is an issue with the hCG assay, it is likely that the controls could be out of
range. Retesting of the sample would not be advisable if the quality controls have not been run or
if they are not within acceptable parameters (so it is important to check QC first). Drawing a
blood specimen should not be the first approach, since it is an invasive procedure to the patient
and the assay itself could be performing inadequately.
,The medical assistant is scheduling a patient for a gallbladder study. Which of the following
terms should the medical assistant use on the patient test order?
A. cystography
B. angiography
C. cholangiography
D. cholecystography
Correct response:
cholecystography
Rationale: The suffix "graphy" refers to writing, recording or otherwise representing something
(data, image, etc.). Angio= blood or vessel Cysto= cyst, urinary bladder or sack of fluid Chole=
gall or bile Therefore, a gallbladder study would include a cholecystography.
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.
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
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 informed consent refers to a document that a patient fills out which gives
permission to the healthcare providers to perform certain tasks or procedures.
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
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.
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
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 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.
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. amniocentesis.
B. oophorectomy.
C. uteroscopy.
D. hysterectomy
Correct response:
hysterectomy.
Rationale: The definition of a Hysterectomy is Hyster- = uterus, ectomy = surgical removal of.
An Oophorectomy is the surgical removal of an ovary or ovaries, an Ureteroscopy is an
examination of the upper urinary tract, and Amniocentesis is a test used to determine whether an
unborn baby has any genetic abnormalities.
When inspecting a patient's arm before performing a venipuncture, the most desirable site
appears to be the back of the hand. Which of the following venipuncture methods is most
appropriate in this situation?
A. butterfly needle
B. capillary puncture
C. needle and syringe
