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NCCT EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+, EXAMS OF NURSING
An established 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 assign a two-digit modifier
B. to assign a V code
C. to determine the primary diagnosis
D. to ensure a secondary diagnosis is not listed on the claim form Correct response:
to determine the primary diagnosis
Rationale: In this example, hypertension should be listed as the primary diagnosis (main reason
the patient sought care for visit) and COPD as secondary (this will disease will be considered
when medications are prescribed for HTN.)
A large open container of isopropyl alcohol is spilled on the floor in the clinic waiting area. The
medical office assistant should use which of the following resources for information about the
chemical and any necessary procedure?
A. Poison Control Center
B. Physician's Desk Reference
C. Material Safety Data Sheet
D. Clinical Laboratory Improvement Amendments Correct response:
Material Safety Data Sheet
Rationale: Access to Material Safety Data Sheets is an OSHA compliance requirement. Each
MSDS contains information on the potential hazards (health, fire, reactivity and environmental)
and how to work safely with chemical products. It is an essential starting point for the
development of a complete health and safety program. Clinical Laboratory Improvement
Amendments (CLIA) of 1988 are United States federal regulatory standards that apply to all
clinical laboratory testing performed on humans in the United States, except clinical trials and
basic research. A poison control center is a medical facility that is able to provide immediate,
,2|Page
free, and expert treatment advice and assistance over the telephone in case of exposure to
poisonous or hazardous substances. The purpose of the Physician's Desk Reference is to provide
a compendium compiled annually, containing information supplied by drug manufacturers
about drugs, primarily prescription drugs and products used in diagnostic procedures in the
United States. A Material Safety Data Sheet includes information such as physical, health, and
environmental health hazards; protective measures; and safety precautions for handling,
storing, and transporting chemicals including all safe handling practices, and emergency control
measures in the medical office.
Which of the following diseases is a healthcare worker at the greatest risk of developing
following an exposure incident with blood from a needle stick injury?
A. HSV
B. HAV
C. HPV
D. HBV Correct response:
HBV
Rationale: Of the options listed, Hepatitis B is the most transmissible infection via needle stick
(it is also the only one preventable by vaccination). HSV is Herpes Simplex Virus and is generally
transmitted by contact. HAV (Hepatitis A Virus) is most often transmitted as a result of poor
hygiene and is spread via fecal-oral contamination. HPV (Human Papilloma Virus) is transmitted
by contact (skin to skin or through sexual contact).
Which of the following rhythms is shown in the strip above?
A. atrial fibrillation
B. atrial tachycardia
C. premature atrial complex
D. atrial flutter Correct response:
atrial flutter
Rationale: Atrial flutter represents an arterial arrhythmia in which ectopic foci in the atria
become irritated and fire in rapid succession (fluttering, a rhythm that presents a sawtooth
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pattern as seen on this strip). An area in the atrium continues to initiate an impulse that causes
repetitive conduction at a rate of >250 bpm.
The medical assistant should access which of the following sections of the electronic health
record or paper chart to retrieve patient contact information?
A. billing
B. laboratory orders
C. consultations
D. progress notes Correct response:
billing
Rationale: Billing information will have the current patient demographics associated with each
encounter. Laboratory orders, progress notes and consultations will not contain the necessary
patient contact information.
The medical assistant asks a patient, "How are you doing today?" The patient yells, "How do you
think I'm doing? I just got out of that terrible hospital and they didn't help me at all! I still have
cancer don't I?" The medical assistant recognizes that this patient is most likely experiencing
which of the following stages of dying/grief according to Kubler-Ross?
A. anger
B. denial
C. bargaining
D. depression Correct response:
anger
Rationale: This is an example of the anger stage, when this patient is forced to come to terms
with the debilitating disease or condition for which there are limited treatment options without
expectation of cure. Depression is when the patient experiences significant loss of hope and
sadness. When patients are in denial, they act as though the situation is not real and deny there
is an issue. Patients in the acceptance phase actually come to terms with the situation and make
peace with the circumstance.
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Which of the following describes proper aseptic technique in the cleaning of the venipuncture
site?
A. Wipe the site in a back and forth motion with an alcohol wipe
B. Let the alcohol air dry before inserting the needle
C. Allow the alcohol to soak into the skin, then wipe off excess with sterile gauze
D. Wave above the site with a gloved hand to dry the alcohol faster Correct response:
from the inside out
Rationale: The medical assistant should clean from the inside out to prevent contamination.
Cleaning back and forth, up and down, or from the outside in would all cause contamination at
the site and would not be the best way to cleanse the area.
Which of the following describes proper aseptic technique in the cleaning of the venipuncture
site?
A. Let the alcohol air dry before inserting the needle
B. Allow the alcohol to soak into the skin, then wipe of excess with sterile gauze
C. Wipe the site in a back and forth motion with an alcohol wipe
D. Wave above the site with a gloved hand to dry the alcohol faster Correct response:
Let the alcohol air dry before inserting the needle
Rationale: Proper preparation for venipuncture requires that the site be cleansed (70%
isopropyl alcohol or other antiseptic agent as indicated by the manufacturer's instructions).
Human skin harbors normal flora (bacteria that naturally lives on the surface of the skin). To
prevent introduction of said bacteria into the patient or the blood samples, the phlebotomist
should apply the antiseptic to the venipuncture site (in concentric circles to avoid contaminating
cleansed areas with the antiseptic applicator). The antiseptic should be allowed to air dry,
allowing ample time for the antiseptic action to take effect. Residual (undried) alcohol could
lead to hemolysis of the specimen and could create a burning sensation for the patient upon
needle insertion.
Older adult patients are the population most at risk for which of the following medication
complications due to a declining liver function?
NCCT EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+, EXAMS OF NURSING
An established 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 assign a two-digit modifier
B. to assign a V code
C. to determine the primary diagnosis
D. to ensure a secondary diagnosis is not listed on the claim form Correct response:
to determine the primary diagnosis
Rationale: In this example, hypertension should be listed as the primary diagnosis (main reason
the patient sought care for visit) and COPD as secondary (this will disease will be considered
when medications are prescribed for HTN.)
A large open container of isopropyl alcohol is spilled on the floor in the clinic waiting area. The
medical office assistant should use which of the following resources for information about the
chemical and any necessary procedure?
A. Poison Control Center
B. Physician's Desk Reference
C. Material Safety Data Sheet
D. Clinical Laboratory Improvement Amendments Correct response:
Material Safety Data Sheet
Rationale: Access to Material Safety Data Sheets is an OSHA compliance requirement. Each
MSDS contains information on the potential hazards (health, fire, reactivity and environmental)
and how to work safely with chemical products. It is an essential starting point for the
development of a complete health and safety program. Clinical Laboratory Improvement
Amendments (CLIA) of 1988 are United States federal regulatory standards that apply to all
clinical laboratory testing performed on humans in the United States, except clinical trials and
basic research. A poison control center is a medical facility that is able to provide immediate,
,2|Page
free, and expert treatment advice and assistance over the telephone in case of exposure to
poisonous or hazardous substances. The purpose of the Physician's Desk Reference is to provide
a compendium compiled annually, containing information supplied by drug manufacturers
about drugs, primarily prescription drugs and products used in diagnostic procedures in the
United States. A Material Safety Data Sheet includes information such as physical, health, and
environmental health hazards; protective measures; and safety precautions for handling,
storing, and transporting chemicals including all safe handling practices, and emergency control
measures in the medical office.
Which of the following diseases is a healthcare worker at the greatest risk of developing
following an exposure incident with blood from a needle stick injury?
A. HSV
B. HAV
C. HPV
D. HBV Correct response:
HBV
Rationale: Of the options listed, Hepatitis B is the most transmissible infection via needle stick
(it is also the only one preventable by vaccination). HSV is Herpes Simplex Virus and is generally
transmitted by contact. HAV (Hepatitis A Virus) is most often transmitted as a result of poor
hygiene and is spread via fecal-oral contamination. HPV (Human Papilloma Virus) is transmitted
by contact (skin to skin or through sexual contact).
Which of the following rhythms is shown in the strip above?
A. atrial fibrillation
B. atrial tachycardia
C. premature atrial complex
D. atrial flutter Correct response:
atrial flutter
Rationale: Atrial flutter represents an arterial arrhythmia in which ectopic foci in the atria
become irritated and fire in rapid succession (fluttering, a rhythm that presents a sawtooth
,3|Page
pattern as seen on this strip). An area in the atrium continues to initiate an impulse that causes
repetitive conduction at a rate of >250 bpm.
The medical assistant should access which of the following sections of the electronic health
record or paper chart to retrieve patient contact information?
A. billing
B. laboratory orders
C. consultations
D. progress notes Correct response:
billing
Rationale: Billing information will have the current patient demographics associated with each
encounter. Laboratory orders, progress notes and consultations will not contain the necessary
patient contact information.
The medical assistant asks a patient, "How are you doing today?" The patient yells, "How do you
think I'm doing? I just got out of that terrible hospital and they didn't help me at all! I still have
cancer don't I?" The medical assistant recognizes that this patient is most likely experiencing
which of the following stages of dying/grief according to Kubler-Ross?
A. anger
B. denial
C. bargaining
D. depression Correct response:
anger
Rationale: This is an example of the anger stage, when this patient is forced to come to terms
with the debilitating disease or condition for which there are limited treatment options without
expectation of cure. Depression is when the patient experiences significant loss of hope and
sadness. When patients are in denial, they act as though the situation is not real and deny there
is an issue. Patients in the acceptance phase actually come to terms with the situation and make
peace with the circumstance.
, 4|Page
Which of the following describes proper aseptic technique in the cleaning of the venipuncture
site?
A. Wipe the site in a back and forth motion with an alcohol wipe
B. Let the alcohol air dry before inserting the needle
C. Allow the alcohol to soak into the skin, then wipe off excess with sterile gauze
D. Wave above the site with a gloved hand to dry the alcohol faster Correct response:
from the inside out
Rationale: The medical assistant should clean from the inside out to prevent contamination.
Cleaning back and forth, up and down, or from the outside in would all cause contamination at
the site and would not be the best way to cleanse the area.
Which of the following describes proper aseptic technique in the cleaning of the venipuncture
site?
A. Let the alcohol air dry before inserting the needle
B. Allow the alcohol to soak into the skin, then wipe of excess with sterile gauze
C. Wipe the site in a back and forth motion with an alcohol wipe
D. Wave above the site with a gloved hand to dry the alcohol faster Correct response:
Let the alcohol air dry before inserting the needle
Rationale: Proper preparation for venipuncture requires that the site be cleansed (70%
isopropyl alcohol or other antiseptic agent as indicated by the manufacturer's instructions).
Human skin harbors normal flora (bacteria that naturally lives on the surface of the skin). To
prevent introduction of said bacteria into the patient or the blood samples, the phlebotomist
should apply the antiseptic to the venipuncture site (in concentric circles to avoid contaminating
cleansed areas with the antiseptic applicator). The antiseptic should be allowed to air dry,
allowing ample time for the antiseptic action to take effect. Residual (undried) alcohol could
lead to hemolysis of the specimen and could create a burning sensation for the patient upon
needle insertion.
Older adult patients are the population most at risk for which of the following medication
complications due to a declining liver function?
