CCMA (NHA) final exam with verified questions
and answers 2025/2026
1. When measuring a infant from head to heel. What exam position should you place the infant in?: Supine position
2. What type of patient would you report to the provider if they had a low apical pulse?: Infants 6 weeks who has a heart o
80/min
3. What statement do you provide to patients to be in compliance HIPPA?: - Confidentiality statement
4. 4. What information do you need to provide to the patient when wearing a Holter monitor about marker?: When you have
symptoms
5. What information is acceptable to provide to the patient in the waiting room?: Educational material
6. What technique would be used when passing a scalpel to the provider during a sterile procedure?: Blade down, handle firs
, NHA CCMA (180 Questions & Answers)
7. 7. A patient being post-op status post left mastectomy. What information should you make sure is on the chart from hospital?
Pathology
8. What is the hormone detected in pregnancy test?: Human chorionic go- nadotropin (HCG)
9. What is used in cryosurgery?: Liquid nitrogen
10. What is the universal claim for submited outpatient billing?: CMS 1500
11. When reviewing a patient's chart after a visit. Where would you look in the chart to review medication dosage and instruction
for the patient?: Plan of care
12. Where should you refer a non- ambulatory for, assistance with workplace accommodations?: American w/ Disability Act
13. 13. You have obtained the following vital signs from an adult patient: tem- perature 37.2 C (99. 0 F), heart rate 106/min, BP
89/50 mm Hg and respiratory rate of 18/min. What should document regarding the vital signs?: Tachycardia, Hypotension
Afebrile, Normal Respiration
14. What position should you place a patient for a pap smear?: Lithotomy
Position
15. A urgent referral has been submitted to the insurance company. How long should the authorization process take?
Immediately over the phone
16. Your gloved hands come in contact with the patient's blood during a procedure. What action should you take?: Dispose o
in a biohazard container
17. A patient has COPD and requires an abdominal exam. What position should you place the patient in to manage his/he
respiratory status?: - Semi-Fowler
18. When working in an ambulatory care center with several other workers. Who is legally responsible for the medical assistant'
actions?: Dr./Nurse Practitioner
19. What should you recognize as a goal of patient- centered care?: Patient
& care giver relationship
20. What is a risk factor for developing cirrhosis?: Alcoholism
21. When setting a tray for a sterile procedure. How many inches are required to maintain a sterile field?: 1 inch
22. What is a closed wound caused by blunt trauma that results in swelling, ecchymosis, and pain?: Contusion
23. What device would you use to measure a patient's range of motion?: Go- niometers
24. What criteria is used to determine BMI?: Height & Weight
25. 25. What foods should you instruct a patient to refrain from eating prior to testing for fecal occult blood?: Red/Rare Meat
26. What is a cause for a urine specimen to be rejected?: Temperature
27. What items are employers required to provide based on OSHA's Blood- borne Pathogens standards for all employees?: PPE
, NHA CCMA (180 Questions & Answers)
28. What side effect can you expect from a patient following an ear irriga- tion?: Vertigo
29. What artery is primarily used for obtaining a manual blood pressure?: - Brachial Artery
30. What information is needed from a provider to complete the CMS-1500 form?: National Provider Identification (NPI)
31. when using antihistamines to treat allergies this is an example of what kind of care?: Pialative
32. How many inches above the venipuncture site should the tourniquet be placed?: 3-4 inches
33. What solution is used in an autoclave for sterilization?: Distilled water
34. 35. What action should you take when performing a capillary puncture?: Apply Even Pressre
35. When performing a capillary puncture on a 10 month old patient. What action should you take?: Have the parent to hold
the child
36. A patient has had a cyst removed in the office. What information should be provided to the patient prior to leaving the office?
Post-op instructions
37. When performing CPR how many compressions should be done in a minute?: 100
38. Your patient requires a temporal temperature to be taken. Where should you take this temperature?: Forehead
39. What is the purpose of the chain of custody for a drug screen?: Prevent contamination
40. Where are electrodes placed on the body for a holter monitor?: Chest
41. Patient's vision is 20/50 according to the Snellen chart. What does this mean?: The patient can see 20ft while the adverage
eye sees 50
42. You are setting up a tray for a sterile procedure and your co-worker reaches across it. What action should you take?: Break
it down and start over
43. When reinforcing teaching to a patient with a new diagnosis of hyper- cholesterolemia. What dietary changes should you
instruct the patient to make?: Reduce fat intake
44. When sanitizing instruments using aseptic techniques. What actions should you take?: Run under water
45. When should facilities review and update exposure control plans accord- ing to OSHA?: Annually or when changes are
made
46. After how many years is a patient considered new in your practice for billing and coding reasons?: 3
47. What method of examination is used to observe deformities and rashes?- : Palpate
48. What pharmacokinetic process is primarily affected by liver dysfunc- tion?: Metabolism
49. During the phlebotomy procedure when should your patient's tubes be labeled?: After collecting the specimen
50. A patient is visibly angry and does not want a venipuncture procedure. What action should you take to respond to the
patient?: Listen & try to find out concerns
, NHA CCMA (180 Questions & Answers)
51. Before starting CPR on a patient where do you check for a pulse?: Carotid Artery
52. Ringworm is classified as what kind of disease?: Fungus
53. Name a surgical reconstruction procedure.: Rhinoplasty
54. A patient has a test performed that they requested, the patient has signed an ABN. After denial of payment from the insurance
company is received, What action should you take?: File an appeal or bill the patient
55. A parent has questions regarding mandatory immunizations for their child. What agency should you refer them to?: CDC
56. When obtaining a urine drug screen from a patient following a work-re- lated injury. What action should you take?: Close
the specimen in front of the patient
57. When performing an infuenza test, Where do you obtain your sample from?: Nose
58. What position should you place a patient with a dangerously low blood pressure?: Trendelenburg
59. When assisting with obtaining a Papanicolaou sample, What information do you need to note?: STD's
60. What area is used to measure for body fat?: Supralilac
61. What information should you obtain from a patient before administering medication, based on the rights of medication?
Name & Date of Birth
62. What action should you take to comply with the chain of custody during a drug screen?: Seal the specimen in front of the
patient
63. When patients are scheduled for the same time and seen in the order in which they arrive. What type of scheduling is this?
Double booking 64. What actions are needed for effective hand washing?: Friction & Soap
65. What action should you take when collecting a urine specimen from a 3 month old female patient, before applying the urine
collection bag?: Clean
Perineal
66. In what chamber of the heart will you find the sinoatrial node?: Right Atrium
67. A patient comes into the office reporting dysuria and side pain. What lab work should anticipate your provider to order?
UA
68. What form is needed in order to order supplies for your facility?: Purchase
Order
69. When medication moves from the site of administration into the body what is it called?: Distribution
70. Which part of the diagnostic statement should you use when searching in the alphabetical index: Mainterm
71. A patient coming into the office for a visit and reports having a throbbing headache and a family history of migraines. Where
would you document this in the chart?: Subjective
72. What is a reason for performing an eye irrigation?: Get out debris to relieve inflammation
and answers 2025/2026
1. When measuring a infant from head to heel. What exam position should you place the infant in?: Supine position
2. What type of patient would you report to the provider if they had a low apical pulse?: Infants 6 weeks who has a heart o
80/min
3. What statement do you provide to patients to be in compliance HIPPA?: - Confidentiality statement
4. 4. What information do you need to provide to the patient when wearing a Holter monitor about marker?: When you have
symptoms
5. What information is acceptable to provide to the patient in the waiting room?: Educational material
6. What technique would be used when passing a scalpel to the provider during a sterile procedure?: Blade down, handle firs
, NHA CCMA (180 Questions & Answers)
7. 7. A patient being post-op status post left mastectomy. What information should you make sure is on the chart from hospital?
Pathology
8. What is the hormone detected in pregnancy test?: Human chorionic go- nadotropin (HCG)
9. What is used in cryosurgery?: Liquid nitrogen
10. What is the universal claim for submited outpatient billing?: CMS 1500
11. When reviewing a patient's chart after a visit. Where would you look in the chart to review medication dosage and instruction
for the patient?: Plan of care
12. Where should you refer a non- ambulatory for, assistance with workplace accommodations?: American w/ Disability Act
13. 13. You have obtained the following vital signs from an adult patient: tem- perature 37.2 C (99. 0 F), heart rate 106/min, BP
89/50 mm Hg and respiratory rate of 18/min. What should document regarding the vital signs?: Tachycardia, Hypotension
Afebrile, Normal Respiration
14. What position should you place a patient for a pap smear?: Lithotomy
Position
15. A urgent referral has been submitted to the insurance company. How long should the authorization process take?
Immediately over the phone
16. Your gloved hands come in contact with the patient's blood during a procedure. What action should you take?: Dispose o
in a biohazard container
17. A patient has COPD and requires an abdominal exam. What position should you place the patient in to manage his/he
respiratory status?: - Semi-Fowler
18. When working in an ambulatory care center with several other workers. Who is legally responsible for the medical assistant'
actions?: Dr./Nurse Practitioner
19. What should you recognize as a goal of patient- centered care?: Patient
& care giver relationship
20. What is a risk factor for developing cirrhosis?: Alcoholism
21. When setting a tray for a sterile procedure. How many inches are required to maintain a sterile field?: 1 inch
22. What is a closed wound caused by blunt trauma that results in swelling, ecchymosis, and pain?: Contusion
23. What device would you use to measure a patient's range of motion?: Go- niometers
24. What criteria is used to determine BMI?: Height & Weight
25. 25. What foods should you instruct a patient to refrain from eating prior to testing for fecal occult blood?: Red/Rare Meat
26. What is a cause for a urine specimen to be rejected?: Temperature
27. What items are employers required to provide based on OSHA's Blood- borne Pathogens standards for all employees?: PPE
, NHA CCMA (180 Questions & Answers)
28. What side effect can you expect from a patient following an ear irriga- tion?: Vertigo
29. What artery is primarily used for obtaining a manual blood pressure?: - Brachial Artery
30. What information is needed from a provider to complete the CMS-1500 form?: National Provider Identification (NPI)
31. when using antihistamines to treat allergies this is an example of what kind of care?: Pialative
32. How many inches above the venipuncture site should the tourniquet be placed?: 3-4 inches
33. What solution is used in an autoclave for sterilization?: Distilled water
34. 35. What action should you take when performing a capillary puncture?: Apply Even Pressre
35. When performing a capillary puncture on a 10 month old patient. What action should you take?: Have the parent to hold
the child
36. A patient has had a cyst removed in the office. What information should be provided to the patient prior to leaving the office?
Post-op instructions
37. When performing CPR how many compressions should be done in a minute?: 100
38. Your patient requires a temporal temperature to be taken. Where should you take this temperature?: Forehead
39. What is the purpose of the chain of custody for a drug screen?: Prevent contamination
40. Where are electrodes placed on the body for a holter monitor?: Chest
41. Patient's vision is 20/50 according to the Snellen chart. What does this mean?: The patient can see 20ft while the adverage
eye sees 50
42. You are setting up a tray for a sterile procedure and your co-worker reaches across it. What action should you take?: Break
it down and start over
43. When reinforcing teaching to a patient with a new diagnosis of hyper- cholesterolemia. What dietary changes should you
instruct the patient to make?: Reduce fat intake
44. When sanitizing instruments using aseptic techniques. What actions should you take?: Run under water
45. When should facilities review and update exposure control plans accord- ing to OSHA?: Annually or when changes are
made
46. After how many years is a patient considered new in your practice for billing and coding reasons?: 3
47. What method of examination is used to observe deformities and rashes?- : Palpate
48. What pharmacokinetic process is primarily affected by liver dysfunc- tion?: Metabolism
49. During the phlebotomy procedure when should your patient's tubes be labeled?: After collecting the specimen
50. A patient is visibly angry and does not want a venipuncture procedure. What action should you take to respond to the
patient?: Listen & try to find out concerns
, NHA CCMA (180 Questions & Answers)
51. Before starting CPR on a patient where do you check for a pulse?: Carotid Artery
52. Ringworm is classified as what kind of disease?: Fungus
53. Name a surgical reconstruction procedure.: Rhinoplasty
54. A patient has a test performed that they requested, the patient has signed an ABN. After denial of payment from the insurance
company is received, What action should you take?: File an appeal or bill the patient
55. A parent has questions regarding mandatory immunizations for their child. What agency should you refer them to?: CDC
56. When obtaining a urine drug screen from a patient following a work-re- lated injury. What action should you take?: Close
the specimen in front of the patient
57. When performing an infuenza test, Where do you obtain your sample from?: Nose
58. What position should you place a patient with a dangerously low blood pressure?: Trendelenburg
59. When assisting with obtaining a Papanicolaou sample, What information do you need to note?: STD's
60. What area is used to measure for body fat?: Supralilac
61. What information should you obtain from a patient before administering medication, based on the rights of medication?
Name & Date of Birth
62. What action should you take to comply with the chain of custody during a drug screen?: Seal the specimen in front of the
patient
63. When patients are scheduled for the same time and seen in the order in which they arrive. What type of scheduling is this?
Double booking 64. What actions are needed for effective hand washing?: Friction & Soap
65. What action should you take when collecting a urine specimen from a 3 month old female patient, before applying the urine
collection bag?: Clean
Perineal
66. In what chamber of the heart will you find the sinoatrial node?: Right Atrium
67. A patient comes into the office reporting dysuria and side pain. What lab work should anticipate your provider to order?
UA
68. What form is needed in order to order supplies for your facility?: Purchase
Order
69. When medication moves from the site of administration into the body what is it called?: Distribution
70. Which part of the diagnostic statement should you use when searching in the alphabetical index: Mainterm
71. A patient coming into the office for a visit and reports having a throbbing headache and a family history of migraines. Where
would you document this in the chart?: Subjective
72. What is a reason for performing an eye irrigation?: Get out debris to relieve inflammation
