NCCT Exam Newest Exam / NCCT Exam Preparation
NCCT EXAM NEWEST EXAM / NCCT EXAM PREPARATION/ NCCT
EXAM PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES| BRAND NEW VERSION!
The medical assistant preps the median cubital vein for a venipuncture procedure.
How should the medical assistant prep the patient's skin?
A. Wipe the area from top to bottom.
B. Use a circular motion, from the inside out.
C. Use a circular motion, from the outside in.
D. Wipe the area from bottom to top. Correct response:
Use a circular motion, from the inside out.
Rationale: A venipuncture is considered a minimally invasive procedure. The fact
that the skin will be punctured leaves open the potential to introduce an infection.
Therefore, proper care should be taken to minimize the risk of contamination (of
the sample) and infection (to the patient). Prep the puncture site with an alcohol
pad or equivalent by using a circular motion, from the inside out. A basic rule of
thumb is to use a "clean to dirty" approach. The circular motion is the appropriate
prepping motion (instead of up and down or side to side).
Which of the following actions should the medical assistant take to eliminate the
artifact shown in the strip shown above?
A. Ensure proper adhesion of the electrodes.
B. Check the bed plugin at the wall socket or unplug the bed.
C. Have the patient remove jewelry.
D. Have the patient sit on their hands. Correct response:
Check the bed plugin at the wall socket or unplug the bed.
1|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
Rationale: Check for any electrical equipment in use around or in the room; check
where the bed is plugged into the wall. This is an artifact called 60 cycle
interference caused by electrical interference. Wearing Jewelry or loose
electrodes would not have this kind of effect of artifact. Sitting on hands is not a
solution. Electrodes are properly adhered to the skin in this instance.
Which of the following mail classifications is the most cost-efficient for sending an
office newsletter to patients and associates?
A. certified
B. priority
C. express
D. standard Correct response:
standard
Rationale: Standard mail is the most cost-effective for bulk mailings, because the
newsletter doesn't need to be delivered by a certain time and standard mail is the
cheapest. Priority, express, and certified mail are not the most cost-efficient
option, because they require more paperwork and time to prepare.
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.
2|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
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 ECG leads records the electrical activity of the inferior
surface of the left ventricle and is closest to the heart?
A. aVL
3|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
B. aVR
C. lead I
D. lead II Correct response:
lead II
Rationale: Lead II records tracings between the right arm and left leg. This is the
lead recorded on a rhythm strip at the bottom of a 12 lead ECG.
The transfer of information such as patient eligibility, payment remittances,
claims, claim status, authorizations and referrals are addressed under the HIPAA
Administrative Simplification and Compliance Act as electronic
A. remittance advice.
B. report management.
C. data interchange.
D. clearinghouse. data interchange.
Correct response:
data interchange.
Rationale: HIPAA included Administrative Simplification provisions that required
HHS to adopt national standards for electronic health care transactions and code
sets, unique health identifiers, and security. At the same time, Congress
recognized that advances in electronic technology and data interchange could
erode the privacy of health information.
Which of the following complications occurs from prolonged lack of muscle use?
A. hypertrophy
B. tendonitis
4|Page
NCCT EXAM NEWEST EXAM / NCCT EXAM PREPARATION/ NCCT
EXAM PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES| BRAND NEW VERSION!
The medical assistant preps the median cubital vein for a venipuncture procedure.
How should the medical assistant prep the patient's skin?
A. Wipe the area from top to bottom.
B. Use a circular motion, from the inside out.
C. Use a circular motion, from the outside in.
D. Wipe the area from bottom to top. Correct response:
Use a circular motion, from the inside out.
Rationale: A venipuncture is considered a minimally invasive procedure. The fact
that the skin will be punctured leaves open the potential to introduce an infection.
Therefore, proper care should be taken to minimize the risk of contamination (of
the sample) and infection (to the patient). Prep the puncture site with an alcohol
pad or equivalent by using a circular motion, from the inside out. A basic rule of
thumb is to use a "clean to dirty" approach. The circular motion is the appropriate
prepping motion (instead of up and down or side to side).
Which of the following actions should the medical assistant take to eliminate the
artifact shown in the strip shown above?
A. Ensure proper adhesion of the electrodes.
B. Check the bed plugin at the wall socket or unplug the bed.
C. Have the patient remove jewelry.
D. Have the patient sit on their hands. Correct response:
Check the bed plugin at the wall socket or unplug the bed.
1|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
Rationale: Check for any electrical equipment in use around or in the room; check
where the bed is plugged into the wall. This is an artifact called 60 cycle
interference caused by electrical interference. Wearing Jewelry or loose
electrodes would not have this kind of effect of artifact. Sitting on hands is not a
solution. Electrodes are properly adhered to the skin in this instance.
Which of the following mail classifications is the most cost-efficient for sending an
office newsletter to patients and associates?
A. certified
B. priority
C. express
D. standard Correct response:
standard
Rationale: Standard mail is the most cost-effective for bulk mailings, because the
newsletter doesn't need to be delivered by a certain time and standard mail is the
cheapest. Priority, express, and certified mail are not the most cost-efficient
option, because they require more paperwork and time to prepare.
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.
2|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
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 ECG leads records the electrical activity of the inferior
surface of the left ventricle and is closest to the heart?
A. aVL
3|Page
, NCCT Exam Newest Exam / NCCT Exam Preparation
B. aVR
C. lead I
D. lead II Correct response:
lead II
Rationale: Lead II records tracings between the right arm and left leg. This is the
lead recorded on a rhythm strip at the bottom of a 12 lead ECG.
The transfer of information such as patient eligibility, payment remittances,
claims, claim status, authorizations and referrals are addressed under the HIPAA
Administrative Simplification and Compliance Act as electronic
A. remittance advice.
B. report management.
C. data interchange.
D. clearinghouse. data interchange.
Correct response:
data interchange.
Rationale: HIPAA included Administrative Simplification provisions that required
HHS to adopt national standards for electronic health care transactions and code
sets, unique health identifiers, and security. At the same time, Congress
recognized that advances in electronic technology and data interchange could
erode the privacy of health information.
Which of the following complications occurs from prolonged lack of muscle use?
A. hypertrophy
B. tendonitis
4|Page
