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Quiz Session - Attempts With Random Questions

NHA CCMA Exam Questions

Page 7 of 25

121.

A patient comes into the medical office with their adult son and asks that all decisions be made by him. In this situation, why is it important to review the patient's medical records prior to entering their room?  

  • The patient may or may not have an advance directive giving their son the right to make medical decisions for them.

  • The patient may have a condition that prevents them from making decisions on their own.

  • There may be a history of abuse from the patient's son.

  • There is no need to look at the patient's records beforehand; there is typically a computer in the patient's room.

Correct answer: The patient may or may not have an advance directive giving their son the right to make medical decisions for them.

The patient may or may not have an advance directive giving their son the right to make medical decisions for them; this is important to know before addressing the patient's health.

There may be a condition that prevents the patient from making decisions on their own. However, without an advance directive, their son cannot make medical decisions for them. There may be a history of abuse from the patient's son, but this doesn't clarify the son's legal ability to make decisions for the patient. Even if there is a computer in the patient's room, it is still important to evaluate the patient's medical record prior to entering the room. 

122.

Which of the following statements is true of ACOs?

  • ACOs provide quality care and value to Medicare patients.

  • ACOs provide care for Medicaid patients.

  • Physicians, hospitals, and other healthcare providers are required by law to participate in ACOs.

  • ACOs provide incentives for public health, fighting issues like addiction and childhood obesity.

Correct answer: ACOs provide quality care and value to Medicare patients.

ACOs (Accountable Care Organizations) are groups of physicians, hospitals, and other providers that give coordinated care to Medicare—not Medicaid—patients. These groups hold members accountable for providing high-quality care. 

Membership in ACOs is voluntary, not required. There is a trend in modern healthcare to incentivize public health, including dietary practices and addiction recovery. However, these efforts aren't directly related to ACOs. 

123.

What is the best way to confirm your patient's identity?

  • Ask the patient for their full name and date of birth, then compare them to the name and birth date on the medical record.

  • Ask to see the patient's driver's license or state identification card, then compare that information to the information on the medical record.

  • Ask for the patient's last name and year of birth and compare the information to the medical record.

  • State the patient's name and ask them to confirm it is correct.

Correct answer: Ask the patient for their full name and date of birth, then compare them to the name and birth date on the medical record.

The best way to identify a patient is to ask them for their full name and date of birth, then compare them to the name and birth date on the medical record.

Do not begin by stating the patient's name; if the patient is distracted, they may answer in the affirmative even if the name is incorrect. Medical assistants should not ask for identification unless it's needed for insurance, as the patient's driver's license may not match the name they use or the name in the clinic's system.

124.

Which of these is an important aspect of cultivating teamwork and a good work environment?

  • Morale

  • Attitude

  • Tardiness

  • Procrastination

Correct answer: Morale

Morale helps keep a work environment healthy, cultivating teamwork and initiative. 

Having a negative attitude can hinder a good work environment and cause conflict between coworkers. Tardiness may leave work to be done by others when you are late. It is best to be on time and ready to help cultivate an environment of good teamwork. Procrastination may cause resentment between coworkers, and it does not cultivate a good teamwork environment.

125.

In a busy medical office, a medical assistant is responsible for sanitizing instruments after a minor surgical procedure. The instruments used during the procedure are blood-stained, and the assistant needs to ensure proper cleaning and sanitization. 

What is the correct sequence of steps for sanitizing these instruments?

  • Rinse, decontaminate, clean, thoroughly rinse, dry, inspect

  • Decontaminate, rinse, clean, inspect, lubricate, dry

  • Rinse, clean, decontaminate, inspect, dry, lubricate

  • Clean, rinse, decontaminate, thoroughly rinse, inspect, lubricate

Correct answer: Rinse, decontaminate, clean, thoroughly rinse, dry, inspect

First, rinse the instruments immediately after use to prevent debris from drying. Next, decontaminate with a chemical disinfectant to remove microorganisms. Clean the instruments using an instrument cleaner with a detergent and possibly an enzymatic cleaner to break down organic matter. Thoroughly rinse to remove debris and cleaning solution residue, then dry to prevent stains. Finally, inspect each instrument for defects and working condition.

126.

Which of the following is not a component of the anatomical position?

  • Eyes are open and looking forward

  • Body is standing erect

  • Face is positioned forward

  • Palms and toes are pointed forward

Correct answer: Eyes are open and looking forward

The anatomical position is the scientifically agreed-upon reference position for the human body. The body is standing erect, the face is forward, and the arms are at the sides with palms and toes positioned forward. 

127.

A diabetic patient comes in for evaluation for a cough. While preparing the patient for an exam, you notice a quarter-sized wound on his left leg. The patient says not to worry about it; he only wants to be seen for the cough. What should you do?

  • Document the wound on the patient's chart and inform the provider 

  • Do not document the wound since it is not the patient's chief complaint

  • Document the wound as the patient's chief complaint so the provider won't miss it

  • Ask further questions to determine why the patient is acting defensively

Correct answer: Document the wound on the patient's chart and inform the provider 

You should document any abnormal signs or symptoms on the patient's chart and point them out to the provider. 

128.

You're unsure whether you want to sit for a credentialing exam upon graduation from your MA program. Your instructor explains the benefits of earning a credential. Which of the following is not a benefit of becoming credentialed? 

  • Credentialing expands the medical assistant standard of care.

  • Some potential employers look more favorably on medical assistants with a credential. 

  • Earning a credential indicates that you have the necessary knowledge to perform your duties.

  • Your credentialing organization may offer certain support and benefits.

Correct answer: Credentialing expands the medical assistant standard of care.

Earning a credential demonstrates competency in the medical assistant standard of care. It does not change the standard of care. 

Some potential employers do look more favorably on MAs with credentials, partly because earning a credential indicates a high level of knowledge and expertise. Your credentialing organization may also provide certain types of support for its members, such as opportunities for continuing education.

129.

Which of the following is a component of the PCMH healthcare delivery model?

  • Meeting with the patient's family

  • Accumulating financial incentives for providing services

  • Conducting all meetings in person, often visiting the patient in their home

  • Working with all patients to meet the same predetermined benchmarks

Correct answer: Financial incentives for providing services

Patient-Centered Medical Home (PCMH) is a model of healthcare delivery. This holistic approach focuses on improving every aspect of the patient's life. Healthcare providers may meet with the patient's family to provide comprehensive, patient-centered care.

PCMH does not offer financial incentives. Practitioners may sometimes provide telehealth appointments to make treatment more accessible. Patient-centered care focuses on what each individual patient needs, not on standardized benchmarks or treatment goals.

130.

Which statement about the CDC-recommended vaccine schedule for patients from birth to 18 is false?

  • Parents cannot refuse to vaccinate their children.

  • Each state determines its own vaccine program and enforcement of vaccinations.

  • Booster doses of vaccines are scheduled to help the body's immune system stay active.

  • Not every child can safely follow the recommended vaccination schedule.

Correct answer: Parents cannot refuse to vaccinate their children.

Parents and legal guardians have the right to refuse vaccinations for their children or for children under their guardianship.

131.

You are sanitizing soiled instruments after a procedure. How should you proceed with a mixed tray of instruments?

  • Separate sharp and blunt instruments, open hinged instruments, and rinse each instrument under cold running water

  • Open hinged instruments and allow the mixed tray to soak in cold water for five minutes

  • Separate sharp and blunt instruments and rinse each instrument under hot running water

  • Lay instruments on an impermeable pad and spray with disinfectant, then let dry for 10 minutes

Correct answer: Separate sharp and blunt instruments, open hinged instruments, and rinse each instrument under cold running water

Separating sharp from blunt instruments reduces the chance of accidental self-injury. The first step in sanitation is rinsing used instruments beneath cold running water. Then, hinged instruments should be opened to wash their grooves, hinges, and crevices. 

Instruments should be put under cold running water in order to flush out debris. They should not be soaked. Instruments should first be rinsed under cold running water to remove debris before other methods, such as disinfectant spray, are used.

132.

You're walking to your station when a registered nurse calls you into the hallway. She's providing CPR to an adult male patient on the floor. She asks you to deliver chest compressions. How many chest compressions should you perform on this patient?

  • 100–120 compressions per minute

  • At least 110 compressions per minute

  • 100–130 compressions per minute

  • 90–110 compressions per minute

Correct answer: 100–120 compressions per minute

Compressions effectively performed at a rate of 100–120 per minute provide the best chance of blood circulation until advanced measures can be performed.

133.

What is a tilt test?

  • A test to check for orthostatic hypotension by strapping a patient to an exam table and tilting them at different angles while monitoring blood pressure

  • A test to measure lung capacity and assess respiratory function using a spirometer attached to a table to evaluate positional dyspnea

  • A test to evaluate liver function and detect abnormalities in the blood using LFTs

  • A test to assess visual acuity and identify potential eye disorders using an optometrist’s table/chart

Correct answer: A test to check for orthostatic hypotension by strapping a patient to an exam table and tilting them at different angles while monitoring blood pressure

A healthcare provider may use the tilt table test to investigate unexplained, persistent episodes of dizziness or fainting. To perform the tilt table test, the doctor would have the patient lie on a table and secure them with straps. After resting flat for a moment, the doctor could slant or tilt the table up or down and monitor the response of the heart and nervous system to these postural changes. 

134.

A medical assistant is responsible for organizing various injectable medications in her clinic. One day, they notice that the refrigerator used for storing medications is crowded, and someone placed a new box of insulin vials on a shelf near a window where they may be exposed to sunlight.

What action should the medical assistant take to ensure proper storage of the insulin vials?

  • Move the medications to the refrigerator, ensuring they are stored according to their specific requirements.

  • Throw the insulin vials from the shelf away since they are likely spoiled from being at room temperature in indirect sunlight.

  • Consolidate all medications, including insulin vials, on the window shelf to make room in the refrigerator for vaccines.

  • Leave the medications as they are; sunlight exposure doesn't affect injectable drugs.

Correct answer: Move the medications to the refrigerator, ensuring they are stored according to their specific requirements.

Insulin vials should be refrigerated and should be protected from sunlight to protect their potency. Insulin vials stored at room temperature will last for about 1 month. Vials should be protected from extreme temperatures (i.e., a freezer or any warming unit) and direct sunlight. 

135.

What is the first step in measuring a patient's pulse?

  • Sanitize your hands

  • Introduce yourself to the patient

  • Position the patient's arm in a comfortable position

  • Identify the patient

Correct answer: Sanitize your hands

You should follow proper hand hygiene protocol before making physical contact with a patient.

136.

Many states legally require medical offices and hospitals to report to which organization if a patient of legal driving age is experiencing seizures?

  • The Department of Motor Vehicles

  • The police

  • The local health department

  • The patient's health insurance company

Correct answer: The Department of Motor Vehicles

The Department of Motor Vehicles in many states must be informed of any individuals of driving age having reports of seizure activity. This is due to the high risk of having a seizure while driving, and driving privileges may be taken away for a period.

The police do not legally have to be informed of patients of driving age having seizures. The health department must be informed about infectious diseases such as measles and AIDS, not seizures. Although it is in the best interest of the patient to inform their insurance of the seizure diagnosis, there is no legal obligation to do so if the patient does not want to use their health insurance for coverage.

137.

A patient arrives with respiratory difficulty. The physician determines the patient needs to be seen in the emergency room instead of the clinic and makes the necessary arrangements. What is the term for this process?

  • Transition of care

  • Continuity of care

  • Specialist referral

  • Inpatient admission

Correct answer: Transition of care

Transition of care takes place when the physician hands off care of the patient to another healthcare provider.

Continuity of care involves a patient receiving care for an ongoing problem, such as diabetes management, where multiple resources are involved in treating the patient. Specialist referral refers to sending the patient to a medical specialty, such as general surgery. Inpatient admission is the act of admitting a patient to the hospital.

138.

A patient has been prescribed an antibiotic for strep throat. The dose is 500 milligrams every 12 hours for 10 days. The pharmacy dispenses cephalexin 250 milligrams per 5 milliliter (250 mg/5 mL) liquid.  The pharmacy uses 2-, 4-, 8-, and 16-ounce bottles. 

What should the patient pick up at the pharmacy?

  • One 8-ounce bottle of cephalexin

  • One 4-ounce bottle of cephalexin

  • One 16-ounce bottle of cephalexin

  • Two 16-ounce bottles of cephalexin

Correct answer: One 8-ounce bottle

To determine how much is prescribed, note that 500 milligrams per dose is ordered, and the medication comes in 250 milligrams per 5 milliliters. 

The patient should take 10 milliliters per dose (250 x 2 = 500 milligrams). 

The patient will take 2 doses daily, so 2 x 10 = 20 milliliters daily. 

The patient is treated for 10 days, so 10 x 20 = 200 milliliters.

Approximately 30 milliliters are in one ounce, and 200 milliliters / 30 milliliters = 6.67 or almost 7 ounces.

If the pharmacy dispenses 2-, 4-, 8-, and 16-ounce bottles, the patient should expect to pick up one 8-ounce bottle of cephalexin. 

139.

Which of the following groups includes instruments that are not used during the general physical examination of an adult man?

  • Stethoscope, otoscope, forceps, percussion hammer

  • Ophthalmoscope, tissues, stethoscope, sphygmomanometer

  • Thermometer, tuning fork, upright balance scale, stethoscope

  • Percussion hammer, gloves, stethoscope, tongue depressor

Correct answer: Stethoscope, otoscope, forceps, percussion hammer

Forceps are instruments for grasping, squeezing, or holding tissue or gauze. They are used for specialty procedures such as minor office surgery.

140.

Which statement is true about professional attire for medical assistants (MAs)?

  • In most jobs, medical assistants are required to wear scrubs and nametags. 

  • Medical assistants can dress in any professional, comfortable attire.

  • Medical assistants are legally required to wear scrubs.

  • Most ambulatory healthcare facilities require business attire, and most hospitals require scrubs.

Correct answer: In most jobs, medical assistants are required to wear scrubs and nametags. 

Most, if not all, healthcare facilities have clear guidelines about the dress code for employees. Most ambulatory facilities require MAs to wear scrubs and nametags that include a photo. Some require professional attire instead, such as a blazer, collared shirt, and slacks. 

Medical assistants should wear comfortable, professional attire as long as it conforms to the dress code of their specific employer. There are no laws governing the exact dress code for MAs. 

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