A medical assistant is preparing a patient who has congestive heart failure (CHF) for an
examination by the provider. Which of the following manifestations should the assistant
expect?
A) Nausea
B) Shortness of breath (SOB)
C)Headache
D)Cough - B.
Expected manifestations of CHF include short...
NHA: Medical Assistant(CCMA) Certification Practice
Test 2.0 A,B & C With their Correct Answers
A medical assistant is preparing a patient who has congestive heart failure (CHF) for an
examination by the provider. Which of the following manifestations should the assistant
expect?
A) Nausea
B) Shortness of breath (SOB)
C)Headache
D)Cough - ✔✔B.
Expected manifestations of CHF include shortness of breath, fatigue, and edema
When measuring a patient’s respiratory rate, which of the following actions should a
medical assistant take to ensure an accurate reading?
A) Place stethoscope over apex of the heart.
B) Tell patient that you are about to take their respiratory rate.
C) Count each inhale and exhale as 1.
D) Count the respiration's while the patient thinks his pulse is being obtained. - ✔✔D.
In order to obtain the most accurate reading, the assistant should count the respirations
without the patient being aware that his breathing is being assessed. The patient can
easily control or alter breathing patterns when he is conscious that the assistant is
paying attention to his respirations.
Which of the following laboratory results should the medical assistant recognize is
abnormal?
A) Creatine 1 mg/dl
B) Potassium 3 mEq/L
C) Glucose 87 mg/dl
D) Sodium 138 mmoI/L - ✔✔B.
This potassium level is below the expected reference range of 3.5 to 5 mEq/L.
A provider has requested a dissecting instrument on a sterile tray that a medical
assistant is preparing. Which of the following instruments should the assistant include
on the tray?
A) Scissors
B) Lancet
C) Forceps
D) Mosquito Clamp - ✔✔A.
Scissors are considered cutting and dissecting instruments because they include a
sharp blade or surface that can cut, dissect, or scrape.
,A medical assistant is replacing a sharps container in an examination room and
receives a small laceration on her arm from the plastic lid. Which of the following types
of documentation should the assistant complete as a result of this incident?
A) OSHA Form 301
B) CMS 1500
C) Form A223
D) General Incident Report - ✔✔A.
The assistant should recognize that the OSHA Form 301 is an incident report used
when reporting details about a work-related injury or illness.
A medical assistant is reviewing a patient's history prior to the patient's appointment.
Which of the following laboratory results indicates the need to schedule an extension of
the current visit?
A) Fasting blood glucose 87 mg/dL
B) Ceruloplasmin 32 mg/dL
C) Fasting blood glucose 168 mg/dL
D) Magnesium 1.8 mEq/L - ✔✔C.
This fasting blood glucose level is above the expected reference range of 70 to 130
mg/dL. The assistant should notify the provider and schedule an extension of the
patient's visit.
A medical assistant is reinforcing instructions with a patient about how to take a buccal
tablet. Which of the following instructions should the assistant give the patient?
A) "Place the tablet under your tongue."
B) "Take the tablet with a full glass of water."
C) "Place the tablet between you or gums and cheek."
D) "Let the tablet fully dissolve on your tongue." - ✔✔C.
The assistant should instruct the patient to place the buccal tablet between his gums
and his cheek. A buccal tablet acts faster than oral tablets because it does not need to
pass through the gastrointestinal tract to be absorbed.
Which of the following terms should a medical assistant use to tell a provider that a
patient is having discomfort and difficulty breathing?
A) Apnea
B) Cyanosis
C) Dysphasia
D) Dyspnea - ✔✔D.
Dyspnea is a term used to indicate that a patient is experiencing difficult or painful
breathing.
Which of the following methods is used to notify a provider of the denial of a claim by an
insurance carrier?
, A) Remittance advice
B) Flow Board
C) Daily report
D) CCMS 1500 - ✔✔A.
A remittance advice document itemizes all paid, denied, and allowable charges for a
patient. This document notifies the provider of any and all claim denials.
Which of the following positions is appropriate for a pelvic exam?
A) Prone
B) Lithotomy
C) Supine
D) Trendelenburg - ✔✔B.
The lithotomy position is appropriate for pelvic examinations.
Which of the following procedures is within a medical assistants scope of practice and
does not require a licensed technician or provider to assist or perform it?
A) Cyst removal
B) Physical Assessment
C) PAP
D) Holter monitor application - ✔✔D.
A Holter monitor is a system for recording cardiac activity for 24 hr or longer. It is within
an assistant's scope of practice to place and remove a Holter monitor.
Which of the following EKG artifacts is caused by a disconnected electrode and results
in the tracing going into the margins of the paper?
A) Interrupted baseline
B) Wandering Baseline
C) Muscle tremor Artifact
D) Echo Distortion Artifact - ✔✔A.
Interrupted baseline is caused by an electrical disconnection or a detached electrode
and results in the tracing moving into the margins of the paper.
A medical assistant receives a telephone call from a patient who seems anxious about
the results of a test. Which of the following responses should the assistant make?
A) "Are you sure you would like those results now?"
B) "I know you are concerned about your test results. We'll call you as soon as your
results come in."
C) "I'm afraid they don't look good, your provider should really tell you."
D) "Can I call you back at the end of the day with those results?" - ✔✔B.
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