NHA: Medical Assistant (CCMA) Certification Practice
Test 2.0 A (Graded A+)
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 - ANSWER>>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. -
ANSWER>>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 me/L
C) Glucose 87 mg/dl
D) Sodium 138 mmoI/L - ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>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." - ANSWER>>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
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