NCCT Practice exam Questions and
Answers Latest Updated 2022
Which of the following is the most common means of transmission of Hepatitis A?
A. sexual contact
B. contact with contaminated needles
C. contact with fec
...
NCCT Practice exam Questions and
Answers Latest Updated 2022
Which of the following is the most common means of transmission of Hepatitis A?
A. sexual contact
B. contact with contaminated needles
C. contact with fecal contaminated food/water
D. forceful coughing Correct response:
contact with fecal contaminated food/water
A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is
the preferred site for an intramuscular injection on this patient?
A. deltoid
B. ventrogluteal
C. dorsogluteal
D. vastus lateralis Correct response:
vastus lateralis
Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an
example of which of the following?
A. biohazard precautions
B. sterile technique
C. surgical asepsis
D. medical asepsis Correct response:
medical asepsisphysician believes a patient might have problems with her spleen. Where would the doctor palpate to
feel for the spleen?
A. right side of the patient's abdomen beneath the diaphragm
B. middle of the patient's abdomen beneath the diaphragm
C. left lower portion of the patient's abdomen
D. left side of the patient's abdomen beneath the diaphragm Correct response:
left side of the patient's abdomen beneath the diaphragm
The endocrinologist requested the patient to return to the outpatient clinic the next day for a glucose
tolerance test. Which of the following preparations should the medical assistant instruct the patient to do
the night before the test?
A. NPO after midnight.
B. Ingest 10 ounces of oral glucose solution.
C. Refrain from tobacco use for 24 hours.
D. Drink at least 32 ounces of water. Correct response:
NPO after midnight.
patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for
hypertension. What is the importance of identifying the reason for today's visit related to billing?
A. to determine the primary diagnosis
B. to ensure a secondary diagnosis is not listed on the claim form
C. to assign a two-digit modifier
D. to assign a V code Correct response:
to determine the primary diagnosis
presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of the following actions should the
medical assistant take prior to witnessing the consent form to ensure it is legally binding?
A. Verify the patient has not had anything to eat or drink for eight hours prior to the procedure.
B. Obtain a copy of the patient's insurance card.
C. Confirm there is someone in the waiting room available to drive the patient home.
D. Confirm the surgeon has explained all risks and benefits of the procedure.
. Correct response:Confirm the surgeon has explained all risks and benefits of the procedure.
An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the
medical assistant notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the
following is an appropriate alternative course of action?
A. Draw blood from the hand using an evacuated tube system.
B. Draw blood from the hand using a winged infusion set.
C. Use a larger gauge needle to penetrate through the scar tissue.
D. Perform a capillary puncture on the lateral thumb. correct response:
Draw blood from the hand using a winged infusion set.
A patient is discharged from the hospital with a diagnosis of HIV and MRSA and comes to the office for a
follow-up appointment. What is the best method the medical assistant could use to clean the nasal
speculum, forceps, and hemostat used in the exam?
A. chemical sterilization
B. disinfect with 70% isopropyl alcohol
C. disinfect with sodium hypochlorite (1:10)
D. steam sterilization Correct response:
steam sterilization
Which of the following needle gauges is most commonly used for venipuncture?
A. 24-25
B. 21-23
C. 18-20
D. 16-17 Correct response:
21-23
A parent calls the pediatrician's office very upset because her child is vomiting and has a temperature of
103.3 F. The medical assistant should
A. schedule a same day work-in appointment.
B. place the parent on hold and transfer the call to the physician.
C. instruct the parent to take the child to the emergency room immediately.D. suggest an over the counter anti-pyretic. Correct response:
schedule a same day work-in appointment.
The medical assistant schedules a follow-up appointment for a patient following surgical removal of their
uterus. The medical term for this procedure is
A. oophorectomy.
B. hysterectomy.
C. uteroscopy.
D. amniocentesis. Correct response:
hysterectomy.
When managing multiple incoming calls, the medical assistant should handle which of the following calls
first?
A. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.
B. A patient calling to cancel today's appointment for a needle biopsy of a breast mass.
C. A lawyer with a subpoena asking for patient information.
D. A neurologist seeing a patient on consult. correct response:
A neurologist seeing a patient on consult.
When giving a nebulizer treatment with bronchodilator, the medical assistant should most closely monitor
for which of the following complications?
A. persistent tachycardia
B. hyperventilation
C. nausea and vomiting
D. epistaxis Correct response:
persistent tachycardia
The medical assistant is completing front office opening tasks prior to the start of the day. Which of the
following indicates the reception area is prepared to receive patients? (Select the three (3) correct
answers.)
A. A throw rug is folded up at one corner.
B. Magazines are stacked on the side tables.C. Sharps containers are placed by the entrance for biohazard pick-up.
D. Lights are turned on.
E. The path from the entrance to the front desk is direct and unobstructed.
. Correct response:
Magazines are stacked on the side tables., Lights are turned on., The path from the entrance to the front
desk is direct and unobstructed.
A medical assistant is positioning a patient for sigmoidoscopy. Which of the following positions would be
appropriate for the procedure?
A. lithotomy
B. Trendelenburg
C. supine
D. Sims Correct response:
Sims
A patient presents to the clinic with a paper towel wrapped around a deep laceration to his hand. The
medical assistant removes the paper towel and finds it is heavily saturated with blood. The paper towel
should be disposed of in a
A. biohazard sharps container.
B. yellow trash bin.
C. biohazard waste bin.
D. medical waste recycling container. Correct response:
biohazard waste bin.
The medical assistant should instruct the patient obtaining a 24 hour urine collection to
A. keep the sample at room temperature.
B. discard the first morning sample.
C. void mid-stream into the collection container.
D. collect samples exactly two hours after each meal.
. Correct response:
discard the first morning sample.Older adult patients are the population most at risk for which of the following medication complications
due to a declining liver function?
A. anaphylaxis
B. toxicity
C. tinnitus
D. polyuria Correct response:
toxicity
medical assistant following the physician's orders?
A. perform a rapid flu test
B. place the patient in an exam room and provide a mask
C. apply 10 liters of oxygen via non-rebreather
D. administer acetaminophen (Tylenol) 650 mg po Correct response:
administer acetaminophen (Tylenol) 650 mg po
Which of the following is a CLIA waived test that can be performed by the medical assistant?
A. differential
B. chemical urinalysis
C. Gram stain analysis
D. crossmatch Correct response:
chemical urinalysis
For how many years should a provider store medical records (select the least number of years that
maintains compliance with state and federal regulations)?
A. 20 years
B. 15 years
C. 10 years
D. 5 years Correct response:
10 years
medical assistant notices inappropriate puncture markings on the patient's fingers. Which of the following
statements should the medical assistant use when re-educating the patient in capillary puncture?A. "It's best to use the outer edge of the middle or ring finger on your left hand when doing your finger
stick."
B. "You should consider using the center of the middle finger on either hand for your blood sugar testing."
C. "Do not use your right hand when checking your blood sugar."
D. "It's best to use the outer edge of the under-side of your big toe when performing capillary punctures."
." Correct response:
"It's best to use the outer edge of the middle or ring finger on your left hand when doing your finger stick."
A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin. The
ordered dose (based on today's weight) is 91 mg every 8 hours. The patient is to receive a first dose of
medication before leaving the office and the suspension available is 125 mg/5 mL. How much medication
should the medical assistant administer?
A. 7.2 mg
B. 7.3 mL
C. 3.6 mL
D. 1.8 mg Correct response:
3.6 mL
In most cultures in the United States, when a medical assistant is speaking with a patient, making direct
eye contact encourages
A. open communication
B. emotional reasoning
C. a subordinate relationship
D. control of the conversation Correct response:
open communication
A patient notices the symbol above on the door and asks what it means. The medical assistant should tell
the patient the symbol means
A. isolation precautions required.
B. radiation in use.
C. emergency eye wash station.
D. biohazard material present.. Correct response:
biohazard material present.
The medical assistant performs daily accounts receivable (AR) procedures in the medical office to identify
A. outstanding debts not yet paid.
B. amounts owed to the physician.
C. total assets and liabilities.
D. the amount available in petty cash fund.
. Correct response:
amounts owed to the physician.
Which of the following acts involves the termination of a patient from the care of a physician without
reasonable, written notice of withdrawal from the case?
A. slander
B. discrimination
C. battery
D. abandonment Correct response:
abandonment
The medical assistant is performing a 12-lead ECG on a patient and notices that lead III does not appear
on the tracing. Which of the following actions should the medical assistant take?
A. Re-center the stylus and repeat the tracing.
B. Check for a loose wire, reconnect, and repeat the tracing.
C. Ask the patient to lie still to reduce somatic interference.
D. Add an extra electrode to the 5th intercostal space. Correct response:
Check for a loose wire, reconnect, and repeat the tracing.
A medical office assistant is reviewing a patient's encounter that is documented in the medical record
prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical
office assistant has the ethical obligation to
A. change the code.
B. debate the code.C. alter the code.
D. down code the code.
. Correct response:
debate the code.
Which of the following are Schedule IV drugs?
A. controlled narcotics such as morphine
B. substances with no accepted medical use and a high potential for abuse
C. antianxiety agents and hypnotics with a low potential for abuse
D. broad spectrum antibiotics Correct response:
antianxiety agents and hypnotics with a low potential for abuse
Which of the following diseases is a healthcare worker at the greatest risk of developing following an
exposure incident with blood from a needle stick injury?
A. HSV
B. HAV
C. HPV
D. HBV Correct response:
HBV
likely experiencing which of the following stages of dying/grief according to Kubler-Ross?
A. depression
B. anger
C. denial
D. bargaining Correct response:
anger
Which of the following types of appointment scheduling would be the best method for an office with
standard hours, multiple practitioners, and accommodating work-in appointments?
A. clustering
B. open office hours
C. double bookingD. wave Correct response:
wave
Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?
A. payment of annual dues
B. current certificate of compliance on file
C. annual employee safety training
D. annual inspections conducted by OSHA Correct response:
annual employee safety training
Which of the following actions should the medical assistant take to ensure proper monitoring of a patient
during a stress test? (Select the three [3] correct answers.)
A. Instruct the patient to start at a rapid pace.
B. Instruct the patient to report any symptoms.
C. Adjust the temperature of the room to the patient's preference.
D. Measure blood pressure and heart rate frequently.
E. Observe facial expressions, skin color and perspiration. Correct response:
Instruct the patient to report any symptoms., Measure blood pressure and heart rate frequently., Observe
facial expressions, skin color and perspiration.
Which of the following are legitimate reasons to document in a patient's chart when he "no-shows" for
his appointment? (Select the three (3) correct answers.)
A. To protect the physician from liability in case his condition worsens.
B. To communicate the reason he missed his appointment.
C. To document whether or not he rescheduled.
D. To cancel his subsequent appointments.
E. To ensure the schedule is open for further appointments. Correct response:
To protect the physician from liability in case his condition worsens., To communicate the reason he
missed his appointment., To document whether or not he rescheduled.A patient's encounter form contributes to the efficiency and flow of information in the medical office at
check-out in which of the following ways?
A. Provides written documentation about medications prescribed during the visit.
B. Outlines discharge instructions related to the patient's condition.
C. Lists codes for services and procedures performed during the visit.
D. Summarizes limitations and exclusions in the patient's insurance policy.
. Correct response:
Lists codes for services and procedures performed during the visit.
When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of
respiratory distress, the medical assistant obtains a reading of 79%. Which of the following actions should
the medical assistant take next?
A. notify the physician
B. supplement the child with oxygen per protocol
C. reposition the finger probe
D. take a full set of vital signs
probe Correct response:
reposition the finger probe
If a medical assistant has questions about disposing of outdated hazardous chemicals, where should the
medical assistant look to find this information?
A. HIPAA
B. MSDS
C. CLIA
D. NIOSH Correct response:
MSDS
Which government agency oversees HIPAA?
A. OIG
B. CMS
C. HHS
D. OSHA Correct response:HHS
Which of the following rhythms is shown in the strip above?
A. atrial fibrillation
B. premature atrial complex
C. atrial flutter
D. atrial tachycardia Correct response:
atrial flutter
Which of the following actions should the medical assistant take to eliminate the artifact shown in the
strip shown above?
A. Have the patient sit on their hands.
B. Ensure proper adhesion of the electrodes.
C. Have the patient remove jewelry.
D. Check the bed plugin at the wall socket or unplug the bed. Correct response:
Check the bed plugin at the wall socket or unplug the bed.
The primary objective of which of the following agencies is to regulate and ensure quality of clinical
laboratory testing?
A. OSHA
B. FDA
C. DEA
D. CLIA Correct response:
CLIA
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. report management.
B. remittance advice.
C. data interchange.
D. clearinghouse.. Correct response:
data interchange.
When preparing to assist the physician with collection of a deep wound culture, the medical assistant
should have which of the following available?
A. blood culture media
B. viral transport media
C. bacterial culture swabs
D. cotton tipped swabs Correct response:
bacterial culture swabs
While scheduling an appointment, the medical office assistant's computer freezes. When attempting to
restart the program, which of the following should the medical office assistant do first?
A. Unplug computer from the outlet source.
B. Press the Ctrl, Alt and Delete keys.
C. Shut down the computer.
D. Restart the computer. Correct response:
Press the Ctrl, Alt and Delete keys.
Which of the following medical office software applications uses an electronic signature?
A. spreadsheets
B. EHR
C. encoders
D. scheduling Correct response:
EHR
When reading the results of an HCT the medical assistant should read starting at the
A. top of the packed cells.
B. bottom of the meniscus.
C. top of the buffy coat.
D. bottom of the plasma. Correct response:
top of the p
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