National Certified Medical Assistant v1.0

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Exam contains 209 questions

Used sharps should be disposed of in __________.

  • A. Ordinary trash
  • B. Thick plastic bags
  • C. Any sealed container
  • D. FDA approved containers


Answer : D

Explanation:
Every year some institutions will be caught disposing of contaminated sharps in ordinary trash or non-approved containers.
This increases the risk of infection for garbage collectors and the general public; never cut corners if it's your responsibility to dispose of sharps, always insist on an FDA approved container.

When taking blood from a newborn baby's heel, you should not use a lancet longer than __________.

  • A. 2.4 mm
  • B. 1.8 mm
  • C. 2.0 mm
  • D. 2.2 mm


Answer : A

Explanation:
The recommended longest lancet for taking a blood sample from the heel of a newborn baby is 2.4 mm.
Care should be taken not to take the sample from the back of the heel where the distance from the skin surface to the bone can be as little as 2.33 mm.
If in doubt, or if the child is premature or underweight, use a smaller lancet.

When choosing a needle for phlebotomy, you must remember that as gauge numbers go up, so the needles get __________.

  • A. Shorter
  • B. Wider
  • C. Narrower
  • D. Longer


Answer : C

Explanation:
As the gauge number increases so the bore of the needle becomes smaller.
Always take special care to select the appropriate needle, or you may cause excessive post-draw bleeding or have to make multiple attempts, both of which will cause distress for your patient.

Testing for which of these does not fall under the chain of custody procedures?

  • A. Paternity
  • B. Evidential DNA
  • C. Narcotic urinalysis
  • D. Pregnancy


Answer : D

Explanation:
Chain of custody procedures must be followed for legally sensitive tests.
If you're involved in such tests make sure that all paperwork is correctly filled and that you have correctly signed off your part of the testing to the next person in the chain.

Which of these is the only factor that does not require consideration when placing electrodes for an ECG test?

  • A. Patient scars
  • B. Patient ethnicity
  • C. Patient piercings
  • D. Patient stents


Answer : B

Explanation:
An ECG test requires a clear flow between electrodes: any thickening of the skin or metal objects may impede this.
Do not place electrodes over piercings, scars or stents or in such a way that these elements may interfere with results.

How is it received if a drug is administered transdermally?

  • A. Through the skin
  • B. Through the mouth
  • C. By injection
  • D. By suppository


Answer : A

Explanation:
Some drugs can be administered transdermally via a patch on the skin.
This can be a good option for patients who are frightened of needles and for those requiring a steady release of a drug over time.

What are drugs designed to cause vomiting called?

  • A. Diuretics
  • B. Anesthetics
  • C. Antibiotics
  • D. Emetics


Answer : D

Explanation:
Drugs that cause vomiting are called emetics. They are often used for patients who have deliberately or accidentally consumed harmful substances, or substances in harmful doses, e.g. alcohol, painkillers.
When administering an emetic remember the process of vomiting may leave the patient dehydrated and take steps to prevent this.

Which of these is not part of the measurement of vital signs?

  • A. Temperature
  • B. Respiration
  • C. Pulse
  • D. Sweating


Answer : D

Explanation:
The monitoring of vital signs comprises monitoring temperature, respiration and pulse.
However, at the same time as monitoring the vital signs any other abnormal signs should be noted, for example excessive sweating, trembling or incoherence, and reported if necessary.

How should this be reported if a patient is displaying any abnormalities in their vital signs?

  • A. On the patient chart
  • B. To the patient
  • C. To a physician
  • D. Any of these


Answer : C

Explanation:
All abnormalities in vital signs could be crucial indicators that a patient needs immediate treatment.
Any abnormalities must be reported to a physician immediately.

When taking a patient's pulse, you should be able to report on __________.

  • A. Rhythm
  • B. Rate
  • C. Force
  • D. All of these


Answer : D

Explanation:
Taking a patient's pulse is not simply a matter of counting the beats per minute.
You should be able to distinguish between a strong and a weak pulse and to identify any irregularity in the pulse rate (missing beats, sudden acceleration/ deceleration etc.).

What does "respondeat superior" mean in law?

  • A. An employer can be held responsible for employee actions
  • B. Employers are not responsible for employee actions
  • C. Only employers are responsible for employee actions
  • D. Employees are the only ones responsible for their actions


Answer : A

Explanation:
Respondeat superior translates as "let the master answer" and means that an employer can be held responsible for an employee"™s actions, provided those actions come under the heading of their employment, for example a clinic may be held accountable for a medical practitioner"™s negligence.
However, this does not mean that employees will necessarily escape sanction for malpractice or negligence: both employer and employee can be sanctioned.

Which of these would be best placed under the heading of "medical etiquette"?

  • A. The way you talk to a patient
  • B. The way you decide on a patient"™s treatment
  • C. Obeying the law regarding patient confidentiality
  • D. The way a patient"™s medical fees are calculated


Answer : A

Explanation:
Medical etiquette refers to what is regarded as socially acceptable behavior for medical practitioners.
Examples might be how a patient is spoken to, the body language employed by a medical practitioner etc.
Medical etiquette is not as binding as, and is separate from, medical ethics and law, but it is still regarded as a very important part of being a medical practitioner.

What is the best way to answer a telephone in a medical office?

  • A. With the name of the office
  • B. With your name
  • C. With the name of the office and your name
  • D. With "Hello"


Answer : C

Explanation:
When answering a telephone in a formal situation, give both the name of the office/institution and your name: "Smith Clinic, Jane Doe speaking, how can I help?"
This lets the caller know they have reached the right place and creates a human relationship between you.

New information for the patient database should ideally be added __________.

  • A. At the end of the working day
  • B. At the end of the working week
  • C. Immediately
  • D. When no patients are in the office


Answer : C

Explanation:
To eliminate errors and omissions, whenever possible new data should be added as it is provided by the patient or other entity.
This minimizes the chance of the data being lost or forgotten.
If it is not possible immediately to update the database, there should be a procedure in place for safe recording of data manually until the database can be updated.

What is a "tickler" system used for?

  • A. To interrogate the patient database
  • B. To alert staff to database errors
  • C. To organize patient billing
  • D. To remind patients of appointments


Answer : D

Explanation:
"Tickler" systems send out automatic appointment reminders to patients, either through automatically issued letters, emails, SMS or automated telephone calls.
There will be a default setting for when and how often these will be sent out, but you should be aware of any patients who for some reason may need more frequent or more personal reminders.

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Exam contains 209 questions

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