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NHA CCMA Practice Questions with Answers 2025, Exams of Medicine

NHA CCMA Practice Questions with Answers 2025

Typology: Exams

2024/2025

Available from 03/03/2025

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NHA CCMA Practice Questions with
Answers 2025
Which of the following techniques should a MA use when bandaging a wound?
a. wrap the wound from distal to proximal
b. bandage fingers and toes to prevent further injury
c. extend the wound dressing 3 to 5 inches beyond the bandage
d. moisten and apply ointment before bandaging
a. wrap the wound from distal to proximal
- wounds should always be wrapped distal to proximal
- fingers and toes should be left unbandaged so provider can assess circulation
- bandages should extend 1 to 2 inches beyond the dressing
A medical assistant is checking a patient out of the clinic. In which of the following
documents should the assistant locate information about the provider referrals or follow-
up appointment request for the patient?
a. Encounter form
b. CMS-1500 claim form
c. OSHA form 301
d. Informed consent
a. Encounter form
- the encounter form aka "superbill" contains information about any and all services
provided by clinic staff, as well as any additional actions required, including referrals
and follow-up appointments
- the CMS-1500 claim form is the standard billing that contains procedural coding
related to patient care during the visit; it doesn't contain information about referrals or
future appoinments
A medical assistant is preparing a patient for wearing a Holter monitor. Which of the
following instructions should the assistant include?
a. "You should avoid using an electric blanket during monitoring"
b. " You can bathe and shower as usual during monitoring."
c. "You will be required to wear the monitor for 2 to 4 hours."
d. "You should avoid your regular exercise during monitoring"
a. "You should avoid using an electric blankets during monitoring"
- the electronic blanket can interfere with recording
- the patient wears the Holter monitor for 24 to 48 hours
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NHA CCMA Practice Questions with

Answers 2025

Which of the following techniques should a MA use when bandaging a wound? a. wrap the wound from distal to proximal b. bandage fingers and toes to prevent further injury c. extend the wound dressing 3 to 5 inches beyond the bandage d. moisten and apply ointment before bandaging ✔ a. wrap the wound from distal to proximal

  • wounds should always be wrapped distal to proximal
  • fingers and toes should be left unbandaged so provider can assess circulation
  • bandages should extend 1 to 2 inches beyond the dressing A medical assistant is checking a patient out of the clinic. In which of the following documents should the assistant locate information about the provider referrals or follow- up appointment request for the patient? a. Encounter form b. CMS-1500 claim form c. OSHA form 301 d. Informed consent ✔ a. Encounter form
  • the encounter form aka "superbill" contains information about any and all services provided by clinic staff, as well as any additional actions required, including referrals and follow-up appointments
  • the CMS-1500 claim form is the standard billing that contains procedural coding related to patient care during the visit; it doesn't contain information about referrals or future appoinments A medical assistant is preparing a patient for wearing a Holter monitor. Which of the following instructions should the assistant include? a. "You should avoid using an electric blanket during monitoring" b. " You can bathe and shower as usual during monitoring." c. "You will be required to wear the monitor for 2 to 4 hours." d. "You should avoid your regular exercise during monitoring" ✔ a. "You should avoid using an electric blankets during monitoring"
  • the electronic blanket can interfere with recording
  • the patient wears the Holter monitor for 24 to 48 hours

A medical assistant is preparing to apply ointment to several abrasions on a patient's leg. Which of the following supplies should the MA use to remove the medication from the jar? a. A gloved finger b. A syringe c. A cotton ball d. A tongue blade ✔ d. A tongue blade

  • Although ointment can be applied with a gloved finger, the medication should not be removed from the jar with a gloved hand because the glove might have already touched the patient or any other contaminated surfaces A medical assistant is adding information to a patient's computerized problem-oriented medical record (POMR). Into which of the following sections of the POMR should the assistant enter the patient's health history and laboratory results? a. Problem list b. Database c. Progress notes d. Diagnostic and treatment plan ✔ b. Database
  • The problem list includes the patient's problems/conditions, including those involving social, demographic, medical, or surgical concerns
  • The database includes the patient's medical history, diagnostic and laboratory results, review of systems, and CC
  • The provider should enter progress notes on every problems recorded on the problem list; the notes should be in chronological order and should include the CC, tx, and response to treatments
  • In the diagnostic and treatment plan the provider should document the treatment plan for each condition as well as laboratory and diagnostic test prescriptions A medical assistant is to use the Snellen Chart to test and adult's visual acuity. The assistant should instruct the patient to stand which of the following distances away? a. 10 feet b. 20 feet c. 14 inches d. 30 inches ✔ b. 20 feet
  • Dorsal Recumbent is used for examination of the vagina and rectum when inserting catheters A medical assistant is preparing 1g/1kg of activated charcoal for a patient who weighs 176 lbs. How many grams of charcoal should the assistant prepare? a. 79 g b. 387 g c. 352 g d. 76 g ✔ a. 79 g
  • 176 lbs = 80 kg A medical assistant is making a new sign-in sheet for patients who have appointments that day. Which of the following information should the sign-in sheet include? a. Insurance policy number b. Provider's name c. Patient's DOB d. Reason for the visit ✔ b. Provider's name
  • the sign-in sheet should include the provider's name to make sure the patient receives the proper care in a timely manner A medical assistant is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patient's skin lesions, the assistant should expect to observe which of the following characteristics? a. Yellow, waxy b. Gray, crusty c. Silvery, scaly d. Brown, flat ✔ c. Silvery, scaly
  • Psoriasis is a chronic skin disease characterized by pink or red lesions, with scaly patches that have a silvery appearance A medical assistant is reviewing the medical history of a patient who regularly comes into contact with coal and wood dust. The assistant should recognize that this patient is at an increased risk for developing which of the following disorders? a. Obstructive sleep apnea b. Emphysema

c. Atelectasis d. Carcinoma of the larynx ✔ b. Emphysema

  • Atelectasis "collapsed lung" can be the result of an obstruction of disorder that allows air to leak from the lung into the area between the lungs and the chest wall, causing the lungs to collapse
  • "A" = not
  • "ectasis" = exspansions/dilation A patient is entitled to which of the following medical records? a. Detailed psychotherapy notes b. List of medications with diagnosis c. Original x-rays d. Information compiled for legal procedings ✔ b. list of medications with diagnosis
  • A patient is entitled to a summary of the psychotherapy notes, not the detailed notes themselves
  • A patient is entitled to a copy of the chest x-rays, not the original The parent of a child who has pediculosis is asking a medical assistant for more information about her child's condition. The assistant should begin by explaining that pediculosis is which of the following types of infection? a. Fungal b. Bacterial c. Parasitic d. Helminthic ✔ c. Parasitic
  • pediculosis = lice
  • An infection due to a tapeworm is an example of Helminthic
  • a yeast infection is a fungal infection
  • examples of bacterial infections include cellulitis, acne, and impetigo A medical assistant is preparing a patient for a physical examination when he notices that the patient's eyes are moving back and forth in a constant, involuntary manner. Which of the following terms should the assistant use when documenting this finding in the patient's medical record?

b. Patient's health savings account number c. Current procedural terminology code d. Patient's medical record number ✔ c. Current procedural terminology code (CPT code)

  • The CPT code describes the patient's treatment based on the diagnosis A medical assistant is performing a spirometry testing for a patient who has shortness of breath. Which of the following results of the spirometry test indicated a successful maneuver? a. A slow and progressive start b. A fast and steady flow with no variability c. An exhalation of 3 seconds d. Light coughing during the test ✔ b. A fast and steady flow with no variability
  • An acceptable spirometry measure must have a quick and forceful start
  • the exhalation time must be at least 6 seconds A patient at an urgent care facility reports that she vomited and saw blood in the vomitus. Which of the following terms should a medical assistant use to document the patient's report? a. Melena b. Hemoptysis c. Hematuria d. Hematemesis ✔ d. Hematemesis
  • Melena = term used to document vomitus that has a coffee ground appearance
  • Hemoptysis = coughing up blood
  • Hematuria = blood in the urine Which of the following methods is used to notify the provider of the denial of a claim by an insurance carrier? a. Remittance advice b. Coordination of benefits c. Eligibility for insurance d. CMS-1500 claim form ✔ a. Remittance advice
  • Remittance advice = a document that itemizes all paid, denied, and allowable charges for a patient; sent directly to provider
  • Coordination of benefits = the method of determining what each third party payer will pay for services provided while ensuring that overpayment does not occur
  • Eligibility for insurance = informs patients and providers of what services are and are not covered for reimbursement through the insurer. A medical assistant is administering an intradermal injection for allergy testing. Which of the following actions should the assistant take? a. Locate the area two to three finger-widths below the antecubital space b. Pinch the skin between the thumb and forefinger c. Insert the needle with the bevel pointed down d. Inject the solution rapidly with the needle positioned at a 30 degree angle to the skin ✔ a. Locate the area two to three finger-widths below the antecubital space
  • The skin should be held taut for an ID injection
  • The needle should be inserted with the bevel facing up
  • The assistant should inject the solution slowly and steadily at a 15 degree angle A medical assistant is asked to assist a provider with an orthopedic examination. Which of the following instruments should the assistant prepare for the examination? a. Goniometer b. Hemostat c. Retractor d. Tonometer ✔ a. Goniometer
  • Goniometer = used to measure joint movement in a single plane
  • Hemostat = used for grasping and clamping blood vessels during surgical procedures
  • Tonometer = used to measure intraocular pressure; used for ophthalmology examinations A medical assistant should recognize which of the following blood pressure readings as indicative of an adult patient whose blood pressure level is classified as elevated?
  • The patient should roll, not shake, the medication to ensure the medication is suspended properly.
  • SC injections should be inserted at a 45 degree angle
  • The patient should never blow on the site after cleaning it because it could contaminate the injection site. Which of the following positions should a medical assistant place an 18-month old patient when administering ear drops to the right ear? a. Right ear facing down with the earlobe pulled down and back b. Right ear facing up with the pinna pulled up and back c. Right ear facing up with the earlobe pulled down and back d. Right ear facing down with the pinna pulled up and back ✔ c. Right ear facing up with the earlobe pulled down and back
  • When administering ear drops to a child under the age of 3 years, the patient should be positioned with the ear facing up and the earlobe pulled down and back to allow medication to flow into the canal and reach the affected area
  • When administering drops to a patient, the ear into which the drops will be administered should be facing up A medical assistant is examining the skin on a patient's forearm where the patient reports developing a rash. The assistant notes multiple solid elevations that are less than 0.5 cm (0.2 in) in diameter. Which of the following terms should he use to document his observations in the patient's medical records? a. Papules b. Macules c. Vesicles d. Pustules ✔ a. Papules
  • Papules = solid elevations that are less than 0.5 cm in diameter; common cause is allergic eczema
  • Macules = flat areas of the skin that are different colors than the surrounding skin; common example is a freckle
  • Vesicles = small, fluid filled blisters; common cause is herpes viral infections
  • Pustules = pus-filled blisters; common cause is acne A medical assistant is preparing a patient for a procedure to have a mole excised. Which of the following actions should the assistant take? a. Administer the anesthetic to the patient b. Put on sterile gloves and gown c. Cleanse the site with surgical soap and an antiseptic swab d. Open a sterile pack and lay instruments on the counter ✔ c. Cleanse the site with surgical soap and an antiseptic swab
  • The medical assistant is responsible for preparing the anesthetic, but not administering it A provider asks a medical assistant to reinforce teaching with a patient about her new diagnosis. Which of the following actions should the assistant take? a. Outline the educational materials quickly with the patient b. Instruct the patient to ask any questions at the end of the teaching c. Include personal opinions along with the educational material d. Document the patient's response to the teaching ✔ d. Document the patient's response to the teaching
  • The assistant should confirm understanding frequently while communicating with the patient by asking for feedback during the teaching
  • The assistant should document the education session including the materials covered, patient's response, plans for future sessions, and necessary community referrals The parent of a child who has pinworms is asking a medical assistant for more information about his child's condition. The assistant should begin by explaining that pinworms are which of the following types of micro-organisms? a. Fungi b. Bacteria c. Protozoa d. Helminths ✔ d. Helminths
  • Helminths = are parasites called "worms" that live in host organisms, such as animals and humans
  • Protozoa = are single-celled parasites that are found in moist environments and bodies of water
  • Bacteria = are single-celled organisms that reproduce with binary fission
  • Erythema = a redness of the skin; however, it does not cause the skin to become itchy or raised Which of the following organs is located in the right upper quadrant of the abdomen? a. Gallbladder b. Spleen c. Appendix d. Stomach ✔ a. Gallbladder
  • LUQ = spleen, stomach, left lobe of liver, and body of pancreas
  • RLQ = appendix, cecum, right ureter A medical assistant is collecting data from a patient who is experiencing heat stroke. Which of the following manifestations should the assistant expect to find? a. Hot skin b. Bradycardia c. Excessive sweating d. Slow breathing ✔ a. Hot skin
  • The assistant should expect a patient who is experiencing heatstroke to have hot, red, dry skin
  • The assistant should expect them to have tachycardia
  • The assistant should expect them to exhibit rapid, shallow breathing A medical assistant is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual, customary, and reasonable fees. Which of the following actions should the assistant take? a. Leave the unpaid balance on the record until the end of the revenue cycle b. Wait until an overpayment of the approximate amount balances the deficit c. Adjust the patient's account to reflect no unpaid charges and write off the balance d. Request payment at the point of service during the patient's next visit ✔ c. Adjust the patient's account to reflect no unpaid charges and write off the balance
  • The assistant should never leave an unpaid balance on the record
  • According to Medicare guidelines, the fee schedule must follow the usual, customary, and reasonable requirements for repayment; an overpayment is not legal.
  • The office is not authorized to collect payments from the patients for services denied by Medicare A medical assistant is performing hand hygiene using an alcohol-based hand rub. The assistant should recognize that which of the following information about alcohol-based hands rubs is correct? a. Allergic contact dermatitis is common with the use of alcohol-based hand rub. b. Alcohol-based hands rub should be generously applied to visibly soiled hands c. Alcohol-based hand rub should be applied to one hand and then rubbed between both hands d. Alcohol-based hand rubs for clinical use should have an alcohol content of 45% to 50% ✔ c. Alcohol-based hand rub should be applied to one hand and then rubbed between both hands
  • The use of alcohol-based hand rubs can be a substitute for hand washing, except for when hands are visibly soiled.
  • Alcohol-based hand rubs intended for clinical use should have an alcohol content between 60% to 95% A medical assistant is preparing to sanitize contaminated equipment. Which of the following pieces of equipment can a medical assistant sanitize and reuse without needing to disinfect or sterilize it? a. Nasal specula b. Otoscope c. Curettes d. Suture removal instruments ✔ b. Otoscope
  • Sanitation + Disinfection = nasal specula, laryngoscopes, and glassware
  • Sanitation only = otoscope, ophthalmoscope, stethoscope, penlights, and tuning forks
  • Disinfection + Sterilization = curettes and vaginal specula
  • Sanitation + Disinfection + Sterilization = instruments needed for suture removal

A medical assistant is measuring a patient's blood pressure with an aneroid sphygmomanometer and a stethoscope. Which of the following actions should the assistant take? a. Make sure the midpoint of the patient's arm is at the level of the patient's heart b. Use the cuff whose blasser encircles only 60% of the patient's upper arm c. Make sure the lower edge of the cuff is 1.3 cm (0.5 in) above the antecubital space d. Wrap the cuff loosely around the patient's arm ✔ a. Make sure the midpoint of the patient's arm is at the level of the patient's heart

  • The cuffs bladder should encircle 80% of the patient's arm for 13+ years old
  • For children 13 years or younger, the bladder of the cuff should encircle 100% of the arm
  • The lower edge of the cuff should be 2.54 cm (1 in) above the antecubital space A medical assistant is obtaining information for a patient's medical history and physical examination. The patient reports intermittent episodes of ringing in his ears. Which of the following terms should the assistant use when documenting this finding in the patient's medical record? a. Presbycusis b. Otosclerosis c. Otalgia d. Tinnitus ✔ d. Tinnitus
  • Presbycusis = a type of sensorineural hearing loss that is common in older adults
  • Otosclerosis = an overgrowth of bone inside the ear that results in hearing loss A medical assistant is composing a correspondence using the simplified letter style. Which of the following features should the assistant use? a. A complimentary closing b. A subject line in all capital letters c. Indented paragraphs in the body of the letter d. Center aligned dateline and salutation ✔ b. A subject line in all capital letters In simplified letter style:
  • The complimentary closing is omitted and the signature is types in all capital letters
  • The subject line in all caps replaces the salutation
  • All lines are flush with the left margin and paragraphs are not indented A medical assistant is assisting in the treatment of a patient who experienced a chemical burn. Which of the following steps should the assistant take? a. Apply ice to the burn b. Remove any chemical-covered clothing c. Cleanse the site with hydrogen peroxide d. Apply an adhesive bandage to the burn ✔ b. Remove any chemical-covered clothing
  • The assistant should flush the burn with cool water for 15 minutes
  • The assistant should apply a sterile dressing to the patient's burn to reduce the risk of infection A medical assistant is assisting a patient who is obese with an insulin injection. Which of the following is the correct angle for this patient's injection? a. 15 degrees b. 25 degrees c. 30 degrees d. 90 degrees ✔ d. 90 degrees
  • SC injection are usually administered at a 45 degree angle; however it should be administered at 90 degrees for a patient who is obese A medical assistant discovers a garbage can fire has started in the break room of the medical office. According to the RACE acronym for emergency response, which of the following actions should the assistant take first? a. Close the doors and windows b. Turn off the oxygen in the adjacent examination room c. Use the fire extinguisher d. Evacuate staff and patients from the immediate area ✔ d. Evacuate staff and patients from the immediate area RACE:
  • R = Remove all staff and patients from immediate danger from the fire
  • A = Alarm by pulling the closest fire pull-station and by dialing 811 or 77 (or 911 in offcampus and leased facilities) and reporting the location of the fire
  • C = contain the fire (turn off oxygen in adjacent room and close windows and doors)
  • You should fully open the tank using a counter-clockwise turn to ensure the patient receives proper oxygen levels
  • Flow meter should be set to 12-15 L/min A provider places an open sharps container in the linen hamper by mistake. Which of the following is the appropriate action for the medical assistant to take? a. Question the provider b. Dispose of the linen hamper contents as a biohazard c. Disinfect the contents of the linen hamper with bleach d. Prepare a report for OSHA ✔ b. Dispose of the linen hamper contents as a biohazard
  • A report to OSHA is unnecessary because no actual known exposure has occurred An ammonia or putrid smell in the urine may indicate which of the following? a. Phenylketonuria b. Too much garlic consumption c. Uncontrolled diabetes d. An infection ✔ d. An infection
  • Urine that smells like ammonia may indicate concentration of waste products, and usually indicates the presence of an infection Proteins are necessary for all of the following EXCEPT: a. Promoting growth and repair of tissues b. Providing the framework for bones, muscles, and blood c. Aiding in digestion d. Producing energy ✔ c. Aiding in digestion
  • Your body uses proteins to:
  1. build and repair tissues
  2. make enzymes, hormones, and other body chemicals
  3. Is an important building block of blood What is the final stage in Erikson's model of psychosocial development? a. Identity vs. role confusion b. Generativity vs. stagnation c. Ego integrity vs. despair

d. Intimacy vs. isolation ✔ c. Ego integrity vs. despair

  • Successful Outcome = results in a feeling of self-worth
  • Unsuccessful Outcome = dissatisfaction in the life they have lived
  • Happens 65+ years or older The pancreas is located just below the ______? a. Diaphragm b. Heart c. Stomach d. Bowels ✔ c. Stomach
  • The pancreas is primarily responsible for regulating blood sugar levels by releasing glucagon (alpha islets) or insulin (beta islets) What is abnormal redness of the skin occurring over widespread areas of the body called? a. Melanoderma b. Erythroderma c. Xeroderma d. Leukoderma ✔ b. Erythroderma
  • Melanoderma = Increased skin pigmentation, darkening of the skin.
  • Xeroderma = any of various diseases characterized by extreme dryness of the skin
  • Leukoderma = a condition in which the pigment is lost from areas of the skin, causing whitish patches, often with no clear cause. Backflow of stomach contents into the mouth is? a. Gavage b. Emesis c. Regurgitation d. Dysphagia ✔ c. Regurgitation
  • Regurgitation = is the spitting up of food from the esophagus or stomach without nausea or forceful contractions of the abdominal muscles