RMA Practice Questions (2026) — Free Sample Questions with Answers

Answer: B

Informed written consent: Wrong. Informed written consent requires a signed document after explanation of risks, benefits and alternatives. Nothing was signed.

Implied consent: Correct. Implied consent is shown by the patient's actions, such as offering an arm for an injection, instead of by spoken or written agreement.

Expressed verbal consent: Wrong. Expressed verbal consent is spoken agreement. This patient said nothing.

Emergency consent: Wrong. Emergency (implied-by-law) consent applies when the patient cannot consent and care is urgently needed. This is not an emergency.

Implied consent = shown by action (rolling up a sleeve). Expressed consent = verbal or written. Invasive or high-risk procedures need informed written consent.

Answer: B

Alpha cells of the pancreatic islets: Wrong. Alpha cells secrete glucagon, which raises blood glucose.

Beta cells of the pancreatic islets: Correct. Beta cells in the islets of Langerhans secrete insulin, which lowers blood glucose by helping glucose enter cells.

Cells of the adrenal cortex: Wrong. The adrenal cortex produces corticosteroids such as cortisol and aldosterone, not insulin.

Follicular cells of the thyroid gland: Wrong. Thyroid follicular cells produce T3 and T4, which regulate metabolism.

Pancreatic islets: beta cells make insulin (lowers glucose), alpha cells make glucagon (raises glucose).

Answer: A

An explanation of benefits (EOB): Correct. An EOB is sent by the insurer to the patient. It explains how a claim was processed: charges, allowed amount, payment, and patient responsibility.

A superbill: Wrong. A superbill (encounter form) is the provider's form for recording services and diagnoses at the visit.

A CMS-1500 claim form: Wrong. The CMS-1500 is the claim the provider sends to the insurer, not the insurer's response to the patient.

An Advance Beneficiary Notice (ABN): Wrong. An ABN is given to Medicare patients before a service that may not be covered, before any claim is processed.

Insurer to patient = EOB. Insurer to provider = remittance advice. Provider to insurer = claim (CMS-1500).

Answer: C

Heart rate: Wrong. Heart rate (Pulse) is an Apgar criterion.

Respiratory effort: Wrong. Respiratory effort (Respiration) is an Apgar criterion.

Blood pressure: Correct. Blood pressure is not part of the Apgar score. The five criteria are color, heart rate, reflex irritability, muscle tone and respiratory effort.

Muscle tone: Wrong. Muscle tone (Activity) is an Apgar criterion.

APGAR = Appearance (color), Pulse, Grimace (reflex irritability), Activity (tone), Respiration. Each scores 0–2, assessed at 1 and 5 minutes after birth.

Answer: C

440 mg: Wrong. This multiplies by the weight in pounds. The dose is ordered per kilogram, so convert first.

100 mg: Wrong. This uses about 10 kg, a conversion error. 44 lb ÷ 2.2 = 20 kg.

200 mg: Correct. 44 lb ÷ 2.2 lb/kg = 20 kg; 20 kg × 10 mg/kg = 200 mg per dose.

968 mg: Wrong. This multiplies pounds by 2.2 (giving 96.8) and then by 10. Divide pounds by 2.2 to get kilograms; do not multiply.

Weight-based dosing: convert lb to kg (÷ 2.2) first, then multiply by the mg/kg ordered. Check that the answer is reasonable for the child's size.

Answer: D

30 seconds: Wrong. Less than a minute is fine, but 30 seconds is not the accepted maximum.

3 minutes: Wrong. Three minutes is too long. Prolonged tourniquet time causes hemoconcentration and can alter results.

5 minutes: Wrong. Five minutes would significantly affect test results and be uncomfortable for the patient.

1 minute: Correct. Leaving the tourniquet on longer than 1 minute can cause hemoconcentration, falsely raising some analytes, such as potassium and proteins.

Tourniquet: 3–4 inches above the site, no longer than 1 minute. If you need longer to find a vein, release it and wait before reapplying.