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(NHA) Certified Clinical Medical Assistant
(CCMA)/Questions and Answers/Graded
A/
make a fist When performing phlebotomy the CCMA should instruct the patient to? POL testing It is within the CCMA'S scope of practice in the laboratory to? Enteropexy The surgical fixation of a segment of intestine to the abdominal wall is referred to as? Ensure accuracy of results POC testing requires a quality control to? 25mm/sec the normal speed of an EKG machine is? Urine HCG A CLIA waived test includes which of the following? Ishihara A method of screening patients for defects in distinguishing color vision acuity is? OSHA The CCMA that a physician is using unsanitary instruments, she should report her finding to? Hemothorax A collection of blood in the space between the chest wall and lung is? Gives an influenza vaccine Informed consent must be obtain when the CCMA?
0.1mL The CCMA knows that when giving an ID injection, the dose of medication given is? Allow the assist patients in rescheduling their appointments if desired If the provider is running 2 hours behind schedule the CCMA should? Avoid getting urine in the stool sample When obtaining a stool sample the CCMA knows to instruct the patient to? Open airway The CCMA finds a patient unconscious on the floor. what is the first thing the CCMA should do? Trendelenberg A patient presents to the office with severe hypotention and dizziness. which position should the CCMA place the patient in? The patient's physician Who must discuss an informed consent with a patient prior to signing? Nocturia Which term refers to excessive urination at night? Tell the mother that she should discuss this matter with her daughter The mother of a 16yrs old female wants to speak with the provider regarding why he prescribed birth control pills to her daughter. What should the CCMA do? Sterilization The complete destruction of all pathogenic microorganisms is? Cover with blanket If a patient is having somatic tremors while obtaining an EKG, the CCMA should? 90 degree angle An IM injection is given at? Myocardial Infarction
The P wave on an EKG represents? Newborn Which of the following patients would you perform an apical pulse on? The patient see at 20 feet what others can see at 50 feet If a patient has a distance vision of 20/50, this indicated that? Preferred provider organization What does PPO stand for? The number of erythrocytes that settle over period of time What is measured when an ESR is performed? Break down the sterile field and start over If the CCMA notices that another CCMA reaches over a sterile field, what should she do? Only the necessary equipment should remain in the room When preparing a room for a psych patient, the CCMA knows that? As soon as the patient finished drinking glucose drink When performing a glucose tolerance test the CCMA should start timing the test when? The amount of air exhaled from the lungs and rate it is exhaled The CCMA knows that a spirometry test measures? Fallopian Tubes In what part of the female's body does the male's sperm fertilize the female's egg? Biohazard Container OSHA requirements state that all blood/body fluid specimens be sent in what type of container? Start of the P wave to the start of the QRS complex The PR-interval is measured from? Fowlers
If a patient presents with shortness of breath and abdominal pain the CCMA knows to pace the patient in what position? 10% bleach solution What solution is used to be clean up a spilled urine sample? 1:10 bleach solution What solution is used to clean blood spills At no cost to the employee OSHA training is provided? Attempt to help the patient with questions A patient presents to the office very upset with his bill. What should the CCMA do? To wipe away the first drop of blood When obtaining blood from a capillary puncture CCMA know to? Make a notation of the patient's position If the CCMA is performing an EKG on a patient in a fetal position, she knows to? Placed both electrodes on patient's lower torso A patient who has had a left leg amputation should have EKG electrodes placed? Red A biohazard bag label should be what color? Clean catch sample How should a CCMA instruct a patient to collect a urine sample if a C&S were ordered? 40 BPM When using the R-R ratio to obtain a patient's heart rate, the CCMA know's that if there are 37 small boxes the patient's heart rate is? Green
1 minute How long should a CCMA take to check a patient's pulse and respirations? call the provider and verify the order before drawing the blood The CCMA has received a duplicate order on a blood test for a patient, what should the CCMA do? Lavender The CCMA knows that a Hemoglobin A1C test should be drawn in which color tube? Ask another CCMA to draw the blood The CCMA has attempted to draw blood on a patient with small fragile veins and has missed twice. what should the CCMA do? Document the details of the event in the patient's chart If a patient becomes upset, refuses all medical care and leaves the office, what is the 1st thing the CCMA do? Run the test on the labeled swab and only have the second swab re-collected Two swabs were sent to the lab for flu and strep testing. Only one swab was labeled with patient information and the other one was not. The CCMA should know that the lab will? call provider and verify the order A patient presents to the office for a subcutaneous allergy injection. There is not a dose listed on the physicians order. what should the CCMA do? Intradermal Which type of injection is used to ragweed allergy testing? Complete growth charts Anthropometric measurements would be used for? OSHA
Which of the following government agencies enforces safety conditions in a medical office? Wipe the patient's skin dry with a towel If a patient becomes diaphoretic during an EKG, the CCMA knows to? Right leg When performing a 12 lead EKG which, of the following leads is used as the ground lead? ABG'S When preparing for the transport, which of the following specimens must be placed on ice within 30 minutes of collection? imperceptible blood When performing a hemoccult test the CCMA is testing for? Blood was drawn in a gray tube A stat electrolyte panel was reported to have a critically elevated sodium level. Which of the following may explain the error? Finish the procedure A patient's blood stains a CCMA's uniform during a procedure. what should the CCMA do first? Apply a thin layer of lubricant A CCMA who is assisting a provider during a gynecological exam should first prepare the speculum by? Alcohol swabs When maintaining an inventory of clinical supplied, which of the following supplied should be ordered on a monthly basis? Junctional which of the following rhythms are present when there is either an absent or inverted P wave?
several days later to report his wound is red and swollen. Which of the infections has the patient likely acquired? Left Arm On a 12 lead EKG, lead I and AVL shows that there is a broken recording. The CCMA should check which of the following electrodes? Transdermal patches Which of the following methods of giving a medication will allow the medication to absorb slowly to create a constant time released systemic effect? Invasion of privacy A CCMA entering a patient's room without knocking or permission from the patient is considered? Lead the patient by the elbow How should a CCMA escort a patient with presbyopia from the examination room? Sigmoidoscope Which of the following instruments require a high level of disinfection? Date of service On an insurance CMS 1500 claim form, What should you include first? Orange juice While in the offices a patient develops hypoglycemia. What should the CCMA offer the patient? hospitalization Medicare part A covers? Rectal which way of taking a patient's temperature is the most accurate? 45 degrees At what angle would a CCMA administer a subcutaneous injection? Tapping
When checking a patient's blood pressure, what sound does the systolic make? Myringotomy What is the correct term for a surgical incision of an eardrum? 15 degree angle without aspiration What is the correct way to administer an ID injection? Stop administration and remove needle while giving an IM injection the CCMA notice blood coming into the syringe while aspirating. What should the CCMA do? SA Node Which part of the heart is the Natural pacemaker? Health Insurance portability and Accountability Act What does HIPAA stand for? Discard the kit and use a new one The CCMA notices that a sealed rape kit has been opened. What should the CCMA do? Alveoli What is a thin walled sac in the lung where the exchange of gases take place? Decrease the amount of pressure when abrading skin When debriding skin to place electrodes for a 5 lead EKG on a patient with fragile skin, the CCMA knows to? Leukopenia What is the term for a decrease in WBC'S seen in viral infections and chemotherapy Sims What position should a CCMA place a patient in that is having a rectal exam? 5th ICS left mid clavicular line In a 12 lead EKG where is the v4 lead placed?
An authorization of the insurance company to make payments directly to the physician is called? 5 How many digits are assigned to the primary code in the CPT coding system? HCPCS Which of the following is a coding system used by Medicare providers to report supplies and injections? A service or procedure has been altered A two digit modifier attached to the five CPT mode indicates? The American Medical Association Which of the following organizations developed the CPT coding system? 60- The normal pulse rate in beats per minute for adults is? Radial The artery most commonly used for taking an adult patient's pulse is? 12- The adult normal range of respiration cycle per minute is? Z-track Which of the following injection methods should be chosen for mediations that are irritating or may cause discoloration of the skin? Sterilized Instruments that penetrate a patients skin should be? Sanitization A cleansing process that reduces the number of microorganisms to safe level is called? A written schedule for cleaning OSHA standards require which if the following?
Universal Precautions Treating all human blood as if it were infectious is known as? uniform Which if the following us not an example of personal protective equipment? Used to prevent pathogen transmission via infected materials Standard precautions are? Repolarization of the purkinje fibers The U wave on an EKG tracing represents? Bipolar lead Which type of lead is lead III on an EKG? Augumented leads Leads aVR, aVL. aVF are? Unipolar leads Augumented leads are also called? Contraction on the ventricles The QRS complex on an EKG represents? 1minute What is the longest time a tourniquet should remain on a patient's arm? Butterfly or winged infusion set? Which of the following devices might be used to collect blood from fragile veins? Contains sodium citrate A light blue stopper indicates that a collection tube? 24 hours To test for substances that are sporadically released into urine, a physician might order which type of urine specimen? Red The color code for an evacuation tube that does not contain an additive is?
A patients presents with an increased amount of serous fluid and gas in the pericardium. Which type of physician should the patient see? Kidney Stones Nephrolithiasis is the medical term meaning what? Vastus lateralis Where does a CCMA administer and IM injection on an infant? White On a 3 lead holter monitor which lead is the ground lead? Optic solution Which medication is prescribed to give both local and systemic affect? Hematuria A patient reports to have blood in their urine. The CCMA should document this as? blood What does the CCMA collect from a patient to perform a HBA1C test? FSH What blood test is ordered to see if a female patient is experiencing menopause? 1 teaspoon What is 5mL equivalent to? Presbyopia Which of the following eye condition causes difficulty seeing objects up close and primarily effects the older population? Somatic tremor If the CCMA has to perform an EKG on an 80 year old patient with Parkinson's Disease, Which artifact is likely to show the EKG? Hyperopia If a patient is said to be farsighted, the CCMA knows to document this as? Cholelithiasis
Which of the following medical terms refers to gallstones? Sublingual Nitroglycerin is administered by which of the following routes? 45 BPM Which of the following heart rates would be considered as bradycardia? Axillary Which of the following ways to take a temperature is the least accurate? 110 BPM Which of the following heart rates would be considered as tachycardia? Contraception injection Which of the following would be the CCMA assign an ICD-9 V-code to? I will collect the sample first thing in the morning Which of the following statements would help verify that a patient understands the instructions of collecting a urine sample for a pregnancy test? Explain how an injury happened An E code is used for which of the following? Supine In what position should an infant be placed in when measuring their head circumference? The physician The patient's medical record is owned by the following? Disinfecting exam room What is the CCMA most important priority in exam room maintenance? Chronic Asthma Bronchodilators are prescribed to patients with of the following conditions? Quality control Point of care testing requires which of the following to ensure accuracy of results?
Call poison control A toddler's mother calls the physician stating that her toddler ingested a cleaning agent. The CCMA knows that she should inform the toddler's mother to? Nocturia A patient complains of waking up multiple times throughout the night to urinate. The CCMA knows to document this as? Isopropyl Alcohol When performing a venipuncture the CCMA knows to clean the patient's skin with? ST segment While performing an EKG the patient is experiencing a myocardial infarction. On the EKG tracing which of the following would abnormal? To lay on their back and put their feet into stirrup How should the CCMA explain to a patient to get into the lithotomy position? The patient can see 20 feet what others can see at 60 feet If a patient has distance vision of 20/60, this indicates that? Biohazard transport bag The CCMA knows that a urine sample must be sent to the lab in which of the following? The Drop rate of RBC's When an ESR is performed the CCMA knows that which of the following is being measured? 5 leads The CCMA knows that a holter monitor consists of how many leads? The patient holds out their arm The CCMA knows that an implied consent is given to draw a patient's blood when?
15 degrees The CCMA knows that when performing allergy testing on a patient the angle in which it's given is? Sims The CCMA knows that a patient should be placed in which position when having a sigmoidoscopy? 96.6 F to 98.6 F The CCMA knows that when taking an axillary temperature the normal reference range is? Sinoatrial node Which of the following conducts the electrical activity of the heart? The patient states that they will void their very first urine the morning they start collecting The CCMA knows that the patient understands instructions for collecting a 24hr urine when? Deltoid muscle Where does the CCMA administer an IM injection on a 5 year old child? FSH When a 45 yr old female patient states that she has been experiencing hot flashes and amenorrhea over the past few months, which blood test will the physician likely order? Otoscope Which of the following instruments would the physician use to examine a patient's retina? Cholelithiasis
