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2022 NHA CCMA Exam
Route of injection for Tuberculin/PPD screenings Correct AnswerIntradermal A provider has ordered a CBC, liver panel, and pro time for a pediatric patient. Which color micro-container should be filled 1st when performing a capillary collection? Correct AnswerLavender Liver dysfunction primarily affects which pharmacokinetic process? Correct AnswerMetabolism Winged infusion sets should be used to collect from which type of veins? Correct AnswerSmall veins You are obtaining a set of blood cultures from an adult patient. How many mL per bottle should you collect? Correct Answer8-10 mL A male patient is sitting with his arms crossed tightly against his chest and leaning back in his chair. He is likely feeling: Correct AnswerAngry When a male provider is performing a gynecologic exam on a patient the CMA should Correct AnswerStay with the patient and provide reassurance In a problem-oriented medical record, the pages are organized according to which of the methods of organization? Correct AnswerChronological When caring for a patient with tuberculosis, which transmission route should you take precautions against? Correct AnswerAirborne A provider has ordered these diagnostic tests for a patient: gallbladder series, chest x- ray, abdominal CT, and lower GI studies. Which test should be scheduled 1st? Correct AnswerChest x-ray When preparing to do an EKG on a patient who has known dextrocardia, which of the following EKG leads require placement modification? Correct AnswerPrecordial Which temperature-taking method poses a risk of exposure to blood borne pathogens? Correct AnswerRectal You open the door of a patient's room without introducing yourself or asking for permission to enter. This is considered: Correct AnswerInvasion of privacy You are discussing the purpose of an opiate med with a patient who has a new scrip as part of a palliative care plan. You should identify the purpose of the medication as: Correct Answerpain treatment
What is the first step of a suture removal procedure? Correct AnswerLift the knot toward the wound Appropriate response to a conscious adult patient experiencing a hypoglycemic emergency: Correct AnswerOffer the patient orange juice Which injection route should be utilized for insulin? Correct Answersubcutaneous A patient is angry + confused about a large bill. The CMA should Correct AnswerListen to the patient and try to resolve the problem You are cleaning a jagged, contaminated wound. What action should you take? Correct AnswerIrrigate the wound with sterile normal saline A patient's partner comes into the office demanding to know what the patient was seen for and why he was charge for the visit. How do you handle this situation when no Authorization to Release Health Information is on file? Correct AnswerAdvise them that privacy regulations prevent releasing patient information regardless of his relationship to the patient What is wave scheduling? Correct AnswerScheduling 3 patients to arrive at the same time for each hour of the day and each patient is seen in the order that they arrive Giving patients adequate information concerning methods, risk, and consequences prior to a procedure is called Correct AnswerInformed consent A provider has asked for a pulse ox reading on a patient. How can you obtain this reading? Correct AnswerClip the probe to the patient's earlobe A patient reporting intimate partner abuse should be assisted by the CMA in what way? Correct Answerprovide a list of relevant community organizations What type of apical pulse range outside of expected reference range should be reported to the provider? Correct AnswerA 6 week old infant who has a heart rate of 80/min What should you do to prep a blood specimen for transport to an outside laboratory? Correct AnswerEnclose the requisition in the outer pocket of the transport bag Pathogenic identification = Correct AnswerOutside of CMA scope What is the proper patient placement position for a vaginal exam? Correct AnswerLithotomy To reinforce Holter monitor (24 hr) teaching, what statement should you include? Correct Answer"Avoid getting the electrodes wet"
Adolescent patient reporting abdominal pain, which is found to be secondary to aerophagia. You need to explain to the patient that this condition is primarily related to: Correct AnswerSwallowing What information is required to be included on laboratory specimens and requisitions for wound cultures? Correct AnswerRecent antibiotic use What is a key goal of patient-centered care? Correct AnswerTo include patients and family in team communication How do you maintain quality control for CLIA-waived tests in the physicians office laboratory? Correct AnswerPerform routine in-house testing for accuracy What should you do before disposing of a sharps container? Correct AnswerPlace the sharps container into a secondary biohazards waste container A patient is scheduled for an orthopedic consult. What do you need to ensure the health record includes? Correct AnswerRadiology report Which site should you use for IM medication and administration? Correct Answerdeltoid or upper lateral thing (infants) What is cause for specimen rejection for a routine urinalysis? Correct AnswerUrine specimen volume is 6 mL When performing ear irrigation, what is an expected side effect for the patient to experience? Correct AnswerVertigo A patient has a high fever that comes and goes. What kind of fever is this? Correct AnswerIntermittent A patient is considered new for billing/coding purposes if he has not seen the provider in how long? Correct Answer3 years Where should you refer a patient for additional statistical information following a CABG surgery? Correct AnswerAmerican Heart Association Identify an iodine rich food Correct AnswerShellfish A patient sates that she is declining prescribed chemotherapy treatment due to concerns about side effects -- how should you respond? Correct AnswerRestate the patient's concern and ask a clarifying question You are giving a patient a purified protein derivative injection. What amount of the vaccine should the assistant administer? Correct Answer0.1 mL
What piece of equipment must be in the room for a patient who is having a contact lens evaluation? Correct AnswerOpthalmascope What chart should be used to test for color vision? Correct AnswerIshihara chart What is a reason to perform eye irrigation? Correct AnswerTo relieve inflammation and discomfort What needle size should be used for an intradermal injection? Correct Answer25 to 28 gauge You are scheduling a patient for a CT scan with contrast of the abdomen. What information should you obtain from the patient prior to the procedure? Correct AnswerPatient's possible allergy to shellfish In the sequence of the electrical stimulation of the heart, which of the following parts of the conduction system is stimulated next after the sinoatrial node? Correct AnswerAtrioventricular node What should you do to prepare to obtain a weight measurement from a 6-year-old child? Correct AnswerEnsure the scale is balanced What should you do when performing a capillary puncture on a 10-month-old patient? Correct AnswerWarm the site for a minimum of 10 minutes prior to puncture The timing of a glucose tolerance test begins Correct AnswerWhen the patient finishes drinking the glucose solution When should you verify insurance benefits for a new patient? Correct AnswerWhen scheduling the patient When performing a 12-lead EKG on a patient, which lead is used as a ground to help decrease interference? Correct AnswerRight leg What is a required element of an OSHA-mandated written exposure control plan? Correct AnswerProvision of PPE, free of charge Which is a part of the chain of infection? Correct AnswerReservoir host What hormone is detected in a urine pregnancy test? Correct AnswerHCG What is the proper cleaning method of a venipuncture site before an evacuated tube draw? Correct AnswerCleanse the skin in a circular motion from inside to outside To maintain compliance with standard precautions, which task requires glove usage despite the absence of any visible blood? Correct AnswerCyst removal
What is smoking a risk factor for? Correct AnswerAtherosclerosis You receive a call from a patient whose child has ingested a cleaning solution. What do you do? Correct AnswerInstruct the parent to call the Poison Control Center How do you weigh a patient with balance issues? Correct AnswerPosition a walker over the scale Adult vital signs -- summarize findings: BP (110/70), Temp (38.3 C / 100.9 F), Pulse (106/min), RR (22/min) Correct AnswerBP stable, RR slightly increased, patient febrile, HR slightly tachycardic Example of surgical reconstruction Correct AnswerRhinoplasty You are looking up diagnostic codes. What part of the diagnostic statement should you use when searching in the alphabetical index? Correct AnswerMain term Example scenario of HIPAA policy violation Correct AnswerDiscussing patient diagnosis in facility hallway What should you do to ensure chain of custody for a urine drug screen? Correct AnswerSeal the specimen collection container in front of the patient You obtain an elevated BP from a visibly upset patient. What action should you take? Correct AnswerRecheck BP after a few minutes When performing a distance visual exam, how far should you have the patient stand from the vision chart? Correct Answer20 feet You have a patient with a PPO insurance plan. The provider would like the patient to see a cardiologist. Which form should you use to complete this request? Correct AnswerReferral form When acting as a sterile scrub assistant, what action should you take? Correct AnswerMaintain a 1-inch border around the sterile field You are setting up a chart for a new patient. The office uses a SOAPE method of documentation. The patient's vitals should be documented in which area? Correct AnswerObjective What solution should you used to clean a work surface after a blood spill? Correct Answer1:10 solution of bleach and water
While setting up a tray for a minor procedure, you notice a coworker reaching across the sterile field to get something. You should: Correct AnswerBreak down the tray and start over Part of your job is to inform a patient about Correct AnswerPreoperative and postoperative instructions What does abbreviation "NS" mean? Correct AnswerNo show A patient reports sweating, flushed extremities, ringing in ears, and dizziness during his last blood draw. What is the greatest risk for the patient while performing a venipuncture? Correct AnswerSyncope What is a chronic complication of diabetes mellitus? Correct AnswerRetinopathy What should you do to secure all operations in the EHR? Correct AnswerSave all information on the computer in the desktop When completing a fecal occult blood test, you are testing for: Correct AnswerErythrocytes Proper aseptic technique includes: Correct AnswerUsing all alcohol-based rub in place of hand washing What is the purpose of inverting an evacuated tube after performing a venipuncture? Correct AnswerFor proper mixing of the additive contained in the tube and the specimen What is a legal tort that involved deception with the intent to deprive another person of his rights? Correct AnswerFraud You are preparing the autoclave to sterilize instruments. Which item is required to properly process the instruments? Correct AnswerSterilization indicators What is an effect of hemostasis? Correct AnswerIt promotes coagulation According to the patients Bill of Rights, which of the following is permissible when a patient request to review her EHR? Correct AnswerSchedule the patient to speak with the provider You are obtaining pregnancy test results for a 15 year old patient. The test is negative. To whom should you provide the results? Correct AnswerThe patient What should be reported to the safety team to ensure the medical office is prepare for a fire? Correct AnswerFire extinguisher pins are intact
You are confirming that a patient is in the basal state prior to a procedure. What is an acceptable response by the patient? Correct Answer"I have not eaten anything for 12 hours" You are applying EKG electrodes to a patient who is sweating profusely and presents with chest pain. What action should you take to acquire an adequate tracing? Correct AnswerEnsure skin is clean and dry What drug classification describes medications used to lower body temperature? Correct AnswerAntipyretics Anthropometric measurement is used for? Correct AnswerCompleting growth charts When considering a site for intramuscular injection, which will be appropriate for an infant? Correct AnswerVastus lateralis You are submitting an urgent referral request to the insurance company for authorization. How long will the process take? Correct Answer24 hrs You are checking a patient out at the reception desk after her scheduled appointment. What document should you check to confirm when the provider would like to have the patient return to the clinic? Correct AnswerEncounter form A 60-year-old female patient presents to the office with reports of hot flashes, night sweats, irritability, and irregular periods. You should expect the provider to request which of the following blood tests? Correct AnswerFollicle-stimulating hormone (FSH) When taking a patients BP, what Korotkoff sounds represent the systolic BP? Correct AnswerTapping From which area of the body should you obtain a body temperature using a temporal artery thermometer? Correct AnswerForehead A patient is scheduled for a 6 month follow-up for diabetes mellitus. What information should you include in the patient's medical record to ensure comprehensive care? Correct AnswerHemoglobin A1c results The use of an antihistamine to relieve allergies is an example of: Correct AnswerPalliative use Apical pulse is the preferred method for determining HR in what group: Correct AnswerInfants You enter a laboratory where a patient is already seated. What should you do first? Correct AnswerIdentify the patient
When complying with standard precautions, what is an appropriate action to take? Correct AnswerWearing goggles when processing blood specimens You are preparing a patient for an EKG. What should you do if the electrodes adhesives appear to be ineffective? Correct AnswerAttach the leads with cloth tape What safety standard is addressed by the Joint Commissions National Patient Safety Goals towards improving patient safety? Correct AnswerIdentify patients correctly What term describes surgical removal of the gallbladder? Correct AnswerCholecystectomy You are assisting with a biopsy of an abscess that requires the samples to be sent to the laboratory. The specimen requires an anaerobic collection device. You should recognize that the specimen should not be exposed to: Correct AnswerOxygen What is the correct practice when instructing a patient about the phlebotomy procedure? Correct Answer"Make a fist but do not pump" While obtaining a history from a patient who is receiving chemotherapy, you learn that the patient is experiencing increased hair loss. You should document the adverse effect as: Correct AnswerAlopecia You are interviewing a patient who reports symptoms of fever, body aches, and cough. You should anticipate that the provider will order testing for: Correct AnswerInfluenza You are scheduling all patients who are having cyst removals to be seen on the 1st Thursday of the month. What type of scheduling are you using? Correct AnswerGrouping You are speaking with a patient who is verbally angry about having to wait for her appointment. What action should you take? Correct AnswerInvite the patient into a private area of the clinic to speak A provider orders an ESR to be performed on a patient and describes the test to the patient. What statement made by the patient indicates an understanding of the teaching? Correct Answer"This test measures the distance my RBCs have dropped" What procedure is usually performed by a nurse or respiratory therapist? Correct AnswerArterial blood draw A provider has ordered you to administer a subcutaneous injection but does not indicate the dosage needed. What action should you take? Correct AnswerCall the provider to verify order
You should recognize that the need for spontaneity and creativity belongs in what level in Maslow's hierarchy of needs? Correct AnswerSelf actualization What items are necessary to have on hand for a postoperative suture removal procedure? Correct AnswerSterile thumb dressing forceps
