2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers, Exams of Nursing

Download 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers and more Exams Nursing in PDF only on Docsity! 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 1 / 9 1. A medical assistant is reviewing the list of medications a patient reports they are currently taking. The assistant should recognize that which the fol- lowing medications is available in sublingual form: Nitroglycerin 2. A medical assistant has orders to collect blood cultures, a CBC, a prothrom- bin time (PT), and an iron panel. They forget to draw for the PT. Which of the following actions should the assistant take?: Keep the specimens previously collected and draw the PT. 3. Which of the following is a medical assistant required to document in the electronic health record (HR) when administering immunizations to a patient?- : Lot number 4. A medical assistant is working with a patient who has a cognitive impair- ment that causes them to display short-term memory loss. In which of the following ways should the assistant adapt to this barrier?: Provide east to read handouts 5. Which of the following is a component of medical terminology used to ensure the ease of pronunciation?: Combining vowel 6. When performing venipuncture, which of the following is the correct order of draw?: Green , lavender, grey 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 2 / 9 7. Which of the following aseptic techniques can be achieved using dry heat, moist heat, ultraviolet light, gas, chemicals, or ionizing radiation?: Sterilization 8. Which of the following elements is a component of the standard precautions use of personal protective equipment (PPE)?: Mask 9. Which of the following processes provides the ability to send prescriptions electronically?: E-prescribing 10. Which of the following dictates the operations of physician office clinical laboratories?: Centers for Medicare and Medicaid Services (CMS) 11. Which of the following is a CLIA-waived laboratory test?: Human chorionic gonadotropin (hCG) test 12. Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract?: Cilia 13. A medical assistant administers an injection and the patient faints. Which of the following actions should the assistant take?: Place the patient in a supine position. 14. Which of the following means the absence of infection or infectious mate- rial?: Asepsis 15. Which of the following examples of patient coaching addresses disease prevention?: Providing information on the importance of recommended vaccines 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 5 / 9 45. which of the following statements describes the purpose of the right route as part of the rights of medication administration?: administering medication using the physical technique indicated by the providers written order. 46. which of the following task should a medical assistant have a patient com- plete prior to gowning for a physical examination to ensure that the patient is more comfortable and to make the examination easier for the provider?: have the patient empty their bladder 47. a medical assistant is performing a drug test on a patient. the temperature of the urine sample should be within which of the following temperature ranges for the sample to be usable?: 90-100 F 48. which of the following cell structures provides energy for cells?: mitochon- dria 49. which of the following is the normal setting for the standardization mark on the EKG?: 10 mm/mV 50. a medical assistant is processing a referral to a transition the care of a patient who has less than 6 months to live. to which of the following care facilities will the medical assistant refer the patient to?: hospice care facility 51. which of the following asepitic techniques involves using sound waves to vibrate and cleanse surgical instruments?: Ultrasonic Sanitization 52. a patient's ability to walk, groom themselves, bathe, and eat is evaluated by which of the following screenings?: functional status screening 53. when a medical assiatant is performing a patient interview it is important they understanad the patient message so that they can relay it accurately to the provider. which of the following techniques is the assistant using when they state i hear that you are saying: paraphrasing 54. in addition to receiving a paper copy of their prescription a patient has requested that the prescription be called in to their pharmacy. after calling the pharmacy which of the following actions should the medical assistant take to complete this request?: provide the patient with a copy of the prescription with the "copy only" written on it 55. which of the following is defined by 9 calorie per gram: the number of calories from fat 56. which of the following instruments should a medical assistant have pre- pared for a cervical polypectomy surgical procedure?: uterine curette 57. a medical assistant in an outpatient facility is preparing a patient for a venipuncture. which of the following actions should the assistant take to confirm the patient identity?: ask the patient to state their full name and DOB 58. A medical assistant is replacing a sharps disposal container in an exami- nation room and receives a small laceration on their arm from the plastic lid. 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 6 / 9 Which of the following types of documentation should the assistant complete as a result of this incident?: Incident report 59. Which of the following pulmonary function tests involves measuring the oxygen saturation of a patient's blood by placing a probe on their Finger?: - Pulse oximetry 60. In which of the following positions should a medical assistant place an 18-month-old patient when administering ear drops to the right ear?: Right ear facing up with the earlobe pulled down and back 61. A medical assistant is preparing a patient for a urine creatinine test. Over which of the following periods of time should the assistant instruct the patient to collect the specimen?: 24 hr 62. A medical assistant is preparing the exam room for a patient's general physical examination. Which of the following instruments should be available to the provider for the examination?: Otoscope 63. When performing routine follow-up calls to patients, which of the following actions should a medical assistant take first to notify the provider if the patient provides an unsatisfactory progress report?: Notify the provider immediately. 64. A medical assistant is billing a patient's third-party payer for today's office visit. Which of the following documents does this require?: An 837P/CMS-1500 claim form 65. A medical assistant must provide which of the following community re- sources to a patient who states their partner bent their arm backwards until it broke?: Domestic violence shelter 66. Which of the following information should a medical assistant verify at every office visit?: Allergies 67. A patient is having an EKG performed and is experiencing dyspnea. In which of the following positions should the medical assistant place the pa- tient?: Fowler's position 68. A medical assistant is providing instructions to give to a patient who is hard of hearing. which of the following should the assistant choose when speaking to the patient.: face the patient when speaking 69. which of the following stages described by the kobler ross grieving process indicates that a patient may attempt to give something up to gain more time?: the bargaining stage 70. A medical assistant is using an alcohol based hand sanitizer after patient contact. the hand sanitizer should contain at least what percentage of alco- hol?: 60 percent 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 7 / 9 71. A medical assistant is scheduling a procedure at a local facility for a patient. Which of the following steps should the assistant take first?: verify insurance will cover the procedure 72. A medical assistant is speaking with a patient about their social history and the assistant notices the patient is fidgeting and appears anxious . Which of the following nonverbal communication styles is the patient exhibiting.: - Passive communication 73. A medical assistant calls a patient from the waiting area to obtain a speci- men . Which of the following actions should the assistant do first?: Identify the patient 74. A medical assistant is preparing to print an after visit summary for a patient. which of the following direct identifiers should the assistant verifiy to protect the patients protected health information ? (PHI): Mailing address 75. which of the following is the purpose of utilizing a clinical centrifuge?: To separate a specimen into different components 76. which of the following is considered an adverse reaction?: Anaphylaxis 77. Which of the following vaccinations should patients receive at 7 years ole or older?: Tentanus, Diphtheria and pertussis 78. According to OSHA guidelines for proper waste disposal which of the fol- lowing should a medical assistant dispose of in a regular waste container?: an empty urine container 79. a medical assistant is creating a template for a provider to send electronic prescriptions which of the following is the most commonly included in elec- tronic prescription templates?: the medication type 80. when assisting a patient from a different culture which of the following should the medical assistant do to help the patient feel more comfortable in the medical office setting?: try to understand their beliefs about disease. 81. which of the following diagnosis statements is appropriate in the outpa- tient setting?: fever of the unknown origin 82. which of the following statements describes the doctrine of the profession- al discretion: when a patient request a copy of their medical records the provider may chose not to disclose all of the patient information 83. when obtaining a blood pressure reading which of the following describes how high a medical assistant should inflate the cuff?: to approximately 30 mm hg above the previously measured brachial pulse reading 84. which of the following is recommended age for children to receive their first hpv vaccine: 11-12 years old 85. which of the following conditions requires a patient to avoid gluten: celiac disease. 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 10 / 9 111. a medical assistant is performing a scratch allergy test on a patient back. which of the following distances describes the correct spacing for the small amount of allergens scratched onto the skin: 1 1/2 to 2 inches 112. a medical assistant is attempting to perform a routine venipuncture on an older adult patient and is having difficulty locating a palpable vein which of the following veins should the assistant use as a last resort: basilic veins 113. a medical assistant is preparing for a patient upcoming virtual visit. which of the following actions should the assistant take: ensure the appropriate release forms are completed by the patient prior to the visit 114. a medical assistant is performing a venipuncture for which of the fol- lowing amounts of time should the assistant observe the site after releasing pressure and applying a bandage to ensure there is no leakage: 5 to 10 seconds 115. a medical assistant is attempting to resolve a patient complaint. the assistant should identify that which of the following describes the defense mechanism of reaction. formation: the patient expresses the opposite of what they actually feel 116. after a patient leaves an examination room which of the following actions should a assistant take to prepare the examination table for the next patient?- : roll up the table paper on the table tightly and quickly 117. which of the following is a common root word: Append 118. a medical assistant is preparing a community resource library which of the following actions should the assistant take first?: complete a list of local community agencies 119. a medical assistant needs to remove all living micro organisms from a contaminated towel clamp which of the following methods should the assis- tant use to cleanse this instrument: sterilization 120. which of the following body systems work together to control and main- tain homeostasis: endocrine and nervous systems 121. a medical assistant is examining the skin on a patient forearm where the patient reports developing a rash the assistant notes multiple solid elevations that are less than .5 cm in diameter. which of the following terms should assis- tant use to document their observations in the patines medical record: papules sharps container must have the following ---------- Correct Answer --------- functionality, accessibility, visibility, accommodation functionality ---------- Correct Answer --------- leak and puncture resistant, durable for transport, have secure closure Accessibility ---------- Correct Answer --------- upright and easy to operate, in easy reach, below eye level, located away from obstructive areas visibility ---------- Correct Answer --------- having fill level and biohazard symbol 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 11 / 9 accomodation ---------- Correct Answer --------- easy to operate, minimal training, durable, safe when dealing with patients with HIV ---------- Correct Answer --------- have series of injection 2 hours within contact of exposure after splash of bodily fluid or contaminated material ---------- Correct Answer --------- immediately flush areas with large amount of water, report it, then seek emergency medical help sharps container ---------- Correct Answer --------- butterfly needle, evacuated tube needle, evacuated tube, syringe biohazard bin ---------- Correct Answer --------- disposable gown and gloves, plastic pipette, glucose strip, cotton ball, plastic aliquot tube waste receptacle ---------- Correct Answer --------- alcohol cleaning pad and package, glucose strip container, disposable tournaquet contact precautions ---------- Correct Answer --------- required for patients who have infections that spread via direct contact or contact with envionrnment. (ex: herpes) airborne precautions ---------- Correct Answer --------- for patients who have infection that spread via droplets that are smaller than 5 microns in diameter (ex: chickenpox, tuberculosis) petechiae ---------- Correct Answer --------- small red dots that appear on the skin during blood collection. Happens when patient has platelet issue. when occurs you do not have to stop procedure the correct method to cleanse a puncture site ---------- Correct Answer --------- use gauze or an antiseptic soaked pad in circle motions, beginning where the skin will be punctured and moving out. Allow to air dry Class C ---------- Correct Answer --------- fire involves electrical equipment, like electronics, appliances if experincing needle stick injury ---------- Correct Answer --------- 1.) decontaminate site 2.)document info 3.) have medical examination ASAP technician at great risk for HBV, CDC estimates risk of infection is 6-30% 3 stages of homeostasis ---------- Correct Answer --------- when blood vessel is injured, injury initiates a series of changes vasoconstriction platelet plug formation coagulation of blood vasoconstriction ---------- Correct Answer --------- blood vessel constrict and decreases loss of blood platelet plug formation ---------- Correct Answer --------- platelets activate/ release thromboxane A and secretes serotonin from active platelets which promotes further vasoconstriction coagulation of blood ---------- Correct Answer --------- clotting factors become active, they cause fibrinogen to convert to fibrin 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 12 / 9 capillaries ---------- Correct Answer --------- -permeable and function as exchange vessles. -oxygen and nutrients move into body cell from capillary -caused from a process of osmosis, diffusion, and filtration deoxygenated blood ---------- Correct Answer --------- veins carry it from body to heart pulmonary veins ---------- Correct Answer --------- carry deoxygenated blood back to the heart from the lungs jugular veins ---------- Correct Answer --------- return deoxygenated blood from head the head and neck to the heart saphenous vein ---------- Correct Answer --------- return deoxygenated blood from lower extremities to the heart blood trasnports ---------- Correct Answer --------- wastes and carbon dioxide to organs adults have about ---------- Correct Answer --------- 4 to 6 liters of whole blood in circulation plasma ---------- Correct Answer --------- is 55% of blood -plasma is made of 92% water and 8% mixture of protiens blood cells (red, white, platelets) ---------- Correct Answer --------- 40- 45% RBC ---------- Correct Answer --------- contain hemoglobin. hemoglobin ---------- Correct Answer --------- iron-containing protein that carries oxygen through the body. circulate around body for 120 days in which then turn into bone marrow WBC ---------- Correct Answer --------- comes in monocytes, lymphocytes, and granulytes. These cells fight infections. Destroy pathogens and produce antibodies Type AB ---------- Correct Answer --------- universal recipient Type O ---------- Correct Answer --------- universal donor RH negative individuals ---------- Correct Answer --------- may donate to RH-positive recipients but ONLY receive from RH-negative transmitting pathogen ---------- Correct Answer --------- requires connecting 6 links in the chain of cycle of infection: infectious agent reservoir portal of exit mode of transmission portal of entry susceptible host steps of communication cycle ---------- Correct Answer --------- 1. Sender develops the message 2. Sender encodes message into transmittable format 3. Sender transmits message 4. Receiver decodes the message 5. Receiver interprets the message 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 15 / 9 random urine specimen ---------- Correct Answer --------- a urine specimen collected at any time, without regard to diet or time of day (30-60 ml) urine specimen (male) ---------- Correct Answer --------- instruct to -clean the meatus outward in circular motion -if uncircumsized: retract foreskin and clean in circular motion. -urinate in toilet a bit then the cup -close container urine specimen (female) ---------- Correct Answer --------- instruct to -sperate labia and clean the area with soap and water (front to back) -seperate labia and pee in toilet then in cup -close container timed urine specimen ---------- Correct Answer --------- -rigid, light resistant containers, -patient starts at specific time -urinate in toilet first and record start time -patient collect all urine passed from start time until they reach the 24 hrs. -specimen should be kept on ice or refrierator if patient urinates in toilet then entire collection is invalid and should be thrown out. urinalysis ---------- Correct Answer --------- examination of patients urine for: -pH: range from 4.6-8.0 (normal range is 5.5-8.0) -specific gravity: expected range is 1.003-1.030 (usually is 1.010-1.025). Below 1.010=diluted. above 1.010= dehydrated -WBC and nitrates: indicate infection -hemoglobin: indicate bleeding, infection, cancer, other pathology -ketones: products of fat metabolism. precense in urine= diabities, starvation or vomiting -billrubin: indicates live disease or RBC destruction -protein: indicate inflammation, infection, kidney disease -glucose: indicate diabities mellitus fecal occult blood test (FOBT) ---------- Correct Answer --------- test to detect occult blood in feces -the patient will collect small stool specimens on specific cards and patient will mail it to laboratory stool specimen collection instructions ---------- Correct Answer --------- Defecate either into a sterile or a clean container and move specimen to a sterile container. Avoid getting urine or toilet water in the container. Secure the lid tightly on the specimen container, wash the outside of the container if necessary, affix the label, and wash hands thoroughly after the collection. Return the specimen to the lab immediately. semen specimen collection instructions ---------- Correct Answer --------- used for fertility testing, vasectomy, or criminal investigation -patient must ejaculate in container and write date and time. container should be brought to lab within the 1 hr. acceptable patient identifiers ---------- Correct Answer --------- use 2 of the following: -full name -DOB -home address -telephone number -last 4 SSN 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 16 / 9 -Photo ID explaining procedure ---------- Correct Answer --------- -Discuss the steps of the procedure -inform patient they will feel a slight bit of pain -tell the patient to say something immediately if they have severe pain or feel sick -briefly explain the complications of venipuncture and what to do if they occur preferred location for venipuncture ---------- Correct Answer --------- antecubital fossa 3 veins often used for venipunture ---------- Correct Answer --------- 1-median cubital vein 2- cephalic vein 3-basilic vein Locations not to use for venipuncture ---------- Correct Answer --------- Above an IV, arm that has arteriovenous fistula, shunt for hemodialysis, central venous access device, antecubital fossa on the same side as a recent mastectomy, or a site that has edema, scarring, or a hematoma. fasting urine specimen collection instructions ---------- Correct Answer --------- urinate before going to bed and collect urin when you wake up, refrigerate specimen and take to lab ASAP Neutral pH for urine ---------- Correct Answer --------- 7.0 sputum specimen collection instruction ---------- Correct Answer --------- collect sputum first thing in the AM. Take deep breath, cough forcefully and deeply, and cough/ spit in container. sufficient amt is 1-2 teaspoons needle ---------- Correct Answer --------- use 21-23 gauge for venipuncture -must have safety device -21-gauge most common -ETS are double sided - Hub, adapter, or needle holder ---------- Correct Answer --------- these are attached to needle and used to guide tubes toward the needle to initiate blood flow blood collection tubes ---------- Correct Answer --------- for adults- about 3 inches long and 1/2 to 3/4 inches wide - tubes have vacuum; adults tubes have a higher preassure than a child vessel so an adult tube could collapse a child vein. dont use are for blood collection if arm has ---------- Correct Answer --------- mastectomy, tattoos, hematoma, edema, scars, sclerosed vein, IV if testing for alcohol levels do not use ---------- Correct Answer --------- 70% isopropyl alcohol, instead use providine-iodine, chlorhexidine gluconate, or alc and povidont concentration. cleaning occurs for 30 secs sodium citrate ---------- Correct Answer --------- Found in light blue tubes and used for clotting tests, because it performs the best at preserving the coagulation factors EDTA ---------- Correct Answer --------- found in the lavender or pink tubes and used for most hematology tests, because it helps preserve the shape of cells and reduces platelet clumping 2024 NHA CCMA Certification Actual Exam with All Questions and 100% Correct Answers 17 / 9 heparin ---------- Correct Answer --------- found in green tubes and used for chemistry tests bc it prevents blood clots from cauing falsey elevated results Potassium oxalate and sodium fluoride ---------- Correct Answer --------- found in grey tubes and used for testing sugar, because the additive helps preserve the glucose and prevent glycolysis procedure of venipuncture ---------- Correct Answer --------- -equipment selection -observation and palpation -selecting vein -antiseptic application -venipuncture insertion and removal -postprocedure care how to anchor a vein ---------- Correct Answer --------- Place the thumb of your non-dominant hand approximately two inches below the intended site of insertion. Hold down firmly with a slight distal tug downwards what kind of need should be used for ETS method venipuncture ---------- Correct Answer --------- use 21-23 gauge, 1-1.5 in long most common additive in tubes ---------- Correct Answer --------- Anticoagulants or clot activators why use syringe method ---------- Correct Answer --------- used for patients who have fragile veins that collapse easily; the plunger on the barrel of the syringe allows you to manually adjust the rate that the blood is withdrawn from the patient characters of an ideal vein ---------- Correct Answer --------- well anchored, feels spongy, bouncy, straight and easy to access Best site choice for dermal punctures on children or adults ---------- Correct Answer --------- middle and ring fingers on non-dominant hand what to use if tournaquet is not available ---------- Correct Answer --------- blood pressure cuff pumped to 40mm/Hg what angle should be used for venipuncture in antecubital area ---------- Correct Answer --------- 15-30 degrees; the deeper the vein= greater the angle (never exceed 30 degrees). vein close to surface is 15 degrees. Latrogenic anemia ---------- Correct Answer --------- blood loss due to multiple venipunctures in a short period. how much blood volume should be collected ---------- Correct Answer --------- infants: no more than 10% of blood volume adults: no more than 100 mL -it should be 1-5% of total blood volume and 10% blood volume over an 8-week period for peds or critical ill patients to calculate infant blood volume ---------- Correct Answer --------- convert pounds to kilograms lbs ÷ 2.2 kg ex...if the wt is 6.2