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A epically assistant is preparing a patient for wearing a Holter monitor. Which of the following instructions should the assistant include? - Ans-"You should avoid using an elec…
CCMA Certification Practice Test 2.0 C /NHA: Medical Assistant. Questions and answers with rationale
CCMA Certification Practice Test 2.0 C /NHA: Medical Assistant. Questions and answers with rationale
What is the first step in the blood collection procedure?
What position should the patient be in for a rectal exam
A CCMA is peeping a patient for a 12-lead EKG, what is the correct placement for lead v4
The 5th intercostal space at the midclavicular line
When determining therapeutic medication monitoring levels, what information should the CCMA recognize as most important in measuring trough levels?
When the next dose is due
What statement made by a new CCMA, regarding an artifact, demonstrates a need for further teaching
Electrical interference on the EKG is not caused by cell phones
A CCMA is caring for a patient who is crying. What should the CCMA do?
What is the proper procedure after collecting an ammonia specimen
Place the specimen tube in an ice-water slurry
How far away should an eye chart be away from the patient's eyes
What determines the choice to preform a capillary puncture?
What degree should a needle be inserted in the anticubital area
When drawing blood, what protective devise should the CCMA wear
What instruction would a CCMA tell a patient when a midstream urine sample is needed
Begin urination into the toilet, collect the next portion, and complete urination into the toilet
If electrodes come loose on an at home telemetry monitor, what should the patient do?
Apply surgical tape to the electrodes to keep them in place
What is a CLIA-waived lab test
A CCMA is scheduling a patient for an outpatient procedure, what should the CCMA do first?
Obtain an oral or written order from the provider for the procedure
Intramuscular injections go in at what degree
What is the most important factor to consider when collecting a chain of custody specimen
A CCMA uses a category 3 code in procedural coding to do what?
What instruction should a patient be given when the CCMA administers an enteric-coated tablet?
Swallow tablet whole with a glass of water
What should be used for cleansing around the urinary meatus in a clean catch urine sample
A CCMA is providing instruction to a patient on how to take an extended release medication PO. What statement made by the patient indicates a need for further teaching
I can crush or chew the pill, if it's too hard for me to swallow
A CCMA is caring for a preschooler that is 40kg what is the conversion to pounds
20 seconds into measuring a patient's pulse, a CCMA detacts an irregular heartbeat. What action should the CCMA take
Measure the pulse for 2 minutes
A patient presents to the emergency department with a large laceration to the wrist that is bleeding profusely. What should the CCMA do first
What is the CCMAs role in pulmonary function testing (PFT)
Coach the patient though the test
What technique should the CCMA use while bandaging a wound
Wrap the wound from distal to proximal
A phlebotomist receives orders to draw an infant screening card. O2 levels, bilirubin, and DNA. What should be taken first
What techniques can a CCMA use to confirm patient's understanding of insulin administration
Observe the patient as she performs a self-demo
What can cause a hemolyzed specimen
Shaking the collection tube vigorously
The lab report indicates a patient hemoglobin level of a 7 what should the CCMA do first
A CCMA recorded a male patient's hemoglobin value as 9. What should she tell the provider about this result
It is below the normal reference range
What statement made by the CCMA demonstrates an understanding of required patient identification techniques
I will ask the patient to state her full name and date of birth, before administering vaccines
A provider ordered a tobramycin level to be drawn 1 hour after dose. The tobramycin has been ordered for an inpatient at 1100 what action should the CCMA take?
Verify the dose with the nurse
What is required when drawing a forensic sample
Have the receiving laboratory sign a chain of custody form
A CCMA had orders to collect blood cultures CBC, PTT, and an iron panel. He forgets to pull the PTT what action should the CCMA take
Keep the specimens collected and draw the PTT
A provider has ordered a patient to wear a telemetry monitor at home. What statement made by the patient indicates a need for further instruction
If an electrode comes off, I will re attach it at home
What is outside of a CCM a scope practice
Order additional laboratory test to confirm the patient's condition
When recording information into the medical record for a patient diagnosed with inflammation of the lining of the heart what term should the CCMA use
AC CMA is performing a chain of custody specimen collection what statement by the CCMA indicates a need for further teaching
Specimens collected at the end of the day should be transported immediately the next morning
What additive should be used when performing a CBC
For 5 lead electrode placement for ambulatory monitoring where should the CCMA place the green ground electrode
Centered over a rib on the right side
During a routine venipuncture the patient becomes pale and diaphoretic. What is most likely to occur to this patient
A CCMA is caring for a patient who has a body mass index of 23 this patient should be categorized as what
What should a CCMA recognize as open hour scheduling used at the urgent care center where she works
Patients arrive at their convenience and are seen on a first come first serve basis
A CCMA has to use the snellen chart to test an adults patient's vision acuity. The CCMA needs to tell the patient to stand how far away
A CCMA is caring for a number of patients at the same time what patient should the CCMA interrupt a previously scheduled appointment
An adult who is experiencing dyspnea and congestion
What is the correct method for calculating a patient's heart rate from the EKG
Divide 1500 by the number of small boxes between two R waves
Upon entering a patient's room for a routine blood draw a CCMA notices a clergy member is with the patient the CCMA should do what
Return after drawing other patients
A CCMA is educating an older patient on wound care what should the CCMA do to ensure the patient understands
Have the patient repeat information
When should a CCMA choose a CPT modifier
Special circumstances applied to the procedure performed by the provider
What is the ergonomically correct method for lifting heavy loads in the workplace
According to OSHA guidelines A CCMA should dispose of blood soil gauze dressing where
In addition to name and phone number which of the following pieces of information is required to schedule an appointment
While preforming a pulse oximetry reading on a patient what factors should the CCMA recognize as contributing to an erroneous result
A first-time patient is arriving late to the office what should the CCMA say first
Hello welcome to our office
What needle size is most appropriate for a subcutaneous injection
What test is granted waived status under clinical laboratory improvement amendment
A patient who weighs 72 KG is what in pounds
What is an acceptable reporting of routine lab results
Send the results to the physician in an marked envelope
A patient who has a temp of 100.4°F what is his temperature in Celsius
Why is it important to place a specimen and biohazard specimen bag when transporting to an outside laboratory
The biohazard bag prevents exposure incident
Patients are restricted from doing what while wearing a Holter monitor
What type of appointment system allows flexibility to allow to most constant patient flow
A patient presents to an office for treatment. After reading the consent form, she has second thoughts. Who is responsible for counseling the patient
According to OSHA's guidelines for proper waste disposal, what can the CCMA place in regular waste container
A patient tells a CCMA that her physicians office is incompetent, as there is no improvements in her condition. What is an appropriate response
I think that you feel that your treatment is not effective
How often should a CCMA perform an inventory of controlled substances
What techniques should a CCMA use to put a young child at ease prior to administering an injection
Ask the child about non-health related subject
What laboratory values should the CCMA immediately report to a patient's provider
A patient reports she weighs 110lbs. What is her weight in KG
A CCMA is teaching a patient to give himself insulin injections. What patient statements confirms an understanding of the instructions
The insulin will be at room temperature for the injections
A patient states that it is his first blood draw what is an appropriate action
The clinical medical assistant is coding an office visit where the provider reviews the systems that are related to the chief complaint. But does not go into the patient's family or social history. In determining the level of service provided what will the assistant used to code the visit
Expanded problem focused history
A patient request a female provider to perform her exam due to religious conviction. A female provider is not available. What is the appropriate response by the CCMA
Assist the patient and locating a provider to accommodate the patients needs
Where should the sea CMA Plessis electrodes for leads the for V7 V8 and V9
Evenly spaced on the back between the axillary line and the vertebral column and the fifth intercostal space
When should the code on glucose cuvettes be compared to the code on the glucometer
Before the patient is tested
What template for medical record documentation is organized by the entity that supplied the data
A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected
The specimen was insufficient
What question is important to ask a patient before collecting a metabolic panel
When was the last time you ate
A CCMA is drawing blood from a patient and observes red spots. What is the appropriate action for the CCMA to take
Apply more pressure to the site after the draw
And employee at a cardiologist office calls CCMA office inquiring about a referral patient what test results can the CCMA disclose to the caller
A CCMA should recognize that what statement by a patient means that they need further education
I will take my medication with food before I go for my surgery
A CCMA is to administer a subcutaneous injection on a patient who is obese. What needle should the CCMA use
1/2 to 5/8 inch needle, 23 to 25 gauge
What activities should a CCMA tell a patient to record in his holter monitor diary
A CCMA is monitoring an infant patient for microcephaly, what describes the anthropometric measurement the the CCMA should preform
A CCMA has a blood pressure cuff inflated and partially opens the valve to deflate as she listens with a stethoscope. When should she read the diastolic pressure
When the sound disappears
What test result is affected when povidone iodine is used to cleanse the site for a dermal puncture
Adolescent child is covered by two insurance policies under her married parents. In order to determine the primary policy, what does the CCMA obtain
The policy of the parent with the earliest birth month
Which of the following waves should a CCMA use to determine the regularity of ventricular depolarization
What parenteral medication routes should a CCMA administer for a slow release of medication into the blood stream
A CCMA Is collecting a blood sample from a patient and notices the patient becomes unresponsive. The CCMA determines the patient is not breathing and does not have a pulse. What should the CCMA do first to respond to the patient status
A CCMA is preparing to perform an EKG on a three-year-old patient. What is an appropriate action for the CCMA to take before the procedure
Tell the child that the procedure won't hurt
A CCMA is measuring the intervals on an EKG tracing. What is an anticipated finding of impaired conduction through the AV node
What lead groups represents Einthoven's triangle
What is the correct order of draw
A patient loses consciousness. The EKG tracing revels ventricular fibrillation. What should the CCMA do first
Call for help and begin CPR
A CCMA is preparing to irrigate a patient's ear. How is the procedure described
Use room temperature water to irrigate the ear canal
What term should a CCMA use to tell the provider that a patient is having discomfort and difficulty breathing
A CCMA patient is caring for patient who has active tuberculosis. What PPE should be used during the patient's care
The patient's bill or rights protects individuals from what?
Denial of care due to the patient's age
Why would a CCMA document on the chart when a patient calls to cancel a postoperative appointment, and says that she will reschedule later
To prove that the office wasn't negligent
A provider is going on vacation and wants a CCMA to notify his patient's. What is the best way to reach a patient about this notification?
For a 12-lead EKG, what is the correct placement for the fourth precordial electrode (v4)
At the fifth intercostal space, left midclacicular line
A CCMA is providing instructions to a patient prior to a pulmonary function test. What statement indicates the patient needs further instructions
I can use my nebulizer 20 minutes prior to the pulmonary function test
What is required to schedule an outpatient procedure after receiving a providers order
The patient's demographic information
Some older obese patients may not have accessible antecubital veins. In this case a CCMA can use what vein
When using CPT codes, what do modifiers indicate?
Alteration in service preformed
A CCMA is performing a spirometry test for a patient who has a respiratory disease what is the pest position for the patient
A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg how many tablets should the CCMA give the patient
The CCMA should recognize that a typical 7-year-olds heart rate should be what
What is the proper time period for the collection of a newborn screening card
A patient is reporting chest pain and pressure. If the patient is experiencing a heart attack what lab test results could be elevated
What dressing should the CCMA use on burns or wounds that have necrotic tissue
The primary code in CPT coding system consists of how many digits
When preforming the palpatory method for obtaining blood pressure, what indicates the level the CCMA should inflate the cuff
30 mm above the radial pulse cessation
A CCMA must choose the correct tube color to correspond with what?
A CCMA must invert anticoagulant tubes to prevent what
A clinical medical assistant is drawing five blood collection tubes when should the tourniquet be released
With in 1 minute of applying the tourniquet
What abbreviation applies to HIPPA regulations and to insurance in health care setting
What statement made by a CCMA about patient records indicates a need for further teaching
It is okay for me to share personal information with the patient's employer
What should a CCMA preform on a hemostat prior to autoclaving
A CCMA is preparing to preform a hand draw, what does the CCMA need to assemble
Winged infusion set and adapter
What action should the CCMA take to verify the quality of venipuncture supplies before beginning a blood draw
Inspect the integrity of the needles seal
What should the CCMA do first when blood is splashed in her eye
The provider orders the CCMA to prepare a tablespoon of medication for a patient. How many milliliters of medication should the CCMA draw up
A CCMA is caring for a patient who is 5'7 what is the height in centimeters
A CCMA has had a request to collect a routine CBC from a healthy 10-month-old infant. What is the most appropriate collection site
When preforming a visual acuity test for a pediatric patient what distance should the CCMA use
A patient's boy temp is its lowest at
What should the patient do first before doing a finer stick
Confirm the correct identity of the patient
What is the name of the legislation that protects healthcare staff from retaliation by their employers when they report cases of patient neglect and abuse
Whistleblower protection act
What is the most accurate ways for a temperature
A CCMA is taking the temp of a patient that just smoked a cigarette what is the correct sequence for taking this patient's temperature
Pulse, respirations, blood pressure and temperature
A patient calls the facility and asks for the cost of a surgical procedure what is the CCMA appropriate response
Quote the cost of the procedure
What lab result is abnormal
A CCMA observes a hematoma developing at the site of a venous blood draw. What should the CCMA do
Release the tourniquet and stop the draw
A provider places an open sharps container in the linen hamper by mistake. What is the appropriate action for the CCMA to take
Dispose of the linen hampers contents as a biohazard
A CCMA is preparing sterilization for hemostats before an invasive procedure what techniques should the CCMA use
When applying a holter monitor how many leads are placed on the patient
A CCMA needs to type a professional business letter from the office, what format is appropriate
Keep flush with the left margin
An office is still using paper charts. What order would the CCMA return the cart that belongs to Mary St.Thomas. Other charts include Mary Perez, Elizabeth Saint, and John A Thomas
After Elizabeth Saint and before John A Thomas
A provider request that a CCMA provides lab results to a patient. When the CCMA calls the phone is disconnected using the EMR system how else can the CCMA get the results to the patient
What technique should the CCMA use for routine cleaning of EKG cables
____ test is one that the CCMA must follow chain of custody guidelines