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NHA CCMA QUESTIONS ANSWERS.

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NHA




NHA CCMA QUESTIONS &
ANSWERS
CC - ANSWER Chief Complaint

Segment - ANSWER Line between two wave forms

P-wave - ANSWER Atrial Depolarization
How many 1mm boxes are in a 6 second Rythm strip? - ANSWER 30 one
millimeter
boxe
s
The SA node represents which waveform on the ekg? - ANSWER Only the P-
wave

What is the reading you can get from the RR interval? - ANSWER Ventricular
Pulse
What is the primary stage of Hemolisis? - ANSWER Vascular phase and
platelet phase
togeth
er
What is Electophoresis? - ANSWER Analyzation of the chemical components
of blood
e.g. hemoglobin, serum, urinem cerebrospinal fluid based on
electrical charge.
Positive testing for occult blood in a stool sample turn which color? -
ANSWER Turns
Blue on a positive test for occult blood in
feces.
The stages of Hemostasis: - ANSWER 1. Vascular 2. Platelet Phase 3.
Coagulation
Phase 4.
Fibronolysis
Blood Vessels - ANSWER Aorta, arteries, arterioles, capillaries, venues,
veins, superior
and inferior vena
cavae.
Outer connective tissue layer of a blood vessel - ANSWER Tunica adventitia

Inner endothelial tissue layer of a blood vessel - ANSWER Tunica Intima

The inner smooth layer of a blood vessel - ANSWER Tunica media




NHA CCMA QUESTIONS & ANSWERS

,NHA



The standards of right and wrong in a medical setting - ANSWER Code of
Ethics
What do you find in capillaries? - ANSWER A mixture of venous and
arterial blood is
foun
d
The average adult has how many liters of blood? - ANSWER 5-6 liters

What is the percentage of water in blood? - ANSWER 92%

Percentage of plasma in blood - ANSWER 55%

Percentage of Formed Elements in the blood - ANSWER 45%

99% of formed elements in blood - ANSWER RBC's or Erythrocytes

Where you find Hemoglobin - ANSWER RBC's

Where do all blood cells originate? - ANSWER Bone Marrow

How many RBC's per microliter of blood - ANSWER 4.2-6.2 million

What is the second most numerous WBC? - ANSWER Lymphocyte with 20-
40% Their numbers increase in intracellular infections and TB - ANSWER
Monocytes
Their numbers increase in bacterial infections and often are first on scene -
ANSWER
Neutrophi
ls
These WBC's play an important role in viral infection as well as in immunity.
- ANSWER
Lymphocyt
es
Number of leukocytes for average adult per micrometer - ANSWER 5000-
10000

Leukopenia - ANSWER Decrease in WBC's seen with viral infection and
leukemia

Comprises 3-8% of wbc or leukocytes - ANSWER Monocytes

Largest in size of the leukocytes - ANSWER Monocytes

Carries Histamine - ANSWER Basophil
Injury to a blood vessel that causes it to constrict, slowing the clot of blood -



NHA CCMA QUESTIONS & ANSWERS

, NHA




ANSWER
Cascular phase of
hemostasis
Preferred site for venipuncture - ANSWER Antecubital fossa
Test used to evaluate the intrinsic pathway and monitor heparin
therapy - ANSWER
APTT also know as
PTT
Test used to evaluate the extrinsic pathway and also used to monitor
warfarin therapy -
ANSWER
PT
Fibrinolysis - ANSWER Breakdown and removal of a clot

Converts the temorary platelet plug into a stable fibrin clot - ANSWER
Coagulation
phas
e
2nd choice vein for venipuncture most often the only one palpatable in
an obese pt -
ANSWER Cephalic
vein
Antiseptics used in Phlebodtomy - ANSWER 70% isopropyl alcohol pads most
common, provolone iodine for bc, s and chlorhexidine gluconate for patients
that are allergic to betadine/ iodine

Length of needle commonly used in venipuncture - ANSWER 1 ince (up to
1.5")

Guage of needle that can cause hemolysis - ANSWER Smaller than 23
guage

Average gauge of needle used for drawing blood - ANSWER 21-22

3 skills of the phlebotomist - ANSWER social, clerical, technical

Analytical errors during collection of blood - ANSWER extended tourniquet
time, hemolysis, wrong order of draw, failure to invert tubes, faulty technique
under filling tubes

Analytical errors before collection of blood - ANSWER Patient
misidentification, improper time, wrong tube, not fasting, exercise (cortisol
levels), PT posture, poor coordination with other treatments, improper side
prep, medication interference




NHA CCMA QUESTIONS & ANSWERS

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