NHA CCMA Study Guide/ NHA certification Study Guide for CCMA 2022 VERIFIED 100% pdf

NHA CCMA Study Guide/ NHA certification Study Guide for CCMA 2022 VERIFIED 100% pdf When drawing blood, always have the patient make a ___________________ Correct Answer: fist When performing an EKG (ECG), the ______lead is placed on the shoulder. Correct Answer: black When giving a (PPD) purified protein derivative injection or TB test, the CMA should draw up _______of vaccine into the syringe. Correct Answer: 0.1 ml The CMA has many duties. Just a few include performing venipuncture, giving injections, taking vital signs, doing paperwork, but NEVER _____________. Correct Answer: giving medical advice. A common side effect of a patient taking Coumadin or Warfarin is a __________ (bruise). Correct Answer: hematoma A ___________infection, also known as a Hospital Acquired Infection or HAI, is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. Such infections include fungal and bacterial infections and are aggravated by the reduced resistance of individual patients. Correct Answer: nosocomial A _________ (or butterfly) is used for patients with fragile veins. Correct Answer: winged infusion set _____________ position is most vital for patients whose BP drops rapidly. Correct Answer: Trendelenberg ____________ is a surgical fixation of a segment of the small intestine to the abdominal wall. Correct Answer: Enteropexy _____________is a condition in which the lens of the eye loses its ability to focus, making it difficult to see objects up close. The CMA should escort this patient and lead them since their vision has been compromised. Correct Answer: Presbyopia The 10 rights (R')s of medication administration are: Correct Answer: 1) RIGHT Patient 2) RIGHT Medication 3) RIGHT Dose 4) RIGHT Time 5) RIGHT Route 6) RIGHT Education 7) RIGHT to Refuse 8) RIGHT Assessment 9) RIGHT Evaluation 10) RIGHT Documentation When performing CPR, the CMA should do at least __________ compressions per minute. _____ to ________ compressions per second. Correct Answer: 100 compressions per minute. 1 to 2 compressions per second. The __________position is the best position to put a patient in to obtain a rectal temperature. Correct Answer: Sims' A patient with TB should be in ___________precautions. Correct Answer: airborne Infectious agents move from the source to the host by means of "_________________" Correct Answer: mode of transmission Please list the 6 elements in the Chain of Infection: Correct Answer: 1) Susceptible Host 2) Infectious Agent 3) Reservoir 4) Portal of Exit 5) Mode of Transmission 6) Portal of Entry __________ (Material Data Safety Sheets) is a vital component of OSHA (Occupational Safety and Health Administration). Correct Answer: MSDS ________pulse is used in determining the heart rate of infants. Correct Answer: Apical ____________________ enforces safety conditions in the medical office. Correct Answer: OSHA (Occupational Safety and Health Administration) Following a blood draw, the CMA should watch the patient intently if they start to ______or_________. Correct Answer: twitch or shake _________means the study of causation or origination. The word is most commonly used to refer to why things occur or even the reason behind the way things act. Correct Answer: Etiology The CMA must make sure that when assisting with an OB/GYN exam that the ________be warmed up by _________over it and then ________properly. Correct Answer: running warm water over it and then lubed properly A ________is an abnormal growth of tissue projecting from a mucous membrane. If a patient states that he or she has a growth that grew rapidly, the CMA would chart it as a ___________________. Correct Answer: Polyp; Polyp Laboratory tubes and additives: Yellow Tube Top Correct Answer: Additive = SPS (Sodium Polyanethal Sulfonate) Laboratory tubes and additives: Light Blue Correct Answer: Additive = Buffered Sodium Citrate Laboratory tubes and additives: Red Correct Answer: Additive = NONE Laboratory tubes and additives: Gold Correct Answer: NONE Laboratory tubes and additives: Light Green Correct Answer: Lithium Heparin Laboratory tubes and additives: Dark Green Correct Answer: Sodium Heparin Laboratory tubes and additives: Purple/Lavender Correct Answer: EDTA (Ethylenediaminetetracetic Acid) Laboratory tubes and additives: Gray Correct Answer: Potassium Oxalate ___________ or hCG is a hormone produced during pregnancy that is made by the developing placenta after conception. Levels of hCG may be measured in the blood or urine. Most commonly, this is done as a ____________test, intended to indicate the presence or absence of an implanted embryo. Correct Answer: Human Chorionic Gonadotropin; Pregnancy test The ___________________form is also called a "super bill" or "encounter form" and is the ________________claim form used by physicians. Correct Answer: CMS-1500 form; universal claim form Alcohol swabs should be ordered __________at a physician's office. Correct Answer: monthly An ___________________injection is given to patients who are being tested for allergies. Correct Answer: intradermal To routinely clean the examination table, the CMA would use the technique of _______________ to disinfect. Correct Answer: medical asepsis Hazardous waste should be put in a _________________________bag Correct Answer: red bio-hazard The special delivery for an arterial blood gas (ABG) is on _____________ Correct Answer: ice You must always report a needle stick to your supervisor _________________ Correct Answer: immediately It can be considered _____________if a CMA enters a patient's room without introducing themselves or acknowledging the patient. Correct Answer: invasion of privacy The most important thing to tell a patient when collecting a 24 hour urine test is to ______the first urine in the morning. Because the first urine will be ______________ Correct Answer: void; more concentrated Venipuncture Procedures: (please list them in order) Correct Answer: 1) ID patient 2) Introduce yourself, explain what you are about to do 3) Wash your hands 4) Put on gloves 5) Apply tourniquet 6) Palpate to find a vein 7) Clean venipuncture site 8) Let the site AIR DRY (Do NOT blow on site, wave hands or dry with gauze) 9) Anchor vein 10) Insert needle and perform draw 11) Half-way through procedure, remove tourniquet 12) Remove tube from Vacutainer 13) Remove needle and discard immediately into a sharps container. 14) Immediately apply pressure with gauze 15) Label tube (always while still at patient's side) 16) Throw away supplies 17) Wash hands 18) Thank patient 19) Promptly deliver specimen(s) to laboratory When measuring an infant from head to toe, the ___________position is the best position to obtain an accurate measurement. Correct Answer: supine When communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the _________________ Correct Answer: caregiver The best solution to clean up urine off a floor is a ______ percent bleach solution, by mixing _____ percent bleach to ________percent water Correct Answer: 10% bleach solution; 10% bleach to 90% water A ________________must be obtained per some health insurance policies to determine if a particular procedure will be covered under the patient's health insurance. Correct Answer: pre-authorization When collecting blood cultures from a patient it is recommended that you collect at least _______mLs of blood. Correct Answer: 3-4 What is Informed Consent? Correct Answer: Inform the patient of the possible risk and outcome of a procedure What is Implied Consent? Correct Answer: Extending an arm for phlebotomy or an unconscious patient who needs treatment in an emergency. What is Written Consent? Correct Answer: Must be written and signed by the patient or legal guardian. An example would be an HIV test or pregnancy test. All of these situations must be documented. When collecting a urine sample, place the patient's name and DOB on the specimen _____. Not the _______since the ______can be lost. Correct Answer: bottle; not the lid, since the lid can be lost If a STAT electrolyte panel was reported to have a critically elevated sodium level, then most likely a ________ (color tube top) was drawn. A STAT chemistry test should be drawn in a ___________(color) top tube. Correct Answer: Gold; green If a patient has Parkinson's Disease and needs an EKG (ECG) most likely this patient would have ________________show up on his or her EKG (ECG). Correct Answer: somatic tremor A streptococcal test would always be collected on the _____________ Correct Answer: throat Always ____________the patient. Correct Answer: ID, IDENTIFY Call for help ___________when a fire is present. Correct Answer: FIRST Order of draw and Laboratory Dept Correct Answer: 1) Yellow - Microbiology 2) Light Blue - Coagulation 3) Red - Chemistry 4) Gold - Chemistry 5) Light Green - Chemistry 6) Dark Green - Chemistry 7) Purple/Lavender - Hematology 8) Gray - Chemistry ST segment elevation shown on an EKG (ECG) is associated with a ______________ Correct Answer: myocardial infarction A CMA cannot perform a CBC test with a____________ Correct Answer: differential __________________is removal of a kidney Correct Answer: Nephrectomy If a patient is having an EKG (ECG) and is diaphoretic, the CMA should apply _______________to help facilitate a better connection. Correct Answer: conduction gel Please list the steps in Capillary Collection (finger sticks) Correct Answer: 1) ID patient 2) Introduce yourself and explain what you are about to do. 3) Wash hands 4) Put on gloves 5) Ask patient to rest arm in a downward position for at least 30 seconds 6) Choose either the middle or ring finger 7) Clean with alcohol and allow to air dry 8) Using a sterile lancet, puncture the skin 9) Wipe off the first drop of blood with gauze 10) Collect blood specimen 11) DO NOT excessively milk the finger 12) Gently apply pressure with gauze 13) Apply bandage 14) Throw away supplies 15) Take off gloves 16) Thank patient