(NHA) CLINICAL MEDICAL ASSISTING CERTIFICATION STUDY
GUIDE ACTUAL EXAM NEWEST 2025 VERSION COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+(NHA Certification as a
Clinical Medical Assistant. Guide covers phlebotomy)
What is the hallmark of infraction - ANSWER-The presence of
abnormal Q waves When is a Q wave (Hallmark of infraction)
considered abnormal - ANSWER->1mm (0.04 sec) wide and the
height is greater than 25% of the height of the R wave in that lead
The WHO criteria for the diagnosis of MI (At least two of them) -
ANSWER-Clinical history of ischemic-type chest comfort,
changes on serial EKG tracings, and the rise and fall of serum
cardiac markers
List some cardiac markers - ANSWER-Triponin, CK, LDH, SGOT,
AST
What is a negative holter? - ANSWER-A negative holter will have
no significant arrhythmias or ST changes
How long is a holter monitor worn - ANSWER-24 hours or longer
,Why is a holter monitor done? - ANSWER-To rule out arrhythmias
or ischemia
How many electrodes are on a holter monitor? - ANSWER-5
A positive holter is one that recorded at least one or more of
these abnormalities - ANSWER-Tachy, bradycardia, ST segment
elevation or depression, and pauses
When is the event monitor used? - ANSWER-Only when
symptoms occur
List drugs given for acute MI - ANSWER-Oxygen, epinephrine,
isoproterenol, dopamine (Intropin), beta blocker (olol) lidocaine,
verapamil, digitalis, morphine, and nitroglycerin
What is a powerful smooth muscle relaxant with the side effect of
headache - ANSWER-Nitroglycerin patch or sl
Digitalis does - ANSWER-increases the force of cardiac
contractions as well as cardiac output, toxicity in 20% of patients
Butterfly - ANSWER-Winged infusion set
,What is the most important task of a phlebotomist - ANSWER-
Check patient ID
With the bevel upward insert the needle at which angle -
ANSWER-15-30 degrees
Prandial - ANSWER-Fasting
What is important to do first after dermal puncture? - ANSWER-
Wipe away the first drop
Timed specimens - ANSWER-Hormone levels, blood levels of
medications, monitor Pt. condition e.g. hemoglobin level (Internal
bleeding)
The BP cuff inflation for a bleeding time test - ANSWER-40mm Hg
Trough levels are collected - ANSWER-30 minutes before the
scheduled dose
Indication for blood cultures - ANSWER-FUO indication the
presence of pathogenic microorganisms in the blood
(Septicemia)
While administering a OGTT it is important to take with each
sample? – ANSWER-Urine sample
, When are OGTT scheduled to begin? - ANSWER-7-9am
The two hour postprandial test is used for? - ANSWER-Evaluation
of diabetes mellitus
The OGTT is used for? - ANSWER-Diagnosing diabetes
The 3 hour OGTT is used for? - ANSWER-To test for
hyperglycemia
The 5 hour OGTT is used for? - ANSWER-To test for
hypoglycemia, for disorders of carbohydrate metabolism
PKU - ANSWER-Test for babies and to detect phenylketonuria, a
genetic disease that can cause mental retardation and brain
damage
Cold agglutinins - ANSWER-Antibodies produced in response to
atypical pneumonia, must be kept at 37 C
ABG, ammonia, lactic acid, pyruvate, parathyroid test handling -
ANSWER-Chilled in crushed ice and water mixture
Bili - ANSWER-Bile
GUIDE ACTUAL EXAM NEWEST 2025 VERSION COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+(NHA Certification as a
Clinical Medical Assistant. Guide covers phlebotomy)
What is the hallmark of infraction - ANSWER-The presence of
abnormal Q waves When is a Q wave (Hallmark of infraction)
considered abnormal - ANSWER->1mm (0.04 sec) wide and the
height is greater than 25% of the height of the R wave in that lead
The WHO criteria for the diagnosis of MI (At least two of them) -
ANSWER-Clinical history of ischemic-type chest comfort,
changes on serial EKG tracings, and the rise and fall of serum
cardiac markers
List some cardiac markers - ANSWER-Triponin, CK, LDH, SGOT,
AST
What is a negative holter? - ANSWER-A negative holter will have
no significant arrhythmias or ST changes
How long is a holter monitor worn - ANSWER-24 hours or longer
,Why is a holter monitor done? - ANSWER-To rule out arrhythmias
or ischemia
How many electrodes are on a holter monitor? - ANSWER-5
A positive holter is one that recorded at least one or more of
these abnormalities - ANSWER-Tachy, bradycardia, ST segment
elevation or depression, and pauses
When is the event monitor used? - ANSWER-Only when
symptoms occur
List drugs given for acute MI - ANSWER-Oxygen, epinephrine,
isoproterenol, dopamine (Intropin), beta blocker (olol) lidocaine,
verapamil, digitalis, morphine, and nitroglycerin
What is a powerful smooth muscle relaxant with the side effect of
headache - ANSWER-Nitroglycerin patch or sl
Digitalis does - ANSWER-increases the force of cardiac
contractions as well as cardiac output, toxicity in 20% of patients
Butterfly - ANSWER-Winged infusion set
,What is the most important task of a phlebotomist - ANSWER-
Check patient ID
With the bevel upward insert the needle at which angle -
ANSWER-15-30 degrees
Prandial - ANSWER-Fasting
What is important to do first after dermal puncture? - ANSWER-
Wipe away the first drop
Timed specimens - ANSWER-Hormone levels, blood levels of
medications, monitor Pt. condition e.g. hemoglobin level (Internal
bleeding)
The BP cuff inflation for a bleeding time test - ANSWER-40mm Hg
Trough levels are collected - ANSWER-30 minutes before the
scheduled dose
Indication for blood cultures - ANSWER-FUO indication the
presence of pathogenic microorganisms in the blood
(Septicemia)
While administering a OGTT it is important to take with each
sample? – ANSWER-Urine sample
, When are OGTT scheduled to begin? - ANSWER-7-9am
The two hour postprandial test is used for? - ANSWER-Evaluation
of diabetes mellitus
The OGTT is used for? - ANSWER-Diagnosing diabetes
The 3 hour OGTT is used for? - ANSWER-To test for
hyperglycemia
The 5 hour OGTT is used for? - ANSWER-To test for
hypoglycemia, for disorders of carbohydrate metabolism
PKU - ANSWER-Test for babies and to detect phenylketonuria, a
genetic disease that can cause mental retardation and brain
damage
Cold agglutinins - ANSWER-Antibodies produced in response to
atypical pneumonia, must be kept at 37 C
ABG, ammonia, lactic acid, pyruvate, parathyroid test handling -
ANSWER-Chilled in crushed ice and water mixture
Bili - ANSWER-Bile
