AMCA CMAC EXAM 4 QUESTIONS &
ANSWERS(GRADED A+)
Which organization developed the guidelines for universal precautions?
Select one:
a. CLIA
b. OSHA
c. CDC
d. EPA
e. FDA - ANSWER c. CDC
According to OSHA, medical personnel must wear PPE (personal protective equipment)
when they have contact with:
Select one:
a. sweat
b. blood
c. hair follicles
d. tears
e. skin - ANSWER b. blood
To detect pregnancy, either urine or blood serum is tested for the presence of:
Select one:
a. luteinizing hormone
b. HCG hormone
c. potassium oxalate
d. oxytocin
e. febrile agglutinations - ANSWER b. HCG hormone
A bacteriological culture needs to be performed on a collected urine specimen. Which of
the following instructions best describe what your patient should do?
Select one:
a. Collect a 24-hour specimen.
b. Void the entire specimen in a sterile cup.
c. Void a specimen midstream in a sterile cup.
d. Void a specimen midstream in a clean cup.
e. Collect a midday specimen in a sterile cup. - ANSWER c. Void a specimen
midstream in a sterile cup
If a urine specimen is collected and then left standing for more than 1 hour, bacteria will
grow, and the pH of the urine will soon become:
Select one:
a. slightly acidic
b. both acidic and alkaline
c. alkaline
,d. neutral
e. highly acidic - ANSWER c. alkaline
The pH range for normal urine is
Select one:
a. 2.5 to 4.5
b. 4.5 to 8.0
c. 0 to 9.0
d. 7.5 to 9.0
e. 2.5 to 7.0 - ANSWER b. 4.5 to 8.0
If a patient normally drinks 10 or more 8-oz glasses of water each day; urine would most
likely be which color?
Select one:
a. yellow
b. dark yellow
c. brown
d. straw
e. red - ANSWER d. straw
Urine needs to be collected in which type of container if it is collected for bacterial
culture?
Select one:
a. freshly disinfected
b. sterile
c. washed and dried
d. rinsed
e. glass - ANSWER b. sterile
A routine analysis of urine is made up of which of the following sets of examinations?
Select one:
a. microscopic, chemical, physical
b. reagent, chemical, physical
c. visual, culture, reagent
d. microscopic, reagent, chemical
e. microscopic, analytic, chemical - ANSWER a. microscopic, chemical, physical
To prevent a urine specimen from becoming an unreliable pH sample, the specimen
should be:
Select one:
a. exposed to air for slightly more than 1 hour
b. allowed to rise to room temperature after refrigeration and before testing so that any
casts may break down to release protein
c. allowed time for the urea to convert to ammonia in order to decrease the pH
d. tested within 1 hour of collection
, e. always refrigerated immediately upon collection - ANSWER d. tested within 1 hour of
collection
When placing a urine specimen tube into the centrifuge for later creating a wet mount,
where should you place an identical tube containing water in that same centrifuge?
Select one:
a. a 2nd tube is not required
b. directly opposite the tube containing the urine specimen
c. to the left of the urine specimen tube
d. right beside the tube containing the specimen
e. at a 90° angle from the urine specimen tube - ANSWER b. directly opposite the tube
containing the urine specimen
The principal reason for bracing the hand holding the needle assembly against the
patient's arm during phlebotomy is to:
Select one:
a. decrease the patient's discomfort
b. cause the evaluation tubes to fill more quickly
c. prevent excess needle movement
d. ease vein palpation
e. decrease the possibility of hemolysis - ANSWER c. prevent excess needle movement
When a reagent strip is used to test a urine specimen and the result is positive for
ketones, this may be an indication of which condition?
Select one:
a. liver damage
b. alkalosis
c. diabetes mellitus
d. hypercalcemia
e. poisoning - ANSWER c. diabetes mellitus
The measure of the degree of acidity or alkalinity of urine is called:
Select one:
a. supernatant
b. microscopic examination
c. specific gravity
d. pH
e. routine urinalysis - ANSWER d. pH
All the steps listed are appropriate when performing a capillary puncture EXCEPT:
Select one:
a. gently rubbing the sides of the finger
b. placing a tourniquet around the finger
c. discarding the 1st drop of blood
d. selecting the ring finger of the hand
e. selecting the nondominant hand - ANSWER b. placing a tourniquet around the finger
ANSWERS(GRADED A+)
Which organization developed the guidelines for universal precautions?
Select one:
a. CLIA
b. OSHA
c. CDC
d. EPA
e. FDA - ANSWER c. CDC
According to OSHA, medical personnel must wear PPE (personal protective equipment)
when they have contact with:
Select one:
a. sweat
b. blood
c. hair follicles
d. tears
e. skin - ANSWER b. blood
To detect pregnancy, either urine or blood serum is tested for the presence of:
Select one:
a. luteinizing hormone
b. HCG hormone
c. potassium oxalate
d. oxytocin
e. febrile agglutinations - ANSWER b. HCG hormone
A bacteriological culture needs to be performed on a collected urine specimen. Which of
the following instructions best describe what your patient should do?
Select one:
a. Collect a 24-hour specimen.
b. Void the entire specimen in a sterile cup.
c. Void a specimen midstream in a sterile cup.
d. Void a specimen midstream in a clean cup.
e. Collect a midday specimen in a sterile cup. - ANSWER c. Void a specimen
midstream in a sterile cup
If a urine specimen is collected and then left standing for more than 1 hour, bacteria will
grow, and the pH of the urine will soon become:
Select one:
a. slightly acidic
b. both acidic and alkaline
c. alkaline
,d. neutral
e. highly acidic - ANSWER c. alkaline
The pH range for normal urine is
Select one:
a. 2.5 to 4.5
b. 4.5 to 8.0
c. 0 to 9.0
d. 7.5 to 9.0
e. 2.5 to 7.0 - ANSWER b. 4.5 to 8.0
If a patient normally drinks 10 or more 8-oz glasses of water each day; urine would most
likely be which color?
Select one:
a. yellow
b. dark yellow
c. brown
d. straw
e. red - ANSWER d. straw
Urine needs to be collected in which type of container if it is collected for bacterial
culture?
Select one:
a. freshly disinfected
b. sterile
c. washed and dried
d. rinsed
e. glass - ANSWER b. sterile
A routine analysis of urine is made up of which of the following sets of examinations?
Select one:
a. microscopic, chemical, physical
b. reagent, chemical, physical
c. visual, culture, reagent
d. microscopic, reagent, chemical
e. microscopic, analytic, chemical - ANSWER a. microscopic, chemical, physical
To prevent a urine specimen from becoming an unreliable pH sample, the specimen
should be:
Select one:
a. exposed to air for slightly more than 1 hour
b. allowed to rise to room temperature after refrigeration and before testing so that any
casts may break down to release protein
c. allowed time for the urea to convert to ammonia in order to decrease the pH
d. tested within 1 hour of collection
, e. always refrigerated immediately upon collection - ANSWER d. tested within 1 hour of
collection
When placing a urine specimen tube into the centrifuge for later creating a wet mount,
where should you place an identical tube containing water in that same centrifuge?
Select one:
a. a 2nd tube is not required
b. directly opposite the tube containing the urine specimen
c. to the left of the urine specimen tube
d. right beside the tube containing the specimen
e. at a 90° angle from the urine specimen tube - ANSWER b. directly opposite the tube
containing the urine specimen
The principal reason for bracing the hand holding the needle assembly against the
patient's arm during phlebotomy is to:
Select one:
a. decrease the patient's discomfort
b. cause the evaluation tubes to fill more quickly
c. prevent excess needle movement
d. ease vein palpation
e. decrease the possibility of hemolysis - ANSWER c. prevent excess needle movement
When a reagent strip is used to test a urine specimen and the result is positive for
ketones, this may be an indication of which condition?
Select one:
a. liver damage
b. alkalosis
c. diabetes mellitus
d. hypercalcemia
e. poisoning - ANSWER c. diabetes mellitus
The measure of the degree of acidity or alkalinity of urine is called:
Select one:
a. supernatant
b. microscopic examination
c. specific gravity
d. pH
e. routine urinalysis - ANSWER d. pH
All the steps listed are appropriate when performing a capillary puncture EXCEPT:
Select one:
a. gently rubbing the sides of the finger
b. placing a tourniquet around the finger
c. discarding the 1st drop of blood
d. selecting the ring finger of the hand
e. selecting the nondominant hand - ANSWER b. placing a tourniquet around the finger
