CCMA Final Exam

3 tsp = ? tbsp

1 tbsp

When performing a capillary puncture, the finger should NOT be forcefully squeezed to avoid:

diluting the blood sample with tissue fluid

Examples of other potentially infectious material (OPIM)

- Body fluids - Non-intact skin - Mucous membrane

Something that is sterile is considered contaminated if it ____

- Comes in contact with a pathogen - Touches something clean - Becomes wet

Considerations when administering meds

- Hold the patient 20-30 mins after med administration - Pt should be asked about allergies to meds, latex, or adhesive bandages - Know common conversion measurements

Yellow Tube Top

- Use: Blood Culture (BCx) - Additive: SPS

Red Tube Top

- Use: Serum - Additive: none

Sutures inserted into FACE, HEAD, or NECK are usually removed after...

3-5 days

Correct number of hours for PPD reading

48-72 hours

1 tsp = ? mL

5 mL

Angle for TB skin test

5-15 degrees

BP measure during contraction

Systolic BP

Which term describes a wound resulting from disease or accident?

Unintentional wound

Tachycardia

x > 100bpm

Intravenous (IV) Injection Angle

25 degrees

Subcutaneous Injections angle

45-90 degrees

T/F: MAs are allowed to administer meds in any situation.

FALSE!!!

T/F: A respirator can be used at any time.

False -- a respirator should only be used following a successful respirator fit test.

____ describes the practice that directly affects the health of the patient, provider, and staff

Infection control

How many times should labels on all irrigation solutions, antiseptic solutions, and medications be checked for minor office surgery procedures?

MINIMUM OF 3 TIMES

Which of the following is the best reason for using warm water for handwashing?

Prevents from skin chapping and cracking

Vision Test Chart is called

Snellen chart

Tool to obtain BP

Sphygmomanometer

Fainting medical term

Syncope

Subcutaneous Injection site

abdomen, upper arm, upper back

Correct techniques when pouring a sterile solution

- Ensuring that the solution is within its expiration date - Placing your palm over the label to protect label while pouring - Checking the label of the solution bottle

Max ID dose

0.2 mL

3 Things the MA should do if the patient has elevated BP

1. Remeasure using opposite arm 2. Wait a few mins and remeasure on the same arm 3. Follow facility protocol regarding this incident

6 Rules of Medication Administration

1. Right Patient 2. Right Drug 3. Right Dosage 4. Right Route 5. Right Time 6. Right Documentation

Normal BP

120/80

Normal body temp

97-99 (98.6 most accepted temp)

Light Green Tube Top

Additive: Plasma Separating Tube with lithium heparin Mode of Action: anticoagulants with lithium heparin Uses: chemistry

Dark Green Tube Top

Additive: sodium/lithium heparin Uses: ammonia level

___ is referred to as a silent killer because it can be asymptomatic

Hypertension (high BP)

Best Vein for Venipuncture

Median cubital vein

What effect does patient movement have during pulse oximetry?

Prevents probe from picking up pulse signal

____ provides info on the hazards and actions necessary when working with specific chemicals

Safety Data Sheets

What is the purpose of SANITIZING instruments?

To remove debris from instruments in preparation for disinfection and sterilization.

Common site for oil-based meds

Ventrogluteal

Which of the following may change the status of the patient's collection site for phlebotomy? a. Dehydration b. BP c. Respiration

a. Dehydration

Which of the following describes the "rate" respiration characteristic? a. Number of breaths per min b. Time between breaths c. Consistency of breaths d. Amont of air inhaled or exhaled

a. Number of breaths per min

Which of the following type of patient visits is conducted using technology to facilitate an encounter with the patient and provider in different locations? a. Telehealth visit b. Office visit c. Physical therapy visit d. Orthopedic visit

a. Telehealth visit

Which of the following statements BEST applies to sterilization? a. The sterilization process can destroy spores. b. Sterilization processes require two people. c. Disinfecting a counter surface is a form of sterilization. d. Face shields should always be worn during the sterilization process.

a. The sterilization process can destroy spores.

Lavender tube top

additive: EDTA (anticoagulant) use: CBC

Light Blue Tube Top

additive: sodium citrate use: anticoagulant for coagulation studies

When measuring BP, how should the patient's arm be positioned?

at heart level

Which of the following is used to reduce the number of microorganisms on the skin by destroying pathogens? a. Sanitization b. Sterilization c. Aseptic handwashing d. Aseptic techniques

c. Aseptic handwashing

Which of the following items should be on the sterile tray or pack? a. Package of sterile gloves b. Specimen container c. Instruments and gauze d. Saline-pouring solution

c. Instruments and gauze

Which of the following describes the "depth" characteristic of respiration? a. Number of breaths per min b. Time between breaths c. Consistency of breaths d. Amount of air inhaled or exhaled

d. Amount of air inhaled or exhaled

Which of the following is used for blood collection with or without additives? a. Venipuncture b. Transfer device c. Butterfly needle d. Evacuated Tube System (ETS)

d. Evacuated Tube System (ETS)

Which of the following would an MA NOT perform during minor surgery? a. Apply sterile dressings b. Prep meds for procedure c. Prep sterile field d. Suturing after provider has completed procedure

d. Suturing after provider has completed procedure

After the patient interview process, which of the following should the MA check before exiting the exam room? a. Patient's next appointment b. Patient home care instructions c. Patient's pharmacy info d. That all equipment is working properly

d. That all equipment is working properly

To ensure accuracy when measuring oral temp electronically...

verify the patient has not consumed any cold or hot foods/liquids in the past 15-30 mins

Bradycardia

x < 60 bpm

Which receptacle should sutures be disposed in?

Biohazardous waste container

Machine that uses heat and high pressure with steam to sterilize surgical equipment

Autoclave

Pulse site in neck

Carotid arteries

If a median cubital vein cannot be used which one should be used?

Cephalic vein, then basilic vein

What to check for while gathering surgical supplies

Check: - that the stripes on the autoclave tape changed color - that the sterile packs are not expired - that there are no holes, tears, or moisture in wrapping materials

Vaccine adminstration site

Deltoid

BP measure during relaxation

Diastolic BP

T/F: Obtaining equipment and supplies that the provider may need during the exam is usually done during the concluding steps of the patient's visit.

False: completed during the initial steps of the patient visit.

What color tube is used for glucose testing?

Gray top

What color tube is used for plasma determination?

Green top tubes

Which term describes a wound resulting from a surgical incision?

Intentional wound

One respiration equals

One inhalation and one exhalation

PHQ

Patient Health Questionnaire -- depression

When prepping the Mayo stand and opening a sterile pack, what is the first step?

Perform hand hygiene and don sterile gloves

Branch of medicine that studies drugs and their origins, prep, usage, and effects on the body?

Pharmacology

Which factor must be considered when prepping a patient for a minor surgical procedure?

Physical limitations

Which receptacle should staples be disposed in?

Puncture-proof sharps container

Which tube is used for serum testing?

Red top tubes

When does the third and final review of solutions and medications occur?

Right before pouring/administering

Med strength is reviewed when checking which medication rights?

Right dose

Explanation of possible side effects of a medication would be part of which rights of medication administration?

Right to know

___ best describes the complete destruction of all microorganisms through specific means

Sterilization

How can MAs best promote effective information gathering during the patient interview?

The MA should display compassion and understanding while interviewing the patient.

T/F: Heavy duty utility gloves should be worn over disposable gloves to minimize the risk of sharps or chemical exposure to the skin.

True!

Common site for toddler IM injection

Vastus lateralis

Best way for MAs to prevent contamination of medication or equipment

Wash hands

When does the first label review of solutions and medications occur?

When pulling supplies

When does the second label review of solutions and medications occur?

While setting up table/prior to use

Hematoma

a collection of blood under the skin

Which of the following should the MA do when setting up a tray for winged infusion collection? a. Check expiration dates on all supplies b. Label all tubes c. Open needle packages

a. Check expiration dates on all supplies

Which of the following is experienced by a patient when their temp begins to rise? a. Coldness and chills b. Bradycardia c. Hyperventilation d. Hypotension

a. Coldness and chills

GAD

anxiety screening

Which of the following illustrates the correct order of steps for a patient interview? a. Instruct patient to change into gown, perform hand hygiene, and exit exam room. b. Gather patient's vitals, obtain any equipment the physician may need, and provide patient with wait time. c. Perform hand hygiene, instruct patient to change into gown, and exit exam room.

b. Gather patient's vitals, obtain any equipment the physician may need, and provide patient with wait time.

Which of the following best describes instrument sterilization? a. Minimizes the entry of infectious material into the body. b. The complete destruction of all microorganisms through specific methods. c. Barrier protection. d. The scrubbing of instruments with a detergent to clean items that only touch the skin.

b. The complete destruction of all microorganisms through specific methods.

Buccal administration

between the cheek and the lower teeth

BP artery

brachial artery

GDS

geriatric depression scale

Lumen of a injection needle refers to...

interior of needle

Arrythmia

irregular heart beat

MMSE

mini mental status exam for dementia patients

During surgery, what table holds items that cannot be directly placed on/next to the sterile field?

side table

Capillary Puncture

the method of acquiring blood from a fingertip or heel

Chief Complaint is:

the primary reason(s) for the office visit

Sublingual administration

under the tongue

Tourniquet application

- 3-4 in above elbow - Remove after 60 sec

Infection Control

- All body fluids from any patient are considered infectious - PPE should be provided by the healthcare facility for employee use - Written infection prevention policies and procedures should be available to all staff members

Sanitization can be described by:

- First step before disinfection and sterilization - Scrubbing of instruments with a detergent - Removes blood, mucus, and other contaminants

Intradermal (ID) Injections

- Normal dose is 0.1 mL; no more than 0.2 mL - Tuberculin syringe often used

Why are sharp instruments separated from other instruments during sanitization?

- To prevent these instruments from rubbing together and becoming dull - To protect the healthcare worker from being injured by a sharp blade or edge

Gray Tube Top

- Use: Glucose - Additive: potassium oxalate and sodium fluoride

Green Tube Top

- Use: plasma - Additive: sodium heparin & lithium heparin

Intradermal (ID) Injection Angle

10-15 degrees

How far should the MA stand from the Mayo stand during a surgical procedure?

12 inches

Angle for routine venipuncture

15-30 degrees

1 oz = ? tbsp

2 tbsp

Overweight BMI

25-29, 30+ is obese

Medication labels are compared to the provider's order ___ times throughout the procedure to ensure you are administering the correct medication

3 TIMES

1 oz = ? mL

30 mL

Correct angle when using butterfly/winged infusion set on the hand

5-10 degrees

Sutures inserted into the ARMS or LEGS are usually removed after...

7-14 days

Intramuscular (IM) Injection Angle

90 degrees

What may occur if the needle is removed from the arm before removing tourniquet?

Bleeding may occur around puncture site

Order of the Draw

Blood Cultures (yellow) / Light Blue / SST Serum (red or tiger strip) / Light Green / Dark Green/ Lavender / Gray

What should the MA do if a patient refuses to be weighed?

Document the refusal in the medical record for the provider

How often should a medical assistant update the patient's medical history?

Every visit

What type of PPE is the best option for a healthcare worker to wear if they have prescription eyeglasses?

Face shield

T/F: Pressing your fingers against the patient's arm to anchor the vein during blood collection helps keep the needle anchored.

True!

T/F: When prepping surgical trays and items for a procedure, it is the MA's responsibility to practice sterile techniques and ensure that items are sterile from prep thru the end of the procedure.

True!

Which of the following is a set of infection control practices used to prevent the transmission of diseases that can be acquired by contact with blood, bodily fluids, non-intact skin and mucous membranes? a. Sterilization b. Hand washing c. Standard precautions d. CDC

c. Standard precautions

BMI equals

height and weight