FINAL CCMA CLASS EXAM!

Why should a lab coat, gloves, and protective eyewear be worn during lab testing of urine for pregnancy?

Lab coat, gloves, and protective eyewear should be worn during testing of hCG pregnancy test to protect the medical assistant for possible splash risks

What statement most accurately reflects how lab tests are used?

Lab testing is used in conjunction with health history and physical examination to provide essential data for the diagnosis and management of a patient's condition

Developmental assessment in pediatric procedures includes

Language skills, motor skills, social skills

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 statement best promotes effective information gathering?

Medical assistants should display compassion and understanding while interviewing the patient

Which food items should be avoided before fecal occult blood test?

Melons

Capillary puncture description

Method of acquiring blood from fingertip or heel

Venipuncture description

Method of acquiring blood with a hollow needle inserted into a vein

MMSE

Mini mental status exam -- dementia

What results in patient discomfort during venipuncture procedure?

Moving the needle after it has been inserted into the vein

Phrase that best describes the patient's chief complaint

My back hurts and I feel tingling in my right leg

Rate respiration characteristic

Number of breaths per minute

Which items should a medical assistant gather for a throat specimen that will be tested onsite?

One to two sterile swabs depending on facility protocol

V5 color

Orange

What is used to create barriers that protect skin, clothing, mucous membranes, and the respiratory tract from infectious agents?

PPE

First step in setting up and preparing to conduct a pulmonary function test

Peak flow meter

When preparing the Mayo stand and opening a sterile pack, which of the following would be the first step?

Performing hand hygiene and donning sterile gloves

Which is a consideration when preparing a patient for a minor surgical procedure?

Physical limitations

What is the correct way to handle a swab for onsite testing?

Place the swab in the original wrapper

Why is warm water best for handwashing?

Prevents skin chapping and cracking

What is the first step in setting up and preparing to conduct a pulmonary function test?

Review the patient's chart to check the reason for the visit and any other testing orders

Medication strength is reviewed when checking which medication right?

Right dose

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

Right to know

Which table holds items that cannot be placed directly on or next to the sterile field?

Side table

What should a medical assistant do if a patient has elevated BP?

- Remeasure using the opposite arm - Wait for a few minutes and re-measure on the same arm - Follow facility policy regarding this incident

True statements in regard to explaining and performing spirometry testing

- Spirometry tests provide a narrative and graphic representation of breathing capacity - explaining the procedure helps the patient understand what to expect - obtain consent to perform the procedure

Supplies for nasopharyngeal specimen collection

- Sterile nasal swabs - Viral transport medium - Full PPE

Purpose of measuring infant head circumference

- To determine if normal brain development is taking place - To screen for microcephaly and macroencephaly

Steps prior to placing an infant on a weight scale

- Undress the infant - Tare the scale - Place disposable paper protector on the scale Vaccines occur after provider exam

When handling test kits, the medical assistant should

- Wear gloves and other PPE - Perform controls according to manufacturer's instructions - Run the test according to manufacturer's instructions

1 oz = ? mL

30 mL

Obese BMI

30+

Appropriate angle for subcutaneous injections

45-90 degrees

Correct number of hours for PPD reading

48-72 hours

V1 Electrode

4th intercostal space, right of sternum

1 tsp = ? mL

5 mL

Winged Infusion/Butterfly needle angle of insertion (Hand)

5-10 degrees

Appropriate angle for tuberculin skin test

5-15 degrees

V4 Electrode

5th intercostal space, midclavicular line

Normal heart rate

60-100bpm

Sutures inserted into arms or legs are removed after

7-14 days

Body temp normal range

97-99 degrees Fahrenheit

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

A. Telehealth visit

Which of the following best apply to sterilization? A. The sterilization process can destroy spores B. Sterilization processes require 2 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

Which of the following is not applicable to instrument sanitization? A. Wrapping materials B. Sink with cold and hot running water C. Waste container D. Disinfection container

A. Wrapping materials

Which of the following represents an error in technique when pouring a sterile solution? A. Ensure that the solution is within its expiration date B. Place the solution cap on a flat surface with the open end facing down C. Placing your palm over the label to protect the label when pouring D. Check the label of the solution bottle

B. Place the solution cap on a flat surface with the open end facing down

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

Bleeding may occur around the puncture site

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

C. Standard precautions

Term that described the procedure for checking the spirometer function

Calibration

What should a medical assistant do when setting up a tray for winged infusion collection?

Check expiration dates on all supplies Labels should be placed AFTER blood collection

What symptoms are experienced by a patient when their temperature begins to rise?

Coldness and chills

Hematoma

Collection of blood under skin; a bruise

Which of the following does not belong to the supplies to be gathered when administering vaccines to an infant? A. Immunization schedule B. Vaccine site map C. Ordered vaccine D. 18-gauge needle

D. 18-gauge needle (way too big!)

Which of the following info belongs to the "social hx" category obtained during the patient interview? A. Previous hospitalization B. Childrens' ages C. Medications D. Illicit drug use

D. Illicit drug use

What should the medical assistant do if a patient refuses to have their weight measured?

Document the refusal in the medical record for the provider

Which statement is true about telehealth visits?

Each facility should establish its own protocol for the process of beginning a telehealth visit

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

Every visit

True/False: placement of the electrodes with tabs pointed toward the head allows for the lead wire to follow the contour of the body, reducing the tension place on them and the likelihood of crimping

False

True/False: Obtaining equipment and supplies that the provider may need during the exam is usually done during the concluding steps of the patient visit.

False -- INITIAL STEPS

V2 Electrode

Fourth intercostal space, left sternal border

GDS

Geriatric depression scale

Which of the following describes rooming?

Getting a patient ready for the provider

Glucose testing tube top

Gray tube tops

Plasma testing tube top

Green top tubes

What supplies should a medical assistant assemble for a wellness checkup?

Growth chart

What would indicate that you should not perform testing?

If individual testing items have been opened

Wound resulting from a surgical incision

Intentional wound

Which statement is true when considering an effective patient encounter?

It is important to treat each patient encounter and visit as unique.

The measure of the force of blood against the artery walls while the heart is contracting

Systolic

What should the medical assistant do if a patient is out of breath or feels faint during spirometry testing?

Temporarily stop the test to give the patient time to rest

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

True

True/False: Single-dose vials are premeasured, so calculation and dosage do not have to be monitored as closely

True

True/False: When preparing surgical trays and items to be used during a surgical procedure, it is the medical assistant's responsibility to practice sterile techniques and ensure that items are sterile from preparation through the end of the procedure

True

True/False: pressing fingers against the patient's arm to anchor the vein during blood collection procedure helps keep the needle in the vein

True

Best description of electrocardiogram

Used to record electrical activity of the heart

Which letter denotes the chest/precordial leads to the

V, with numbers 1-6

Personal record that includes the names of vaccines administered and dates of administration

Vaccine administration record

Info sheet produced by the CDC that explains benefits and risks of a vaccine?

Vaccine information statement

Common site for toddler when administering intramuscular injection

Vastus lateralis

What is true when ensuring the accuracy of oral temp electronically?

Verify that the patient has not consumed any cold or hot foods/liquids in the past 15-30 minutes

When is the first label review of solutions and medications conducted?

When pulling supplies

V2 color

Yellow

Blood culture tube top

Yellow top tubes

Volume

amount of blood pumped into the heart

What does a medical assistant perform prior to the collection of nasopharyngeal specimen?

check swab and transport medium packaging for expiration date

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

diluting the blood sample with tissue fluid

Pregnancy tests detect which hormone

hCG (human chorionic gonadotropic hormone)

___ is referred to as a silent killer because it is often asymptomatic

hypertension

V5 Electrode

midway between V4 and V6, anterior axillary line

Chief Complaint

primary reason(s) for the office visit

After the patient interview process, what should the medical assistant check before exiting the exam room?

That all the equipment is working properly

Why is it important to develop a rapport with a pediatric patient?

The child is more likely to be cooperative during procedures

What best describes instrument sterilization?

The complete destruction of all microorganisms through specific methods

Best technique for measuring infant length

The infant is in supine position

EHR

electronic health record

Best vein for venipuncture

Median cubital vein then cephalic, then basilic

Eupnea

normal breathing

The ___ should be placed on a tray in the correct order the injections will be administered

syringes

What is the rationale for being careful not to touch the lips, teeth, tongue, or inside cheeks during throat specimen collection?

to avoid contaminating the specimen

Best description of instrument sanitization

to remove debris from instruments in preparation for disinfection and sterilization

What is the common goal of telehealth visits?

to support the connection between doctors and their patients

Something that is sterile is considered contaminated if it

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

What must be taken into consideration when applying medications

- Hold the patient 20-30 minutes after medication administration - Patient should be routinely asked about their allergies to medications, latex, or adhesive bandages - It is important to know common conversion measurements

Max intradermal dose

0.2 mL

Symptoms that may warrant EKG

Fainting, shortness of breath, dizziness NOT headache

Wound resulting from disease or accident

Unintentional wound

What effect can patient movement have on the pulse oximetry procedures?

Prevents the probe from picking up the pulse signal

Infant vaccine needle size

1 inch

What is the preferred distance between injection sites if used on the same thigh in infants?

1 inch

Infection Control

1. All body fluids from any patient should be considered infectious 2. PPE should be provided by the healthcare facility for employee use (OSHA) 3. Written infection prevention policies and procedures should be available to all staff

3 Steps for Cleanliness

1. Sanitization, 2. Disinfection, 3. Sterilization

Sanitization

1. Scrubbing of instruments with a detergent 2. Removes blood, mucus, and other contaminants 3. Sanitization is the first step before disinfection and sterilization

Why should sharp instruments be separated from other instruments during sanitization?

1. To prevent instruments from rubbing together and becoming dull 2. To protect healthcare workers from being injured by a sharp blade or edge

Toddlers up to 2 years vaccine needle size

1.5 inches

How far should the medical assistant stand from the Mayo stand?

12 inches

How many leads on standard EKG

12 leads

Appropriate angle for intradermal injections

15 degrees

Routine venipuncture angle of insertion

15-30 degrees

1 oz = ? tbsp

2 tbsp

Appropriate angle for intravenous (IV) injections

25 degrees

Overweight BMI

25-29

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

3

How many tsp in tbsp

3 tsp = 1 tbsp

Appropriate angle for intramuscular injections

90 degrees

Sites of subcutaneous injections

Abdomen, upper arm, upper back

What is used to reduce the number of microorganisms on the skin by destroying pathogens?

Aseptic handwashing

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

At heart level

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

Autoclave

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 the exam room.

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

V3 Electrode

Between V2 and V4

Where should sutures be disposed of

Biohazardous waste container

Which artery is the stethoscope placed over when taking BP

Brachial artery

Which virus commonly uses nasopharyngeal specimen for testing

COVID-19

The measure of the force of blood against the artery walls while the heart is relaxing

Diastolic

Lab test used to check stool samples for hidden blood

Fecal occult blood test

Which type of specimen is best for pregnancy testing?

First urine specimen of the day

Red wire is connected to

Left leg

One respiration equals

One inhalation and one exhalation

Where should staples be disposed

Puncture-proof sharps container

V1 color

Red

Serum testing tube top

Red top tubes

Fainting aka

Syncope

What is the purpose of sanitizing instruments?

To remove debris from instruments in preparation for disinfection and sterilization

V4 color

blue

What is the best way a medical assistant can prevent contaminating the medication or equipment that is used when preparing medications?

wash hands

What increases the visibility of the throat structures?

when the uvula is elevated

Bradycardia

x < 60bpm

Tachycardia

x > 100bpm

Sutures inserted into face, head, or neck are removed after

3-5 days

Which of the following is not a criterion that should be checked when gathering supplies? A. Check that the internal indicator in a sterile tray turned the correct color B. Check whether the stripes on the autoclave tapes changed color C. Check that the sterile packs are not expired D. Check that there are no holes, tears, and moisture in wrapping materials

A. Check that the internal indicator in a sterile tray turned the correct color

Depth respiration characteristic

Amount of air inhaled or exhaled

Frequency of well-child visit after 2 years old

Annually

What may change the status of patient's collection site for venipuncture?

Dehydration

___ throughout the patient visit must be the priority to ensure that the patient has the optimal experience during their visit

Effective communication

Which of the following is used for blood collection with or without additives?

Evacuated tube system (ETS)

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

Face shield

True/False: A gown, face shield, mask, gloves, and shoe coverings are all needed to be worn during the collection of throat specimen

False -- shoe coverings are unnecessary

True or False: a respirator can be used at any time

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

V6 Electrode

Horizontal level of V4 at left midaxillary line

Which practice that directly affects the health of the patient, provider, and staff?

Infection control

Obtaining patient ___ is important to ensure that the provider has all the details necessary to treat the patient

Information

What should be in the sterile tray or pack?

Instruments and gauze

Following the patient interview phase of the telehealth visit, what should the medical assistant do next?

Let the patient know that they will be put on hold to wait for the provider

What should the medical assistant do first in setting up and preparing to conduct a peak flow test on the patient?

Review orders and reason for test in patient's chart

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

Safety data sheets

Examples of PPE

Shoe covers, face shield, and gown

Which of the following history-taking question may involve personal and highly sensitive information?

Social history

Used to obtain BP

Sphygmomanometer

What is true when measuring head circumference of infant?

The tape measure should be wrapped above the eyebrows and ears when measuring head circumference

Which preservation tool should be used when sending a specimen for a throat culture to an outside lab?

Transport medium

Hypopnea

slow breathing

Neck pulse site

Carotid

White wire is connected to

Right arm (white right)

What can a medical assistant do during minor surgery?

- Apply sterile dressings - Prepare medications for the procedure - Prepare the sterile field

Examples of other potential infectious material (OPIM)

- Body fluids - Non-intact skin - Mucous membrane

Guidelines for electrode use/maintenance

- Check the expiration date on the electrode pouch before use - Reseal the electrode pouch and place it in plastic bag after use - Do not use dried out electrodes

What should be discussed with patients prior to fecal occult blood testing?

- Dietary restrictions and supplements - Testing instructions - Testing restrictions

Why is it important to coach the patient throughout spirometry and peak flow testing?

- It facilitates effective and efficient completion of the testing - It helps to reduce anxiety

What should the medical assistant do if the patient is anxious about completing the spirometry test?

- Listen to concerns and try to make the patient feel comfortable - If concerns are beyond your scope, share with the provider

Performed by medical assistant during pediatric office visit

- Measurement of vital signs - Measurement of weight and height - Assisting with the physical exam

What should the medical assistant check when administering medication?

- Name of medication - Intended route - Expiration date

Intradermal injections

- Normal dose is 0.1 mL - A tuberculin syringe is often used - The amount injected is typically no more than 0.2 mL

Metric unit used to measure head circumference

centimeters

Violation of sterile technique

reaching over a sterile field

Arrhythmia

irregular heart beat