NHA Study Guide CCMA Flashcards

Questions and Answers

What is the definition of first morning urine?

first morning urine

Buccal is _ or __.

oral or mouth

Sublingual is ___________.

oral under the tongue

Transdermal is _____________________.

absorbed through the skin Signup and view all the answers

Intradermal injections (ID) should be administered at a _______________ degree angle.

15 degree angle Signup and view all the answers

Intramuscular injections (IM) should be administered at a ____________ degree angle.

90 degree angle Signup and view all the answers

Subcutaneous injections (SC or Sub-Q) should be administered at a _____________ degree angle.

45 degree angle Signup and view all the answers

________________ patches can give medications in a way that they are absorbed slowly creating a constant time released systemic effect.

Transdermal Signup and view all the answers

A urinary tract infection (UTI) when affecting the lower urinary tract is known as a simple ________________ infection.

cystitis or bladder infection Signup and view all the answers

A urinary tract infection (UTI) affecting the upper urinary tract is known as _____________ (a kidney infection).

pyelonephritis or kidney infection Signup and view all the answers

A________________ urine specimen is collected for a culture and sensitivity (C & S).

clean-catch Signup and view all the answers

Body Mass Index (BMI) is defined as ___ divided by _.

body mass divided by square of his/her height Signup and view all the answers

A ________________ is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway.

bronchodilator Signup and view all the answers

________________ sounds are the sounds medical personnel listen for when taking blood pressure (BP).

Korotkoff sounds Signup and view all the answers

Korotkoff sounds are named after _______________, a Russian physician.

Dr. Nikolai Korotkoff Signup and view all the answers

When drawing blood, always have the patient make a ___________________

fist Signup and view all the answers

When performing an EKG (ECG), the ______lead is placed on the shoulder.

black Signup and view all the answers

When giving a (PPD) purified protein derivative injection or TB test, the CMA should draw up _______ of vaccine into the syringe.

0.1 ml Signup and view all the answers

The CMA has many duties. Just a few include performing venipuncture, giving injections, taking vital signs, doing paperwork, but NEVER ____________.

giving medical advice Signup and view all the answers

A common side effect of a patient taking Coumadin or Warfarin is a __________ (bruise).

hematoma Signup and view all the answers

A ___________ infection, also known as a Hospital Acquired Infection or HAI, is an infection whose development is favored by a hospital environment.

nosocomial Signup and view all the answers

A _________ (or butterfly) is used for patients with fragile veins.

winged infusion set Signup and view all the answers

_____________ position is most vital for patients whose BP drops rapidly.

Trendelenberg Signup and view all the answers

____________ is a surgical fixation of a segment of the small intestine to the abdominal wall.

Enteropexy Signup and view all the answers

_____________ is a condition in which the lens of the eye loses its ability to focus, making it difficult to see objects up close.

Presbyopia Signup and view all the answers

What are the 10 rights (R's) of medication administration?

<ol> <li>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</li> </ol> Signup and view all the answers

When performing CPR, the CMA should do at least __________ compressions per minute.

100 compressions per minute Signup and view all the answers

The __________ position is the best position to put a patient in to obtain a rectal temperature.

Sims' Signup and view all the answers

A patient with TB should be in ___________ precautions.

airborne Signup and view all the answers

Infectious agents move from the source to the host by means of '_________________'

mode of transmission Signup and view all the answers

Please list the 6 elements in the Chain of Infection.

<ol> <li>Susceptible Host 2) Infectious Agent 3) Reservoir 4) Portal of Exit 5) Mode of Transmission 6) Portal of Entry</li> </ol> Signup and view all the answers

__________ (Material Data Safety Sheets) is a vital component of OSHA.

MSDS Signup and view all the answers

________ pulse is used in determining the heart rate of infants.

Apical Signup and view all the answers

____________________ enforces safety conditions in the medical office.

OSHA (Occupational Safety and Health Administration) Signup and view all the answers

Following a blood draw, the CMA should watch the patient intently if they start to or .

twitch; shake Signup and view all the answers

_________ means the study of causation or origination.

Etiology Signup and view all the answers

The CMA must make sure that when assisting with an OB/GYN exam that the ____ be warmed up by _ over it and then ____ properly.

speculum; running warm water; lubed Signup and view all the answers

A ________ is an abnormal growth of tissue projecting from a mucous membrane.

Polyp Signup and view all the answers

Laboratory tubes and additives: Yellow Tube Top Additive = __________.

SPS (Sodium Polyanethal Sulfonate) Signup and view all the answers

Laboratory tubes and additives: Light Blue Additive = __________.

Buffered Sodium Citrate Signup and view all the answers

Laboratory tubes and additives: Red Additive = __________.

NONE Signup and view all the answers

Laboratory tubes and additives: Gold Additive = __________.

NONE Signup and view all the answers

Laboratory tubes and additives: Light Green Additive = __________.

Lithium Heparin Signup and view all the answers

Laboratory tubes and additives: Dark Green Additive = __________.

Sodium Heparin Signup and view all the answers

Laboratory tubes and additives: Purple/Lavender Additive = __________.

EDTA (Ethylenediaminetetracetic Acid) Signup and view all the answers

Laboratory tubes and additives: Gray Additive = __________.

Potassium Oxalate Signup and view all the answers

___________ or hCG is a hormone produced during pregnancy that is made by the developing placenta after conception.

Human Chorionic Gonadotropin Signup and view all the answers

The ___________________ form is also called a 'super bill' or 'encounter form.'

CMS-1500 form Signup and view all the answers

Alcohol swabs should be ordered __________ at a physician's office.

monthly Signup and view all the answers

An __________________ injection is given to patients who are being tested for allergies.

intradermal Signup and view all the answers

To routinely clean the examination table, the CMA would use the technique of _______________ to disinfect.

medical asepsis Signup and view all the answers

Hazardous waste should be put in a _________________________ bag.

red bio-hazard Signup and view all the answers

The special delivery for an arterial blood gas (ABG) is on _____________

ice Signup and view all the answers

You must always report a needle stick to your supervisor _________________

immediately Signup and view all the answers

It can be considered _____________ if a CMA enters a patient's room without introducing themselves or acknowledging the patient.

invasion of privacy Signup and view all the answers

The most important thing to tell a patient when collecting a 24 hour urine test is to ______ the first urine in the morning.

void Signup and view all the answers

Please list the steps in Venipuncture Procedures.

<ol> <li>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 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 16) Throw away supplies 17) Wash hands 18) Thank patient 19) Promptly deliver specimen(s) to laboratory</li> </ol> Signup and view all the answers

When measuring an infant from head to toe, the ___________ position is the best position to obtain an accurate measurement.

supine Signup and view all the answers

When communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the _________________

caregiver Signup and view all the answers

The best solution to clean up urine off a floor is a ____ percent bleach solution, by mixing _ percent bleach to ______ percent water.

10%; 10%; 90% Signup and view all the answers

A ________________ must be obtained per some health insurance policies to determine if a particular procedure will be covered under the patient's health insurance.

pre-authorization Signup and view all the answers

When collecting blood cultures from a patient it is recommended that you collect at least _______ mLs of blood.

3-4 Signup and view all the answers

What is Informed Consent?

Inform the patient of the possible risk and outcome of a procedure. Signup and view all the answers

What is Implied Consent?

Extending an arm for phlebotomy or an unconscious patient who needs treatment in an emergency. Signup and view all the answers

What is Written Consent?

Must be written and signed by the patient or legal guardian. Signup and view all the answers

When collecting a urine sample, place the patient's name and DOB on the specimen _. Not the since the ____ can be lost.

bottle; lid; lid Signup and view all the answers

If a STAT electrolyte panel was reported to have a critically elevated sodium level, then most likely a ________ (color tube top) was drawn.

Gold Signup and view all the answers

A STAT chemistry test should be drawn in a ___________ (color) top tube.

green Signup and view all the answers

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).

somatic tremor Signup and view all the answers

A streptococcal test would always be collected on the _____________.

throat Signup and view all the answers

Always ____________ the patient.

ID, IDENTIFY Signup and view all the answers

Call for help ___________ when a fire is present.

FIRST Signup and view all the answers

Order of draw and Laboratory Dept.

<ol> <li>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</li> </ol> Signup and view all the answers

ST segment elevation shown on an EKG (ECG) is associated with a ______________.

myocardial infarction Signup and view all the answers

A CMA cannot perform a CBC test with a____________.

differential Signup and view all the answers

__________________ is removal of a kidney.

Nephrectomy Signup and view all the answers

If a patient is having an EKG (ECG) and is diaphoretic, the CMA should apply _______________ to help facilitate a better connection.

conduction gel Signup and view all the answers

Please list the steps in Capillary Collection (finger sticks).

<ol> <li>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</li> </ol> Signup and view all the answers

Please list the steps in obtaining a stool sample.

<ol> <li>Introduce yourself 2) Explain the procedure to the patient 3) Have the patient defecate into a clean, dry bedpan or commode (or a plastic 'hat') 4) Instruct patient NOT to contaminate specimen with urine or toilet tissue 5) Put on gloves 6) Using a tongue blade, transfer the most representative stool specimen to the container, and cap the container 7) Wrap the tongue blade in a paper towel and discard it 8) Label specimen 9) Remove and discard gloves and wash hands thoroughly 10) Thank patient</li> </ol> Signup and view all the answers

When doing an EKG (ECG) on a person with large breasts, have the patient _ and place the electrodes __ the breasts.

LIFT; under Signup and view all the answers

If a patient has not been seen by the physician in over a year, the patient should complete a ____________________form.

new patient registration form Signup and view all the answers

The process of ________________ gets rid of ALL forms of microbial life and spores.

sterilization Signup and view all the answers

The first step a CMA should take when a patient is found unconscious is to ____ immediately (call _).

Notify EMS; 911 Signup and view all the answers

A ________________ is an apparatus for measuring the volume of air inspired and expired by the lungs.

spirometer Signup and view all the answers

__________________ is the medical specialty dealing with disease involving the respiratory tract.

Pulmonology Signup and view all the answers

Any and all communicable diseases such as TB or AIDS must be reported to an outside source, i.e._____________

CDC (Centers for Disease Control and Prevention) Signup and view all the answers

The ___________________ Color Test is an example of a color perception test for red-green color deficiencies.

Ishihara Signup and view all the answers

When a patient is wearing a ____________ monitor they should avoid any magnetic fields.

Holter Signup and view all the answers

____________________ are used on BP cuffs to destroy dirt and sweat.

Disinfectants Signup and view all the answers

If a CMA has to treat a psychiatric patient, they must always make sure they are ___________________ with the patient.

never alone Signup and view all the answers

The International Classification of Diseases (most commonly known by the abbreviation ICD) is a standard _____________ tool for epidemiology, health management, and clinical purposes.

diagnostic Signup and view all the answers

_______________(codes V01-V91) are used to describe encounters with circumstances other than disease or injury.

V codes Signup and view all the answers

___________ codes are supplemental codes that capture the external cause of injury or poisoning, the intent, and the place where the event occurred.

E codes Signup and view all the answers

If a patient has abdominal pain and respiratory difficulties, the CMA should place the patient in the _____________ position.

Fowler's Signup and view all the answers

A blood pressure (BP) is measured in _________________ or mm.

millimeters of mercury Signup and view all the answers

A BP is written with the _ pressure on the top and the __ pressure on the bottom.

systolic; diastolic Signup and view all the answers

You should take vital signs for a full _______.

minute Signup and view all the answers

_________________ testing is defined as medical testing at or near the site of patient care.

Point of Care testing (POCT) Signup and view all the answers

If the physician is behind and a patient has been waiting past their scheduled appointment, the CMA should ____________________.

ask the patient if they want to reschedule Signup and view all the answers

A________________ should never give test results to a patient.

CMA Signup and view all the answers

__________________ is terminology used by national and state/provincial licensing boards for various professions that define the procedures, actions, and processes that are permitted for the licensed or certified individual.

Scope of practice. Signup and view all the answers

A CMA should never practice outside their ___________________.

scope of practice. Signup and view all the answers

_______________ quality control test regulation ensures accuracy of results.

Point of care Signup and view all the answers

When doing a urine pregnancy test the __________________urine specimen is the most accurate to use.

first morning Signup and view all the answers

Study Notes

Blood Draw and EKG Procedures

Always have the patient make a fist when drawing blood to enhance vein visibility.
In EKG, the black lead is placed on the patient's shoulder.
A winged infusion set (butterfly needle) is designed for patients with fragile veins.

Injections and Testing

For PPD injection or TB test, draw up 0.1 ml of the vaccine.
A CMA must not give medical advice, only assist with procedures and documentation.
Hematoma is a common side effect of taking Coumadin or Warfarin.
Patients with TB must follow airborne precautions.

Medical Terminology and Definitions

Nosocomial infections are hospital-acquired infections due to weakened patient resistance.
Etiology refers to the study of causation or origin of diseases.
Enteropexy is a surgical fixation of a segment of the small intestine to the abdominal wall.
Presbyopia is a condition that affects near vision, requiring assistance for patients.

Medication Administration and Safety Protocols

The 10 rights of medication administration include: Right Patient, Medication, Dose, Time, Route, Education, to Refuse, Assessment, Evaluation, and Documentation.
CPR compressions should be at least 100 per minute or 1 to 2 per second.
A pre-authorization might be required by health insurance for certain procedures.

Lab Test Guidelines

Blood culture requires a collection of 3-4 mL from the patient.
Each laboratory tube has specific additives:
- Yellow: SPS
- Light Blue: Buffered Sodium Citrate
- Red: No additive
- Gold: No additive
- Light Green: Lithium Heparin
- Dark Green: Sodium Heparin
- Purple: EDTA
- Gray: Potassium Oxalate
The first morning urine specimen is most accurate for pregnancy tests.

Patient Care and Communication

Always identify the patient before performing tests.
When dealing with hearing impaired patients, communicate with the caregiver.
If a patient has been waiting past their appointment time, offer to reschedule.
Inform patients that the first urine in a 24-hour urine test is more concentrated.

Infection Control and Safety Measures

Hazardous waste should be disposed of in a red bio-hazard bag.
Use a 10% bleach solution for cleaning urine spills.
Alcohol swabs should be ordered monthly for use in the physician's office.
Medical asepsis should be used to routinely clean examination tables.

CPR and Emergency Response

In emergencies, notify EMS immediately before starting CPR.
During a fire, always call for help first.

Patient Registration and Insurance

New patients should complete a registration form if they have not seen the physician in over a year.
The CMS-1500 form is a universal claim form used by physicians for billing.

Patient Monitoring and Follow-up Care

After drawing blood, monitor patients for any unusual activity such as twitching or shaking.
If a patient appears diaphoretic, use conduction gel during EKG for better electrode connection.
The spirometer is used to measure lung air volume and records respiration flow rates.

Medical Coding and Compliance

The ICD coding system classifies diseases and can assign a unique code to every health condition.
V codes (V01-V91) describe encounters unrelated to disease or injury.
E codes capture the external cause of injuries or poisonings.

Additional Health Notes

Body Mass Index (BMI) is calculated by dividing body mass by the square of height.
Bronchodilators increase airflow to the lungs, commonly used by asthma patients.
Transdermal patches allow for slow, consistent release of medication through the skin.

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Test your knowledge with this flashcard quiz tailored for the NHA CCMA certification. Each card focuses on essential terms and definitions every medical assistant should know, including blood drawing, EKG leads, and vaccine administration. Perfect for quick reviews or exam preparations.