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Certification Prep_2
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Questions in this quiz (111)
1What is the first step in the blood collection procedure
- Aa. patient identification
- Bb. test requisition
- Cc. uncap needle
- Dd. label tubes
2What is the next step in the blood collection procedure
- Aa. patient identification
- Bb. test requisition
- Cc. uncap needle
- Dd. label tubes
3What positon is used for rectal exams
- Aa. Sims’
- Bb. Lithotomy
- Cc. Supine
- Dd. Prone
- Aa. Sims’
4Where is the proper placement for V4 during an EKG?
- Aa. 4th intercostal space left side sternal margin
- Bb. 5th intercostal space left side mid-axillary line
- Cc. 4th intercostal space right side sternal margin
- Dd. 5th intercostal space mid-clavicular line
5What is important when measuring trough levels for determining therapeutic medication monitoring levels
- Aa. Amount of next dose due
- Bb. Amount of last dose given
- Cc. Time next dose is due
- Dd. Time last dose was given
6On an EKG ______________________ is not caused by patient movement, it is caused instead by a lead coming off.
- Aa. somatic tremor
- Bb. broken recording
- Cc. A/C interference
- Dd. wandering baseline
7When a patient is crying, what is your best course of action
- Aa. ask them why they are crying
- Bb. notify the physician
- Cc. ignore and document in chart
- Dd. give a tissue and allow them to cry
8When collecting ammonia specimen, place the tube in
- Aa. immediately in centrifuge
- Bb. immediately in freezer
- Cc. immediately in ice slurry
- Dd. a chemical cold pack
9Pre-hypertension range
- Aa. 120/70
- Bb. 130/86
- Cc. 140/90
- Dd. 90/60
10Near visual acuity is tested using
- Aa. Acuity chart
- Bb. Snellen chart
- Cc. Ishihara cards
- Dd. Jaeger cards
- Aa. Acuity chart
11Choosing to perform capillary collection is best determined by
- Aa. physician order
- Bb. test ordered
- Cc. your preference
- Dd. patient preference
12CLSI guidelines require needle insertion for the antecubital fossa area to be at what angle?
- Aa. 20
- Bb. 35
- Cc. 10
- Dd. 40
13During venipuncture collection what PPE (personal protective equipment) is required
- Aa. gloves
- Bb. gown
- Cc. face shield
- Dd. goggles
14When offering instructions for a patient regarding mid-stream, clean-catch collection, which statement would be appropriate
- Aa. be sure to read and follow all instructions listed on the wall sign completely
- Bb. urinate in the cup, make sure it is mid-stream
- Cc. begin urinating in the toilet, collect the next portion and complete urination in toilet
- Dd. you remember the drill
15When instructing patient regarding ambulatory telemetry monitoring, if the leads fall off
- Aa. call physician immediately
- Bb. leave them off
- Cc. call 911
- Dd. reapply and use surgical tape to keep in place
16hCG is a CLIA waived test of
- Aa. simple complexity
- Bb. moderate complexity
- Cc. low complexity
- Dd. high complexity
17When scheduling a patient for outpatient procedures you must first
- Aa. obtain oral or written order from the provider
- Bb. Pre-certify with the insurance company
- Cc. call facility
- Dd. contact the patient about availability
18When collecting a chain of custody specimen the most important factor to consider is
- Aa. time of collection
- Bb. state laws
- Cc. proper patient identification
- Dd. site location
19Category III codes are
- Aa. permanent codes
- Bb. temporary codes
- Cc. tracking codes
- Dd. diagnosis codes
20When instructing a patient to take enteric-coated tablet, you should instruct them
- Aa. chew
- Bb. dissolve under the tongue
- Cc. drink a glass of water while swallowing the tablet
- Dd. dissolve in water then drink
21During clean-catch urine collection use
- Aa. 7o% alcohol wipes
- Bb. Povidone Iodine
- Cc. Benzalkonium Chloride wipes
- Dd. Chlorhexidine wipes
22Instructions must be provided to the patient regarding proper collection of 24-hour urine, where should the specimen be stored during the collection time
- Aa. freezer
- Bb. room temperature
- Cc. warming packs
- Dd. cool place, preferably refrigerated
23While measuring a pulse, you detect an irregularity
- Aa. notify the physician
- Bb. measure the pulse for 30 seconds
- Cc. measure the pulse for 2 minutes
- Dd. measure the pulse for 1 minute
2424. When performing a Pulmonary Functions Test the role of the CCMA is
- Aa. that of a coach and to encourage the patient during the test
- Bb. to let the patient do it on their own
- Cc. to record the results only
- Dd. to give the patient thorough written instructions
25When bandaging a wound, always wrap
- Aa. proximal to distal direction
- Bb. loosely
- Cc. tightly
- Dd. from distal to proximal direction
26When drawing infants always draw Oxygen levels
- Aa. last
- Bb. separately
- Cc. first
- Dd. twice
27When instructing patients on insulin administration it is acceptable to
- Aa. have the patient perform a self- demonstration while you watch
- Bb. demonstrate it for them
- Cc. provide verbal instruction
- Dd. provide written instruction
28Hemolysis of a specimen can be caused by
- Aa. collecting in tube with wrong additive
- Bb. collecting from wrong site
- Cc. patient anxiety
- Dd. shaking the tube
29A lab level on a patient that would require you to notify the physician and is considered a crisis level
- Aa. potassium 3.5
- Bb. calcium 5
- Cc. hematocrit 45%
- Dd. hemoglobin of 7 g/dl
30The Joint Commission requires before giving immunizations, confirmation of patient identity by
- Aa. asking the patient to state their full name and date of birth
- Bb. asking the patient to state their full name
- Cc. stating the patient’s name and date of birth and asking them to confirm it is correct
- Dd. photo identification
31What is the standard gain
- Aa. 10 mm
- Bb. 10mm/mV
- Cc. 5 mm
- Dd. 5mm/mV
32When drawing a forensic sample for Chain of Custody be sure that
- Aa. physician must sign and date chain of custody form when receiving and releasing specimen
- Bb. patient must sign and date chain of custody form when receiving and releasing specimen
- Cc. personnel receiving or releasing specimen must sign and date a chain of chain of custody form
- Dd. office manager/nursing supervisor must sign and date chain of custody form when receiving and releasing specimen
33You have orders to collect blood cultures, lipid panel, PT, CBC. You forgot to draw the PT, the patient is still in the office, what action should you take?
- Aa. discard specimens and redraw all tubes using the proper order of draw guidelines
- Bb. keep specimens and draw the PT in a light blue tube
- Cc. notify the office manager or physician and wait for further orders
- Dd. keep specimens and draw the PT in a royal blue tube
34The patient will be wearing a telemetry monitor at home. Which statement made by the patient is not true indicating the patient would need further instruction
- Aa. I will wrap it in a plastic bag while showering
- Bb. I will keep track of my daily activities in the diary
- Cc. I will return to the office if the leads come off
- Dd. I will avoid magnetized areas while wearing the monitor
35CCMA scope of practice does not include
- Aa. performing EKG
- Bb. patient teaching
- Cc. administering injections
- Dd. ordering additional labs
36Endocarditis is
- Aa. inflammation of the middle layer of the heart
- Bb. infection of the esophagus
- Cc. inflammation of the outer layer of the intestines
- Dd. inflammation of the inner layer of the heart wall
37Sign of a MI (myocardial infarction)
- Aa. ST segment elevation
- Bb. ST segment flat line
- Cc. ST segment not present
- Dd. PQRST elevation
38The following are true regarding Chain of Custody collection except for
- Aa. specimen temperature must be checked within 5 minutes of collection
- Bb. specimen must be submitted for testing immediately, it cannot sit overnight to be sent next day
- Cc. specimen must be submitted for testing within 72 hours
- Dd. patient, person collecting, person transporting and receiving lab must all sign chain of custody form
39When collecting a CBC what additive is required in the tube?
- Aa. EDTA
- Bb. sodium citrate
- Cc. no additive
- Dd. clot activator
40In a 5-lead EKG the green electrode is placed
- Aa. centered over the top of the sternum
- Bb. 4th intercostal space to right of the sternum
- Cc. centered over the ribs on the right side
- Dd. centered over the ribs on the left side
41If a patient becomes pale and diaphoretic during venipuncture, which is most likely to occur
- Aa. the patient will recover quickly
- Bb. syncopal episode
- Cc. the patient will hyperventilate
- Dd. the patient will need to go to the restroom
42A BMI of 23 is categorized as
- Aa. overweight
- Bb. obese
- Cc. underweight
- Dd. normal
43Patients arrive at their convenience, seen on first come, first serve basis is known as what
- Aa. wave scheduling
- Bb. open hours
- Cc. block schedule
- Dd. cluster scheduling
44A patient experiencing dyspnea and congestion
- Aa. needs a tissue
- Bb. needs an inhaler
- Cc. needs to make an appointment for tomorrow
- Dd. needs to be seen immediately
45You have an order to draw a patient’s blood and when you enter the room a clergy member is there, you should
- Aa. unless the order is STAT you should come back after they leave
- Bb. you should draw the blood now
- Cc. you should ask the nurse
- Dd. you should ask the physician
46If you count the number of small boxes between to R waves or 2 P waves and divide into 1500 will calculate what
- Aa. the PR interval
- Bb. the QRS duration
- Cc. the atrial or ventricular heart rates
- Dd. the PQRST duration
47CPT modifiers are used when?
- Aa. when special circumstances applied to the procedure performed by the provider
- Bb. never
- Cc. when special circumstances applied to the procedure performed by the MA
- Dd. with every procedure code
48According to OSHA guidelines a CCMA should dispose of blood-soiled gauze and urine cups
- Aa. both in the trash
empty urine cups can go in trash - Bb. urine cups in the sharps container, soiled gauze in biohazard
- Cc. both in biohazard bag
- Dd. blood-soiled gauze in the biohazard bag;
- Aa. both in the trash
49When scheduling appointments, in addition to the name, phone number, type of insurance, you must know
- Aa. next of kin
- Bb. name of emergency contact
- Cc. previous physician’s name
- Dd. reason for visit
50During __________________ reading, patient movement can alter the result
- Aa. capillary collection
- Bb. spirometry
- Cc. pulse oximetry
- Dd. distance or near visual acuity
51Subcutaneous injections are most appropriately given with
- Aa. 1/2 to 1 inch needle 23-25 gauge
- Bb. 1/2 to 5/8 inch needle 23-25 gauge
- Cc. 1 inch needle 23-25 gauge
- Dd. 1/2 to 5/8 inch needle 16-18 gauge
52All of the following are examples of CLIA waived testing except
- Aa. rapid strep
- Bb. urine hCG
- Cc. blood type and screen
- Dd. fecal occult blood
53Acceptable and most confidential way to send/report routine lab results is by
- Aa. fax
- Bb. phone call
- Cc. email
- Dd. marked envelope to the physician
54Normal temp is
- Aa. 96.6
- Bb. 98.6
- Cc. 100.5
- Dd. 99.9
55Why is it important to place a specimen in a biohazard bag when transporting to an outside lab
- Aa. to prevent decomposition
- Bb. to promote good hygiene practices
- Cc. to prevent contamination of other specimens
- Dd. to prevent a possible exposure incident
56Which type of scheduling allows for the most consistent patient flow and flexibility
- Aa. cluster scheduling
- Bb. open hours scheduling
- Cc. wave scheduling
- Dd. flex scheduling
57After reading the consent form you have asked the patient to sign, your patient has second thoughts
- Aa. you should counsel the patient on the importance of following the physicians advice
- Bb. you should note in the chart the patient has changed their mind
- Cc. notify the physician
- Dd. convince them to sign, the physician has a busy schedule and this falls within your scope of practice
58If the patient makes a statement such as: your office is incompetent, what would be your appropriate response
- Aa. I think that you feel your treatment is not effective
- Bb. I agree your treatment has been handled incompetently
- Cc. I think you have gotten the best treatment possible
- Dd. I disagree, our staff and physicians are competent and caring with all of our patients
59Inventory of controlled substances should be performed
- Aa. at the end of every shift, performed by 2 people
- Bb. at the beginning and end of every shift performed by 2 people
- Cc. at the end of every shift by one person
- Dd. at the beginning and end of every shift by one person
60When giving injections to young children it is appropriate to
- Aa. not speak to child, so you don’t upset them
- Bb. ask non-health related questions to put the child at ease while gaining their trust
- Cc. describe in detail how the procedure works, so they lose their fear
- Dd. tell the child the procedure doesn’t hurt, then proceed quickly
61When teaching patient concerning insulin injection, the patient should be instructed that the insulin needs to be
- Aa. chilled
- Bb. room temperature, roll it between hands to warm
- Cc. room temp, leave on counter for 30 mins
- Dd. warmed in microwave for 5 seconds
62If a patient states they have never had their blood drawn before, you should
- Aa. go get another CCMA to do the draw
- Bb. quickly explain the procedure in thorough detail, using all of the proper medical terminology
- Cc. just proceed quickly with the draw so they don’t have time to get nervous
- Dd. explain the procedure in non-medical terms and allow time for questions and answers
63Office visit codes in the CPT manual are found under (E&M) Evaluation and Management section located at the front of the book in the first of six sections and range from
- Aa. 99000-99500
- Bb. 99001-99999
- Cc. 99201-99499
- Dd. 99000-99200
64If a female patient requests a female provider perform her exam due to a religious or personal conviction, and a female provider is not available, you should
- Aa. explain you were unable to locate a female provider and you need to cancel apt
- Bb. explain you were unable to locate a female provider and persuade the patient to proceed with the male provider after apologizing
- Cc. assist the patient in locating a provider to accommodate the patient’s needs
- Dd. explain they will have to see the available provider or the appointment has to be cancelled until they call to reschedule, and they must notify the office of their preference in the future
65Electrodes for a posterior wall view of the heart can be obtained using electrodes V7, V8, V9 the should be evenly spaced where
- Aa. on the right side of the back between the axillary line and the vertebral column at the 4th intercostal space
- Bb. on the back space evenly on left, center and right at 5th intercostal space
- Cc. on the left side of back between the axillary line and the vertebral column at the 5th intercostal space
- Dd. on the back space evenly on left, center and right at 4th intercostal space
66Codes on glucometer and glucose cuvettes should be checked how often before the patient is tested to ensure accuracy
- Aa. once a day anytime
- Bb. in the morning every day
- Cc. in the evening every day
- Dd. before every use
67Source- oriented medical records are organized by
- Aa. the entity that supplied the data
- Bb. the source of the problem
- Cc. the source of the chief complaint
- Dd. alphabetized and numerically organized by departments
68A specimen is returned to you from the lab marked “QNS” this means
- Aa. quantity not specified
- Bb. quality not sufficient
- Cc. quality not specified
- Dd. quantity not sufficient
69Prior to collecting a Metabolic Panel you should always ask the patient
- Aa. what they ate last
- Bb. the time they last ate
- Cc. to empty their bladder
- Dd. if they ate a full meal 30 mins prior
70If you observe petechiae around the site while drawing blood from a patient
- Aa. you should remove the tourniquet, remove the needle, apply gauze, apply pressure and apply ice
- Bb. you should proceed with the draw and when finished apply more pressure with gauze to the site
- Cc. you should remove the tourniquet, remove the needle, apply gauze, apply pressure
- Dd. ask another CCMA for assistance
71A test for cardiac risk assessment that would be an appropriate result to release to a Cardiologist’s office when calling for lab results on a patient
- Aa. hCG
- Bb. HIV
- Cc. LDL
- Dd. CBC
72You must always instruct the patient that prior to surgery they should be NPO
- Aa. nothing by mouth
- Bb. no prior operations
- Cc. only drinking fluids
- Dd. only taking medication with water
73Anthropometric measurements are
- Aa. measurements taken on the elderly
- Bb. measurements taken for infants in pediatrics
- Cc. height, weight, chest and head circumference on all ages
- Dd. BMI, height, weight on all ages chest and head circumferences for infants and children up to 36 months
74Diastolic pressure is read when the sound
- Aa. starts tapping known as Korotokoff I
- Bb. starts tapping known as Korotokoff V
- Cc. disappears known as Korotokoff V
- Dd. disappears known as Korotokoff I
75Adolescent children are covered sometimes by two insurance policies or more. The primary insurance is determined by
- Aa. parent who has earliest birth month
- Bb. father
- Cc. mother
- Dd. parent who had insurance first
76Ventricular rate of depolarization regularity is determined by
- Aa. P waves
- Bb. R waves
- Cc. S waves
- Dd. Q waves
77Transdermal patches are a parenteral route of administration for medications this method of administration is
- Aa. fast release of medication not released into the blood stream
- Bb. slow release of medication into the bloodstream
- Cc. fast release of medication into bloodstream
- Dd. slow release of medication not released into the bloodstream
78Patient becomes unresponsive, is not breathing and has no pulse during a blood draw or EKG procedure; you should
- Aa. administer oxygen
- Bb. administer epinephrine
- Cc. begin chest compressions
- Dd. provide rescue breathing at a rate of 1 breath every 3 seconds for children and infants, or 1 breath every 5 seconds for adults
79A prolonged PR interval is indicative of
a. delayed depolarization of the ventricles c. delayed conduction through the AV node
b. delayed repolarization of the ventricles d. delayed conduction through the SA node
ANS: C
The PR interval is a direct reflection of AV node conduction.- Aa. delayed depolarization of the ventricles
- Bb. delayed repolarization of the ventricles
- Cc. delayed conduction through the AV node
- Dd. delayed conduction through the SA node
80Einthoven’s Triangle is represented by
- Aa. Leads I II III
- Bb. Leads V1 V2 aVF
- Cc. avR aVL aVF
- Dd. V3 V4 V5
81Choose the best answer if a patient loses consciousness during an EKG that shows the patient is in Ventricular Fibrillation (V-Fib)
- Aa. get an AED
- Bb. get pocket mask and first aid kit
- Cc. notify the provider
- Dd. call for help begin CPR
82What is the capillary order of collection according to CLSI guidelines
- Aa. red any lavender green
- Bb. lavender green any red
- Cc. lavender light blue any red green
- Dd. red lavender any green
83When irrigating a patient’s ear the water/hydrogen peroxide mixture temperature should be
- Aa. 100.5°F (38.3°C)
- Bb. 73°F (22.8°C)
- Cc. 37°C (98.6°F)
- Dd. 38.3°C (98.6°F)
84You would need to use what PPE when caring for a patient with active tuberculosis
- Aa. goggles gown gloves
- Bb. goggles gown gloves face shield
- Cc. N-95 gown standard precautions
- Dd. N-95 mask airborne precautions
85What protects the patient’s info from being released to their employer without their written consent
- Aa. state and federal laws
- Bb. patient consent agreement
- Cc. HIPAA
- Dd. OSHA
86What protects the patient from being denied care due to their age
- Aa. Patient’s Civil Rights
- Bb. Patient’s Constitutional Rights
- Cc. Patient’s Bill of Rights
- Dd. Right’s Statement
87To prove an office isn’t negligent, it is necessary to document in the patient record all of the following except
- Aa. whether they received the office Christmas card
- Bb. when a patient cancels a post-operative appointment without rescheduling
- Cc. patient not showing up for scheduled appointments, procedures etc...
- Dd. phone conversations with the patient regarding their care, treatment, progress, complaints
88When a physician is going on vacation and wants to notify his patients the best form of notification would be
- Aa. encrypted email
- Bb. post cards
- Cc. fax
- Dd. text
89Which is not true of Pulmonary Function Testing
- Aa. patient should not eat a heavy meal prior to testing
- Bb. patient should not use inhalers or nebulizer 6 hours prior to the test
- Cc. you must coach the patient through 3 successful attempts
- Dd. you must remind the patient to have a breathing treatment before coming to office for the test
90In older or obese patients with no accessible veins in the antecubital area; you may next consider
- Aa. ankle
- Bb. wrist
- Cc. hand (dorsal)
- Dd. foot
91A child’s (7 yrs old) heart rate should be
- Aa. faster than a newborn
- Bb. slower than a newborn
- Cc. slower than adults
- Dd. same as adults
92EKG cables should be
- Aa. replaced when dirty
- Bb. sterilized in autoclave
- Cc. sanitized in sink and soapy water
- Dd. routinely cleaned with disinfectant
93Physician would likely order which test to screen for menopause
- Aa. FSH
- Bb. PSA
- Cc. CBC
- Dd. ETOH
94What blood test result would be elevated if the patient were experiencing a heart attack
- Aa. CA125
- Bb. PSA
- Cc. cardiac troponin
- Dd. lipid panel
95How many milliliters are given if the order calls for 1 tablespoon at bedtime (hs - hour of sleep)
- Aa. 2
- Bb. 3
- Cc. 5
- Dd. 15
96Hydrogels are
- Aa. cold chemical gel packs acceptable for use on the skin for 20 min increments
- Bb. hydrogen peroxide in gel form easily applied topically
- Cc. used for cleaning exudating wounds and aids in wound debridement
- Dd. dressing for use on burns or wounds with necrotic (dead) tissue
97The new 2015-2016 American Heart Association Guidelines recommend all compressions on any age should be increased from the previous guideline of 100/min to
- Aa. 100-110
- Bb. 90-120
- Cc. 120-140
- Dd. 100-120
98CPT codes consist of
- Aa. 5 digits with a decimal
- Bb. 5 digits without decimal
- Cc. 7 digits without decimal
- Dd. 3-5 digits with decimal
99Which artifact cannot be seen during EKG
- Aa. A/C interference
- Bb. somatic
- Cc. wandering baseline
- Dd. magnetic interference
100When an order requires you to draw five tubes of blood the tourniquet
- Aa. within 3 mins
- Bb. within 30 seconds
- Cc. must be removed within 1-2 mins preferably after the vein is accessed
- Dd. within 2-3 mins
101You must choose the correct tube color to correspond with
- Aa. each laboratory test ordered
- Bb. each color available
- Cc. volume required for testing
- Dd. proper inversions
102Before beginning a blood draw you must do all of the following except
- Aa. label the tubes
- Bb. inspect the needle for defects
- Cc. determine order of draw
- Dd. inspect the integrity of the needle’s seal to ensure sterility
103Proper time frame for collecting newborn screening card
- Aa. 1-7 days
- Bb. within 1st 24 hours
- Cc. 1 month visit
- Dd. 1 week visit
104If a provider puts a sharps container in the linen basket you should report the problem to your office manager.
- ATrue
- BFalse
105When calling patient with lab results and the phone is disconnected, the results should be emailed to the patient and document the patient record.
- ATrue
- BFalse
106When sending a professional business letter from the medical office, block style format is used- all lines flush with left margin and No. 10 envelopes are most often used.
- ATrue
- BFalse
1075 leads are place on the patient for Holter Monitoring.
- ATrue
- BFalse
108Right-sided EKG is performed on infants, dextroposition of the heart and suspected MI.
- ATrue
- BFalse
109Right ventricle view is best seen in lead V1
- ATrue
- BFalse
110Blood collected for bilirubin should be collected in a light sensitive tube.
- ATrue
- BFalse
111Blood hCG level is collected in a gray-stoppered tube.
- ATrue
- BFalse
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- Take this in addition to Certification Prep_1
- Author
- Tonya Franklin
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- English
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