CCMA Exam Prep (NHA) Questions and Answers Rated A

During an emergent crisis, DO NOT Correct Answer-alarm the patient 3 essentials when performing blood draws Correct Answer-1. test requisition review 2. proper patient identification 3. site choice 2 essentials when ...

During an emergent crisis, DO NOT Correct Answer-alarm the patient 3 essentials when performing blood draws Correct Answer-1. test requisition review 2. proper patient identification 3. site choice 2 essentials when performing EKG or other cardiac monitoring Correct Answer-1. inform pt. of what is expected 2. observe for complications CLIA-waived tests Correct Answer-simple, performed with low risk of error When performing a CLIA-waived test, always... Correct Answer-1. identify the patient 2. wear PPE 3. read all manufacturer directions and instructions BIG OSHA (needle) protocol Correct Answer-do NOT recap needles Sharps container Correct Answer-Puncture and leak proof and labeled with biohazard symbol for disposal of scalpels, needles and any other sharp object Biohazard bag Correct Answer-Leak proof bag for disposal of gloves, gauze and bandages Standard Precautions Correct Answer-ALL bodily fluids except sweat are to be considered infectious for all patients. Change gloves... Correct Answer-When handling contaminated surfaces and in-between patients Before putting gloves on you should always Correct Answer-wash hands with soap and water or use an alcohol-based hand sanitizer Blood pressure measures the Correct Answer-pressure of blood against the walls of the artery and ventricles The artery and ventricles contract so that the ... Correct Answer-blood is pushed to the aorta and pulmonary artery Systole Correct Answer-heart contracts Diastole Correct Answer-heart relaxes FIRST thing you do when taking any pt. vitals Correct Answer-Tell patient what you're going to do If you have to manually obtain a BP, what should you palpate? Correct Answer-Brachial artery in antecubital region of arm When taking BP, which arm should you use? Correct Answer-Generally the right unless the left has stronger pulse Heart rate gives physician information about the heart's... Correct Answer-rhythm, volume and vessel elasticity How long should you count to get a pt.'s HR? Correct Answer-30 sec. (multiply by 2) or 1 minute *IF there are irregularities, count for 1 minute T/F: You should tell the pt. when you are measuring their respirations. Correct Answer-False, do NOT tell the pt. as this may cause them to change their breathing patterns. How long should you observe a pt.'s respirations for? Correct Answer-30 sec. (multiply by 2) or 1 minute Most common site for a temperature reading Correct Answer-oral Question to ask pts. before taking their oral temp: Correct Answer-"Have you eaten anything, had anything to drink, smoked, or exercised within 30 minutes of coming to the doctor today?" What position do you put patients in to obtain a rectal temperature? Correct Answer-Sims or lateral recumbent position: pt. lies on left side, left hip and leg straight, right hip and knee bent For an aural/tympanic temperature, how should you manipulate the ear in a pt. over the age of 3? Correct Answer-Pull up and back For an aural/tympanic temperature, how should you manipulate the ear in a pt. under the age of 3? Correct Answer-Pull down and back Where is the temporal artery temperature readings taken? Correct Answer-On the forehead Where is the axillary temperature reading taken? Correct Answer-Armpit Anthropometric measurements include... Correct Answer-height and weight For an infant or child up to 3 years old, growth is measured via... Correct Answer-head circumference, length and weight Conversion C -> F Correct Answer-(C x 9/5) + 32 Conversion F -> C Correct Answer-(F - 32) x 5/9 lbs -> kg Correct Answer-lbs x 0.45 kg -> lbs Correct Answer-kg x 2.2 ft -> in Correct Answer-(ft x 12) + in in -> cm Correct Answer-in x 2.54 cm -> in Correct Answer-cm x 0.39 Supine Correct Answer-pt. flat on back, face up Dorsal recumbent Correct Answer-supine, with knees bent Fowler's position Correct Answer-lay on table, table elevated 90 deg Prone Correct Answer-pt. lies face down Sim's position Correct Answer-pt. lay on left side, left leg extended, right bent with knee on table Knee-Chest Correct Answer-pt. rests knees and chest on table with head turned to side Trendelenburg Correct Answer-pt. supine, bottom of table elevated 30 deg After every patient, the exam room must Correct Answer-Be inspected for cleanliness, waste and spills must be cleaned, restocked, paper must be changed 5 steps to prep patient for an exam Correct Answer-1. check medical record for completion 2. pt. needs to sign all consent forms 3. ask pt. reason for visit 4. answer any questions pt. has 5. review medical record and have any lab results out for Doc T/F: Honestly discuss any discomfort a pt. may have during an exam up front. Correct Answer-True Most important concepts when administering medications Correct Answer-1. always check pt. allergies 2 double check expiration dates 3. review meds and clarify with Dr. before administering 4. check 3 times to ensure dose matches order and that it is measured properly How many times should the dose and measurement be checked against the physician's order? Correct Answer-3 times It's always important to observe a patient for __ & __ __ when administering oral medications Correct Answer-choking & adverse reactions Before administering parenteral/topical medications, the patient should be notified of Correct Answerany tingling or burning they may experience Before administering ___/___ medications, check the skin for any complications Correct Answerparenteral / topical Transdermal medication Correct Answer-typically patch of some form DO NOT place transdermal medication on... Correct Answer-broken skin What should you write directly on the transdermal patch for a patient? Correct Answer-Removal date T/F: Pt. cannot shower with transdermal patch. Correct Answer-False What 4 things should you ALWAYS tell the patient before administering any type of injection? Correct Answer-1. what the medication is 2. how it is applied 3. any side effects 4.the fact that it may pinch What 2 things should you always check and re-check before administering a medication? Correct Answer-the medication itself and its expiration date Items to assemble before administering an injection are: *hint: there are 7! Correct Answer-1. the meds, 2. gloves, 3. alcohol wipes, 4. syring, 5. sterile needle, 6. gauze, 7. sharps container Steps to take BEFORE administering ANY type of injection: Correct Answer-1. wash hands and glove up 2. assemble items 3. wipe vial with alcohol swab 4. draw up medication- no air! Steps to take AFTER administering ANY type of injection: Correct Answer-1. place gauze next to needle and remove at the same angle as it was inserted 2. place needle in sharps container 3. if pressure is needed, apply now 4. remove gloves and wash hands 5. document the dosage, method, location and any complications in the pt.'s chart Area to insert needle into for INTRAMUSCULAR injections Correct Answer-deltoid muscle Area to insert needle into for INTRADERMAL injections Correct Answer-volar forearm