| Question | Answer |
| A medical assistant reviews the results of a urine
pregnancy test and sees that a blue line did not appear in
the control area. The assistant should recognize that this
indicates which? Test is
positive
not valid
specimen not concentrated
negative | The pregnancy test is not valid. |
| A medical assistant is reviewing the laboratory results of a
urine specimen provided by an adult patient at the clinic.
Which of the following is outside of the expected
reference range?
pH 7.9
pH 5.1
Specific gravity 1.014
Specific gravity 1.042 | Specific gravity 1.042 |
| Which of the following sites should a medical assistant use
for the administration of an intradermal skin test?
Lateral thigh
Lower abdomen
Anterior forearm
Inner heel | Anterior forearm |
| Wc of the ff should an MA provide to a patient prior to spirometry testing?
Use an inhaler prior to the test
Avoid smoking at least 1 hour b4 test
Wear tight clothing for the duration of e test
Do not eat or drink anything at least 6 hours b4
e test | Avoid smoking at least 1 hour b4 test |
| An MA is prepx to perform a PFT on a pt dressed in a suit and tie.
When preparing the pt, the MA
shd instruct the pt to?
Sit with his legs crossed
Undress from the waist up
Loosen his tie and top buttons
Point his chin slightly toward his chest | Loosen his tie and top buttons |
| Instructx a pt on a clean-catch urine for (C&S). Wc of e ff? Void into
clean container & transfer it into sterile container
sterile container directly after cleaning perineum
container from home & bring
small amt into toilet & next into sterile cont. | small amt into toilet & next into sterile cont. |
| An MA is preparing a rapid strep
test. Wc of e ff to do?
Bring e reagents and devices to room temperature.
Leave swab in the solution for 5 min.
Express e liquid from the swab with gloved fingers.
Place tip of reagent bottle into e tube b4 dispensx. | Bring the reagents and devices to room temperature. |
| MA performing allergen skin test. What shd MA do?
Notify prov. imm. if anaphylaxis.
Allow the pt to choose her thigh or stomach for the injection or site
Stop the test immediately if the patient wheezes and sneezes.
Cont. testx on wheals or hives | Notify provider imm if the pt shows anaphylaxis. |
| MA is collecting a stool specimen. MA shd
ID which of the ff about FOBT?
specimen shd be devpd 1 min after collectn
It's +ve if trace of blue is on edge
4 drops of devpr onto specimen
Results can b interpreted imm e devper is applied | It's +ve if trace of blue is on edge |
| MA gets call from lab w a fasting bld gluc of 450 mg/dL for pt. Acc to protocol, wc of the ff shd MA do?
Notify provider of results
Place results on the provider's desk for review
Have the provider speak to the lab
Contact pt to come into the office | Notify the provider of the test results |
| MA is collecting specimen for testing. When shd MA label the
specimen?
Prior to collecting the specimen
After collecting the specimen
Prior to sending the specimen to a laboratory
After laboratory processing of the specimen | After collecting the specimen |
| MA is instructing pt about collecting stool specimens at home for FOBT. Wc of e ff shd MA say?
Discont all meds 72 hours before test
Take a laxative 24 hours prior to the test
Take 500 mg of a vitamin C daily
Discontinue NSAIDs a week before the test | Discontinue any NSAIDs a week before the test |
| MA is performing a venipuncture. Which of
the following pieces of information should be included on
both the requisition form and the specimen label?
o Insurance information
o Patient's address
o Date of birth
o Provider's name | Date of birth |
| A medical assistant is performing a routine hearing test on
a patient. Which of the following procedures measures a
patient's hearing by using air and bone conduction?
Audiometric test
Audiometric test
Cerumen removal
Tuning fork test | Tuning fork test |
| MA is performing visual acuity test on an adult. Pt is able to read the 20/30 line w both eyes, but misses one letter. Wc of e ff should MA document in med. record?
20/30-1 both eyes
20/30 left eye
20/30-1 right eye
20/20 both eyes | 20/30-1 both eyes |
| Which of the following locations should a medical assistant identify as the preferred site for capillary
puncture on an adult patient?
Fifth digit
Fourth digit
Second digit
First digit | Fourth digit |
| Prior to performing a phlebotomy procedure, a medical assistant should ask the patient to verify
Which of the following information?
Patient's account number
Patient's power of attorey
Patient's phone number
Patient's date of birth | Patient's date of birth |
| Which of the following veins should a medical assistant recognize as the preferred vein for routine
phlebotomy?
Basilic vein
Cephalic vein
Median cubital vein
Median antebrachial vein | Median cubital vein |
| A medical assistant is obtaining samples for a CBC test. Which of the following tubes should the
assistant select?
Royal blue
Lavender
Yellow
Gray | Lavender |
| After bld collection. Which of the ff should MA do 4 proper processing?
Verify requisition form has been completed
Provide the patient with postprocedure instructions
Place all specimens in the refrigerator.
Centrifuge all blood tubes collected | Verify requisition form has been completed |
| When drawing blood cultures, a medical assistant should prepare a patient's skin using which of the
following products?
Hydrogen peroxide
Glutaraldehyde
Sterile water
lodine solution | lodine solution |
| At which point during a patient's venipuncture process should a medical assistant label the blood
specimen tube?
Before the patient is discharged
After the patient is discharged
Prior to venipuncture
During venipuncture | Before the patient is discharged |
| To avoid hemoconcentration during venipuncture, which of the ff is shd MA do?
Apply an ice pack to the area.
Remove the tourniquet before 1 min has elapsed
Instruct the patient to keep his arm bent.
Insert the needle into the vein with the bevel down. | Remove the tourniquet before 1 min has elapsed |
| A medical assistant is performing phlebotomy on an 80-year-old patient who has small veins. Which
of the following venipuncture methods should the assistant use for this patient?
Finger puncture
Evacuated tube
Heel stick
Butterfly needle | Butterfly needle |
| Which of the following tubes should a medical assistant select first when adhering to the proper order of draw?
Red
Yellow
Green
Gray | Yellow |
| After receiving patient's blood test from the ref lab, what shd MA do?
Have a provider review the results.
Have the medical records staff review the lab results.
Interpret the lab results and contact the pt.
Schedule the pt for a follow-up appmt. | Have a provider review the results |
| A medical assistant should allow a serum specimen tube without an anticoagulant additive to stand
for which of the following lengths of time prior to centrifuging?
2 hr
15 min
45 min
20 min | 45 min |
| When reviewing a pt's blood work, MA notices a fasting blood glucose of 200 mg/dL. What shd MA do?
Notify the pt's provider of the results
Inform pt the results confirm diabetes.
Schedule pt for a same-day appmt.
Send the provider an urgent alert. | Notify the patient's provider of the results |
| MA removes a needle from the antecubital space of a pt ff a phlebotomy procedure and applies pressure. Which of the following steps should the assistant take next?
Apply a bandage.
Label the tubes.
Dispose of the needle.
Confirm the ordered tests. | Dispose of the needle. |
| A medical assistant is obtaining a sample for a sedimentation rate test. Which of the following tubes should the assistant use for blood collection?
Serum separator
Green
Lavender
Light blue | Lavender |
| Wc of the ff is correct in the collection of a newborn screening sample?
Wipe 1st drop of blood before collecting sample
The puncture should be on the 3rd or 4th digit of the hand
Touch cord directly to skin
Process card imm. before the blood dries | Wipe the first drop of blood before collecting somple |
| The MA has been asked to screen the patient for anemia. Which of the following laboratory test should the medical assistant anticipate confirming this diagnosis?
Glucose
Hemoglobin
Calcium
PT/INR | Hemoglobin |
| A CCMA performs a fingerstick to check a patient's glucose. Which of the following would ensure accurate
results?
Apply wrist tourniquet
Chill the specimen
Perform quality controls
Ensure the patient her eaten breakfast | Perform quality controls |
| Which of the following would be a normal Hemog/bin result in a female patient?
12 - 16 g/dL
45 - I1 thousand/mm3
150.000 - 400 000 per mm3
130 - 200 mg/dL | 12 - 16 g/dL |
| Which of the following would be considered a normal lasting glucose level?
10
40
90
180 | 90 |
| What medical condition is monitored by messuring a Hemoglobin A1C (HbAIC)?
Anemia
Diabetes mellitus
Hemophilia
Hypertension | Diabetes mellitus |
| A finger stick blood for blood glucose will test blood from which of the following?
Artery
Vein
Capillary
Tissue | Capillary |
| Which of the following pieces of equipment is required for a dermal puncture?
Syringe
Tourniquet
Vacutainer
lancet | lancet |
| A CCMA needs to perform a PKU newborn screening, From which site would the specimen be collected?
Medial heel
Antecubital space
Third digit
Radial artery | Medial heel |
| What is the angle for using the lancet during a capillary stick procedure?
90°
30°
45*
15° | 90° |
| MA is giving a pt instruction on collectx a stool sample for ova and parasites wc is true? Do not
eat cereal for two weeks prior
use laxatives or antacids 2 weeks prior
take thyroid medications the day of testing.
drink orange juice 3 days b4 testing | Do not use laxatives or antacids 2 weeks prior |
| Which result is a normal PT/Protime result for a patient not on blood thinning medications?
10.4 - 15.7 seconds
20.4 - 20.7 seconds
17.9 - 30.8 seconds
101.9 - 120.9 second | 10.4 - 15.7 seconds |
| Which test shows packed red blood cells and how much of the blood is made up of red blood cells?
HbAIC
Glucose
Hematocrit
Hemoglobin | Hematocrit |
| MA performs a glucose test on a pt. The result for the pt's fasting bld glucose is 450mg/ml. What should MA do?
Notify the office manager
Place the results on the provider's desk
Notify the provider at once
Tell the pt to inject insulin | Notify the provider at once |
| Hemoccult stool test. Wc is true?
The specimen should be developed 1 min after collection
Result is +ve if a trace of blue is detected on the back
Results will be inaccurate if refrigeration doesn't occur
6 drops of developer is needed on each sample | Result is +ve if a trace of blue is detected on the back |
| Mr Johnson has brought stool specimen for testing. When asked how pt collected, wc of the ff would make sample unusable? Pt collected...
specimen in a waxed-paper carton
on a paper plate
in plastic container
from the toilet water after urinating | Collected from the toilet water after he urinated |
| Mr. Jones has brought a stool sample for the medical assistant to perform fecal occult blood testing. When the patient asks what the test will show, MA should explain the test will detect _____in his feces
Parasites
Leukocytes
Blood
Infection | Blood |
| Which of the following digits is the preferred site for a capillary puncture in an adult patient?
fifth
Fourth
Second
First | Fourth |
| Which of the following is a reason to perform an O & P screening test?
To confirm UT
Check for diabetes
Evaluate for blood
Evaluate for parasites | Evaluate for parasites |
| Which test would confirm an infectious disease caused by Epstein-Barr virus?
Hematocrit
Occult blood test
Mono test
HbA1c | Mono test |
| Wc of the ff describes the purpose of the glucose test in terms e patient would understand
Show the level of " sugar cantrol" over the last 3 months
Confirm dx of gestational diabetes
Measure e level of sugar in the blood
Test how thick the blood is | Measure e level of sugar in the blood |
| Which of the following is not a piece of equipment needed for the procedure?
Alcohol pads
Sharps container
Lancet
Syringe | Syringe |
| What is the dietary requirement for the patient according to the provider's order in the skill lab?
Patient must be fasting
Sample must be taken after eating
There is no dietary requirement
Patient must drink a sugary solution prior to testing | There is no dietary requirement |
| Wc is correct?
Arrow side of strip is inserted into glucometer
Insert the glucometer strip into the glucometer after applyx bld
Place the arrow side of the strip against the drop of blood
Glucometer strip should be wiped against finger after puncture | The arrow side of the strip is inserted into the glucometer |
| Which of the following should be performed after the finger is stuck
Finger should be gently squeezed to force blood to the tip
Quality controls should be run
Expiration date of the strios should ba checked
Insert the strip into the glucometer | Finger should be gently squeezed to force blood to the tip |
| Which of the following is true regarding site selection for a capillary stick?
Use the index finger
Use the ring finger
Use the thumb
Use the pinky finger | Use the ring finger |
| Which of the following fingers would you choose?
Finger is calloused
Finger is bruised
Finger is cold
Finger is scarred | Finger is cold |
| Which of the ff is correct?
The lancet should be applied at a right angle to fingerprint
The patient's hand should be held at the wrist.
The lancet should be applied parallel to the fingerprint
The finger should be punctured on the side of the finger. | The lancet should be applied at a right angle to fingerprint |
| Which of the following is correct?
Capture the fist drop of blood after it collects on the skin
Squeeze the finger to express the blood.
The blood should drip off the finger onto the strip.
Wipe away the first drop of blood. | Wipe away the first drop of blood. |
| Which is true?
The end of the glucometer strip should touch e drop of blood
The blood should drip off the finger onto the gluc strip
The end of the glucometer strip should scoop the blood off the finger
Blot the glucometer against the bleedx finger | The end of the glucometer strip should touch e drop of blood |
| Which is correct?
The pt needs to hold pressure at puncture site
The site must be cleaned with alcohol after the puncture
The puncture site should be imm. bandaged after puncture
The site must be cleaned w alcohol after the blood has been collected | The pt needs to hold pressure at puncture site |
| Which is correct?
Lancet should be placed in the biohazard bag
Lancet should be placed in biohazard sharps container
The bandage wrapper and lancet top should be placed in the biohazard bag.
The bloody gauze should be placed in the trash. | The lancet should be placed in biohazard sharps container |
| Which tube contains the additive sodium fluoride and potassium oxalate? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | F-Grey |
| Which tube contains the additive EDTA (ethylenediamine-tetra acetic acid)? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | E-Purple |
| Which tube would a CMA use to obtain a serum sample? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | A-Yellow |
| Which tube contains the additive heparin? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | D-Green |
| Which tube contains the additive sodium citrate? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | B-Blue |
| Which tube contains no additive? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | C-Red |
| Which color tube would be required for a PT/INR? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | B-Blue |
| Which color tube would be required for a CBC? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | E-Lavender |
| Which color tube would be required for a glucose tolerance test? Yellow, Light Blue, Red, Green, Purple, Grey
A
B
C
D
E
F | F-Grey |
| Which color tube would be required to obtain an ESR (erythrocyte sedimentation rate)?
A
B
C
D
E
F | E-Lavender |
| What color tubes are needed and in what order must they be drawn for a CBC and PT/INR?
Lavender and light blue
Light green and light blue
Light blue and Lavender
Light blue and light green | Light blue and Lavender |
| Purpose of inverting an evacuated tube after venipuncture?
A-distribute serum during centrifugn
B-retrieve liquid portion wout cellular contamin. of specimen
C-proper separation of Na-heparin
D-proper mixing of additive in the tube and the specimen | For proper mixing of the additive contained in the tube and the specimen |
| Which of the following is the correct order of draw?
Lavender, light blue, red
Green, red, lavender
Light blue, lavender grey
Red, lavender, green | Light blue, lavender grey |
| Which of the following tubes should a medical assistant select first when adhering to the proper order of draw?
Red
Yellow
Green
Gray | Yellow |
| A medical assistant should allow a serum specimen to stand for which of the following lengths of time to allow
the specimen to clot before centrifuging?
2 hours
16 minutes
45 minutes
20 minutes | 45 minutes |
| MA needs to aliquot a blood specimen. Which procedure is correct?
Divide specimen into several using a single use pipette
Pour specimen into several containers
Group all specimens together with one label
Freeze specimens, cool, then centrifuge | Divide specimen into several using a single use pipette |
| Which tube would the medical assistant choose that contains serum separator gel?
Lavender
Green
Gray
Tiger top | Tiger top |
| Using a smaller needle for a venipuncture can cause red blood cells to burst, this is known as?
Hemolysis
Hemoconcentration
Homeostasis
Hemostasis | Hemolysis |
| What size needle is typically used for a butterfly draw?
21 -25 gauge
20 - 21 gauge
25 -26 gauge
12 - 20 gauge | 25 -26 gauge |
| Which tube would the medical assistant use to draw a specimen for blood culture?
Green
Yellow
Gray
Lavender | Yellow |
| Correct course of actn if pt hasn't ffd the dietary req. for a venipuncture?
Draw appropriate tubes & note in pt's chart
Reschedule pt's blood draw & office visit
Contact provider for further instruc
Have pt wait in the office drinking water for 4 hrs | Contact the provider for further instructions |
| Which of the following would be correct during a venipuncture?
Don sterile gloves
Have 2 lancets prepared
Ask the patient if they have any allergies
Ask the patient how much water they have had that day | Ask the patient if they have any allergies |
| In which of the ff would be acceptable for CCMA to draw blood in the left antecubital space?
Pt has a left arm sleeve tat
Pt has a birth control implant in upper left arm
Pt had a left mastectomy 20 yrs ago
Pt directs CCMA to use the left arm | The patient directs the CCMA to use the left arm. |
| Which of the following is the correct placement of the tourniquet?
3-4" below the draw site
1-2" above the draw site
3-4" above the draw site
1-2" below the draw site | 3-4" above the draw site |
| Which of the following is correct?
CCMA can't find the vein after 60 seconds so they release the tourniquet
CCMA palpates the area with their non-dominant hand
CCMA has another CCMA check the vein after they palpate it
CCMA palpates area w their thumb | CCMA can't find the vein after 60 seconds so they release the tourniquet |
| Which of the following is correct?
Clean the draw site with povidone iodine
Clean the area in a proximal to distal motion
Clean the area in circular motion moving outward
Clean the area in a circular motion moving inward | Clean the area in circular motion moving outward |
| Which of the following is correct?
Anchor the vein 3-4" below the draw site
Anchor the vein 1-2" below the draw site
Anchor the vein 3-4" above the draw site
Anchor the vein 1-2" above the draw site | Anchor the vein 1-2" below the draw site |
| Which of the following is correct?
The needle should be inserted bevel down.
The needle should be inserted very slowly
The needle should be inserted at a 15-30-degree angle
The needle should be inserted I-2" deep | The needle should be inserted at a 15-30-degree angle |
| Which is correct?
Anchor should be performed with non-dominant hand
After inserting the needle, switch to hold it with other hand
Tubes should be held and inserted with the dominant hand
Insert the tube into the connector before inserting the needle | Anchor should be performed with non-dominant hand |
| Which of the following tubes would be filled FIRST according to the tests ordered in the skill lab's requisition form?
Light green
Light blue
Lavender
SST | Light blue |
| Which of the following tubes would be filled SECOND according to the tests ordered in the skill lab's requisition form?
SST
Light blue
Lavender
Green | SST |
| Which of the following tubes would be filled LAST according to the tests ordered in the skill labs requisition form?
Light green
Light blue
Lavender
Red | Lavender |
| How many times would you need to invert the final tube used in the skill lab?
None
12-20
4-10
12-15 | 4-10 |
