NHA/DAILY ASS: TESTX & LAB PROC, PHLEB, HEMOCCULT, PKU, GLUCOSE.
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| 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.
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| 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
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| 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
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| 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
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| 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
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| 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.
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| 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.
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| 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.
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| Which of the following tubes should a medical assistant select first when adhering to the proper order of draw? Red Yellow Green Gray | Yellow
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| 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
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| 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
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| 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
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| 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.
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| 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
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| 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
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| 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
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| 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
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| 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
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| Which of the following would be considered a normal lasting glucose level? 10 40 90 180 | 90
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| What medical condition is monitored by messuring a Hemoglobin A1C (HbAIC)? Anemia Diabetes mellitus Hemophilia Hypertension | Diabetes mellitus
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| A finger stick blood for blood glucose will test blood from which of the following? Artery Vein Capillary Tissue | Capillary
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| Which of the following pieces of equipment is required for a dermal puncture? Syringe Tourniquet Vacutainer lancet | lancet
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| 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
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| What is the angle for using the lancet during a capillary stick procedure? 90° 30° 45* 15° | 90°
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| Which of the following digits is the preferred site for a capillary puncture in an adult patient? fifth Fourth Second First | Fourth
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| 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
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| Which test would confirm an infectious disease caused by Epstein-Barr virus? Hematocrit Occult blood test Mono test HbA1c | Mono test
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| 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
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| Which of the following is not a piece of equipment needed for the procedure? Alcohol pads Sharps container Lancet Syringe | Syringe
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| 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
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| 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
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| 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
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| 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
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| Which of the following fingers would you choose? Finger is calloused Finger is bruised Finger is cold Finger is scarred | Finger is cold
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| 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
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| 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.
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| Which tube contains the additive heparin? Yellow, Light Blue, Red, Green, Purple, Grey A B C D E F | D-Green
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| Which tube contains the additive sodium citrate? Yellow, Light Blue, Red, Green, Purple, Grey A B C D E F | B-Blue
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| Which tube contains no additive? Yellow, Light Blue, Red, Green, Purple, Grey A B C D E F | C-Red
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| 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
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| Which color tube would be required for a CBC? Yellow, Light Blue, Red, Green, Purple, Grey A B C D E F | E-Lavender
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| 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
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| Which color tube would be required to obtain an ESR (erythrocyte sedimentation rate)? A B C D E F | E-Lavender
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| 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
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| 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
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| 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
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| Which of the following tubes should a medical assistant select first when adhering to the proper order of draw? Red Yellow Green Gray | Yellow
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| 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
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| 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
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| Which tube would the medical assistant choose that contains serum separator gel? Lavender Green Gray Tiger top | Tiger top
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| Using a smaller needle for a venipuncture can cause red blood cells to burst, this is known as? Hemolysis Hemoconcentration Homeostasis Hemostasis | Hemolysis
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| 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
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| Which tube would the medical assistant use to draw a specimen for blood culture? Green Yellow Gray Lavender | Yellow
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| 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
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| 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
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| 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.
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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