NHA CCMA EXAM GUIDE 2025
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
CC - Chief Complaint
Segment - Line between two wave forms
P-wave - Atrial Depolarization
How many 1mm boxes are in a 6 second Rythm strip? - 30 one millimeter boxes
The SA node represents which waveform on the ekg? - Only the P-wave
What is the reading you can get from the RR interval? - Ventricular Rate
Positive testing for occult blood in a stool sample turn which color? - Turns Blue on a
positive test for occult blood in feces.
The stages of Hemostasis: - 1. Vascular 2. Platelet Phase 3. Coagulation Phase 4.
Fibronolysis
Blood Vessels - Aorta, arteries, arterioles, capillaries, venues, veins, superior and inferior
vena cavae.
The standards of right and wrong in a medical setting - Code of Ethics
What do you find in capillaries? - A mixture of venous and arterial blood is found
The average adult has how many liters of blood? - 5-6 liters
What is the percentage of water in blood? - 92%
Percentage of plasma in blood - 55%
Percentage of Formed Elements in the blood - 45%
Where do all blood cells originate? - Bone Marrow
,How many RBC's per microliter of blood - 4.2-6.2 million
Leukopenia - Decrease in WBC's seen with viral infection and leukemia
Preferred site for venipuncture - median cubital vein
Fibrinolysis - Breakdown and removal of a clot
2nd choice vein for venipuncture most often the only one palpatable in an obese pt -
Cephalic vein
Antiseptics used in Phlebotomy - 70% isopropyl alcohol pads most common, provolone
iodine for blood cultures and chlorhexidine gluconate for patients that are allergic to betadine/
iodine
Guage of needle that can cause hemolysis - Smaller than 23 guage
Average gauge of needle used for drawing blood - 21-22
Analytical errors DURING collection of blood - extended tourniquet time, hemolysis,
wrong order of draw, failure to invert tubes, faulty technique under filling tubes
Analytical errors BEFORE collection of blood - Patient misidentification, improper time,
wrong tube, not fasting, exercise (cortisol levels), PT posture, poor coordination with other
treatments, improper side prep, medication interference
Analytical errors AFTER blood collection - Failure to separate serum from cell (glycolisis),
improper use of serum separator (not inverting tubes or not spinning tubes) delays in
processing, exposure to light, improper storage conditions, dimming clots
Fistula - Permanent surgical connection between an artery and a vein, never used for
venipuncture
Edema - Accumulation of fluid in tissue
Thrombophlebitis - Inflammation of a vein with a clot formation
Hemoconcentration - The increase in proportion of formed elements to plasma caused
by leaving on the tourniquet for more than two minutes
additives in green top tube - heparin
Common tests for the light blue sodium citrate tube - Coagulation studies, PT (extrinsic,
warfarin) APTT, PTT (intrinsic, heparin) TT, BT, FDP
,Common tests for the lavendar edta tube - CBC, differential or diff., ESR, sickle cell
screening
Common tests for this color tube are chemistry tests performed on plasma such as Ammonia,
carboxyhemoglobin and STAT electrolytes - Green top tube (heparin) Tests
How long does it take for blood to clot by normal coagulation process in the red top tube? -
30-60 mins
Common test for the red topped tube - Serum chemistry tests, serology tests, blood bank
(glass only)
Order of draw for capillary specimens - lavender first, then tubes with other additives,
then tubes with out additives
Which are the preferred sites for dermal punctures - the distal segment of the third or
fourth finger of the non-dominant hand
heel sticks are performed on which patients? - infants less than 1 year old
Where on the foot is the dermal puncture made on patients less than a year old - the
medial and lateral areas of the plantar surface of the foot
dermal puncture is made in - the fleshy portion of the finger slightly to the side of the
center perpendicular to the lines of the fingerprints
What will occur if you puncture the heel too deep? more than 2 mm - osteomyelitis
What are the identification requirements for blood bank - Pt's full name and DOB,
hospital id # or ssn for outpatient, date and time of collection as well as the phlebotomist's
initials
When checking for hormones in urine, when do you collect the urine sample - first
voiding in the morning
Which urine specimen provides the clearest, most accurate results? - Clean catch
midstream specimen
Examination of urine consists of - physical, chemical, microscopic
normal range of specific gravity of urine in adults with normal diet and fluid intake -
1.015-1.025
Glycosuria - presence of glucose in the urine
, Symptoms of patients with diabetes mellitus - glycosuria, polyuria, and thirst
A urine pH of what is considered neutral? - 7.0 pH
Urine Screening for UCG or HCG - Pregnancy Test
HIPPA is for? - Patient Confidentiality
The four elements of Negligence - Duty, duty of care, derelict= breach of duty of care,
direct cause, damage
Tort - Wrongful act that results in injury to one person to another
Examples of Tort - Battery, invasion of privacy, defamation of character
libel - Defamation of character by written statement is considered
Defamation of character - Consists of injury to another person's reputation , name or
character through spoken (slander) or written (libel)
The release of medical records without the patient's knowledge or permission - Invasion
of privacy
Good Samaritan Law - Rendering first aid within the scope of knowledge by a health care
worker with out fear of being sued for negligence
Hypothalamus - regulates and maintains body temperature
Functions necessary for life - heart function, blood pressure, respiration, temperature
Oral temperature range in Fahrenheit - 97.6-99.6 F
Intermittent fever - Fluctuating fever that returns to or below the baseline then rises
again
Remittent Fever - Fluctuating fever, remains elevated and does not return to baseline
Continuous Fever - fever remains constant above baseline, does not flucuate
Rectal temperature is not taken from the following patients - Patients with heart disease,
hemorrhoids, bleeding disorders
When taking axillary temperature how long should it be taken - 5-10 mins or as required
by office policy
Pulse is taken where and how long - radial for 30sec x2, if tachy or brady take it 1 minute
|MOST COMMON QUESTIONS WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
CC - Chief Complaint
Segment - Line between two wave forms
P-wave - Atrial Depolarization
How many 1mm boxes are in a 6 second Rythm strip? - 30 one millimeter boxes
The SA node represents which waveform on the ekg? - Only the P-wave
What is the reading you can get from the RR interval? - Ventricular Rate
Positive testing for occult blood in a stool sample turn which color? - Turns Blue on a
positive test for occult blood in feces.
The stages of Hemostasis: - 1. Vascular 2. Platelet Phase 3. Coagulation Phase 4.
Fibronolysis
Blood Vessels - Aorta, arteries, arterioles, capillaries, venues, veins, superior and inferior
vena cavae.
The standards of right and wrong in a medical setting - Code of Ethics
What do you find in capillaries? - A mixture of venous and arterial blood is found
The average adult has how many liters of blood? - 5-6 liters
What is the percentage of water in blood? - 92%
Percentage of plasma in blood - 55%
Percentage of Formed Elements in the blood - 45%
Where do all blood cells originate? - Bone Marrow
,How many RBC's per microliter of blood - 4.2-6.2 million
Leukopenia - Decrease in WBC's seen with viral infection and leukemia
Preferred site for venipuncture - median cubital vein
Fibrinolysis - Breakdown and removal of a clot
2nd choice vein for venipuncture most often the only one palpatable in an obese pt -
Cephalic vein
Antiseptics used in Phlebotomy - 70% isopropyl alcohol pads most common, provolone
iodine for blood cultures and chlorhexidine gluconate for patients that are allergic to betadine/
iodine
Guage of needle that can cause hemolysis - Smaller than 23 guage
Average gauge of needle used for drawing blood - 21-22
Analytical errors DURING collection of blood - extended tourniquet time, hemolysis,
wrong order of draw, failure to invert tubes, faulty technique under filling tubes
Analytical errors BEFORE collection of blood - Patient misidentification, improper time,
wrong tube, not fasting, exercise (cortisol levels), PT posture, poor coordination with other
treatments, improper side prep, medication interference
Analytical errors AFTER blood collection - Failure to separate serum from cell (glycolisis),
improper use of serum separator (not inverting tubes or not spinning tubes) delays in
processing, exposure to light, improper storage conditions, dimming clots
Fistula - Permanent surgical connection between an artery and a vein, never used for
venipuncture
Edema - Accumulation of fluid in tissue
Thrombophlebitis - Inflammation of a vein with a clot formation
Hemoconcentration - The increase in proportion of formed elements to plasma caused
by leaving on the tourniquet for more than two minutes
additives in green top tube - heparin
Common tests for the light blue sodium citrate tube - Coagulation studies, PT (extrinsic,
warfarin) APTT, PTT (intrinsic, heparin) TT, BT, FDP
,Common tests for the lavendar edta tube - CBC, differential or diff., ESR, sickle cell
screening
Common tests for this color tube are chemistry tests performed on plasma such as Ammonia,
carboxyhemoglobin and STAT electrolytes - Green top tube (heparin) Tests
How long does it take for blood to clot by normal coagulation process in the red top tube? -
30-60 mins
Common test for the red topped tube - Serum chemistry tests, serology tests, blood bank
(glass only)
Order of draw for capillary specimens - lavender first, then tubes with other additives,
then tubes with out additives
Which are the preferred sites for dermal punctures - the distal segment of the third or
fourth finger of the non-dominant hand
heel sticks are performed on which patients? - infants less than 1 year old
Where on the foot is the dermal puncture made on patients less than a year old - the
medial and lateral areas of the plantar surface of the foot
dermal puncture is made in - the fleshy portion of the finger slightly to the side of the
center perpendicular to the lines of the fingerprints
What will occur if you puncture the heel too deep? more than 2 mm - osteomyelitis
What are the identification requirements for blood bank - Pt's full name and DOB,
hospital id # or ssn for outpatient, date and time of collection as well as the phlebotomist's
initials
When checking for hormones in urine, when do you collect the urine sample - first
voiding in the morning
Which urine specimen provides the clearest, most accurate results? - Clean catch
midstream specimen
Examination of urine consists of - physical, chemical, microscopic
normal range of specific gravity of urine in adults with normal diet and fluid intake -
1.015-1.025
Glycosuria - presence of glucose in the urine
, Symptoms of patients with diabetes mellitus - glycosuria, polyuria, and thirst
A urine pH of what is considered neutral? - 7.0 pH
Urine Screening for UCG or HCG - Pregnancy Test
HIPPA is for? - Patient Confidentiality
The four elements of Negligence - Duty, duty of care, derelict= breach of duty of care,
direct cause, damage
Tort - Wrongful act that results in injury to one person to another
Examples of Tort - Battery, invasion of privacy, defamation of character
libel - Defamation of character by written statement is considered
Defamation of character - Consists of injury to another person's reputation , name or
character through spoken (slander) or written (libel)
The release of medical records without the patient's knowledge or permission - Invasion
of privacy
Good Samaritan Law - Rendering first aid within the scope of knowledge by a health care
worker with out fear of being sued for negligence
Hypothalamus - regulates and maintains body temperature
Functions necessary for life - heart function, blood pressure, respiration, temperature
Oral temperature range in Fahrenheit - 97.6-99.6 F
Intermittent fever - Fluctuating fever that returns to or below the baseline then rises
again
Remittent Fever - Fluctuating fever, remains elevated and does not return to baseline
Continuous Fever - fever remains constant above baseline, does not flucuate
Rectal temperature is not taken from the following patients - Patients with heart disease,
hemorrhoids, bleeding disorders
When taking axillary temperature how long should it be taken - 5-10 mins or as required
by office policy
Pulse is taken where and how long - radial for 30sec x2, if tachy or brady take it 1 minute
