CCMA NHA EXAM NEWEST 2026 PACKAGE DEAL|
DIFFERENT VERSIONS WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| NHA MEDICAL ASSISTANT
CERTIFICATION (CCMA) EXAM PREP (MOST RECENT!!)
1. A medical assistant is performing a venipuncture using an
evacuated tube system. Which action ensures proper collection
of a light blue top tube?
A) Fill the tube slowly without a tourniquet
B) Collect a discard tube before the light blue top
C) Shake the tube vigorously to mix additive
D) Fill the tube completely to the stated volume
Correct Answer: D
Rationale: Light blue top tubes contain sodium citrate
(anticoagulant) in a precise blood-to-additive ratio. Underfilling
changes this ratio, leading to inaccurate coagulation tests
(PT/INR, PTT). No discard tube is needed for light blue if
drawing from a clean venipuncture. Shaking causes hemolysis;
gentle inversion is correct.
2. A patient experiences syncope during a venipuncture. What
should the MA do first?
1
,A) Remove the tourniquet and needle immediately
B) Apply a cold compress to the forehead
C) Elevate the patient’s legs above heart level
D) Offer orange juice
Correct Answer: A
Rationale: First, discontinue the procedure (remove needle and
tourniquet) to prevent injury. Then place patient in Trendelenburg
or supine with legs elevated. Cold compresses and juice are
secondary after safety is ensured.
3. During a 12-lead EKG, where should the V4 electrode be
placed?
A) Fourth intercostal space, right sternal border
B) Fifth intercostal space, midclavicular line
C) Fifth intercostal space, anterior axillary line
D) Fourth intercostal space, left sternal border
Correct Answer: B
Rationale: V4 is at the 5th intercostal space, left midclavicular
line. V1 (4th ICS, right sternal border). V2 (4th ICS, left sternal
border). V5 (anterior axillary line, same horizontal as V4).
4. According to OSHA, which of the following is an
engineering control for needlestick prevention?
2
,A) Hand hygiene protocol
B) Safety-engineered needles
C) Personal protective equipment
D) Hepatitis B vaccination
Correct Answer: B
Rationale: Engineering controls are devices that isolate or remove
hazards, e.g., retractable needles, sharps containers. PPE and
hand hygiene are work practice controls; Hep B vaccine is post-
exposure prevention.
5. A medical assistant receives a call from a patient
requesting test results. The MA should:
A) Give results over phone if patient verifies DOB
B) Fax results to patient’s home phone number
C) Have provider call back or release results per clinic policy
D) Mail results without provider approval
Correct Answer: C
Rationale: Test results are PHI. Only the provider or authorized
staff may release results after interpretation. Clinic policy must
be followed, often requiring a portal message or provider call.
6. Which of the following is a proper chain of custody step
when collecting a urine drug screen?
3
, A) Allow patient to flush toilet before collection
B) Have patient remove outer clothing and leave belongings
outside
C) Pour specimen from one cup to another to check temperature
D) Send specimen to lab without signatures
Correct Answer: B
Rationale: Chain of custody requires securing the patient’s
belongings, preventing adulteration. Patient should not flush (tap
water may be used to dye), and specimen must stay in original
container. Temperature strip checked immediately.
7. What is the correct angle for intramuscular injection in the
ventrogluteal site?
A) 10–15 degrees
B) 45 degrees
C) 90 degrees
D) 25 degrees
Correct Answer: C
Rationale: IM injections require 90-degree angle to penetrate
muscle tissue. Subcutaneous is 45–90 depending on needle
length. Intradermal is 10–15 degrees.
4
DIFFERENT VERSIONS WITH COMPLETE REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| NHA MEDICAL ASSISTANT
CERTIFICATION (CCMA) EXAM PREP (MOST RECENT!!)
1. A medical assistant is performing a venipuncture using an
evacuated tube system. Which action ensures proper collection
of a light blue top tube?
A) Fill the tube slowly without a tourniquet
B) Collect a discard tube before the light blue top
C) Shake the tube vigorously to mix additive
D) Fill the tube completely to the stated volume
Correct Answer: D
Rationale: Light blue top tubes contain sodium citrate
(anticoagulant) in a precise blood-to-additive ratio. Underfilling
changes this ratio, leading to inaccurate coagulation tests
(PT/INR, PTT). No discard tube is needed for light blue if
drawing from a clean venipuncture. Shaking causes hemolysis;
gentle inversion is correct.
2. A patient experiences syncope during a venipuncture. What
should the MA do first?
1
,A) Remove the tourniquet and needle immediately
B) Apply a cold compress to the forehead
C) Elevate the patient’s legs above heart level
D) Offer orange juice
Correct Answer: A
Rationale: First, discontinue the procedure (remove needle and
tourniquet) to prevent injury. Then place patient in Trendelenburg
or supine with legs elevated. Cold compresses and juice are
secondary after safety is ensured.
3. During a 12-lead EKG, where should the V4 electrode be
placed?
A) Fourth intercostal space, right sternal border
B) Fifth intercostal space, midclavicular line
C) Fifth intercostal space, anterior axillary line
D) Fourth intercostal space, left sternal border
Correct Answer: B
Rationale: V4 is at the 5th intercostal space, left midclavicular
line. V1 (4th ICS, right sternal border). V2 (4th ICS, left sternal
border). V5 (anterior axillary line, same horizontal as V4).
4. According to OSHA, which of the following is an
engineering control for needlestick prevention?
2
,A) Hand hygiene protocol
B) Safety-engineered needles
C) Personal protective equipment
D) Hepatitis B vaccination
Correct Answer: B
Rationale: Engineering controls are devices that isolate or remove
hazards, e.g., retractable needles, sharps containers. PPE and
hand hygiene are work practice controls; Hep B vaccine is post-
exposure prevention.
5. A medical assistant receives a call from a patient
requesting test results. The MA should:
A) Give results over phone if patient verifies DOB
B) Fax results to patient’s home phone number
C) Have provider call back or release results per clinic policy
D) Mail results without provider approval
Correct Answer: C
Rationale: Test results are PHI. Only the provider or authorized
staff may release results after interpretation. Clinic policy must
be followed, often requiring a portal message or provider call.
6. Which of the following is a proper chain of custody step
when collecting a urine drug screen?
3
, A) Allow patient to flush toilet before collection
B) Have patient remove outer clothing and leave belongings
outside
C) Pour specimen from one cup to another to check temperature
D) Send specimen to lab without signatures
Correct Answer: B
Rationale: Chain of custody requires securing the patient’s
belongings, preventing adulteration. Patient should not flush (tap
water may be used to dye), and specimen must stay in original
container. Temperature strip checked immediately.
7. What is the correct angle for intramuscular injection in the
ventrogluteal site?
A) 10–15 degrees
B) 45 degrees
C) 90 degrees
D) 25 degrees
Correct Answer: C
Rationale: IM injections require 90-degree angle to penetrate
muscle tissue. Subcutaneous is 45–90 depending on needle
length. Intradermal is 10–15 degrees.
4
