NHA CCMA Study Guide, Nha certification
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Questions&Answers
Chief Complaint Definition - Answer--The reason why the patient came to see the
physician.
Chief Complaint Abbreviation - Answer--CC
History of Present Illness Abbreviation - Answer--HPI
History of Present Illness Definition - Answer--This is an explanation of the CC to
determine the onset of the illness; associated symptoms; what the patient has done
to treat the condition, etc.
Past, Family and Social History Abbreviation - Answer--PFSH
Past Medical History Definition - Answer--Includes all health problems, major
illnesses, surgeries the patient has had, current medications complete with reasons
for taking them, and allergies.
Family History Definition - Answer--Summary of health problems of siblings, parents,
and other blood relatives that could alert the physician to hereditary and/or familial
disease.
Social History Definition - Answer--Includes marital status, occupation, educational
attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles.
Review of Systems Abbreviation - Answer--ROS
Review of Systems Definition - Answer--This is an orderly and systematic check of
each organ and system of the body by questions. Both positive and pertinent
negative findings are documented.
3 Body Processes Necessary for life are: - Answer--Body Temperature, Respiration,
Heart Function
,4 Vital Signs of Body Function are: - Answer--Temperature, Pulse, Respiration,
Blood Pressure
Define Body Temperature - Answer--Is a balance between heart production and
heart loss in conjunction with each other, maintained and regulated by the
hypothalamus.
Thermometers - Answer--Are used to measure temperature using the Fahrenheit
and Centigrade or Celsius scale.
Temperature Sites - Answer--Mouth, Rectum, Ear (Tympanic Membrane), and the
axilla (underarm).
Normal Temperature Range for Rectal - Answer--98.6F to 100.6F
37.0C to 38.1C
Normal Temperature Range for Oral - Answer--97.6F to 99.6F
36.5C to 37.5C
Normal Temperature Range for Axillary - Answer--96.6F to 98.6F
35.9C to 37.0C
Normal Temperature Range for Tympanic Membrane - Answer--98.6 F
37 C
Define Febrile - Answer--Presence of Fever
Define Afebrile - Answer--Absence of Fever
Define Fever - Answer--Elevated body temperature beyond normal range.
Intermittent Fever - Answer--Fluctuating fever that returns to or below baseline then
rises again.
Remittent Fever - Answer--Fluctuating fever that remains elevated; it does not return
to baseline temperature.
Continuous Fever - Answer--A fever that remains constant above the baseline; it
does not fluctuate.
Oral Temperature - Answer--Is the most common method of measurement.
Oral Temperature is not taken from what patients: - Answer---infants and children
less than six years old
,-patients who has had surgery or facial, neck, nose, or mouth injury
-those receiving oxygen
-those with nasogastric tubes
-patients with convulsive seizure
-hemiplegic patients
-patients with altered mental status
How long after a patient eats, smokes or drinks do you wait to take an oral
temperature? - Answer--30 minutes
When taking an oral temperature how long do you leave the thermometer in the
patient's mouth? - Answer--3-5 minutes
Rectal Temperature - Answer--Is taken when oral temperature is not feasible.
Rectal Temperature is not taken from what patients: - Answer---patient's with heart
disease
-patients with rectal disease or disorder or has had rectal surgery
-patients with diarrhea
Axillary Temperature - Answer--Is the least accurate and is taken only when no other
temperature site can be used.
When taking an axillary temperature how long should the thermometer be held in
place? - Answer--5-10 minutes
Tympanic Temperature - Answer--Is useful for children and confused patients
because of the speed of operation.
Tympanic Temperature is not taken from what patients: - Answer---patients with an
ear disorder or ear drainage
When taking a Tympanic Temperature: - Answer--A covered probe is gently inserted
into the ear canal and temperature is measured with seconds (1-3 seconds).
What is the normal range for an adult pulse: - Answer--60 to 100 beats per minute
The site most commonly used for taking a pulse is: - Answer--The radial artery
(found in the wrist on the same side as the thumb).
When taking a pulse at the radial artery it is felt with the: - Answer--First two or three
fingers (never with the thumb) and usually taken for 30 seconds multiplied by two to
get the rate per minute.
, (Taking a pulse at the radial artery) If the rate is unusually fast or slow then: -
Answer--Count it for 60 seconds
The _____ _____ is a more accurate measurement of the heart rate and it is taken
over the apex of the heart by auscultation using the stethoscope. - Answer--Apical
Pulse
Taking an apical pulse is used for patients with: - Answer--Irregular heart rate and for
infants and small children.
Respiratory Characteristics - Answer--Rate, Rhythm, and Depth
Respiratory Rate - Answer--Is the number of respirations per minute.
Normal Adult Range of Respiratory Rate - Answer--12 to 20 per minute
What counts as one respirations: - Answer--One inspiration (inhale) and One
Expiration (exhale).
How is a Respiratory Rate calculated: - Answer--Count respirations for 30 seconds
then multiplied by two or count for a full minute.
Define Apnea - Answer--This is a temporary complete absence of breathing which
may by result of a reduction in the stimuli to the respiratory centers of the brain.
Define Tachypnea - Answer--This is a respiration rate of greater than 40/min. It is
transient in the newborn and maybe caused by the hysteria in the adult.
Define Bradypnea - Answer--Decrease in numbers of respirations. This occurs
during sleep. It may also be due to certain diseases.
Define Respiratory Rhythm - Answer--Refers to the pattern of breathing. It can vary
with age: infants have an irregular rhythm while adults have regular.
Define Cheyne-Stokes - Answer--This is a regular pattern of irregular breathing rate.
Define Orthopnea - Answer--This is difficulty or inability to breath unless in an upright
position.
Define Respiratory Depth - Answer--Refers to the amount of air that is inspired and
expired during each respiration.
Define Hypoventilation - Answer--State in which reduced amount of air enters the
lungs resulting in decreased oxygen level and increased carbon dioxide level in
study guide for CCMA 100% Guaranteed
Questions&Answers
Chief Complaint Definition - Answer--The reason why the patient came to see the
physician.
Chief Complaint Abbreviation - Answer--CC
History of Present Illness Abbreviation - Answer--HPI
History of Present Illness Definition - Answer--This is an explanation of the CC to
determine the onset of the illness; associated symptoms; what the patient has done
to treat the condition, etc.
Past, Family and Social History Abbreviation - Answer--PFSH
Past Medical History Definition - Answer--Includes all health problems, major
illnesses, surgeries the patient has had, current medications complete with reasons
for taking them, and allergies.
Family History Definition - Answer--Summary of health problems of siblings, parents,
and other blood relatives that could alert the physician to hereditary and/or familial
disease.
Social History Definition - Answer--Includes marital status, occupation, educational
attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles.
Review of Systems Abbreviation - Answer--ROS
Review of Systems Definition - Answer--This is an orderly and systematic check of
each organ and system of the body by questions. Both positive and pertinent
negative findings are documented.
3 Body Processes Necessary for life are: - Answer--Body Temperature, Respiration,
Heart Function
,4 Vital Signs of Body Function are: - Answer--Temperature, Pulse, Respiration,
Blood Pressure
Define Body Temperature - Answer--Is a balance between heart production and
heart loss in conjunction with each other, maintained and regulated by the
hypothalamus.
Thermometers - Answer--Are used to measure temperature using the Fahrenheit
and Centigrade or Celsius scale.
Temperature Sites - Answer--Mouth, Rectum, Ear (Tympanic Membrane), and the
axilla (underarm).
Normal Temperature Range for Rectal - Answer--98.6F to 100.6F
37.0C to 38.1C
Normal Temperature Range for Oral - Answer--97.6F to 99.6F
36.5C to 37.5C
Normal Temperature Range for Axillary - Answer--96.6F to 98.6F
35.9C to 37.0C
Normal Temperature Range for Tympanic Membrane - Answer--98.6 F
37 C
Define Febrile - Answer--Presence of Fever
Define Afebrile - Answer--Absence of Fever
Define Fever - Answer--Elevated body temperature beyond normal range.
Intermittent Fever - Answer--Fluctuating fever that returns to or below baseline then
rises again.
Remittent Fever - Answer--Fluctuating fever that remains elevated; it does not return
to baseline temperature.
Continuous Fever - Answer--A fever that remains constant above the baseline; it
does not fluctuate.
Oral Temperature - Answer--Is the most common method of measurement.
Oral Temperature is not taken from what patients: - Answer---infants and children
less than six years old
,-patients who has had surgery or facial, neck, nose, or mouth injury
-those receiving oxygen
-those with nasogastric tubes
-patients with convulsive seizure
-hemiplegic patients
-patients with altered mental status
How long after a patient eats, smokes or drinks do you wait to take an oral
temperature? - Answer--30 minutes
When taking an oral temperature how long do you leave the thermometer in the
patient's mouth? - Answer--3-5 minutes
Rectal Temperature - Answer--Is taken when oral temperature is not feasible.
Rectal Temperature is not taken from what patients: - Answer---patient's with heart
disease
-patients with rectal disease or disorder or has had rectal surgery
-patients with diarrhea
Axillary Temperature - Answer--Is the least accurate and is taken only when no other
temperature site can be used.
When taking an axillary temperature how long should the thermometer be held in
place? - Answer--5-10 minutes
Tympanic Temperature - Answer--Is useful for children and confused patients
because of the speed of operation.
Tympanic Temperature is not taken from what patients: - Answer---patients with an
ear disorder or ear drainage
When taking a Tympanic Temperature: - Answer--A covered probe is gently inserted
into the ear canal and temperature is measured with seconds (1-3 seconds).
What is the normal range for an adult pulse: - Answer--60 to 100 beats per minute
The site most commonly used for taking a pulse is: - Answer--The radial artery
(found in the wrist on the same side as the thumb).
When taking a pulse at the radial artery it is felt with the: - Answer--First two or three
fingers (never with the thumb) and usually taken for 30 seconds multiplied by two to
get the rate per minute.
, (Taking a pulse at the radial artery) If the rate is unusually fast or slow then: -
Answer--Count it for 60 seconds
The _____ _____ is a more accurate measurement of the heart rate and it is taken
over the apex of the heart by auscultation using the stethoscope. - Answer--Apical
Pulse
Taking an apical pulse is used for patients with: - Answer--Irregular heart rate and for
infants and small children.
Respiratory Characteristics - Answer--Rate, Rhythm, and Depth
Respiratory Rate - Answer--Is the number of respirations per minute.
Normal Adult Range of Respiratory Rate - Answer--12 to 20 per minute
What counts as one respirations: - Answer--One inspiration (inhale) and One
Expiration (exhale).
How is a Respiratory Rate calculated: - Answer--Count respirations for 30 seconds
then multiplied by two or count for a full minute.
Define Apnea - Answer--This is a temporary complete absence of breathing which
may by result of a reduction in the stimuli to the respiratory centers of the brain.
Define Tachypnea - Answer--This is a respiration rate of greater than 40/min. It is
transient in the newborn and maybe caused by the hysteria in the adult.
Define Bradypnea - Answer--Decrease in numbers of respirations. This occurs
during sleep. It may also be due to certain diseases.
Define Respiratory Rhythm - Answer--Refers to the pattern of breathing. It can vary
with age: infants have an irregular rhythm while adults have regular.
Define Cheyne-Stokes - Answer--This is a regular pattern of irregular breathing rate.
Define Orthopnea - Answer--This is difficulty or inability to breath unless in an upright
position.
Define Respiratory Depth - Answer--Refers to the amount of air that is inspired and
expired during each respiration.
Define Hypoventilation - Answer--State in which reduced amount of air enters the
lungs resulting in decreased oxygen level and increased carbon dioxide level in