NHA CCMA Test Exam Questions And
Answers Verified 100% Correct
Leukopenia - ANSWER -Decrease in WBC's seen with viral infection and
leukemia
Comprises 3-8% of wbc or leukocytes - ANSWER -Monocytes
Largest in size of the leukocytes - ANSWER -Monocytes
Carries Histamine - ANSWER -Basophil
Injury to a blood vessel that causes it to constrict, slowing the clot of blood -
ANSWER -Cascular phase of hemostasis
Preferred site for venipuncture - ANSWER -Antecubital fossa
Test used to evaluate the intrinsic pathway and monitor heparin therapy -
ANSWER -APTT also know as PTT
Test used to evaluate the extrinsic pathway and also used to monitor warfarin
therapy - ANSWER -PT
Fibrinolysis - ANSWER -Breakdown and removal of a clot
Converts the temorary platelet plug into a stable fibrin clot - ANSWER -
Coagulation phase
2nd choice vein for venipuncture most often the only one palpatable in an obese pt
- ANSWER -Cephalic vein
Antiseptics used in Phlebodtomy - ANSWER -70% isopropyl alcohol pads most
common, provolone iodine for bc, s and chlorhexidine gluconate for patients that
are allergic to betadine/ iodine
Length of needle commonly used in venipuncture - ANSWER -1 ince (up to 1.5")
Guage of needle that can cause hemolysis - ANSWER -Smaller than 23 guage
,Average gauge of needle used for drawing blood - ANSWER -21-22
3 skills of the phlebotomist - ANSWER -social, clerical, technical
Analytical errors during collection of blood - ANSWER -extended tourniquet
time, hemolysis, wrong order of draw, failure to invert tubes, faulty technique
under filling tubes
Analytical errors before collection of blood - ANSWER -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 - ANSWER -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 - ANSWER -Permanent surgical connection between an artery and a vein,
never used for venipuncture
Edima - ANSWER -Accumulation of fluid in tissue
Thrombophlebitis - ANSWER -Inflammation of a vein with a clot formation
Explanation of Hemoconcentration - ANSWER -The increase in proportion of
formed elements to plasma caused by leaving on the tourniquet for more than two
minutes
Consequence of insufficient pressure applied after withdrawal of needle -
ANSWER -Thrombus
additives in green top tube - ANSWER -heparin, sodium, litium, ammonium
Why is the green top tube never used for hematology - ANSWER -Green tops
additive heparin interferes with the Wright's stained blood test
Common tests for the lifht blue sodium citrate tube - ANSWER -Coagulation
studies, PT (extrinsic, warfarin) APTT, PTT (intrinsic, heparin) TT, BT, FDP
,Common tests for the lavendar edta tube - ANSWER -CBC, differential or diff.,
ESR, sickle cell screening
Common tests for this color tube are chemistry tests performed on plasuma such
as Ammonia, carboxyhemoglobin and STAT electrolytes - ANSWER -Green top
tube (heparin) Tests
How long does it take for blood to clot by normal coagulation process in the red
top tube? - ANSWER -30-60 mins
The primary purpose is to provide reliable data about a patients health status by
ensuring the accuracy of a test while detecting and eliminating error - ANSWER -
What is quality control
Common test for the red topped tube - ANSWER -Serum chemistry tests,
serology tests, blood bank (glass only)
Order of draw for cappilary specimens - ANSWER -lavender first, then tubes
with other additives, then tubes with out additives
Antiseptic not used on a dermal puncture site - ANSWER -Betadine (because it
interferes with several tests like bilirubin, uric acid, phosphorus and potassium
For which procedure would you warm the site for a minimum of 3-4 minutes to
increase blood flow? - ANSWER -dermal punctures (heel sticks)
Which are the preferred sites for dermal punctures - ANSWER -the distal segment
of the third or fourth finger of the non-dominant hand
heel sticks are performed on which patients? - ANSWER -infants less than 1 year
old
Where on the foot is the dermal puncture made on patients less than a year old -
ANSWER -the medial and lateral areas of the plantar surface of the foot
dermal puncture is made in - ANSWER -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 - ANSWER -
osteomyalitis
What are the identification requirements for blood bank - ANSWER -Pt's full
name and DOB, hospital id # or ssn for outpatient, date and time of collection as
well as the phlebotomist's initials
This section of the lab uses serum to analyze the presence - ANSWER -Serology
(immunology) Section
When checking for hormones in urine when do you collect the urine sample -
ANSWER -first voiding in the morning
Which urine specimen provides the clearest, most accurate results? - ANSWER -
Clean catch midstream specimen
Which urine sample requires aseptic technique? - ANSWER -Clean catch
specimen
Examination of urine consists of - ANSWER -physical, chemical, microscopic
Physical examination of urine consists of - ANSWER -colume (adequate for
testing, observing color and appearance, odor, specific gravity
What amount of urine must you have to be sufficient for analysis? - ANSWER -
25ml
What is the normal range of specific gravity of random collection - ANSWER -
1.005-1.030
normal range of specific gravity of urine in adults with normal diet and fluid
intake - ANSWER -1.015-1.025
Microscopic examination of urine requires this amount - ANSWER -10-15ml
Urine Specific gravity - ANSWER -The ratio of weight of a given colume of
urine to the weight of the same volume of distilled water at a constant temperature
Glycosuria - ANSWER -presence of glucose in the urine
Answers Verified 100% Correct
Leukopenia - ANSWER -Decrease in WBC's seen with viral infection and
leukemia
Comprises 3-8% of wbc or leukocytes - ANSWER -Monocytes
Largest in size of the leukocytes - ANSWER -Monocytes
Carries Histamine - ANSWER -Basophil
Injury to a blood vessel that causes it to constrict, slowing the clot of blood -
ANSWER -Cascular phase of hemostasis
Preferred site for venipuncture - ANSWER -Antecubital fossa
Test used to evaluate the intrinsic pathway and monitor heparin therapy -
ANSWER -APTT also know as PTT
Test used to evaluate the extrinsic pathway and also used to monitor warfarin
therapy - ANSWER -PT
Fibrinolysis - ANSWER -Breakdown and removal of a clot
Converts the temorary platelet plug into a stable fibrin clot - ANSWER -
Coagulation phase
2nd choice vein for venipuncture most often the only one palpatable in an obese pt
- ANSWER -Cephalic vein
Antiseptics used in Phlebodtomy - ANSWER -70% isopropyl alcohol pads most
common, provolone iodine for bc, s and chlorhexidine gluconate for patients that
are allergic to betadine/ iodine
Length of needle commonly used in venipuncture - ANSWER -1 ince (up to 1.5")
Guage of needle that can cause hemolysis - ANSWER -Smaller than 23 guage
,Average gauge of needle used for drawing blood - ANSWER -21-22
3 skills of the phlebotomist - ANSWER -social, clerical, technical
Analytical errors during collection of blood - ANSWER -extended tourniquet
time, hemolysis, wrong order of draw, failure to invert tubes, faulty technique
under filling tubes
Analytical errors before collection of blood - ANSWER -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 - ANSWER -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 - ANSWER -Permanent surgical connection between an artery and a vein,
never used for venipuncture
Edima - ANSWER -Accumulation of fluid in tissue
Thrombophlebitis - ANSWER -Inflammation of a vein with a clot formation
Explanation of Hemoconcentration - ANSWER -The increase in proportion of
formed elements to plasma caused by leaving on the tourniquet for more than two
minutes
Consequence of insufficient pressure applied after withdrawal of needle -
ANSWER -Thrombus
additives in green top tube - ANSWER -heparin, sodium, litium, ammonium
Why is the green top tube never used for hematology - ANSWER -Green tops
additive heparin interferes with the Wright's stained blood test
Common tests for the lifht blue sodium citrate tube - ANSWER -Coagulation
studies, PT (extrinsic, warfarin) APTT, PTT (intrinsic, heparin) TT, BT, FDP
,Common tests for the lavendar edta tube - ANSWER -CBC, differential or diff.,
ESR, sickle cell screening
Common tests for this color tube are chemistry tests performed on plasuma such
as Ammonia, carboxyhemoglobin and STAT electrolytes - ANSWER -Green top
tube (heparin) Tests
How long does it take for blood to clot by normal coagulation process in the red
top tube? - ANSWER -30-60 mins
The primary purpose is to provide reliable data about a patients health status by
ensuring the accuracy of a test while detecting and eliminating error - ANSWER -
What is quality control
Common test for the red topped tube - ANSWER -Serum chemistry tests,
serology tests, blood bank (glass only)
Order of draw for cappilary specimens - ANSWER -lavender first, then tubes
with other additives, then tubes with out additives
Antiseptic not used on a dermal puncture site - ANSWER -Betadine (because it
interferes with several tests like bilirubin, uric acid, phosphorus and potassium
For which procedure would you warm the site for a minimum of 3-4 minutes to
increase blood flow? - ANSWER -dermal punctures (heel sticks)
Which are the preferred sites for dermal punctures - ANSWER -the distal segment
of the third or fourth finger of the non-dominant hand
heel sticks are performed on which patients? - ANSWER -infants less than 1 year
old
Where on the foot is the dermal puncture made on patients less than a year old -
ANSWER -the medial and lateral areas of the plantar surface of the foot
dermal puncture is made in - ANSWER -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 - ANSWER -
osteomyalitis
What are the identification requirements for blood bank - ANSWER -Pt's full
name and DOB, hospital id # or ssn for outpatient, date and time of collection as
well as the phlebotomist's initials
This section of the lab uses serum to analyze the presence - ANSWER -Serology
(immunology) Section
When checking for hormones in urine when do you collect the urine sample -
ANSWER -first voiding in the morning
Which urine specimen provides the clearest, most accurate results? - ANSWER -
Clean catch midstream specimen
Which urine sample requires aseptic technique? - ANSWER -Clean catch
specimen
Examination of urine consists of - ANSWER -physical, chemical, microscopic
Physical examination of urine consists of - ANSWER -colume (adequate for
testing, observing color and appearance, odor, specific gravity
What amount of urine must you have to be sufficient for analysis? - ANSWER -
25ml
What is the normal range of specific gravity of random collection - ANSWER -
1.005-1.030
normal range of specific gravity of urine in adults with normal diet and fluid
intake - ANSWER -1.015-1.025
Microscopic examination of urine requires this amount - ANSWER -10-15ml
Urine Specific gravity - ANSWER -The ratio of weight of a given colume of
urine to the weight of the same volume of distilled water at a constant temperature
Glycosuria - ANSWER -presence of glucose in the urine
