Page 54 - ractice Exam Questions and rationales
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other veins available).
                Which of the following is a CLIA waived test that can be performed by the medical assistant?


                   A. differential

                   B. chemical urinalysis


                   C. Gram stain analysis

                   D. crossmatch

                Your response:
                chemical urinalysis
                Correct response:
                chemical urinalysis
                Rationale: A medical assistant can perform a chemical urinalysis test, which shows if the patient
                has protein or glucose in their urine, but would require intervention by the primary care
                provider. A chemical urinalysis can also tell what the specific gravity of the urine, meaning how
                diluted or concentrated it is. The test is done with a small dipstick that changes color when it
                comes into contact with urine. The medical assistant then compares the stick to a chart to see
                what is in the urine and if anything is abnormal. A differential is done by a laboratory technician.
                It is done by drawing blood and then placing the blood on a glass slide to look for any signs of
                infection or anemia. A Gram stain analysis is also done in the lab under a microscope when a
                bacterial or viral infection is suspected. Cross-matching is a test administered before a blood
                transfusion to ensure the donor’s blood is compatible with the recipient. This test is performed
                by a certified laboratory technologist.
                The physician orders a random blood sugar on an adult patient newly diagnosed with diabetes
                who is right hand dominant. The medical assistant notices inappropriate puncture markings on
                the patient’s fingers. Which of the following statements should the medical assistant use when
                re-educating the patient in capillary puncture?

                   A. "It’s best to use the outer edge of the middle or ring finger on your left hand when doing
                       your finger stick."

                   B. "You should consider using the center of the middle finger on either hand for your blood
                       sugar testing."


                   C. “Do not use your right hand when checking your blood sugar."

                   D. "It’s best to use the outer edge of the under-side of your big toe when performing
                       capillary punctures.”

                Your response:
                "It’s best to use the outer edge of the middle or ring finger on your left hand when doing your
                finger stick."
                Correct response:
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