RMA Domain 3: Clinical Procedural Tasks Welcome to your RMA Domain 3: Clinical Procedural Tasks 1. RMA: Clinical Procedural Tasks When performing a venipuncture, the needle's bevel should be positioned how relative to the skin? A. Parallel and facing downward B. Perpendicular and facing upward C. Parallel and facing upward D. At a 45-degree angle and facing sideways None 2. RMA: Clinical Procedural Tasks What is the most appropriate action if a patient experiences syncope during a blood draw? A. Continue the draw while calling for help B. Immediately remove the needle and apply pressure to the site C. Elevate the patient's legs and continue the draw D. Have the patient lean forward and hold their breath None 3. RMA: Clinical Procedural Tasks For an electrocardiogram (ECG), the V4 lead should be placed at which location? A. Fifth intercostal space, right sternal border B. Fifth intercostal space, left midclavicular line C. Fourth intercostal space, left sternal border D. Second intercostal space, left sternal border None 4. RMA: Clinical Procedural Tasks When preparing a patient for a Holter monitor, what is essential to ensure accurate recordings? A. Instructing the patient to avoid electromagnetic fields B. Shaving the chest area where electrodes will be placed C. Applying a single layer of gauze under each electrode D. Ensuring the patient remains stationary during the monitoring period None 5. RMA: Clinical Procedural Tasks What is the primary purpose of performing a capillary puncture at the heel for a blood gas analysis on an infant? A. To reduce the risk of infection B. To minimize pain and discomfort C. To access a larger volume of blood D. To prevent damage to the bone or cartilage None 6. RMA: Clinical Procedural Tasks In administering an intradermal injection, the syringe should be held at what angle to the skin? A. 90 degrees B. 45 degrees C. 15 degrees D. 30 degrees None 7. RMA: Clinical Procedural Tasks Which of the following is NOT a component of the chain of infection that must be present for an infection to occur? A. Infectious agent B. Reservoir C. Susceptible host D. Antibiotic resistance None 8. RMA: Clinical Procedural Tasks When removing sutures, the medical assistant should cut the suture: A. As close to the skin surface as possible on the knot side B. At the midpoint between the skin and the knot C. On the side opposite the knot, leaving a short tail D. At the knot itself, ensuring the knot comes out with the suture None 9. RMA: Clinical Procedural Tasks A tourniquet is applied during a venipuncture to: A. Decrease the blood flow to the area B. Increase the blood flow to the area C. Stabilize the vein for needle insertion D. Dilate the vein to make it more visible and palpable None 10. RMA: Clinical Procedural Tasks When conducting a urine dipstick test, what is the proper technique for comparing the test strip to the color chart? A. Immediately after dipping, while the strip is still dripping B. After waiting for the time specified by the manufacturer, usually 1 to 2 minutes C. Before dipping, to familiarize with the expected color changes D. At random intervals, as color changes can be slow None 11. RMA: Clinical Procedural Tasks The proper disposal of a scalpel after use in a procedure involves: A. Placing it directly in the regular trash bin B. Recapping it and then placing it in a puncture-resistant container C. Placing it directly into a puncture-resistant sharps container D. Cleaning it with disinfectant before disposal in a biohazard bag None 12. RMA: Clinical Procedural Tasks When instructing a patient on the use of a metered-dose inhaler (MDI), what is an essential step to ensure proper medication delivery? A. Inhale through the nose immediately after actuation B. Exhale fully before bringing the inhaler to the lips C. Wait at least 30 seconds between puffs D. Shake the inhaler vigorously for at least 5 seconds before use None 13. RMA: Clinical Procedural Tasks Which anticoagulant is most commonly used in a tube for a blood draw intended for a complete blood count 'CBC' test? A. Heparin B. Sodium citrate C. Ethylenediaminetetraacetic acid 'EDTA' D. Sodium fluoride None 14. RMA: Clinical Procedural Tasks When performing ear irrigation to remove cerumen, the water temperature should be: A. Slightly above body temperature to soften the cerumen more effectively B. At body temperature to avoid stimulating the labyrinth C. Cooler than body temperature to reduce the risk of infection D. Varying between cool and warm to break up the cerumen None 15. RMA: Clinical Procedural Tasks What is the primary reason for performing the Allen test before arterial blood gas (ABG) sampling? A. To assess the venous return B. To confirm the site for venipuncture C. To ensure adequate collateral circulation D. To determine the blood pH level None 16. RMA: Clinical Procedural Tasks When applying a Holter monitor, how many leads are typically used? A. 2 leads B. 5 leads C. 12 leads D. 3 leads None 17. RMA: Clinical Procedural Tasks Which of the following is a correct step in the preparation of a patient for a spirometry test? A. Instruct the patient to consume a heavy meal beforehand to test lung capacity under stress. B. Advise the patient to refrain from using bronchodilators for 24 hours before the test. C. Ensure the patient performs vigorous exercise immediately before the test to enhance lung performance. D. Have the patient rest quietly for at least 10 minutes before the test in a comfortable, seated position. None 18. RMA: Clinical Procedural Tasks The correct angle for administering an intramuscular (IM) injection is: A. 90 degrees B. 45 degrees C. 30 degrees D. 15 degrees None 19. RMA: Clinical Procedural Tasks When collecting a 24-hour urine specimen, what is a crucial instruction to give to the patient? A. Begin the collection by saving the first morning urine. B. Discard the first morning urine and start the timing. C. Collect urine in multiple containers and combine them at the end. D. Avoid drinking fluids to prevent diluting the sample. None 20. RMA: Clinical Procedural Tasks For a patient with suspected deep vein thrombosis (DVT), which of the following procedures is contraindicated? A. Doppler ultrasound B. Homans' sign test C. D-dimer test D. Venography None 1 out of 20 Time is Up! Time's up
