AMCA EXAM WITH QUESTIONS AND ANSWERS., Exams of Nursing

Download AMCA EXAM WITH QUESTIONS AND ANSWERS. and more Exams Nursing in PDF only on Docsity! 1 AMCA EXAM WITH QUESTIONS AND ANSWERS. 1. What is the FIRST thing you will do in case of an accidental needle stick? - Correct Ans ✔✔:Wash the site for 30/60 seconds with soap and water. 2. When drawing from a patient who has had a mastectomy where is the appropriate place to draw? - Correct Ans ✔✔:Opposite side in the hand 3. What is the best side for a dermal puncture on an adult? - Correct Ans ✔✔:Middle finger 4. If the processing lab is backed up on resulting, what will you do with your samples? - Correct Ans ✔✔:Send them anyway 5. When drawing from an HIV patient, what extra precautions do you need to take? - Correct Ans ✔✔:None, always wear gloves 6. What would be the reason for a light blue top to be rejected for processing? - Correct Ans ✔✔:Quantity not sufficient (QNS) 2 7. What is the proper blood to additive ratio for a light blue top tube? - Correct Ans ✔✔:9:1 8. When does a phlebotomist wash their hands? - Correct Ans ✔✔:Before and after the draw 9. What PPE is required when drawing blood and handling blood products? - Correct Ans ✔✔:Gloves 10. What is the additive in a dark green tube? - Correct Ans ✔✔:Sodium Heparin 11. How do you explain Phlebotomy procedures to a young child? - Correct Ans ✔✔:In simple terms 12. What uses heat, steam, and chemicals? - Correct Ans ✔✔:sterilization 13. What can be caused by leaving the tourniquet on too long? - Correct Ans ✔✔:hemoconcentration 14. What are special handling requirements for an ammonia sample? - Correct Ans ✔✔:Place on ice 5 29. If a patient is on blood thinners or aspirin regimen what should be used after the draw? - Correct Ans ✔✔:Coban wrap 30. Out of red, green, Lt blue, and lavender top tubes which will produce serum? - Correct Ans ✔✔:Red 31. What agency is responsible for the health and safety of workers? - Correct Ans ✔✔:OSHA 32. Once the draw is complete, what is the next step? - Correct Ans ✔✔:Dispose of the needle into a puncture resistant container (Sharps container) 33. Why is it important to ask for feedback when communicating with a patient? - Correct Ans ✔✔:To make sure they understand what is being said 34. What type of isolation requires special handling and ventilation? - Correct Ans ✔✔:airborne isolation 35. If a specimen is lipemic, what can this be an indication of? - Correct Ans ✔✔:Patient not fasting 6 36. What is used to collect DNA samples by swabbing the inside of the cheek? - Correct Ans ✔✔:Buccal swab 37. What is the purpose of patient ID numbers being on the tube labels? - Correct Ans ✔✔:Avoiding confusing patients with the, first and last name. 38. When drawing multiple tubes, when should the tourniquet be released? - Correct Ans ✔✔:As soon as blood flow is established 39. What department is responsible for sterilizing supplies? - Correct Ans ✔✔:Central supply 40. What is the most important part of blood culture collection - Correct Ans ✔✔:Aseptic procedure ( cleaning the site) 41. At what age and weight will you no longer perform heel puncture? - Correct Ans ✔✔:Older than 12 months and more than 21 pounds 42. If you have an order to collect a protime specimen a from patient with IV's in both arms, where would you draw? - Correct Ans ✔✔:The hand 7 43. What can happen if you draw an EDTA tube before a serum tube? - Correct Ans ✔✔:Cross contamination resulting in high potassium levels, and false low calcium levels 44. What does the term hematoma mean? - Correct Ans ✔✔:Blood leaking from the vessel under the skin 45. What are the special handling requirements for vitamin B-12? - Correct Ans ✔✔:Protect from light 46. When performing a bleeding timed test, how high should the blood pressure cuff be inflated to? - Correct Ans ✔✔:40mm Hg 47. Sweating, Looking pale, and complaining of blurred vision can be signs of what? - Correct Ans ✔✔:Vasovagal syncope 48. Which coagulation tests can be performed at bedside using point of care instrument? - Correct Ans ✔✔:PTT and INR 49. What tube is a CBC collected in? - Correct Ans ✔✔:Lavender 50. What type is an erythrocyte sedimentation rate drawn in? - Correct Ans ✔✔:Lavender 10 66. When instructing a patient to collect a stool sample, make sure that you instruct the patient to: - Correct Ans ✔✔:Do NOT mix stool with urine 67. When drawing blood from a hemophiliac patient instruct them to... - Correct Ans ✔✔:Hold pressure on the site for 2 minutes 68. How often do you calibrate a centrifuge? - Correct Ans ✔✔:Every 6 months 69. What test do you draw for without a tourniquet? - Correct Ans ✔✔:Lactic acid 70. If a patient faints during a blood draw, what is the vital sign that has to be checked before you let them leave? - Correct Ans ✔✔:Pulse 71. How long can plasma sit at room temp? - Correct Ans ✔✔:8 hours 72. How long do you rotate a NP swab in each nostril when collecting a covid screening test? - Correct Ans ✔✔:15 seconds 11 73. How do you collect a POC glucose test? - Correct Ans ✔✔:Strip and a drop of blood 74. If a patient presents to the lab for a fasting glucose blood draw but it indicates that he/she is not fasting, what should the phlebotomist do? - Correct Ans ✔✔:Draw anyway and document "non-fasting" 75. If you suspect child or elder abuse or neglect, what should you do? - Correct Ans ✔✔:Notify your supervisor 76. What step is NO LONGER recommended for a patient who is passing out? - Correct Ans ✔✔:Ammonia inhalants 77. How long should a patient fast for a fast blood sugar? - Correct Ans ✔✔:8 hours 78. What contains documentation of chemical safety and precautions? - Correct Ans ✔✔:SDS log 79. What equipment is needed for a C and S? - Correct Ans ✔✔:Sterile cup and alcohol wipe (towelette) 12 80. What kind of checks need to be performed on POC equipment in a doctors office? - Correct Ans ✔✔:Quality control checks 81. What agency mandates a written exposure plan? - Correct Ans ✔✔:OSHA 82. What is the Norma BP for an adult? - Correct Ans ✔✔:120/80 83. What is outside of the normal range for BP on an adult? - Correct Ans ✔✔:139/94 (high) 84. If a coworker comes back late from lunch and asks you to cover for her/him, What will you to? - Correct Ans ✔✔:Tell them you cannot cover them 85. What test will you collect in an amber tube? - Correct Ans ✔✔:Bilirubin 86. FBS means - Correct Ans ✔✔:Fasting blood sugar 87. QID means - Correct Ans ✔✔:4 times daily 88. PP means - Correct Ans ✔✔:post prandial (after a meal)