Phlebotomy Exam Questions and Answers, Exams of Nursing

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AMCA PHLEBOTOMY 2 LATEST VERSIONS

ACTUAL EXAM COMPLETE 150 QUESTIONS

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If a patient has cold hands or arms, ---- for better blood flow. - ANSWER>>The phlebotomist can place a warm compress on the draw site to allow What is the appropriate angle for needle insertion? - ANSWER>>15-30 degrees A sample for Fibrin Degradation Products (FDP) testing would be sent to the - ANSWER>>Coagulation Department of the lab. The bevel of the needle should always be facing up when inserting it into the skin. - ANSWER>>True If asked to draw a red,It blue, blood cultures and lavender. Which is last? - ANSWER>>Lavender What is the recommended disinfectant to clean up blood, or other bodily fluid contamination - ANSWER>>Sodium Hypochlorite (bleach) Informed consent is required for - ANSWER>>Invasive surgery and Biopsy A --- would be used to collect blood for a pregnancy test - ANSWER>>Red top

The -- is the best vein to draw from an antecubital area - ANSWER>>Median cubital vein Out of the four tubes listed: Tiger Top, Lavender, Lt. Green, and Yellow. Which one would be used for a Thyroid Panel? - ANSWER>>Tiger top After the needle is withdrawn from the vein, the first thing that needs to be done is what? - ANSWER>>Activate the needle safety device What would be the proper compression rate for single adult CPR? - ANSWER>> compressions and 2 breaths What would be the proper cleansing solution to use when performing a blood alcohol test? - ANSWER>>Betadine What should be the first thing you do after an accidental needle stick? - ANSWER>>Wash the affected area with soap and water True or false: Never draw blood from a patients arm who has has a mastectomy on that side - ANSWER>>True True or false: Under filling a light blue top tube is a reason for a sample to be rejected by QNS. The ratio must be 9:1 - ANSWER>>True

What could happen if blood is drawn from the patients arm too quickly? - ANSWER>>It could cause a vein to collapse What does it mean if a patient extends their arm for a blood draw? - ANSWER>>That is considered implied consent In a standard serum separator tube how long should the blood be allowed to clot? - ANSWER>>30 minutes What is the most important way to prevent cross contamination of microorganisms from one patient to another? - ANSWER>>Proper hand washing True or false: A patient's bill of rights states a patient has a right to refuse medical procedure and to be informed of all the consequences of doing so

ANSWER>>True Yes or no: Should you use a Coban wrap after a draw is complete on a patient that has taking blood thinners? - ANSWER>>Yes Out of these four tubes: Green, light blue, lavender and red which one will produce a serum separator? - ANSWER>>Red top Which government agency is responsible for regulating safety and health of

workers? - ANSWER>>OSHA True or false: The phlebotomist will place a needle in a puncture resistant container after the blood draw is complete - ANSWER>>True The principal reason for requesting feedback when communicating with patients is - ANSWER>>To determine if they understand what is being said Airborne isolation would be a precaution that would require - ANSWER>>Special handling and ventilation If a hematoma starts to form and the patient says it hurts what should the Phlebotomist do? - ANSWER>>Stop the draw, apply pressure, reassess True or false: Hepatitis B can remain on surfaces when not properly disinfected - ANSWER>>True If a doctor orders a CBC (Lavender top), Comprehensive Metabolic Panel (SST), PT (Lt. Blue top), and a set of Blood Cultures (BC). The order of draw would be: - ANSWER>>Blood Cultures, Lt. Blue, SST, Lavender A tourniquet should be applied at least --- inches above the

department Aseptic sterile techniques must be done for Blood Culture collection. - ANSWER>>True If IVs are inserted in the antecubital area of the arms, the blood must be - ANSWER>>drawn below the IV A patient who tends to faint during blood draws, - ANSWER>>should be placed lying down on an exam table or in a reclining chair A heel puncture should not be performed on an infant older than - ANSWER>> months of age If a EDTA tube is used before a serum tube it could cause cross contamination and could result in - ANSWER>>high potassium, or a false low calcium value. A phlebotomist will wash their hands before and after the venipuncture. - ANSWER>>True Hematoma means - ANSWER>>blood has leaked from the vein into the tissues of the skin What must be written on the specimen tube after collection? - ANSWER>>Patients complete name, date of birth, identification number,date, time of draw,and the

collectors initials must be on the specimens tube Which Vitamin or vitamins must be protected from light? - ANSWER>>vitamin B When doing a bleeding time test on a patient the blood pressure cuff is inflated to - ANSWER>>40mm Hg Biopsy tissue would be sent to - ANSWER>>anatomical pathology to be analyzed A patient that is on blood thinners or aspirin regimen may need additional pressure applied to stop bleeding - ANSWER>>True When a patient starts to sweat, look pale, and or complaining of blurred vision it could be signs of - ANSWER>>vasovagal Syncope (fainting) PTT and INR can be tested at the bedside using a Point-of-Care instrument. - ANSWER>>True How long should a tourniquet be left on the arm for? - ANSWER>>1 minute How would you hold the winged Infusion Set (Butterfly) for needle insertion? - ANSWER>>By the wings Once the vein is selected what would you use to wipe the area with? - ANSWER>>70 % isopropyl alcohol pad

Sodium and potassium are included in electrolyte testing - ANSWER>>true Coagulation testing requires blood to be collected in a - ANSWER>>Lt. blue top tube Performing a procedure on a patient who refuses consent si considered what? - ANSWER>>Battery The substance that is inside a Serum Separator Tube (SST) is caled what? - ANSWER>>Thixotropic Gel What color tube would you use when performing a blood test that requires testing for aluminum? - ANSWER>>royal blue top How full should a sharps container be before it is replaced? - ANSWER>>When it is at least 3/4 the way full When performing a 3hr glucose tolerance test how many Gray top tubes will be used for the procedure? - ANSWER>>4 tubes What would blood leaking into the tissue around the draw site be called? - ANSWER>>Hematoma What is the standard length of time for a sample to stand before it si loaded into a

centrifuge? - ANSWER>>30 min What color tube would be used for a hepatic panel test? - ANSWER>>Red top If you receive an order to draw a Hemoglobin A1C (HA1C) and a PTP/PTT test, what would be the order of draw? - ANSWER>>Lt. Blue tube first then Lavender When would a Chain-of-Custody protocol would be required? - ANSWER>>If a Paternity test is ordered During a venipuncture a patient complains of a sharp shooting pain. What should you do? - ANSWER>>Stop the procedure and notify the incident to the Physician immediately. Which of the following would be considered an inappropriate personal accessory for a phlebotomist at work? - ANSWER>>Acrylic nails After a patient has fainted during a venipuncture, and the phlebotomist has removed the tourniquet and the needle. What should be done next? - ANSWER>>lower the head to the knees Which of the following is appropriate dress code for a phlebotomist? - ANSWER>>Scrubs and closed toe shoes

What is the worst critical error a phlebotomist can make? - ANSWER>>Incorrectly identifying a patient. In accordance with CLSI guidelines, how many unsuccessful attempts can be done before calling another phlebotomist to assist? - ANSWER>> During which phase of blood collection should a phlebotomist obtain a consent from their patient? - ANSWER>>pre analytical What does FBS stand for? - ANSWER>>Fasting blood sugar What is the normal range for a fasting glucose for an afult? - ANSWER>>anything under 100 What two analytes are included in an electrolyte panel? - ANSWER>>Sodium and potassium If you draw a blood from a patient without his or her consent what can the phlebotomist be charged with? - ANSWER>>battery What is the substance at the bottom of a serum separator tube? - ANSWER>>Thixotropic gel What color top will an aluminium be drawn into? - ANSWER>>Royal blue

How much urine would an adult female patient need to produce for STD testing? - ANSWER>>20/30 mls When instructing a patient to collect a stool sample make sure that you instruct the patient... - ANSWER>>do not mix the stool and urine How often does a centrifuge need to be calibrated? - ANSWER>>every 6 months Which test do you draw for without a tourniquet? - ANSWER>>lactic acid If you suspect child or elder abuse or neglect, what should you do? - ANSWER>>Notify your supervisor How long should a patient fast for a fasting blood sugar? - ANSWER>>8 hours What agency mandates a written exposure plan? - ANSWER>>OSHA Whole blood mostly consist of which of the following? - ANSWER>>water Which type of blood cells are responsible for gas exchange in circulating blood? - ANSWER>>Red blood cells Professional negligence is also called which of the following? - ANSWER>>malpractice