Download AMCA PHLEBOTOMY (ACTUAL EXAM) QUESTIONS WITH 100% SOLUTIONS 2024 LATEST UPDATED GRADED A+. and more Exams Nursing in PDF only on Docsity! 1 AMCA PHLEBOTOMY (ACTUAL EXAM) QUESTIONS WITH 100% SOLUTIONS 2024 LATEST UPDATED GRADED A+. A blood test that requires testing for aluminum would be placed in what tube? - Solution Royal Blue Tube Top What is the recommended disinfectant for blood and other bodily fluids? - Solution Sodium Hypochlorite Invasive surgery procedures require what? - Solution Informed Consent What tube would be used to collect blood for a pregnancy test? - Solution Red Tube Top What is the best vein to draw from in the antecubital area? - Solution Median Cubital Vein Which tube would be used for a Thyroid Panel; Tiger Top, Lavender, Light Green, Yellow? - Solution Tiger Top What additive is in a Dark Green Tube? - Solution Heparin What tube would produce a serum sample; Green Top, Light Blue, Lavender, Red Top? - Solution Red Top If a doctor orders a CBC Test (Lavender Top), Comprehensive Metabolic Panel (SST), PT Test (Light Blue Top), and a set of Blood Cultures (BC), what would the order of draw be? - Solution BC, Light Blue, SST, Lavender Top If a EDTA tube is used before a serum tube it could cause cross contamination and could result in what? - Solution High potassium or a false low calcium value A CBC is collected into a Lavender tube and collected as what? - Solution Whole Blood Specimen A CBC would be performed in what department of the lab? - Solution Hematology What are included in electrolyte testing? - Solution Sodium and Potassium Coagulation testing requires blood to be collected in what tube? - Solution Light Blue Top After the needle is withdrawn from the vein, the first thing that needs to be done is what? - Solution Activate the needles safety device 2 What would be the proper compression rate for a single adult CPR? - Solution 30 Compressions and 2 Breaths What would be the proper cleaning solution to use when performing a blood alcohol test? - Solution Soap and Water What should be the first thing you do after an accidental needles stick? - Solution Wash the affected area with soap and water What is the substance called inside a Serum Separator Tube (SST)? - Solution Thixotropic Gel How many tubes are required for a 3 hour glucose tolerance test? - Solution 4 Gray Tube Tops What tube is used for a hepatic panel test? - Solution Red Tube Top If you receive an order to draw a Hemoglobin A1C (HA1C) and a PT/PTT test, what would the order of draw be? - Solution Light Blue Top then Lavender Top What tubes are serum tests and what department do they go to? - Solution Red, Gold, and Tiger Top are Serum tubes and they go to the Chemistry department. What is the medication for PT/INR test? - Solution Warfarin How should Ammonia samples be transported? - Solution On Ice Aseptic sterile techniques must be done for what collection? - Solution Blood Culture Collection What vitamin must be protected from light? - Solution Vitamin B12 An Erythrocyte Sedimentation Rate (ESR) test is collected in what tube? - Solution Lavender Tube Top What is the best vein to draw from in the antecubital area? - Solution Median Cubital Vein You must never use what for cleansing a collection site for a blood and alcohol test? - Solution 70% Isopropyl Alcohol What should you never do from a patients arm whose had a mastectomy on that side? - Solution Never Draw Blood Over or under filling a Light Blue Top is a reason for a sample to be rejected by? The ratio must be 9:1 - Solution Quality not Sufficient (QNS) What finger is the best capillary puncture site on an adult? - Solution Middle Finger Even if the lab is backed up on resulting you should do what anyway? - Solution Send Samples 5 A heel puncture should not be performed on an infant older than what? - Solution 12 months A phlebotomist should do what before and after venipuncture? - Solution Wash Hands Hematoma means what? - Solution Blood has leaked from the vein into the tissues of the skin What should be placed on the specimen tube? - Solution Patients complete name, date of birth, identification number, date and time of draw, and the collectors initials When doing a bleeding time test on a patient the blood pressure cuff is inflated to what? - Solution 40mm Hg Where would biopsy tissue be sent to be analyzed? - Solution Anatomical pathology A patient who is on blood thinners or aspirin regimen may need what? - Solution Additional pressure applied to stop bleeding When a patient starts to sweat, look pale, and/or complain of blurred vision this could be signs of what? - Solution Vasovagal Syncope (fainting) What can be tested at the bedside using Point of Care instrument? - Solution PTT and INR A tourniquet should not be left on longer than what? - Solution 1 minute Winged Infusion Set (Butterfly) should be held by? - Solution Wings for needle insertion Once the vein is selected the vein should be wiped with what? - Solution 70% Isopropyl Alcohol What is the legislation that sets the standards for Electronic Health Care Transactions? - Solution HIPPA How should the patient be positioned sitting down when preparing for a venipuncture? - Solution Arm in a straight line from the shoulder to the wrist What carried blood away from the heart? - Solution Arteries According to OSHA, activating a safety device on the needle does what? - Solution Prevents accidental needle sticks What is an example of a professional appearance for a phlebotomy technician? - Solution Fingernails kept short and clean What is a normal result for a fasting glucose test? - Solution Anything under 100 Performing a procedure on a patient who refuses consent is considered what? - Solution Battery 6 A sharps container should be replaced when it is how full? - Solution At least 3/4 the way full Blood leaking into the tissue around the draw site is called what? - Solution Hematoma What is the standard length of time for a sample to stand before it is loaded into a centrifuge? - Solution 30 minutes A Chain of Custody would be required if what? - Solution A paternity test is ordered If you have a patient with small, thin, or fragile veins what needle would you use to acquire the specimen? - Solution Butterfly needle with syringe No more than how many attempts to draw will be permitted by a phlebotomist according to CLSI? - Solution 2 attempts What is Hemoconcentration? - Solution Increased concentration of cells and solids in the blood What is preanalytical, analytical, and postanalytical? - Solution prior to testing - may include variables involving the process of obtaining the specimen; during testing; after test results are generated How much urine would a female need to produce for a STD test? - Solution 20-30 mls How do you collect sputum samples? - Solution Have the patient take a deep breath, hold for 5 seconds, slowly breath out, another deep breath & cough hard until sputum comes up, then spit into a plastic cup What is the reason for taut (pull back) skin? - Solution To anchor the vein so it does not role What is Semi-Fowlers position and why would you use it? - Solution The patient is usually in their back with the bed angle between 30 & 45 degrees. It is used for difficulty breathing and undergoing breathing treatments. How do you do proper hand washing and scrub techniques? - Solution Wet hands, apply soap, scrub for at least 20 seconds, rinse & dry After a patient has fainted during venipuncture and the phlebotomist has removed the tourniquet and needle, what should be done next? - Solution Lower the head to the knees What is appropriate dress code for a phlebotomist? - Solution Scrubs and closed toe shoes What is proper cough etiquette? - Solution Cough into a bent elbow For a fasting glucose test, how many hours should a patient be fasting at a minimum? - Solution 7 hours 7 What item is donned first when wearing full PPE? - Solution Gown tied at neck and waist A female patient has never had her blood drawn before. What should a phlebotomist allow her to do? - Solution Sit in a chair with arm support What antiseptic is used for performing a heel stick on a 2 month old patient? - Solution Isopropyl Alcohol What is the worst critical error a phlebotomist can make? - Solution Incorrectly identifying a patient During which phase of blood collection should a phlebotomist obtain a consent from their patient? - Solution Preanalytical