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AMCA Phlebotomy Certification
Prep questions
When a phlebotomist observes actions or suspects child abuse, what should be the next step to take? - ans-advise supervisor privately The principle reason for requiring feedback when communicating with patients is to determine weather they ______________. - ans- have understood what is being said Implied consent for a venipuncture on an adult requires _____________. - ans-the patient extends their arm to you How should the phlebotomist dispose of a needle after drawing blood from a patient? - ans-close safety and dispose in a puncture resistant container (sharps container) The hospital department that is responsible for sterile supplies - ans-Central Supply
The reason a test if ordered timed is to ______________. - ans-Draw it at the best time for accurate results The patient's specimen is lipemic, this is usually an indicator that the patient ___________. - ans-Has not fasted Abbreviation for "nothing by mouth" - ans-NPO The government agency responsible for regulating the safety and health of workers - ans-Occupational Safety and Health Administration (OSHA) To prevent cross contamination of microorganisms from one patient to another, OSHA standards require ____________. - ans- Barrier protection equipment (PPE personal protective equipment) The balanced or "steady state" of the body is called: - ans- Homeostasis The blood vessel that only carries blood away from the heart is _________. - ans-artery What laboratory document describes in detail the steps to follow for specimen collection? - ans-Procedure manual Which type of specimen may require collection of a discarded tube before the test specimen is collected? - ans-blood culture specimen
- Ankle or foot (provider permission needed) If someone has an IV in their right arm, which arm should you draw blood from? / IV in both arms? - ans-Left arm / below IV site. Nurse should turn off IV 2 minutes prior to blood draw If a criminal comes in for a blood draw and they are cuffed and shackled; which arm do you draw from? - ans-Cuffed arm (realistically BOTH arms should remain cuffed) If someone makes 2 unsuccessful attempts at a venipuncture they should... - ans-Get someone else to try The recommended disinfectant for blood and body fluid contamination is? - ans-sodium hypochlorite Most coagulation tests require a plasma specimen collected in a..
- ans-light blue topped tube Measurement of copper requires blood collection in what tube? - ans-royal blue A patient came in with a low grade fever of 1 month duration.. the physician ordered an ESR which stands for Erythrocyte Sedimentation Rate.. what color tube? - ans-lavender Which of the following is required by OSHA? - ans-Hepatitis B vaccine
What is the substance called in a serum separator tube (SST)? - ans-thixotropic gel What is the anticoagulant in a gray topped tube? - ans-sodium fluoride What is the function of an antiglycolitic agent? - ans-eliminates glucose The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - ans-PPE What is the correct routine blood draw entrance procedure? - ans- bevel up, needle at 15-30 degree angle What gauge size would be appropriate when drawing a hand with winged infusion needle/butterfly? - ans- During venipuncture when should needle safety device be activated? - ans-immediately after specimen collection / after you remove needle from vein According to CLSI order of the draw which would be filled last? - ans-lavender top The phlebotomist must collect pro time specimen from a patient with IVs in both arms, where should they draw from? - ans-slightly under IV site, 2 minutes after IV has been turned off
Measurement of copper requires - ans- If the tourniquet is too small, what should you use? - ans-blood pressure cuff If the blood specimen is a milky color, what would that mean? - ans-Lipemia - fat What is the additive for a green topped tube? - ans-Sodium lithium The normal composition of blood is - ans-55% plasma / 45% formed elements The clear, colorless liquid that functions to protect and nourish the brain and spinal cord is called.. - ans-cerebral spinal fluid The purpose of the Pulmonary System is to carry.. - ans-blood to and from the lungs Electrolyte testing includes - ans-sodium and potassium Which of the following is not a part of a complete blood count? - ans-APTT - Activated Partial Thromboplastin Time TB test administration involves: - ans-Injecting the antigen just under the skin
Which department would perform a CBC? - ans-Hematology A sample for Fibrin Degradation Product (FDP) testing would be sent to which of the following departments? - ans-Coagulation dept Which of the following tests may require a special chain of custody form? - ans-drug screening A phlebotomy student who notices a rash on his/her hands should... - ans-apply antihistamine lotion The most common point of care test performed at home or in the hospital is.. - ans-glucose testing Which test requires a whole blood specimen? - ans-CBC - Complete Blood Count The recommended sample for urine pregnancy testing is - ans- first morning How long do you perform a buccal (cheek) swab? - ans- seconds When should a blood collection tube be labeled? - ans-After the specimen is collected
The dr ordered a CBC (lavender), a comprehensive metabolic panel (SST), PT (light blue stopper), and a set of blood cultures. What is the order of the draw? - ans-cultures, PT, metabolic panel, CBC (yellow, light blue, red/gray, lavender) The gauge of the needle indicates the following relationship.. - ans-The smaller the diameter of the bore When drawing on blood thinners, what will you use after you complete the draw? - ans-Coband wrap A needle safety feature that is not activated in the vein or automatically should be activated when? - ans-Immediately after the needle is withdrawn The following items are minimum requirements for specimen labeling.. - ans-The patient's compete name, identification number, date and time the sample was obtained, and collector's initials The lab is backed up, and one of your specimens is delayed for more than an hour after collection, what do you do? - ans-Tell the patient they will have to come back to repeat the test Which of the following is a reason for a sample to be rejected by QNS (quantity not sufficient)? - ans-Green PST half full In which of the following circumstances is it important to verify a chain of custody? - ans-A legal forensic sample
How should you hold a winged infusion collection needle? - ans-By the wings Which of the following must be done for a blood culture evaluation microorganism growth for septicemia? - ans-Transport on ice and analyze in 15 minutes Which of the following is a normal result for a fasting glucose test? - ans-Under 100 Sputum is defined as - ans-Mucus from the lungs The procedure used to collect DNA from the cells inside of a person's cheek is called.. - ans-Buccal swab To avoid patient identification errors, the phlebotomist must identify the patient prior to collecting a sample by? - ans- Checking armbands for acceptable identifiers such as patient's full name and date of birth A false high potassium or a false low calcium value may be obtained due to - ans-EDTA tubes being collected before serum tubes Select the correct statement below for preparing the site for blood collection - ans-Use a sterile alcohol prep pad (70% isopropyl alcohol) for cleaning the site
If a procedure is performed on a patient who refuses consent, what can the phlebotomist be charged with? - ans-battery What is the proper formula of compressions to breaths when performing CPR? - ans-30 compressions to 2 breaths (30:2) Where does the phlebotomist document poor techniques affecting sample quality? - ans-quality improvement form Choose the answer corresponded with diagram - ans-11. radial artery
- brachial artery
- ulnar artery
- basilic vein
- median cubital vein
