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AMCA Phlebotomy Exam
A blood test that requires testing for aluminum would be placed in what tube? - ...ANSWER✓✓✓Royal Blue Tube Top A CBC is collected into a Lavender tube and collected as what? - ...ANSWER✓✓✓Whole Blood Specimen A CBC would be performed in what department of the lab? - ...ANSWER✓✓✓Hematology A Chain of Custody would be required if what?
- ...ANSWER✓✓✓A paternity test is ordered A female patient has never had her blood drawn before. What should a phlebotomist allow her to do?
- ...ANSWER✓✓✓Sit in a chair with arm support A heel puncture should not be performed on an infant older than what? - ...ANSWER✓✓✓12 months
A patient who is on blood thinners or aspirin regimen may need what? - ...ANSWER✓✓✓Additional pressure applied to stop bleeding A patient who tends to faint during blood draw should what? - ...ANSWER✓✓✓Be placed lying down on an exam table or in a reclining chair A phlebotomist should do what before and after venipuncture? - ...ANSWER✓✓✓Wash Hands A sample for Fibrin Degradation Products (FDP) testing would be sent to what department? - ...ANSWER✓✓✓Coagulations Department A sharps container should be replaced when it is how full? - ...ANSWER✓✓✓At least 3/4 the way full A tourniquet should not be left on longer than what? - ...ANSWER✓✓✓1 minute
Aseptic sterile techniques must be done for what collection? - ...ANSWER✓✓✓Blood Culture Collection Blood leaking into the tissue around the draw site is called what? - ...ANSWER✓✓✓Hematoma Coagulation testing requires blood to be collected in what tube? - ...ANSWER✓✓✓Light Blue Top During which phase of blood collection should a phlebotomist obtain a consent from their patient?
- ...ANSWER✓✓✓Preanalytical Even if the lab is backed up on resulting you should do what anyway? - ...ANSWER✓✓✓Send Samples For a fasting glucose test, how many hours should a patient be fasting at a minimum? - ...ANSWER✓✓✓ hours Hematoma means what? - ...ANSWER✓✓✓Blood has leaked from the vein into the tissues of the skin
How do you avoid in patient identification errors? - ...ANSWER✓✓✓By checking the arm band on an in patient with the lab How do you collect sputum samples?
- ...ANSWER✓✓✓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 How do you do proper hand washing and scrub techniques? - ...ANSWER✓✓✓Wet hands, apply soap, scrub for at least 20 seconds, rinse & dry How far above should the tourniquet be applied the venipuncture site? - ...ANSWER✓✓✓3-4 inches above How many tubes are required for a 3 hour glucose tolerance test? - ...ANSWER✓✓✓4 Gray Tube Tops How much urine would a female need to produce for a STD test? - ...ANSWER✓✓✓20-30 mls
If a patient has cold hands or arms what can you do to allow for better blood flow? - ...ANSWER✓✓✓Place a warm compress on the draw site If IVs are inserted in the antecubital area of the arms, where must the blood be drawn from?
- ...ANSWER✓✓✓Below the IV site If you have a patient with small, thin, or fragile veins what needle would you use to acquire the specimen?
- ...ANSWER✓✓✓Butterfly needle with syringe If you receive an order to draw a Hemoglobin A1C (HA1C) and a PT/PTT test, what would the order of draw be?
- ...ANSWER✓✓✓Light Blue Top then Lavender Top In a Standard Serum Separator Tube (SST), the blood should be allowed to clot for how long? - ...ANSWER✓✓✓At least 30 minutes but no longer than 2 hours Invasive surgery procedures require what?
- ...ANSWER✓✓✓Informed Consent
No more than how many attempts to draw will be permitted by a phlebotomist according to CLSI?
- ...ANSWER✓✓✓2 attempts Once the vein is selected the vein should be wiped with what? - ...ANSWER✓✓✓70% Isopropyl Alcohol Over or under filling a Light Blue Top is a reason for a sample to be rejected by? The ratio must be 9:1 - ...ANSWER✓✓✓Quality not Sufficient (QNS) Performing a procedure on a patient who refuses consent is considered what? - ...ANSWER✓✓✓Battery The bevel of the needle should always be what? - ...ANSWER✓✓✓Facing up when inserting into the skin What additive is in a Dark Green Tube?
- ...ANSWER✓✓✓Heparin What antiseptic is used for performing a heel stick on a 2 month old patient? - ...ANSWER✓✓✓Isopropyl Alcohol
...ANSWER✓✓✓Middle Finger What government agency is responsible for regulating the safety and health of workers? - ...ANSWER✓✓✓OSHA What helps to avoid confusing specimens from patients with the same last name? - ...ANSWER✓✓✓Patients Identification Numbers on tubes What is a good indicator that a patient is not fasting? - ...ANSWER✓✓✓The specimen is Lipemic (fat globs floating in blood) What is a normal result for a fasting glucose test?
- ...ANSWER✓✓✓Anything under 100 What is an example of a professional appearance for a phlebotomy technician? - ...ANSWER✓✓✓Fingernails kept short and clean
What is appropriate dress code for a phlebotomist?
- ...ANSWER✓✓✓Scrubs and closed toe shoes What is caused by leaving the tourniquet on to long? It should not be left on for longer than a minute. - ...ANSWER✓✓✓Hemoconcentration What is Hemoconcentration? - ...ANSWER✓✓✓Increased concentration of cells and solids in the blood What is preanalytical, analytical, and postanalytical? - ...ANSWER✓✓✓prior to testing - may include variables involving the process of obtaining the specimen; during testing; after test results are generated What is proper cough etiquette? - ...ANSWER✓✓✓Cough into a bent elbow What is Semi-Fowlers position and why would you use it?
...ANSWER✓✓✓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.
What is the name of the process that uses heat, steam, and chemicals to prevent infectious diseases?
- ...ANSWER✓✓✓Sterilizing What is the reason for requesting feedback from patients when communicating with them? - ...ANSWER✓✓✓To determine if they understand what is being said What is the reason for taut (pull back) skin?
- ...ANSWER✓✓✓To anchor the vein so it does not role What is the recommended disinfectant for blood and other bodily fluids? - ...ANSWER✓✓✓Sodium Hypochlorite What is the standard length of time for a sample to stand before it is loaded into a centrifuge? - ...ANSWER✓✓✓ minutes What is the substance called inside a Serum Separator Tube (SST)? - ...ANSWER✓✓✓Thixotropic Gel
What is the worst critical error a phlebotomist can make?
...ANSWER✓✓✓Incorrectly identifying a patient What is used to collect DNA samples by swabbing the inside of a patients cheek? - ...ANSWER✓✓✓Buccal Swab What item is donned first when wearing full PPE? - ...ANSWER✓✓✓Gown tied at neck and waist What should always be worn when performing blood draws? - ...ANSWER✓✓✓Gloves What should be placed on the specimen tube? - ...ANSWER✓✓✓Patients complete name, date of birth, identification number, date and time of draw, and the collectors initials What should be the first thing you do after an accidental needles stick? - ...ANSWER✓✓✓Wash the affected area with soap and water
What tubes are serum tests and what department do they go to? - ...ANSWER✓✓✓Red, Gold, and Tiger Top are Serum tubes and they go to the Chemistry department. What vitamin must be protected from light?
- ...ANSWER✓✓✓Vitamin B What would be the proper cleaning solution to use when performing a blood alcohol test? - ...ANSWER✓✓✓Soap and Water What would be the proper compression rate for a single adult CPR? - ...ANSWER✓✓✓30 Compressions and 2 Breaths When a patient starts to sweat, look pale, and/or complain of blurred vision this could be signs of what?
- ...ANSWER✓✓✓Vasovagal Syncope (fainting) When doing a bleeding time test on a patient the blood pressure cuff is inflated to what? - ...ANSWER✓✓✓40mm Hg
When performing phlebotomy on a young, fearful child, what should you explain to them?
- ...ANSWER✓✓✓Explain to them in simple terms what will be done When should the tourniquet be released?
- ...ANSWER✓✓✓Once blood flow has been established Where would biopsy tissue be sent to be analyzed?
- ...ANSWER✓✓✓Anatomical pathology Which tube would be used for a Thyroid Panel; Tiger Top, Lavender, Light Green, Yellow? - ...ANSWER✓✓✓Tiger Top Winged Infusion Set (Butterfly) should be held by?
- ...ANSWER✓✓✓Wings for needle insertion You must never use what for cleansing a collection site for a blood and alcohol test? - ...ANSWER✓✓✓70% Isopropyl Alcohol
