AMCA PHLEBOTOMY EXAM, Exams of Nursing

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AMCA Phlebotomy Exam TESTBANK

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AMCA Phlebotomy Exam TestBank

A blood test that requires testing for aluminum would be placed in what tube? Royal Blue Tube Top What is the recommended disinfectant for blood and other bodily fluids? Sodium Hypochlorite Invasive surgery procedures require what? Informed Consent What tube would be used to collect blood for a pregnancy test? Red Tube Top What is the best vein to draw from in the antecubital area? Median Cubital Vein

What are included in electrolyte testing? Sodium and Potassium Coagulation testing requires blood to be collected in what tube? Light Blue Top After the needle is withdrawn from the vein, the first thing that needs to be done is what? Activate the needles safety device What would be the proper compression rate for a single adult CPR? 30 Compressions and 2 Breaths What would be the proper cleaning solution to use when performing a blood alcohol test? Soap and Water What should be the first thing you do after an accidental needles stick? Wash the affected area with soap and water What is the substance called inside a Serum Separator Tube (SST)? Thixotropic Gel How many tubes are required for a 3 hour glucose tolerance test?

4 Gray Tube Tops What tube is used for a hepatic panel test? 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? Light Blue Top then Lavender Top What tubes are serum tests and what department do they go to? Red, Gold, and Tiger Top are Serum tubes and they go to the Chemistry department. What is the medication for PT/INR test? Warfarin How should Ammonia samples be transported? On Ice Aseptic sterile techniques must be done for what collection? Blood Culture Collection What vitamin must be protected from light? Vitamin B

Gloves What is the most common way of administering a TB test? Injecting a TB antigen under the skin When performing phlebotomy on a young, fearful child, what should you explain to them? Explain to them in simple terms what will be done What is the name of the process that uses heat, steam, and chemicals to prevent infectious diseases? Sterilizing What is caused by leaving the tourniquet on to long? It should not be left on for longer than a minute. Hemoconcentration What could happen is blood is drawn from a patients arm to quickly? It could cause the vein to collapse What does it mean when a patient extends their arm for a blood draw? Implied Consent In a Standard Serum Separator Tube (SST), the blood should be allowed to clot for how long? At least 30 minutes but no longer than 2 hours

What is the most important way to prevent cross-contamination of microorganisms from one patient to another? Proper Hand Washing What states a patient has a right to refuse a medical procedure and to be informed of all the consequences of doing so? A Patients Bill of Rights What should be used to bandage a patient free a blood draw that is on blood thinners? Coban Wrap What government agency is responsible for regulating the safety and health of workers? OSHA After the draw is complete, where will the phlebotomist place the needle? Puncture Resistant Container What is the reason for requesting feedback from patients when communicating with them? To determine if they understand what is being said Airborne isolation would be a precaution that would require what? Special Handling and Ventilation

The bevel of the needle should always be what? Facing up when inserting into the skin How do you avoid in patient identification errors? By checking the arm band on an in patient with the lab What is a good indicator that a patient is not fasting? The specimen is Lipemic (fat globs floating in blood) What is used to collect DNA samples by swabbing the inside of a patients cheek? Buccal Swab What helps to avoid confusing specimens from patients with the same last name? Patients Identification Numbers on tubes When should the tourniquet be released? Once blood flow has been established What department is responsible for sterile supplies? Central Supply If IVs are inserted in the antecubital area of the arms, where must the blood be drawn from? Below the IV site

A patient who tends to faint during blood draw should what? 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 what? 12 months A phlebotomist should do what before and after venipuncture? Wash Hands Hematoma means what? Blood has leaked from the vein into the tissues of the skin What should be placed on the specimen tube? 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? 40mm Hg Where would biopsy tissue be sent to be analyzed? Anatomical pathology

How should the patient be positioned sitting down when preparing for a venipuncture? Arm in a straight line from the shoulder to the wrist What carried blood away from the heart? Arteries According to OSHA, activating a safety device on the needle does what? Prevents accidental needle sticks What is an example of a professional appearance for a phlebotomy technician? Fingernails kept short and clean What is a normal result for a fasting glucose test? Anything under 100 Performing a procedure on a patient who refuses consent is considered what? Battery A sharps container should be replaced when it is how full? At least 3/4 the way full Blood leaking into the tissue around the draw site is called what?

Hematoma What is the standard length of time for a sample to stand before it is loaded into a centrifuge? 30 minutes A Chain of Custody would be required if what? 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? Butterfly needle with syringe No more than how many attempts to draw will be permitted by a phlebotomist according to CLSI? 2 attempts What is Hemoconcentration? Increased concentration of cells and solids in the blood What is preanalytical, analytical, and postanalytical? 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?

What is proper cough etiquette? Cough into a bent elbow For a fasting glucose test, how many hours should a patient be fasting at a minimum? 7 hours What item is donned first when wearing full PPE? Gown tied at neck and waist A female patient has never had her blood drawn before. What should a phlebotomist allow her to do? Sit in a chair with arm support What antiseptic is used for performing a heel stick on a 2 month old patient? Isopropyl Alcohol What is the worst critical error a phlebotomist can make? Incorrectly identifying a patient During which phase of blood collection should a phlebotomist obtain a consent from their patient? Preanalytical

Rationale - Red blood cells (erythrocytes) transport oxygen and help transport Carbon Dioxide. The correct answer is: Red blood cells Professional negligence is also called: Select one:

a. Malfunction

b. Malice

c. Arbitration

d. Malpractice

Rationale - Malpractice is a form of professional negligence The correct answer is: Malpractice Which of the following items is the most important for phlebotomists to keep in mind during their daily routine in medical settings? Select one: a. Consent

b. Burglary

c. Privilege granted to a physician

d. Confidentiality

Rationale - Patient confidentiality is the most important part of the health care industry. The correct answer is: Confidentiality Which department performs chemical screening tests on urine specimens? Select one:

a. Coagulation

b. Microbiology

c. Urinalysis

d. Hematology

Rationale - The urinalysis department performs chemical screening on urine specimens as part of a urinalysis test The correct answer is: Urinalysis Which department monitors warfarin therapy? Select one:

a. Immunology

b. Chemistry

c. Microbiology

d. Coagulation

Rationale - Warfarin is an anticoagulant and is monitored closely by the prothrombin time test which is performed in the coagulation department The correct answer is: Coagulation Which type of blood cell is responsible for defense and immunity? Select one:

a. Macrophages

b. Red blood cells

c. Platelets

d. White blood cells

Rationale - Leukocytes (white blood cells) are responsible for defense and immunity The correct answer is: White blood cells The liquid portion of a blood specimen (without an anticoagulant) is called: Select one: a. Serum

b. Oxygenated blood

c. Cellular components

d. Plasma

Rationale - Plasma is the liquid portion of blood The correct answer is: Serum This is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc. Select one:

a. Sanitization

b. Sterilization

c. Disinfection

d. Distillation

Rationale - Sanitization is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc The correct answer is: Sanitization This is the process that involves a soaking or wiping process and inhibits the activity of diseasecausing organisms.