AMCA PHLEBOTOMY EXAM QUESTIONS AND VERIFIED ANSWERS| (2024/ 2025 UPDATE), Exams of Nursing

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HOSMERIT

AMCA PHLEBOTOMY EXAM QUESTIONS AND

VERIFIED ANSWERS| (2024/ 2025 UPDATE)

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 Which tube would be used for a Thyroid Panel; Tiger Top, Lavender, Light Green,

Yellow? - ✔□✔□ Tiger Top

What additive is in a Dark Green Tube? - ✔□✔□ Heparin

What tube would produce a serum sample; Green Top, Light Blue, Lavender, Red Top?

• ✔□✔□ 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? - ✔□✔□ 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?

• ✔□✔□ High potassium or a false low calcium value

A CBC is collected into a Lavender tube and collected as what? - ✔□✔□ Whole Blood

Specimen A CBC would be performed in what department of the lab? - ✔□✔□

Hematology

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Top After the needle is withdrawn from the vein, the first thing that needs to be done is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

An Erythrocyte Sedimentation Rate (ESR) test is collected in what tube? - ✔□✔□

Lavender Tube Top

What is the best vein to draw from in the antecubital area? - ✔□✔□ Median Cubital

Vein You must never use what for cleansing a collection site for a blood and alcohol test? -

✔□✔□ 70% Isopropyl Alcohol

What should you never do from a patients arm whose had a mastectomy on that side? -

✔□✔□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 - ✔□✔□Quality not Sufficient (QNS)

What finger is the best capillary puncture site on an adult? - ✔□✔□Middle Finger

Even if the lab is backed up on resulting you should do what anyway? - ✔□✔□Send

Samples

What should always be worn when performing blood draws? - ✔□✔□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

How much urine would a female need to produce for a STD test? - ✔□✔□ 20 - 30 mls

How do you collect sputum samples? - ✔□✔□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 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

What is appropriate dress code for a phlebotomist? - ✔□✔□Scrubs and closed toe

shoes

What is proper cough etiquette? - ✔□✔□Cough into a bent elbow

What can be tested at the bedside using Point of Care instrument? - ✔□✔□PTT and

INR A tourniquet should not be left on longer than what? - ✔□✔□ 1 minute

Winged Infusion Set (Butterfly) should be held by? - ✔□✔□Wings for needle insertion

Once the vein is selected the vein should be wiped with what? - ✔□✔□70% Isopropyl

Alcohol 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

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

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

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

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

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

No more than how many attempts to draw will be permitted by a phlebotomist according

to CLSI? - ✔□✔□ 2 attempts

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

How do you do proper hand washing and scrub techniques? - ✔□✔□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? - ✔□✔□Lower the head to the knees

What is the reason for requesting feedback from patients when communicating with

them? - ✔□✔□To determine if they understand what is being said

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

Airborne isolation would be a precaution that would require what? - ✔□✔□Special

Handling and Ventilation If a hematoma starts to form and the patient says it hurts, what should you do? -

✔□✔□Stop the draw immediately and apple pressure with a gauze pad and re-examine

the patient to see if it worsens

What disease can remain on surfaces when not properly disinfected? - ✔□✔□Hepatitis

B (HBV)

How far above should the tourniquet be applied the venipuncture site? - ✔□✔□ 3 - 4

inches above

What is the reason for taut (pull back) skin? - ✔□✔□To anchor the vein so it does not

role

What is Semi-Fowlers position and why would you use it? - ✔□✔□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 legislation that sets the standards for Electronic Health Care Transactions?

• ✔□✔□HIPPA 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

What size gauge set would be best for a hand draw? - ✔□✔□ 23 gauge winged

infusion set (Butterfly) If a patient has cold hands or arms what can you do to allow for better blood flow? -

✔□✔□Place a warm compress on the draw site

What is the appropriate angle for needle insertion? - ✔□✔□ 15 - 30 degrees

A sample for Fibrin Degradation Products (FDP) testing would be sent to what

department? - ✔□✔□Coagulations Department

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

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

A patient who is on blood thinners or aspirin regimen may need what? -

✔□✔□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?- ✔□✔□Vasovagal Syncope (fainting)