Phlebotomy Procedures and Techniques, Exams of Nursing

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AMCA PHLEBOTOMY (VERSION A &

B) EXAM 2024-2025 WITH ACTUAL

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TESTED QUESTIONS AND SOLUTIONS

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VERSION A

1. When drawing a Lt. Blue top, red top, Blood Culture, and Lavender top A. The Lavender top would be drawn last. B.The Lt. Blue top would be drawn last. C.Blood Culture would be drawn last. D. The Red top would be drawn last.

A. The Lavender top would be drawn last.

2. What is the recommended disinfectant for blood and other bodily fluid contamination? A. Soap and Water B. Sodium Hypochlorite C. 70% Isopropyl alcohol D. lodine

B. Sodium Hypochlorite

3. Invasive surgery procedures require A. an Implied consent. B. a parents consent. C. informed consent. D. courts order.

C. informed consent.

4. A___________would be used to collect blood for a pregnancy test. A. Lavender tube B. Pink tube C. Lt. Blue tube D. Red top tube

D. Red top tube

5. The________is the best vein to draw from in the antecubital area. A. Basilic vein B. Cephalic vein C. Median cubital vein D. Dorsal vein

C. Median cubital vein

6. Out of the four tubes listed: Tiger Top, Lavender, Lt. Green, and Yellow, which one would be used for a thyroid panel? A. Tiger top B. Lavender C. Lt. Green D. Yellow

A. Tiger top

7. After the needle is withdrawn from the vein, the first thing that needs to be done is A. Activate the needle safety device B. Put it in the sharp's container C. Set it out of reach so no one can get stuck D. Recap the needle

A. Activate the needle safety device

8. What would be the proper compression rate for single adult CPR? A. 15 compressions and 4 breaths B. 15 compressions and 2 breaths C. 30 compressions and 5 breaths D. 30 compressions and 2 breaths

D. 30 compressions and 2 breaths

9. What would be the proper cleansing solution to use when performing a blood alcohol test? A. 70% isopropyl alcohol B. Soap and water C. Betadine D. Bleach

C. Betadine

10. What should be the first thing you do after an accidental needle stick? A. Wash the affected area with soap and water. B. Tell your supervisor. C. Don't worry about it. D. Get a lawyer.

A. Wash the affected area with soap and water.

11.Never draw blood from a patient's arm who has had a mastectomy on that side. A. True B. False

A. True

12.Under filling a Lt. Blue top tube is a reason for a sample to be rejected by QNS (Quantity not Sufficient). The ratio must be 9:1. A. False B. True

B. True

13. What would be the best site to use for a capillary puncture on an adult? A. Little finger B. Index finger C. Ring finger D. Middle finger

D. Middle finger

14. Even if the lab is backed up on resulting, send samples to the lab anyway. A. True B. False

A. True

15. Gloves will always be worn when performing blood draws. A. True B. False

A. True

16. What is the additive in the Dark Green tube? A. EDTA B. Na Citrate C. Potassium Oxalate D. Heparin

D. Heparin

17. Injecting a TB antigen just under the skin is the most common way of administering of the TB test. A. True B. False

A. True

18. When performing phlebotomy on a young fearful child you should A. Tell the child that it won't hurt. B. Just grab the child and do it fast before they have time to cry. C. Not draw the child because it's illegal. D. Explain to the child in simple terms what will be done.

D. Explain to the child in simple terms what will be done.

19.What uses heat, steam, and chemicals to prevent infectious diseases? A. Disinfecting B. Sanitation C. Sterilizing D. Ultraviolet light

C. Sterilizing

20. What causes Hemoconcentration? A. Not drawing the blood fast enough. B. Over mixing the tube. C. Patient becomes anxious. D. Leaving the tourniquet on to long (Tourniquet must not be left on no more than a minute).

D. Leaving the tourniquet on to long (Tourniquet must not be left on no more than a minute).

21. Ammonia samples should be transported to lab on ice. A. True B. False

A. True

22. What could happen If blood is drawn from the patients arm too quickly? A. It could cause the blood to hemolyze. B. It could cause the patient to have extreme pain. C. The blood will turn bright red. D. It could cause the vein to collapse.

D. It could cause the vein to collapse.

23. What does it mean if a patient extends their arm for a blood draw? A. They want to sign a consent form. B. It hurts when they bend their arm.

C. That is considered an implied consent. D. That's just what people do.

C. That is considered an implied consent.

24. In a standard serum separator tube (SST) how long should the blood be allowed to clot? A. 20 minutes B. 45 minutes C. 60 minutes D. 30 minutes

D. 30 minutes

25. What is the most important way to prevent cross-contamination of microorganisms from one patient to another? A. Wearing gloves. B. Wearing masks. C. Not touching patients. D. Proper hand washing.

D. Proper hand washing.

26.A patient's Bill of Rights, states a patient has a right to refuse a medical procedure and to be informed of all the consequences of doing so. A. False B. True

B. True

27. Should you use Coban wrap after a draw is complete on a patient that is taking blood thinners? A. Yes B. No

A. Yes

28. Out of these four tubes: Green top tube, Lt. Blue, Lavender tube, and Red top tube, which one will produce a serum sample? A. Green top B. Lt. Blue C. Lavender D. Red top

D. Red top

29. Which government agency responsible for regulating safety and health of workers. A. HIPPA B. OSHA C. CDC D. HLS

B. OSHA

30.The phlebotomist will place a needle in a puncture-resistant container after blood draw is complete. A. False B. True

B. True

31. The principal reason for requesting feedback when communicating with patients is A. to determine if they understand what is being said. B. to make sure that they are awake. C. to make sure that they can ask to go to the bathroom. D. so, they can call their family.

A. to determine if they understand what is being said.

32. Airborne isolation would be a precaution that would require A. You to stay away from them B. A special diet C. Special handling and ventilation D. You not to touch anything

C. Special handling and ventilation

33. If a hematoma starts to form and the patient says it hurts ______________and apply pressure with a gauze pad and re-examine the patient to see if it worsens. A. Complete the draw, as you only have one tube left B. Tell the patient to cowboy up and complete the draw C. The phlebotomist should stop the draw immediately D. Tell the patient it will only hurt when the laugh

C. The phlebotomist should stop the draw immediately

34. Hepatitis B (HBV) can remain on surfaces when not properly disinfected. A. True B. False

A. True

35. If a doctor orders a CBC (Lavender top), Comprehensive Metabolic Panel (SST), PT (Lt. Blue top), and a set of Blood Cultures (BC). The order of draw would be: A. Lavender, Blood Cultures, Lt. Blue, and SST B. Blood Cultures, SST, Lavender, Lt. Blue C. Lt. Blue, Lavender, SST, Blood Cultures D. Blood Cultures, Lt. Blue, SST, Lavender

D. Blood Cultures, Lt. Blue, SST, Lavender

36. Tourniquet should be applied at least __________ venipuncture site. A. 1-

B. 3-

C. 5-

D. 7-

B. 3-

37. 23-gauge winged infusion set (Butterfly) would be the best appropriate size for a hand draw. A. True B. False

A. True

38. If a patient has cold hands or arms, for better blood flow. A. the phlebotomist can place a warm compress on the draw site to allow B. the phlebotomist can tell the patient to go and stand in the sun to allow C. the phlebotomist can tell the patient to shake their arms vigorously to allow D. the phlebotomist can tell the patient to go home and take a hot shower to allow

A. the phlebotomist can place a warm compress on the draw site to allow

39. What is the appropriate angle for needle insertion? A. 10-20 degrees B. 45 degrees C. 30-60 degrees D. 15-30 degrees

D. 15-30 degrees

40. A sample for Fibrin Degradation Products (FDP) testing would be sent to the A. Chemistry department of the lab. B. Microbiology department of the lab. C. Pathology department of the lab. D. Coagulations Department of the lab.

D. Coagulations Department of the lab.

41. The bevel of the needle should always be facing up when inserting it into the skin. A. True B. False

A. True

42. By checking the arm band on an in-patient with the lab able it A. will avoid in-patient identification errors. B. Will allow you to be able to call the patient by their first name. C. Will make sure you can read. D. Will help the patient remember who they are.

A. will avoid in-patient identification errors.

43. What would be a good indicator that the patient is not fasting? A. If a patient's specimen is Lipemic B. If the blood is extremely thick C. To much water in the blood D. The blood is blue in color

A. If a patient's specimen is Lipemic

44. What would be the collection method to use to collect DNA samples by swabbing the inside of a patient's cheek? A. Nasal Pharyngeal swab B. Mucus swab C. Tonsil swab D. A Buccal swab

D. A Buccal swab

45. How would you avoid confusing specimens from patients with same last name? A. By asking them to spell their last name. B. By putting Patient's identification numbers on the tube. C. Ask the patient to initial the tubes. D. Don't worry about it as it is not an issue.

B. By putting Patient's identification numbers on the tube.

46. The tourniquet should be released A. after the last tube is drawn B. when ever you think it's time C. between the third and fourth tube D. once blood flow has been established

D. once blood flow has been established

47. What department is responsible for sterile supplies? A. Pathology department B. Nursing department C. Central Supply department D. Dietary services department

C. Central Supply department

48. Aseptic sterile techniques must be done for Blood Culture collection. A. False B. True

B. True

49. If Is are inserted in the antecubital area of the arms, the blood must be A. drawn below the IV site. B. above the IV site.

C. from the IV site. D. from the foot.

A. drawn below the IV site.

50. A patient who tends to faint during blood draws, A. should be made to stand (because standing patients don't faint) B. have them sit with their head between there knees and arm out C. have them close their eyes and think happy thoughts D. should be placed lying down on an exam table or in a reclining chair

D. should be placed lying down on an exam table or in a reclining chair

51. A heel puncture should not be performed on an infant older than A. 2 months. B. Between 4 and 5 months. C. 6 weeks of age. D. 12 months of age.

D. 12 months of age.

52. If a EDTA tube is used before a serum tube it could cause cross contamination and could result in A. high potassium, or a false low calcium value. B. low potassium, or a false high calcium value. C. bad blood for testing. D. high petroleum or a low critical value.

A. high potassium, or a false low calcium value.

53. A phlebotomist will wash their hands before and after the venipuncture. A. False B. True

B. True

54. The term hematoma means: A. Blood has pooled in the foot area B. Blood has leaked from the vein into the brain tissue C. Blood has quit flowing D. blood has leaked from the vein into the tissues of the skin.

D. blood has leaked from the vein into the tissues of the skin.

55. What must be written on the specimen tube after collection? A. Patient's name, date of birth, and collector's initials. B. Patients name, date of birth, collector's initials, and Dr's name. C. Patients name, date of birth, test ordered, Dr's name, and collector's initials. D. Patients complete name, date of birth, identification number, date, time of draw, and the collectors' initials must be on the specimen tube.

D. Patients complete name, date of birth, identification number, date, time of draw, and the collectors' initials must be on the specimen tube.

56. Which vitamin or vitamins must be protected from light? A. Vitamin B B. Vitamin A C. Vitamin C D. All the above

A. Vitamin B

57. When doing a bleeding time test on a patient the blood pressure cuff is inflated to A. 10mm Hg B. 60mm Hg C. 40mm Hg D. 30mm Hg

C. 40mm Hg

58. Biopsy tissue would be sent to A. anatomical pathology to be analyzed. B. anatomical psychology to be analyzed. C. anatomical microbiology to be analyzed. D. anatomical neurology to be analyzed.

A. anatomical pathology to be analyzed.

59. A patient that is on blood thinners or aspirin regimen may need additional pressure applied to stop bleeding. A. True B. False

A. True

60. When a patient starts to sweat, look pale, and or complaining of blurred vision it could be signs of A. abdominal regurgitation (Vomiting) B. diarrhea C. Flu D. vasovagal Syncope (fainting)

D. vasovagal Syncope (fainting)

61. PTT and IN can be tested at the bedside using a Point-of-Care instrument. A. False B. True

B. True

62. How long should a tourniquet be left on the arm for? A. 2 min.

B. 1 min. C. 3 min. D. 4 min.

B. 1 min.

63. How would you hold the winged Infusion Set (Butterfly for needle insertion? A. By the wings B. By the safety device C. By the tubing D. With a syringe

A. By the wings

64. Once the vein is selected what would you use to wipe the area with? A. Soap and water B. Bleach C. 70% isopropyl alcohol pad D. Clean dry gauze

C. 70% isopropyl alcohol pad

65. A CBC is collected into a Lavender tube as a A. Plasma sample B. Serum sample C. Whole blood sample D. Partial sample

C. Whole blood sample

66. An Erythrocyte Sedimentation Rate (ES) test is collected in a A. Tiger top tube B. Gold top tube C. Green top tube D. Lavender tube

D. Lavender tube

67. How would you have the patient be positioned when preparing for a venipuncture? A. Seated with their arm in the air. B. Laying down on the exam table with the arm facing outward. C. Seated with their arm slightly bent in the upward position D. Setting down with the arm in a straight line from the shoulder to the wrist

D. Setting down with the arm in a straight line from the shoulder to the wrist

68. Artery's carry blood A. Away from the heart B. To the heart C. Around the heart D. Over the heart

A. Away from the heart

69. According to OSHA activating a safety device on the needle is to prevent accidental needle sticks. A. True B. False

A. True

70. What legislation that sets the standards for Electronic Health Care transactions? A. OSHA B. HIPAA C. CLIA D. CAP

B. HIPAA

71. Fingernails kept short and clean is an example of a professional appearance for a phlebotomy technician. A. False B. True

B. True

72. Anything under 100 is a normal result for a fasting glucose test. A. True B. False

A. True

73. A CBC test would be performed in which department of the lab? A. Chemistry department of the lab. B. Hematology department of the lab. C. Coagulation department of the lab. D. Immunology department of the lab.

B. Hematology department of the lab.

74. sodium and potassium are included in electrolyte testing. A. True B. False

A. True

75. Coagulation testing requires blood to be collected in a A. Dark Blue top tube.

B. Lt. Green top tube. C. Lt. Blue top tube D. Gold top tube.

C. Lt. Blue top tube

76. Performing a procedure on a patient who refuses consent is considered what? A. Assault B. Battery C. Unlawful containment D. Kidnapping

B. Battery

77. The substance that is inside a Serum Separator Tube (SST) is called what? A.Thixotropic Gel B. Vaseline Gel C. Neosporin Gel D. Chapstick

A.Thixotropic Gel

78. What color tube would you use when performing a blood test that requires testing for aluminum? A. Red top B. Green top C. Purple top D. Royal Blue top

D. Royal Blue top

79. How full should a sharps container be before it is replaced? A. When it is at least 2/3 the way full B. When it is at least 1/2 the way full C. When it is all the way full D. When it is at least 3/4 the way full.

D. When it is at least 3/4 the way full.

80. When performing a 3hr glucose tolerance test how many Gray top tubes will be used for the procedure? A. 2 tubes B. 3 tubes C. 4 tubes D. 5 tubes

C. 4 tubes

81. What would blood leaking into the tissue around the draw site be called? A. Burse B. Hematoma

C. Bump D. No big deal

B. Hematoma

82. What is the standard length of time for a sample to stand before it is loaded into a centrifuge? A. 30 minutes B. 40 minutes C. 50 minutes D. 60 minutes

A. 30 minutes

83. What color tube would be used for a hepatic-panel test? A. Blue B. Purple C. Green D. Red

D. Red

84. If you receive an order to draw a Hemoglobin A1C (HA1C) and a PT/PTT test, what would be the order of draw? A. Lt. Blue tube first than Lavender B. Lavender first than Lt. Blue tube

A. Lt. Blue tube first than Lavender

85. When would a Chain-of-Custody protocol would be required? A. If a urine test is ordered B. If a stool sample is ordered C. If the wrong blood is drawn D. If a Paternity test is ordered

D. If a Paternity test is ordered

86. During a venipuncture a patient complains of a sharp shooting pain. What g should you do? A. Have the patient wait for the pain to cease. B. Stop the procedure and notify the incident to the Physician immediately. C. Complete the blood draw, then report the incident to the Doctor. D. Seek assistance from the Nurse in completing the draw.

B. Stop the procedure and notify the incident to the Physician immediately.

87. Which of the following would be considered an inappropriate personal accessory for a phlebotomist at work? A. Stud earrings B. Wedding band

C. Acrylic nails D. Wristwatch

C. Acrylic nails

88. After a patient has fainted during a venipuncture, and the phlebotomist has removed the tourniquet and the needle. What should be done next? A. Lower the head to the knees. B. Complete the draw. C. Give an ammonia inhalant to the patient. D. Clean the tray and equipment.

A. Lower the head to the knees.

89. Which of the following is appropriate dress code for a phlebotomist? A. Scrub pants and T-Shirt B. Scrubs and open-toe shoes C. Scrubs and closed-toe shoes D. Casual wear and a lab coat

C. Scrubs and closed-toe shoes

90. Which of the following is proper cough etiquette? A. Cough into a plastic sterile container. B. Cough into the nondominant hand. C. Cough into a bent elbow. D. Cough into a non-disposable cloth

C. Cough into a bent elbow.

91. When may a puncture site require additional pressure to stop bleeding? A. If the patient has low blood pressure, B. If the patient is taking high blood pressure medication. C. If the patient is on an aspirin regimen. D. If the patient has diabetes.

C. If the patient is on an aspirin regimen.

92. For a fasting glucose test, how many hours should a patient be fasting at a minimum? A. 7 B. 8 C. 10 D. 16

B. 8

93. How should a winged infusion collection needle be held? A. By the tubing. B. By the needle wings.

C. By the base of the needle. D. By the safety shield.

B. By the needle wings.

94. What item is donned first when wearing full PPE? A. Mask and Goggles. B. Face protection over the nose and mouth. C. Gown tied at the neck and waist. D. Gloves to eliminate cross contamination.

C. Gown tied at the neck and waist.

95. A female patient has never had her blood drawn before. What should a phlebotomist allow her to do? A. Stand while drawing blood because she is comfortable. B. Sit where she is comfortable. C. Sit in a chair with arm support. D. Sit on a stool.

C. Sit in a chair with arm support.

96. Which antiseptic is used for performing a heel stick on a 2 month old patient? A. Povidone lodine. B. Isopropyl Alcohol. C. Chlorhexidine Gluconate. D. Chloroxylenol.

B. Isopropyl Alcohol.

97. What is the best venipuncture equipment to use for patients with small, thin, or fragile veins? A. A straight, multi-sample needle. B. A capillary stick. C. An evacuated tube with a straight needle. D. A Butterfly needle with a syringe.

D. A Butterfly needle with a syringe.

98. What is the worst critical error a phlebotomist can make? A. Incorrectly identifying a patient. B. Collecting an incorrect specimen. C. Collecting a specimen past the draw time. D. Causing a hematoma on a patient.

A. Incorrectly identifying a patient.

99. In accordance with CLSt guidelines, how many unsuccessful attempts can be done before calling another phlebotomist to assist? A. 2 B. 3

C. 4

D. 5

A. 2

100. During which phase of blood collection should a phlebotomist obtain a consent from their patient? A. Postanalytical B. Pro analytical C. Preanalytical D. Analytical

C. Preanalytical

A patient reports that during a previous blood draw he felt lightheaded and almost passed out. What should the RPT do?

Perform the draw with the patient reclined or in a supine position.

a RPT at a primary care clinic is performing venipuncture on a patient with suspected influenza. The patient is wearing a mask. What PPE should the tech wear?

Gloves and a mask

A requisition calls for the following tests: CBC, CMP, and PTT. What is the correct order of draw?

Citrate, SST, EDTA

Blood exits the heart through the body's largest artery. What artery is it?

Aorta

What part of the evacuated tube system allows multiple collection tubes to be filled with one puncture?

the interior needle/tube holder

When drawing a specimen for an ammonia test, what should a phlebotomy technician have ready for specimen transportation?

an ice slurry

A phlebotomy tech asks a patient to state and spell his name. He says "Chris Morgan C-H-R-I-S M-O-R-G- A-N" The name listed on the requisition is "Criss Morgan." What should the RPT do?

Call the ordering provider to resolve the issue and get a new requisition with the correct spelling

When a blood culture is ordered along with other tests, which tube is filled first?

Yellow SPS

Which of these patient reactions should be documented, but is not a cause for discontinuing a draw of likely to affect analysis?

Petechiae

A phlebotomy tech is performing a venipuncture collection on a young adult and needs to draw a citrate tube, a SST, and an EDTA. The citrate tube & SST fill quickly. The EDTA fills part way and then blood flow stops. Why?

The tubes vacuum is compromised.

Scars cover the arms and hands of a patient who's requisition requires CBC and electrolytes. After finding no acceptable venipuncture site on either arm or hand, the tech sees that the scarring does not extend to the fingertips, what should you do?

The tech can do a capillary draw and document that where the blood was collected and why.

When is a sharps receptacle considered to overfilled according to OSHA standards?

When it is filled more than 3/4 full

Of the three veins commonly assessed for venipuncture, which is considered the least favorable?

The basilic vein

The ER physician directs a phlebotomist to draw blood from an unconscious patient of unknown identity. This is:

Legal under the concept of implied consent

When performing a draw on an impatient with a recent mastectomy, the phlebotomist finds that an IV is running in the arm on the non-mastectomy side. Which site should you use?

A site distal to the IV on the non-mastectomy side

An infants blood volume may be approximated by multiplying childs:

Weight in kg times 80

Two sets of blood culture bottles are to be filled for a patient. What must happen?

The sets must be filled from two different venipuncture sites

After assembling the ETS and double-checking that he has the correct tubes gathered for a venipuncture draw, a RPT realizes he forgot to remove the tourniquet after site selection. He knows that it has been in place for longer than one minute. If he continues with the draw, what is one possible consequence?

The specimens collected will not produce accurate test results

Which of the following information on a requisition form is essential for a RPT to match exactly with information provided by patient?

complete date of birth

Disposable tourniquets are intended to be used...

One patient only

how should a phlebotomy tech respond if, after a site is selected and cleaned and equipment prepared, the patient pushed down his sleeve and clutches his arm to his chest?

She should ask th patient if he has any concerns she can address or if he would like to talk to his doctor

Which of the following is a HIPAA violation?

Failing to log out of a patient record on a visible screen before calling the next patient in

A patient with a DNR order in place become unresponsive during the course of a blood draw, the RPT should:

Discontinue the draw and immediately call for help

Which of the following is within the range of common microcollection tube volumes?

0.5ML

In which of the following cases should a RPT seek out interpretation services?

A patient does not speak english and is accompanied by her 10 year old grandson who speaks fluent english

Capillary blood gas testing is ordered on a newborn infant. Where and how should the specimen be drawn?

From the lateral or medial plantar surface of the foot by capillary puncture

Which set of differences is true of collection of donor blood as compared to routine venipuncture for diagnostic testing?

A larger needle is used and the patient is first given a brief medical exam

Blood flow slows and then stops while a RPT is halfway through drawing a citrate tube. After adjusting the needle gently forward and backward, the tech is not able to restore the flow. What should he do?

Try a second citrate tube; if the second tube does not fill, perform a second venipuncture at a new site

Using liquid controls to test point of care devices is effective because

it test the device using analytes of known composition

A lancet designed for heel stick on a full-term infant usually punctures at a dept of

1.0 mm

If a facility's policy is to collect tan-topped tubes along with tubes with the same additive, they should be collected in the same order as they should be collected in the same order as

Lavendar-topped tubes

In which of the following situations should a RPT consult a SDS?

She splashes a disinfecting solution on her skin

A patient has orders for a fasting blood glucose test. What should the RPT do before inspecting the patients arms for an acceptable venipuncture site?

Ask the patient when she last had anything to eat or drink other than water

The veins in both arms of a patient who is obese are difficult for a RPT to palpate and the patient is complaining of pain from the standard disposable tourniquet applied to her arm. Which steps might help the RPT locate a vein and improve comfort for the patient?

Remove tourniquet, ask patient to dangle arms for several minutes, and then use a blood pressure cuff inflated to just below the patients diastolic blood pressure in place of tourniquet

Capillary blood will flow more easily when this is done prior to capillary puncture:

The site is warmed for 3-5 minutes

When a patient enters a phlebotomists drawing station, how can the phlebotomist best communicate a positive, professional attitude?

By greeting the patient, introducing themself by name and title and inviting the patient to be seated

What is an illness spread by droplets?

Influenza

Microclotting of an anticoagulated specimen may occur if the RPT does not

Use gentle inversions to mix the specimens with the tube additive immediately after it is collected

In which of the following situations should a RPT report a point-of-care testing result that is in the critical value range?

Any time a result is in critical value range, even if the repeated test is normal

Why is it especially important that a phlebotomist take care when drawing from a patient who is quadriplegic?

The patient is unable to alert the phlebotomist to pain that might signal nerve involvement

A new patient is seated at the drawing station before the phlebotomist realizes he forgot to label and initial the collection tubes from the last patient. What would be his best course of action?

Excuse himself and try to catch the last patient before she leaves the facility, then label and initial the tubes in her presence

Which of the following tests cannot be performed on capillary blood?

erythrocyte sedimentation rate

At what temperature should a specimen drawn to for cryofibrinogen testing be held?

37 degrees Celsius

Which of the following tubes contain an anticoagulant that acts by inhibiting thrombin?

A heparin tube

Specimens drawn for testing cold agglutinins must be:

Drawn in warmed tubes and kept at body temperature

Veins carry blood ______ the heart. Arteries carry blood _____ the heart.

Toward; away from

During a blood draw on an elderly patient the patients vein collapses when the first tube is inserted. Which of the following is the best option for completing the draw?

Try a tube with a smaller volume

A phlebotomist is drawing blood for a glucose tolerance test. What process is avoided by using gray topped collection tubes?

Glycolysis

Orders indicate a patient needs coagulation studies, a lipid panel and a complete blood count. What tubes are needed?

Lavender top, tiger top, light blue top

When performing venipuncture on a school aged child, which needle gauge is the best choice?

23g

Which of the following is instruction that should be given to a patient who will be collecting a 24-hour urine specimen?

Collect the urine in the 'hat' and then transfer it carefully to the specimen container

Most blood chemistry tests are performed on specimens collected in either

serum tubes or heparin tubes

A CLIA waived test may not be performed by the following lab personnel

Personnel who are not trained in its use

Which of the following processes is part of appropriate medical asepsis in a lab?

Thoroughly cleaning a venipuncture site with 70% isopropyl alcohol

When a phlebotomist begins work at a facility, the employer must offer this protection against bloodborne pathogens?

A free hepatitis B vaccine

A patient with measles is in an airborne infection isolation room. When drawing blood from this patient, a phlebotomist will need to wear:

An N95 respirator

Where is venipuncture most commonly performed if no suitable site can be found in the antecubital area of either of the patients arms?

The dorsal aspect of one of the patients hands

When passing another phlebotomist drawing station a PBT overhears him telling the patient that if she does not extend her arm, he will have to extend it for her and strap it down for the draw. What is the passing PBT's course of action?

Politely ask the coworker to pause for a moment, then immediately find a supervisor to intervene

The needlestick safety and prevention act requires that employers

Involve staff in the selection of safer medical devices

If a patient asks a phlebotomist for her opinion about the doctor who ordered his tests, the phlebotomist should

politely decline to offer any opinion

How is a five-year-old child most likely to be positioned for venipuncture?

In a parent or guardians lap

Which of these choices lists lab tests in the order in which tubes would be drawn to conduct the tests?

Thyroid panel, CBC, glucose

A transfer device allows blood to be safely be transferred from...

A syringe to evacuated tubes

After introducing herself, confirming the patients identity and matching it to the requisition, what should a phlebotomist do?

Explain the procedure to the patient

In which of the following situations must a phlebotomist ask nursing staff to complete a blood draw?

A hospitalized patient's chart indicates blood should only be drawn from central port

Which of these statements is true?

Citrate tubes must be filled to at least 90% capacity.

Chain of custody documentation is required when a test

May be used in legal proceedings

What action should be taken immediately after a phlebotomy needle has been removed?

The phlebotomist should apply pressure to a gauze square over the venipuncture site

What is the maximum angle at which a venipuncture needle should be inserted when drawing blood from a patient who is obese?

30 degrees

Glucose challenge tests are routinely performed on what patient population?

Pregnant women

If blood is taken from a collection tube to perform a peripheral blood smear, what type of tube should be used?

lavendar top

For which of the following tests commonly performed on newborns should an amber microcollection tube be used?

Bilirubin

A patient whose veins must be preserved for medical interventions such as chemotherapy may have blood tests conducted on:

Blood taken from capillaries

When can a phlebotomist puncture the patients skin for either a venipuncture or capillary puncture?

After the site has been cleaned and dried

If after centrifuging a specimen, a phlebotomist notices a pink or red tint to the serum, the specimen is likely

Hemolyzed

Which of these tasks is typically considered within a phlebotomists scope of practice

-creating a peripheral blood smear slide -performing a throat culture -Drawing blood from the dorsal aspect of the hand using a syringe and transfer device

Blood pulsing into collection tubes is an indication that:

The needle has struck an artery

A phlebotomist needs to collect gold, pink, and green topped tubes by venipuncture. Which order is correct?

gold, green, pink

Collection tubes with ________ should not be used for therapeutic drug testing

Separator gel

Which of the following will help a phlebotomist avoid having a patients vein roll away when the needle is inserted?

Anchoring the site from below, using the thumb to pull towards the wrist

Facility policy states that no more than 5% of a patients blood may be drawn in 30 days. What is the maximum amount of blood that can be drawn fro a 9-pound infant in a month?

16mL (9x0.45 =4.05kg/ 4.05kg x 75ml of blood= 303.75mL/ 303.75mL x 0.05= 15.18mL: rounded up to

A patients chart indicates that her veins are thin, fragile and frequently collapse. A total of 5mL of blood needs to be drawn for various tests. Which of the following techniques would be best for drawing blood from this patient?

Venipuncture using a 23g butterfly and syringe

Which of the following is a significant difference between midstream and routine urine specimens?

The area around the urethra is cleaned before collecting a midstream specimen

Hemoconcentration may be caused by

Leaving a tourniquet in place for too long.

a patient begins to experience a seizure during a blood draw. What should be the phlebotomists first response?

To remove and sheathe the needle

Which of these tests is an entry-level phlebotomist most likely to be trained to perform in its entirety?

testing urine with dipstick

which of these items may be reused between patients with proper cleaning?

A phlebotomy wedge

One effective method to help control healthcare associated infections is

Using facility-approved disinfectants to clean reusable items like point-of-care testing devices

Just as a needle is removed from a patient's arm, the patient has a coughing fit and the phlebotomy technician is accidentally stuck with the needle. What should the phlebotomy technician do after placing the needle in the sharps container?

Wash the injury with soap under running water for 15 minutes

Which of the following is one acceptable way of confirming a patients identity?

Checking the name and date of birth on a wristband on the patients wrist against his stated name and date of birth

During centrifugation of a specimen the centrifuge becomes very hot and then bursts into flames. The power cord is plugged in behind the centrifuge. How should the phlebotomist operating the centrifuge respond?

He should leave the area and immediately activate the fire alarm

Which of the following is the best response to a patient that is afraid of needles

"You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure"

The anticoagulant action of this tube additive can be reversed with the addition of calcium

Sodium Citrate

Which of the following situations always requires written permission from a physician

Drawing blood from either arm or hand of a patient who has had a double mastectomy or drawing blood from the ankle or foot

_____ patients and patients in _____ are at the highest risk fro iatrogenic anemia

Pediatric, intensive care

If a patients veins seem difficult to access, one appropriate adaptation is to

Ask the patient to dangle their arms for 3 minutes without the tourniquet in place

Which is a set of regulations deals with how labs are staffed and what tests they can perform?

CLIA

When a patient's veins are difficult to access, how many attempts at venipuncture should a phlebotomy technician make before seeking help from other qualified personnel?

two

Accidental artery puncture should be avoided for the following reason:

It can be more difficult to stop arterial bleeding

In addition to causing pain for the patient, probing for a vein can result in ____ which may affect analytes in a specimen

Hematoma

Which of following is permitted during blood donation collections but should not be done during routine venipuncture collections?

Opening and closing the hand during collection

When should gloves be removed and replaced?

Always between patients

The bloodborne illness that has most commonly affected healthcare workers is

Hepatitis B

Coagulation studies are ordered for a patent whose veins require use of a butterfly assembly. Which of the following is true?