Download National Phlebotomy Certification Exam 2024/2025 with 100% Accurate Solutions and more Exams Nursing in PDF only on Docsity! NATIONAL PHLEBOTOMY CERTIFICATION EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS An individual who has little resistance to an infectious microbe is referred to as a susceptible what? - Precise Answer ✔✔Host Which of the following is an example of a work practice control that reduces risk of exposure to bloodborne pathogens? - Precise Answer ✔✔Wearing gloves to draw blood This ion is essential to the coagulation process. - Precise Answer ✔✔Calcium QC protocols prohibit use of outdated evacuated tubes because why? - Precise Answer ✔✔Tubes my not fill completely, changing additive-to- sample ratios. Molecular genetic testing requires what? - Precise Answer ✔✔Specimens to be collected in sterile EDTA. What is the purpose of an antiglycolytic agent? - Precise Answer ✔✔Preserve glucose Which on of the following tubes is filled first when multiple tubes are filled using an evacuated tube system? - Precise Answer ✔✔Blood culture (SPS) tube What is the recommended disinfectant for blood culture sites in infants 2 months and older? - Precise Answer ✔✔Chlorhexidine gluconate Latent fibrin formation in serum can result from what? - Precise Answer ✔✔Incomplete clotting when centrifuged In which of the following areas does capillary specimen collection differ from routine venipuncture when collecting a BUN and CBC? - Precise Answer ✔✔Order of draw This is an example of a preanalytical error made at the time of collection. - Precise Answer ✔✔Failing to mix tubes What constitutes a positive modified Allen test? - Precise Answer ✔✔The hand color returns to normal in 15 seconds. According to CLSI, which tubes should be placed upright as soon as they are mixed? - Precise Answer ✔✔Nonanticoagulant gel tubes Reference values are higher for capillary specimens with what test? - Precise Answer ✔✔Glucose According to CLSI, the maximum time limit for separating serum or plasma from cells is how long? - Precise Answer ✔✔2.0 hours from time of collection test requires 0.5mL of serum, which of the following tubes is the smallest that can be used? - Precise Answer ✔✔3-mL red top The main difference between serum and plasma is what? - Precise Answer ✔✔Plasma has fibrinogen, serum does not. Which of the following represents proper collection and handling of newborn screening specimens? - Precise Answer ✔✔Use one free- flowing drop to fill both sides; air-dry flat and elevated. Which of the following is a safe area for infant heel puncture? - Precise Answer ✔✔Medial plantar surface Generally, the minimum force and time required to result in good separation of serum or plasma from the cells is what? - Precise Answer ✔✔1,000 g for 10 minutes All of the following statements concerning an employee bloodborne pathogen exposure incident are true EXCEPT what? - Precise Answer ✔✔The source patient must submit to HIV and HBV testing within 48 hours. Which additive prevents coagulation by binding calcium? - Precise Answer ✔✔Potassium EDTA A prothrombin specimen must be collected from a patient with IVs in both arms. The best place to collect the specimen is from where? - Precise Answer ✔✔Below on of the IVs Biological Substance Category B regulations must be followed when shipping laboratory specimens for diagnostic purposes by public transportation. These regulations require the specimens to be what? - Precise Answer ✔✔Triple packaged in a watertight primary container. Which of the following microcollection containers should be filled first if collected by capillary puncture? - Precise Answer ✔✔Lavender top Which of the following specimens is negatively affected by chilling? - Precise Answer ✔✔Potassium The CAP requires QC for many waived tests to be performed when? - Precise Answer ✔✔When test manufacturer specifies. A technologist asks the phlebotomist to collect 5cc of whole blood for a special test. What volume tube should be used? - Precise Answer ✔✔5 mL Transporting tubes with the stopper up has nothing to do with what? - Precise Answer ✔✔DOES NOT MAINTAIN THE STERILITY OF THE SAMPLE! The first tube of cerebrospinal fluid (CSF) collected is typically used for what? - Precise Answer ✔✔Chemistry studies The manufacturer must supply an SDS for which one? - Precise Answer ✔✔Isopropyl and methyl alcohol. The abbreviation for the federal agency that instituted and enforces regulations requiring the labeling of hazardous materials is what? - Precise Answer ✔✔OSHA What is NAACLS? - Precise Answer ✔✔National Accrediting Agency for Clinical Laboratory Sciences - developed the standardized educational curriculum with a recognized body of knowledge, skills, and standards of practice for the phlebotomy profession. What is CLIA? - Precise Answer ✔✔Clinical Laboratory Improvement Amendments TJC - Precise Answer ✔✔The Joint Commission - independent, not for profit organization charged with, among other things, establishing standards for the operation of hospitals and other health related facilities and services. NPSG - Precise Answer ✔✔National Patient Safety Goals Third tube Serum - Surely - Precise Answer ✔✔Red-Chemistry/Blood Bank-No Additive-Type&Xmatch Tiger-Chemistry-No Additive-STDs, HIV, HCG, Drugs, BMP, Lipid, T3-T4, Antibodies, FBS, Liver/Kidney issues Gold-Chemistry-No Additive- Same tests as Tiger Fourth tube Heparin - Help - Precise Answer ✔✔Light Green-Chemistry-Lithium- Inhibits thrombin-PST, BMP, Stat electrolytes, Plasma Green-Chemistry-Sodium-Inhibits thrombin-Tropin, Lactic acid on ice, Stat electrolytes Fifth tube EDTA - Eliminate - Precise Answer ✔✔Lavender-Hematology-EDTA- CBC, Malaria, A1C, ABROH, Blood type, DAT, ESR, Retic, Mono, Hemoglobin Ammonia-Chemistry- Delivered on ice Sixth tube Sodium Fluoride/Potassium Oxalate - Odors - Precise Answer ✔✔Gray- Chemistry-Sodium Fluoride/Potassium Oxalate-2hr post, ETOH, GTT, Fasting BS, Antiglycolytic (glucose tolerance) Seventh tube ACD - Precise Answer ✔✔Yellow-Blood Bank/Immunohematology- ACD-DNA, HLA, Organ Transplant, Bone Marrow match Royal Blue-By Itself EDTA, None, Sodium Heparin - Precise Answer ✔✔Royal Blue- Chemistry-Trace Free/EDTA/Sodium Heparin-Heavy Metals-aluminum, arsenic, copper, lead, iron, zinc Which of the following specimens would most likely be rejected for testing? - Precise Answer ✔✔A hemolyzed potassium specimen.