National Phlebotomy Certification Exam Questions, Exams of Nursing

Download National Phlebotomy Certification Exam Questions and more Exams Nursing in PDF only on Docsity!

National Phlebotomy

Certification Exam Questions

well solved

An individual who has little resistance to an infectious microbe is referred to as a

susceptible what? - Answer Host

Which of the following is an example of a work practice control that reduces risk

of exposure to bloodborne pathogens? - Answer Wearing gloves to draw blood

This ion is essential to the coagulation process. - Answer Calcium

QC protocols prohibit use of outdated evacuated tubes because why? - Answer

Tubes my not fill completely, changing additive-to-sample ratios.

Molecular genetic testing requires what? - Answer Specimens to be collected in sterile EDTA. What is the purpose of an antiglycolytic agent? - Answer Preserve glucose Which on of the following tubes is filled first when multiple tubes are filled using an evacuated tube system? - Answer Blood culture (SPS) tube What is the recommended disinfectant for blood culture sites in infants 2 months and older? - Answer Chlorhexidine gluconate Latent fibrin formation in serum can result from what? - 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? - Answer Order of draw This is an example of a preanalytical error made at the time of collection. - Answer Failing to mix tubes

What constitutes a positive modified Allen test? - 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? - Answer Nonanticoagulant gel tubes Reference values are higher for capillary specimens with what test? - Answer Glucose According to CLSI, the maximum time limit for separating serum or plasma from cells is how long? - Answer 2.0 hours from time of collection All of the following are a reason for transporting tubes with the stoppers up EXCEPT which of the following? - Answer Maintains the sterility of the sample. The liquid portion of a clotted specimen is called what? - Answer Serum The most common reason for glucose monitoring through POCT is to what? - Answer Monitor glucose levels for diabetic care. The AMT, ACA, and ASCP are agencies that do what? - Answer Certify laboratory professionals A quadriplegic patient can do what of the following? - Answer Can feel pain if there is no sensory damage.

The standard of care used in phlebotomy malpractice cases is often based on guidelines from what organization? - Answer CLSI - Clinical and Laboratory Standards Institute In collecting blood cultures, one of the most frequent errors made is what? - Answer Improper cleansing of the collection site Which type of specimen is typically used for routine urinalysis? - Answer Random A positive FIT test indicates what? - Answer Bleeding in the colon or rectum Accessioning a specimen involves what? - Answer AOTA-Connecting it with the correct individual, giving it a unique identification number, and recording it in the order it was received. A blood specimen collected in nongel tube has been centrifuged. The cells at the bottom are free flowing and can be resuspended if the tube is inverted. The term used to describe the liquid portion on top of the cells is what? - Answer Plasma The composition of capillary puncture blood more closely resembles what? - Answer Arterial Blood A phlebotomist arrives to collect a 2-hour post-prandial glucose specimen on an inpatient and discovers that 2 hours have not elapsed since the patient's meal. What should the phlebotomist do? - Answer Ask the patient's nurse to verify the correct time to draw the specimen.

Which of the following is referred to as a delivering chamber of the heart? - Answer Left ventricle According to laboratory policy, specimens collected need to yield 2.5 times the amount of sample needed to perform the test. If a chemistry test requires 0.5mL of serum, which of the following tubes is the smallest that can be used? - Answer 3-mL red top The main difference between serum and plasma is what? - Answer Plasma has fibrinogen, serum does not. Which of the following represents proper collection and handling of newborn screening specimens? - 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? - 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? - Answer 1,000 g for 10 minutes All of the following statements concerning an employee bloodborne pathogen exposure incident are true EXCEPT what? - Answer The source patient must submit to HIV and HBV testing within 48 hours. Which additive prevents coagulation by binding calcium? - 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? - 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? - Answer Triple packaged in a watertight primary container. Which of the following microcollection containers should be filled first if collected by capillary puncture? - Answer Lavender top Which of the following specimens is negatively affected by chilling? - Answer Potassium The CAP requires QC for many waived tests to be performed when? - 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? - Answer 5 mL Transporting tubes with the stopper up has nothing to do with what? - Answer DOES NOT MAINTAIN THE STERILITY OF THE SAMPLE! The first tube of cerebrospinal fluid (CSF) collected is typically used for what? - Answer Chemistry studies

The manufacturer must supply an SDS for which one? - Answer Isopropyl and methyl alcohol. The abbreviation for the federal agency that instituted and enforces regulations requiring the labeling of hazardous materials is what? - Answer OSHA What is NAACLS? - 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? - Answer Clinical Laboratory Improvement Amendments TJC - 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 - Answer National Patient Safety Goals CAP - Answer College of American Pathologists - not for profit organization for professionals in the field of laboratory medicine. Offers proficiency testing and a continuous form of laboratory inspection by a team made up of pathologists and laboratory managers. CLIAC - Answer Clinical Laboratory Improvement Advisory Committee - to provide technical and scientific advice and guidance to the appropriate people in CMS.

NAACLS - Answer National Accrediting Agency for Clinical Laboratory Sciences - an authority on quality clinical laboratory education. CLSI - Answer Clinical and Laboratory Standard Institute - organization that develops clinical and laboratory practices and promotes their uses worldwide. NHSN - Answer National Healthcare Safety Network - provides data on healthcare associated infections. HICPAC - Answer Healthcare Infection Control Practices Advisory Committee - provides the CDC with advice and guidance regarding the practice of infection control and prevention in healthcare settings. CDC - Answer Centers for Disease Control - investigates and controls various diseases. NIOSH - Answer National Institute for Occupational Safety and Health - part of the CDC, responsible for conducting research and making recommendations for the prevention of work related illness and injury. OSHA - Answer Occupational Safety and Health Administration - mandates and enforces safe working conditions for employees. HCS - Answer Hazard Communication Standard - HazCom - right to know.

First tube Culture - Cinnamon - Answer Yellow - Microbiology - Blood Culture - SPS Additive - Bacteremia or septicemia 2 bottles - Anaerobic and aerobic (butterfly needle-collect aerobic first) No capillary stick. 2 sets collect 30 minutes apart from different arms. Second tube Citrate - Can - Answer Light Blue - Coagulation - Sodium Citrate - PT/INR, PTT, APTT, D-dimer, 9:1, butterfly-throw first tube away Orange-Chemistry-Thrombin-Coagulation Black-Chemistry-Sodium Citrate- ESR-4: Third tube Serum - Surely - 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 - 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 - 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 - Answer Gray-Chemistry-Sodium Fluoride/Potassium Oxalate-2hr post, ETOH, GTT, Fasting BS, Antiglycolytic (glucose tolerance) Seventh tube ACD - Answer Yellow-Blood Bank/Immunohematology-ACD-DNA, HLA, Organ Transplant, Bone Marrow match Royal Blue-By Itself EDTA, None, Sodium Heparin - 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? - Answer A hemolyzed potassium specimen.