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National Phlebotomy Exam ACA solution.pdf
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A GTT has a fasting glucose level drawn at 0715 and finishes drinking the glucola at 0730, what time should the one hour glucose level be drawn - answer - A health worker should do all of the following with regard to patient safety except - answer -leave bed rail down at the patient request A newborn screen may be rejected for all of the following reason except - answer -the circles are completely filled
A nosocomial infection - answer -is acquired after a patient is admitted to a healthcare faculty A patient has a negative Allen Test at the right wrist, what do you do? - answer -perform on the left wrist A patient is receiving IV therapy in the left forearm, what is the first choice for drawing blood - answer -left hand a person trained in all aspect of blood collection specimen handling and processing is known as a - answer -phlebotomist A phlebotomist can be held legally responsible for - answer -all the above A skin puncture for CBC would not be useful in which of the following patient - answer -a patient in shock A trash can with burning paper is classed as what type of fire? - answer -class A A vein is anchored and held taut prior to venipunture - answer -using the thumb below the puncture site
All of the following chemicals used as antiseptic except
CLSI?NCCLS recommends that the IV bleeding time incision on an adult be made - answer -parallel to the crease it the arm CLSI/NCCLS recommends that skin puncture device used an infant hell should not exceed a depth of - answer -2. CLSI/NCCSI recommended site for performing on arterial puncture - answer -radial artery Contact isolation would be required for a patient with the following condition - answer -antibiotic resistant staph Eating a snack in the lab is acceptable when - answer - never Electrical activity in the heart wall would be recorded on a - answer -ECG Evacuated tubes should be transported with stoppers in an upright position to - answer -promote complete clot formation
How should a blood ammonia level be transported - answer -in ice water How should a skin puncture device with a blade be positioned on the finger - answer -perpendicular to fingerprint If a outpatient begins to faint while blood is being drawn, the phlebotomist should - answer -discontinue the draw an lower the patients head and arm If a patient has an allergy to alcohol, an acceptable alternative for cleaning the skin prior to venipuncture would be? - answer -10% hypochlorite Immediately after a needle stick injury has occurred the employee should - answer -clean with soap and water Improper or unskilled care of patient by a member of the healthcare team is called - answer -malpractice Improvement CQI is a management commitment to improve healthcare structure, process, outcomes, and satisfaction. whereas quality control QC is - answer - process
In cases of a chemical spill in the eye, healthcare worker should - answer -flush with water continuously for 15 min In CDC guidelines, standard precautions combine the major feature of both - answer -universal precautions and BSI In infection control protocol, BSI refers to - answer - Body Substance Isolation In which situation is needle recapping recommended? - answer -recapping is never recommended Kinesics is the study of - answer -body language Leakage of a large amount of blood around a venipuncture site? - answer -hematoma Leaving the tourniquet on the arm for longer than 1 min ca result in - answer -hemconcentration Manufactures are required to supply MSDS for their products according to - answer -OSHA
Physical and mechanical device that reduce or eliminates the likelihood of occupational exposure to blood borne pathogen? - answer -work practice Radiation exposure - answer -is cumulative Recommended site for collecting skin puncture in adult - answer -middle and ring finger Safe working condition must be ensured by the employer and have been mandated by law under the - answer -health and occupational safety act Signs of shock are everything except - answer -pink skin Skin or capillary punctures blood is more like - answer -arterial blood Skin puncture deeper that CLSI/NICCLS recommendation may puncture the calcaneus and result in - answer -osteomyelitis Small red spots on a patient skin indicating that a small amount of blood leakage? - answer -petechia
standard precautions - answer -are used regardless of a patient's diagnosis or presumed infection status The 3 cardinal principles of radiation includes - answer -shielding, exposure time, distance The ability of the body to maintain all systems in a steady state - answer -homeostasis The additive in the lavender tubes is - answer - ethytenediaminetetraacetate The Allen Test is done to assess collateral circulation to the hand and pressure is released on which artery? - answer -ulnar The amount of time that pressure must be applied to the site of an arterial puncture is - answer -5minutes The avascular layer of the skin is called the - answer - epidermis The blue quadrant on the NFPA diamond shaped symbol for hazardous material indication - answer - health hazard
the largest organ of the body is the - answer -skin The liquid portion of the blood that has been mixed wiht an anticoagulation is called - answer -plasma the major function of a phlebotomist is to - answer - obtain patient blood specimen THe most common infection - answer -hepatitis The most critical step in drawing blood culture is - answer -skin preparation The Patient Care Partnership (AHA 2003) guarantees the patient all of the following except? - answer -a private room THe phlebotomy procedure manual is used for - answer -approved phlebotomy procedures The practice of assuming all patients to be potentially infectious to blood borne pathogen i s called - answer - infection control
The primary function of WBC? - answer -body defense The process by which the body slowly begins to dissolve the fribin clot after injured vessel has been repaired is called - answer -fibrinolysis The process of reducing the liability or exposure to the chance of loss or injury is called - answer -risk management THe proper location for performing skin puncture on newborn is - answer -plantar surface of heel The puncture device for the IV bleeding time that makes a standard incision of? - answer -1mmX 5mm the recommended skin preparation procedure for B/C - answer -isopropyl alcohol only The single most important way to prevent the transmission of infections in a healthcare setting - answer -handwashing The sum of all the chemical processes occurring in the cell in order to use energy is - answer -metabolism
What is not a purpose of lab analysis on a blood specimen? - answer -developing a community patient treatment What is used to monitor the effects of Coumadin on the extrinsic coagulation pathway is - answer -PT What lab department performs a CMP? - answer - Chemistry What should you do if the outside of a speciment tube has blood on it - answer -discard an draw an new tube What type of patient would require protective or reverse isolation - answer -one with immunodeficiency When centrifuging an uncapped specimen and the biohazard would be in the form of a - answer -ingestion When performing an ABG, the needle is inserted bevel up with at least a - answer - Where should a patient with a fistula in one arm and an IV in the other arm have their blood drawn? - answer - below the IV
Which analyze collected in neonates should be protected from light prior to testing - answer -bilirubin Which anticoagulant don't inhibit calcium in the blood to prevent clotting - answer -lithium heparin Which anticoagulants is used for ABG syringes? - answer -heparin Which blood level is drawn during a TDM will show the highest concentration of drug in patient blood stream?
Which of the following conditions would not be a reason to reject a specimen for testing - answer -a bilirubin specimen is ictreric Which of the following diseases does not involve a blood borne pathogen? - answer -tuberculosis Which of the following in not a fomite in the spread infection? - answer -mite Which of the following interrupts the link between the infection and the susceptible host - answer -good nutrition Which of the following is a hematology test - answer - CBC Which of the following is not a complication associated with arterial puncture? - answer -hemoconcentration Which of the following is not a CQM assessment is - answer -staff reduction Which of the following is not a factor to be considered in a negligence case - answer -offer
Which of the following is not an indication of quality specimen? - answer -the ETDA has not been inverted 5 to 8 times Which of the following is not correct about HIPPA privacy rule? - answer -compliance date in May 2005 Which of the following is quality improvement? - answer -the blood culture contamination rate will not exceed the national average Which of the following is required under universal precaution? - answer -wearing gloves to draw blood Which of the following is the specimen of choice when collecting a specimen for testing blood PH, PCO2, and PO2 - answer -arterial blood Which of the following meets the revised OSHA definition of a sharp with engineered sharps injury protection - answer -punture resistant sharp container Which of the following needle is the smallest needle - answer -22g
