Phlebotomy Procedures and Techniques, Exams of Nursing

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AMCA PHLEBOTOMY 2

ACTUAL EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS CURRENTLY

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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 After the needle is withdrawn from the vein, the first thing that needs to be done is A. Activate the needle safety device B. Put it in the sharp's container C. Set it out of reach so no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 We have an expert-written solution to this problem!
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- 2 B. 3- 4 C. 5- 6 D. 7- 8 B. 3- 4
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