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Phlebotomy Procedures and Techniques, Exams of Nursing

Joseph Chamberlain CollegeNursing

Detailed information on various phlebotomy procedures and techniques, including proper blood collection methods, sample handling, safety protocols, and regulatory guidelines. It covers topics such as blood tube types, order of draw, patient identification, tourniquet usage, and handling of difficult draws. A comprehensive reference or training material for phlebotomists, covering both standard practices and special considerations when working with different patient populations or sample types. The level of detail and breadth of topics suggest this document could be useful for phlebotomy students, practicing phlebotomists, or healthcare professionals involved in blood collection and processing.

Typology: Exams

2023/2024

Available from 07/29/2024

Medicinehub
Medicinehub šŸ‡¬šŸ‡§

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AMCA PHLEBOTOMY 2
ACTUAL EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS CURRENTLY
TESTING VERSIONS AND SOLUTIONS GRADED A+ NEWEST EXAM!!
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.
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Download Phlebotomy Procedures and Techniques and more Exams Nursing in PDF only on Docsity!

AMCA PHLEBOTOMY 2

ACTUAL EXAM COMPLETE QUESTIONS WITH VERIFIED ANSWERS CURRENTLY

TESTING VERSIONS AND SOLUTIONS GRADED A+ NEWEST EXAM!!

  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.

  1. 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
  2. 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
  3. 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

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

  1. 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
  2. Even if the lab is backed up on resulting, send samples to the lab anyway. A. True B. False A. True
  1. Gloves will always be worn when performing blood draws. A. True B. False A. True
  2. What is the additive in the Dark Green tube? A. EDTA B. Na Citrate C. Potassium Oxalate D. Heparin D. Heparin
  3. 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
  4. 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.

D. It could cause the vein to collapse. D. It could cause the vein to collapse.

  1. 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.
  2. 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
  3. 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

  1. Should you use Coban wrap after a draw is complete on a patient that is taking blood thinners? A. Yes B. No A. Yes
  2. 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
  3. Which government agency responsible for regulating safety and health of workers. A. HIPPA B. OSHA C. CDC D. HLS B. OSHA

C. The phlebotomist should stop the draw immediately

  1. Hepatitis B (HBV) can remain on surfaces when not properly disinfected. A. True B. False A. True
  2. 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
  3. Tourniquet should be applied at least __________ venipuncture site. A. 1- 2 B. 3- 4 C. 5- 6 D. 7- 8 B. 3- 4
  4. 23-gauge winged infusion set (Butterfly) would be the best appropriate size for a hand draw. A. True B. False

A. True

  1. 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
  2. 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
  3. 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.
  4. The bevel of the needle should always be facing up when inserting it into the skin.
  1. 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.
  2. 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
  3. 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
  4. Aseptic sterile techniques must be done for Blood Culture collection. A. False B. True B. True
  1. 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.
  2. 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
  3. 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.
  4. 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.
  1. 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
  2. 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
  3. 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.
  4. A patient that is on blood thinners or aspirin regimen may need additional pressure applied to stop bleeding. A. True B. False A. True
  1. 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)
  2. PTT and IN can be tested at the bedside using a Point-of-Care instrument. A. False B. True B. True
  3. 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.
  4. 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

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

  1. 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
  2. According to OSHA activating a safety device on the needle is to prevent accidental needle sticks. A. True B. False A. True
  3. What legislation that sets the standards for Electronic Health Care transactions? A. OSHA B. HIPAA C. CLIA D. CAP B. HIPAA
  1. Fingernails kept short and clean is an example of a professional appearance for a phlebotomy technician. A. False B. True B. True
  2. Anything under 100 is a normal result for a fasting glucose test. A. True B. False A. True
  3. 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.
  4. sodium and potassium are included in electrolyte testing. A. True B. False A. True