Download AMCA Phlebotomy Certification Prep Newest Review Update 2023/2024 and more Exams Nursing in PDF only on Docsity!
AMCA Phlebotomy Certification Prep Newest Review Update
When a phlebotomist observes actions or suspects child abuse, what should be the next step to take? - Answer->advise supervisor privately
The principle reason for requiring feedback when communicating with patients is to determine weather they ______________. - Answer->have understood what is being said
Implied consent for a venipuncture on an adult requires _____________. - Answer->the patient extends their arm to you
How should the phlebotomist dispose of a needle after drawing blood from a patient? - Answer->close safety and dispose in a puncture resistant container (sharps container)
The hospital department that is responsible for sterile supplies - Answer->Central Supply
The reason a test if ordered timed is to ______________. - Answer->Draw it at the best time for accurate results
The patient's specimen is lipemic, this is usually an indicator that the patient ___________. - Answer-
Has not fasted
Abbreviation for "nothing by mouth" - Answer->NPO
The government agency responsible for regulating the safety and health of workers - Answer-
Occupational Safety and Health Administration (OSHA)
To prevent cross contamination of microorganisms from one patient to another, OSHA standards require ____________. - Answer->Barrier protection equipment (PPE personal protective equipment)
The balanced or "steady state" of the body is called: - Answer->Homeostasis
The blood vessel that only carries blood away from the heart is _________. - Answer->artery
What laboratory document describes in detail the steps to follow for specimen collection? - Answer-
Procedure manual
Which type of specimen may require collection of a discarded tube before the test specimen is collected? - Answer->blood culture specimen
What is the additive in a green top tube? - Answer->sodium heparin
What item is donned first when wearing full PPE? - Answer->gown tied at neck and waist
The liquid portion of a clotted blood specimen is called __________ - Answer->plasma
Which of the following additives would be found in a yellow topped tube? - Answer->SPS
Which test should be collected in a royal blue topped tube? - Answer->Trace metal analysis / nutrients and toxicology studies (magnesium)
If a laboratory test requires serum, which vacutainer tube is the tube of choice? - Answer->Red
For a bleeding time test, what should you pump the blood pressure cuff to? - Answer->
Which of the following is required by OSHA? - Answer->Hepatitis B vaccine
What is the substance called in a serum separator tube (SST)? - Answer->thixotropic gel
What is the anticoagulant in a gray topped tube? - Answer->sodium fluoride
What is the function of an antiglycolitic agent? - Answer->eliminates glucose
The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - Answer->PPE
What is the correct routine blood draw entrance procedure? - Answer->bevel up, needle at 15- degree angle
What gauge size would be appropriate when drawing a hand with winged infusion needle/butterfly? - Answer->
During venipuncture when should needle safety device be activated? - Answer->immediately after specimen collection / after you remove needle from vein
According to CLSI order of the draw which would be filled last? - Answer->lavender top
The phlebotomist must collect pro time specimen from a patient with IVs in both arms, where should they draw from? - Answer->slightly under IV site, 2 minutes after IV has been turned off
Which of the following specimens would be analyzed in the anatomical pathology area? - Answer-
biopsy tissue
Which site is best for capillary puncture in an adult? - Answer->middle and ring finger tips
How many tubes are drawn for a 3 hour glucose tolerance test? (GTT) - Answer->
Erythrocytes are also known as.. - Answer->red blood cells (RBCs)
Which structure contains oxygenated blood? - Answer->aorta
The muscle layer of the heart is called the - Answer->myocardium
The function of the platelet is to - Answer->cause blood to clot to stop bleeding
The puncture site may require additional pressure to stop bleeding when the patient is.. - Answer->on blood thinners (anticoagulants, aspirin)
What is the anticoagulant in a gray topped tube? - Answer->potassium oxalate
Measurement of copper requires blood collection in what tube? - Answer->royal blue
Measurement of copper requires - Answer->
If the tourniquet is too small, what should you use? - Answer->blood pressure cuff
If the blood specimen is a milky color, what would that mean? - Answer->Lipemia - fat
What is the additive for a green topped tube? - Answer->Sodium lithium
Which test requires a whole blood specimen? - Answer->CBC - Complete Blood Count
The recommended sample for urine pregnancy testing is - Answer->first morning
How long do you perform a buccal (cheek) swab? - Answer->30 seconds
When should a blood collection tube be labeled? - Answer->After the specimen is collected
The 3 components of the chain of infection are... - Answer->Source, Mode of Transmission, Susceptible Host
Which of the following precautions require special handling and ventilation? - Answer->airborne
The current CDC guidelines for infection control is which of the following precautions? - Answer-
Standard precautions
An example of a QC (quality control) measure in phlebotomy is.. - Answer->Recording QA (quality assurance) indicators daily
A tourniquet should not be left on for longer than.. - Answer->1 minute
Venipuncture is usually performed in the antecubital area. Which vein is usually the best to draw from? - Answer->median cubital
What can happen if a tourniquet is left on for too long? - Answer->Hemoconcentration
What can happen if blood was drawn from the patient's arm too quickly? - Answer->Vein collapse
Jane has never had her blood drawn, the phlebotomist should allow her to.. - Answer->sit on a chair with arm support
The bevel of the needle should be.. - Answer->facing upward when inserted into the skin
The dr ordered a CBC (lavender), a comprehensive metabolic panel (SST), PT (light blue stopper), and a set of blood cultures. What is the order of the draw? - Answer->cultures, PT, metabolic panel, CBC (yellow, light blue, red/gray, lavender)
The gauge of the needle indicates the following relationship.. - Answer->The smaller the diameter of the bore
When drawing on blood thinners, what will you use after you complete the draw? - Answer->Coband wrap
A needle safety feature that is not activated in the vein or automatically should be activated when? - Answer->Immediately after the needle is withdrawn
The following items are minimum requirements for specimen labeling.. - Answer->The patient's compete name, identification number, date and time the sample was obtained, and collector's initials
The lab is backed up, and one of your specimens is delayed for more than an hour after collection, what do you do? - Answer->Tell the patient they will have to come back to repeat the test
Which of the following is a reason for a sample to be rejected by QNS (quantity not sufficient)? - Answer->Green PST half full
What does an increase in bilirubin, lipid protein and enzymes indicate? - Answer->Intravenous fluids resulting in an edematous area
Where should blood be drawn on a patient who has had a right side mastectomy and lymph node removal? - Answer->Left antecubital space
What is the best specimen for urine collection? - Answer->clean-catch midstream
What is a major drawback of 24 hour urine collection? - Answer->patient cooperation and it is hard to get
Mr Jones needs to give a specimen from home, what should be done first? - Answer->hand washing
The gray topped tube is usually drawn for which test? - Answer->glucose
A patient fell while exiting the lab. What information would be included in the incident report? - Answer->date, time, and location of the fall
Which of the following procedures requires informed consent? - Answer->Invasive surgery
If a procedure is performed on a patient who refuses consent, what can the phlebotomist be charged with? - Answer->battery
What is the proper formula of compressions to breaths when performing CPR? - Answer-> compressions to 2 breaths (30:2)
Where does the phlebotomist document poor techniques affecting sample quality? - Answer->quality improvement form
Choose the answer corresponded with diagram - Answer->11. radial artery
- brachial artery
- ulnar artery
- basilic vein
- median cubital vein
