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A series of practice questions and answers related to the ncct phlebotomy exam. It covers various aspects of phlebotomy practice, including patient care, specimen collection, quality control, and safety procedures. The questions are designed to help students prepare for the ncct exam and reinforce their understanding of phlebotomy principles.
Typology: Exams
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Which .of .the .following .POC .laboratory .test .is .within .the .CLIA .defined .scope .of .practice .for .a .phlebotomist? .- .ANS✓✓-Strep .test .and .urine .sediment Which .task .should .a .phlebotomist .complete .prior .to .a .daily .use .of .POC .instrument? .- .ANS✓✓-Perform .QC .on .the .instrument A .patient .brings .in .written .lab .test .results, .including .a .mix .of .POC .sand .higher .complexity .test, .and .asks .the .phlebotomist .for .help .with .interpretation. .Which .of .the .following .should .the .phlebotomist .do? .- .ANS✓✓-Refer .the .patient .to .the .physician .for .interpretation .of .all .results. Which .of .the .following .is .outside .the .scope .of .practice .for .a .phlebotomist? .- .ANS✓✓-Performing .CLIA .moderate .complexity .tests. Which .of .the .following .specimens .require .the .phlebotomist .to .follow .chain- .of .- .custody .documentation .procedures? .- .ANS✓✓-Blood .Alcohol .and .Drug .testing Which .of .the .following .QC .measures .are .within .the .phlebotomist's .scope .of .practice? .- .ANS✓✓-Checking .the .expiration .dates .of .venipuncture .supplies, .monitoring .temperatures .of .specimen .refrigerators, .routine .cleaning .of .surfaces .where .specimens .are .processed. At .which .of .the .following .times .should .a .test .tube .be .labeled .with .the .patient's .identification? .- .ANS✓✓-While .in .the .patients .room, .after .drawing .the .blood .. Instead .of .obtaining .consent .from .a .patient .who .is .mentally .competent .the .phlebotomist .obtains .consent .from .a .family .member. .This .is .a .violation .of? .- .ANS✓✓-The .patient's .bill .of .rights The .phlebotomist .is .asked .to .draw .blood .on .a .non-responsive .patient .in .an .emergency .department. .This .draw .would .be .conducted .under .- .ANS✓✓- Implied .consent A .patient .presents .to .have .a .diagnostic .HIV .test .drawn. .Which .of .the .following .forms .of .consent .must .the .phlebotomist .obtain .prior .to .venipuncture? .- .ANS✓ ✓-Informed
A. 19 - .year .old .patient .offers .her .arm .to .the .phlebotomist .when .she .comes .in .with .a .venipuncture .tray. .This .is .an .example .of... .- .ANS✓✓-Implied .consent Which .of .the .following .is .a .CLIA .waived .test .that .can .be .performed .by .the .phlebotomist? .- .ANS✓✓-Chemical .urinalysis Commitment .to .privacy .continuity .of .care, .advance .directives, .and .the .authority .to .refuse .treatment .are .granted .according .to .which .of .the .following? .- .ANS✓✓
A .physician .has .ordered .a .STAT .blood .work .for .a .patient. .The .physician .ordered .hematology .tests .and .chemistry .and .coagulation .panels. .Which .of .the .following .tubes .are .needed .for .this .procedure .- .ANS✓✓-Lavender, .light .blue, .red A .CMP .is .ordered .for .an .older .adult .patient .whose .veins .continue .to .collapse .despite .drinking .water. .Which .of .the .following .is .the .best .collection .method .for .this .patient? .- .ANS✓✓- 23 - gauge .butterfly .needle When .inspecting .a .patient's .arm .before .performing .a .venipuncture, .the .most .desirable .site .appears .to .be .the .back .of .the .hand. .Which .of .the .following .venipuncture .methods .is .most .appropriate .in .this .situation? .- .ANS✓✓- Butterfly .Needle Which .of .the .following .actions .should .the .phlebotomist .take .to .make .a .vein .more .prominent .when .attempting .to .select .a .venipuncture .site? .- .ANS✓✓- Apply .warm .compress .to .the .area .for. 5 .minutes. For .which .of .the .following .patients .is .the .use .of .an .adhesive .bandage .contraindicated? .- .ANS✓✓-Newborn .with .hyper .billirubinemia Gray-topped .sodium .fluoride .tubes .should .not .be .used .to .collect .alanine .aminotransferase .(ALT) .or .aspirate .aminotransferase .(AST) .because .the .anticoagulant .- .ANS✓✓-Destroys .many .enzymes A. 2 - week .old .infant .has .been .brought .in .the .lab .for .a .repeat .PKU/neonatal .screening. .Which .of .the .following .collection .procedures .is .a .appropriate .to .collect .the .specimens? .- .ANS✓✓-Capillary .using .heel .puncture .lancet The .phlebotomist .working .in .a .hospital .is .collecting .blood .from .a .patient .with .very .small, .difficult .veins. .Three .tubes .of .blood .need .to .be .collected. .The .blue .and .green .tubes .fill .easily .and .completely, .but .the .lavender .tube .fills .incompletely. .Changing .the .lavender .tube .using .the .same .draw .also .results .in .an .incomplete .specimen. .Which .of .the .following .should .the .phlebotomist .do .next .? .- .ANS✓✓-Re-Position .the .needle .and .recollect .the .lavender .tubes The .phlebotomist .is .collecting .a .capillary .sample .from .an .infant. .Following .the .collection, .the .phlebotomist .holds .firm .pressure .on .the .site .until .bleeding .has .stopped. .How .should .the .phlebotomist .proceed. .- .ANS✓✓-Do .not .bandage During .palpation .of .a .large .vessel .in .the .forearm, .the .phlebotomist .detects .a .vibration .sensation. .The .phlebotomist .should .then...... .- .ANS✓✓-Choose .a .different .collection .site The .phlebotomist .notes .the .patient's .arm .is .scarred .in .the .lateral .aspect .of .the .anticubital .fossa, .and .the .other .arm .is .not .available. .The .phlebotomist .decides .to .use .a .more .medial .site .in .the .in .the .fossa .over .the .basilic .vein. .Which .of .the
.following .make .this .a .poor .choice? .- .ANS✓✓-Increased .risk .of .nerve .damage, .increased .risk .of .arterial .involvement A .tourniquet .was .left .on .the .arm .for .an .extensive .period .of .time .before .the .performance .of .a .venipuncture. .Which .of .the .following .is .most .likely .to .occur? .- .ANS✓✓-Hemoconcentration Which .of .the .following .sites .should .the .phlebotomist .use .for .newborn .screening .blood .collection? .- .ANS✓✓-Plantar .surface .of .the .heel A .patient .with .an .order .for .a .blood .draw .presents .with .burns .covering .both .arms. .Which .of .the .following .is .the .phlebotomist's .best .option .for .collection .the .largest .amount .of .blood .for .this .patient? .- .ANS✓✓-Microcollection .container When .performing .venipuncture .on .a .patient .with .a .left .mastectomy, .which .of .the .following .sites .should .the .phlebotomist .use? .- .ANS✓✓-Right .antecubital .fossa Which .of .the .following .steps .is .completed .first .in .performing .venipuncture? .- .ANS✓✓-Identify .the .patient The .phlebotomist .is .educating .the .patient .on .fasting .diet .requirements .prior .to .a .glucose .tolerance .test. .Which .of .the .following .is .the .minimum .time .frame .the .patient .must .remain .fasting .before .before .the .start .of .the .test? .- .ANS✓✓- The .phlebotomist .is .performing .a .venipuncture .on .an .apprehensive .school .age .child. .Which .of .he .following .approaches .should .the .phlebotomist .use .to .calm .the .child? .- .ANS✓✓-Explain .the .procedure .and .reassure .the .child .that .the .prent .can .stay .with .her.