AMCA Phlebotomy Exam

Which of the following lists all three of the major types of blood vessels?

Arteries, Veins, capillaries

The capillaries are the blood vessels where

oxygen diffuses into the tissues

The Protein in RBCs that carry oxygen is

Hemoglobin

white blood cells are responsible for

fighting infection

platelets are involved in

the coagulation processes

(coagulation = clotting)

Blood Coagulation depends on

blood vessels, platelets, and clotting factors

Always check to see if the patient has a/an

bleeding disorder or takes aspirin

You don't need to ask a patient about HIV status because

Standard precautions prevent HIV transmission

According to the text, a professional

does not need strong external motivators or supervision

The first principal of phlebotomy or any medical procedure is to

Correctly identify the patient

An emergency directly associated with phlebotomy is

Syncope

The best way to stop minor bleeding is by using

direct pressure

Accuracy in phlebotomy is important because

treatment decisions are often based on blood tests

phlebotomy is defined as

puncturing a blood vessel and removing blood

Professional conduct is behavior that

inspires trust and confidence

you should never perform a venipuncture if the patient

refuses to have it done

you should never perform a venipuncture if the patient

is confused or disoriented

Needles used for venipuncture are

Sterile and should never be reused.

The first choice for a venipuncture would be a vein in the

fold of the elbow

The site of a venipuncture must be cleaned to

prevent an infection

the three components of the circulatory system are

blood vessels, the heart, and the blood

When a phlebotomist observes action or suspect child abuse. what is his next step?

advise your supervisor privately

you have requested feedback from the patient when communicating with him. this was to determine:

have understood what is being said

implied consent for a venipuncture for an adult requires

patient extending his arm

The hospital department responsible for sterile supplies:

central supply

the patient specimen has lipid. it is a non fasting specimen. what does it mean lipid in blood?

lipemia

in bleeding time test (BTT). you should inflate the blood pressure cuff to ...

40mmhg

NPO stands for

nothing by mouth

the healthy body stays the same "stable" even with constant changes and functions. this condition called...

Homeostasis

blood vessels that carry blood away from the heart is

Arteries

What laboratory document describes in detail the steps to follow for specimen collection?

Procedure manual

what tube is used to check Coagulation factors

Blue top

what is the additive in the green tube

Sodium Heparin

which of the following tubes yields serum specimen

Red

which of the following additive is found in the yellow topped tube

Sodium Polyanethol sulfonate

which test should be collected in a royal blue top tube

Aluminum

Most coagulation test require collection in a

blue tube

soaking or wiping of surfaces which inhibits the activity of disease causing organism, us called...

disinfection

Patient has a fever. the doctor ordered ESR test. which tube will be used?

Lavender

What is the substance called inside a serum separator tube?

Thixotropic gel

What is the antiglycolitic agent in a gray top tube

Sodium Fluoride

What is the function of the antiglycolytic agent?

preserve glucose

The phlebotomist uses nitrile gloves during stick procedure. The use of gloves is considered....

personal protective equipment (PPE)

what is the routine blood draw entrance procedure

bevel up at 15-30 degree angle

Which gauge will be used in winged infusion blood drawing?

23

During venipuncture, when does the needle safety device be activated?

after you withdraw the needle from the vein

which of the following tubes according to CLIA order of draw. would be drawn last?

Lavender top

the phlebotomist must collect a timed specimen form a patient with IVs in both arms. the blood should be collected

below one of the IVs

which of the following specimen would be analyzed in the anatomical pathology area?

Biopsy tissue

which of the following is the best site for a capillary puncture on an adult?

middle finger

how many tubes are drawn in a 3hr glucose tolerance test?

4

Erythrocytes are also known as

red blood cells (RBCs)

which of the following structures contains oxygenated blood?

Aorta

The muscle layer of the heart is called

Myocardium

55:The function of the platelets is to

cause blood to clot

56:the puncture site may need prolonged pressure to stop the bleeding if the patient is

is on aspirin regimen

57: plasma is approximately made up of 90% of water and 10% of which solution?

Dissolved substance

58:the clear colorless fluid that functions in protecting and nourishing the brain and the spinal cord is;

cerebral spinal

59:the purpose of the pulmonary system is to carry

blood to and from the lungs

60:electrolytes testing includes

sodium and potassium

61;which of the following is not part of a complete blood count?

APTT

62:TB test is administered involves;

injecting the antigen under the skin

which department would perform a cbc?

Hematology

a sample for fibrin degeneration (FDP) testing would be sent to which of the following department ?

Coagulation

Which of the following tests may require a special chain of custody form?

Drug screen

A phlebotomy student who notices a rash on his/her hands after the first week of training should

tell the instructor

the most common point of care testing performed at home or in the hospital is a;

Glucose

which requires a whole blood specimen

CBC (complete blood count)

The recommended sample for urine pregnancy testing is a

first morning

Blood collection tube are labeled

after the specimen is collected

an example of QC (quality control) measure in phlebtomy is

checking the expiration date of evacuated tubes

the tourniquet should not be left on for more than ....... minute before a flow blood

one

venipuncture is usually performed in the antecubital area. Which vein is usually best

median cubital

what can happen if the tourniquet is left on for too long before drawing blood?

Hemoconcentration

blood was drawn from the patients arm too quickly what happened as a result

vein collapsed

jonson has never had her blood drawn. the phlebotomist should allow her to

sit on a chair with arm support

the bevel of the needle

should always be facing up when inserted into the skin

the doctor ordered a CBC (lavender top) comprehensive metabolic panel (SST), PT (Light Blue stopper) and a set of blood cultures. what is the order of the draw?

blood culture, light blue, SST, lavender

the gauge of the needle indicates the following relationship- larger the gauge number the

smaller the diameter

when drawing on blood thinner, what will you use after you complete the draw?

Coband wrap

one safety mechanism for phlebotomy equipment is

only professionals are trained to use the safety device

the following items are minimum requirements for specimen labeling:

patients complete name, identification number, date, time of collection, and collector initials

the lab is back up and one of your patient's specimen testing is delayed for more than collection- what should the phlebotomist do?

tell the patient they will have to come back and repeat the test

which of the following is a reason for a sample to be rejected by QNS?

light blue with a 7:1

in which of the following circumstances is it important to verify "chain of custody"?

Legal (forensic ) sample

how should you hold a winged infusion collection needle?

by the needle wings

which of the following must be done for a blood culture evaluation microorganism growth for septicemia?

aseptic sterile technique

which of the following is a normal result for a fasting glucose test?

under 100

sputum is defined as

mucous from the lungs

the procedure used to collect DNA from the cells on the inside of a persons cheek is known as

buccal swab

to avoid patients identification errors, the phlebotomist must identify the patient prior to collecting a sample by

checking armbands for acceptable identifiers such as the patients full name and date of birth

the most common blood type is

O

select the correct statement below for preparing the site for blood collection

use the sterile alcohol pad (70% isopropyl alcohol) for cleansing the site

when preparing for specimen collection by venipuncture how should the patient positioned

with arm in straight position from shoulder to wrist

where should blood be drawn on a patient who has had a right side mastectomy and a lymph node removal?

left antecubital fossa

what is the best specimen for urine culture

Clean catch midstream specimen

what is a major drawback of a 24 hour urine collection

patient cooperation is essential and often hard to get

disease causing organism are called

pathogen

according to the cdc standard precautions should be practiced at all times. these practices apply which of the following

all of the above

body fluids

non-intact skin

blood

your patient falls while exiting the lab, which information would be included in the incident report?

date, time, and location