AMCA phlebotomy Exam

What is the order of draw for the following tubes:

Light blue, Red, Blood Culture, and Lavender

Blood Culture, red, light blue, lavander

is the recommended disinfectant for blood and other bodily fluid contamination.

Sodium Hypochlorite

Invasive surgery procedures require

informed consent

Which tube would be used to collect blood for a pregnancy test?

Red

What vein is preferred when performing a routine venipuncture?

median cubital vein

Which tube is more often used for a Thyroid panel?

Tiger Top

After the needle is withdrawn from the vein, the needle safety device must be _.

activated

_ compression and _ breaths is the proper formula for single adult CPR.

30 . compression and 2 . breaths is the proper formula for single adult CPR.

The best way to clean the site when testing for blood alcohol is to use 70% isopropyl alcohol.

True

From the following options, what is the first thing you when there is an accidental needle stick?

Wash affected area with soap and water

Never draw blood from a patient's arm who has had a mestectomy on that side.

True

Over or under filling a _ top is a reason for a sample to be rejected by QNS (Quantity not Sufficient). The ratio must be _, not 7:1 or 10:1, but _.

Over or under filling a light blue Correct. top is a reason for a sample to be rejected by QNS (Quantity not Sufficient). The ratio must be 9:1 ., not 7:1 or 10:1, but 9:1

Where do you draw a capillary sample on an adult?

middle or ring finger

Even if the lab is backed up on resulting, send samples to the lab anyway.

True

_ will always be worn when performing blood draws.

Glove

What is the addiditve on a dark green tube?

Heparin

Injecting a TB antigen just under the skin is the most common way of admistering of the TB test.

True

What should you do when performing phlebotomy on a young fearful child?

Explain to the child in simple terms what will be done

_ uses heat, steam, and chemicals to prevent infecious diseases.

sterilizing

What can happen when the tourniquet is left on for longer than one minute?

Hemoconcentration

Which sample needs to be trasnported on ice?

Ammonia

If blood is drawn from the patients arm to quickly it could cause the vein to _.

collapse

If a patient extends their arm for a blood draw, that is _.

implied consent

In a standard serum separator tube (SST) the blood should be allowed to clot for at least _ minutes, no longer than _ hours.

In a standard serum separator tube (SST) the blood should be allowed to clot for at least 30 Correct. minutes, no longer than 2 Correct. hours.

Proper hand washing is the most important way to prevent cross-contamination of micro-organisms from one patient to another.

True

A patient's _, states a patient has a right to refuse a medical procedure and to be informed of all the consequences of doing so.

Bill of Rights

_ wrap should be used after a draw is complete on a patient that is taking blood thinners.

Coban

Which of the following tubes will produce serum after being centrifuged?

d. Red

_ would be the government agency responsible for regulating safety and health of workers.

OSHA

The phlebotomist will place a needle in a puncture-resistant container after blood draw is complete.

True

The principal reason for requesting feedback when communicating with patients is to determine if they understand what is being said.

True

_ isolation would be a precaution that would require special handling and ventilation.

airborne

If a _ starts to form and the patient says it hurts. The phlebotomist should _ the draw immediately and apply pressure with a gauze pad and re-examine the patient to see if it worsens.

Hematoma

Stop

Hepatitis B (HBV) can remain on surfaces when not properly disinfected.

True

A doctor ordered a CBC (Lavender top), Comprehensive Metabolic Panel (SST), PT (Light Blue top), and a set of Blood Cultures (BC). The order of draw would be...

Bc

Light blue top

SST

CBC Lavender top

Where is the tourniquet applied during a routine venipunture?

3 to 4 inches above the venipuncture site

What is the preferred method of draw for a hand venipuncture?

23 gauge winged infusion set (Butterfly)

If a patient has cold hands or arms, the phlebotomist can place a _ compress on the draw site to allow for better flow.

Warm

15-30 degrees is the appropriate angle for antecubital needle insertion.

True

A sample for Fibrin Degradation Products (FDP) testing would be sent to...

Coagulation department

The bevel of the needle should always be facing _ when inserting it into the skin.

up

By checking the patient's arm band on an in-patient with the lab lable, this will avoid in-patient identification errors.

True

If a patient's specimen is _ (Fat globs floating in blood) it is a good indicator that the patient is not _.

lipemic; fasting

A buccal swab is the collection method used to collect DNA samples by swabbing the inside of a patient's cheek.

True

Patient's identification numbers on the tube labels help to avoid confusing specimens from patients with same last name.

True

When should the tourniquet be released?

Once blood flow has been established

department is responsible for sterile supplies.

central supply

Aseptic sterile techniques must be done for Blood Culture collection.

True

If IVs are inserted in the antecubital area of the arms, the blood must be drawn _ the IV site.

Below

A patient who tends to faint during blood draws, should be placed lying down on an exam table or in a reclining chair.

True

A heel puncture should not be performed on an infant older than _ months of age.

12 months

If a EDTA tube is used before a serum tube it could cause cross contamination and could result in high potassium or a false low calcium value.

True

A phlebotomist will wash their hands _ and _ the venipuncture.

before/after

The term hematoma means blood has leaked from the vein into the tissues of the skin.

True

Patients complete name, date of birth, identification number, date, time of draw, and the collectors' initials must be on the specimen tube.

True

Vitamin B12 will be protected from _.

light

Biopsy tissue would be sent to anatomical _ to be analyzed.

pathology

A patient that is on blood thinners or aspirin regimen may need additional pressure applied to stop bleeding.

True

When a patient starts to sweat, look pale, and or complaining of blurred vision could be signs of a _.

vasovagal syncope

_ and _ can be tested at the bedside using a Point-of-Care instrument.

PTT and INR

A tourniquet should not be left on the arm for longer than

1 minute

How do you properly hold a winged infusion set?

By the wings

How do you properly disinfect a routine blood collection.

70% isopropyl alcohol

_ is the legislation that sets the standard for Electronic Health Care Transaction.

HIPAA

A _ is collected into a lavender tube and collected as a _ specimen.

CBC- whole blood

An Erythrocyte Sedimentation Rate (ESR) test is collected in a Lavender tube

True

The patient should be positioned sitting down with the arm in a straight line from the shoulder to the wrist when preparing for a venipuncture.

True

_ carries blood away from the heart.

arteries

According to _ activating a safety devise on the needle is to prevent accidental needle sticks.

OSHA

Fingernails kept short and clean is an example of a professional appearance for a phlebotomy technician.

True

Anything under _ is a normal result for a fasting glucose test.

100

What lab department does a CBC go to?

Hematology

_ and _ are included in electrolyte testing.

sodium and potassium

Coagulation testing requires blood to be collected in a _ tube

light blue top

Performing a procedure on a patient who refuses consent is considered _.

battery

The substance that is inside a Serum Separator Tube (SST) is called _.

Thixotropic gel

When testing for aluminum, which colored tube should be used?

royal blue

A sharps container should be replaced when it is at least _ full.

3/4

When performing a 3hr glucose tolerance test (GTT), a total of _ tubes will be used.

4

Blood leaking into the tissue around the draw site is called a _.

Hematoma

_ minutes is the standard length of time for a serum sample to stand before it is loaded into a centrifuge.

30 minutes

What tube is typically used for a hepatic-panel test?

Red top

If you receive an order to draw a Hemoglobin A1C (HA1C) and PT/PTT test, what is the correct order of draw?

Light blue and lavender

A chain-of-custody protocol would be required if a _ test is ordered.

paternity

If you have a patient with small, thin, or fragile veins you would use a butterfly needle with a syringe to acquire the specimen.

True

According to CLSI, after _ unsuccessful venipuncture attempts, the phlebotomist should get another phlebotomist to perform the draw.

2

A female patient should produce at least 20-30 mls of urine for a standard STD test.

True

The reason that we should pull the skin taunt before a blood draw is to prevent the vein from _.

Rolling

Thyroid and hCG tests drawn in a serum tubes. These tests are processed in the _ department.

chemistry

Proper handwashing includes scrubbing in between fingers and around knuckles, rubbing hands together vigorously for at least 15 seconds.

True

The patient in the hospital or nursing home should be placed in this position which includes laying on their back with their head and torso raised between 15-45 degrees.

Semi-Fowler's

A patient on blood thinners or warfarin therapy would never require PT/INR blood draws.

When testing for aluminum, which colored tube should be used?

Royal Blue

A sharps container should be replaced when it is at least _ full.

3/4

When performing a 3hr glucose tolerance test (GTT), a total of _ tubes will be used.

4

Blood leaking into the tissue around the draw site is called a _.

Hematoma

_ minutes is the standard length of time for a serum sample to stand before it is loaded into a centrifuge.

30

What tube is typically used for a hepatic-panel test?

Red top

If you receive an order to draw a Hemoglobin A1C (HA1C) and PT/PTT test, what is the correct order of draw?

light blue/ lavender

A chain-of-custody protocol would be required if a _ test is ordered.

paternity