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Exam (elaborations)

CPT - Certified Phlebotomy Technician Questions with Certified Solutions

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CPT - Certified Phlebotomy Technician Questions with Certified Solutions What mask needs to be worn in a room with airborne isolation precautions - Answer ️️ -N-95 Mask (plus gloves & a gown) What does PPE stand for - Answer ️️ -Personal Protective Equipment What PPE needs to be worn in a room with droplet isolation precautions - Answer ️️ -Gloves, mask, eye protection & gown What PPE needs to be worn in a room with contact precautions - Answer ️️ -Gloves & gown What gauge needle will cause hemolysis - Answer ️️ -25 gauge (and above) (to small & it breaks the blood up; to large and it slams into the back of the tube) What is the range of needle gauges for blood donation - Answer ️️ -16-18 gauge Needles for phlebotomy should be pitched how many degrees - Answer ️️ -15o-30 degree angle Needles should be inserted how far - Answer ️️ -¼"- ½" or until you reach a change of resistance What are the three vessels of the anti cubital fossa - Answer ️️ -Median Cubital Vein, Cephalic Vein, Brachial/basilic Vein Which vessel is the first choice for a blood draw - Answer ️️ -Median Cubital Vein Which vessel is the second choice for a blood draw - Answer ️️ -Cephalic Vein Which vessel is the third choice for a blood draw - Answer ️️ -Brachial/basilic Vein Which vessel is lateral to the patient's body - Answer ️️ -Cephalic Vein What are the names of the three main vessels of the body - Answer ️️ -Veins, arteries, capillaries What are the microscopic blood vessels responsible for O2 exchange - Answer ️️ -Capillaries How much blood is needed for each blood culture bottle - Answer ️️ -Adults: 8-10ml (3-4ml in each bottle, aerobic & anaerobic) How many liters of blood does the average adult have - Answer ️️ -5 (4-6 liters) What is the name of the part of the blood which suspends all of its whole material - Answer ️️ - Plasma What is serum - Answer ️️ -Plasma without the clotting factor What type of anemia can occur in infants because of frequent excessive blood drawing - Answer ️️ -Iatrogenic anemia What is the lifespan of an RBC - Answer ️️ -90-120 days What does CBC stand for - Answer ️️ -Complete blood count What is a CBC with differential - Answer ️️ -measures the levels of red blood cells, white blood cells, platelet levels, hemoglobin and hematocrit What are responsible for forming clots - Answer ️️ -Platelets (Thrombocytes) What element of the blood is responsible for achieving hemostasis - Answer ️️ -Platelets What is the term for an increase in the number of formed elements of blood due to a decrease in plasma - Answer ️️ -Hemoconcentration If an emergency arises during a blood draw, what is the first action of the phlebotomist - Answer ️️ -Stop What is the maximum time length a tourniquet can be left on - Answer ️️ -60 seconds What is the term for when bleeding has stopped - Answer ️️ -Hemostasis Hemostasis does what to the vessels - Answer ️️ -Stops bleeding What is the medical term for a fainting episode - Answer ️️ -Syncope What are some examples of emergencies during a blood draw - Answer ️️ -Stroke, syncope, heart attack, choking, shock, seizure If a patient is having a seizure, what should you do for them - Answer ️️ -Protect patient, inform nurse/EMS What are three signs and symptoms of a stroke - Answer ️️ -Weakness to one side of body, slurred speech, impaired gait, headache, drooling, confusion, trouble speaking or swallowing What are the three steps to stop bleeding - Answer ️️ -Pressure to site, elevation of extremity, pressure to main artery (pressure point) What are the three signs and symptoms of shock - Answer ️️ -Diaphoresis, clammy skin, fainting, blank stare What position should a person be placed in if they have a history of fainting - Answer ️️ - Supine If a patient just had surgery to the right side of their body, which arm should you draw from - Answer ️️ -Left If you during a blood draw you notice petechiae or a hematoma forming what should you do - Answer ️️ -Petechiae = remove tourniquet; hematoma = stop If a patient has an IV running in their arm, where should you perform the blood draw on the same arm - Answer ️️ -Below IV Name two tests that patients have to fast for before getting their blood drawn - Answer ️️ - Fasting glucose & lipid panel What is the medical term for touching - Answer ️️ -Palpating What is the term for inflammation of a blood vessel - Answer ️️ -Phlebitis What is the name of the small purple-dots in the upper layer of the skin, illustrating damaged capillaries and/or collateral vessels - Answer ️️ -Petechiae What are three things that every patient must be asked prior to drawing their blood - Answer ️️ -Name, DOB, Latex allergy, on blood thinners, which arm, blood ever drawn with a negative reaction What is the name of a substance that discourages the growth or action of microorganisms - Answer ️️ -Antiseptic What type of alcohol do we use to cleanse the puncture site - Answer ️️ -70% Isopropyl alcohol What are 2 alternatives that can be used to cleanse a puncture site besides alcohol - Answer ️️ - Povidone Iodine or Chlorhexadine Prep What cleansing agent should be used when drawing a blood culture - Answer ️️ -Iodine (Betadine) What cleaning agent should be used when drawing a BAL - Answer ️️ -Chlorhexadine Prep What does BAL stand for - Answer ️️ -Blood alcohol level What will occur if a blood tube is shaken vigorously, dropped, or drawn through a 25 gauge (or smaller) needle - Answer ️️ -Hemolys

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