AMCA PHLEBOTOMY CERTIFICATION
PREP QUESTIONS AND ANSWERS
vWhen a phlebotomist observes actions or suspects child abuse, what should be the next step to take? -
advise supervisor privately
The principle reason for requiring feedback when communicating with patients is to determine weather
they ______________. - have understood what is being said
Implied consent for a venipuncture on an adult requires _____________. - the patient extends their arm
to you
How should the phlebotomist dispose of a needle after drawing blood from a patient? - close safety and
dispose in a puncture resistant container (sharps container)
The hospital department that is responsible for sterile supplies - Central Supply
The reason a test if ordered timed is to ______________. - Draw it at the best time for accurate results
The patient's specimen is lipemic, this is usually an indicator that the patient ___________. - Has not
fasted
Abbreviation for "nothing by mouth" - NPO
The government agency responsible for regulating the safety and health of workers - Occupational Safety
and Health Administration (OSHA)
To prevent cross contamination of microorganisms from one patient to another, OSHA standards require
____________. - Barrier protection equipment (PPE personal protective equipment)
The balanced or "steady state" of the body is called: - Homeostasis
The blood vessel that only carries blood away from the heart is _________. - artery
What laboratory document describes in detail the steps to follow for specimen collection? - Procedure
manual
Which type of specimen may require collection of a discarded tube before the test specimen is
collected? - blood culture specimen
What is the additive in a green top tube? - sodium heparin
What item is donned first when wearing full PPE? - gown tied at neck and waist
The liquid portion of a clotted blood specimen is called __________ - plasma
Which of the following additives would be found in a yellow topped tube? - SPS
, Which test should be collected in a royal blue topped tube? - Trace metal analysis / nutrients and
toxicology studies (magnesium)
If a laboratory test requires serum, which vacutainer tube is the tube of choice? - Red
For a bleeding time test, what should you pump the blood pressure cuff to? - 40
If you are carrying anything labeled "biohazard" what does it need to have on it? - A biohazard sticker
Order for selecting a venipuncture site - 1. Antecubital space (median cubital preferred)
2. Back of hand
3. Back of wrist
4. Ankle or foot (provider permission needed)
If someone has an IV in their right arm, which arm should you draw blood from? / IV in both arms? - Left
arm / below IV site. Nurse should turn off IV 2 minutes prior to blood draw
If a criminal comes in for a blood draw and they are cuffed and shackled; which arm do you draw from? -
Cuffed arm (realistically BOTH arms should remain cuffed)
If someone makes 2 unsuccessful attempts at a venipuncture they should... - Get someone else to try
The recommended disinfectant for blood and body fluid contamination is? - sodium hypochlorite
Most coagulation tests require a plasma specimen collected in a.. - light blue topped tube
Measurement of copper requires blood collection in what tube? - royal blue
A patient came in with a low grade fever of 1 month duration.. the physician ordered an ESR which
stands for Erythrocyte Sedimentation Rate.. what color tube? - lavender
Which of the following is required by OSHA? - Hepatitis B vaccine
What is the substance called in a serum separator tube (SST) ? - thixotropic gel
What is the anticoagulant in a gray topped tube? - sodium fluoride
What is the function of an antiglycolitic agent? - eliminates glucose
The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - PPE
What is the correct routine blood draw entrance procedure? - bevel up, needle at 15-30 degree angle
What gauge size would be appropriate when drawing a hand with winged infusion needle/butterfly? - 23
During venipuncture when should needle safety device be activated? - immediately after specimen
collection / after you remove needle from vein
According to CLSI order of the draw which would be filled last? - lavender top
The phlebotomist must collect pro time specimen from a patient with IVs in both arms, where should
they draw from? - slightly under IV site, 2 minutes after IV has been turned off
PREP QUESTIONS AND ANSWERS
vWhen a phlebotomist observes actions or suspects child abuse, what should be the next step to take? -
advise supervisor privately
The principle reason for requiring feedback when communicating with patients is to determine weather
they ______________. - have understood what is being said
Implied consent for a venipuncture on an adult requires _____________. - the patient extends their arm
to you
How should the phlebotomist dispose of a needle after drawing blood from a patient? - close safety and
dispose in a puncture resistant container (sharps container)
The hospital department that is responsible for sterile supplies - Central Supply
The reason a test if ordered timed is to ______________. - Draw it at the best time for accurate results
The patient's specimen is lipemic, this is usually an indicator that the patient ___________. - Has not
fasted
Abbreviation for "nothing by mouth" - NPO
The government agency responsible for regulating the safety and health of workers - Occupational Safety
and Health Administration (OSHA)
To prevent cross contamination of microorganisms from one patient to another, OSHA standards require
____________. - Barrier protection equipment (PPE personal protective equipment)
The balanced or "steady state" of the body is called: - Homeostasis
The blood vessel that only carries blood away from the heart is _________. - artery
What laboratory document describes in detail the steps to follow for specimen collection? - Procedure
manual
Which type of specimen may require collection of a discarded tube before the test specimen is
collected? - blood culture specimen
What is the additive in a green top tube? - sodium heparin
What item is donned first when wearing full PPE? - gown tied at neck and waist
The liquid portion of a clotted blood specimen is called __________ - plasma
Which of the following additives would be found in a yellow topped tube? - SPS
, Which test should be collected in a royal blue topped tube? - Trace metal analysis / nutrients and
toxicology studies (magnesium)
If a laboratory test requires serum, which vacutainer tube is the tube of choice? - Red
For a bleeding time test, what should you pump the blood pressure cuff to? - 40
If you are carrying anything labeled "biohazard" what does it need to have on it? - A biohazard sticker
Order for selecting a venipuncture site - 1. Antecubital space (median cubital preferred)
2. Back of hand
3. Back of wrist
4. Ankle or foot (provider permission needed)
If someone has an IV in their right arm, which arm should you draw blood from? / IV in both arms? - Left
arm / below IV site. Nurse should turn off IV 2 minutes prior to blood draw
If a criminal comes in for a blood draw and they are cuffed and shackled; which arm do you draw from? -
Cuffed arm (realistically BOTH arms should remain cuffed)
If someone makes 2 unsuccessful attempts at a venipuncture they should... - Get someone else to try
The recommended disinfectant for blood and body fluid contamination is? - sodium hypochlorite
Most coagulation tests require a plasma specimen collected in a.. - light blue topped tube
Measurement of copper requires blood collection in what tube? - royal blue
A patient came in with a low grade fever of 1 month duration.. the physician ordered an ESR which
stands for Erythrocyte Sedimentation Rate.. what color tube? - lavender
Which of the following is required by OSHA? - Hepatitis B vaccine
What is the substance called in a serum separator tube (SST) ? - thixotropic gel
What is the anticoagulant in a gray topped tube? - sodium fluoride
What is the function of an antiglycolitic agent? - eliminates glucose
The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - PPE
What is the correct routine blood draw entrance procedure? - bevel up, needle at 15-30 degree angle
What gauge size would be appropriate when drawing a hand with winged infusion needle/butterfly? - 23
During venipuncture when should needle safety device be activated? - immediately after specimen
collection / after you remove needle from vein
According to CLSI order of the draw which would be filled last? - lavender top
The phlebotomist must collect pro time specimen from a patient with IVs in both arms, where should
they draw from? - slightly under IV site, 2 minutes after IV has been turned off