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NCCT Phlebotomy)NCCT Phlebotomy Preparation

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NCCT Phlebotomy)NCCT Phlebotomy Preparation

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NCCT Phlebotomy)NCCT Phlebotomy Preparation

Which of the following types of medication work to inhibit blood from clotting? -
ANSWER:anticoagulants

A patient visits the lab for a routine venipuncture collection and informs the phlebotomist that she
recently had a mastectomy of the right breast. Which of the following is the appropriate draw site? -
ANSWER:left arm

During a venipuncture the patient has excessive bleeding and then states she forgot to mention her
anticoagulant (Coumadin) therapy. Which of the following should the phlebotomist do immediately after
removing the needle? - ANSWER:Hold pressure on the site for a minimum of five full minutes until the
bleeding stops.

A phlebotomist is to draw blood from a psychiatric patient. The patient does not understand what is
being done. Which of the following is the appropriate action the phlebotomist should take to ensure the
safety of all? - ANSWER:Perform the blood draw in the presence of the physician.

When performing a blood draw on a 75-year-old patient with thin, papery skin, the phlebotomist should
- ANSWER:wrap the arm in gauze and apply the tourniquet

The phlebotomist has orders to draw blood on a patient with edema in the left arm and burns on the
upper right arm. Which of the following is the preferred draw site? - ANSWER:hand vein

Which of the following should the phlebotomist do with a patient known to have a fainting problem? -
ANSWER:Position the patient supine.

Which of the following is the correct pairing of tube and test for a chemistry specimen collection? -
ANSWER:green and AST

When ordering a PT, PSA and CBC, which of the following tubes are needed to effectively draw these
labs? (Select the three (3) correct answers.) - ANSWER:light blue, lavender, gold gel barrier

The doctor has ordered a CBC, Cholesterol, and PT on a fasting patient. The phlebotomist is in the
process of collecting the last tube when the nurse walks in with an add-on for a glucose test. Which of
the following tubes should the phlebotomist use to collect the glucose test? - ANSWER:gray top

Which of the following tubes contains an anticoagulant that prevents platelets from clumping and
preserves the appearance of blood cells for microscopic prep? - ANSWER:lavender

A phlebotomist is drawing a sample for glucose testing and realizes she is using a pink top sample tube.
Which of the following should the phlebotomist do? - ANSWER:Continue to draw using a gray top.

The phlebotomist has orders for an FBS, INR, and CBC Stat. Which of the following is the correct tube
selection and order of draw? - ANSWER:light blue, lavender, gray

, A pregnant woman presents with orders for an oral glucose gestational challenge test. After the patient
finishes the drink, how long does the phlebotomist need to wait before drawing the specimen? -
ANSWER:60 min

When collecting blood for a neonatal screening, the phlebotomist should - ANSWER:use a capillary
collection procedure.

A patient with Pseudmonas aeruginosa is receiving gentamicin antibiotic for therapy. In order to
appropriately monitor this drug for patient safety the phlebotomist must - ANSWER:collect the blood
sample before the drug is administered.

A patient is receiving therapeutic medication. Which of the following is the correct way to draw trough
levels? - ANSWER:30 minutes prior to medication administration

A trough Dilantin (phenytoin) level is ordered to be collected at 12:30 PM. The phlebotomist arrives at
12:20 PM to collect the specimen and notices the patient is receiving an infusion of normal saline in the
right arm and Dilantin in the left arm. Which of the following is the appropriate course of action? -
ANSWER:Verify the time of collection with the patient's nurse or physician.

Which of the following is the best way to properly anchor the vein? - ANSWER:Place the thumb 1 to 2
inches below the site.

When anchoring a vein the phlebotomist should (Select the two (2) correct answers.) - ANSWER:place
the thumb 1-2 inches below venipuncture site., draw the skin away from the site.

A new bariatric patient has come to the lab for CMP and CBC. Inspection of both arms did not reveal any
veins. The patient tells the phlebotomist that blood is usually drawn from her hand. Which of the
following should the phlebotomist use to draw blood from this patient's hand? - ANSWER:23g needle at
a 10 to 15 degree angle

Which of the following specimens is most susceptible to contamination and should always be drawn
first? - ANSWER:blood culture

Place the tubes below in the correct order of draw. (Click and drag the options in the left column to their
correct position in the right column.) - ANSWER:SPS, SST, heparin, EDTA

A phlebotomist has just gathered her supplies for an out-patient procedure and has selected grey, red,
light blue, and lavender tubes. Which of the following is the appropriate order of draw? - ANSWER:D-
dimer, RPR, ESR, lactic acid

A requisition order requires a phlebotomist to draw a BMP, CBC, PTT, and lactic acid. Place the options
below in the correct order of draw. (Click and drag the options in the left column to their correct position
in the right column.) - ANSWER:PTT, BMP, CBC, lactic acid

Which of the following is the correct order of draw when one or more tubes containing anticoagulant are
collected? - ANSWER:light blue, red, green

Place the options below in the correct order of draw for micro containers. (Click and drag the options in
the left column to their correct position in the right column.) - ANSWER:EDTA, heparin, sodium fluoride,
no additive
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