AMCA Phlebotomy Exam 2025

A blood test that requires testing for aluminum would be placed in what tube? - Correct Ans-Royal Blue Tube Top What is the recommended disinfectant for blood and other bodily fluids? - Correct Ans-Sodium Hypochlorite Invasive surgery procedures require what? - Correct Ans-Informed Consent What tube would be used to collect blood for a pregnancy test? - Correct Ans-Red Tube Top What is the best vein to draw from in the antecubital area? - Correct Ans-Median Cubital Vein Which tube would be used for a Thyroid Panel; Tiger Top, Lavender, Light Green, Yellow? - Correct Ans-Tiger Top What additive is in a Dark Green Tube? - Correct Ans-Heparin What tube would produce a serum sample; Green Top, Light Blue, Lavender, Red Top? - Correct Ans-Red Top If a doctor orders a CBC Test (Lavender Top), Comprehensive Metabolic Panel (SST), PT Test (Light Blue Top), and a set of Blood Cultures (BC), what would the order of draw be? - Correct Ans-BC, Light Blue, SST, Lavender Top If a EDTA tube is used before a serum tube it could cause cross contamination and could result in what? - Correct Ans-High potassium or a false low calcium value A CBC is collected into a Lavender tube and collected as what? - Correct Ans-Whole Blood Specimen A CBC would be performed in what department of the lab? - Correct Ans-Hematology What are included in electrolyte testing? - Correct Ans-Sodium and Potassium Coagulation testing requires blood to be collected in what tube? - Correct Ans-Light Blue Top After the needle is withdrawn from the vein, the first thing that needs to be done is what? - Correct Ans-Activate the needles safety device What would be the proper compression rate for a single adult CPR? - Correct Ans-30 Compressions and 2 Breaths What would be the proper cleaning solution to use when performing a blood alcohol test? - Correct Ans-Soap and Water What should be the first thing you do after an accidental needles stick? - Correct Ans-Wash the affected area with soap and water What is the substance called inside a Serum Separator Tube (SST)? - Correct Ans-Thixotropic Gel How many tubes are required for a 3 hour glucose tolerance test? - Correct Ans-4 Gray Tube Tops What tube is used for a hepatic panel test? - Correct Ans-Red Tube Top If you receive an order to draw a Hemoglobin A1C (HA1C) and a PT/PTT test, what would the order of draw be? - Correct Ans-Light Blue Top then Lavender Top What tubes are serum tests and what department do they go to? - Correct Ans-Red, Gold, and Tiger Top are Serum tubes and they go to the Chemistry department. What is the medication for PT/INR test? - Correct Ans-Warfarin How should Ammonia samples be transported? - Correct Ans-On Ice Aseptic sterile techniques must be done for what collection? - Correct Ans-Blood Culture Collection What vitamin must be protected from light? - Correct Ans-Vitamin B12 An Erythrocyte Sedimentation Rate (ESR) test is collected in what tube? - Correct Ans-Lavender Tube Top What is the best vein to draw from in the antecubital area? - Correct Ans-Median Cubital Vein You must never use what for cleansing a collection site for a blood and alcohol test? - Correct Ans-70% Isopropyl Alcohol What should you never do from a patients arm whose had a mastectomy on that side? - Correct Ans-Never Draw Blood Over or under filling a Light Blue Top is a reason for a sample to be rejected by? The ratio must be 9:1 - Correct Ans-Quality not Sufficient (QNS) What finger is the best capillary puncture site on an adult? - Correct Ans-Middle Finger Even if the lab is backed up on resulting you should do what anyway? - Correct Ans-Send Samples What should always be worn when performing blood draws? - Correct Ans-Gloves What is the most common way of administering a TB test? - Correct Ans-Injecting a TB antigen under the skin When performing phlebotomy on a young, fearful child, what should you explain to them? - Correct Ans-Explain to them in simple terms what will be done What is the name of the process that uses heat, steam, and chemicals to prevent infectious diseases? - Correct Ans-Sterilizing What is caused by leaving the tourniquet on to long? It should not be left on for longer than a minute. - Correct Ans-Hemoconcentration What could happen is blood is drawn from a patients arm to quickly? - Correct Ans-It could cause the vein to collapse What does it mean when a patient extends their arm for a blood draw? - Correct Ans-Implied Consent In a Standard Serum Separator Tube (SST), the blood should be allowed to clot for how long? - Correct Ans-At least 30 minutes but no longer than 2 hours What is the most important way to prevent cross-contamination of microorganisms from one patient to another? - Correct Ans-Proper Hand Washing What states a patient has a right to refuse a medical procedure and to be informed of all the consequences of doing so? - Correct Ans-A Patients Bill of Rights What should be used to bandage a patient free a blood draw that is on blood thinners? - Correct Ans-Coban Wrap What government agency is responsible for regulating the safety and health of workers? - Correct Ans-OSHA After the draw is complete, where will the phlebotomist place the needle? - Correct Ans-Puncture Resistant Container What is the reason for requesting feedback from patients when communicating with them? - Correct Ans-To determine if they understand what is being said Airborne isolation would be a precaution that would require what? - Correct Ans-Special Handling and Ventilation If a hematoma starts to form and the patient says it hurts, what should you do? - Correct Ans-Stop the draw immediately and apple pressure with a gauze pad and re-examine the patient to see if it worsens What disease can remain on surfaces when not properly disinfected? - Correct Ans-Hepatitis B (HBV) How far above should the tourniquet be applied the venipuncture site? - Correct Ans-3-4 inches above What size gauge set would be best for a hand draw? - Correct Ans-23 gauge winged infusion set (Butterfly) If a patient has cold hands or arms what can you do to allow for better blood flow? - Correct Ans-Place a warm compress on the draw site What is the appropriate angle for needle insertion? - Correct Ans-15-30 degrees A sample for Fibrin Degradation Products (FDP) testing would be sent to what department? - Correct Ans-Coagulations Department The bevel of the needle should always be what? - Correct Ans-Facing up when inserting into the skin How do you avoid in patient identification errors? - Correct Ans-By checking the arm band on an in patient with the lab What is a good indicator that a patient is not fasting? - Correct Ans-The specimen is Lipemic (fat globs floating in blood) What is used to collect DNA samples by swabbing the inside of a patients cheek? - Correct Ans-Buccal Swab What helps to avoid confusing specimens from patients with the same last name? - Correct Ans-Patients Identification Numbers on tubes When should the tourniquet be released? - Correct Ans-Once blood flow has been established What department is responsible for sterile supplies? - Correct Ans-Central Supply If IVs are inserted in the antecubital area of the arms, where must the blood be drawn from? - Correct Ans-Below the IV site A patient who tends to faint during blood draw should what? - Correct Ans-Be placed lying down on an exam table or in a reclining chair A heel puncture should not be performed on an infant older than what? - Correct Ans-12 months A phlebotomist should do what before and after venipuncture? - Correct Ans-Wash Hands Hematoma means what? - Correct Ans-Blood has leaked from the vein into the tissues of the skin What should be placed on the specimen tube? - Correct Ans-Patients complete name, date of birth, identification number, date and time of draw, and the collectors initials When doing a bleeding time test on a patient the blood pressure cuff is inflated to what? - Correct Ans-40mm Hg Where would biopsy tissue be sent to be analyzed? - Correct Ans-Anatomical pathology A patient who is on blood thinners or aspirin regimen may need what? - Correct Ans-Additional pressure applied to stop bleeding When a patient starts to sweat, look pale, and/or complain of blurred vision this could be signs of what? - Correct Ans-Vasovagal Syncope (fainting) What can be tested at the bedside using Point of Care instrument? - Correct Ans-PTT and INR A tourniquet should not be left on longer than what? - Correct Ans-1 minute Winged Infusion Set (Butterfly) should be held by? - Correct Ans-Wings for needle insertion Once the vein is selected the vein should be wiped with what? - Correct Ans-70% Isopropyl Alcohol What is the legislation that sets the standards for Electronic Health Care Transactions? - Correct Ans-HIPPA How should the patient be positioned sitting down when preparing for a venipuncture? - Correct Ans-Arm in a straight line from the shoulder to the wrist What carried blood away from the heart? - Correct Ans-Arteries According to OSHA, activating a safety device on the needle does what? - Correct Ans-Prevents accidental needle sticks What is an example of a professional appearance for a phlebotomy technician? - Correct Ans-Fingernails kept short and clean What is a normal result for a fasting glucose test? - Correct Ans-Anything under 100 Performing a procedure on a patient who refuses consent is considered what? - Correct Ans-Battery A sharps container should be replaced when it is how full? - Correct Ans-At least 3/4 the way full Blood leaking into the tissue around the draw site is called what? - Correct Ans-Hematoma What is the standard length of time for a sample to stand before it is loaded into a centrifuge? - Correct Ans-30 minutes A Chain of Custody would be required if what? - Correct Ans-A paternity test is ordered If you have a patient with small, thin, or fragile veins what needle would you use to acquire the specimen? - Correct Ans-Butterfly needle with syringe No more than how many attempts to draw will be permitted by a phlebotomist according to CLSI? - Correct Ans-2 attempts What is Hemoconcentration? - Correct Ans-Increased concentration of cells and solids in the blood