NWCA CCMA EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Which laboratory test result is affected most if the patient is NOT fasting? -
ANSWERSTriglycerides
Hemolysis in collected blood can cause a falsely decreased value for -
ANSWERSHemoglobin
After the needle is inserted for a venipuncture and the blood begins to squirt out in
pulses, this might indicate that - ANSWERSAn artery has been penetrated by the
needle
If a patient is obese, what special equipment, if any, would be helpful in the specimen
collection process? - ANSWERSA large blood pressure cuff
When a patient has "difficult" veins, what strategies, if any, can be used to improve the
likelihood of a success puncture? - ANSWERSAll of the above
During the venipuncture procedure, what should the phlebotomist do after the needle is
inserted and blood begins to flow? - ANSWERSRelease the tourniquet about half-way
through the procedure
Steps in the identification process for a phlebotomy procedure for a patient should
include - ANSWERSA 3- way match with verbal, ID bracelet, and requisition information
Approximately how many minutes does it take for a specimen without additives to clot? -
ANSWERS30
Yellow top tubes are used to collect blood for - ANSWERSBlood cultures
What is the vacuum blood collection tube of choice for CBC blood collection? -
ANSWERSPurple top tube
What is the antiocoagulant of choice for coagulation blood studies? - ANSWERSSodium
citrate
A solid mass derived from blood constituents that occludes a blood vessel is a -
ANSWERSThrombus
When blood is to be collected for a glucose tolerance test, the patient should fast for -
ANSWERS8-12 hours
, An abnormal accumulation of fluid in the intercellular spaces of the body that is localized
or diffused is referred to as - ANSWERSEdema
Blood cultures can be collected directly into culture media and doing so will -
ANSWERSMinimize chances of contamination and speed contact with culture media
What is designed to reduce the risk of transmission for microorganisms from both
recognized and unrecognized sources of infection in health care facilities -
ANSWERSStandard or universal precautions
"CSF" is a specimen originating from - ANSWERSThe spinal column
What is a commonly used intravenous device that is sometimes used in the collection of
blood from patients who are difficult to collect by conventional methods -
ANSWERSButterfly needle or wingedbinfusion set
the color coding for needles indicates the - ANSWERSgauge size
Which anticoagulant is found in a green top blood collection tube - ANSWERSSodium
Heparin
What is an anticoagulant used in blood donations? - ANSWERScitrate phosphate
dextrose
What is the average skin puncture depth appropriate for an adult during a blood
collection procedure - ANSWERS2-3 mm
Assays that require a chilled specimen include - ANSWERSgastrin, ammonia,
catecholamine, and lactic acid
If a patient is frail and has a tendency to faint, what equipment, if any, would be helpful
in the specimen collection process - ANSWERSA recliner
The chain of custody means - ANSWERSThe specimen is tracked at every step
Hemoglobin content is assessed in the laboratory by analyzing -
ANSWERSErythrocytes
Which of the following is the proper sequence for removal of isolation apparel after
blood collection in an isolation room? - ANSWERSgloves, gown, goggles
Excessive, vigorous mixing of a blood specimen tube can lead to -
ANSWERSHemolysis
Which is an indication for immediate termination of a stress test? - ANSWERSAll of
these are indications for immediate termination of a stress test
COMPLETE SOLUTIONS
Which laboratory test result is affected most if the patient is NOT fasting? -
ANSWERSTriglycerides
Hemolysis in collected blood can cause a falsely decreased value for -
ANSWERSHemoglobin
After the needle is inserted for a venipuncture and the blood begins to squirt out in
pulses, this might indicate that - ANSWERSAn artery has been penetrated by the
needle
If a patient is obese, what special equipment, if any, would be helpful in the specimen
collection process? - ANSWERSA large blood pressure cuff
When a patient has "difficult" veins, what strategies, if any, can be used to improve the
likelihood of a success puncture? - ANSWERSAll of the above
During the venipuncture procedure, what should the phlebotomist do after the needle is
inserted and blood begins to flow? - ANSWERSRelease the tourniquet about half-way
through the procedure
Steps in the identification process for a phlebotomy procedure for a patient should
include - ANSWERSA 3- way match with verbal, ID bracelet, and requisition information
Approximately how many minutes does it take for a specimen without additives to clot? -
ANSWERS30
Yellow top tubes are used to collect blood for - ANSWERSBlood cultures
What is the vacuum blood collection tube of choice for CBC blood collection? -
ANSWERSPurple top tube
What is the antiocoagulant of choice for coagulation blood studies? - ANSWERSSodium
citrate
A solid mass derived from blood constituents that occludes a blood vessel is a -
ANSWERSThrombus
When blood is to be collected for a glucose tolerance test, the patient should fast for -
ANSWERS8-12 hours
, An abnormal accumulation of fluid in the intercellular spaces of the body that is localized
or diffused is referred to as - ANSWERSEdema
Blood cultures can be collected directly into culture media and doing so will -
ANSWERSMinimize chances of contamination and speed contact with culture media
What is designed to reduce the risk of transmission for microorganisms from both
recognized and unrecognized sources of infection in health care facilities -
ANSWERSStandard or universal precautions
"CSF" is a specimen originating from - ANSWERSThe spinal column
What is a commonly used intravenous device that is sometimes used in the collection of
blood from patients who are difficult to collect by conventional methods -
ANSWERSButterfly needle or wingedbinfusion set
the color coding for needles indicates the - ANSWERSgauge size
Which anticoagulant is found in a green top blood collection tube - ANSWERSSodium
Heparin
What is an anticoagulant used in blood donations? - ANSWERScitrate phosphate
dextrose
What is the average skin puncture depth appropriate for an adult during a blood
collection procedure - ANSWERS2-3 mm
Assays that require a chilled specimen include - ANSWERSgastrin, ammonia,
catecholamine, and lactic acid
If a patient is frail and has a tendency to faint, what equipment, if any, would be helpful
in the specimen collection process - ANSWERSA recliner
The chain of custody means - ANSWERSThe specimen is tracked at every step
Hemoglobin content is assessed in the laboratory by analyzing -
ANSWERSErythrocytes
Which of the following is the proper sequence for removal of isolation apparel after
blood collection in an isolation room? - ANSWERSgloves, gown, goggles
Excessive, vigorous mixing of a blood specimen tube can lead to -
ANSWERSHemolysis
Which is an indication for immediate termination of a stress test? - ANSWERSAll of
these are indications for immediate termination of a stress test
