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NHA CCMA - Phlebotomy Exam Questions and Answers Already Passed

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NHA CCMA - Phlebotomy Exam Questions and Answers Already Passed phlebotomy - Answers withdrawal of blood from a vein venipuncture - Answers puncture of a vein to remove blood requisition - Answers a written or computer generated order for laboratory tests Things to explain to pt. before drawing pt.'s blood: - Answers 1. how long the procedure will take 2. level of pain (typically bee sting) 3. what they can expect to experience after blood draw 4. leave bandage on for 15 minutes and no heavy lifting for 1 hour afterwards Requisition form for ALL patients having blood drawn must have: - Answers name of physician who ordered it pt. name: first, middle initial, last pt. DOB type of test date of test test status (ex. fasting, timed) special precautions (ex. latex allergy) Requisition form for inpatient blood draw must also have: - Answers room #, bed #, id # Requisition for for outpatient blood draw must also have: - Answers billing information and ICD9 codes What are the 3 veins acceptable for blood draws in adults? - Answers Median cubital, Basilic, Cephalic If you can't access the Median Cubital, Basilic or Cephalic veins, what should use next in adult patients? - Answers Dorsal part of hand vasovagal response - Answers Fainting because the body overreacts to certain triggers (the sight of blood, extreme emotional distress) Site of blood draws in patients 1 y/o - Answers scalp, wrists, medial ankle Site of capillary collection in patients 2+ y/o - Answers side of middle or ring finger Site of capillary collection in patients 1 y/o - Answers medial or lateral plantar portions of heel If a patient has been fasting for the blood draw, the question you must ask is: - Answers "When was the last time you ate or drank anything other than water?" If it's a basal state blood draw, the questions you must ask are: - Answers "When was the last time you exercised? And when was the last time you ate or drank anything other than water?" If a patient has eaten or had anything to drink before having blood drawn and the Doctor decides to go ahead with blood draw, what must you note on the pt.'s requisition form? - Answers Pt. non-compliant Equipent needed to draw blood: - Answers gloves, isopropyl alcohol swabs, gauze pads, bandages, tourniquet, needles, blood collection tubes Which needle is best for smaller veins? - Answers Winged infusion or butterfly A vacutainer is what type of sterile needle? - Answers Double-ended; one end has protective cap and the other has a rubber sheath What is the order of the draw for venipuncture? - Answers LIGHT BLUE (Sodium Citrate) RED (non-additive) GREEN (Heparin) LAVENDER (EDTA), GRAY (Potassium oxalate) What is the order for capillary collection? - Answers EDTA additive (lavender) , other additive, serum tubes (red) Red-stopper tubes are used for: - Answers blood that needs to clot tests: serum, chemistry or immunological Gold, black or red tiger speckled ("tiger") colored stoppers: - Answers gel separator, clot activator tests: chemistry and immunological Light blue-colored stoppers additive - Answers Sodium Citrate Lavender or pink-colored stoppers additive - Answers EDTA Green-colored stoppers - Answers Heparin Pale yellow-colored stoppers - Answers ACD Yellow-colored stoppers - Answers SPS Gray-colored stoppers - Answers Potassium oxalate Sodium Citrate - Answers (blue) preserves blood best tests: blood coagulation tests EDTA - Answers (lavender or pink) reduces blood clumping tests: hematology and blood banking Heparin - Answers (green) is a blood thinner tests: plasma, whole blood and STAT chemistry ACD - Answers (pale yellow) has little impact on platelets and cells tests: DNA (paternity) SPS - Answers (yellow) culture media tests: cultures for microorganisms Potassium Oxalate - Answers (gray) prevents glucose deterioration tests: blood glucose levels What color tube would be used for a Prothrombin test (PT)? - Answers Blue- Sodium Citrate prevents clotting First thing you do when performing venipuncture on a patient? - Answers Correctly identify the patient After correctly identifying the patient, what should you do next when performing venipuncture? - Answers Check the order form and chart What is the position a patient cannot be situated in for venipuncture? - Answers standing After assembling materials, washing hands and donning gloves, you should - Answers palpate and locate vein Before applying a tourniquet and after you don gloves you should - Answers clean the site with an alcohol swab After the site of injection is clean, you should - Answers apply the tourniquet Outline steps for inserting needle: - Answers 1. spread skin tight- not too tight

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NHA CCMA - Phlebotomy Exam Questions and Answers Already Passed

phlebotomy - Answers withdrawal of blood from a vein

venipuncture - Answers puncture of a vein to remove blood

requisition - Answers a written or computer generated order for laboratory tests

Things to explain to pt. before drawing pt.'s blood: - Answers 1. how long the procedure will take

2. level of pain (typically bee sting)

3. what they can expect to experience after blood draw

4. leave bandage on for 15 minutes and no heavy lifting for 1 hour afterwards

Requisition form for ALL patients having blood drawn must have: - Answers name of physician who
ordered it

pt. name: first, middle initial, last

pt. DOB

type of test

date of test

test status (ex. fasting, timed)

special precautions (ex. latex allergy)

Requisition form for inpatient blood draw must also have: - Answers room #, bed #, id #

Requisition for for outpatient blood draw must also have: - Answers billing information and ICD9 codes

What are the 3 veins acceptable for blood draws in adults? - Answers Median cubital, Basilic, Cephalic

If you can't access the Median Cubital, Basilic or Cephalic veins, what should use next in adult patients? -
Answers Dorsal part of hand

vasovagal response - Answers Fainting because the body overreacts to certain triggers (the sight of
blood, extreme emotional distress)

Site of blood draws in patients < 1 y/o - Answers scalp, wrists, medial ankle

Site of capillary collection in patients 2+ y/o - Answers side of middle or ring finger

Site of capillary collection in patients < 1 y/o - Answers medial or lateral plantar portions of heel

, If a patient has been fasting for the blood draw, the question you must ask is: - Answers "When was the
last time you ate or drank anything other than water?"

If it's a basal state blood draw, the questions you must ask are: - Answers "When was the last time you
exercised? And when was the last time you ate or drank anything other than water?"

If a patient has eaten or had anything to drink before having blood drawn and the Doctor decides to go
ahead with blood draw, what must you note on the pt.'s requisition form? - Answers Pt. non-compliant

Equipent needed to draw blood: - Answers gloves, isopropyl alcohol swabs, gauze pads, bandages,
tourniquet, needles, blood collection tubes

Which needle is best for smaller veins? - Answers Winged infusion or butterfly

A vacutainer is what type of sterile needle? - Answers Double-ended; one end has protective cap and
the other has a rubber sheath

What is the order of the draw for venipuncture? - Answers LIGHT BLUE (Sodium Citrate)

RED (non-additive)

GREEN (Heparin)

LAVENDER (EDTA),

GRAY (Potassium oxalate)

What is the order for capillary collection? - Answers EDTA additive (lavender) , other additive, serum
tubes (red)

Red-stopper tubes are used for: - Answers blood that needs to clot

tests: serum, chemistry or immunological

Gold, black or red tiger speckled ("tiger") colored stoppers: - Answers gel separator, clot activator

tests: chemistry and immunological

Light blue-colored stoppers additive - Answers Sodium Citrate

Lavender or pink-colored stoppers additive - Answers EDTA

Green-colored stoppers - Answers Heparin

Pale yellow-colored stoppers - Answers ACD

Yellow-colored stoppers - Answers SPS

Gray-colored stoppers - Answers Potassium oxalate

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