AMCA PHLEBOTOMY EXAM QUESTIONS AND CORRECT ANSWERS – ALL VERIFIED LATEST UPDATE GRADED A+

AMCA PHLEBOTOMY EXAM QUESTIONS AND CORRECT ANSWERS – ALL VERIFIED LATEST UPDATE GRADED A+ A blood test that requires testing for aluminum would be placed in what tube? - Correct Answer Royal Blue Tube Top" "What tube would produce a serum sample; Green Top, Light Blue, Lavender, Red Top? - Correct Answer 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 Answer 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 Answer High potassium or a false low calcium value" "A CBC is collected into a Lavender tube and collected as what? - Correct Answer Whole Blood Specimen" "A CBC would be performed in what department of the lab? - Correct Answer Hematology" "What are included in electrolyte testing? - Correct Answer Sodium and Potassium" "Coagulation testing requires blood to be collected in what tube? - Correct Answer Light Blue Top" "After the needle is withdrawn from the vein, the first thing that needs to be done is what? - Correct Answer Activate the needles safety device" "What would be the proper compression rate for a single adult CPR? - Correct Answer 30 Compressions and 2 Breaths" "What would be the proper cleaning solution to use when performing a blood alcohol test? - Correct Answer Soap and Water" "What should be the first thing you do after an accidental needles stick? - Correct Answer Wash the affected area with soap and water" "What is the substance called inside a Serum Separator Tube (SST)? - Correct Answer Thixotropic Gel" "How many tubes are required for a 3 hour glucose tolerance test? - Correct Answer 4 Gray Tube Tops" "What tube is used for a hepatic panel test? - Correct Answer 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 Answer Light Blue Top then Lavender Top" "What tubes are serum tests and what department do they go to? - Correct Answer Red, Gold, and Tiger Top are Serum tubes and they go to the Chemistry department." "What is the medication for PT/INR test? - Correct Answer Warfarin" "How should Ammonia samples be transported? - Correct Answer On Ice" "Aseptic sterile techniques must be done for what collection? - Correct Answer Blood Culture Collection" "What vitamin must be protected from light? - Correct Answer Vitamin B12" "An Erythrocyte Sedimentation Rate (ESR) test is collected in what tube? - Correct Answer Lavender Tube Top" "What is the best vein to draw from in the antecubital area? - Correct Answer Median Cubital Vein" "You must never use what for cleansing a collection site for a blood and alcohol test? - Correct Answer 70% Isopropyl Alcohol" "What should you never do from a patients arm whose had a mastectomy on that side? - Correct Answer 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 Answer Quality not Sufficient (QNS)" "What finger is the best capillary puncture site on an adult? - Correct Answer Middle Finger" "What is the recommended disinfectant for blood and other bodily fluids? - Correct Answer Sodium Hypochlorite" "Invasive surgery procedures require what? - Correct Answer Informed Consent" "What tube would be used to collect blood for a pregnancy test? - Correct Answer Red Tube Top" "What is the best vein to draw from in the antecubital area? - Correct Answer Median Cubital Vein" "Which tube would be used for a Thyroid Panel; Tiger Top, Lavender, Light Green, Yellow? - Correct Answer Tiger Top" "What additive is in a Dark Green Tube? - Correct Answer Heparin" "Even if the lab is backed up on resulting you should do what anyway? - Correct Answer Send Samples" "What should always be worn when performing blood draws? - Correct Answer Gloves" "What is the most common way of administering a TB test? - Correct Answer Injecting a TB antigen under the skin" "When performing phlebotomy on a young, fearful child, what should you explain to them? - Correct Answer 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 Answer Sterilizing" "What is caused by leaving the tourniquet on to long? It should not be left on for longer than a minute. - Correct Answer Hemoconcentration" "What could happen is blood is drawn from a patients arm to quickly? - Correct Answer It could cause the vein to collapse" "What does it mean when a patient extends their arm for a blood draw? - Correct Answer Implied Consent" "After the draw is complete, where will the phlebotomist place the needle? - Correct Answer Puncture Resistant Container" "What is the reason for requesting feedback from patients when communicating with them? - Correct Answer To determine if they understand what is being said" "Airborne isolation would be a precaution that would require what? - Correct Answer Special Handling and Ventilation" "If a hematoma starts to form and the patient says it hurts, what should you do? - Correct Answer 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 Answer Hepatitis B (HBV)" "How far above should the tourniquet be applied the venipuncture site? - Correct Answer 3-4 inches above" "What size gauge set would be best for a hand draw? - Correct Answer 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 Answer Place a warm compress on the draw site" "What is the appropriate angle for needle insertion? - Correct Answer 15-30 degrees" "A sample for Fibrin Degradation Products (FDP) testing would be sent to what department? - Correct Answer Coagulations Department" "The bevel of the needle should always be what? - Correct Answer Facing up when inserting into the skin" "How do you avoid in patient identification errors? - Correct Answer By checking the arm band on an in patient with the lab" "What is a good indicator that a patient is not fasting? - Correct Answer 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 Answer Buccal Swab" "What helps to avoid confusing specimens from patients with the same last name? - Correct Answer Patients Identification Numbers on tubes" "When should the tourniquet be released? - Correct Answer Once blood flow has been established" "What department is responsible for sterile supplies? - Correct Answer Central Supply" "If IVs are inserted in the antecubital area of the arms, where must the blood be drawn from? - Correct Answer Below the IV site" "A patient who tends to faint during blood draw should what? - Correct Answer 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 Answer 12 months" "A phlebotomist should do what before and after venipuncture? - Correct Answer Wash Hands" "Hematoma means what? - Correct Answer Blood has leaked from the vein into the tissues of the skin" "What should be placed on the specimen tube? - Correct Answer 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 Answer 40mm Hg" "Where would biopsy tissue be sent to be analyzed? - Correct Answer Anatomical pathology" "A patient who is on blood thinners or aspirin regimen may need what? - Correct Answer 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 Answer Vasovagal Syncope (fainting)" "What can be tested at the bedside using Point of Care instrument? - Correct Answer PTT and INR" "A tourniquet should not be left on longer than what? - Correct Answer 1 minute" "Winged Infusion Set (Butterfly) should be held by? - Correct Answer Wings for needle insertion" "Once the vein is selected the vein should be wiped with what? - Correct Answer 70% Isopropyl Alcohol" "What is the legislation that sets the standards for Electronic Health Care Transactions? - Correct Answer HIPPA" "How should the patient be positioned sitting down when preparing for a venipuncture? - Correct Answer Arm in a straight line from the shoulder to the wrist" "What carried blood away from the heart? - Correct Answer Arteries" "According to OSHA, activating a safety device on the needle does what? - Correct Answer Prevents accidental needle sticks" "What is an example of a professional appearance for a phlebotomy technician? - Correct Answer Fingernails kept short and clean" "What is a normal result for a fasting glucose test? - Correct Answer Anything under 100" "Performing a procedure on a patient who refuses consent is considered what? - Correct Answer Battery" "A sharps container should be replaced when it is how full? - Correct Answer At least 3/4 the way full" "Blood leaking into the tissue around the draw site is called what? - Correct Answer Hematoma" "What is the standard length of time for a sample to stand before it is loaded into a centrifuge? - Correct Answer 30 minutes" "A Chain of Custody would be required if what? - Correct Answer 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 Answer Butterfly needle with syringe" "No more than how many attempts to draw will be permitted by a phlebotomist according to CLSI? - Correct Answer 2 attempts" "What is Hemoconcentration? - Correct Answer Increased concentration of cells and solids in the blood" "What is preanalytical, analytical, and postanalytical? - Correct Answer prior to testing - may include variables involving the process of obtaining the specimen; during testing; after test results are generated" "How much urine would a female need to produce for a STD test? - Correct Answer 20-30 mls" "How do you collect sputum samples? - Correct Answer Have the patient take a deep breath, hold for 5 seconds, slowly breath out, another deep breath & cough hard until sputum comes up, then spit into a plastic cup" "What is the reason for taut (pull back) skin? - Correct Answer To anchor the vein so it does not role" "What is Semi-Fowlers position and why would you use it? - Correct Answer The patient is usually in their back with the bed angle between 30 & 45 degrees. It is used for difficulty breathing and undergoing breathing treatments." "How do you do proper hand washing and scrub techniques? - Correct Answer Wet hands, apply soap, scrub for at least 20 seconds, rinse & dry" "After a patient has fainted during venipuncture and the phlebotomist has removed the tourniquet and needle, what should be done next? - Correct Answer Lower the head to the knees" "What is appropriate dress code for a phlebotomist? - Correct Answer Scrubs and closed toe shoes" "What is proper cough etiquette? - Correct Answer Cough into a bent elbow" "For a fasting glucose test, how many hours should a patient be fasting at a minimum? - Correct Answer 7 hours" "What item is donned first when wearing full PPE? - Correct Answer Gown tied at neck and waist" "A female patient has never had her blood drawn before. What should a phlebotomist allow her to do? - Correct Answer Sit in a chair with arm support" "What antiseptic is used for performing a heel stick on a 2 month old patient? - Correct Answer Isopropyl Alcohol" "What is the worst critical error a phlebotomist can make? - Correct Answer Incorrectly identifying a patient" "During which phase of blood collection should a phlebotomist obtain a consent from their patient? - Correct Answer Preanalytical" "In a Standard Serum Separator Tube (SST), the blood should be allowed to clot for how long? - Correct Answer 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 Answer 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 Answer A Patients Bill of Rights" "What should be used to bandage a patient free a blood draw that is on blood thinners? - Correct Answer Coban Wrap" "What government agency is responsible for regulating the safety and health of workers? - Correct Answer OSHA"