NWCA CCMA - CERTIFICATION EXAM
REVIEW
Which0laboratory0test0result0is0affected0most0if0the0patient0is0NOT0fasting?0-
0ans✔Triglycerides
Hemolysis0in0collected0blood0can0cause0a0falsely0decreased0value0for:0-
0ans✔Ammonia
After0the0needle0is0inserted0for0a0venipuncture0and0the0blood0begins0to0squirt0out0in0p
ulses,0this0might0indicate0that:0-0ans✔An0artery0has0been0penetrated0by0the0needle
If0a0patient0is0obese,0what0special0equipment,0if0any,0would0be0helpful0in0the0specime
n0collection0process?0-0ans✔A0large0blood0pressure0cuff
When0a0patient0has0"difficult"0veins,0what0strategies,0if0any,0can0be0used0to0improve0t
he0likelihood0of0a0successful0puncture?0-
0ans✔Slight0rotation0of0the0patient's0arm0to0a0different0position
Warming0the0site
Palpating0the0entire0antecubital0area0to0trace0vein0path
*(All0of0the0above)
During0the0venipuncture0procedure,0what0should0the0phlebotomist0do0after0the0needle0
is0inserted0and0blood0begins0to0flow?0-0ans✔Release0the0tourniquet0about0half-
way0through0the0procedure
Steps0in0the0identification0process0for0a0phlebotomy0procedure0for0a0patient0should0inc
lude0-0ans✔A02-way0match0with0the0ID0bracelet0and0the0verbal0confirmation
Approximately0how0many0minutes0does0it0take0for0a0specimen0without0additives0to0clo
t?0-0ans✔150minutes
Yellow0top0tubes0are0used0to0collect0blood0for?0-0ans✔Blood0cultures
What0is0the0vacuum0blood0collection0tube0of0choice0for0CBC0blood0collection?0-
0ans✔Purple0top0tube
, What0is0the0anticoagulant0of0choice0for0coagulation0blood0studies?0-
0ans✔Sodium0citrate
A0solid0mass0derived0from0blood0constituents0that0occludes0a0blood0vessel0is0a0-
0ans✔Thrombus
When0blood0is0to0be0collected0for0a0glucose0tolerance0test,0the0patient0should0fast0for0
-0ans✔8-120hours
An0abnormal0accumulation0of0fluid0in0the0intercellular0spaces0of0the0body0that0is0locali
zed0or0diffused0is0referred0to0as0-0ans✔Edema
Blood0cultures0can0be0collected0directly0into0culture0media0and0doing0so0will0-
0ans✔Minimize0chances0of0contamination0and0speed0contact0with0culture0media
What0is0designated0to0reduce0the0risk0of0transmission0of0microorganisms0from0both0re
cognized0and0unrecognized0sources0of0infection0in0health0care0facilities?0-
0ans✔Standard0or0universal0precautions
"CSF"0is0a0specimen0originating0from0-0ans✔The0spinal0column
What0is0a0commonly0used0intravenous0device0that0is0sometimes0used0in0the0collection
0of0blood0from0patients0who0are0difficult0to0collect0blood0by0conventional0methods?0-
0ans✔Butterfly0needle0or0winged0infusion0set
The0color0coding0for0needles0indicates0the0-0ans✔Gauge0size
Which0anticoagulant0is0found0in0a0green0top0blood0collection0tube?0-
0ans✔Sodium0heparin
What0is0an0anticoagulant0used0in0blood0donations?0-0ans✔Citrate-phosphate-dextrose
What0is0the0average0skin0puncture0depth0appropriate0for0an0adult0during0a0blood0colle
ction0procedure?0-0ans✔2-30mm
Assays0that0require0a0chilled0specimen0include0-
0ans✔Gastrin,0ammonia,0catecholamine,0and0lactic0acid
If0a0patient0is0frail0and0has0a0tendency0to0faint,0what0equipment,0if0any,0would0be0help
ful0in0the0specimen0collection0process?0-0ans✔A0recliner
The0chain0of0custody0means0-0ans✔The0specimen0is0tracked0at0every0step
Hemoglobin0content0is0assessed0in0the0laboratory0by0analyzing0-0ans✔Erythrocytes
REVIEW
Which0laboratory0test0result0is0affected0most0if0the0patient0is0NOT0fasting?0-
0ans✔Triglycerides
Hemolysis0in0collected0blood0can0cause0a0falsely0decreased0value0for:0-
0ans✔Ammonia
After0the0needle0is0inserted0for0a0venipuncture0and0the0blood0begins0to0squirt0out0in0p
ulses,0this0might0indicate0that:0-0ans✔An0artery0has0been0penetrated0by0the0needle
If0a0patient0is0obese,0what0special0equipment,0if0any,0would0be0helpful0in0the0specime
n0collection0process?0-0ans✔A0large0blood0pressure0cuff
When0a0patient0has0"difficult"0veins,0what0strategies,0if0any,0can0be0used0to0improve0t
he0likelihood0of0a0successful0puncture?0-
0ans✔Slight0rotation0of0the0patient's0arm0to0a0different0position
Warming0the0site
Palpating0the0entire0antecubital0area0to0trace0vein0path
*(All0of0the0above)
During0the0venipuncture0procedure,0what0should0the0phlebotomist0do0after0the0needle0
is0inserted0and0blood0begins0to0flow?0-0ans✔Release0the0tourniquet0about0half-
way0through0the0procedure
Steps0in0the0identification0process0for0a0phlebotomy0procedure0for0a0patient0should0inc
lude0-0ans✔A02-way0match0with0the0ID0bracelet0and0the0verbal0confirmation
Approximately0how0many0minutes0does0it0take0for0a0specimen0without0additives0to0clo
t?0-0ans✔150minutes
Yellow0top0tubes0are0used0to0collect0blood0for?0-0ans✔Blood0cultures
What0is0the0vacuum0blood0collection0tube0of0choice0for0CBC0blood0collection?0-
0ans✔Purple0top0tube
, What0is0the0anticoagulant0of0choice0for0coagulation0blood0studies?0-
0ans✔Sodium0citrate
A0solid0mass0derived0from0blood0constituents0that0occludes0a0blood0vessel0is0a0-
0ans✔Thrombus
When0blood0is0to0be0collected0for0a0glucose0tolerance0test,0the0patient0should0fast0for0
-0ans✔8-120hours
An0abnormal0accumulation0of0fluid0in0the0intercellular0spaces0of0the0body0that0is0locali
zed0or0diffused0is0referred0to0as0-0ans✔Edema
Blood0cultures0can0be0collected0directly0into0culture0media0and0doing0so0will0-
0ans✔Minimize0chances0of0contamination0and0speed0contact0with0culture0media
What0is0designated0to0reduce0the0risk0of0transmission0of0microorganisms0from0both0re
cognized0and0unrecognized0sources0of0infection0in0health0care0facilities?0-
0ans✔Standard0or0universal0precautions
"CSF"0is0a0specimen0originating0from0-0ans✔The0spinal0column
What0is0a0commonly0used0intravenous0device0that0is0sometimes0used0in0the0collection
0of0blood0from0patients0who0are0difficult0to0collect0blood0by0conventional0methods?0-
0ans✔Butterfly0needle0or0winged0infusion0set
The0color0coding0for0needles0indicates0the0-0ans✔Gauge0size
Which0anticoagulant0is0found0in0a0green0top0blood0collection0tube?0-
0ans✔Sodium0heparin
What0is0an0anticoagulant0used0in0blood0donations?0-0ans✔Citrate-phosphate-dextrose
What0is0the0average0skin0puncture0depth0appropriate0for0an0adult0during0a0blood0colle
ction0procedure?0-0ans✔2-30mm
Assays0that0require0a0chilled0specimen0include0-
0ans✔Gastrin,0ammonia,0catecholamine,0and0lactic0acid
If0a0patient0is0frail0and0has0a0tendency0to0faint,0what0equipment,0if0any,0would0be0help
ful0in0the0specimen0collection0process?0-0ans✔A0recliner
The0chain0of0custody0means0-0ans✔The0specimen0is0tracked0at0every0step
Hemoglobin0content0is0assessed0in0the0laboratory0by0analyzing0-0ans✔Erythrocytes