NWCA CCMA Exam
Which laboratory test result is affected most if the patient is NOT fasting?
a. Testosterone
b. Cortisol
c. Triglycerides
d. ACTH - Answer-c. Triglycerides
Hemolysis in collected blood can cause a falsely decreased value for:
a. Total protein
b. Ammonia
c. Phosphorus
d. Hemoglobin - Answer-d. Hemoglobin
After the needle is inserted for a venipuncture and the blood begins to squirt out in pulses, this might
indicate that:
a. The patient has petechiae
b. An artery has been penetrated by the needle
c. A vein has been penetrated by the needle
d. The patient has a low red blood cell count - Answer-b. An 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?
a. Specially sized collection tubes
b. A large blood pressure cuff
c. An oxygen mask in case of fainting
d. No special equipment should be needed - Answer-b. A large blood pressure cuff
When a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a
successful puncture?
a. Slight rotation of the patient's arm to a different position
b. Warming the site
c. Palpating the entire antecubital area to trace vein path
d. All of the above - Answer-d. All of the above
During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and
blood begins to flow?
a. Adjust the hub of the needle
b. Withdraw the needle
c. Release the tourniquet about half-way through the procedure
d. Release the adpater - Answer-c. Release the tourniquet about half-way through the procedure
Steps in the identification process for a phlebotomy procedure for a patient should include:
a. A 2-way match with the ID bracelet and the verbal confirmation
Which laboratory test result is affected most if the patient is NOT fasting?
a. Testosterone
b. Cortisol
c. Triglycerides
d. ACTH - Answer-c. Triglycerides
Hemolysis in collected blood can cause a falsely decreased value for:
a. Total protein
b. Ammonia
c. Phosphorus
d. Hemoglobin - Answer-d. Hemoglobin
After the needle is inserted for a venipuncture and the blood begins to squirt out in pulses, this might
indicate that:
a. The patient has petechiae
b. An artery has been penetrated by the needle
c. A vein has been penetrated by the needle
d. The patient has a low red blood cell count - Answer-b. An 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?
a. Specially sized collection tubes
b. A large blood pressure cuff
c. An oxygen mask in case of fainting
d. No special equipment should be needed - Answer-b. A large blood pressure cuff
When a patient has "difficult" veins, what strategies, if any, can be used to improve the likelihood of a
successful puncture?
a. Slight rotation of the patient's arm to a different position
b. Warming the site
c. Palpating the entire antecubital area to trace vein path
d. All of the above - Answer-d. All of the above
During the venipuncture procedure, what should the phlebotomist do after the needle is inserted and
blood begins to flow?
a. Adjust the hub of the needle
b. Withdraw the needle
c. Release the tourniquet about half-way through the procedure
d. Release the adpater - Answer-c. Release the tourniquet about half-way through the procedure
Steps in the identification process for a phlebotomy procedure for a patient should include:
a. A 2-way match with the ID bracelet and the verbal confirmation
