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A comprehensive set of 100 real exam questions and verified answers for the amca phlebotomy certification prep exam. It covers a wide range of topics relevant to phlebotomy practice, including patient communication, specimen collection procedures, safety protocols, and laboratory procedures. Designed to help students prepare for the certification exam and gain a deeper understanding of phlebotomy principles.
Typology: Exams
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When a phlebotomist observes actions or suspects child abuse, what should be the next step to take? - SOLUTION:->>advise supervisor privately The principle reason for requiring feedback when communicating with clients is to determine weather they. - ANSWER
have understood what is being said Implied consent for a venipuncture on an adult requires
. - SOLUTION:->>the client extends their arm to you How should the phlebotomist dispose of a needle after drawing blood from a client?
Central Supply The reason a test if ordered timed is to. - ANSWER
Draw it at the best time for accurate results
The client's specimen is lipemic, this is usually an indicator that the client. - SOLUTION:->>Has not fasted Abbreviation for "nothing by mouth" - SOLUTION:->>NPO The government agency responsible for regulating the safety and health of workers - SOLUTION:->>Occupational Safety and Health Administration (OSHA) To prevent cross contamination of microorganisms from one client to another, OSHA standards require. - ANSWER
Barrier protection equipment (PPE personal protective equipment) The balanced or "steady state" of the body is called: - ANSWER Homeostasis The blood vessel that only carries blood away from the heart is
. - SOLUTION:->>artery What laboratory document describes in detail the steps to follow for specimen collection? - SOLUTION:->>Procedure manual Which type of specimen may require collection of a discarded tube before the test specimen is collected? - SOLUTION:->>blood culture specimen
Order for selecting a venipuncture site - SOLUTION:->>1. Antecubital space (median cubital preferred)
If someone has an IV in their right arm, which arm should you draw blood from? / IV in both arms? - SOLUTION:->>Left arm / below IV site. Nurse should turn off IV 2 minutes prior to blood draw If a criminal comes in for a blood draw and they are cuffed and shackled; which arm do you draw from? - SOLUTION:->>Cuffed arm (realistically BOTH arms should remain cuffed) If someone makes 2 unsuccessful attempts at a venipuncture they should... - SOLUTION:->>Get someone else to try The recommended disinfectant for blood and body fluid contamination is? - SOLUTION:->>sodium hypochlorite Most coagulation tests require a plasma specimen collected in a.. - SOLUTION:->>light blue topped tube
Measurement of copper requires blood collection in what tube? - SOLUTION:-
royal blue A client came in with a low grade fever of 1 month duration.. the physician ordered an ESR which stands for Erythrocyte Sedimentation Rate.. what color tube? - SOLUTION:->>lavender Which of the following is required by OSHA? - ANSWER
Hepatitis B vaccine What is the substance called in a serum separator tube (SST)? - SOLUTION:- thixotropic gel What is the anticoagulant in a gray topped tube? - ANSWER sodium fluoride What is the function of an antiglycolitic agent? - ANSWER eliminates glucose The phlebotomist uses nitro gloves during finger stick procedure, the use of gloves is considered.. - SOLUTION:->>PPE What is the correct routine blood draw entrance procedure? - SOLUTION:- bevel up, needle at 15-30 degree angle
How many tubes are drawn for a 3 hour glucose tolerance test? (GTT)
myocardium The function of the platelet is to - SOLUTION:->>cause blood to clot to stop bleeding The puncture site may require additional pressure to stop bleeding when the client is.. - SOLUTION:->>on blood thinners (anticoagulants, aspirin) What is the anticoagulant in a gray topped tube? - ANSWER potassium oxalate Measurement of copper requires blood collection in what tube? - SOLUTION:- royal blue Measurement of copper requires - SOLUTION:->>
If the tourniquet is too small, what should you use? - ANSWER
blood pressure cuff If the blood specimen is a milky color, what would that mean? - SOLUTION:- Lipemia - fat
What is the additive for a green topped tube? - ANSWER
Sodium lithium The normal composition of blood is - SOLUTION:->>55% plasma / 45% formed elements The clear, colorless liquid that functions to protect and nourish the brain and spinal cord is called.. - SOLUTION:->>cerebral spinal fluid The purpose of the Pulmonary System is to carry.. - ANSWER blood to and from the lungs Electrolyte testing includes - SOLUTION:->>sodium and potassium Which of the following is not a part of a complete blood count? - SOLUTION:- APTT - Activated Partial Thromboplastin Time TB test administration involves: - SOLUTION:->>Injecting the antigen just under
When should a blood collection tube be labeled? - ANSWER
After the specimen is collected The 3 components of the chain of infection are... - ANSWER Source, Mode of Transmission, Susceptible Host Which of the following precautions require special handling and ventilation? - SOLUTION:->>airborne The current CDC guidelines for infection control is which of the following precautions? - SOLUTION:->>Standard precautions An example of a QC (quality control) measure in phlebotomy is.. - SOLUTION:- Recording QA (quality assurance) indicators daily
A tourniquet should not be left on for longer than.. - SOLUTION:->> 1 minute Venipuncture is usually performed in the antecubital area. Which vein is usually the best to draw from? - SOLUTION:->>median cubital What can happen if a tourniquet is left on for too long? - ANSWER
Hemoconcentration What can happen if blood was drawn from the client's arm too quickly? -
SOLUTION:->>Vein collapse Jane has never had her blood drawn, the phlebotomist should allow her to.. - SOLUTION:->>sit on a chair with arm support The bevel of the needle should be.. - SOLUTION:->>facing upward when inserted into the skin The dr ordered a CBC (lavender), a comprehensive metabolic panel (SST), PT (light blue stopper), and a set of blood cultures. What is the order of the draw? - SOLUTION:->>cultures, PT, metabolic panel, CBC (yellow, light blue, red/gray, lavender) The gauge of the needle indicates the following relationship.. - SOLUTION:-
The smaller the diameter of the bore When drawing on blood thinners, what will you use after you complete the draw? - SOLUTION:->>Coband wrap A needle safety feature that is not activated in the vein or automatically should be activated when? - ANSWER
Immediately after the needle is withdrawn The following items are minimum requirements for specimen labeling..
called.. - SOLUTION:->>Buccal swab To avoid client identification errors, the phlebotomist must identify the client prior to collecting a sample by? - SOLUTION:->>Checking armbands for acceptable identifiers such as client's full name and date of birth A false high potassium or a false low calcium value may be obtained due to - SOLUTION:->>EDTA tubes being collected before serum tubes Select the correct statement below for preparing the site for blood collection - SOLUTION:->>Use a sterile alcohol prep pad (70% isopropyl alcohol) for cleaning the site When preparing for a specimen collecting by venipuncture, how should the client be positioned? - SOLUTION:->>With the arm in a straight line from shoulder to wrist What does an increase in bilirubin, lipid protein and enzymes indicate?
What is the best specimen for urine collection? - ANSWER
clean-catch midstream What is a major drawback of 24 hour urine collection? - ANSWER client cooperation and it is hard to get Mr Jones needs to give a specimen from home, what should be done first? - SOLUTION:->>hand washing The gray topped tube is usually drawn for which test? - ANSWER glucose A client fell while exiting the lab. What information would be included in the incident report? - SOLUTION:->>date, time, and location of the fall Which of the following procedures requires informed consent? - SOLUTION:- Invasive surgery If a procedure is performed on a client who refuses consent, what can the EDTA tubes being collected before serum tubes Select the correct statement below for preparing the site for blood collection - SOLUTION:->>Use a sterile alcohol prep pad (70% isopropyl alcohol) for cleaning the site When preparing for a specimen collecting by venipuncture, how should the client be positioned? - SOLUTION:->>With the arm in a straight line from shoulder to wrist What does an increase in bilirubin, lipid protein and enzymes indicate? - SOLUTION:->>Intravenous fluids resulting in an edematous area Where should blood be drawn on a client who has had a right side mastectomy and lymph node removal? - SOLUTION:->>Left antecubital space What is the best specimen for urine collection? - ANSWER >>>>clean-catch midstream What is a major drawback of 24 hour urine collection? - ANSWER >>>>client cooperation and it is hard to get Mr Jones needs to give a specimen from home, what should be done first? - SOLUTION:->>hand washing The gray topped tube is usually drawn for which test? - ANSWER >>>>glucose A client fell while exiting the lab. What information would be included in the incident report? - SOLUTION:->>date, time, and location of the fall Which of the following procedures requires informed consent? - SOLUTION:- >>Invasive surgery If a procedure is performed on a client who refuses consent, what can the phlebotomist be charged with? - SOLUTION:->>battery What is the proper formula of compressions to breaths when performing CPR? - SOLUTION:->> 30 compressions to 2 breaths (30:2)