AMCA phlebotomy Exam Review Questions 100% Pass

AMCA phlebotomy Exam Review Questions 100% Pass which of the following is not a phlebotomists duty? Staring Intravenous IV Lines A national organization that sets standards for phlebotomy procedures is the: Clinical Laboratory Standards Institute Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze? droplet Which of the following is a test of the respiratory system? ABGs the receiving chambers of the heart are atria An individual's blood type is determined by the presence or absence of a certain type of Antigen present on the red blood cell Which of the following veins is not an antecubital vein? femoral Which needle gauge has the largest lumen? 18 "the smaller the needle the bigger the gauge" Which government agency regulates the quality of gloves worn when performing phlebotomy procedures? FDA The test performed in the following department are collected in a tube with a light blue stopper coagulation Never leave a tourniquet on for more than 1 minute you must draw a pro time a specimen from a patient with a IVs in both arms, Which of the following locations is the best place to draw the specimen? below the IV What is PKU? A hereditary inability to metabolize phenylalanine Which tests requires strict skin antisepsis procedures before specimen collection? blood culture which of the following tests may require special "chain of custody" documentation when collected? drug screen The hormone detected in a positive urine pregnancy test is hcg a tube containing heparin is collected between A serum tube and an EDTA tube Which fluid is obtained by lumbar puncture? cerebrospinal A urine C & S is typically ordered to detect The presence of UTI. which statement describes proper centrifuge operation? place tubes of equal size and volume opposite one another Whole Blood consists of mostly of which of the following? water whole blood is composed of water, solutes, and cells. 55-60% plasma and 40-45% cells. plasma is 92% water. Which type of blood cell is responsible for gas exchange in circulating blood? red blood cells Professional negligence is also called: malpractice which of the following items is the most important for phlebotomists to keep in mind during their daily routine in medical settings? -burglary -privilege granted to a physician -confidentiality -consent confidentiality Which department performs chemical screening tests on urine specimens? urinalysis which department monitors warfarin therapy? coagulation? Which cells are responsible for defense and immunity? white blood cells -leukocytes The liquid portion of a blood specimen (without an anticoagulation) is called: serum this is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc. sanitization This is a process that involves soaking or wiping process and inhibits the activity of disease causing organisms. disinfection The process used for supplies that would come in contact with internal body tissue or an open wound. It involves the use of heat (steam) and an autoclave. sterilization which blood test includes WBC and RBS counts, hemoglobin and hematocrit? CBC the most common blood type is O , 45% of the population has this blood type. Small red spots on a patients skin due to blood clotting abnormality is referred to as petechiae A decrease in the plasma volume with an increased concentration of cells and larger molecules is referred to as hemoconcetration - could be caused by squeezing probing or prolonged tourniquet application if the tourniquet is applied for longer than 3 minutes, which of the following analytes will most likely become falsely elevated? potassium? A hospitalized patient may not be identified by which of the following means? patients chart the most common sites for venipuncture are in which of the following sites the antecubital area of the arm Using a butterfly needle is beneficial for Geriatric patients what effect does warming the site have on venipuncture? increased localized blood flow the total amount of blood pumped out of the heart in one minute is known as the cardiac output Diagnosis and treatment of diseases characterized by joint inflammation is part of which medical specialty? rheumatology Deceitful practice or false portrayal of facts either by words or conduct is the definition of: fraud inflammation of a vein in conjunction with formation of a blood clot is called: thrombophlebitis thromb "clot" phlebitis "inflammation of the vein" which of the following is an abnormal finding in blood? bacteria which of the following is a common route for administration of parental medication? injection a pre-filled syringe is also known as a cartridge contain a pre measured amount of medication in a cartridge with a needle attached which of the following muscles is commonly used for intramuscular injection in the infant? vastus lateralis children younger then 2 what is the function of hemoglobin? Carry oxygen from the lungs and to carry carbon dioxide from the tissues to the lungs Guides used to monitor all aspects of patient care are called: QA standards Performing one's duties in the same manner as any other reasonable and prudent person with the same experience and training is referred to as standard of care A single order that is administered immediately and usually written for emergencies is known as STAT order A very busy phlebotomist misidentifies the patient when collecting a specimen for transfusion preparation. The possible misdiagnosis of blood type could cause the patient's death. If the phlebotomist's action results in injury, the wrongful act is called negligence Which of the following is a phlebotomy QA procedure checking needles for blunt tips and small barbs Which of the following test is most likely used to test for inflammation, infection disease, and malignant neoplasms? ESR used for collagen disease, inflammatory disease and rheumatoid arthritis Which of the following is the best way to prepare routine blood specimen tubes for transportation to an off site lab? seal the tubes in plastic bags with biohazard logo An example of negligence is when the phlebotomist Fails to report significant changes in a patient's condition Which of the following specimens is the least likely to require special handling? cholesterol! bilirubin - must be protected from light. gastrin/homocysteine -ice slurry Critical values (test values that are considered life threatening) are also called: panic values. Which of the following would be a pre-analytical error related to specimen storage exposure to light Which type of precautions would be used for patient who has pulmonary tuberculosis? airborne the abbreviation fro the virus that causes acquired immune deficiency syndrome HIV When a person has developed antibodies directed against that virus immune An example of a disease requiring droplet isolation is pertussis- "whooping cough" is a respiratory disease transmitted by droplets. What word is used to best describe the breakdown of red blood cells? hemolysis The lab abbreviation PT stands for prothrombin time which of the following stopper color identifies a tube used for coagulation testing light blue most coagulation tests require plasma specimens collected in light blue top tubes containing the anticoagulant sodium citrate Heparin prevents blood from clotting by inhibiting thrombin what is the purpose of an antiglycolytic agent? It prevents glycolysis. The breakdown or metabolism of glucose. lipemia results from high fat content of the blood a patient with a high degree of jaundice typically has yellow kin and sclera increased bilirubin in the blood and sclera (white of the eyes) Lymphostasis is: obstruction of the flow of lymph venous stasis stoppage of the normal blood flow hemoconcenration from prolonged tourniquet application increases: non filterable analytes hemoconcentration is a condition in which plasma and small, filterable components on the blood pass through the walls of the blood vessels into the tissues decreasing blood plasma volume and concentration and therefore increasing non filterable or suspended blood components such as red blood cells what is the difference from NPO and fasting? fasting allows water, NPO (nothing by the mouth) does not The best specimens to use for establishing inpatient reference ranges for blood tests are basal state specimens to eliminate the effects of diet, exercise and other factors on results A phlebotomy needle that does not have a safety feature: must be used with a holder that has a safety feature A laboratory report form should state that a specimen has been collected by capillary puncture: because results can vary by specimen source which of the following items is unnecessary when performing a routine venipuncture? disinfectants antiseptics are the one that are used routinely Which tubes must be first in the order of the draw Blood culture tubes (yellow)