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AMCA Study Guide Phlebotomy > AMCA Stud Guide with New Questions > Flashcards

AMCA Stud Guide with New Questions Flashcards

1
Q

If asked to draw a red, light blue, blood cultures and lavender. Which is last?

A

Lavender

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2
Q

What is the recommended disinfection to clean up blood, or other bodily fluid contamination?

A

Sodium Hypochlorite (bleach)

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3
Q

Informed consent is required for ____?

A

Invasive surgery and biopsy

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4
Q

Red top is used for the following tests ….

A

Blood pregnancy and hepatic panel

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5
Q

Which vein is the first choice for a routine venipuncture?

A

Median Cubital

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6
Q

Tiger top is used for a ______ .

A

Thyroid panel

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7
Q

After the needle is withdrawn, what is the NEXT step?

A

Activate the safety device

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8
Q

Is it okay to use 70 % isopropyl alcohol for cleansing the site when drawing blood for ethanol testing?

A

No

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9
Q

What is the first thing you will do in a case o an accident needle stick?

A

Wash the site for 30/60 seconds with soap and water

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10
Q

When drawing from a patient who has had a mastectomy where is the appropriate place to draw?

A

Opposite side in the hand

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11
Q

What is the best site for a dermal puncture on an adult?

A

Middle finger

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12
Q

If the processing lab is backed up on resulting, what will you do with your samples?

A

Send them anyway

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13
Q

When drawing from an HIV patient, what extra precautions do you need to take?

A

None, always wear gloves

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14
Q

What would be a reason for a light blue top to be rejected for processing?

A

QNS (quantity not sufficient)

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15
Q

What is the proper blood to additive ratio for a light blue top tube?

A

9:1 (The blood to additive ratio is 9 parts blood to 1 part sodium citrate)

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16
Q

When should a phlebotomist wash their hands?

A

Before and after the draw

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17
Q

What PPE is required when drawing blood and handling blood products?

A

Gloves

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18
Q

What is the additive in a dark green tube?

A

Sodium Heparin

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19
Q

How do you explain a phlebotomy procedure to a young child?

A

In simple terms

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20
Q

What uses heat, steam, and chemicals?

A

Sterilization

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21
Q

What can be caused by leaving the tourniquet on too long?

A

Hemoconcentration

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22
Q

What are the special handling requirements for an ammonia sample?

A

Place on ice

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23
Q

If a hematoma starts to form and the patient says it hurts, what should the Phlebotomist do?

A

Stop the draw, apply pressure, and reassess

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24
Q

What Blood Born Pathogen can remain on surfaces for up to 7 days, if not properly disinfected?

A

HBV (hepatitis B)

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25
Q

If a Dr. orders a CMP, CBC, PT, and blood cultures what is the correct order of draw?

A

Blood cultures, Lt Blue, SST (Gold), and Lavender (EDTA)

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26
Q

Where is the proper place for the tourniquet to be placed during a venipuncture?

A

3-4 inches above the site

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27
Q

What is the appropriate equipment used for a hand draw?

A

23-gauge Butterfly

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28
Q

What does warming the site do?

A

Increase localized blood flow

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29
Q

What is the proper needle angle for a routine ETS drawn?

A

15-30 degrees

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30
Q

Where does FDP (fibrin degradation products) go for processing?

A

Coagulation department

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31
Q

What is the purpose of checking the arm band of an inpatient who was lab orders?

A

Avoiding patient identification errors

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32
Q

If a patient extends his or her arm, this is an example of what type of consent?

A

Implied consent

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33
Q

What is the number one way to prevent cross contamination of microorganisms from one patient to another?

A

Hand washing (hand decontamination)

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34
Q

How long should a specimen drawn in an SST tube be allowed to sit and clot before centrifugation?

A

30-60 minutes

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35
Q

According to CLSI standards what is the maximum time a specimen (plasma or serum) can be left at room temp. before centrifugation?

A

2 hours

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36
Q

What is it that states that a patient has the right to refuse medical procedures and be inform of all consequences in doing so?

A

Patient bill of rights

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37
Q

If a patient is on blood thinners or in an aspirin regimen what should be used after the blood drawn?

A

Coban wrap

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38
Q

Out of red, green, light blue, and lavender top tubes which will produce serum?

A

Red

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39
Q

What agency is responsible for the health and safety of workers?

A

OSHA

40
Q

Once the blood drawn is complete what is the next step?

A

Dispose of the needle into a puncture resistant container (sharps container)

41
Q

Why is it important to ask for feedback when communicating with the patient?

A

To make sure they understand what is being said

42
Q

What type of isolation requires special handling and ventilation?

A

Airborne isolation

43
Q

If a specimen is lipemic, what can this be an indication of?

A

Patient not fasting

44
Q

What is used to collect DNA samples by swabbing the inside of the cheek?

A

Buccal Swab

45
Q

What is the purpose of patient ID numbers being on the tube labels?

A

Avoiding confusing patients with the same first and last name

46
Q

When drawing multiple tubes, when would the tourniquet be released?

A

As soon as blood flow is established

47
Q

What department is responsible for sterile supplies?

A

Central Supply

48
Q

What is the most important part of blood culture collection?

A

Aseptic procedure (cleansing of the site)

49
Q

If you have an order to collect a Prothrombin Time (PT) specimen from a patient with IV’s in both arms, where would you draw?

A

The hand

50
Q

At what age and weight will you no longer perform a heel puncture?

A

Older than 12 months and more than 21 pounds

51
Q

What can happen if you draw a EDTA tube before a serum tube?

A

Cross contamination resulting in high potassium levels, and false low calcium levels

52
Q

What does the term hematoma mean?

A

Blood leaking from the vessel under the skin

53
Q

What are the social handling requirements for a Vitamin B12?

A

Protect from light

54
Q

When performing a bleeding time test, how high should the blood pressure cuff be inflated to?

A

40mmHg

55
Q

Sweating, looking pale, and complaining of blurry vision can be signs of what?

A

Vasovagal Syncope

56
Q

Which coagulation test can be performed at bed site using a point of care instrument?

A

PTT and INR

57
Q

What tube is a CBC collected in?

A

Lavender

58
Q

What tube is an Erythrocyte Sedimentation Rate drawn in?

A

Lavender

59
Q

According to OSHA why do we activate the safety feature on a needle?

A

To prevent accidental needle sticks

60
Q

What does FBS stand for?

A

Fasting blood sugar

61
Q

What is the normal range for a fasting glucose for an adult?

A

Anything under 100

62
Q

What two analyses are included in an electrolyte panel?

A

Sodium and potassium

63
Q

If you draw blood from a patient without his or her consent what can the Phlebotomist be charged with?

A

Battery

64
Q

What is the substance at the bottom of a serum separator tube?

A

Thixotropic gel

65
Q

What color top would an aluminum be drawn in?

A

Royal blue

66
Q

How many tubes are needed for a 3-hour GTT?

A

4 tubes

67
Q

when do you change out the sharps container?

A

3/4 full

68
Q

What color tubes are used to draw hemoglobin A1C, and a PT/PTT, and what is the correct order of draw?

A
  1. Light blue
  2. Lavender
69
Q

What is the special handling required for paternity testing?

A

Chain of custody

70
Q

What would be the appropriate equipment to use for drawing from a patient with small, thing, fragile veins?

A

Butterfly with syringe

71
Q

How much urine would an adult female patient need to produce for STD testing?

A

20/30 ml

72
Q

If a patient is being drawn for a PT/INR test, what medication are they on?

A

Warfarin

73
Q

If a patient comes in asking for results, what should you do?

A

Advise them to mane an appt. with their Dr.

74
Q

When instructing a patient to collect a stool sample, make sure that you instruct the patient to do…

A

Do not mix stool and urine

75
Q

When drawing blood from a hemophilic patient, instruct them to …..

A

Hold pressure on the site for 2 minutes

76
Q

How often does a centrifuge need to be calibrated?

A

Every 6 months

77
Q

What test do you draw without tourniquet?

A

Lactic Acid

78
Q

If a patient faints during a blood draw, what is the vital sign that must be checked before you let them leave?

A

Pulse

79
Q

How long can plasma sit at room temp.?

A

8 hours

80
Q

How long do you rotate a NP saw in each nostril when collecting a COVID screening test?

A

15 seconds

81
Q

How do you collect a POC glucose test?

A

Strip and drop of blood

82
Q

If a patient presents to the lab for a fasting glucose blood draw but indicated he or she is NOT fasting, what should the Phlebotomist do?

A

Draw anyway and document “non-fasting”

83
Q

If you suspect child or elder abuse or neglect, what should you do?

A

Notify your supervisor

84
Q

What step is NO LONGER recommended for patients who pass out?

A

Ammonia inhalants

85
Q

How long should a patient fast for a fasting blood sugar?

A

8 hours

86
Q

What contains documentation of chemical safety and precautions?

A

SDS log

87
Q

What equipment is needed for a urine C&S?

A

Sterile cup and alcohol wipe (towelette)

88
Q

What kind of checks need to be performed on POC equipment in a Dr.’s office?

A

Quality Control Checks

89
Q

What agency mandates a written exposure plan?

A

OSHA

90
Q

What is the normal BP for an adult?

A

120/80

91
Q

What is outside of the normal range for BP on an adult?

A

130/94 (high)

92
Q

If a coworker comes back late from lunch and asks you to cover for him or her, what will you do?

A

Tell them you cannot cover for them

93
Q

What test will you collect in an amber colored tube?

A

Bilirubin

94
Q

Abbreviations need to know
1. FBS
2. QID
3. PP
4. HS

A
  1. fasting blood sugar
  2. 4 times daily
  3. Post Prandial (after meal)
  4. Hours of sleep
95
Q

Some tips to help students remember some of these using word associates are
1. Pepsi Can
2. Bili and amber have a great relationship
3. Salty Banana
4. Who’s your daddy?

A
  1. Aluminum in a royal blue tube
  2. Amber colored tube
  3. 2 ananlytes in an electrolyte panel (sodium, potassium)
  4. Chain of custody for paternity testing

AMCA Study Guide Phlebotomy (1 decks)

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