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nha quizzes Flashcards

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USMLE® Step 1 flashcards
1
Q

A patient for venipuncture has pneumonia. Besides gloves, which of the following pieces of PPE should the CPT1 wear?

A. gown
B. N95 respirator
C. face mask
D. goggles

A

C. face mask

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2
Q

While collecting a blood sample the CPT1 notices the the collection tube is cracked. Which of the following actions should be taken?

A. Wrap the tube in a pair of gloves and throw it in the trash.
B. Discard the tube in the biohazard bag.
C. Label the tube and send it to the lab.
D. Dispose of the tube in sharps container.

A

D. Dispose of the tube in the sharps container

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3
Q

A CPT1 is performing a glucometer reading for a young adult. The patient’s parent is in the room and asks about the patient’s glucose level. Which of the following actions should be taken?

A. Write the results down for them.
B. Ask the parent to leave the room and tell the pt.
C. Show them the results in the pt EHR.
D. Ask pt for permission to disclose the results with the parent present.

A

D. Ask the pt for permission to disclose the results with the parent present.

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4
Q

A CPT1 prepares a third set of blood draws for a GTT. The pt starts to cry and refuses to extend her arm for the draw. Which of the following statements should the CPT1 make?

A. “I’ll get in trouble if don’t perform the draw.”
B. “I promise the draw won’t hurt.”
C. “May I come back in an hour?”
D. “May I please perform the draw?”

A

D. “May I please perform the draw?”

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5
Q

A CPT1 is completing a glucose monitor QC record. What information should the CPT1 record?

A. Daily pt test results
B. Physician NPI number
C. Date of battery change
D. Time the values were recorded

A

C. Date of battery change

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6
Q

A CPT1 observes a glucometer reading of 250mg/dL.
A second test returns a reading within range. Which circumstance could have caused the first result to be inaccurate?

A. Too much blood was used.
B. The first drop of blood was used.
C. Too little blood was used.
D. The test strips were left open.

A

A. Too much blood was used.

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7
Q

Which solution should be used to clean up a cerebral spinal fluid specimen spill?

A. Chlorine bleach
B. Hydrogen peroxide
C. Povidone-iodine
D. Isopropyl Alcohol

A

A. Chlorine bleach

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8
Q

A CPT1 gets a needlestick during a procedure. What information should the CPT1 include in the online sharps injury log?

A. CPT1’s name
B. A recommended follow up treatment.
C. The department where the injury occurred.
D. The pt name

A

C. The department where the injury occurred.

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9
Q

When testing a pt for streptococcal pharyngitis, a CPT1 should implement which of the following types of transmission based precautions?

A. Contact
B. Standard
C. Airborne
D. Droplet

A

D. Droplet

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10
Q

Which of the follow actions should be taken when performing a blood culture collection?

A. Use 70% isopropyl to cleanse the site.
B. Cleanse the site for no more than 10 seconds
C. Palpate the vein after cleansing the site.
D. Remove the tourniquet after two minutes.

A

A. Use a 70% isopropyl alcohol to cleanse the site.

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11
Q

Which is the current procedure for performing CPR on an infant?

A. 30 compressions, 3.8 cm (1.5 in) deep
B. 30 compressions, 5.08cm (2 in) deep
C. 100 compressions, 5.08 cm (2 1n) deep
D. 100 compressions, 3.8 cm (1.5 in) deep

A

A. 30 compressions, 3.8 cm (1.5 in) deep

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12
Q

A CPT1 collects a micro collection container after two failed venipuncture attempts. Which of the following reasons should be written on the medical requisition form that the blood was collected in this manner?

A. To alert the lab of a billing change
B. To alert lab that future specimens must be collected in a micro collection container.
C. To alert the lab of the presence of capillary blood.
D. to alert the lab of possible tissue fluid.

A

C. To alert the lab of the presence of capillary blood.

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13
Q

During centrifugation, the device catches fire. Which class of fire is this?

A. Class A
B. Class B
C. Class C
D. Class D

A

C. Class C

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14
Q

A CPT1 completes a draw in an isolation room. Which of the following PPE should be removed first?

A. Mask
B. Gown
C. Goggles
D. Gloves

A

D. Gloves

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15
Q

A CPT1 prepares to aliquot a blood specimen. Which of these PPE are minimum requirements for the CPT1 to wear?

A. Face, shield and gown
B. Goggles and mask
C. Mask and gloves
D. Face shield and gloves

A

D. Face shield and gloves

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16
Q

A CPT1 gets a needlestick during a draw. He/she is at greatest risk of exposure to which of these bloodborne pathogens?

A. HAV
B. HCV
C. HBV
D. HIV

A

C. HBV

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17
Q

A CPT1 gets a splash of blood to the eyes while transferring serum into an isolator tube. Which action should the CPT1 take first?

A. Notify the supervisor immediately.
B. Rinse eyes with water.
C. Disinfect the contact lenses.
D. Report to a health care provider.

A

B. Rinse eyes with water.

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18
Q

A CPT1 collects a sample for cholesterol, troponin and HDL blood results. Which department in the lab would be responsible for processing these tests?

A. Hematlogy
B. Microbiology
C. Chemistry
D. Pathology

A

C. Chemistry

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19
Q

A CPT1 performs a BAC. Which antiseptic should be used?

A. Tincture of iodine
B. Ethanol
C. Chlorhexidine gluconate
D. Isopropyl alcohol

A

C. Chlorhexidine gluconate

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20
Q

A CPT1 performs venipuncture on an isolated pt with a wound infected with methicillin-resistant Staphylococcus aureus (MRSA). Which action should the CPT1 take once the procedure is completed?

A. Remove shoe cover after leaving the room.
B. Dispose of gloves after leaving the room.
C. Dispose of gown before leaving the room.
D. Clean the gown before leaving the room.

A

C. Dispose of the gown before leaving the room.

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21
Q

Which urine specimen should be collected for a pregnancy test?

A. First-morning
B. Timed
C. Random
D. Suprapubic

A

A. First-morning

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22
Q

A CPT1 explains a procedure to a pt who wears hearing aides. The pt is distracted. Which question should be asked to ensure that the pt understands the procedure?

A. “Did you hear me?”
B. “Do you understand what you need to do?”
C. “Would you like to repeat the question?”
D. “Do you need me to talk slower?”

A

C. “Would you like me to repeat the question?”

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23
Q

Which of the following information would be required for a positive ID of the pt in an outpatient facility?

A. An attached ID band, full name and accession number.
B. Picture ID, full name and date of birth.
C. Accession number, full name and date of birth.
D. Medical requisition number, full name, date of draw.

A

B. Picture ID, full name and date of birth.

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24
Q

Before a procedure, the CPT1 notices the pt ID band is on the bedside table. Pt states “I hate wearing it, so I took it off.” Which is the correct response for the CPT1?”

A. “I’ll ask the nurse to replace the ID band.”
B. “Please show me your driver’s license.”
C. “I’ll proceed with the blood draw.”
D. “I’ll ask your roommate for the verification of your identification.”

A

A. “I’ll ask the nurse to replace the ID band.”

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25
Q

A CPT1 seeks consent for venipuncture from an older adult pt accompanied to the facility by a younger adult. Which action should the CPT1 take?

A. Speak to the pt in a loud voice.
B. Give a consent form to the younger adult.
C. Speak to the pt in a normal tone.
D. Stand close to the pt while speaking.

A

C. Speak to the pt in a normal tone.

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26
Q

A CPT1 prepares a draw from a pt admitted with life threatening cardiac symptoms. Which action should the CPT1 take?

A. Ask the pt to sign a consent form.
B. Ask for consent from a family member.
C. Proceed with collecting the patient’s blood.
D. Proceed after verbal consent has been given.

A

C. Proceed with collection the patient’s blood.

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27
Q

A CPT1 collects to test a patient’s lithium level following a recent dose of medication. Which of the following levels should the CPT1 collect?”

A. Peak
B. Trough
C. Fasting
D. Random

A

A. Peak

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28
Q

A CPT1 prepares to collect in an outpatient setting. Which of the following information is required on the requisition form?

A. Pt medical record # and bed #.
B. Provider name and License #.
C. Provider Driver’s Lic. and DEA #.
D. Pt billing information and test status.

A

D. Pt billing information and test status.

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29
Q

A CPT1 prepares draws to determine the patient’s peak and trough levels. Which action should be taken?

A. Ask pt when they last received the medication.
B. Perform the draw at the time assigned on the requisition form.
C. Ask the nurse when the medication was administered.
D. Perform the draw ASAP after breakfast.

A

C. Ask the nurse when the medication was last administered.

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30
Q

A CPT1 completes a collection on a pt who has eaten meat and cheese just prior to the draw. After centrifugation, what finding should be expected?

A. Lipemic specimen.
B. Hemolyzed specimen.
C. There is a buffy coat.
D. Specimen doesn’t coagulate.

A

A. Lipemic specimen.

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31
Q

Prior to the draw, pt informs CPT1 they are taking warfarin. CPT1 should identify that results of which of the following tests will be affected by the medication?

A. pt/inr
B. HDL
C. TSH
D. LDLA. pt/inr

A

A. pt/inr

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32
Q

A CPT1 prepares to draw from a pt who has fainted before. Which action should the CPT1 take?

A. draw from patient’s hand.
B. Place pt in supine position.
C. Place pt i prone position
D. Perform capillary draws

A

B. Place pt in supine position.

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33
Q

A pt asks CPT1 why blood is being drawn. Which is the appropriate response?

A. “The test is critical to determining your diagnosis.”
B. “You should ask your provider about the test.”
C. “Your provider has ordered cardiac enzymes and digoxin levels.”
D. “Your provider ordered the tests to rule out cancer.”

A

B. “ You should ask your provider about the test.”

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34
Q

The CPT1 informs the pt about collection for a blood culture. What information should the CPT1 include?”

A. “I’ll swab the area twice to make sure it is sterile.”
B. “I’ll use an evacuated tube system to perform the draw.”
C. “I’ll wait 15 seconds for the antiseptic to dry before I perform the draw.”
D. “I’ll leave the tourniquet on longer so we can collect enough blood for testing.”

A

A. “I’ll swab the area twice to make sure it is sterile.”

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35
Q

A CPT1 prepares to collect a sample for a cholesterol test. Which statement would the CPT1 make?

A. “Please sit for at least 5 minutes before the test.”
B. “Please take any prescribed medication after the test.”
C. “Avoid eating red meat the day before the test.”
D. “Avoid any caffeine on the day of the test.”

A

A. “Please sit for at least 5 minutes before the test.”

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36
Q

A CPT1 positions a pt for venipuncture. To prevent reflux or back flow the pt should be instructed to move her arm into which of these positions?

A. Fully extended in a downward position.
B. Elbow bent at a 90 degree angle.
C. Hyper-extended at the elbow.
D. Slightly bent in an outward position.

A

A. Fully extended in a downward position.

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37
Q

A CPT1 prepares to collect for a coagulation test on a 3 year old pt. Which collection method should be used?

A. Finger Stick
B. Heel Stick
C. Winged Safety butterfly
D. Evacuated tube system

A

C. Winged Safety butterfly

All methods are correct, but this method is best for patients with small veins, like young children.

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38
Q

A CPT1 performs venipuncture on pt who currently has IVs in each arm. Which action should be taken?

A. Ask nurse to turn IV off for 1 minute.
B. Apply tourniquet above the IV site.
C. Ask nurse to turn IV off for 2 minutes.
D. Ask nurse to remove the IVs.

A

C. Ask nurse to turn IVs off for 2 minutes.

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39
Q

A CPT1 educates pt about a 24 hour urine collection. Which directions should be given to the pt?

A. “Avoid mixing or inverting the container after the collection.”
B. “Start collecting at the second void of the day.”
C. Reduce your fluid intake during the 24 hour time frame.”
D. “Store the specimen at room temperature.”

A

B. “Start collection at the second void of the day.”

The exact time should be written on the container.

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40
Q

A CPT1 instructs pt on collection for culture and sensitivity test. Which statement would CPT1 include?

A. “You’ll need to collect a clean-catch midstream specimen.”
B. “You’ll need to collect your first void of the morning.”
C. “You’ll need to collect the specimen after a 12 hour fast.”
D. “You’ll need to collect the specimen 2 hours after eating.”

A

A. “You’ll need to collect a midstream clean-catch specimen.”

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41
Q

A CPT1 is performing a hand venipuncture draw on a 25 year old pt with small veins that are difficult to access. What equipment should be used to perform th procedure?

A. 21g ETS eclipse needle
B. 25g ETS eclipse needle
C. 23g winged butterfly
D. 23g syringe collection set

A

C. 23g winged butterfly

42
Q

The CPT1 prepares equipment and notices one tube is expired. What action should be taken to ensure an accurate test result?

A. Use a new tube from the front of the shelf.
B. Use a tube from the back of the shelf.
C. Use the expired tube.
D. Use the tube within 5 days of expiration.

A

A. Use a new tube from the front of the shelf.

43
Q

A CPT1 performs collection for a potassium test, CBC and glucose. If the tourniquet has been left on for 3 minutes, what would the expected outcome be?

A. High potassium level
B. Low iron level
C. High CBC level
D. Low potassium level

A

A. High potassium level

44
Q

A CPT1 performs venipuncture on pt with edema in her right arm. Which is the best vein for venipuncture?

A. R median cubital
B. R median cephalic
C. L basilic
D. L dorsal hand

A

D. L dorsal hand

45
Q

CPT1 uses povidone-iodine during capillary collection. Which outcome would be expected?

A. Increased potassium
B. Deceased potassium
C. Increased Glucose
D. Decreased Glucose

A

A. Increased potassium

46
Q

After removing the needle cap, which of the following steps should be taken?

A. Position needle at a 40 degree angle above the puncture site.
B. Perform “C” hold over the puncture site.
C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site.
D. insert the needle quickly into the puncture site.

A

C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site.

47
Q

While drawing blood through a hematoma, which error would be expected in the specimen?

A. Hemolysis
B. Increased potassium
C. Decreased electrolytes
D. Increased epithelial tissue

A

A. Hemolysis

48
Q

A CPT1 collects for a bilirubin test, a cold agglutinin titer, CBC and PTT tests. Which tubes should be used?

A. 1 Lt Blue, 2 serum tops, and 1 lavender
B. 1 serum top, 2 purple,and 1 Lt Blue
C. 2 Gray, 1 Lt Yellow SPS and 1 Dark Blue
D. 1 Gray, 1 Lt Yellow SPS and 1 Dark Blue

A

A. 1 Light Blue, 2 serum tops, and 1 lavender

49
Q

A pt gives implied consent by rolling her sleeve and extending her arm but says, “I don’t want my blood drawn.” What would be the appropriate response from the CPT1?

A. “I’ll start the draw now.”
B. “May I draw your blood?”
C. “Do you want me to get the nurse?”
D. “I’ll get another phlebotomist.”

A

B. “May I draw your blood?”

50
Q

CPT1 collects on a deep median cubital vein. Which method should be used?

A. Bevel up at 25 to 30 degree angle
B. Bevel down at 10 to 15 degree angle
C. Bevel up at 10 to 15 degree angle
D. Bevel down a t 25 degree angle

A

A. Bevel up at 25 to 30 degree angle.

51
Q

CPT1 performs dorsal venipuncture at a 15 degree angle resulting in a slow blood flow and development of a hematoma. What should be identified as the cause of the hematoma?

A. Needle completely through the vein
B. Needle at too shallow an angle
C. Bevel opening in the vein
D. Needle beside the vein

A

A. Needle completely through the vein

52
Q

CPT1 prepares for coagulation, WBC, pregnancy and random glucose tests. Which tubes should be used?

A. Sodium Citrate, SST and EDTA
B. Sodium Heparin, EDTA and SST
C. SPS, ACD, and Sodium Heparin
D. SPS, ACD and Sodium Citrate

A

A. Sodium Citrate, SST and EDTA

53
Q

For a dermal puncture, which is the correct site for the procedure?

A. Central side of index finger
B. Central side of ring finger
C. Tip of the ring finger
D. Tip of the index finger

A

B. Central side of the ring finger

54
Q

During a capillary collection for CBC, FSH and electrolyte tests, which would be the correct order of draw with Micro collection containers?

A. Lavender, Green, Red
B. Lavender, Red, Green
C. Red, Lavender,Green
D. Red, Green, Lavender

A

A. Lavender, Green, Red

55
Q

CPT1 has 3 bar coded labels, but has drawn 4 tubes. What information is needed for the 4th label?

A. pt name, room number and date of collection
B. pt DOB, accession number and time of collection
C. CPT1 initials,,date and time of collection
D. CPT1 initials, provider name, pt DOB

A

C. CPT1 initials, date and time of collection.

Pt name should also be included in this answer.

56
Q

CPT1 accidentally punctures pt artery during venipuncture. Which action should be taken?

A. Instruct pt to bend arm at the elbow
B. Apply pressure on the site for 5 minutes
C. Apply self-adherent tape with a cotton ball
D. Instruct pt to hold their arm below the heart

A

B. Apply pressure on the site for 5 minutes

The UCLA standard is 10 minutes of pressure

57
Q

CPT1 prepares to perform a CBC on a 7-month-old infant. What equipment will be needed?

A. 21g butterfly with EDTA evacuated tube
B. ETS system with 25g needle and SST evacuated tube
C. Lancet with a 2 mm depth and an EDTA Micro collection container
D. Syringe with 21g needle and a SST evacuated tube

A

C. Lancet with 2 mm depth and an EDTA Micro collection container

58
Q

A venipuncture for a lipid profile, WBC and a clotting time test would use which order of draw?

A. Lt Blue, SST, lavender
B. Purple, grey, Lt Blue
C. Serum, Green, Lt Yellow ACD
D. Green, Lt Yellow ACD

A

A. Lt Blue, SST, lavender

59
Q

A pt vein collapses during venipuncure needle insertion. What would the possible cause?

A. Tourniquet is too tight
B. Inserting a smaller evacuated tube
C. Apply blood pressure cuff to 30 mm Hg
D. Using a 25 g needle and syringe

A

A. Tourniquet is too tight

60
Q

Which of the specimens would the CPT1 collect first?

A. Blood Culture
B. Cholesterol
C. CBC
D. BMP

A

A. Blood Culture

61
Q

In preparing to process a WBC differential test, testosterone test and a glucose test, which actions should the CPT1 take to process these tests?

A. Prep a slide from a Lavender topped tube and centrifuge a Red topped tube and a Gray topped tube.
B. Prep a slide from Gray and centrifuge a Lt Blue top and a Red top.
C. Prep a slide from Red and centrifuge a Lavender and a Red.
D. Prep a slide from Lt Blue and centrifuge a Lavender and a Red.

A

A. Prep a slide from a Lavender topped tube and centrifuge a Red topped tube and a Gray topped tube.

62
Q

In preparing a peripheral blood slide from a capillary puncture, which action would should the CPT1 take?

A. Pipette the blood onto the center of the slide.
B. Pipette the blood 2.5 cm (1 in) from the end of the slide.
C. Touch the slide to the first drop of blood.
D. Touch the slide to the second drop of blood.

A

D. Touch the slide to the second drop of blood.

63
Q

When using a syringe to collect a blood culture set, a PTT, and a CBC, which of the following should the CPT1 identify as the proper order of draw?

A. Aerobic, Anaerobic, EDTA, Lt Blue.
B. Anaerobic, Areobic Lt Blue, EDTA
C. EDTA, Lt Blue, Aerobic, Anaerobic
D. EDTA, Lt Blue, Anaerobic, Aerobic

A

B. Anaerobic, Aerobic, Lt Blue, EDTA

64
Q

When performing two sets of blood cultures for a pt, which actions should be taken?

A. Collect both sets from the same site after waiting about 4 hours.
B. Collect one set from the anticubital region and one from the ventral part of the patient’s hand.
C. Collect one set from the patient’s left arm and one from a different site on the same arm.
D. Collect one set from the capillary region and one set from the anticubital region.

A

C. Collect one set from the patient’s left arm and one from a different site on the same arm.

65
Q

When collecting a peripheral blood smear, the CPT1 should identify that this technique is used for which of the following tests?

A. WBC differential test
B. Sedimentation rate (ESR) test
C. Blood Culture
D. Arterial Blood Gas test ( ABG)

A

A. WBC sedimentation test.

66
Q

CPT1 receives a forensic specimen, and should verify that which of the following specimen information matches the requisition form?

A. County Clerk number
B. Statute of limitations
C. Attorney’s name
D. Case number

A

D. Case number

67
Q

CPT1 is collecting for a capillary sample for a neonatal screening. What action should be taken to complete the newborn screening card?

A. Touch the paper to a drop of blood and saturate each circle of the card.
B. Smear the blood onto the printed circles of the card.
C. Layer several drops on the printed and non- printed side of the card.
D. Place multiple small drops on each circle of the card.

A

A. Touch the paper to a drop of blood and saturate each circle of the card.

68
Q

In prepping for a neonatal screening test, CPT1 should identify which of the following is the optimal time to perform the test?

A. immediately after birth.
B. Between 24 and 72 hr after birth.
C. Between 12 and 18 hr after birth.
D. 6 hr after birth.

A

B. Between 24 and 72 hr after birth.

69
Q

In screening potential blood donors, CPT1 should identify which of the following patients is able to donate?

A. A 15-year-old who weighs 61.2 kg (135 lbs)
B. A 67-year-old who weighs 44.4 kg ( 98 lbs)
C. A 65-year-old who weighs 54.4 kg (120 lbs)
D. A 20-year-old who weighs 47.6 kg (105 lbs)

A

C. A 65-year-old who weighs 54.4 kg (120 lbs)

70
Q

CPT1 should identify that a person with this blood type is a universal recipient?

A. AB
B. O
C. A
D. B

A

A. AB

71
Q

CPT1 is caring for a 35 lbs 3-year-old during a one month stay in the hospital. CPT1 should identify that which of the following blood collection amounts is within total volume guidelines for this pt?

A. 165 mL
B. 95 mL
C. 185 mL
D. 200 mL

A

B. 85 mL

72
Q

CPT1 is collecting a blood culture from an infant who weighs 3 kg (6.6 lbs). CPT1 should identify that which of the following is the total blood volume for this infant?

A. 100 to 190 mL
B. 60 to 150 mL
C. 240 to 330 mL
D. 150 to 240 mL

A

C. 240 to 330 mL

73
Q

CPT1 instructs a pt on how to perform a pregnancy test. Which statement should he/she include?

A. “Collect your first urine specimen of the morning.”
B. “Collect your urine specimen after fasting for 8 hours.”
C. ‘Collect your last urine specimen of the day.”
D. “Collect your urine specimen after a full meal.”

A

A. “Collect your first urine specimen of the morning.”

74
Q

In instructing a pt on how to collect a sputum specimen, which statement should he/she make?

A. “You should provide the specimen in the morning before eating and drinking.”
B. “You should provide a specimen in the morning after eating and drinking.”
C. “Provide the specimen in the evening before eating dinner.”
D. “In the evening after eating dinner.”

A

A. “Provide the specimen in the morning before eating and drinking.”

75
Q

Which additive should be used when collecting a peripheral blood smear for a WBC count?

A. EDTA
B. Sodium Fluoride
C. Sodium Citrate
D. Heparin

A

A. EDTA

76
Q

In preparing for blood vultures, PTT and testosterone tests, what would be the order of draw?

A. Yellow, Blue,Red
B. Yellow, Red, Blue
C. Blue, Red, Yellow
D. Blue, Yellow, Red

A

A. Yellow, Blue, Red

77
Q

CPT1 should recognize that which blood type is compatible with type O blood?

A. Type O
B. Type A
C. Type AB
D. Type B

A

A. Type O

78
Q

CPT1 instructs pt on how to collect fecal sample at home. Which instruction should he/ she include?

A. “Refrigerate the sample after collection.”
B. Don’t mix urine with the fecal sample.”
C. “Avoid washing the outside of the container following collection.”
D. “Scoop the fecal sample from the toilet into the container.”

A

B. “Don’t mix urine with the fecal sample.”

79
Q

In a brief physical examination of a potential blood donor, which measurements would indicate the donor’s eligibility to donate blood?

A. PR 40 bpm
B. Diastolic pressure 110 mm Hg
C. Temp 37 degrees centigrade (99.8)
D. Hematocrit level 42%

A

D. Hematocrit level 42%

80
Q

How would CPT1 properly dry a neonatal screening card?

A. Place card in direct sun.
B. Allow to dry for 1 hour.
C. Place card on a flat, dry surface.
D. Stack cards on a drying rack.

A

C. Place cards on a flat, dry surface.

81
Q

CPT1 loads 2 tubes into a centrifuge. What action should be taken?

A. Place tubes of unequal volume adjacent to each other.
B. Place tubes of equal volume adjacent to each other
C. Place tubes of unequal volume across from one another.
D. Place tubes of equal volume across from one another

A

C. Place tubes of unequal volume across from one another.

Go figure!

82
Q

How long should Serum samples stand before being centrifuged?

A. 10 min
B. 15 min
C. 25 min
D. 30 min

A

D. 30 min

83
Q

Which specimen needs to be protected from light?

A. CBC
B. Bilirubin
C. BMP
D.Potassium

A

B. Bilirubin

84
Q

One of six tubes is missing a label. What action should be taken?

A. Print a bar coded label for the specimen
B. Process it as it was received.
C. Recollect the unlabeled specimen.
D. Hand-write a label for the unlabeled specimen.

A

C. Recollect the unlabeled specimen.

85
Q

Which action is appropriate for collecting a urine specimen for drug testing?

A. Assume implied consent from the pt.
B. Implement sterile technique to obtain the specimen
C. Use the pt Social Security number for identification.
D. Seal the specimen in a tamper-evident container.

A

D. Seal the specimen in a tamper-evident container.

86
Q

CPT1 obtains a forensic specimen to determine blood alcohol level. What information should be included on the chain of custody form?

A. Date and time of specimen collection
B. Method and date of collection
C. Witness name and signature.
D. Attorney’s name and signature

A

A. Date and time of specimen collection.

87
Q

CPT1 has received urine drug test specimen with a thermometer reading of 29.4 degrees C (85 degrees F)What action should be taken?

A. Require that the pt provide a blood sample.
B. Have pt provide another urine specimen with observation.
C. Accept the specimen for processing.
D. Ask pt if the specimen was altered.

A

B. Have pt provide another urine specimen with observation.

88
Q

CPT1 released a specimen to a courier. What statement would the courier use to tell the specimen accessioner how to complete the chain of custody form?

A. “Make sure to check for ID.”
B. “Write your name on the form.”

D. “List your phone number.”

A

C. “Keep two copies of the form.”

89
Q

A female pt has been referred to a reproducvtive specialist. Which of the following blood tests would a CPT1 release to the referring personnel?

A. LDL and HDL
B. CRP and BNP
C. FSH and LH
D. PSA and CBC

A

C. FSH and LH

90
Q

CPT1 calls an MA to inquire about a lab requisition. What information is required on a lab requisition?

a. Pt blood type
B. Method of collection
C. Specimen accession number
D. Pt ID number

A

D. Pt ID number

91
Q

In accessing the lab information system prior to collecting a specimen, what action should be taken?

a. Upload the orders
B. Print the specimen label
C. Draw the specimen
D. Scan the bar code

A

B. Print the specimen label

92
Q

CPT1 should identify what information can be found on the lab information system?

A. Vein reference
B. Tubes to collect
C. Transport method
D. Previous lab results

A

D. Previous lab results

93
Q

What info should be used to access pt medical records in the lab information system?

A. Lab test number
B. Medical requisition number
C. Pt ID number
D. Provider phone number

A

C. Pt ID number

94
Q

CPT1 gets a reading of 46mg/dL on a POCT for a pt. What finding should we expect?

A. Slow HR
B. Rapid HR
C. Rapid respiration
d. Slow respiration

A

B. Rapid HR

95
Q

On a POCT hemoglobin test, CPT1 would report which of these values to the provider?

A. 9.2 g/dL
B. 12.5 g/dL
C. 16.8 g/dL
D. 18.0 g/d/L

A

A. 9.2 g/dL

96
Q

On a POCT cholesterol test, which of the following values would be reported to the provider?

A. 250 mg/dL
B. 200 mg/dL
C. 175 mg/dL
D. 140 mg/dL

A

A. 250 mg/dL

97
Q

CPT1 notices the volume of blood required for tests ordered by the specialist exceeds the recommended draw amount for the day. What action should be taken?

A. Contact the lab supervisor
B. Contact the patient’s nurse
C. Contact the patient’s endocrinologist
D. . Contact the patient’s unit secretary

A

C. Contact the patient’s endocrinologist

98
Q

CPT1 just received blood test results from different patients. Which results should be distributed first?

A. ASAP cardiac enzymes drawn in the ER
B. 2 hour GTT glucose drawn in ICU
C. Stat CBC drawn in surgery
D. Blood culture drawn in the ER

A

C. Stat CBC drawn in surgery

99
Q

CPT1 should refrigerate which specimens before transportation?

A. Lactic acid
B. Cryofibrinogen
C. Bilirubin
D. Cold agglutinins

A

A. Lactic acid

100
Q

At what temperature should the CPT1 keep a cryoglobulin specimen on it’s way to the lab?

A. 37 C (98.6 F)
B. 0 C (32 F)
C. 21 C (69.8 F)
D. 4 C (39.2 F)

A

A. 37 C (98.6 F)

Medical Assistant (3 decks)

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