Phlebotomy Procedures and Laboratory Safety, Exams of Nursing

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CPT Phlebotomy Exam Study Guide Questions and Answers 2024 What is phlebotomy? \ n ✔The process of drawing blood What is a phlebotomist? \ n ✔A trained professional in blood drawing Which of the following is a part of a phlebotomist's POC job related duties? \ n ✔Taking blood pressure, instructing patients on urine specimen collection, and performing POC testing All of the following are true about laboratory safety \ n ✔Protect your feet from spills, always wear required personal protection equipment As written in the Patient Care Partnership from the American Hospital Association, the patient has the right to: \ n ✔High quality care, protection of privacy, help with billing claims Certification is evidence that: \ n ✔The phlebotomist has demonstrated proficiency in the area of blood drawing Which of the is OSHA required personal protection equipment? \ n ✔Goggles, chin- length face shield, full-length lab coat The Clinical Laboratory Improvement Act of 1988 follows guidelines and standards set by the: \ n ✔CLSI Samples collected from a patient in a nursing home are sent to the: \ n ✔Reference laboratory Quality assurance for laboratory personnel includes all of the following \ n ✔Specimen collection procedures, Specimen transport processes, Specimen processing policies Personal protection equipment must be provided by the \ n ✔Employer Which of the following personal protection equipment must a phlebotomist use when performing a skin puncture or venipuncture? \ n ✔Gloves Under HIPPA, protected health is defined as: \ n ✔Any part of a pt's health information that is linked to information that identifies the pt. Employers must provide vaccination against what free of charge? \ n ✔Hep B Which of the following would be a reason for a rejection of a specimen by the lab? \ n ✔An ESR has been collected in a red-topped tube The quality of the test result depends on: \ n ✔The time between collecting the specimen and analyzing the specimen The purpose of Total Quality Management is to: \ n ✔Check machinery with automated procedures, ensure that proper laboratory procedures are being followed, ensure that adequate patient care is being provided. A specimen may be rejected by the lab if: \ n ✔The tube was not initialed, the blood is hemolyzed, the tube was not transported properly. Transport bags have a separate compartment (pouch) for the requisition to: \ n ✔Prevent contamination if the specimen leaks Acceptable methods of identifying a patient include: \ n ✔Ask the pt to give his or her name and DOB, check the pts ID band, ask the pt to present a photo ID What is the proper procedure for a phlebotomist to follow if a physician or member of the clergy is in the pts room at the time of draw? \ n ✔Return at another time if the specimen is not a stat request Most tubes that containing additives should be inverted: \ n ✔5 to 8 times The lavender topped tube contains: \ n ✔EDTA The green topped tube contains: \ n ✔Heparin The yellow topped tube contains: \ n ✔SPS or ACD The glass red topped tube contains: \ n ✔No additive Which of the following tubes contains sodium fluoride and potassium oxalate? \ n ✔Grey topped tube Which of the following tubes would hold a glucose specimen for 24 hours? \ n ✔Grey topped tube In which tube would a phlebotomist collect an erythrocyte sedimentation rate? \ n ✔Lavender topped tube Cardiac enzymes are drawn in a: \ n ✔Red topped tube Which of the following tubes yield a serum specimen? \ n ✔Red topped tube Coagulation studies include all of the following: \ n ✔Prothrombin time, Partial thromboplastin time, and platelet function Why should a red topped tube be drawn before a green topped tube? \ n ✔Since there are no additives in the red topped tube, it cannot contaminate the green topped tube. Prompt delivery to the lab of semen samples is necessary to determine what: \ n ✔Viability in fertility Fecal specimens are collected for: \ n ✔Ova and parasite testing, testing for digestive abnormalities, occult blood analysis What is the best sample to determine blood pH and blood gases? \ n ✔Arterial blood An un-iced ABG must be delivered to the lab \ n ✔5-10 minutes Arterial blood gas must be processed immediately to minimize \ n ✔Changes in the analyte All of the following are safety equipment for arterial blood gas collection except a: \ n ✔Transport container If the modified Allen test is negative, \ n ✔Another artery must be selected for blood collection The NP culture is used to diagnose: \ n ✔Whooping cough, croup, and respiratory infections The SE test is used to diagnose: \ n ✔Cystic fibrosis Which procedure is normally collected by a nurse or respiratory therapist? \ n ✔Arterial blood gas Dermal punctures can be used as an alternate for all of the following except: \ n ✔ESR For which of the following pts should a dermal puncture be performed? \ n ✔Ps who require frequent blood draws, pts with burns on the arms, pts who are at risk for venous thrombosis Which of the following is the reason for cleansing the first drop of blood in a dermal puncture? \ n ✔To rid the specimen of fluid from tissue When collecting blood from a child, the phlebotomist should: \ n ✔Consider the psychological aspect of the draw, log the amount of blood collected to avoid depletion, collect dermal punctures whenever possible Which of the following should a phlebotomist not do when drawing blood from a child? \ n ✔Tell the child that the procedure will not hurt What does the phlebotomist look for when identifying a newborn? \ n ✔The hospital identification number and the last name Improper cleansing of a venipuncture site can cause: \ n ✔Septicemia Which of the following components is needed in order to make what is known as the chain of infection? \ n ✔Causative agent A health care-related infection is: \ n ✔An infection contracted within a health care institution When a pt has a highly contagious disease, he or she is placed: \ n ✔In strict isolation A pt who is known to have a blood transmissible disease is placed: \ n ✔On blood and body fluid precautions A pt who has diarrhea and bacterial gastroenteritis disease is placed: \ n ✔In enteric isolation Pts within a neonatal ICU/burn unit or the recovery room are: \ n ✔In a protective environment The most infectious health care-acquired disease is: \ n ✔HCV An infection is: \ n ✔The invasion and growth of a pathogen Microorganisms that cause disease \ n ✔Pathogenic Which of the following are causative agents? \ n ✔Bacteria, viruses, protozoa, and fungi Elevation of what is an indication of an infection \ n ✔Leukocytes The primary function of a red blood cell is to: \ n ✔Carry hemoglobin The most abundant white blood cell is the: \ n ✔Neutrophil The liquid portion of blood is: \ n ✔Plasma The average adult has approximately how much blood? \ n ✔5L The vein most commonly used for venipuncture is: \ n ✔The median cubital Veins carry: \ n ✔Oxygenated blood away from heart Arteries carry: \ n ✔Deoxygenated blood away from the heart The outermost layer of the heart is the: \ n ✔Epicardium The contractile layer of the heart is the: \ n ✔Myocardium The upper receiving chamber of the heart is the: \ n ✔Atrium What heart chamber has the thickest myocardium \ n ✔The left ventricle What of the following are semilunar valves? \ n ✔The aortic valve and the pulmonary valve What are atrioventricular valves? \ n ✔The mitral or bicuspid valve and the tricuspid valve The aorta is: \ n ✔The major artery The pulmonary vein will carry blood: \ n ✔To the heart from the lung The exchange of oxygen and carbon dioxide occurs in: \ n ✔The capillaries A loss of pituitary gland function: \ n ✔Is likely to be very serious, since this gland regulate many others When a person has adequate rest and has not eaten in 12 hours, it is called: \ n ✔Basal state The location where bones come together is called: \ n ✔Joints The appendicular and the axial are two main divisions of the: \ n ✔Skeleton The three kinds of muscles in the body are: \ n ✔Skeletal, smooth, and cardiac The beginning of a muscle is attached to a bone that the muscle cannot move. This is called \ n ✔Origin What kind of muscle straightens a part of the body? \ n ✔Extensor The stomach passes food into the: \ n ✔small intestine Compared to arteries, veins: \ n ✔Have thinner walls, carry blood under lower pressure, and may be closer to the surface of the skin Tissue fluid is returned to the circulation through the: \ n ✔Lymphatic The correct ratio of plasma to formed elements in the blood? \ n ✔55% plasma, 45% formed elements The master gland in the endocrine system is/are the: \ n ✔Pituitary The phlebotomist dropped a tube of blood on the floor and it broke on impact. The proper way to clean up the blood and broken glass includes all of the following: \ n ✔Don PPE as required by facility, pick up the glass using forceps, saturate site with bleach Mary the phlebotomist brought in ice cream bars in celebration of passing her certification exam. She put them in the freezer thinking it was alright because only test reagents, no blood or body fluids, were stored inside. She was reprimanded for