NATIONAL PHLEBOTOMY CERTIFICATION EXAM 2024, Exams of Nursing

Download NATIONAL PHLEBOTOMY CERTIFICATION EXAM 2024 and more Exams Nursing in PDF only on Docsity! NATIONAL PHLEBOTOMY CERTIFICATION EXAM 2024 An individual who has little resistance to an infectious microbe is referred to as a susceptible what? - correct answer✔✔ Host Which of the following is an example of a work practice control that reduces risk of exposure to bloodborne pathogens? - correct answer✔✔ Wearing gloves to draw blood This ion is essential to the coagulation process. - correct answer✔✔ Calcium QC protocols prohibit use of outdated evacuated tubes because why? - correct answer✔✔ Tubes my not fill completely, changing additive-to-sample ratios. Molecular genetic testing requires what? - correct answer✔✔ Specimens to be collected in sterile EDTA. What is the purpose of an antiglycolytic agent? - correct answer✔✔ Preserve glucose Which on of the following tubes is filled first when multiple tubes are filled using an evacuated tube system? - correct answer✔✔ Blood culture (SPS) tube What is the recommended disinfectant for blood culture sites in infants 2 months and older? - correct answer✔✔ Chlorhexidine gluconate Latent fibrin formation in serum can result from what? - correct answer✔✔ Incomplete clotting when centrifuged In which of the following areas does capillary specimen collection differ from routine venipuncture when collecting a BUN and CBC? - correct answer✔✔ Order of draw This is an example of a preanalytical error made at the time of collection. - correct answer✔✔ Failing to mix tubes What constitutes a positive modified Allen test? - correct answer✔✔ The hand color returns to normal in 15 seconds. According to CLSI, which tubes should be placed upright as soon as they are mixed? - correct answer✔✔ Nonanticoagulant gel tubes Reference values are higher for capillary specimens with what test? - correct answer✔✔ Glucose According to CLSI, the maximum time limit for separating serum or plasma from cells is how long? - correct answer✔✔ 2.0 hours from time of collection All of the following are a reason for transporting tubes with the stoppers up EXCEPT which of the following? - correct answer✔✔ Maintains the sterility of the sample. The liquid portion of a clotted specimen is called what? - correct answer✔✔ Serum The most common reason for glucose monitoring through POCT is to what? - correct answer✔✔ Monitor glucose levels for diabetic care. The AMT, ACA, and ASCP are agencies that do what? - correct answer✔✔ Certify laboratory professionals A quadriplegic patient can do what of the following? - correct answer✔✔ Can feel pain if there is no sensory damage. The standard of care used in phlebotomy malpractice cases is often based on guidelines from what organization? - correct answer✔✔ CLSI - Clinical and Laboratory Standards Institute The first tube of cerebrospinal fluid (CSF) collected is typically used for what? - correct answer✔✔ Chemistry studies The manufacturer must supply an SDS for which one? - correct answer✔✔ Isopropyl and methyl alcohol. The abbreviation for the federal agency that instituted and enforces regulations requiring the labeling of hazardous materials is what? - correct answer✔✔ OSHA What is NAACLS? - correct answer✔✔ National Accrediting Agency for Clinical Laboratory Sciences - developed the standardized educational curriculum with a recognized body of knowledge, skills, and standards of practice for the phlebotomy profession. What is CLIA? - correct answer✔✔ Clinical Laboratory Improvement Amendments TJC - correct answer✔✔ The Joint Commission - independent, not for profit organization charged with, among other things, establishing standards for the operation of hospitals and other health related facilities and services. NPSG - correct answer✔✔ National Patient Safety Goals CAP - correct answer✔✔ College of American Pathologists - not for profit organization for professionals in the field of laboratory medicine. Offers proficiency testing and a continuous form of laboratory inspection by a team made up of pathologists and laboratory managers. CLIAC - correct answer✔✔ Clinical Laboratory Improvement Advisory Committee - to provide technical and scientific advice and guidance to the appropriate people in CMS. NAACLS - correct answer✔✔ National Accrediting Agency for Clinical Laboratory Sciences - an authority on quality clinical laboratory education. CLSI - correct answer✔✔ Clinical and Laboratory Standard Institute - organization that develops clinical and laboratory practices and promotes their uses worldwide. NHSN - correct answer✔✔ National Healthcare Safety Network - provides data on healthcare associated infections. HICPAC - correct answer✔✔ Healthcare Infection Control Practices Advisory Committee - provides the CDC with advice and guidance regarding the practice of infection control and prevention in healthcare settings. CDC - correct answer✔✔ Centers for Disease Control - investigates and controls various diseases. NIOSH - correct answer✔✔ National Institute for Occupational Safety and Health - part of the CDC, responsible for conducting research and making recommendations for the prevention of work related illness and injury. OSHA - correct answer✔✔ Occupational Safety and Health Administration - mandates and enforces safe working conditions for employees. HCS - correct answer✔✔ Hazard Communication Standard - HazCom - right to know. First tube Culture - Cinnamon - correct answer✔✔ Yellow - Microbiology - Blood Culture - SPS Additive - Bacteremia or septicemia 2 bottles - Anaerobic and aerobic (butterfly needle-collect aerobic first) No capillary stick. 2 sets collect 30 minutes apart from different arms. Second tube Citrate - Can - correct answer✔✔ Light Blue - Coagulation - Sodium Citrate - PT/INR, PTT, APTT, D-dimer, 9:1, butterfly-throw first tube away Orange-Chemistry-Thrombin-Coagulation Black-Chemistry-Sodium Citrate- ESR-4:1 Third tube Serum - Surely - correct answer✔✔ Red-Chemistry/Blood Bank-No Additive-Type&Xmatch Tiger-Chemistry-No Additive-STDs, HIV, HCG, Drugs, BMP, Lipid, T3-T4, Antibodies, FBS, Liver/Kidney issues Gold-Chemistry-No Additive- Same tests as Tiger Fourth tube Heparin - Help - correct answer✔✔ Light Green-Chemistry-Lithium-Inhibits thrombin-PST, BMP, Stat electrolytes, Plasma Green-Chemistry-Sodium-Inhibits thrombin-Tropin, Lactic acid on ice, Stat electrolytes Fifth tube EDTA - Eliminate - correct answer✔✔ Lavender-Hematology-EDTA-CBC, Malaria, A1C, ABROH, Blood type, DAT, ESR, Retic, Mono, Hemoglobin Ammonia-Chemistry- Delivered on ice Sixth tube Sodium Fluoride/Potassium Oxalate - Odors - correct answer✔✔ Gray-Chemistry-Sodium Fluoride/Potassium Oxalate-2hr post, ETOH, GTT, Fasting BS, Antiglycolytic (glucose tolerance) Seventh tube ACD - correct answer✔✔ Yellow-Blood Bank/Immunohematology-ACD-DNA, HLA, Organ Transplant, Bone Marrow match Royal Blue-By Itself EDTA, None, Sodium Heparin - correct answer✔✔ Royal Blue-Chemistry-Trace Free/EDTA/Sodium Heparin-Heavy Metals-aluminum, arsenic, copper, lead, iron, zinc Which of the following specimens would most likely be rejected for testing? - correct answer✔✔ A hemolyzed potassium specimen.