phlebotomy exam AMT EXAM 2024.pdf, Exams of Public Health

Download phlebotomy exam AMT EXAM 2024.pdf and more Exams Public Health in PDF only on Docsity! phlebotomy exam AMT EXAM 2024-2025 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE Which of the following use their eyes and hands to identify structural problems while supporting the body's natural tendency toward health and self-healing? - answer>>Doctors of Osteopathy When blood is collected from a patient, the serum should be separated from the blood cells as quickly as possible to avoid - answer>>hemolysis Six months after beginning employment a healthcare worker is given a sample by the POCT supervisor and is asked to perform a screening test for group A Strep and return the results to the supervisor. The employee is performing - answer>>competency testing If levels of blood components fluctuate according to circadian cycle, it means that fluctuations occur - answer>>in a 24 hour cycle. When a patient with the flu describes how he has been unable to sleep, the empathic phlebotomist most appropriately responds with - answer>>"I know how the flu can disrupt sleep." Which of the following specialists reads electrocardiograms (ECGs) for hospital laboratories? - answer>>Cardiologists A phlebotomist who discusses with the supervisor a more efficient way to organize patient check-in is exhibiting - answer>>self-motivation. Which urine specimen is collected after a night of sleep and contains greater concentrations of substances? - answer>>first morning urine specimen Which of the following is the most common type of urine sample that may be obtained at any time of the day? - answer>>random urine specimen The timing for a glucose test begins - answer>>when the patinet finishes drinking the glucose. The need for ____ occurs when a physician's schedule changes to include evening and weekend hours. - answer>>flexibility Protime and aPTT analyses are conducted in what department? - answer>>. Coagulation When you are on the phone with a caller and you need to pick up another call, it is appropriate to - answer>>ask the first caller if they can be placed on hold while you find out what the other caller needs. The process of communication occurs in a loop. Which of the following is not included in the communication feedback loop? - answer>>Trust When the phlebotomist identifies with their patient's feelings or thoughts, they are exhibiting - answer>>empathy. A phlebotomy technician is obtaining a diagnostic blood specimen when a family member of the patient enters the isolated room without proper precautions. The technician should - answer>>. instruct the family member regarding the proper isolation protocol that must be observed A telephone is ringing in an area of the laboratory in which the phlebotomy technician is the only person present. The technician should - answer>>. answer the telephone and immediately transfer the call to the proper department Language limitations, cultural diversity, and hearing loss are examples of - answer>>. barriers to communication. The federal law designed to protect patient health information is - answer>>the Health Insurance Portability and Accountability Act. Which of the following reflects the concept that all patient blood and body fluids are contaminated? - answer>>Universal Precautions Which document is required by OSHA, which provides guidelines regarding the handling and storage of chemical? - answer>>MSDS Blood specimens should be drawn according to standards of the - answer>>Clinical and Laboratory Standards Institute (CLSI) Which of these statements accurately describes the various classes of fire extinguishers? - answer>>Class A extinguishers use soda and acid or water to cool the fire. The agency that investigates and manages the control of various diseases is - answer>>CDC. Personal protective equipment (PPE) includes which of the following items? - answer>>Gowns or aprons, and gloves Which of the following is an allergen commonly present in blood collection equipment? - answer>>Latex In the Diamond Identification System used by the National Fire Protection Association (NFPA), the color red denotes - answer>>flammability. A patient has come in for a blood draw. The phlebotomist cleanses the patient's skin with a Betadine® swab and notices that the patient's skin has turned red and bumpy. What question should the phlebotomist have asked prior to the cleansing? - answer>>Do you have any allergy to iodine? Personnel drawing blood must follow Standard Precautions, which include all of the following except - answer>>hand washing only when soap is available. Gloves worn for phlebotomy should be changed - answer>>. between each patient contact. The reaction resulting from a slowed heart rate and lowered blood pressure causing decreased blood flow to the brain is - answer>>syncope. Which of the following statements is inaccurate with regard to the use of gloves when drawing blood? - answer>>Gloves only protect the wearer against the transmission of viruses. Which one of the following is a primary function of isolation procedures? - answer>>. Prevent transmission of communicable diseases A collection of policies that apply to each test or practice performed in the laboratory would be found in the - answer>>Procedure Manual. In a court trial involving a phlebotomy-related nerve injury, a phlebotomy supervisor is asked to testify regarding the proper angle of needle insertion for a venipuncture. What angle range should the supervisor indicate? - answer>>15º - 30º A civil wrong committed against a person or property that causes physical injury or damage to someone's property or that deprives someone of his or her personal liberty and freedom is called - answer>>a tort. When a physician is terminating the care of a patient, physician is - answer>>withdrawing from the case. If a phlebotomist fails to exercise the level of care expected of any reasonable phlebotomist, the phlebotomist could be charged with - answer>>. negligence. "RESPONDEAT SUPERIOR" is Latin for - answer>>let the master answer" Adhering to a code of ethics in the healthcare professions helps you - answer>>provide competent and compassionate healthcare, function at the highest possible professional level and avoid legal entanglements. A healthcare professional that stops care without providing an equally qualified substitute can be charged with - answer>>abandonment. What type of consent exists when an emergency procedure such as CPR is provided? - answer>>Implied consent What charge can be brought against a phlebotomist who attempts to collect a blood specimen without the patient's consent? - answer>>Battery If a patient feels threatened by the phlebotomist, he or she may bring suit under civil law for - answer>>assault. What type of tort exists if a patient is charged for services that were not performed? - answer>>Fraud The medical term for the study of blood is: - answer>>Hematology. Blood vessels are lined with the same cells as the heart's - answer>>endocardium. Agglutination is the - answer>>clumping of red blood cells. Collapsed veins will cause a - answer>>Cessation of blood flow. A postprandial specimen is collected - answer>>directly after a meal is consumed Which substance has a higher concentration in capillary blood than in venous blood - answer>>Glucose Which of the following is an accurate statement regarding the handling of specimen - answer>>Blood smears made from EDTA specimens must be prepared within 1 hour of collection A skin puncture is preferred over a venipuncture when the patient - answer>>has severe burns Which of the following nosocomial infections are most prevalent - answer>>UTI A urine sample collected for a GTT must contain what additional information on the label - answer>>Time of collection g Arterial blood collected in a plastic syringe for ABG TESTING THAT may be delayed in testing should be transported to the lab - answer>>In an ice slurry What is POCT - answer>>Point of care testing Chemical and microscopic changes that invaildate the results obtained from the urine specimen if the urine is kept at room temp for what period of time - answer>>1hr Some drugs may cause changes to certain blood analystes. When a phlebotomists observes that med was administered just prior to blood collection the phlebotomists should - answer>>Note the observation on the requisition has What is the test status designation which takes priority when considering the collection time. - answer>>Medical emergency What is the name for finding employment opportunities info by talking to other peopl - answer>>Networking How long does the CAP recommendation discounting drugs that interfere with blood tests prior to a procedure - answer>>4-24hr A phlebotomists who discusses with the supervisor a more effficient way to organize patient check in is exhibiting - answer>>Self motivation A phlebotomists who completes all work and doc - answer>>Professionalisms The physician orders peak and trough blood specimens for therapeutic drug monitoring of a drug taken orally. You collect the peak specimen. - answer>>Just before the patient takes their next dose ____ is verbal or nonverbal evidence that an idv received and understood a message - answer>>Feedback What approach is important for the phlebotomists to use when dealing with ill or irritable patients - answer>>Display confidence professional appearance Which of the following is an example of positive communication - answer>>Asking a patient to repeat your instructions The phlebotomists is responsible for making sure their blood collection tray is properly stocked which of the following items would the phlebotomists not replenish in their own blood collection tray - answer>>Blank requisition Some fax machines use thermal paper, which - answer>>reacts to heat and electricity What is the study of an individual concept and use of space - answer>>Proxemics The reaction resulting from a slowed heart rate and lowered blood pressure causing decrease blood flow to the brain is - answer>>Syncope Which of the following fire extinguishers should be used when a fire occurs in or near electrical equipment - answer>>Class C or ABC extinguisher When using ergonomic principals when lifting, always - answer>>Bend the knees, keep the back straight and do not stoop Healthcare facilities achieve the greatest reduction in accidental exposure by requiring a combination of which of these - answer>>Safe products and safe practices In order to avoid electrical hazards or injury - answer>>do not use extension cords A phlebotomists would help to prevent needle sticks bu - answer>>Using OSHA approved safety needles Which one of the following is sufficient proof that deviation from a standard of care has occurred - answer>>documentation What antiseptic should the phlebotomy technician use to collect a blood culture? - answer>>Chlorhexidine gluconate A phlebotomist most likely not use a butterfly for which of the following patients? - answer>>c. A patient with resilient and bouncy veins When performing a capillary blood collection, the first blood drop is wiped away because - answer>>the first drop typically has more tissue fluid. As the phlebotomist, you have just completed drawing the last blood sample tube, you place gauze over the puncture site, remove the needle from the arm, activate the needle safety device and then release the tourniquet before applying pressure. Is this the correct sequence of steps? - answer>>No the tourniquet should be released first before the gauze pad is place over the puncture site Areas from which blood should not be collected include all the following with the exception of - answer>>a Basilic vein. Swelling caused from blood leaking from a blood vessel is - answer>>hematoma. If serum is left to remain on the blood clot for more than one hour, which of the following most likely will occur? - answer>>Serum glucose levels decrease Specimens are scheduled for collection at specific times for different reasons. Which of the following is most likely not a factor? - answer>>Patients must be tested 2 hours before meals Preanalytical errors are mistakes made - answer>>before laboratory testing. Proper identification of a coherent adult inpatient include - answer>>. ask the patient their name. b. check the identification band that is physically attached to the patient. When is a phlebotomist allowed to use ankle veins to draw blood? - answer>>With a physician's order If the plunger on the syringe is pulled back too fast: - answer>>the specimen may be hemolyzed Which of the following is an accurate statement regarding the handling of specimens? - answer>>Blood smears made from EDTA specimens must be prepared within 1 hour of collection. A serum or plasma specimen from a patient with severe lipemia would visibly appear - answer>>milky. What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels? - answer>>Yellow The phlebotomist has a patient who has no known allergies and in preparing the venipuncture site the phlebotomist uses iodine to clean the site. Is this the best antiseptic to use and the most commonly used anticeptic used to prepare a routine venipuncture site on a patient with no known allergies? - answer>>No, the phlebotomist should use 70% isopropyl alcohol. When a patient develops syncope during a venipuncture, the phlebotomist should first: - answer>>. Remove tourniquet and needle and call for help A blood sample is needed from a dialysis patient. Which of the following is an acceptable procedure? - answer>>: Draw from a hand vein Which of the following may cause hematoma formation? - answer>>Having patient bend elbow to apply pressure Which of the following is the most appropriate procedure when preparing a patient for blood specimen collection? - answer>>If a patient asks the phlebotomist to explain the purpose of a blood test, the question should be referred to the doctor or nurse to answer. The color-coded tube that is most frequently associated with coagulation tests is - answer>>light blue Which of the following is of primary importance in preventing rolling veins during venipuncture? - answer>>Anchoring the vein while inserting the needle To avoid contamination when should the needle cap be removed? - answer>>Just prior to performing the puncture Which of the following situations would most likely trigger hematoma formation? - answer>>Removing the needle while the tourniquet is still on the arm. If a patient is critical or an antibiotic needs to be given right away, and two blood culture sets are collected - answer>>immediately from two different site If a vein feels hard and thready like when palpated, then this vein may be - answer>>sclerosed. If blood begins to flow and then stops when an evacuated tube is pushed into the needle the most likely cause is the - answer>>bevel of the needle resting against the vein wall. The most critical part of a blood culture collection is - answer>>skin antisepsis of the collection site. How far above the venipuncture site should the tourniquet be wrapped around the arm? - answer>>3 to 4 inches Alcohol should be allowed to dry completely prior to skin puncture to - answer>>prevent lysis of red blood cells Partial penetration of the upper wall of a vein may - answer>>allow blood to leak into subcutaneous tissue by way of the needle bevel To prevent glycolysis, which additive is used? - answer>>Sodium Fluoride Which of the following tubes is normally used to collect a serum sample? - answer>>Red Top Which of the following would be first in the sequence of performing a finger stick procedure? - answer>>Sanitize hands and put on gloves. The most common antiseptic for routine blood collection is - answer>>70% isopropyl alcohol What instrument may be used when trying to visualize the veins during venipuncture? - answer>>Venoscope When palpating, a vein having which one of the following characteristics would be most appropriate to select for venipuncture? - answer>>Bouncy Which of the following techniques is best to employ if blood is not obtained upon needle insertion? - answer>>Gently advance the needle or gently pull back slightly Hemoconcentration of a specimen can be avoided by - answer>>removing the tourniquet within 1 minute. An individual comes in for an autologous donation, what is this person coming to do? - answer>>Donating their own blood for their own use The main reason not to use expired evacuated tubes for blood specimen collection is - answer>>they may exhibit incomplete filling Which of the following would be the very first step in performing a routine venipuncture on a patient? - answer>>Identify yourself An anticoagulant is used when collecting a sample for a blood glucose test because its ability to inhibit glycolysis. What colored stopper would be found on an evacuated blood collection tube used for this purpose? - answer>>light gray top By bracing the hand while holding the needle assembly against the patients arm you - answer>>prevent excess needle movement. What is the preferred method for infant blood collection? - answer>>Capillary Color coding indicates a needle's - answer>>gauge Which of the following is not mandated to be on a label of a blood specimen collected for blood transfusion testing? - answer>>Patient's phone number A serum or plasma specimen containing abnormally increased fatty substances from animal or vegetable origin is described as - answer>>lipemic. A falsely decreased blood alcohol level may be obtained if - answer>>the tube is only partially filled. Heparinized plasma is preferred over serum for some chemistry tests. Heparin prevents clotting by - answer>>inactivating thrombin. Which of the following is proper care of a patient following collection of an arterial blood specimen? - answer>>Apply firm pressure to the puncture site for a minimum of 3-5 minute After the last tube is filled, which of the following is done next - answer>>Filled tube is removed from the holder Which of the following sections is found in the Anatomical Pathology section of the clinical laboratory? - answer>>Cytology Which of the following is the single, most important factor in collecting an uncontaminated blood culture? - answer>>Proper collection site preparation Alcohol pads are not used when collecting a blood alcohol specimen because the practice will - answer>>be considered invalid if presented in court. Forcing syringe - drawn specimens into evacuated tubes may cause - answer>>hemolysis What is the primary reason that additive tubes should be gently inverted and not vigorously mixed? - answer>>To avoid hemolyzing the blood specimen. A major advantage of point of care testing (POCT) is - answer>>faster turnaround time (TAT) The preferred urine specimen used for urine pregnancy testing should be collected - answer>>first thing in the morning.