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AMCA Practice Test
| Question | Answer |
|---|---|
| What does whole blood mainly consist of? | Water |
| Which type of blood are responsible for gas exchange in circulating blood? | Red blood cells |
| Professional neglifence is also called? | Malpractice |
| What is the most importnant thing for a phlebotomist to keep in mind during their daily routine in medical settings? | Confidentiality |
| Which department performs chemical screening tests on urine specimens? | Urinalysis |
| Which deparment monitors warfarin therapy? | Coagulation |
| Which type of blood cell is responsible for defense and immunity? | White blood cells |
| What is the liquid portion of a blood specimen (without an anticoagulant) known as? | Serum |
| What is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc called? | Sanitization |
| What is the processes that invloves a soacking or wiping process and inhibits the activity of disease-causing organisms? | Disinfection |
| =What is the process that is used for cleaning supplies that come in contact with internal body tissues or an open wounds, that involves the use of heat (steam) and an autoclave called? | Sterilization |
| Which blood test includes WBC, RBS, hemoglobin, and hematocrit? | CBC |
| What is the most common blood type? | O |
| What are the small red spots on a patient's skin due to a blood clotting abnormalities referred to as? | Petechiae |
| A decrease in the plasma volume with an increased concentration of cells and larger molecules is referred to as? | Hemoconcentration |
| If the tourniquet is applied for longer than three minutes, which analytes will most likely become falsely elevated? | Potassium |
| A hospitalized patient may not be identified by? | Patient's chart |
| The most common sites for venipuncture are in which areas? | The antecubital area of the arm |
| When would using a butterfly needle be beneficial? | When handling geriatric patients |
| What effects does warming the site have on venipuncture? | Increases localized blood flow |
| Diagnosis and treatment of diseases characterized by joint inflammation is part of which medical speciality? | Rheumatology |
| The total amount of blood pumped out of the heart in one minute is known as? | Cardiac output |
| Deceitful practice or false portrayal of facts either by words or conduct is the definiton of? | Fraud |
| Inflammation of a vein in conjunction with formation of a blood clot is known as? | Thrombophlebitis |
| Which of the following is an abnormal finding in the blood? | Bacteria |
| Which of the following is a common route for the administration of parenteral medications? | Injection |
| What is another term for pre-filled syringe? | Cartridge |
| Which of the following muscles is commonly used for instramuscular injections into the infant? | Vastus lateralis |
| What is the function of hemoglobin? | Carry oxygen from the lungs and to carry carbon dioxide from the tissues to the lungs |
| Guides used to monitor all aspects of patient care are known as? | QA indicators |
| Performing one's duties in the same manner as any other reasonable and prudent person with the same experience and training is referred to as? | Standard of care |
| A single order that is administered immediately and usually written for emergencies is known as? | STAT order |
| A very busy phlebotomist misidentifies the patient when collecting a speciment for transfusion preparation. The possible misdiagnosis of blood type could cause the patients's death. If the phlebotomist's action results in injury, this wrongful act is? | Negligence |
| Which of the following is a phlebotomy QA procedure? | Checking needles for blunt tips and small barbs |
| Which of the following tests is most likely used to test for inflammation, infectious disease, and malignant neoplasms? | ESR |
| What is the best way to prepare routine blood specimen tubes for transportation to an off-site lab? | Seal the tubes in plastic bags |
| What scenarios is an example of a phlebotomist's negligense? | Fails to report significant changes in a patient's condition |
| What specimens is least likely to require special handling? | Cholesterol |
| Critical values are also known as? | Panic values |
| What would be a pre-analytical error related to specimen storage? | Exposure to light |
| Which type of precautions would be used for a patient who has pulmonary tuberculosis? | Airborne |
| What is the abbreciation for the virus that causes acquired immune deficiency syndrome (AIDS)? | HIV |
| What describes a person who has recovered from a particular virus and has developed antibodies against that virus? | Immune |
| What is an example of a disease requiring droplet isolation? | Pertussis |
| What word is used to describe the breakdown of red blood cells? | Hemolysis |
| What does the lab abbreviation PT stand for? | Prothrombine time |
| what stopper colors identifies a tube used for coagulation testing? | Light-blue |
| How does heparin prevent blood from clotting? | By inhibiting thrombin |
| What is the purpose of an antiglycolytic agent? | It preserves glucose |
| What would result in lipemia? | High fat content from the blood |
| A patient with a high degree of jaundice typically has what symptoms? | Yellow skin and sclera |
| What is lymphostasis? | Obstruction of the flow of lymph |
| What is venous stasis? | Stoppage of the normal venous blood flow |
| Hemoconcentration from prolonged tourniquet application increases? | Non-filterable analytes |
| What is the difference between NPO and fasting? | Fasting allows the patient to drink water, whereas NPO does not |
| What are the best specimens to use for establishing inpatient refrence ranges for blood tests? | Basal state specimens |
| What is true when using a phlebotomy needle that does not have a safety feature? | It must be used with a holder that has a safety feature |
| Why should a laboratory report form state that a specimen has been collected by capillary puncture? | Because results can vary by specimen source |
| What is unnecessary when performing a routine venipuncture? | Disinfectant |
| Which tubes must be first in the order of draw? | Blood culture tubes |
| What is not a phlebotomist's duty? | Starting intravenous (IV) lines |
| What is a national organization that sets standards for phlebotomy procedures? | CLSI |
| Which type of contact infection transmission involves transfer of an infecting microbe to the mucous membranes from a susceptible individual by means of a cough or sneeze? | Droplet |
| What is a test of the respiratory system? | ABGs |
| What are the receiving chambers of the heart? | Atria |
| How is an individual's blood type determined? | Whether or not an antigen is present on the red blood cells |
| What veins is not an antecubital vein? | Femoral |
| What needle gauge has the largest lumen? | 18 |
| What government agency regulates the quality of gloves worn when performing phlebotomy procedures? | FDA |
| What department are test collected in a tube wtih a light blue stopper? | Coagulation |
| A tourniquet should never be left on for more than how long? | 1 minute |
| Ypu must draw a protime specimen from a patient with IVs in both arms. What is the best place to draw the specimen? | Below an IV |
| What is PKU? | A hereditary inability to metabolize phenylalanine |
| What test requires strict skin antisepsis procedures before specimen collection? | Blood culture |
| What may require special, "chain of custody" documentation when collected? | Drug screen |
| What is the hormone that is detected in positive urine pregnancy tests? | HCG |
| A tube containing heparin is collected between which two other tubes? | A serum tube and a EDTA tube? |
| WHat fluid is obtained by lumbar puncture? | Cerebrospinal |
| What is a urine C&S typically ordered to detect? | Presence of UTI |
| What statement describes proper centrifuge operation? | Place tubes of equal size and volume opposite one another |
| What kind of blood study includes examining the blood for its total number of formed elements and cell morphology? | Hematology |
| What best describes the type of analysis used when processing blood for transfusions? | Immunohematological |
| What sites is most commonly used in venipuncture to withdraw blood? | Median cubital vein |
| What is the female normal value range for a hematocrit reading? | 37% to 47% |
| Blood would be used for what kind of testing if it was collected in a vacum tube containing no additive? | Blood chemistries |
| Blood would be used for what kinf od testing if it was collected in a vacum tube contaning EDTA? | Hematology |
| What is considered the universal recipient? | AB positive |
| What commonly used disinfectants is used in the medial field and found to be effective against bloodborne pathogens? | Bleach |
| What is the most appropriate method for disposing of contaminated needles? | Place it in a biohazard sharps container located in the room where used |
| What is the most important step in achieving medical asepsis? | Washing hands |
| What solutions will help prevent the transmission of hepatitis? | Household bleach |
| How often should quality control tests be done for procedures performed in the offcie? | Daily |
| Which organization developed the guidelines for universal precautions? | CDC |
| According to OSHA, medical personnel must wear PPE when they have contact with which of the following patient specimens? | Blood |
| What is teh principal reason for bracing the hand holding the needleassembly against the patient's arm during phlebotomy? | To prevent excess needle movement |
| What is not appropriate when performing a capillary puncture? | Placing a tourniquet around the finger |
| When would a capillary blood sample be diluted with tissue fluid? | If the finger is squeezed excessively |
| Where is the most common micropuncture site on an adult? | Ring finger |
| After you have washed your hands, put on PPE, and assembled the equipment and supplies, what is your next step in obtaining a capillary blood sample? | Identify the patient |
| What can you do to lower the risk of bruising after venipuncture? | Apply pressure to the puncture site |
Created by:
Adrian510