NCCT Exam Flashcards
(49 cards)
Which of the following is the CLSI recommended micro-collection order of draw for a BMP, CBC, and Bilirubin?
Lavender, green, red
The patient on hemodialysis with a left AV shunt has undergone a right sided mastectomy and has an order for a STAT glucose. After consulting with the physician, the phlebotomist is told to perform a capillary draw. Which of the following sites should the phlebotomist use?
Left Ring Finger
A patient shares with the phlebotomist the last time he was in the clinic to have his blood drawn, he “became very dizzy and felt like the room was spinning” Which of the following actions should the phlebotomist take?
Encourage the patient to lie down during the venipuncture
A phlebotomist working in a hospital is collecting blood from a patient with very small, difficult veins/ Three tubes of blood need to be collected. The blue and green tubes fill easily and completely, but the lavender tube fills incompletely. Changing the lavender tube using the same draw also results in an incomplete specimen. Which of the following should the phlebotomist do next?
Re-Position the needle and recollect the lavender tube.
A phlebotomist has orders to collect blood specimens from a patient who has IVs in his right forearm and in the left antecubital area. Where should the phlebotomist collect a venous blood specimen
distal to the IV in the left arm
While performing a venipuncture, the phlebotomist removes the filled tubes, but forgets to remove the tourniquet prior to needle withdraw. Which of the following is the most likely result?
Hematoma
The phlebotomist is collecting a capillary sample from an infant. Following the collection, the phlebotomist holds firm pressure on the site until bleeding has stopped. How should the phlebotomist proceed?
Do not bandage.
A phlebotomist has active symptoms of the common cold. Under which of the following conditions may he perform venipuncture?
The phlebotomist may perform venipuncture provided he is wearing a mask and afebrile.
Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy?
Check controls on urinalysis reagent strips daily.
Which of the following precautions should be used for a patient with pulmonary TB?
Airborne and standard
Which of the following information is contraindicated for patient identification at the time of draw?
social security number
A tourniquet was left on the arm for an extensive period of time before the performance of a venipuncture. Which of the following is most likely to occur?
The blood specimen will be hemoconcentrated.
Which of the following statements best describes the reason antecubital veins are most desirable to use when performing venipuncture?
The tissue surrounding these veins is less sensitive, making the procedure less painful.
When performing a capillary puncture on an infant, which of the following is the reason for using the lateral heel instead of a finger?
The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely
The phlebotomist applies the tourniquet, but then has trouble relocating the vein after several minutes of palpation. Which of the following is an expected outcome in these test results?
Falsely elevated K levels from tissue damage.
A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the phlebotomists best option for collecting the largest amount of blood from this patient?
A micro-collection container.
A phlebotomist must collect type & screen, STAT electrolytes, D-Dimer, and estrogen. Which of the following correctly lists the appropriate additives for these tests in the CLSI recommended order of draw?
sodium citrate, non-additive, lithium heparin, potassium EDTA
Which of the following is the correct order of PPE removal prior to leaving the exam room of a patient who is in contact-droplet isolation?
gloves, gown, mask
Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist?
step test and urine reagent strip
The phlebotomist is drawing blood on an 88 year old patient that has multiple skin tears. Which of the following should be used to secure the 2x2 gauze sponge?
Coban
While performing a venipuncture to obtain a CBC and PTT, the phlebotomist punctures the skin, advances the needle, inserts the tube, but does not see a blood return. The phlebotomist should next:
try another tube.
A CMP is ordered for an older adult patient whose veins continue to collapse despite drinking water. Which of the following is the best collection method for this patient?
23-gauge butterfly needle and syringe.
Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?
annual employee safety training
The rubber sleeve at the end of a ETS venipuncture needle allows for:
drawing multiple tubes
