CPT (Certified Phlebotomy Tech) national exam practice questions

CPT (Certified Phlebotomy Tech) national exam practice questions A phlebotomist must choose the right tube color and additive for the corresponding _______? AnsLaboratory test When a new lot # or kit is opened Ans-When should a phlebotomist perform external liquid controls for quality control on a CLIA-waived point of care test? 1 to 2 minutes Ans-A phlebotomist is drawing 5 blood collection tubes. When should the tourniquet be released? Providone Iodine" Ans-What agent should a phlebotomist cleanse the skin with before drawing blood cultures? Blood cultures Ans-According to the CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first? Blood cultures coagulation electrolytes glucose levels SST (serum separator tube) Ans-Which of the following is appropriate to use when collecting for a chemistry test that requires serum? SST SPS EDTA PST saturate each circle Ans-After performing a heel puncture for neonatal screening, which of the following is the correct procedure for collecting the blood? Smear the blood on the circle saturate each circle touch the heel to the center of the circle drop the blood on the circle Release the tourniquet and stop the draw Ans-A phlebotomist observes a hematoma developing at the site of a venous blood draw. The phlebotomist should?? When a patient is tested Ans-When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? Ask the patient when she last ate or drank Ans-The phlebotomist needs to draw a glucose tolerance test (GTT) on a patient and notices an empty breakfast plate on the bedside table. Which of the following actions should the phlebotomist take? EDTA Ans-Tubes with what additive should be used when collecting a sample for CBC Arterial blood gases Ans-When preparing for transport, what specimens must be placed into an ice bath within 30 minutes after collection? An incorrect needle gauge Ans-Which of the following actions would result in a grossly hemolyzed specimen? An incorrect order of draw applying the tourniquet too close to the draw site failure to invert the tube an incorrect needle gauge Below the IV Ans-The phlebotomist must perform a blood draw on a patient with an IV on the right side, and there has been a mastectomy on the left side. Where should the phlebotomist perform the venipuncture? Don't draw until the nurse has attached a wristband to the patient Ans-Before collecting blood on an inpatient, the phlebotomist notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following is the proper action? O2 levels Ans-A phlebotomist receives orders to draw an infant screening card, O2 levels, bilirubin and DNA. Which of the following should be drawn first? Bilirubin O2 levels DNA Screening card The biohazard bag prevents a possible exposure incident Ans-Why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory? 15 to 30 degree angle Ans-Industry standard states that needle insertion in the antecubital area should be at?? Dorsal veins Ans-Some older adults or obese patients may not have accessible antecubital veins. In this situation, the phlebotomist may use which of the following? Initial and mark date/time on each tube Ans-Before leaving the patient's room, which of the following actions is required for the phlebotomist to take? Check for breathing Ans-During a draw, the patient becomes unresponsive What is the next action the phlebotomist should take? Inspect the integrity of the needle's seal Ans-What action should a phlebotomist take to verify the quality of veinpuncture supplies before beginning a blood draw on an adult patient? Engage the needle safety device Ans-Which of the following is the next step after removing the needle from the patient's arm? Ask the patient to open his fist remove the tourniquet engage the needle safety device invert all tubes To determine if the patient is at risk for developing iatrogenic anemia Ans-Why should the phlebotomist document the total volume of blood drawn from a patient? Wear gloves when contact with blood is anticipated Ans-Phlebotomists should comply with which of the following OSHA requirements specific to the venipuncture procedure? Wear gloves when contact with blood is anticipated wear safety glasses if spashes, spray, splatter or droplets of blood may be generated Recap contaminated venipuncture devices to reduce exposure incidents Green, lavender, gray (G,P,G) Ans-Which of the following indicates the correct order of draw? Lavender, green, gray Gray, green, lavender Green, gray, lavender Green, lavender, gray Inform the patient to contact the ordering physician to get the results Ans-A patient comes in to find out his test results. The phlebotomist notices the results are ready and verifies the patient's identity. Which of the following action is most appropriate? 2-10 degrees C Ans-The phlebotomist draws a CBC at the physician's office at 1800. The laboratory closed at 1730 and will not process specimens again until 0500. Which of the following is the proper temperature for preserving the specimen? 37-39 degrees C 15-30 degrees C 2-10 degrees C -20 to -10 degrees C Verbal, wrist band Ans-which of the following are appropriate forms of ID in the inpatient setting? Verbal, wrist band Medical chart, nurse Family member, driver's license Clergy person, physician Test requisition Ans-What is the first step in the blood collection procedure? (have to have orders before anything can be drawn obviously) Median cubital Ans-When collecting a routine blood sample, which of the following vessels should the phlebotomist attempt to draw from first? A transfusion reaction Ans-What is a potential consequence of mislabeling a blood bank specimen? benzalkonium chloride (BZK) Ans-What is an appropriate cleanser for cleansing around the urinary meatus in a clean-catch urine collection? Veins are inaccessible Ans-Capillary specimen collection is preferred over venipuncture when? Perform the venipuncture Ans-Before a phlebotomist performs a venipuncture, the patient warns that he is HIV positive. According to OSHA regulations, after donning gloves, the phlebotomist should? The incorrect data may be reported to the healthcare provider Ans-Which of the following outcomes is the most damaging if data is entered incorrectly into the automated laboratory information system? Implied consent Ans-A phlebotomist is preparing to draw blood from a patient in the hospital. The patient extends his arm and turns his head away. What type of consent does this indicate? The lab rejects the mislabeled specimen Ans-A physician orders a STAT specimen but the phlebotomist forgets to fill out the patient ID number. What is the appropriate procedure for an improper labeled specimen once the outside lab receives it? Send the results to the physician in a marked envelope Ans-What is an example of the acceptable reporting of routine lab results? The median cubital vein could be more accessible on one side then the other Ans-The phlebotomist should examine the antecubital veins of both arms for which of the following reasons