CPT Phlebotomy Exam Study Guide

CPT Phlebotomy Exam Study Guide 2023 What is phlebotomy? Ans-The process of drawing blood What is a phlebotomist? Ans-A trained professional in blood drawing Which of the following is a part of a phlebotomist's POC job related duties? Ans-Taking blood pressure, instructing patients on urine specimen collection, and performing POC testing All of the following are true about laboratory safety Ans-Protect your feet from spills, always wear required personal protection equipment As written in the Patient Care Partnership from the American Hospital Association, the patient has the right to: Ans-High quality care, protection of privacy, help with billing claims Certification is evidence that: Ans-The phlebotomist has demonstrated proficiency in the area of blood drawing Which of the is OSHA required personal protection equipment? Ans-Goggles, chin-length face shield, full-length lab coat The Clinical Laboratory Improvement Act of 1988 follows guidelines and standards set by the: Ans-CLSI Samples collected from a patient in a nursing home are sent to the: Ans-Reference laboratory Quality assurance for laboratory personnel includes all of the following Ans-Specimen collection procedures, Specimen transport processes, Specimen processing policies Personal protection equipment must be provided by the Ans-Employer Which of the following personal protection equipment must a phlebotomist use when performing a skin puncture or venipuncture? Ans-Gloves Under HIPPA, protected health is defined as: Ans-Any part of a pt's health information that is linked to information that identifies the pt. Employers must provide vaccination against what free of charge? Ans-Hep B Which of the following would be a reason for a rejection of a specimen by the lab? Ans-An ESR has been collected in a red-topped tube The quality of the test result depends on: Ans-The time between collecting the specimen and analyzing the specimen The purpose of Total Quality Management is to: Ans-Check machinery with automated procedures, ensure that proper laboratory procedures are being followed, ensure that adequate patient care is being provided. A specimen may be rejected by the lab if: Ans-The tube was not initialed, the blood is hemolyzed, the tube was not transported properly. Transport bags have a separate compartment (pouch) for the requisition to: Ans-Prevent contamination if the specimen leaks Acceptable methods of identifying a patient include: Ans-Ask the pt to give his or her name and DOB, check the pts ID band, ask the pt to present a photo ID What is the proper procedure for a phlebotomist to follow if a physician or member of the clergy is in the pts room at the time of draw? Ans-Return at another time if the specimen is not a stat request Most tubes that containing additives should be inverted: Ans-5 to 8 times The lavender topped tube contains: Ans-EDTA The green topped tube contains: Ans-Heparin The yellow topped tube contains: Ans-SPS or ACD The glass red topped tube contains: Ans-No additive Which of the following tubes contains sodium fluoride and potassium oxalate? Ans-Grey topped tube Which of the following tubes would hold a glucose specimen for 24 hours? Ans-Grey topped tube In which tube would a phlebotomist collect an erythrocyte sedimentation rate? Ans-Lavender topped tube Cardiac enzymes are drawn in a: Ans-Red topped tube Which of the following tubes yield a serum specimen? Ans-Red topped tube Coagulation studies include all of the following: Ans-Prothrombin time, Partial thromboplastin time, and platelet function Why should a red topped tube be drawn before a green topped tube? Ans-Since there are no additives in the red topped tube, it cannot contaminate the green topped tube. Which of the following is false for blood culture collection? Ans-The culture must be collected in the red and marble topped tube and a tourniquet is not used for blood culture collection. Which is true for arterial blood gas collection? Ans-The area must be prepped with iodine before the draw. A heparinized needle and syringe are necessary in the collection of: Ans-ABG A Hemogard top: Ans-Is a plastic top that fits over the stopper, is used to reduce aerosol and splattering of blood Cold agglutinin test must be maintained at a temperature of: Ans-32 degrees F Chilling a specimen will: Ans-Maintain the stability of the specimen during transport Specimens for the following test must be kept chilled Ans-Ammonia, Pyruvate, and Lactic Acid When labeling a tube all of the following must be placed on them Ans-Pt's name, date, time of draw, and phlebotomist initials What is not needed for a routine phlebotomy procedure? Ans-Iodine What additional equipment may be needed when drawing blood from a patient in the premature nursery? Ans-Additional PPE (because they are immunocompromised) The depth of a heel puncture cannot exceed Ans-2mm The tourniquet is placed how many inches above the site of draw Ans-3-4 inches When a tourniquet is left on too tight, capillaries may rupture, causing Ans-Petechiae What is true when using a tourniquet during a phlebotomy procedure? Ans-Never tie a tourniquet on open sores, tying a tourniquet too tightly can cause petechiae, leaving on too long can cause hemoconcentration Phlebotomist must inspect the needle for: Ans-burrs, expiration date, and bevel facing up The smaller the needle Ans-The larger the gauge A butterfly needle should be used on: Ans-Pts with sclerosed veins and one tube being drawn, on adults' dorsal and metacarpal veins, on pediatric and geriatric pts A tube holder is used to connect and evacuated tube to: Ans-Ensure a firm, stable connection between them The proper way to dispose of a needle is to: Ans-Put it a sharps container, without recapping, immediately withdrawing it from a patient In making a selection, the phlebotomist should consider which of the following before a venipuncture Ans-Scars or burns, edema, mastectomy What is the correct way for ending the phlebotomy procedure Ans-Remove the tourniquet, remove the tube, place the gauze, remove the needle, apply pressure, and discard the needle in the sharps container. The most commonly occurring complication in phlebotomy is: Ans-Hematoma A tourniquet that has been left on too long can cause: Ans-Petechiae, hemolysis, hemoconcentration What should a phlebotomist do first if a pt has syncope during a phlebotomy procedure? Ans-Remove the needle and tourniquet, and apply pressure What are the signs and symptom of syncope? Ans-Cold, damp, clammy skin Blood that has seeped from a vein into tissue is called: Ans-Hemotoma Which of the following my cause vein occlusion? Ans-Sphygmomanometer What complication may occur if the phlebotomist punctures a bone? Ans-Osteomyelitis Veins that are hard and cordlike are called: Ans-Sclerosed The term that means the rupturing of red blood cell is: Ans-Hemolysis High bilirubin levels can lead to: Ans-Jaundice, which can lead to brain damage Thrombosis Ans-Clot formation within blood vessel Which of the following will cause a shortened bleeding time in a bleeding time in a bleeding time test? Ans-Hair at the incision site A hematoma can be prevented if: Ans-Pressure is applied on the vein until bleeding stops completely Aspirin may affect a pts: Ans-Bleeding time In a CSF collection, the phlebotomist will: Ans-Transport the specimen to the lab Midstream clean catch urine collection are: Ans-Obtained by a phlebotomist and collected in a sterile container The process for collecting amniotic fluid is known as: Ans-An amniocentesis The amniotic fluid must be: Ans-Transferred into a sterile container, protected from light, transported immediately to the lab for analysis Prompt delivery to the lab of semen samples is necessary to determine what: Ans-Viability in fertility