CERTIFIED PHLEBOTOMY TECHNICIAN EXAM, CERTIFIED
EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
define hemolysis - ANSWER: destruction of red blood cells
define expressed consent - ANSWER: permission given by patient verbally or in
writing for a procedure
define implied consent - ANSWER: the patient's actions give permission for the
procedure without verbal or written consent (ex., showing up to the emergency
room for care)
HIV consent - ANSWER: special permission given and needed for HIV testing
parental consent for minors - ANSWER: a parent or legal guardian must give
permission for procedures administered to underage patients (depending on state
law, between 18-21 yrs)
define point of care testing (POCT) - ANSWER: diagnostic testing at or near the site of
patient care (driving force = bringing testing & results conveniently and immediately
to the patient)
what does PPE for and what are 4 examples of it? - ANSWER: Personal Protective
Equipment. masks, gowns, gloves, goggles
what are 4 OSHA violations regarding laboratory standards? - ANSWER: eating in the
lab; drinking in the lab; applying makeup/chapstick in the lab; handling contact
lenses in the lab
is it ever okay to recap needles - ANSWER: no NEVER
what are the proper solutions used for decontamination (spray bottle solution &
mop bucket solution)? - ANSWER: spray bottle: 1 part Clorox to 10 parts water
mop bucket: 1 part Clorox to 100 parts water
what are the 4 types of OSHA compliance inspections? - ANSWER: complaint
inspections; fatality/accident inspection; programmed inspection; imminent danger
inspection
why is an OSHA "complaint" inspection conducted? - ANSWER: occurs after someone
files a formal complaint with OSHA (most common type)
,why is an OSHA "fatality/accident" inspection conducted? - ANSWER: occurs after
OSHA receives notice that a workplace fatality or accident (resulting in the
hospitalization of 3 or more employees)
why is an OSHA "programmed" inspection conducted? - ANSWER: programmed
inspections are conducted of randomly chosen workplaces engaged in particularly
hazardous types of work (according to Standard Industry Classification (SIC) Codes)
why is an OSHA "imminent danger" inspection conducted? - ANSWER: occurs when
OSHA receives a report of imminent danger that exists at a workplace (least common
type)
what are the 3 major veins located in the antecubital fossa, in order of preference? -
ANSWER: median cubical vein (middle); cephalic vein (outer); basilic vein (inner)
which vein (located in the antecubital fossa) is the preferred draw site for an obese
patient? - ANSWER: cephalic vein
what is another name for the "butterfly needle"? - ANSWER: winged infusion set
what should the angle of entry in a hand vein with the butterfly needle be? -
ANSWER: 5 degrees
what is another name for the sharps container? - ANSWER: needle disposal
container
what 6 pieces of information should be included on a requisition form? - ANSWER:
patient full name; DOB; ordering physician info; tests being requested; special
considerations (fasting, timed tests, postprandial, STAT, etc.); ICD10 code (diagnosis
code)
what does TANTACT stand for? - ANSWER: tourniquet; alcohol; tubes (always bring
an extra!); adapter; cotton; tape
what does postprandial mean? - ANSWER: after a meal
what are the 5 proper steps to end a blood draw? - ANSWER: 1) remove tourniquet
2) remove tube
3) (lightly!) place cotton/gauze over draw site
4) remove needle
5) activate safety & dispose of needle into sharps container
what does QNS stand for? - ANSWER: Quantity Not Sufficient
what are 5 ways you can make a difficult draw less difficult? - ANSWER: pre-warm
draw site (using infant heel warmer or warm towel); palpate site with a substantial
amount of alcohol ("rough it up"); tighten the tourniquet; lower the arm below the
, heart so the blow flows in that direction; hydrate the patient (water only!) for 15-20
mins before the draw
what is a bariatric patient? - ANSWER: obese patient
what is a geriatric patient? - ANSWER: elderly patient
what is a pediatric patient? - ANSWER: patient under 2 yrs old
what does APE stand for? (i.e., consider APE when drawing from pediatric patients) -
ANSWER: approach, positioning and equipment
what is edema? - ANSWER: buildup of fluid in the tissues
how young does a pediatric patient have to be in order to perform a heel stick? -
ANSWER: 2 yrs and under OR non-walking patient
what is the 2 stick rule? - ANSWER: never draw for a 3rd time!!
what are 3 examples of "landmarks"? - ANSWER: mole, hair, freckle
is it ever okay to stick a patient with the same needle twice? - ANSWER: no NEVER
what parts of the foot can you use as a draw site for heel sticks? (don't just say heel)
- ANSWER: literal and median plantar surfaces of the heel
should you draw blood from below or above an IV site? - ANSWER: always below,
never above
what should you do if a patient has IVs in both arms? - ANSWER: talk to the patient's
nurse or physician
which fingers of which hand can you use to perform a capillary puncture? - ANSWER:
3rd and 4th fingers of the non-dominant hand
what is a fistula? - ANSWER: a permanent surgical connection between an artery and
a vein (used for dialysis procedures)
what should you do if a patient has had a mastectomy? what if they have had a
double mastectomy? - ANSWER: if patient has had 1 mastectomy, draw from the
arm/hand not associated with the mastectomy. if the patient has had a double
mastectomy, draw from the foot if possible or talk to the patient's nurse or physician
what are 3 types of veins that tend to make for a difficult draw? - ANSWER: sclerosed
and/or scarred veins, rolling veins and collapsing veins
EKG TECHNICIAN NEWEST 2024 ACTUAL EXAM 230
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A
define hemolysis - ANSWER: destruction of red blood cells
define expressed consent - ANSWER: permission given by patient verbally or in
writing for a procedure
define implied consent - ANSWER: the patient's actions give permission for the
procedure without verbal or written consent (ex., showing up to the emergency
room for care)
HIV consent - ANSWER: special permission given and needed for HIV testing
parental consent for minors - ANSWER: a parent or legal guardian must give
permission for procedures administered to underage patients (depending on state
law, between 18-21 yrs)
define point of care testing (POCT) - ANSWER: diagnostic testing at or near the site of
patient care (driving force = bringing testing & results conveniently and immediately
to the patient)
what does PPE for and what are 4 examples of it? - ANSWER: Personal Protective
Equipment. masks, gowns, gloves, goggles
what are 4 OSHA violations regarding laboratory standards? - ANSWER: eating in the
lab; drinking in the lab; applying makeup/chapstick in the lab; handling contact
lenses in the lab
is it ever okay to recap needles - ANSWER: no NEVER
what are the proper solutions used for decontamination (spray bottle solution &
mop bucket solution)? - ANSWER: spray bottle: 1 part Clorox to 10 parts water
mop bucket: 1 part Clorox to 100 parts water
what are the 4 types of OSHA compliance inspections? - ANSWER: complaint
inspections; fatality/accident inspection; programmed inspection; imminent danger
inspection
why is an OSHA "complaint" inspection conducted? - ANSWER: occurs after someone
files a formal complaint with OSHA (most common type)
,why is an OSHA "fatality/accident" inspection conducted? - ANSWER: occurs after
OSHA receives notice that a workplace fatality or accident (resulting in the
hospitalization of 3 or more employees)
why is an OSHA "programmed" inspection conducted? - ANSWER: programmed
inspections are conducted of randomly chosen workplaces engaged in particularly
hazardous types of work (according to Standard Industry Classification (SIC) Codes)
why is an OSHA "imminent danger" inspection conducted? - ANSWER: occurs when
OSHA receives a report of imminent danger that exists at a workplace (least common
type)
what are the 3 major veins located in the antecubital fossa, in order of preference? -
ANSWER: median cubical vein (middle); cephalic vein (outer); basilic vein (inner)
which vein (located in the antecubital fossa) is the preferred draw site for an obese
patient? - ANSWER: cephalic vein
what is another name for the "butterfly needle"? - ANSWER: winged infusion set
what should the angle of entry in a hand vein with the butterfly needle be? -
ANSWER: 5 degrees
what is another name for the sharps container? - ANSWER: needle disposal
container
what 6 pieces of information should be included on a requisition form? - ANSWER:
patient full name; DOB; ordering physician info; tests being requested; special
considerations (fasting, timed tests, postprandial, STAT, etc.); ICD10 code (diagnosis
code)
what does TANTACT stand for? - ANSWER: tourniquet; alcohol; tubes (always bring
an extra!); adapter; cotton; tape
what does postprandial mean? - ANSWER: after a meal
what are the 5 proper steps to end a blood draw? - ANSWER: 1) remove tourniquet
2) remove tube
3) (lightly!) place cotton/gauze over draw site
4) remove needle
5) activate safety & dispose of needle into sharps container
what does QNS stand for? - ANSWER: Quantity Not Sufficient
what are 5 ways you can make a difficult draw less difficult? - ANSWER: pre-warm
draw site (using infant heel warmer or warm towel); palpate site with a substantial
amount of alcohol ("rough it up"); tighten the tourniquet; lower the arm below the
, heart so the blow flows in that direction; hydrate the patient (water only!) for 15-20
mins before the draw
what is a bariatric patient? - ANSWER: obese patient
what is a geriatric patient? - ANSWER: elderly patient
what is a pediatric patient? - ANSWER: patient under 2 yrs old
what does APE stand for? (i.e., consider APE when drawing from pediatric patients) -
ANSWER: approach, positioning and equipment
what is edema? - ANSWER: buildup of fluid in the tissues
how young does a pediatric patient have to be in order to perform a heel stick? -
ANSWER: 2 yrs and under OR non-walking patient
what is the 2 stick rule? - ANSWER: never draw for a 3rd time!!
what are 3 examples of "landmarks"? - ANSWER: mole, hair, freckle
is it ever okay to stick a patient with the same needle twice? - ANSWER: no NEVER
what parts of the foot can you use as a draw site for heel sticks? (don't just say heel)
- ANSWER: literal and median plantar surfaces of the heel
should you draw blood from below or above an IV site? - ANSWER: always below,
never above
what should you do if a patient has IVs in both arms? - ANSWER: talk to the patient's
nurse or physician
which fingers of which hand can you use to perform a capillary puncture? - ANSWER:
3rd and 4th fingers of the non-dominant hand
what is a fistula? - ANSWER: a permanent surgical connection between an artery and
a vein (used for dialysis procedures)
what should you do if a patient has had a mastectomy? what if they have had a
double mastectomy? - ANSWER: if patient has had 1 mastectomy, draw from the
arm/hand not associated with the mastectomy. if the patient has had a double
mastectomy, draw from the foot if possible or talk to the patient's nurse or physician
what are 3 types of veins that tend to make for a difficult draw? - ANSWER: sclerosed
and/or scarred veins, rolling veins and collapsing veins
