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RPT practice test (AMT certification) With Complete Solution The process by which complex substances are broken down into simple substances is called - AnswerCatabolism When a patient develops syncope during a venipuncture, the phlebotomist should first: - Answerremove the tourniquet and needle and then call for help. Which substance has a higher concentration in capillary blood than in venous blood? - AnswerGlucose is normally higher in capillary blood compared to venous blood and Potassium, Calcium and Total Protein are normally lower If a patient is critical or an antibiotic needs to be given right away, and two blood culture sets are collected - AnswerWhen more than one set of blood cultures are ordered to be collected at the same time, the second set should be obtained from a separately prepared site on the opposite arm if possible When performing a capillary blood collection, the first blood drop is wiped away because - Answerthe first drop typically has more tissue fluid Why is it necessary to wipe the first drop of blood away when performing a capillary procedure? - Answerto eliminate excess tissue fluid;To reduce interstitial fluid contamination The color-coded tube that is most frequently associated with coagulation tests is - Answerlight blue How far above the venipuncture site should the tourniquet be wrapped around the arm? - Answer3 to 4 inches How long should a tourniquet be placed around a patient's arm? - AnswerNo more than one minute When is a phlebotomist allowed to perform a venipuncture on an ankle vein? - AnswerWhen all other options have been exhausted and the physician has given approval Prior to bandaging the puncture site the phlebotomist should - Answerexamine the site for bleeding During venipuncture, a hematoma may result from which of the following? - AnswerNeedle bevel is partially inserted into a vein Alcohol should be allowed to dry completely prior to skin puncture to - Answerprevent lysis of red blood cells When palpating, a vein having which one of the following characteristics would be most appropriate to select for venipuncture? - AnswerBouncy Following venipuncture, which of the following should be applied to the venipuncture site? - AnswerClean, sterile gauze pad What is the preferred method for infant blood collection? - AnswerCapillary Which of the following actions could cause the formation of a hematoma? - AnswerThe needle penetrates all the way through the vein what is the most critically affected analyte in a hemolyzed specimen - AnswerPotassium The heel is the recommended site for collection of capillary puncture specimens on infants and the phlebotomist is going to stick in the posterior curvature of the heel. Is this correct? - AnswerNo the medial plantar surface of the heel is the best site to prevent possible bone damage You have properly prepared the antecubital venipuncture site, you have the corrrect collection device and enter the vein at a 20 degree angle. Is this the proper angle of insertion? - AnswerNo, 30 degrees is the correct angle for the needle to be inserted into the skin If blood begins to flow and then stops when an evacuated tube is pushed into the needle the most likely cause is the - Answerbevel of the needle resting against the vein wall. Petechiae are tiny, nonraised red spots on a patient's skin when the tourniquet is applied. This indicates, that - AnswerPetechiae, the tiny red spots, are minute drops of blood that escapes from the capillaries and comes to the surface of the skin below the tourniquet and indicate that the venipuncture site may bleed excessively When is a phlebotomist allowed to use ankle veins to draw blood? - AnswerWith a physician's order The most critical part of a blood culture collection is - Answerskin antisepsis of the collection site Swelling caused from blood leaking from a blood vessel is - Answerhematoma If serum is left to remain on the blood clot for more than one hour, which of the following most likely will occur? - AnswerSerum glucose levels decrease The liquid portion of an anticoagulated blood specimen is called - Answerplasma A collapsed vein will cause a - Answerlf a vein collapses during venipuncture there will be a cessation of blood flow. The main reason not to use expired evacuated tubes for blood specimen collection is - Answerthey may exhibit incomplete filling. When blood is inoculated into blood culture bottles using a butterfly apparatus the is aerobic or the anaerobic bottle to be filled first? - Answeraerobic bottle in inoculated first. You have to draw a 7 year old child for some blood work, what would be the best approach you should use when it is a child getting blood drawn? - AnswerExplain what you are going to do in simple terms and ask the child for his or her cooperation. Which of the following tubes is normally used to collect a serum sample? - Answerred top When a patient states that he or she has a needle phobia, the phlebotomist should - AnswerHave patient lay down during procedure It is mandatory the patients phone number is on a label of a blood specimen collected for blood transfusion testing? - AnswerFalse Apply firm pressure to the site of an arterial blood draw for how long - Answer3-5 minutes NPO status of the patient and time of last meal is required to be on the label of a blood bank specimen - AnswerFalse Having patient bend elbow to apply pressure can cause - Answerhematoma formation which anticoagulants is found in a green-topped blood collection vacuum tube? - Answersodium/lithium heparin Askin puncture is preferred over a venipuncture when the patient - Answerhas severe burns. What antiseptic should the phlebotomy technician use to collect a blood culture? - AnswerChlorhexidine gluconate As the phlebotomist, you have just completed drawing the last blood sample tube, you place gauze over the puncture site, remove the needle from the arm, activate the needle safety device and then release the tourniquet before applying pressure. Is this the correct sequence of steps? - AnswerNo the tourniquet should be released first before the gauze pad is place over the puncture site A basal-state specimen, used to establish reference ranges for inpatients, is best collected - Answerearly in the morning, after fasting for 12 hours If a vein feels hard and thready like when palpated, then this vein may be - Answersclerosed A blood sample is needed from a dialysis patient is it acceptable to draw from the hand vein - Answeryes a hematoma, and arm with and IV and an arm with a fistula are all areas where... - Answerblood should not be collected By bracing the hand while holding the needle assembly against the patients arm you prevent - Answerexcess needle movement What instrument may be used when trying to visualize the veins during venipuncture? - AnswerVenoscope A serum or plasma specimen containing abnormally increased fatty substances from animal or vegetable origin is described as - AnswerLipemic After the last tube is filled, which of the following is done next? - AnswerFilled tube is removed from the holder Serum tube, heparin tube, EDTA tube proper draw sequence? - AnswerYes The phlebotomist would collect a blood sample in a tube containing the anticoagulant sodium citrate (which inhibits glycolysis) for which type of laboratory test? - AnswerErythrocyte Sedimentation Rate (ESR) The anticoagulant heparin is used in tubes with tops of what color? - AnswerGreen Which of the following conditions would be most likely cause hemoconcentration? - AnswerDehydration What abnormal color will be observed in serum collected from a patient with jaundice due to elevated bilirubin levels? - AnswerYellow Specimens are scheduled for collection at specific times for different reasons. Which of the following is most likely not a factor? a. Measuring the body's metabolism of the test substance b. The substance exhibits diurnal variation Incorrect c. Patients must be tested 2 hours before meals d. To determine blood levels of medications prior to next dose - AnswerC The phlebotomist has prepared the patient's arm and found the basilic vein. Has the phlebotomist selected the preferred vein site for venipuncture? - AnswerNo, the medial cubital vein is preferred If additive contamination occurred from an EDTA evacuated tube, what test would potentially be affected? - AnswerPotassium levels Which of the following would be the very first step in performing a routine venipuncture on a patient? a. Identify the patient Incorrect a. Tightly apply tourniquet b. Selecting median cubital vein c. Using 23 gauge needle d. Anchoring the vein while inserting the needle. - AnswerD A falsely decreased blood alcohol level may be obtained if - AnswerThe tube is only partially filled An anticoagulant is used when collecting a sample for a blood glucose test because its ability to inhibit glycolysis. What colored stopper would be found on an evacuated blood collection tube used for this purpose - AnswerGray The term calcaneus refers to - Answerthe heel bone in the foot The phlebotomist has to prepare a blood smear for a leukocyte alkaline phosphatase (LAP). What is the correct procedure? Select one: a. Perform the skin puncture and touch the slide to first drop of blood b. Perform the skin puncture and smear the slide with the first drop of blood c. Perform the skin puncture, wipe away the first drop of blood and then touch the slide to the next drop of blood d. Perform the skin puncture, wipe the first drop and then get a large drop and place in center of slide and place a cover slip over the drop - AnswerC what is the best technique to employ if blood is not obtained upon needle insertion? - AnswerGently advance the needle or gently pull back slightly A postprandial specimen is collected - AnswerDirectly after a meal is consumed pneumatic tube is used when - Answertransporting patient specimens to the hospital laboratory Urrinary tract infections are the most prevalent infections - Answernosocomial A quality fasting urine specimen is collected - Answer8 hours after eating Testing for human chorionic gonadotropin assesses the status of - Answerpregnancy in women A specimen that requires chilling for transport to the lab should be placed in - Answera container immersed in a slurry of crushed ice and water. Catheterization is performed for what reason? - AnswerTo obtain a sterile urine specimen and to relieve urinary retention A urine sample collected for a glucose tolerance test (GTT) must contain what additional information on the label? - AnswerTime of collection What is proper collection of a sputum specimen - AnswerMucus is coughed up from deep in the lung and expel sputum into a sterile cup When an outpatient reports a history of syncope the phlebotomy technician should - Answerrequire the patient to lie down during the venipuncture A pregnant patient who tells you that she is having pain during urination or in the kidney area may be experiencing - Answerurinary infection or kidney stones A sweat sample collected by forearm stimulation with the use of pilocarpine nitrate is a The most common venipuncture site is located in which one of the following areas? - AnswerAntecubital area of the arm what is the single, most important factor in collecting an uncontaminated blood culture? - AnswerProper collection site preparation The guaiac card occult blood test is commonly performed on what type of sample? - AnswerStool Which of the following is a point of care test (POCT) used in diagnosing problems with hemostatis? - AnswerBleeding times What type of catheter is used to collect specimens or to instill medications? - AnswerStraight Exposure to light decreases concentrates in certain specimens. These specimens must be protected from light to prevent analytical errors. Which of the following needs to be protected from light? - AnswerAmmonia What is POCT? - AnswerPoint of care testing Which of the following is the most common injury occurring during venipuncture if the procedure is NOT performed according to standards? - AnswerNerve injuries or hematoma The standard urine value for protein is - AnswerNegative Residual urine is - Answerurine that remains in the bladder after urination A medical subspecialty that focuses on the diagnosis and treatment of patients with conditions resulting from an unexpected medical crisis or accident is - AnswerEmergency medicine What is the name for finding employment opportunity information by talking with other people? - AnswerNetworking Bilirubin concentration decreases by what amount following one hour of exposure to light? - Answer50% The branch of surgery that works to maintain function of the musculoskeletal system is called - AnswerOrthopedics How long does the College of American Pathologists (CAP) recommend discontinuing drugs that interfere with blood tests prior to a procedure - Answer4-24 hours the most common type of urine sample that may be obtained at any time of the day? - Answerrandom urine A physician must be consulted prior to performing a venipuncture or capillary puncture on - Answera prior masectomy patient The term used to describe when the body is still at rest, approximately 12 hours after the last intake of food, exercise, or activity is the - Answerbasale state Which of the following would require the most attention when scheduling specimen collection assignments? Select one: a. 24-hour urine specimens b. Random urine specimens c. Tolerance test specimens Correct d. Urine culture and sensitivity specimen - AnswerC; tolerance test specimens the only person present. The technician should - Answeranswer the phone and immediately transfer to the proper department Language limitations, cultural diversity, and hearing loss are examples of - Answerbarriers to communication The process of communication occurs in a loop. Which of the following is not included in the communication feedback loop? Select one: a. Message b. Sender c. Feedback d. Trust - AnswerD When the phlebotomist identifies with their patient's feelings or thoughts, they are exhibiting - Answerempathy A patient calls on the phone that is very angry over a laboratory error. Which of the following responses would be best made by the phlebotomist? Select one: a. "I can't help you when you're angry. Please call back when you calm down" b. "I'm sorry. I'm sorry. I'm sorry." c. "| understand why you are upset. Let me see what I can do." d. "Please calm down. | can't help you until you are reasonable." - AnswerC Facial expressions made by the phlebotomist are an example of - Answernon-verbal communication is verbal or nonverbal evidence that an individual received and understood a message - Answerfeedback When you are on the phone with a caller and you need to pick up another call, it is appropriate to - Answerask the first caller if they can be placed on hold while you find out what the other caller needs. The physician orders peak and trough blood specimens for therapeutic drug monitoring of a drug taken orally. You collect the peak specimen at the appropriate time. You should then instruct the patient to return for the trough specimen - AnswerJust before the patient takes their next dose Which of the following would be used to store data outside the CPU? - AnswerUniversal Serial Bus (USB) Some fax machines use thermal paper, which - Answerreacts to heat and electricity what would be scanned by a laboratory to identify patient or specimen - Answerbarcode What is the study of an individual's concept and use of space? - Answerproximecs Which of the following information on a specimen label is not optional? Select one: a. Computerized barcode b. Laboratory accession number c. Volume of anticoagulant tube d. Time specimen was collected - AnswerD National Patient and Safety Goals (NPSGs) are developed and maintained by - AnswerThe Joint Commission The chain of infection requires - Answera susceptible host Which agency should a medical facility contact for proper information regarding the disposal of medical waste? - AnswerOSHA The federal law designed to protect patient health information is - AnswerHealth insurance portability and accountability act which fire extinguishers should be used when a fire occurs in or near electrical equipment? - Answerclass C or class ABC precautions reflects the concept that all patient blood and body fluids are contaminated? - Answeruniversal What is the first step the phlebotomist should take if the patient faints or vomits during a venipuncture? - AnswerStop the procedure immediately Which of the following statements is inaccurate with regard to the use of gloves when drawing blood? Select one: a. Gloves prevent contamination of the hands when handling blood or body fluids. b. Gloves only protect the wearer against the transmission of viruses. c. Gloves help prevent the transfer of infectious microorganisms from one patient to another. d. Gloves prevent the transfer of microorganisms from the phlebotomist's hands to the patient. - AnswerB Where is the most appropriate place in a clinical setting to find information on a substance's hazards and recommended safety precautions? - AnswerThe MSDS Personnel drawing blood must follow Standard Precautions, which include all of the following except Select one: a. wearing appropriate personal protective equipment. b. hand washing only when soap is available. c. using needles with safety devices. d. proper disposal of used needles. - AnswerB Which of the following is an allergen commonly present in blood collection equipment? - AnswerLatex Gloves worn for phlebotomy should be changed - AnswerBetween each patient contact When using ergonomic principals when lifting, always - Answerbend knees, keep back straight, do not stoop A patient has come in for a blood draw. The phlebotomist cleanses the patient's skin with a Betadine® swab and notices that the patient's skin has turned red and bumpy. What question should the phlebotomist have asked prior to the cleansing? - Answerdo you have an allergy to iodine Blood specimens should be drawn according to standards of the - AnswerClinical and Laboratory Standards Institute (CLSI) when a patient's leg healed incorrectly because of the way the cast had been applied is an example of cause - Answerdirect for - Answerassault “RESPONDEAT SUPERIOR" is Latin for - AnswerLet the master answer Red blood cells are known as - Answererythrocytes The majority of CO2 is transported through the circulatory system from tissue cells to the lungs as - Answerbiocarbonate ions Pulmonary circulation refers to the - Answerblood flow to the lungs and back to the heart another name for platelet is - Answerthrombocyte Cardiac muscle is stimulated by what type of nervous system? - Answerautonomic Oxia, capnia, pnea, and spiro are word parts that refer to what body system? - AnswerRespiratory The insertion of a needle into a vein for the purpose of withdrawing blood is - Answerphlebotomy Which of the following body systems provides support and allows the body to move? - Answerskeletal Which of the following is a digestive enzyme commonly tested for in the laboratory? - Answerlipase Laboratory tests used to assess the endocrine system include all of the following except: RPT practice test (AMT certification) with complete solutionsRPT practice test (AMT certification) with complete solutionsRPT Select one: a. Aldosterone b. B type natriuretic peptide c. Cortisol d. Erythropoietin - AnswerB type natriuretic peptide what is the abbreviation for the blood group system? - AnswerABO The process of clotting is called - Answercoagulation Of the following, which is the least desirable, vein to use for venipuncture? Select one: a. median cubital vein. b. cephalic vein. c. basilic vein. d. median cephalic vein. - AnswerC What system maintains balance between water, salts and acids? - AnswerUrinary system The physician order says to puncture the skin, which of the following would the phlebotomist perform? Select one: a. Venipuncture b. Dermal puncture c. Phelbotomy RPT practice test (AMT certification) with complete solutionsRPT practice test (AMT certification) with complete solutionsRPT 
