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NCCT CPT-1 Practice
NCCT Official Review for National Certified Phlebotomy Technician
|The forearm vein most commonly used for venipuncture is the -
|The smallest veins in the human body are known as -
|The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called -
|Characteristics of capillaries include -
|having thin walls, forming microscopic pathways, and connecting arterioles with venules
|Within capillaries, blood cell functions include -
|releasing oxygen, binding carbon dioxide, and eliminating waste
|The heart, lymphatic organs, and blood vessels are in the - - system.
|The suffix -URIA at the end of a medical term refers to what body location?
|The study of blood is known as -
|The liver, stomach, mouth, and pancreas are in the - - system.
|The most important step to insure accuracy in sample collection is -
|identifying the patient properly.
|The bladder, urethra, kidneys, and ureters are in the - - system.
|The trachea, nose, lungs, and pharynx are in the - - system.
|The sebaceous glands, skin, hair, and nails are in the - - system.
|The body system that is a primary regulator of hormones is the - - system.
|Neutrophils, eosinophils, basophils, lymphocytes, and monocytes are types of -
|white blood cells.
|The common name for the thrombocyte is the -
|The liquid portion of an anticoagulated blood sample is known as -
|The instrument that measures blood pressure is called a -
|An artery can be distinguished from a vein because an artery will be -
|Lancets are used to collect blood samples by -
|capillary or skin puncture.
|The abbreviation VAD is commonly used in hospitals to refer to -
|venous access devices.
|To determine the size of a needle, remember that the higher the gauge, the -
|smaller the needle bore.
|Adult capillary punctures most often involve the use of the - - finger(s).
|third and fourth (middle and ring)
|A centrifuge is used in a clinical laboratory setting to -
|separate liquid from cells in blood.
|The oral glucose tolerance test is used for the detection of -
|Use a - -topped evacuated tube for collection of blood for a CBC test.
|Use a - -topped evacuated tube for collection of blood for electrolyte testing.
|red (or green for STAT orders)
|Use a - -topped evacuated tube for collection of blood for cholesterol testing.
|Sodium citrate is an anticoagulant of choice for coagulation studies because it protects -
|When preparing a blood smear directly from a skin puncture, it is best to -
|wipe away the first drop of blood.
|The purpose of doing blood cultures is to detect -
|Anticoagulants are used to -
|prevent blood from clotting.
|White blood cells help the body by -
|defending against foreign invaders.
|Platelets help circulation by -
|participating in hemostasis.
|When blood seeps into the surrounding tissue during venipuncture, a - - may form.
|In a patient with a clotting disorder, pressure should be applied to the puncture site for at least - - minutes after venipuncture to insure blood stoppage.
|Skin punctures may be indicated for use when -
|1)the patient is an infant, toddler, or preschooler, 2) only a small amount of blood is needed, or 3) patient veins need to be preserved for IV therapy.
|All specimens should be labeled with -
|1) Patient's name, D.O.B., and numeric ID) 2) Date and time collected 3) Collector's initials
|One test often used to assess hemostasis before surgery is -
|One possible cause of unexpected clotting in an anticoagulated blood tube might be -
|When performing a venipuncture, position the bevel of the needle -
|facing up (you should be able to see the opening).
|If blood does not appear in an evacuated tube upon venipuncture, the phlebotomist's first course of action should be to -
|slightly reposition or turn the needle.
|Redirecting a needle during venipuncture is sometimes necessary when -
|1) the vein was not properly anchored, 2) the patient moves unexpectedly, 3) blood flow starts, then stops.
|A vein might be prone to collapse if the -
|vacuum tube is too large for the vein, or the syringe plunger was pulled back too quickly.
|Hemolysis would cause rejection of a sample collected for - - testing.
|If a patient is prone to syncope during venipuncture, the phlebotomist should -
|watch in case of fainting.
|A tube of blood that arrives in the laboratory without a label must be -
|If a blood sample must be collected 2 hours post-prandial, the phlebotomist should collect the sample -
|2 hours after a meal.
|Knowing when to collect peak and trough levels is important when drawing -
|A pre-warming technique may be used to -
|increase a patient's tendency to bleed.
|The role of all anticoagulants is ultimately to prevent formation of -
|The anticoagulant EDTA works by -
|If the tourniquet is not released before the needle is withdrawn from the arm during venipuncture, this will most likely result in -
|bleeding from the site.
|The bilirubin test is - - sensitive.
|The - - must be followed exactly whenever drawing patient test samples that may be used in a legal proceeding.
|Chain of Custody
|The anticoagulant SPS (sodium polyanetholesulfonate) is recommended for use in blood cultures because it -
|does not inhibit bacterial growth.
|Before entering an inpatient room if the door is closed, phlebotomists should always -
|Check for isolation signage, knock, and ask for permission to enter.
|Before entering designated isolation rooms, phlebotomists should always -
|check requirements on signs.
|The single most important means of prevent the spread of infection in a hospital is by -
|The most prevalent type of nosocomial infections are -
|urinary tract infections.
|Phlebotomists have a statistically greater chance of contracting - - in a work-related accident than they do of contracting AIDS.
|AIDS is caused by -
|the HIV virus.
|When performing heelsticks on infants in a hospital nursery, it is important to never -
|share supplies from one infant to another.
|When delivering blood samples to a laboratory, they should always be transported inside -
|sealed plastic bags.
|If a biohazard spills in the laboratory, a phlebotomist should first try to -
|contain the spill safely.
|According to OSHA, a contaminated needle may be safely discarded into a -
|In most hospitals, a phlebotomist with a cough may draw from a patient provided the -
|1) Patient is not in reverse isolation 2) The phlebotomist does not have a fever 3) The phlebotomist wears a mask
|When drawing blood from pediatric inpatients, a phlebotomist can increase the safety for the patients by -
|1) Using a smaller bore needle and smaller collection tubes 2) Getting help to hold the patient securely during the draw 3) Making sure the bed-rails are left raised if found that way
|To eliminate bacteria from the skin of a bacterial culture venipuncture site, - - is sometimes used in addition to alcohol in the skin cleansing process.
|The term that refers to right and wrong conduct is -
|An unlawful threat or attempt to do bodily injury is -
|Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called -
|Negligence by a professional person is called -
|Information given by a patient to medical personnel that can not be disclosed without consent constitutes -
|Permission granted by a person voluntarily (and in his right mind) is -
|A phlebotomist who attempts to draw blood without sufficient training could be accused of - - if the procedure is performed incorrectly, causing harm to the patient.
|Forcing venipuncture on a patient who has refused it would be considered -
|The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called -
|Conduct, courtesy, and manners, customary in the medical profession, is called -
|Each and every patient is entitled to - - as part of his or her patient rights.
|respect and complete care
|Some suggested methods of controlling on the job stress during phlebotomy might include -
|taking deep breaths if anxious.
|Appropriate means of communicating with a patient that is profoundly hearing impaired might include -
|using written communication.
|In performing phlebotomy on children, it is best to -
|1) talk softly and gently 2) enlist the help of parents 3) tell the truth if asked
|A patient who is making a fist and frowning is exhibiting - - body language.
|A 24-hour urine specimen must be kept -
|A chronic disease in which the pancreas fails to secrete enough insulin is called -
|The purpose of the bleeding time test is to assess -
|platelet plug formation in the capillaries.
|Diurnal rhythms refer to variations in the body's functions or fluids that occur during -
|every 24 hours.
|EMLA is an emulsion of lidocaine and prilocaine that can be used to -
|topically anesthetize a draw site.
|Another name for red blood cells is -
|The artery located in the groin, lateral to the femur bone, which is used as an alternative site for arterial blood gas collections is the -
|The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as -
|The study of all aspects of disease in the body is known as -
|The phase of laboratory testing that refers to test orders, test collection, and test sample preparation are all part of the - - phase.
|A patient in reverse isolation has been so placed because he or she -
|needs protection from others carrying infection.
|Contaminated objects that can penetrate skin, such as needles, scalpels, broken class, and broken capillary tubes are called -
|To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to -
|The single most important source of HIV and HBV in the workplace is -
|After they are used, disposable syringes, scalpel blades, and other sharp items should be placed in - - containers for disposal.
|Contaminated laundry should be - - where it was soiled.
|bagged or containerized at the location
|The suffix - - means blood.
|The literal meaning of the word hemolysis is -
|blood breaking down.
|PT is the lab abbreviation for the - - test.
|When a patient's arm is swollen with excess fluids, this is called -
|A nosocomial infection is an infection acquired -
|in the healthcare facility.
|Choose the item that is NOT a single use only item: needles, tourniquets, tube holders, winged infusion sets.
|The name of the equipment used to separate plasma or serum from red blood cells is -
|The tube holder and needle are to be disposed of - - into a sharps container.
|together, as a unit
|Needles are color-coded to indicate their -
|According the the CLSI, the maximum recommended depth for heel punctures is -
|The - - color stopper indicates the blood collection tube contains sodium heparin.
|When a lipid panel is ordered, the patient should be fasting for -
|at least 12 hours with water allowed.
|The key principle of Universal Precautions is that -
|the blood and body fluids of all individuals are considered potentially infectious.
|A patient having a glucose tolerance test does not have the restriction of -
|In the healthcare setting, HBV, HCV, and HIV can be transmitted by -
|1) sharps injuries, 2) splash of blood or body fluids to the mucous membranes, 3) touching non-intact skin without gloves
|Needlestick injuries can be prevented by -
|using safe needle devices and following instructions for proper use.
|Sharps containers should be closed, sealed, and made ready for disposal when it is -
|If you should recieve a needlestick injury, you should report it -
|Antisepsis is a technique used on -
|The transmission based isolation category Airborne Precautions is used when a patient is known or suspected to have -
|The bloodborne disease most likely to be transmitted by a needlestick in the US is -
|A patient experiences shooting pains in his arm when you are drawing from the antecubital area, which means you may have -
|punctured or nicked the basilic nerve.
|The most likely reason a CBC specimen would clot is -
|the blood and the anticoagulant in the tube were not mixed sufficiently.
|A patient had a mastectomy on the right side five years ago. The side you will draw from is -
|the left side, as blood is never drawn from the side with a mastectomy.
|You are drawing blood from an outpatient when they begin to feel faint. The recommended course of action is to -
|remove the needle, and lower the patient's head between their legs.
|Hemoconcentration may be cause by -
|prolonged application of the tourniquet.
|The primary cause of a collapsed vein during venipuncture is -
|blood is withdrawn too quickly or forcefully.
|Mixing the blood with the anticoagulant or additive by shaking may result in -
|a hemolyzed specimen.
|If you find blood on the outside of the tube you have just filled, you should -
|wipe the outside of the tube with a disinfectant.
|Name three things that could result in a lawsuit being filed against a phlebotomist.
|1) Inserting the needle at an incorrect angle. 2) Excessive probing after missing a vein. 3) Mislabeling blood tubes.
|Considering patient safety, the most dangerous phlebotomy practice is -
|labeling the empty collection tubes before the collection.
|Per CLSI, the maximum number of venipuncture attempts by an individual phlebotomist is -
|no more than two.
|According to standards of good practice, specimen collection tube labeling should always occur -
|before the phlebotomist leaves the patient's side.
|The first drop of blood that forms following a skin puncture should be -
|When identifying a patient, you must ask them to state -
|their name and date of birth.
|The - - vein is recommended for use when drawing 5 mL of blood on an 18 month old.
|Cleansing the skin with Betadine for a skin puncture may interfere with the analysis of -
|When performing a microcollection procedure, the best way to increase blood flow is to -
|pre-warm the site.
|A patient's wristband matches your requisition form except for the birth date. It shows the same month and day, but the year is 1947 instead of 1945. In order to draw blood -
|all identification discrepancies must be resolved FIRST!
|Drugs used to kill or destroy bacteria that cause disease are called -
|CSF is the abbreviation for -
|Red and white blood cell counts are examples of - - tests.
|The blood cells most numerous in the circulating blood are the -
|red blood cells.
|The medical term for fainting is -
|Serum or plasma that has a milky white appearance is called -
|The lab test "T & C" is the abbreviation for -
|Type and Crossmatch.
|The rubber sleeve (at the end opposite of the beveled needle tip) on an evacuated tube needle makes it possible for use with -
|Capillary blood sampling may be used if the laboratory tests require -
|very little blood.
|A tube adapter visibly contaminated with blood should be -
|disposed in a biohazard waste container.
|The evacuated tube containing sodium citrate has a - - colored stopper.
|blue or light blue
|A fasting test is ordered to -
|eliminate the effects of diet on the test results.
|A - - topped tube should be used for a lab test requiring serum.
|Hepatitis - - is not a blood borne pathogen.
|The LAST choice for blood collection in the antecubital area is the -
|The venipuncture site should be cleaned in a circular motion from the center to the -
|A patient on which you have been ordered a draw has no armband. You should -
|tell the patient's nurse that the patient does not have an armband, and you can not collect until it is placed on the patient.
|Therapeutic phlebotomy is performed as a treatment for patients with -
|The formed elements make up about - - percent of the whole blood volume.
|The buffy coat consists of -
|leukocytes and thrombocytes.
|The two components of blood found in a tube without anticoagulant are -
|serum and clot.
|The fluid portion of the whole blood that contains fibrinogen is called -
|The fluid portion of blood after clotting has taken place is called -
|The difference between plasma and serum is -
|plasma contains fibrinogen; serum does not.
|Blood returns to the heart from the lungs into the -
|The pulmonary - - does NOT carry oxygenated blood.
|A blood collection on dialysis patient with a fistula or graft should be drawn from -
|the opposite arm. Never draw on the arm with a fistula or graft.
|The order of which veins should be used for draw in the antecubital area is -
|1) Median Cubital 2) Cephalic 3) Basilic 4) Median
|The most common phlebotomy complication is -
|The test with cleaning techniques similar to those for blood culture tests is -
|Arterial Blood Gases.
|The Allen test checks the patient for -
|collateral arterial circulation.
|The two arteries are occluded during the Allen Test are -
|The radial and the ulnar.
|The artery on the thumb side of the wrist is the -
|The safe area for heel punctures in an infant is -
|the most lateral portion of the plantar surface (the side of the pinkie toe).
|Skin puncture blood is more likely to be contaminated by -
|An estimate on how much time do you have for ASAP and STAT orders is -
|2-4 hours for ASAP orders, and 1 hour for a STAT order.
|The amount of blood needed for blood culture draws for adults and for children are -
|8-10 mL for Adults, 1-5 mL for children.
|When using a butterfly needle for a blood culture test with two bottles, the - - bottle goes first.
|Examples of tests that must be chilled immediately after collection are -
|Ammonia, Catecholamines, Lactic acid, and PH\blood gasses.
|Examples of tests that must be kept warm after collection are -
|Cold agglutinins, Cryoglobulin.
|Examples of tests that must be kept from the light are -
|Bilirubin, and vitamins C, E, and K.
|The two bottles used in blood culture collections are -
|Aerobic and Anaerobic.
|Citrate tubes must be within - - percent to full to give accurate results.
|A phlebotomist certified by the American Society of Clinical Pathologists (ASCP) is required to maintain certification by completing and documenting continuing education. This is known as the -
|Certification Maintenance Program (CMP)
|NPO means -
|'Non per os' or 'nothing by mouth'.
|The lifespan of a red blood cell is -
|100 - 120 days.