NCCT Phlebotomy Practice Test
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Questions and Answers

Which of the following POC laboratory test is within the CLIA defined scope of practice for a phlebotomist?

  • Urine sediment (correct)
  • Hematocrit
  • Strep test (correct)
  • Blood culture
  • Which task should a phlebotomist complete prior to daily use of POC instrument?

    Perform QC on the instrument

    What should a phlebotomist do if a patient brings in written lab test results and asks for help with interpretation?

    Refer the patient to the physician for interpretation of all results

    Which of the following is outside the scope of practice for a phlebotomist?

    <p>Performing CLIA moderate complexity tests</p> Signup and view all the answers

    Which of the following specimens require the phlebotomist to follow chain-of-custody documentation procedures?

    <p>Blood Alcohol testing</p> Signup and view all the answers

    Which of the following QC measures are within the phlebotomist's scope of practice?

    <p>Monitoring temperatures of specimen refrigerators</p> Signup and view all the answers

    When should a test tube be labeled with the patient's identification?

    <p>While in the patient's room, after drawing the blood</p> Signup and view all the answers

    What is violated if a phlebotomist obtains consent from a family member instead of a mentally competent patient?

    <p>The patient's bill of rights</p> Signup and view all the answers

    What type of consent applies to drawing blood on a non-responsive patient in an emergency department?

    <p>Implied consent</p> Signup and view all the answers

    What form of consent must be obtained prior to drawing a diagnostic HIV test?

    <p>Informed consent</p> Signup and view all the answers

    What does a 19-year-old patient offering her arm for venipuncture demonstrate?

    <p>Implied consent</p> Signup and view all the answers

    Which of the following is a CLIA waived test that can be performed by the phlebotomist?

    <p>Chemical urinalysis</p> Signup and view all the answers

    Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which document?

    <p>The Patient's Bill of Rights</p> Signup and view all the answers

    What should the phlebotomist do first after getting stuck with a contaminated needle?

    <p>Report the incident to a supervisor</p> Signup and view all the answers

    Under what conditions can a phlebotomist perform venipuncture if they have active cold symptoms?

    <p>Provided he is wearing a mask and afebrile</p> Signup and view all the answers

    Which statement indicates a new phlebotomist's need for further education on standard precautions?

    <p>'I will wear a gown, gloves and mask for inpatient collections.'</p> Signup and view all the answers

    An immunization is currently available for prevention of which blood borne disease?

    <p>Hepatitis B</p> Signup and view all the answers

    What is the minimum PPE requirement when drawing lab work on a patient with suspected HIV?

    <p>Gloves only</p> Signup and view all the answers

    What is the proper way to clean up broken glass tubes?

    <p>Use a broom and a dust pan to sweep up the glass and fragments and place in sharps container.</p> Signup and view all the answers

    What type of precautions are in use when the phlebotomist dons gown, gloves, and mask before entering a patient's room with an isolation cart?

    <p>Contact droplet precautions</p> Signup and view all the answers

    Where should a phlebotomist dispose of gloves if they notice blood on them after a venipuncture?

    <p>In a biohazard waste container</p> Signup and view all the answers

    If a phlebotomist has questions about disposing of outdated hazardous chemicals, where should she look for information?

    <p>MSDS</p> Signup and view all the answers

    What does a symbol on a container indicating 'biohazard material' present mean?

    <p>Biohazard material present</p> Signup and view all the answers

    Study Notes

    POC Laboratory Tests

    • Phlebotomists can perform Strep tests and urine sediment under CLIA regulations.
    • Quality control (QC) is essential; phlebotomists must perform QC before daily use of POC instruments.

    Patient Interaction

    • Phlebotomists should refer patients to physicians for interpretation of lab results.
    • Consent must be obtained from mentally competent patients; obtaining it from family violates the Patient's Bill of Rights.
    • Implied consent is applicable for blood draws on non-responsive patients in emergencies.
    • Informed consent is necessary for diagnostic tests like HIV.
    • Implied consent occurs when a patient actively offers their arm for a venipuncture.

    Testing and Procedures

    • CLIA waived tests allowed for phlebotomists include chemical urinalysis.
    • Chain-of-custody procedures are required for blood alcohol and drug testing.

    Safety and Protocols

    • Standard precautions dictate the minimum PPE for HIV patients is gloves only.
    • In event of a needlestick injury, report the incident immediately after cleaning hands.
    • Proper cleanup of broken glass includes using a broom and dustpan, then disposing of fragments in a sharps container.

    Personal Protective Equipment (PPE)

    • For patients under isolation, appropriate PPE includes gown, gloves, and mask.
    • Phlebotomists can work with cold symptoms if they are afebrile and wearing a mask.

    Hygiene and Waste Disposal

    • Gloves contaminated with blood must be disposed of in biohazard containers after procedures.
    • If questions arise about hazardous chemical disposal, refer to the Material Safety Data Sheets (MSDS).

    Patient Rights and Safety

    • Commitment to privacy, continuity of care, and advance directives are outlined in the Patient's Bill of Rights.
    • Biohazard symbols indicate the presence of hazardous materials; clarity should be provided to patients if they inquire.

    Quality Control Measures

    • Phlebotomists are responsible for checking expiration dates on supplies, monitoring refrigerator temperatures, and routine cleaning of specimen processing areas.

    Common Bloodborne Pathogens

    • Vaccination is available for Hepatitis B, emphasizing the importance of preventative measures for bloodborne diseases.

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    Description

    Test your knowledge in phlebotomy with this set of flashcards covering key topics related to Point of Care (POC) laboratory tests. Each card presents a question that reflects the core competencies required by phlebotomists, including quality control and test interpretations. Perfect for NCCT exam preparation!

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