Ultimate Guide to Test Your Knowlege
150 page phlebotomy study guide with practice test.
Phlebotomy Study Guide Form
Phlebotomy State Board Exam Prep
Test Your Knowledge
Exam Content Outline
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Phlebotomy Study Guide Advantages
Struggling to be a successful phlebotomy student? Don’t get discouraged, it isn’t magic! But it does require desire, dedication and a lot of work. If you
Active listening, reading comprehension, note-taking, stress management, time management, testing taking, and memorization are only a few of the topics addressed in our phlebotomy study guides for phlebotomy students. If you’ll take the time to learn and apply the phlebotomy study guide skills concepts and principles taught in our phlebotomy study guide, you’ll not only improve your performance in phlebotomy school but also your ability to learn in general — and that will benefit you the rest of your life! Whether you’re a beginner in phlebotomy industry looking to get ahead, a phlebotomy teacher seeking a phlebotomy study guide resources for your pupils, or a seasoned phlebotomist just trying to refresh, you’ll find the phlebotomy study guide, tutorials, and resource you need right below.
Phlebotomy Study Guide FAQ’s
Where can I purchase the National Phlebotomy Study Guide?
You can purchase the National Phlebotomy Study Guide and get more information about them right here.
After your purchase, the National Phlebotomy Study Guide will be emailed to you, typically within ten minutes to the email address provided during registration. If you have any questions regarding the national phlebotomy study guide, reach out at education@npce.org or call 8882408440.
how will i receive the phlebotomy study guide?
The phlebotomy study guide PDF will be emailed to you after registration. Also, you have an option to take the phlebotomy study guide course on our website via phone, tablet and computer 24/7. We believe the best way to better you phlebotomy skills and pass the national phlebotomy certificaiton exam is simply to practice, practice, practice!
Does the Phlebotomy Study Guide include Practice Exams?
Our phlebotomy study guide is the most comprehensive study guide for current and future certified phlebotomy technicians (CPT), which comes with 17 Phlebotomy Practice Tests covering all areas of phlebotomy from half of dozen NAACLS phlebotomy approved books.
how much is the phlebotomy study guide cost?
The phlebotomy certification study guide and practice exams cost a total of $19.95.Â
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What Can I Expect From Phlebotomy Study Guide?
Similar to how a State Board Exam is created, the phlebotomy assessment team reviews all possible phlebotomy exam questions and consults a subject matter expert to develop a list of key concepts encountered on all versions of the phlebotomy state exam. The resulting phlebotomy study guide includes a brief description of the exam structure and level of complexity; this means that your phlebotomy study guide will note if you need to explain concepts or compare and contrast ideas – generally how you need to apply your knowledge on the final phlebotomy test.
How Can I Get the Most Out Phlebotomy Study Guide?
Start by reading the description to formulate a big-picture idea of what your phlebotomy test will look like. Then, review the list of concepts. If you choose to print out the phlebotomy study guide or copy it into a word document, try putting the material in your own words so you feel comfortable answering questions or writing an essay about it. If you can do that, you should be well prepared for the exam. Most importantly, if you see something on the phlebotomy study guide that you aren’t familiar with, make sure to ask your phlebotomy instructor.
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Some of the topics, terms, and questions you can expect to know after completing Phlebotomy Study Guide:
a lipid panel should be drawn when?
when a patient is fasting in a SST tube
ABG (arterial blood gas)
A test, which analyzes arterial blood for oxygen, carbon dioxide and bicarbonate content in addition to blood pH.
Accession Number
Unique number given for each test request
airborne transmission
tuberculosis
average time for fasting
10-12 hours
basal state
refers to fasting (nothing by mouth) & refrain from strenous exercise for 8-12 hours prior to blood draw.
Basilic Vein
The large vein on the inner side of the biceps often chosen for intravenous injections and blood drawing.
*close to a lot of nerves
basophils
never increase in number, only the amount of histamine being released increases in response to allergic reaction
Battery
The key element of battery is that the touching be unauthorized, not that it be intended to harm the person; lack of consent.
BCX
blood cultures
blood borne infection
an infection transmitted from blood to blood.
blood culture bottles contain?
SPS – Sodium Polyanethole Sulfonate
blood type AB+ (positive)
universal recipient
blood type O- (O negative)
universal donor
BTT stands for what?<br /> what is it used for?
Bleeding Time Test
used to evaluate primary stages of hemostasis. test usu done prior to surgery
Butterfly
a small needle with two plastic wings attached which are squeezed together to form a tab that is used to manipulate the needle. A long 6-12″ plastic tubing is attached which again offers better manipulation.
C-reactive protein (CRP)
a blood test marker for inflammation in the body.
use SST for serum
use
C&S
culture & sensitivity
CaviCide
A convenient, ready-to-use, intermediate-level surface disinfectant that is effective against TB, HBV, HCV, viruses, bacteria and fungi.
CDC
Centers for disease control and prevention
CLIA Requirement for Waived Testing
all facilities in the U.S. that perform lab testing on human specimens for health assessment or the diagnosis, prevention, or treatment of disease are regulated under CLIA
CLIA
the clinical laboratory improvement amendments of 1988 federal regulatory standards that apply to all clinical laboratory testing performed on humans on the United States
coagulation phase of hemostasis is characterized by?
the temporary platelet plug is converted to a stable fibrin clot
collecting specimens in the incorrect order of draw can result in?
cross contamination
common test for light blue vacu
PT- prothrombin time
PTT – partial thromboplastin time
common test for tiger top (SST)
CMP- comprehensive metabolic panel
BMP- basic metabolic panel
common test which needs to be placed on ice
ammonia
ABG
lactic acid
common use for red vacu tube
storage or back-up testing
dark green vacu common test
Ammonia
dark green vacutainer additive
sodium heparin
decontamination can be accomplished by using which liquids?
solution of sodium hypochlorite (bleach/clorox)
lysol
define C-reactive protein (CRP)
a blood test marker for inflammation in the body. It is produced in the liver and its level is measured by testing the blood.
– this protein is an acute phase reactant which means that its levels will RISE in response to inflammation
define creatinine clearance
a 24-hour urine and serum test that is both a blood and urine collection.
*specimens must be handled and stored (refrigerated) correctly
define Ethanol
another name for alcohol, also referred to as ETOH
define postprandial
after a meal
definition of POCT
point of care testing
Diurnal Variations
The measuring of a body’s ability to metabolize certain substances, monitoring changes in the patients condition within a 24-hour period
droplet transmission
sneezing, coughing
eosinophils
increase in allergies, skin & parasitic infection
active against antibody
fatality/accident inspection
occurs after OSHA receives notice from the employer of a workplace fatality or an accident resulting in the hospitalization of 3 or more employees
fibrinolysis
breakdown and removal of the clot
fomite
an inanimate object that transports microorganisms
for glucose testing requiring plasma which tube should be used?
gray
for glucose testing requiring serum which tube should be used?
SST/Gold tube should be used
geriatrics
branch of medicine dealing with diseases, debilities and care of aged persons
glucometer
a device that individuals with diabetes use to measure the amount of sugar in their blood stream
glucose
the end product of carbohydrate metabolism and is the chief source of energy for all living organisms
good samaritan law
this law deals with the rendering of first aid by health care professionals at the scene of an accident or sudden injury. it encourages health care professionals to provide medical care within their scope of training without fear of being sued for negligence.
gray vacu common test
OGTT- oral glucose tolerance test
lactic acid
blood alcohol
gray vacutainer additive
sodium fluoride
group A
has only A antigen
has B antibody in plasma
group AB
has both A & B antigen
NO A or B antibody
group B
has only the B antigen
has A antibody in plasma
group O
has no antigen present
both A & B antibody in plasma
guage
what needle diameter is measured by.
the larger the needle, the smaller the guage
guaiac is a substance that used to coat the?
FOBT test cards
FOBT= fecal occult blood test
hematoma
a localized collection of blood within tissues due to leakage from the wall of a blood vessel, producing a bluish discoloration (ecchymosis) and pain
AKA: bruise
hematuria
blood in urine
hemochron
a comprehensive point-of-care coagulation monitoring system.
note: This is not the industry standard and practitioners may use an alternative
hemoconcentration is caused by
leaving tourniquet on too long
hemoconcentration
a decrease in blood fluid content of the blood (plasma), resulting in an increase in concentration.
this is determined by an increase in hematocrit numbers.
hemolyze/hemolysis
the breaking of the red blood cells membrane releasing free hemoglobin into the circulating blood.
hemostasis
the arrest of bleeding, whether it be by :
– normal vasoconstriction
– by an abnormal obstruction
– by coagulation
– surgical means
hga1c
the hemoglobin A1c test indicates the avg. level of blood sugar over a 2-3 month window. it is customarily drawn in a lavender tube
homeostasis
the tendency of an organism or a cell to regulate its internal conditions, usually by a system of feedback control, so as to stabilize health and functioning, regardless of the outside changing conditions.
how full should sharps container should be locked at?
2/3 full
how long should the tourniquet be kept on
only 1 min
how much should bleach be diluted to with water?
between 1:10 & 1:100
if non latex gloves can't be used due to allergies what is the alternative?
vinyl or nitrile
if you are cleaning up a spill of blood on chairs, lab tables or hard flooring, carefully pour the 10% soln of bleach over the blood for how long?
at least 10 mins
imminent danger inspection
occurs when OSHA receives a report that a condition of imminent danger exists at a workplace
*least common type of inspection
lavander/puprple vacutainer additive
EDTA
lavander/purple vacu common test
CBC- complete blood count
ESR- Erthryocyte sedimentation rate
light blue top yields
plasma
light blue vacutainer additive
sodium citrate
lymphocytes
numbers increase during a viral infection
median cubital vein
most commonly used for venipuncture procedures.
large & doesnt tend to move when needle is inserted
medical asepsis
the destruction of pathogenic microorganisms after they leave body.
mint green vacu common test
electrolyte panel
hcG
pregnancy test
mint green vacutainer additive
lithium herparin
monocyte
increase in intracellular infections and tuberculosis
LARGEST white blood cell
most common nasocomial infection
respiratory
most commonly occuring nosocomial infection for LAB employees
Hepatitis B
neutrophils
numbers increase in bacterial infection
never do the following in an area of likelihood exposure
1. eat
2. drink
3. smoke
4. apply cosmetics or lip balm
5. handle contact lenses
nosocomial infection
term used to define any infection contracted in a health care setting
Oncology
the study and treatment of cancer
order of preference for vein selection
1. median cubital vein
2. cephalic vein
3. basilic vein
parenteral transmission
disease or infection transmitted other than by mouth
ex: needle stick, open wound, hangnail, eyes, etc.
peak
highest chemical blood level
petechiae
these are tiny red spots that appear on the skin from rupturing the capillaries due to the tourniquet being left on too long or too tight.
phlebitis
inflammation of a vein as a result of of repeated venipuncture on that vein
pink vacu common test
TSR- Type & screen ratio
cross match – Match blood type/Rh to donor for transfusion
pink vacutainer additive
EDTA
platelet phase of hemostasis is characterized by?
platelets aggregate at the injured site forming a temporary platelet plug
primary stages of hemostasis
vascular phase & platelet phase
programmed inspection
an inspection conducted of randomly chosen workplaces determined to be engaged in particularly hazardous types of work according to their standard industry classification codes
Quality Assurance (QA)
a program that guarantees quality patient care by tracking the outcomes through scheduled audits in which areas of the hospital to look at the appropriateness, applicability, and timeliness of patient care
red vacutainer additive
none
royal blue vacu common test
lead poisoning
royal blue vacutainer (blue stripe) additive
EDTA
royal blue vacutainer (RED STRIPE) additive
none
special considerations for semen collection
make sure semen specimen is not exposed to light or extreme temperatures
samples must reach laboratory in less than 30 MINUTES at as close to body temperature as possible
specimens drawn without stasis
lactic acid
specimens that require protection from light
bilirubin
vitamin B12
STAT
ASAP
steps to take after exposure to potentially infectious material
1. wash exposed are with soap & running water
2. report exposure to supervisor ASAP
3. refer to an MSDS
4. fill out an exposure report form
sterile bottle additive
nutrient broth
light blue vacutainer additive
sodium citrate
red vacutainer additive
none
tiger top vacutainer/serum seprator tube additve
silica
mint green vacutainer additive
lithium herparin
dark green vacutainer additive
salt heparin
lavander/puprple vacutainer additive
EDTA
pink vacutainer additive
EDTA
royal blue vacutainer (RED STRIPE) additive
none
royal blue vacutainer (blue stripe) additive
EDTA
gray vacutainer additive
sodium fluoride
sterile bottle blue cap
aerobic (bacterial)
sterilized bottle gold cap
anaeorobic (bacterial)
sterile bottle pink cap
pediatric (bacterial)
sterilized bottle red cap
fungal culture
BCX
blood cultures
C&S
culture & level of sensitivity
common test for light blue vacu
PT- prothrombin time
PTT – partial thromboplastin time
common usage for red vacu tube
storage or back-up screening
common test for tiger top (SST)
CMP- detailed metabolic panel
BMP- fundamental metabolic panel
what does SST represent?
serum separator tube
mint green vacu common test
electrolyte panel
hcG
pregnancy test
dark green vacu typical test
Ammonia
lavander/purple vacu common test
CBC- total blood count
ESR- Erthryocyte sedimentation rate
pink vacu typical test
TSR- Type & screen ratio
cross match – Match blood type/Rh to donor for transfusion
gray vacu typical test
OGTT- oral glucose tolerance test
lactic acid
blood alcohol
royal blue vacu typical test
lead poisoning
tourniquet is tied around the arm where?
4-6″ above draw website
kind of alcohol used as antiseptic to clean skin
70% isopropyl alcohol
hemoconcentration is brought on by
leaving tourniquet on too long
for how long ought to the tourniquet be continued
just 1 minutes
definition of POCT
point of care testing
what is POCT
a diagnostic testing at or near the site of client care
ex: testing done at client’s bedside
if non latex gloves can't be utilized due to allergic reactions what is the option?
vinyl or nitrile
never ever do the following in an area of probability direct exposure
1. eat
2. drink
3. smoke
4. apply cosmetics or lip balm
5. manage contact lenses
how full should sharps container should be locked at?
2/3 complete
decontamination can be achieved by utilizing which liquids?
solution of salt hypochlorite (bleach/clorox).
lysol
how much should bleach be diluted to with water?
between 1:10 & 1:100
if you are cleaning up a spill of blood on chairs, lab tables or hard floor covering, carefully put the 10% soln of bleach over the blood for how long?
at least 10 minutes
actions to take after exposure to possibly contagious material
1. wash exposed are with soap & running water.
2. report direct exposure to manager ASAP.
3. describe an MSDS.
4. submit a direct exposure report form
the complaint assessment
occurs after an employee submits a protest with OSHA.
* most typical type of inspection
fatality/accident assessment
takes place after OSHA receives notice from the employer of a workplace casualty or an accident leading to the hospitalization of 3 or more workers
set inspection
an assessment conducted of arbitrarily selected offices figured out to be engaged in particularly harmful kinds of work according to their basic industry classification codes
impending threat evaluation
takes place when OSHA gets a report that a condition of impending risk exists at an office.
* least common kind of inspection
order of preference for vein selection
1. mean cubital vein.
2. cephalic vein.
3. basilic vein
median cubital vein
most commonly used for venipuncture treatments.
big & doesn’t tend to move when needle is inserted
light blue top yields
plasma
ABG (arterial blood gas)
A test, which analyzes arterial blood for oxygen, carbon dioxide and bicarbonate content in addition to blood pH.
Accession Number
Unique number provided for each test demand
Basilic Vein
The big vein on the inner side of the biceps typically chosen for intravenous injections and blood drawing.
* near to a great deal of nerves
Battery
The crucial element of battery is that the touching be unapproved, not that it be planned to damage the individual; lack of consent.
blood borne infection
an infection sent from blood to blood.
Butterfly
a little needle with 2 plastic wings attached which are squeezed together to form a tab that is utilized to manipulate the needle. A long 6-12″ plastic tubing is connected which once again uses better manipulation.
CaviCide
A practical, ready-to-use, intermediate-level surface disinfectant that works versus TB, HBV, HCV, infections, bacteria and fungis.
CDC
Centers for disease control and avoidance
what does C.Diff stand for?
clostridium Difficile
what does clostridium difficile
a germs that is found in all things. the bacteria inside of our bodies can be triggered by taking antibiotics, which then triggers colitis, an inflammation of the colon.
CLIA
the medical lab enhancement amendments of 1988 federal regulatory requirements that apply to all scientific lab screening carried out on human beings on the United States
CLIA Requirement for Waived Evaluating
all centers in the U.S. that perform laboratory testing on human specimens for health evaluation or the diagnosis, avoidance, or treatment of illness are controlled under CLIA
what does CLSI stand for?
The Clinical and Laboratory Standards Institute
what does the CLSI do?
promotes the advancement and use of voluntary laboratory agreement standards and standards within the healthcare community.
define creatinine clearance
a 24-hour urine and serum test that is both a blood and urine collection.
* specimens must be handled and saved (cooled) correctly
specify C-reactive protein (CRP)
a blood test marker for swelling in the body. It is produced in the liver and its level is measured by testing the blood.
– this protein is an intense phase reactant which suggests that its levels will INCREASE in reaction to inflammation
what type of tubes can be utilized for drawing a CRP?
either a serum separator tube (SST) or lavander leading tube depending upon if serum or plasma is required for the test
Diurnal Variations
The measuring of a body’s capability to metabolize particular compounds, keeping an eye on modifications in the patients condition within a 24-hour duration
what does EDTA stand for?
Ethylenediaminetetraacetate
what is EDTA?
a calcium binding agent that is used as an anticoagulant for lab blood specimens.
define Ethanol
another name for alcohol, likewise referred to as ETOH
fomite
an inanimate things that transports bacteria
guage
what needle diameter is measured by.
the bigger the needle, the smaller sized the guage
geriatrics
branch of medicine handling diseases, debilities and care of aged individuals
great samaritan law
this law handles the making of emergency treatment by health care professionals at the scene of a mishap or sudden injury. it encourages healthcare experts to provide healthcare within their scope of training without worry of being sued for negligence.
glucose
completion item of carbohydrate metabolic process and is the primary source of energy for all living organisms
glucometer
a gadget that people with diabetes usage to measure the quantity of sugar in their blood stream
what is Helicobacter pylori?
a typical type of germs that grows in the digestion system and has a tendency to attack the stomach lining.
hemochron
a detailed point-of-care coagulation tracking system.
note: This is not the market standard and professionals may use an alternative
hematoma
a localized collection of blood within tissues due to leak from the wall of a blood vessel, producing a bluish staining (ecchymosis) and pain.
AKA: bruise
hematuria
blood in urine
hemoconcentration
a reduction in blood fluid content of the blood (plasma), resulting in a boost in concentration.
this is identified by an increase in hematocrit numbers.
hga1c
the hemoglobin A1c test indicates the avg. level of blood sugar over a 2-3 month window. it is usually drawn in a lavender tube
hemostasis
the arrest of bleeding, whether it be by:.
– normal vasoconstriction.
– by an irregular blockage.
– by coagulation.
– surgical methods
homeostasis
the tendency of an organism or a cell to manage its internal conditions, generally by a system of feedback control, so regarding stabilize health and functioning, despite the outdoors changing conditions.
hemolyze/hemolysis
the breaking of the red cell membrane launching free hemoglobin into the flowing blood.
what does HIPAA mean?
Health and Portability and Responsibility Act
what does LIS represent?
laboratory details system
what does MSDS mean and what is it?
product safety information sheet.
a document which contains details on the prospective health impacts of exposure to chemicals, or other potentially harmful substances.
what does the N95 respirator mask block?
a minimum of 95% of extremely small (0.3 micron) test particles
Oncology
the research study and treatment of cancer
what does O&P represent?
ova & parasite.
test is utilized to identify the presence of parasites in a stool sample and help identify infection in the digestion system
what does OSHA & what do they do?
the occupational security and health administration.
OSHA is a company of the United States government under the Department of Labor with the duty of ensuring safety at work and a healthful workplace.
what is OSHA's mission?
to avoid job-related injuries, health problems and deaths
petechiae
these are tiny red areas that appear on the skin from rupturing the capillaries due to the tourniquet being left on too long or too tight.
phlebitis
swelling of a vein as a result of repeated venipuncture on that vein
Quality control (QA)
a program that ensures quality client care by tracking the results through scheduled audits in which areas of the hospital to look at the suitability, applicability, and timeliness of patient care
what does QNS mean?
Quality Not Sufficient.
* when drawing blood, you do not get enough blood for the lab to carry out tests or tests suggested on the appropriation
what does STAT stand for?
instantly
what is a Tourniquet?
in regards to venipuncture, a constrictive band place over an extremity to distend veins for the function of blood aspiration or intravenous injections.
vacutainer
a federally and worldwide signed up hallmark owned by BD (becton, Dickinson and company) that is used in connection with a total system of tubes, needles, needle holders sharps collectors & safety gadgets in blood collection.
what should be done to any tube utilized for obtaining a sample whether effective or not?
got rid of in the sharps container
average time for fasting
10-12 hours
specify postprandial
after a meal
STAT
ASAP
vascular phase of hemostasis is identified by?
capillary restrict in response to injury
platelet phase of hemostasis is characterized by?
platelets aggregate at the injured website forming a temporary platelet plug
coagulation phase of hemostasis is identified by?
the short-lived platelet plug is converted to a steady fibrin embolisms
main phases of hemostasis
vascular phase & platelet phase
BTT means what?<br /> what is it utilized for?
Bleeding Time Test.
used to assess main stages of hemostasis. test usu done prior to surgical treatment
test used to evaulate extrinsic path
Prothrombin Time Test (PT/INR)
what does INR stand for
International stabilized ratio
test utilized to evaulate intrinsic path
PTT – partial thromboplastin Time
fibrinolysis
breakdown and elimination of the embolism
basal state
describes fasting (nothing by mouth) & avoid strenous exercise for 8-12 hours prior to blood draw.
a lipid panel should be drawn when?
when a client is fasting in a SST tube
trough
least expensive chemical blood level
peak
highest chemical blood level
trough levels are gathered the number of minutes prior to the arranged pharmaceutical dose?
30 minutes
what are cold agglutins?
antibodies produced in response to mycoplasma pneumonia infection (atypical pneumonia)
typical test which requires to be placed on ice
ammonia.
ABG.
lactic acid
without a tourniquet
test drawn without tension?
lactic acid
specimens that require defense from light
bilirubin.
vitamin B12
specimens drawn without tension
lactic acid
gathering specimens in the incorrect order of draw can result in?
cross contamination
blood culture bottles consist of?
SPS – Sodium Polyanethole Sulfonate
for glucose testing needing serum which tube should be used?
SST/Gold tube should be utilized
for glucose testing needing plasma which tube should be used?
gray
what is culture and sensitivity utilized for?
to discover and determine bacteria and to identify the most effective antibiotic therapy
stool guaiac test searches for?
hidden (occult) blood in a stool sample
guaiac is a substance that used to coat the?
FOBT test cards.
FOBT= fecal occult blood test
unique factors to consider for semen collection
ensure semen specimen is not exposed to light or extreme temperatures.
samples must reach laboratory in less than 30 MINUTES at as near to body temperature as possible
neutrophils
numbers increase in bacterial infection
lymphocytes
numbers increase throughout a viral infection
monocyte
increase in intracellular infections and tuberculosis.
LARGEST white blood cell
eosinophils
increase in allergies, skin & parasitic infection.
active versus antibody
basophils
never increase in number, only the quantity of histamine being launched increases in action to allergy
group A
has only A antigen.
has B antibody in plasma
group B
has only the B antigen.
has A antibody in plasma
group AB
has both A & B antigen.
NO A or B antibody
group O
has no antigen present.
both A & B antibody in plasma
blood type O- (O unfavorable)
universal donor
blood type AB+ (positive)
universal recipient
nosocomial infection
term utilized to define any infection contracted in a health care setting
droplet transmission
sneezing, coughing
air-borne transmission
tuberculosis
lorry transmission
doorknob, faucet, or public telephone
vector borne transmission
occurs when a pathogen is sent through an invertebrate such as an insect
parenteral transmission
disease or infection transferred other than by mouth.
ex: needle stick, open wound, hangnail, eyes, etc.
medical asepsis
the damage of pathogenic microbes after they leave body.
most common nasocomial infection
respiratory
most typically taking place nosocomial infection for LABORATORY staff members
Liver disease B
C-reactive protein (CRP)
a blood test marker for swelling in the body.
use SST for serum.
use lavander for plasma.