Certification Board Exam Flashcards
What is the reason for wiping off the first drop of blood from the patients finger with gauze when performing a capillary puncture
the first drop of blood may contain traces of tissue fluids
the Needlestick Safety and Prevention Act exists to protect healthcare workers from accidental exposure to
blood borne pathogens
when performing a venipuncture, sudden swelling is observed at the insertion site. What is the next action the phlebotomist should take
release the tourniquet, remove the needle, and immediately apply pressure to the site
when performing a venipuncture, sudden swelling is observed at the insertion site. What is the next action the phlebotomist should take
release the tourniquet, remove the needle, and immediately apply pressure to the site
What site should the phlebotomist use for newborns screening blood collection
lateral or medial plantar surface of the heel
the phlebotomist is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the phlebotomist dispose of her gloves?
biohazard waste container
a phlebotomist collects a cryofibrinogen specimen, places the specimen in a biohazard specimen bag, then onto sluirry of ice and water and transports it to the laboratory in a timely manner. In this case the phlebotomist
should have kept the specimen at 37º C
the phlebotomist applies the tourniquet, but then has trouble relocating the vein after several minutes of palpation. what is the expected outcome of the test results?
falsely elevated K (potassium) levels from tissue damage
negligence by a healthcare professional is considered which of the following
A. battery
B. non-maleficence
C. malpractice
D. assault
malpractice
keeping contaminated equipment and supplies away from the phlebotomists clothing to prevent pathogen transmission to the next patient is an example of what
medical asepsis
after centrifuging a blood specimen, the phlebotomist notes the serum has a reddish appearance. what has occurred
the specimen is hemolyzed
which of the following steps is completed FIRST in performing venipuncture
A. apply the tourniquet
B. cleanse site with alcohol wipe
C. identify the patient
D. arrange the tubes in order of draw
identify the patient
which of the following is out of the scope of practice for a phlebotomist
A. verifying equipment on point of care testing using a control
B. prioritizing collections based on order requests
C. recording quality control results on a log sheet
D. performing CLIA high complexity tests
performing CLIA high complexity tests
how do you correctly identify a patient
“may i have your name please”
the phlebotomist notes the patients arm is scarred in the lateral aspect of the antecubital fossa, and the other arm is not available. the phlebotomist decides to use a more medial site in the fossa over the basilica vein. which of following makes this a poor choice? (select 2)
A. increased risk of nerve damage
B. increased risk of arterial involvment
C. increased risk of hemolysis
D. increased risk of unsuccessful draw
E. increased risk of specimen rejection
A. increased risk of nerve damage
B. increased risk of arterial involvment
which of the following actions by the phlebotomist is the FIRST line of defense in preventing the spread of microorganisms
A. wear non-sterile gloves when performing venipuncture
B. perform regular hand hygiene
C. wear sterile gloves when changing a dressing
D. use the aseptic technique when drawing up a medication
perform regular hand hygiene
what is the needle gauges most commonly used for venipuncture
21-23
what kind of patient is the use of an adhesive bandage contraindicated
A. adult with hemophilia
B. immunocompromised child
C. adolescent with sickle cell anemia
D. newborn with hyperbilirubinemia
a newborn with hyperbilirubinemia
venipuncture should be avoided on an arm with
A. excessive hair
B. muscular hypertrophy
C. an elbow splint
D. alopecia
an elbow splint
the rubber sleeve at the end of an ETS venipuncture needle allows for
drawing multiple tubes
which of the following should be included on a patients laboratory requisition
test priority
while performing a venipuncture, immediately before removing the needle the phlebotomist should
release the tourniquet
a phlebotomist has active symptoms of the common cold. under which of the following conditions may he perform venipuncture
the phlebotomist may perform venipuncture provided he is wearing a mask and afebrile
what is the minimum PPE requirement when drawing lab work on a patient with suspected HIV
gloves only
a phlebotomist puts evacuated tubes filled with blood in plastic transport bags and places them in the physician office lock box for the reference lab courier who will pick them up in 1-2 hours. the lock box is outside and the temperature is below freezing. how will freezing affect the test results
decreased red blood cell count
what is the additive and tube combination should be used for a PT/INR test?
light blue, sodium citrate
what techniques should the phlebotomist use when performing a venipuncture on a patient with loose skin
pulling the skin taut using gentle and sufficient pressure to anchor the vein
which of the following would be considered a hospital acquired infection
A. a 72 year old patient in the ER with flu-like symptoms
B. an 8 year old patient admitted with chicken pox
C. a patient who contracts a MRSA infection from a venipuncture
D. a healthcare worker that develops hepatitis C
a patient who contracts a MRSA infection from a venipuncture
a phlebotomist must collect type and screen, STAT electrolytes, D-dimmer, and estrogen. what is the correct list for the appropriate additives for these tests in the CLSI recommended order of draw
sodium citrate, non-additive, lithium heparin, potassium EDTA
what is a POC laboratory test is within the CLIA defined scope of practice for a phlebotomist
strep test and urine reagent strip
a phlebotomist must follow transmission based precautions for which of the following patients
A. patient with meningitis
B. patient with diabetes
C. patient with multiple sclerosis
D. patient with lupus
patient with meningitis
when inspecting a patients arm before performing a venipuncture, the most desirable site appears to be the back of the hand. what kind of venipuncture is MOST appropriate in this situation?
butterfly needle
while performing venipuncture, the phlebotomist removes the filled tubes, but forget to remove the tourniquet prior to needle withdrawal. what is the most likely result
hematoma
which of the following statements by a new phlebotomist indicated the need for further education on standard precautions
A. i will wear a gown, gloves, and mask for inpatient
B. i will perform hand hygiene after removing gloves
C. sharps containers should be replaces when 2/3 full
D. antimicrobial wipes may be used for cleaning a collection area at the end of a shift
I will wear a gown, gloves, and mask for inpatient
which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy
A. check controls on urinalysis reagent strips daily
B. ensure supplied in venipuncture trays are no more than one month beyond the expiration date
C. ensure reusable supplied in venipuncture trays are recycled
D. check glucometer controls monthly
check controls on urinalysis reagent strips daily
which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy
A. check controls on urinalysis reagent strips daily
B. ensure supplied in venipuncture trays are no more than one month beyond the expiration date
C. ensure reusable supplied in venipuncture trays are recycled
D. check glucometer controls monthly
check controls on urinalysis reagent strips daily
after the phlebotomist has introduced herself and identified the patient, she should NEXT
explain the procedure
when drawing a blood alcohol specimen, which of the following should be used to clean the arm
benzalkonium chloride
conditions may occur if a tourniquet is left in place in a patients extremity for longer than 60 seconds
hemoconcentration
what is the correct method for transferring blood from a syringe into evacuated tubes
remove the hypodermic needle form syringe after activating the safety device and transfer the blood into capped evacuated tubes using a syringe transfer device
when performing a capillary puncture on an infant, which of the following is the reason for using the lateral heel instead of a finger
the small amount of tissue between the skin and bone in the finger makes an injury to bone likely
