CPT Exam Flashcards
which of the following is part of the correct procedure when collecting a capillary specimen?
A. after the site has been punctured, allow for a capillary refill and collect the specimen
B. after the site has been puncture, wipe away the first drop of blood and collect the specimen
C. before the site has been punctured, apply a cool pack and collect the specimen
D. before the site has been punctured, massage the site for proper collection
B) After the site has been punctured, wipe away the first drop of blood and collect the specimen.
which of the following actions can result in a violation of patient privacy?
A. Printing a patient’s full name on the specimen label
B. Providing diagnosis codes to a patient’s insurance company
C. Discussing laboratory results with a patient’s partner
D. Submitting laboratory results to the representative for workers’ compensation
C) Discussing laboratory results with a patient’s partner.
A phlebotomist receives a call from the laboratory with a critical value after the physician has already left for the day, which of the following actions should be taken?
A. Advise the laboratory that the physician has left and to give results to the patient
B. Leave the results on the physician’s desk for him to review when he returns to the office C. Notify the patient by way of email to advise him of the results
D. Contact the physician out of the office to advise him of the results.
D) Contact the physician out of the office to advise him of the results.
A phlebotomist should verify that a patient has fasted for how long prior to obtaining a fasting specimen?
A. 1 to 2 hr
B. 4 to 6 hr
C. 8 to 12 hr
D. 24 hr
C) 8 to 12 hours
After collecting a bilirubin test, a phlebotomist should take which of the following actions,
post-venipuncture, to ensure an accurate test result?
A. The specimen should be chilled
B. The specimen should be placed on a warming block
C. The specimen should be spun down and frozen
D. The specimen should be kept away from direct light
D) The specimen should be kept away from direct light
Which of the following equipment should a phlebotomist use for a routine venipuncture procedure
using the evacuated tube method?
A. Lancet
B. Syringe
C. Winged infusion syringe set
D. multiple sample needle
D) Multiple sample needle
Petechiae is best described as: A. a steady body state B. tiny purplish spots C. excessive sweating D. stopping of blood flow
B) tiny purplish spots
A phlebotomist has washed their hands in preparation for a routine venipuncture. Which of the following actions should the phlebotomist take to dry their
hands?
A. Dry hands with a disposable sanitizing cloth
B. Dry hands with the sanitizing hand gel
C. Dry hands with a clean disposable towel
D. Dry hands with a sterile towel
C) Dry hands with a clean disposable towel
A patient falls and sustains a mild laceration to his arm while in the care of the phlebotomist. Which of the following actions should the phlebotomist take?
Apply pressure over the wound with a clean cloth
A phlebotomist has collected a lactic acid sample and needs to prepare the sample for processing and transportation. Which of the following methods is correct?
chill the sample
which of the following additives must be in the vacuum tube for a blood culture?
Sodium polyethylene sulfonate
Which of the following criteria is acceptable in determining the quality of a peripheral blood smear?
A feathered edge
A phlebotomist is preparing a collection for transport. Which of the following should be placed into an ice bath if the processing is delayed for more than 30 minutes?
Ammonia
When is it appropriate for a phlebotomist to label a specimen tube?
After collecting the specimen before leaving the room
Which of the following precautions should a phlebotomist take when performing venipuncture on a patient who is on active anticoagulant therapy?
Apply direct pressure to the punture site of an extended length of time
There has been a chemical spill in the lab. To which of the following should a phlebotomist refer for directions to clean up the spill?
SDS - Saftey data sheets
OSHA guidelines are standards for which of the following
Reduction of risks and injuries to the employee
A phlebotomist experiences a needle stick injury and discusses the event with the patients partner without the patient’s permission. the phlebotomist is new in violation and accountability act
Health Insurance portability and accountability act
How many times should an evacuated tube containing EDTA be inverted for adequate mixing of the blood with the anticoagulant?
8 to 10 times
when using the evacuated tube method, which of the following will result in failed venipuncture if the needle is at a 45-degree angle upon insertion?
The needle will go completely through the vein
A phlebotomist should avoid using a site with burned skin during venipuncture for which of the following reasons?
Increased risk of infection
After completing a venipuncture using a syringe and needle, which of the following actions should a phlebotomist take?
Deploy the safety device
Which of the following should a phlebotomist anticipate for a patient who has been taking warfarin?
increased bleeding time
Which of the following information should a phlebotomist document for a blood culture collection?
With the bevel facing up at an angle of 15 to 30 degrees
Which of the following information should a phlebotomist document for a blood culture collection?
Site of collection
Because of the time between collection and plasma separation, which of the following must a phlebotomist do?
Centrifuge
A phlebotomist is preparing to collect a blood specimen from a patient who has active Mycobacterium tuberculosis. Which of the following precautions should the phlebotomist follow?
Airborne precautions
Which of the following is the vein of choice for a venipuncture procedure?
Median cubital
A phlebotomist has just obtained a capillary blood specimen for bilirubin levels. Which of the following actions should the phlebotomist take when sending the specimen to an outside laboratory?
Place the specimen in an amber or brown colored biohazard bag
A phlebotomist obtains a 2 hour postprandial glucose test. Which of the following should be recognized as a panic value?
55 mg/dL
Which of the following lancet positions should a phlebotomist use for a capillary blood collection on a
healthy adult patient?
Perpendicular to the fingerprint grooves
Which of the following actions should a phlebotomist take when using a tourniquet?
Release the tourniquet with one hand
Which of the following must a phlebotomist perform to demonstrate proficiency in aseptic technique?
Proper disposal of contaminated materials
When a serum separation tube (SST) is collected, which of the following actions should the phlebotomist take to ensure optimal test results?
invert the tube 5 to 8 times and then set for 30 minutes prior to centrifugation
A phlebotomist is instructing a patient who has a suspected UTI about urine sample collection. The phlebotomist should instruct the patient to:
collect the sample midstream
A lab is scheduled for a routine annual inspection with the primary focus on equipment maintenance logs. Which of the following areas will be the focus of the inspection?
Mechanical safety
If no vein is apparent on first inspection, which of the following actions should a phlebotomy technician take before reapplying the tourniquet?
Have the patient rest their arm in a downward position
A phlebotomist has duplicate orders for a patient. How should the order be verified?
Call the provider to confirm the test requisition for the patient
Which of the following types of tests is a phlebotomist allowed to perform according to CLIA regulations?
Occult blood detection
Which of the following staff members should distribute patient results to an ordering provider?
Charge nurse
Which of the following is in accordance with quality control regulations for CLIA-waived procedures?
checking the expiration dates on the venipuncture tubes daily
Which of the following is a requirement for the handling and cleaning up of biohazardous materials in the lab?
Warning labels are present on the material containers
A phlebotomist is preparing a blood smear slide. Which of the following actions should the phlebotomist take before transporting the specimen?
allow the smear to air dry
A phlebotomist enters a patient’s room and observes the patient to be motionless and cyanotic. Which
of the following actions should the phlebotomist take first?
Ask the patient if they are okay in a loud voice
A phlebotomist observes a hematoma developing at the site of a venous blood draw. The phlebotomist should
release the tourniquet and stop the draw
Which of the following pairs of blood tests is appropriate for a fasting specimen?
glucose and triglycerides
Which of the following is the correct order of collection?
Citrate, heparin, EDTA, fluoride
A NIOSH-certified N95 or higher level mask should be worn when entering what type of isolation room?
Airborne
Which of the following describes the process of obtaining implied consent for venipuncture?
The phlebotomist explains the procedure, the patient nods and tells the phlebotomist the procedure is understood and that there are no questions
When performing a blood draw, which of the following actions should a phlebotomist take next after confirming the ordered tests on the requisition slip?
Prepare the collection equipment
