Phlebotomy 3 Flashcards
Which of the following could potentially affect the accuracy of a laboratory test?
a. Timing
b. Not stabilizing the specimen at the proper temperature
c. Patient is not fasting
d. All of the above
d. All of the above
Which of the following organizations oversees producing clinical laboratory standards?
a. CLIA
b. NSSPA
c. JCAHO
d. CLSI
d. CLSI
What is the proper medical term for RBC?
a. Leukocyte
b. Monocyte
c. Erythrocyte
d. thrombocyte
c. Erythrocyte
The liquid portion of blood from a lavender tube is referred to as..
a. Plasma
b. Whole blood
c. serum
d. Formed elements
a. Plasma
___________ is the tasks performed regularly in order to maintain quality.
a. quality control
b. quality assurance
c. quality control
d. quality management
c. quality control
Which of the following is the smallest gauge needle?
a. 23 g
b. 25 g
c. 21 g
d. 16 g
b. 25 g
Micro sampling is the preferred method of blood collection for children older than 2 years of age
a. true
b. false
b. false
The __________ contains special resins inside that serve to inactivate antibiotic action, allowing microorganisms to grow when testing blood cultures.
a. ARD
b. AED
c. FUO
d. SPS
a. ARD
What is the first step in assuring quality of any specimen?
a. Correctly identifying the patient
b. washing your hands
c. Properly labeling your specimens
d. cleansing the venipuncture site appropiately
a. Correctly identifying the patient
A bilirubin test __________
a. must be protected from light
b. should be placed on ice immediately
c. is only performed on babies
d. all of the above
a. must be protected from light
PHI must be discarded in designated PHI containers to be shredded.
a. true
b. false
a. true
A ______ is drawn at the highest point of concentration in the blood
a. Trough
b. Post
c. Peak
d. Pre
c. Peak
What color of the NFPA label indicates a health hazard?
a. Blue
b. red
c. yellow
d. white
a. Blue
Serum still contains clotting factors
a. true
b. false
b. false
Which vein in the antecubital fossa should be selected first if available?
a. Cephalic
b. median cubital
c. basilic
d. radial
b. median cubital
A CBC test would require what type of sample?
a. Plasma
b. Serum
c. Clotted blood
d. Whole blood
d. Whole blood
_________ samples can be identified by their cloudy or milky color
a. icteric
b. hemolyzed
c. lipemic
d. degraded
c. lipemic
___________ are the different components used in the clotting process
a. clotting agents
b. anticoagulants
c. formed elements
d. coagulating factors
d. coagulating factors
The bevel of the needle ___________
a. should be faced down
b. should be faced to the right
c. should be faced up
d. should be faced to the left
c. should be faced up
Syncope means
a. to faint
b. to turn blue
c. to vomit
d. to convulse
a. to faint
Microtainers used for dermal punctures are vacuum sealed
a. true
b. false
b. false
How should the venipuncture be cleaned?
a. with soap and water
b. using alcohol pad starting from the center moving outward in a circular motion toward the periphery
c. Scrubbing site with an alcohol for a minimum of 20 seconds
d. using an iodine pad starting from the center moving outward in a circular motion toward the periphery
b. using alcohol pad starting from the center moving outward in a circular motion toward the periphery
What is the maximum depth of a lancet used for a heel stick?
a. 0.02 mm
b. 20.0 mm
c. 2.0 mm
d. 1.8 mm
c. 2.0 mm
Which of the following CLIA category tests can be performed at home?
a. High complexity
b- Moderate complexity
c. CLIA waived
d. None of the above
c. CLIA waived
Which of the following is not an appropriate way to collect blood cultures?
a. using SPS yellow top first then transferring blood to culture tubes
b. Using alcohol to clean the site prior to drawing
c. Using chlorhexidine to clean the site prior to drawing blood
d. Using alcohol first, then iodine to clean the site prior to drawing blood
a. using SPS yellow top first then transferring blood to culture tubes
What should be taken into consideration prior to drawing a patients blood?
a. if the patient is allergic to latex
b. what tests need to be performed
c. if the patient has had a mastectomy
d. all of the avobe
d. all of the avobe
A potassium test is greatly affected by
a. Clots
b. Hemoglobin
c. Anemia
d. Hemolysis
d. Hemolysis
______ is to threaten to touch, causing fear in victim
a. battery
b. assault
c. breach of duty
d. malpratcice
b. assault
Diurnal variations refers to
a. daily cyclic variations in the body
b. changes that occur after medication is administered
c. drawing blood at the peak of medication
d. daily blood draws
a. daily cyclic variations in the body
an ammonia test
a. needs to be protected from light
b. is drawn in a lavender top tube
c. must be placed on ice
d. is drawn without a tourniquet
c. must be placed on ice
_____ is used to clean up blood spills
a. Iodine
b. a 10% bleach solution
c. alcohol solution
d. a 90% bleach solution
b. a 10% bleach solution
______ are used to prevent the spread of infection
a. chain of infection
b. engineering devices
c. isolation systems
d. safety devices
c. isolation systems
____ is the formation of new blood cells
a. hemolysis
b. hemostasis
c. hematocrit
d. hematopoiesis
d. hematopoiesis
which of the following tube contains heparin?
a. green
b. gray
c. gold
d. blue
a. green
___ is the liquid portion from coagulated blood
a. plasma
b. whole blood
c. clotting factors
d. serum
d. serum
what type of blood is collected when using the micro sampling method?
a. venous
b. capillary
c. arterial
d. clotted blood
b. capillary
Where is the blood produced in the body?
a. bone marrow
b. spleen
c. liver
d. kidneys
a. bone marrow
_______ accredits many medical facilities and requires laboratories have current procedure manuals that are reviewed annually
a. NCCLS
b. JCAHO
c. CLSI
d. OSHA
b. JCAHO
when should you invert your tubes?
a. after the last tube is drawn
b. after the first tube is drawn
c. immediately
d. after the safety is activated over the needle
c. immediately
What do the different color tube tops mean?
a. they all have additives
b. different color tops designate the presence or absence of tube additives
c. these is vacuum inside the tube
d. all tubes are the same
b. different color tops designate the presence or absence of tube additives
Where should you draw blood if a patient has an IV?
a. from the foot
b. below the iv
c. stop the iv then draw the blood from above
d. above the iv
b. below the iv
Which fingers are used for micro sampling on adults?
a. middle and ring fingers
b. middle and pointer finger
c, thumb and middle
d. ring and pinky
a. middle and ring fingers
what is not a reason to perform a finger stick on an adults?
a. inability to locate vein
b. requested to reserve veins
c. after 2 failed attempts to collect blood
d. when only a few drops of blood is needed for POCT
a. inability to locate vein
A _____ screens infants for inborn errors
a. heel stick
b. GTT
c. PKU
d. HCT
c. PKU
Patients should _________ for a lipid or FBS test
a. be fasting
b. be resting
c. consume 50g glucose
d. not fast
a. be fasting
Blood cultures are normally drawn when the patient has a fever spike
a. true
b. false
a. true
What 5 things are required when labeling a specimen?
a. first name, last name, dob, medical record number, initials
b. first name, last name, dob, date of collection, initials
c. first and last name, dob, date of collection, initials, MRN
d. first name, last name, dob, date and time of collection, initials
d. first name, last name, dob, date and time of collection, initials
______________ is the failure to perform duties according to professional standards.
a. malpractice
b. battery
c. negligence
d. reasonable care
c. negligence
A ____________ test calculates the percentage of the different types of white blood cells
a. hematocrit
b. differential
c. hemoglobin A1c
d. PT-INR
b. differential
What can cause hemolysis?
a. not allowing the alcohol to dry completely
b. leaving the tourniquet on longer than 60 seconds
c. using too small of a gauge needle
d. all of the above
d. all of the above
what is the life span of an RBC?
a. 100 days
b. 140 days
c. 120 days
d. 110 days
c. 120 days
What is the one thing that the TDM and GTT have in common?
a. Fasting
b. Timed
c. drug levels
d. red top tubes
b. Timed
What department does a lipid panel go to?
a. hematology
b. coagulation studies
c. SST
d. chemistry
d. chemistry
What tube(s) does ESR go into?
a. light blue / red
b. lavender / red
c. black / red
d. black / lavender
d. black / lavender
what is the most common complication when drawing blood?
a. hemolysis
b. hematoma
c. hematopoiesis
d. hemoconcentration
b. hematoma
what is the single most important step in phlebotomy and often where an error occurs?
a. correct order of draw
b. patient identification
c. hand washing
d. processing
b. patient identification
which laboratory employee has the most education in the lab?
c. CPT
b. CLS
c. Pathologist
d. CMT
c. Pathologist
What is called when a person has fluid buildup in their body?
a. edema
b. swollen
c. hemoconcentration
d. hemoglobin
a. edema
why should you avoid an arm with mastectomy?
a. it will hurt more
b. the blood doesn’t flow to the vein anymore
c. higher chance of infection
d. you do not need to avoid the site
c. higher chance of infection
What is the number one way to prevent the spread of disease?
a. infection control
b. wearing gloves
c. handwashing
d. wearing your PPE
c. handwashing
what is the blood volume of an infant that weighs 3.3 kilograms?
a. 500-600 ml
b. 240- 330 ml
c. 100 - 150 ml
d. 200 - 250 ml
b. 240- 330 ml
Osteochondritis appears in infants when you have hit the bone and caused damage when performing a heel stick
a. true
b. false
a. true
Coagulation means
a. clotting
b. stoppage
c. platelet
d. fast flowing
a. clotting
How do you verify an outpatients information before drawing blood?
a. tell them their name and birthdate
b. have them give you there address
c. have them tell you their first and last name and dob
d. ask them their doctors name and phone number
c. have them tell you their first and last name and dob
when drawing for PT or PTT what is the one thing you should put on the requisition or notes?
a. time of last dose of anticoagulant
b. what type of bloods thinner they are on
c. when they last ate
d. how much medication are they taking
d. how much medication are they taking
what does plasma come from?
a. a plain red top that has been centrifugated
b. a whole blood sample that has been centrifugated
c. a serum sample that has been centrifugated
d. a whole blood sample that has serum
b. a whole blood sample that has been centrifugated
how much blood is taken when you donate blood?
a. 1 liter
b. 2 pints
c. 1 pint
d. 1 gallon
c. 1 pint
What is it called when you must log daily temperature logs for freezers and fridge?
a. quality control
b. quality assurance
c. quality daily reports
d. quality logs
a. quality control
how would you know what order of draw tube you have never used before?
a. ask your supervisor
b. draw it before all other tubes
c. identify what additive it contains by reading the label
d. look for your employee handbook
c. identify what additive it contains by reading the label
What tube(s) is used for trace element levels?
a. royal blue / red
b. red / lavender
c. royal blue / tan
d. tan / lavender
c. royal blue / tan
what is the angle of your needle when drawing with the evacuated system?
a. 30-45 degrees
b. 15-20 degrees
c. 15-30 degrees
d. 25-30 degrees
c. 15-30 degrees
what department does a CBD test go?
a. chemistry
b. hematology
c. microbiology
d. serology
b. hematology
which of the following organizations requires employers to protect employees who are exposed to biohazards and is regulated by the US government?
a. OSHA
b. CDC
c. NSSPA
d. none of the above
a. OSHA
what are the 3 main isolation categories?
a. airborne, droplet, contact
b. droplet, contact , respiratory
c. airborne, contact respiratory
d. contact, droplet, reverse
a. airborne, droplet, contact
The N95 respirator must fit
a. loose so that you can still breath
b. all adults and children
c. can be worn with facial hair if no hair is sticking out
d. very close to the face and with the straps secure
d. very close to the face and with the straps secure
what are the 3 elements in a tube of anticoagulated blood?
a. serum, buffy coat, rbc
b. rbc, serum, plasma
c. plasma, buffy coat, rbc
d. plasma, serum, buffy coat
c. plasma, buffy coat, rbc
what tubes will remain whole blood after drawing?
a. light blue, lavender, green, red
b. light blue, green, lavender, gray
c. light blue, red, sst, yellow
d. light blue, green, sst, gray
b. light blue, green, lavender, gray
how much blood can be donated at one time from the average adult?
a. 500 ml
b. 425 ml
c. 450 ml
d. 550 ml
c. 450 ml
which bottle is drawn first when collecting blood culture?
a. aerobic
b. anaerobic
a. aerobic
_____________ is blood infection with a pathologic microorganism
a. Septicemia
b. fever
c. galactosemia
d. contamination
a. Septicemia
how many bottles should you have after you draw 4 blood culture tests
a. 3
b. 2
c. 8
d. 6
c. 8
what is the best way to identify your patients in a hospital setting?
a. ask them their first, last name dob and check the wrist band
b. ask them if they are john doe and check their wrist band
c. check their name on the door with the name on your oders
d. ask to see their writs band and ID
a. ask them their first, last name dob and check the wrist band
when drawing a trace element tube, where would it go in order to draw?
a. first then use a discarded tube
b. last
c. before the lavender tube
d. after the lavender tube
c. before the lavender tube
the PKU test is used to check for
a. inborn errors
b. diabetes
c. glucose level
d. jaundice
a. inborn errors
On the PKU test how long do you need to let the circles dry?
a. 30 min
b. 3 hrs
c. 2 hrs
d. 60 min
b. 3 hrs
Bloodletting is a therapeutic practice for patients who have what 2 conditions?
a. polycythemia vera
b. cancer
c. hemochromatosis
d. only a and c
d. only a and c
Professional titles for phlebotomists
a. Lab assistant, patient service assistant
b. Medical laboratory technician, patient service assistant
c. lab technician, lab assistant
d. none of the above
a. Lab assistant, patient service assistant
Phlebotomists are responsible for collecting which specimens?
a. blood
b. urine.
c. stool
d. all of the above
d. all of the above
when labeling specimens, what must you put on the specimens?
a. name and dob
b. date and time
c. your initials or employee id
d. all of above
d. all of above
how many identifiers are needed to properly identify each patient?
a. 0
b. 1
c. 2
d. it doesn’t matter
c. 2
every 2 years you will need to renew your phlebotomy license CPT1 by completing 5 hours of continuing education units and submit them through CDPHs website
a. true
b. false
a. true
A test ordered as a STAT means
a. the doctor needs the test as quickly as possible
b. the patient must be fasting
c. collect the patients blood without using a tourniquet
d. none of the above
a. the doctor needs the test as quickly as possible
what phlebotomy equipment are needed to perform venipuncture?
a. gloves, needles, adapter, alcohol pads, tourniquet, tape, cotton, tubes
b. gloves, needles, blood pressure cuff, alcohol, adapter, tape gauze
c. gloves, needles, soap water, tourniquet, co band
d. gloves, needles, paper, urine cups
a. gloves, needles, adapter, alcohol pads, tourniquet, tape, cotton, tubes
Phlebotomy duties are which phase?
a. post analytical
b. pre analytical
c. analytical
d. phlebotomy
b. pre analytical
Which tube contains Na citrate?
a. lavender
b. gray
c. SST
d. light blue
d. light blue
Heparin is the anti coagulant (anticlotting) additive in which of the following tubes?
a. red
b. blood culture
c. gray
d. green
d. green
during the phlebotomy procedure which of the following is the correct sequence of steps?
a. untie tourniquet, tube , needle
b. untie tourniquet, needle, tube
c. remove tub, tourniquet, needle
d. remove needle, tube, tourniquet
a. untie tourniquet, tube , needle
The bevel must be facing up when performing phlebotomy
a. true
b. false
a. true
How many inches above the venipuncture site must you apply the tourniquet?
a. 1-3 inches
b. 3-4 inches
c. 4-6 inches
d. 5 inches
b. 3-4 inches
What tube is responsible for coagulation studies?
a. Lavender tube
b. Light blue tube
c. Green tube
d. Red tube
b. Light blue tube
What is the additive inside the yellow tube if draw first?
a. Heparine
b. EDTA
c. SPS
d. ACD
c. SPS
What tubes will yield coagulated blood?
a. Yellow
b. Gray
c. SPT/Tiger
d. Orange
c. SST/ Tiger
What are the 2 SST tubes and how long must they clot prior to centrifugate them?
a. Light blue 20 minutes
b. Tiger/Gold 30 minutes
c. SPS / 10 minutes
d. Green 20 minutes
b. Tiger/Gold 30 minutes
Which tube is a lipid panel collected?
a. SST
b. Yellow
c. Green
d. None of the above
a. SST
Which tube must be filled to maintain 9:1 ratio of blood to anticoagulant?
a. Yellow tubes
b. Light blue tubes
c. Tan tube
d. Green tube
b. Light blue tube
What size needle gauge is best to use on children 2 years and younger?
a. 23 or 25 g
b. 16 or 17 g
c. 18 or 19 g
d. 20 or 21 g
a. 23 or 25 g
Coagulation means
a. Fibrin clot
b. Coagulated
c. Clotting
d. None of the above
c. Clotting
After cleaning the venipuncture site with alcohol, it’s ok to re palpate the site prior to inserting the needle?
a. True
b. False
b. False
The needle should be between which pair of Angle degrees when inserted into a vein?
a. 5-10
b. 10-15
c. 15-30
d. 0-15
c. 15-30
After collecting blood sample from a patient, it’s ok to allow the patient to leave prior to labeling the samples
a. True
b. False
b. False
The best way to deal with rolling veins is
a. Anchor the vein by pulling the skin
b. Tell the patient there is a small chance to get blood
c. Tie the tourniquet as tight as possible
d. Hold the vein so it doesn’t move
a. Anchor the vein by pulling the skin
Is a decrease in plasma volume resulting in an increase in the concentration of red blood cells in the blood and caused by having the tourniquet too long.
a. Hemostasis
b. Hemoconcentration
c. Hemolysis
d. Hematoma
b. Hemoconcentration
Is the cause for RBC to open and releasing hemoglobin
a. Hemolysis
b. Hemoconcentration
c. Hematoma
d. None of the above
a. Hemolysis
In obese patients where is normally the best vein located?
a. In the hand
b. In the foot
c. Basilic vein AC
d. Cephalic vein
d. Cephalic vein
When performing a skin/dermal/capillary/ micro collection you should start collecting the sample immediately with the first drop of blood
a. True
b. False
b. False
When warming the baby’s heel the temperature of the warmer should not exceed
A. 30 degrees centigrade
B. 40 degrees centigrade
C. 35 degrees centigrade
D. 40 degrees Fahrenheit
B. 40 degrees centigrade
The medial and lateral portions of the plantar surface are safe for puncture sites on babies.
a. True
b. False
a. True
The order of draw for capillary puncture is
a. Lavender, green, additives
b. Lavender, red, green
c. Green, lavender, additives
d. Light blue, lavender, green
a. Lavender, green, additives
When collecting blood for coagulation studies and you are using butterfly, what must you consider when collecting the specimen?
a. Collect 2 light blue tubes
b. use a discard tube to prime
c. fill the tube all the way
d. only b and c
d. only b and c
Whole blood consists of
a. 60% plasma and 40% cells
b. 55% liquid and 45% formed elements
c. 55% plasma and 45% formed elements
d. 100% blood
c. 55% plasma and 45% formed elements
EMR stands for
a. Electronic medical records
b. Early morning reminder
c. Electrolyte monitoring reacting
d. Erythrocyte measurement records
a. Electronic medical records
Warfarin and coumadin are anticoagulant medications. which lab tests is ordered to monitor this medication?
a. CBC
b. Lipid panel
c. PT, PTT
d. Bilirubin
c. PT, PTT
Which of the following is not a healthcare worker you would normally find in a laboratory setting?
a. CLS
b. MLT
c. RN
d. CPT
c. RN
Which of the following could potentially affect the accurcy of a laboratory test?
a. timing
b. not stabilizing the specimen at the proper temperature
c. patient not fasting
d. all of the above
d. all of the above
A patient with low blood sugar has
a. galactosemia
b. hypoglycemia
c. hyperglycemia
d. glucosuria
b. hypoglycemia
A “through” is drawn….
a. when the patient is fasting
b. at the frig levels highest concentration in the blood stream
c. before the patient is given medication
d. at the lowest point of concentration in the blood stream
d. at the lowest point of concentration in the blood stream
An inanimate object that can harbor bacteria is referred to as
a. asepsis
b. culture
c. fomite
d. pathogen
c. fomite
What is a way the laboratory results are utilized?
a. monitor medications
b. to identify infections
c. to diagnose specific disease or illness
d. all of the above
d. all of the above
What is true about drawing blood for BAC?
a. you must use soap and water and red top tube
b. you must use alcohol and gray top tube
c. you must use antiseptic soap and water and gray top tube
d. you must use alcohol and red top tube
c. you must use antiseptic soap and water and gray top tube
What does Hgb A1C test check for?
a. test the amount of sugar in the patients urine
b. counts the white blood cells
c. checks the average sugar level for the past 4-6 weeks
d. checks if an unborn fetus can tolerate simple sugars
c. checks the average sugar level for the past 4-6 weeks
When you need blood for a serum glucose test, what is the best tube to use?
a. gray
b. red
c. lavender
d. green
b. red
What department does an occult blood test go to?
a. hematology
b. microbiology
c. chemistry
d. coagulation
b. microbiology
what does the term NPO mean?
a. nothing per dr.
b. nothing per oral
c. nothing per midnight
d. nothing per nurse
b. nothing per oral
TDMs monitor what type of test?
a. glucose levels
b. drug levels
c. fasting profile
d. alcohol levels
b. drug levels
what does the glucose tolerance test help to diagnose?
a. cholesterol
b. diabetes
c. alcohol
d. thyroid
b. diabetes
What are the links in the chain of infection?
a. host, transmission, agent
b. transmission, host, agent
c. agent, transmission, host
d. host, agent, transmission
c. agent, transmission, host
why is formalin and how is utilized?
a. formaldehyde used to preserve tissue samples and other anatomic body parts
b. formulated for the nourishment of babies
c. anticoagulated additive use to keep the blood from clotting in transport tubes
d. formaldehyde used to make bacteria grow
a. formaldehyde used to preserve tissue samples and other anatomic body parts
select the body system that matches the description: fluid filled vessels made of lymphatic tissue
a. digestive system
b. endocrine system
c. urinary system
d. lymphatic system
d. lymphatic system
These blood vessels have pulse, they carry oxygenated blood away from the heart and out of the body tissues
a. arteries
b. veins
c. capillaries
d. superior vena cava
a. arteries
This system is compromised of the hair, skin and nails
a. nervous system
b. urinary system
c. integumentary system
d. digestive system
c. integumentary system
The function of a ______________ is to fight infection.
a. leukocyte
b. thrombocyte
c. erythrocyte
d. platelet
a. leukocyte
A CBC test is drawn in a _____________ tube
a. blue
b. red
c. green
d. lavender
d. Lavender
The _____________ system is comprised of the heart and blood vessels.
a. lymphatic
b. cardiovascular
c. urinary
d. respiratory
b. cardiovascular
Hematopoiesis occurs in the _____________
a. spleen
b. kidneys
c. bone marrow
d. blood vessels
c. bone marrow
Platelets deliver oxygen to the body
a. true
b. false
b. false
______________ is the process of breaking down a fibrin clot
a. fibrinolysis
b. coagulation
c. hemolysis
d. hemostasis
a. fibrinolysis
which of the following is not a vein used for venipuncture?
a. basilic
b. medial cubital
c. aorta
d. cephalic
c. aorta
what’s the main function of the platelet?
a. fight infection
b. transport RBC
c. aid in clotting
d. carry hb through the body
c. aid in clotting
What does the buffy coat consists of?
a. leukocytes and monocytes
b. red blood cells and platelets
c. leukocytes and thrombocytes
d. plasma and rbc
c. leukocytes and thrombocytes
What are the 3 elements in a tube of anticoagulated blood?
a. serum, buffy coat, rbc
b. rbc, serum, plasma
c. plasma, buffy coat, rbc
d. plasma, serum, buffy coat
c. plasma, buffy coat, rbc
How many litters of blood are in the human body?
a. 2-3
b. 7-8
c. 4.5 to 5.5
c. 1-2
c. 4.5 to 5.5
If you are using alcohol to cleanse the venipuncture site, it must be allowed to air dry prior to the venipuncture because alcohol
a. requires time for antiseptic action
b. destroys white blood cells
c. compromises additives in the tubes
d. dilutes the blood specimen
a. requires time for antiseptic action
what is the most common cause for blood culture contamination?
a. improper order of draw and contaminated needles
b. improper preparation of the venipuncture
c. improper skin preparation
d. improper patient verification
b. improper preparation of the venipuncture
Which of the following actions is appropriate for preparing a peripheral blood smear?
a. place a drop blood the size of a dime on the center of the slide
b. place 1 mm drop blood a half inch from the edge of the slide
c. place 1 mm drop on the center of the slide
d. place a drop blood the size of a dime a half inch from the edge of the slide.
b. place 1 mm drop blood a half inch from the edge of the slide
A phlebotomist has a requisition to draw on a patient who has severe down syndrome, which of the following steps the phlebotomist should take?
a. explain the procedure to the patient in simple terms then proceed
b. draw the patients’ blood without trying to explain the procedure
c. speak with the patients guardian before performing the procedure to ensure the explanation was understood
d. ask the patients guardian to assist in holding the patients arm for the procedure
c. speak with the patients guardian before performing the procedure to ensure the explanation was understood
An inpatient who will need to be drawn every day or every few hours, what type of anemia is commonly seen?
a. hemolytic
b. sickle cell
c. iatrogenic
d. pernicious
c. iatrogenic
Occult blood collection is used to detect which of the following?
a. urinary bladder cancer
b. colon cancer
c. lower esophageal cancer
d. diverticulitis
b. colon cancer
For which of the following test would a first voided morning urine specimen be collected?
a. drug
b. alcohol
c. glucose
d. pregnancy
d. pregnancy
Federal law that establishes standards for the electronic exchange of patient information
a. CLIA
b. HIPPA
c. Medicare
d. OSHA
b. HIPPA
Which of the OSHA requirements specific to venipuncture procedure must phlebotomist comply with?
a. wear safety glasses is splashes, spray, splatter or droplets of blood may be generated
b. recap contaminated venipuncture devices to reduce exposure incidents
c. wear gloves when contact with blood is anticipated
d. report a blood exposure incident to supervisor within 48 -72 hr
c. wear gloves when contact with blood is anticipated
what tubes should be collected first in dermal punctures?
a. lavender
b. green
c. red
d. light blue
a. lavender
If the phlebotomist enters data incorrectly in to the LIS which of the following potential outcomes is the most damaging?
a. the incorrect data may cause system error
b. the incorrect data may lead to a quality assurance issue
c. the incorrect data may be reported to the health care provider
d. the incorrect data may reman in the patient file indefinitely
c. the incorrect data may be reported to the health care provider
Which of the following identifies a specimen as long as it remains in the laboratory?
a. ICD-10 code
b. accession number
c. cpt code
d. medical record number
b. accession number
Tubes needed for culture sensitivity tests may be kept at room temperature for up to how many hours?
a. 2
b. 12
c. 24
d. 72
d. 72
Which of the following is required for all specimens shipped to a reference laboratory?
a. a chain of custody form
b. a warming pack
c. watertight secondary container
d. an ice pack
c. watertight secondary container
A written exposure control plan must be maintained by who?
a. practitioner
b. insurer
c. phlebotomist
d. employer
d. employer
Some older adult or obese patients may not have accessible antecubital fossa veins. In this situation the phlebotomist may use which of the following?
a. dorsal vein
b. superficial veins
c. wrist veins
d. foot veins
a. dorsal vein
At what temperature should a semen sample be transported by the phlebotomist?
a. -20 to 10 degrees C
b. 21 to 23 degrees C
c. 25 to 30 degrees C
d. 36-38 degrees C
d. 36-38 degrees C
Why should a phlebotomist document the total volume of blood drawn from a patient?
a. to provide documentation for the patient personal records
b. to ensure a sufficient amount is drawn for laboratory tests
c. to determine if the patient is at risk of developing iatrogenic anemia
d. to obtain a reference for the future blood draws
c. to determine if the patient is at risk of developing iatrogenic anemia
You receive orders to draw an infant screening card, O2 levels, bilirubin DNA, which of the following should be drawn first?
a. O2 levels
b. Bilirubin
c. DNA
d. Screening card
a. O2 levels
The standard of care in the practice of phlebotomy is influenced by which of the following organizations?
a. The environmental protection act
b. the US food and drug administration
c. The health insurance privacy agency
d. the joint commission
d. the joint commission
Which blood specimen additive can inhibit the metabolism of glucose in the cells for 3 days?
a. EDTA
b. Heparin
c. NaF
d. Oxalate
c. NaF
Which is the appropriated cleanser for cleaning around the urinary meatus in a clean and catch urine collection?
a. hydrogen peroxide
b. benzalkonium chloride
c. povidone iodine
d. alcohol pad
b. benzalkonium chloride
When performing ETS venipuncture a phlebotomist should.
a. position the needle in the same direction as the vein and at 30 degree angle with the bevel up
b. position the needle near the vein at a 15 degree angle with the bevel up
c. position the needle in the same direction as the vein and at 30 degree angle with the bevel down
d. position the needle near the vein at a 15 degree angle with the bevel down
a. position the needle in the same direction as the vein and at 30 degree angle with the bevel up
A phlebotomist is required to obtain which of the following from a potential blood donor?
a. drug screen
b. complete medical history
c. gtt
d. ecg
b. complete medical history
If someone is admitted to the ER unconscious, how do we identify them until they can be properly identified?
a. DOE chart that provide a hospital ID number, medical record number and id band and labels
b. DOE information is given on base by base cases, generally you yell or slap the patient to wake up
c. DOE log is kept in the breakroom, you would refer to that when something this rare happens
d. DOE identification is not important, what is important is that you had a great draw and got all needed
a. DOE chart that provide a hospital ID number, medical record number and id band and labels
If you are stuck with a used needle you should
a. report for HIV evaluation
b. report for medical evaluation
c. contact supervisor
d. flush the injured are with running water
d. flush the injured are with running water
What action should you take to verify the quality of venipuncture supplies before beginning a blood draw on a patient?
a. determine that the tourniquet is proper size
b. check the vacuum tubes
c. inspect the integrity of the needles seal
d. verify that the adapter is correct color
c. inspect the integrity of the needles seal
If you are drawing a metabolic panel what is the most important question to ask the patient prior to collection?
a. when was the last time you ate?
b. do you take any medications?
c. what time did you go to bed?
d. what is your weight?
a. when was the last time you ate?
Which of the following statements by a phlebotomist regarding skin preparation for blood culture is appropriate?
a. I will cleanse the area with sodium hypochlorite
b. I will cleanse the area with 70% ethyl alcohol
c. I will cleanse the area with 90% isopropyl alcohol
d. I will cleanse the area with povidone iodine
d. I will cleanse the area with povidone iodine
What is the most important thing to remember when creating a blood smear?
a. Thick, long edge
b. thin, straight edge
c. dirty slide with a thin feathered edge
d. thin, feathered edge
d. thin, feathered edge
Before the phlebotomist perform a venicpuncture the patient warns that is HIV positive. According to OSHA regulations, after doning gloves, the phlebotomist should-
a. apply extra set of gloves
b. have the supervisor observe
c. don a mask and eye protection
d. perform the venipuncture
d. perform the venipuncture
The phlebotomist has an order to draw a routine CBC for a 9 month old infant, which of the following is the most appropriate collection site?
a. third finger on either hand
b. median cubital vein
c. cephalic vein
d. either heel
d. either heel
Which of the following types of urine collection is require for culture and sensitivity testing?
a. 24 hr urine specimen
b. First voided morning specimen
c. clean catch, midstream collected in sterile cup
d. timed specimen
c. clean catch, midstream collected in sterile cup
The abbreviation for the federal regulations that established quality standards for all laboratories that test human specimen is
a. BBP stds
b. CLIA 88
c. Hazcom
d. OSHA
b. CLIA 88
You accidentally splash a bleach solution into your eyes while preparing it for cleaning purposes. what is the first thing you do?
a. dry your eyes quickly with a clean paper towel or tissue
b. flush your eyes with water for 15 minutes
c. proceed to the emergency room as quickly as possible
d. put in 10 - 20 drops of saline in your eyes
b. flush your eyes with water for 15 minutes
Operational standards are established by which of the following agencies?
a. CDC
b. CLSI
c. CLIAC
d. CLIA
b. CLSI
Under which of the following circumstances should you place a patient into the recovery position?
a. if the patient is not breathing and there is no pulse
b. if the patient has not been breathing for 10 minutes
c. if the patient is breathing and you do not suspect of spinal injury
d. if the patient is breathing and you suspect of spinal injury
c. if the patient is breathing and you do not suspect of spinal injury
The phlebotomist is explaining the patient about a proper at home procedure for collecting semen specimen. What following statements indicates that the patient understands the instructions?
a. I will collect the specimen in a sterile container and refrigerate it
b. I will collect the specimen in a sterile container and return in 1 hr
c. I will collect the specimen in a sterile container and return in 2 hr
d. I will abstain from ejaculation for 3 days prior to the test
b. I will collect the specimen in a sterile container and return in 1 hr
Which of the following equipment should you assemble in preparing to preform a hand draw?
a. ETS needle and transfer device
b. Winged infusion set and adapter
c. Syringe and vacutainer
d. Lancet and microtainer
b. Winged infusion set and adapter
When reporting routine laboratory results which of the following is acceptable example?
a. Send the results to the patient personal email
b. Call the physician with the results
c. send the results to the physician in a marked envelope
d. fax the results to the insurance office
c. send the results to the physician in a marked envelope
A phlebotomist sees a co worker receive a major electrical shock from an instrument. Which of the following is the first thing the phlebotomist must do?
a. call 911
b. call the shift supervisor
c. remove the co worker from contact
d. shut off power to the instrument
d. shut off power to the instrument
A phlebotomist performs a point of care glucose test on an outpatient. the results in the critical value range which of the following actions is appropriate?
a. report the results to the supervisor
b. report the results to the patients physician
c. report the results to the CNA
d. report the results to the nurse supervisor
b. report the results to the patients physician
For which of the following must the phlebotomist follow a chain of custody guidelines?
a. Digoxin levels
b. Blood culture
c. Paternity testing
d. Lead levels
c. Paternity testing
Sealed or locked specimen transfer bags are used as part of which of the following?
a. Chain of custody
b. Plasma thawing
c. Centrifuging
d. Chain of communication
a. Chain of custody
A patient comes to find out his test results. The phlebotomist notices the results are ready and verifies the patients identity. Which of the following actions is most appropriate?
a. have the laboratory manager discuss the results with the patient
b. have the nurse interpretate with the patient
c. obtain signed authorization from the patient and explain the results
d. Inform the patient to contact the ordering physician to get the results
d. Inform the patient to contact the ordering physician to get the results
When a phlebotomist is distributing laboratory test results to ordering physician which results have priority?
a. lead level
b. basal metabolic
c. pre surgical
d. ferritin level
c. pre surgical
A diabetic patient states she prefers to be drawn on the inside of the wrist. which of the following actions should you take?
a. draw from the inside of the wrist
b. warm the ventral side of the hand to enhance vein location
c. perform a draw on her foot
d. attempt to draw from the antecubital region
d. attempt to draw from the antecubital region
Which of the following is the proper procedure after collecting an ammonia specimen?
a. protect the specimen tube from light
b. keep the specimen tube warm
c. keep the specimen at body temperature
d. place the specimen tube in an ice water slurry
d. place the specimen tube in an ice water slurry
Which of the following actions would result in a grossly hemolyzed specimen?
a. an incorrect order of draw
b. an incorrect needle gauge
c. Applying the tourniquet too close to the site.
d. failure to invert the tube
b. an incorrect needle gauge
WBC, RBC, glucose and electrolytes tests are ordered for a patient. To perform a skin puncture what color tube should you use and in what order?
a. Lavender, red
b. Red, green
c. Lavender, light blue
d. Green, gray
a. Lavender, red
While a phlebotomist is performing a venipuncture, the patient begins to seize. which of the following is an appropriate action for the phlebotomist to take?
a. insert a tongue depressor into the patient mouth
b. place the patient in the prone position
c. discontinue the draw
d. restrain the patient
c. discontinue the draw
You are asked to draw blood for BUN, bilirubin, and CBC, what is the proper order of draw?
a. tiger top, lavender, light blue
b. red, light blue, tiger top
c. tiger top, lavender
d. green, tiger top, pink
c. tiger top, lavender
When performing a venipuncture on a patient of average weight which of the following is a correct technique for needle insertion?
a. insert half inch
b. insert an inch and a half
c. insert until a change in resistance
d. insert until meet resistance
c. insert until a change in resistance
which is the best method to collect blood specimen from an older adult patient who has fragile easy to collapse veins?
a. choose a butterfly assembly utilizing a regular ETS tube
b. choose a butterfly assembly and utilize a pediatric tube
c. choose a syringe and butterfly assembly and transfer to an ETS tube
d. choose a regular ETS and pediatric tube assemble
c. choose a syringe and butterfly assembly and transfer to an ETS tube
Upon entering a patients room for a routine blood draw a phlebotomist notices a clergy member is with the patient. The phlebotomist should do?
a. proceed with the draw
b. mark requisition unable to draw at this time
c. return after drawing other patients
d. wait in the patients room until the clergy member leaves
c. return after drawing other patients
What is the most important thing to remember when doing a capillary puncture?
a. PPE, mask, google, and microscope panes
b. Excessively, aggressively milking the finger can result in full tubes for testing
c. Excessively milking the finger during skin puncture can result in hemolysis and contamination of the specimen with tissue fluids
d. hemolysis and contamination of the specimen with tissue fluids due to not enough excessive milking of the finger
c. Excessively milking the finger during skin puncture can result in hemolysis and contamination of the specimen with tissue fluids
What is the multisampling needle used for?
a. to draw multiple tubes in several different patients during a venipuncture
b. to draw multiple draws in one day on the same patient during a venipuncture
c. To draw multiple tubes during a venipuncture on the same patient
d. to draw one large tube multiple times on one patient during a venipuncture
c. To draw multiple tubes during a venipuncture on the same patient
A 12 y old inpatient who refused to have his blood drawn was restrained by a health care worker while the phlebotomist collected the specimen. This is an example of
a. assault and battery
b. implied consent
c. malpractice
d. negligence
a. assault and battery
Wearing gloves during phlebotomy procedures is mandated by the following agency?
a. CDC
b. FDA
c. HICPAC
d. OSHA
d. OSHA
A serum specimen is requested. Which of the following evacuated test tubes can be used to be collected?
a. EDTA
b. Heparin
c. Sodium citrate
d. SST
d. SST
The blood to additive ratio is most critical for a specimen collected in this tube
a. lavender
b. light blue
c. light green
d. royal blue
b. light blue
this test is typically performed on capillary blood
a. CBC
b. GTT
c. PKU
d. PTT
c. PKU
if the following tests are collected from a patient by capillary puncture, which test specimen is collected first?
a. Bilirubin
b. CBC
c. Lytes
d. Glucose
b. CBC
A typical unit of donated blood contains approximately
a. 250 ml
b. 450 ml
c. 750 ml
d. 1.00 L
b. 450 ml
A urine culture sensitivity is typically ordered to
a. check for glucose in the urine
b. diagnose urinary track infection
c. evaluate the function of the kidneys
d. monitor urinary protein levels
b. diagnose urinary track infection
what should you do if a hematoma is observed developing at the site of a venipuncture?
a. observe the site to see if it worsens
b. ask the patient to apply pressure
c. release the tourniquet and stop the draw
d. call a nurse and assess the condition
c. release the tourniquet and stop the draw
a phlebotomist is working in the fertility clinic, draws blood from the patient and must submit semen for analysis. What should you tell the patient?
a. as soon as you collect the specimen keep it next to your body, we will need to submit it right away
b. you will have to talk to the lab to collect the sample, they do all the testing
c. leave the sample at the front desk for delivery to the lab at the end of the day
d. you should discuss with your physician
a. as soon as you collect the specimen keep it next to your body, we will need to submit it right away
the phlebotomist should examine the antecubital veins on both arms for which of the following reasons?
a. the median cubital vein could be more accessible on one side than the other
b. the median cubital vein on the dominant arm tends to be anchored better
c. the median cubital vein in the no dominate arm tends to be inaccessible
d. the median cubital vein could bruise more easily on one side than the other
a. the median cubital vein could be more accessible on one side than the other
When should the code on glucose cuvette or strips be compared to the code of the glucose meter?
a. after a new package is opened
b. when the patient is tested
c. at the beginning of the shift
d. following an error code
b. when the patient is tested
which of the following is an appropriate cleanser for cleaning around the urinary meatus in a clean catch urine collection?
a. hydrogen peroxide
b. benzalkonium chloride
c. povidone iodine
d. 70% alcohol pad
b. benzalkonium chloride
A patient states that she is difficult draw and requests a skin puncture. The test ordered is a PTT. Which of the following should the phlebotomist perform?
a. a capillary draw into a lavender microtainer
b. a capillary draw into a green microtainer
c. a syringe draw transferred to a lavender microtainer vacutainer
d. a syringe draw transferred into a light blue tube vacutainer
d. a syringe draw transferred into a light blue tube vacutainer
industry standards state that the needle insertion in the antecubital area should be at a
a. 5-10 degree angle
b. 50-60 degree angle
c. 15-30 degree angle
d. 40-50 degree angle
c. 15-30 degree angle
which of the following provides the phlebotomist the best protection when drawing blood from a patient with active tuberculosis?
a. double gloves
b. N95 respirator
c. surgical mask
d. shoe covers
b. N95 respirator
During a draw the patient becomes unresponsive. What is the next action the phlebotomist should take?
a. evaluate the patients feet
b. check for breathing
c. alert medical personnel
d. start chest compressions
b. check for breathing
when transporting a specimen to an outside laboratory, why is it so important to place the specimen in a biohazard specimen bag?
a. the biohazard bag ensures prompt transportation of the specimen
b. the biohazard bag prevents a possible exposure incident
c. the biohazard bag allows the whole blood specimens to be placed in the freezer
d. the biohazard bag maintains the proper in vitro characteristics of the specimen
b. the biohazard bag prevents a possible exposure incident
the phlebotomist should use a tube with which of the following anticoagulants to collect a PT/PTT test?
a. ethylenediaminetetraacetic acid
b. sodium citrate
c. potassium oxalate
d. heparin
b. sodium citrate
before leaving the patients room which of the following actions is required for the phlebotomist to take?
a. thank the patient by name
b. alert the nurse that she is leaving
c. initial and date, time , mark each tube drawn
d. initial and date, time the requisition form
c. initial and date, time , mark each tube drawn
which of the following is the next step after removing the needle from the patients arm?
a. ask the patient to open his fist
b. remove the tourniquet
c. engage the needle safety device
d. invert all tubes
c. engage the needle safety device
A phlebotomist must centrifuge a serum specimen before shipment to an outside reference laboratory because
a. cells must be separated from the serum/plasma
b. cells will hemolyze
c. platelets must be separated from the serum
d. wbc will be elevated
a. cells must be separated from the serum/plasma
which can cause a hemolyzed specimen?
a. inverting the specimen four times
b. partially filling the collection tubes
c. shaking the collection tubes vigorously
d. allowing the specimen to clot
c. shaking the collection tubes vigorously
the phlebotomist draws a cbc at a physicians office at 1800 hours. The laboratory closes at 1730 hours and will not process the specimens again until 1500 hours. which of the following is proper temperature for preserving the specimen?
a. 37-39 degrees C
b. 15-30 degrees C
c. 2-10 degrees C
d. -20 - 10 degrees C
c. 2-10 degrees C
which of the following test results are affected when povidone iodine is used to cleanse the site for a dermal puncture?
a. glucose
b. blood urea nitrogen
c. potassium
d. coagulation studies
c. potassium
which of the following venipuncture steps are in the appropriate order?
a. insert the needle, place the tourniquet, and label the tube
b. assess the site, cleanse the site, and insert the needle
c. identify the patient, cleanse the site, and assess the site
d. draw the specimen, remove the needle, and remove the tourniquet
b. assess the site, cleanse the site, and insert the needle
if a patient declines medical treatment ,what is the first thing you do?
a. advise the patient that you will be fined if they do not allow you to draw their blood
b. advise the patient that you understand their concern, document the declined procedure and notify the nurse
c. advise the patient that they are sick, and they need to have medical attention
d. advise the patient that you are going to let them lose the opportunity allowing you to provide outstanding service
b. advise the patient that you understand their concern, document the declined procedure and notify the nurse
if a patient asks you for the test results, what you do?
a. give them to the patient, after all it is their information
b. direct them to ask their physician, do not provide the results
c. advise you will contact their family before your provide the results
d. give them the results but tell them you are not qualified
b. direct them to ask their physician, do not provide the results
which one of the following is not a potential cause of hemolysis?
a. pulling the plunger back too hard when using a syringe
b. not allowing the alcohol to dry completely
c. leaving the tourniquet too long
d. pumping the fist prior to drawing blood
d. pumping the fist prior to drawing blood
the most common complication of phlebotomy is
a. petechiae
b. phlebitis
c. hemoconcentration
d. hematoma
d. hematoma
a patient asks the phlebotomist to please use her finger for the blood work. The phlebotomist can do this if…
a. the ordered tests can be performed on a capillary specimen
b. the physician has pre approved the finger stick
c. the ordered tests is PTT
d. the patient indicates she is taking warfarin (coumadin)
a. the ordered tests can be performed on a capillary specimen
a physician ordered tobramycin level to be drawn one hour after dose. The tobramycin has been ordered for 1100 hours. which of the following actions should the phlebotomist take?
a. draw the blood at 1100 hours
b. check with the nurse
c. contact the laboratory
d. ask the patient
b. check with the nurse
which of the following is potential consequence of mislabeling a blood bank specimen?
a. a HIPPA violation
b. a transfusion reaction
c. a medical transcription error
d. a pharmaceutical reaction
b. a transfusion reaction
Capillary specimen collection is preferred over venipuncture when
a. veins are inaccessible
b. the patient prefers capillary collection
c. collecting blood cultures
d. conducting coagulation tests
a. veins are inaccessible
which of the following is the total blood volume of a 3.3 kg infant?
a. 350-390 ml
b. 125-230 ml
c. 240-330 ml
d. 405-450 ml
c. 240-330 ml
when should a phlebotomist perform external liquid control for quality control on a CLIA waived POC test?
a. with every patient
b. every week the test is performed
c. when a new lot of kits is opened
d. when a different technician performs the test
c. when a new lot of kits is opened
when someone is in shock, you should keep them cool?
a. true
b. false
b. false
what needle is commonly used for the blood bank?
a. 21-22 g
b. 16-18 g
c. 23-25 g
d. 20-21 g
b. 16-18 g
According to CLSI which tube is filled last when using a syringe?
a. EDTA
b. Heparin
c. Citrate
d. Sterile SPS
a. EDTA
when collecting blood culture with a butterfly into culture bottles, which is filled first?
a. aerobic
b. anaerobic
a. aerobic
Lancets are used to collect blood samples by _____
a. arterial draw
b. evacuated tubes
c. capillary or skin punctures
d. venipuncture
c. capillary or skin punctures
ethanol and paternity tests are examples of.
a. reasonable care
b. duty of care
c. sample integrity
d. chain of custody
d. chain of custody
where do you dispose of a peripheral blood smear slide when is no longer needed?
a. throw it in the trash
b. put in sharps container
c. put it in a special container for slides
d. put in a red biohazard bag
b. put in sharps container
what do you do if you end up with duplicate orders?
a. call the charge nurse
b. call the supervisor
c. call the physician who ordered the tests
d. go ahead and draw the order
c. call the physician who ordered the tests
when collecting non blood specimens, what important information must be on the label other than name, dob, date and time of collection and initials?
a. diagnosis
b. cpt number
c. the source of collection
d. icd 9 number
c. the source of collection
what complication can arise if you remove the needle from the arm before the tourniquet is removed?
a. hematoma
b. hemoconcentration
c. hemostasis
d. hemolysis
a. hematoma
when doing a BAC venipuncture, what antiseptic do you use?
a. 70% isopropyl alcohol
b. Ethyl alcohol
c. Chlorhexidine
d. Povidone iodine
d. Povidone iodine
what complication could arise if you accidentally hit the bone on an infant heel stick?
a. osteoarthritis
b. osteochondritis
c. hematoma
d. edema
b. osteochondritis
any handwriting done on the tube should be legible
a. true
b. false
a. true
what must be done before placing venipuncture equipment on patients surfaces?
a. remove from the trays
b. make sure the patient is covered
c. remove personal belongings from the bed
d. must use a protective barrier
d. must use a protective barrier
when doing a trace element panel in a royal blue tube, where would it go in the order of draw?
a. after the lavender tube
b. first then use a discard tube
c. last
d. before the lavender tube
d. before the lavender tube
what would be the clotting time for serum tubes?
a. 5 min
b. 10 min
c. 15 min
d. 30-60 min
d. 30-60 min
what complication could arise if you insert the needle at 45 degree higher angle?
a. could go through the vein
b. cause hemoconcentration
c. difficult to engage tubes
d. could cause excessive bleeding
a. could go through the vein
it is important to have gender on the requisition
a. true
b. false
a. true
before entering an isolation room, how you will don your PPE?
a. mask, gloves, gown
b. gown, gloves, mask
c. gown, mask, gloves
d. gloves, mask, gown
c. gown, mask, gloves
before leaving the isolation room, how you will remove your PPE?
a. gloves, shield, gown, mask
b. gloves, mask, gown
c. mask, gloves, gown
d. gown, gloves, mask
a. gloves, shield, gown, mask
tdm stands for therapeutic drug monitoring?
a. true
b. false
a. true
how is a TDM accomplished?
a. by drawing a peak and through level
b. by drawing a medication level
c. by drawing 2 lavender tubes
c. by drawing 2 blood cultures
a. by drawing a peak and through level
medial means the closest to the center of the body, than what body part below would best fit that position?
a. big toe
b. wrist
c. phalanges
d. elbow
a. big toe
lateral means the farthest from the center of the body, than what body part below would fit that position?
a. phalanges
b. elbow
c. shoulder
d. wrist
a. phalanges
if a patient is obese, what would be most likely vein to do a venipuncture?
a. median
b. cephalic
c. basilic
d. dorsal
b. cephalic
if you are drawing a blood culture on a patient and using povidone iodine as an antiseptic, what should you ask the patient?
a. if they are allergic to shellfish.
b. have they had blood cultures before?
c. what is your best vein to use
d. is you allergic to alcohol.
a. if they are allergic to shellfish
if a patient is coming in for a PT, PTT Test because he is on a blood thinner what information you need to ask him?
a. what was the result on your last test
b. are you having any bruises
c. when did you take your medication last
d. why are you taking a blood thinner
c. when did you take your medication last
when a patient faints you will always stop the draw but what else should you do?
a. clear the patient care area
b. hold the patient up
c. give the patient a trash can for vomiting
d. try to wake up the patient by slapping
a. clear the patient care area
what must you do when collecting fecal specimen from an infant in diapers?
a. use plastic diapers or line with saran wrap
b. attach a bag to the rectum
c. scrape fecal material off diaper and put in container
d. hold container under rectum till infant eliminates
a. use plastic diapers or line with saran wrap
What actions should a phlebotomist take if the patient reports sharp pain radiating down the arm during a venipuncture procedure?
a. pull back on the needle and continue the draw
b. continue the draw and monitor the patients pain
c. release the tourniquet and remove the needle
d. reposition the patient and change the needle angle
c. release the tourniquet and remove the needle
When should the tourniquet be released during a 5 tube collection draw?
a. after drawing is complete
b. 3 to 4 min
c. After the last tube
d. 1 to 2 min
d. 1 to 2 min
If a patient becomes pale and diaphoretic during a routine venipuncture, what condition is most likely to occur?
a. Syncope
b. Seizure
c. Nausea
d. Shock
a. Syncope
What is the correct way to end a venipuncture procedure?
a. tourniquet, gauze, tube
b. tourniquet, finger with gauze, tube
c. tourniquet, tube, gauze
d. needle, gauze, tourniquet
c. tourniquet, tube, gauze
What condition is therapeutic phlebotomy commonly used?
a. Iatrogenic anemia
b. Hemophilia
c. Iron deficiency
d. Polycythemia vera
d. Polycythemia vera
A patient can donate blood if he or she
a. is 13 years old, with parent permission
b. weigh less than 110 pounds
c. donate blood 9 weeks ago
d. is negative for AIDS but positive for HIV
c. donate blood 9 weeks ago
Which term is used to describe a blood donation from a patient for later use in his or her own surgical procedure?
a. transfused
b. autologous
c. auto transplantation
d. autoimmunity
b. autologous
Which of the following statements is an appropriate introduction for a student phlebotomist?
a. Hi, my name is xxx, i am your phlebotomist and I am here to collect a blood specimen.
b. Hi, I am your phlebotomist, and I am here to collect blood for you.
c. Hi, my name is xxx, I am a student phlebotomist, and I am here to collect a blood specimen.
d. Hi, I am a student phlebotomist and I am here to collect a blood specimen.
c. Hi, my name is xxx, I am a student phlebotomist, and I am here to collect a blood specimen.
The phlebotomist must perform blood draw on a patient with an IV on the right side, and there has been a mastectomy on the left side, where should the phlebotomist perform the venipuncture?
a. Left median cubital vein
b. Above the IV
c. Left dorsal vein
d. Below the IV
d. Below the IV
Plasma still contains clotting factors
a. true
b. false
a. true
What is the liquid portion of coagulated blood called?
a. plasma
b. serum
c. whole blood
d. red blood cells
b. serum
What is the difference between serum and plasma?
a. serum still contains fibrinogen and plasma doesn’t
b. plasma contains fibrinogen and serum does not
b. plasma contains fibrinogen and serum does not
