Phlebotomy 3

Question 1

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

Answer 1

d. All of the above

Question 2

Which of the following organizations oversees producing clinical laboratory standards?
a. CLIA
b. NSSPA
c. JCAHO
d. CLSI

Answer 2

d. CLSI

Question 3

What is the proper medical term for RBC?
a. Leukocyte
b. Monocyte
c. Erythrocyte
d. thrombocyte

Answer 3

c. Erythrocyte

Question 4

The liquid portion of blood from a lavender tube is referred to as..
a. Plasma
b. Whole blood
c. serum
d. Formed elements

Answer 4

a. Plasma

Question 5

___________ is the tasks performed regularly in order to maintain quality.
a. quality control
b. quality assurance
c. quality control
d. quality management

Answer 5

c. quality control

Question 6

Which of the following is the smallest gauge needle?
a. 23 g
b. 25 g
c. 21 g
d. 16 g

Answer 6

b. 25 g

Question 7

Micro sampling is the preferred method of blood collection for children older than 2 years of age
a. true
b. false

Answer 7

b. false

Question 8

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

Answer 8

a. ARD

Question 9

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

Answer 9

a. Correctly identifying the patient

Question 10

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

Answer 10

a. must be protected from light

Question 11

PHI must be discarded in designated PHI containers to be shredded.
a. true
b. false

Answer 11

a. true

Question 12

A ______ is drawn at the highest point of concentration in the blood
a. Trough
b. Post
c. Peak
d. Pre

Answer 12

c. Peak

Question 13

What color of the NFPA label indicates a health hazard?
a. Blue
b. red
c. yellow
d. white

Answer 13

a. Blue

Question 14

Serum still contains clotting factors
a. true
b. false

Answer 14

b. false

Question 15

Which vein in the antecubital fossa should be selected first if available?
a. Cephalic
b. median cubital
c. basilic
d. radial

Answer 15

b. median cubital

Question 16

A CBC test would require what type of sample?
a. Plasma
b. Serum
c. Clotted blood
d. Whole blood

Answer 16

d. Whole blood

Question 17

_________ samples can be identified by their cloudy or milky color
a. icteric
b. hemolyzed
c. lipemic
d. degraded

Answer 17

c. lipemic

Question 18

___________ are the different components used in the clotting process
a. clotting agents
b. anticoagulants
c. formed elements
d. coagulating factors

Answer 18

d. coagulating factors

Question 19

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

Answer 19

c. should be faced up

Question 20

Syncope means
a. to faint
b. to turn blue
c. to vomit
d. to convulse

Answer 20

a. to faint

Question 21

Microtainers used for dermal punctures are vacuum sealed
a. true
b. false

Answer 21

b. false

Question 22

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

Answer 22

b. using alcohol pad starting from the center moving outward in a circular motion toward the periphery

Question 23

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

Answer 23

c. 2.0 mm

Question 24

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

Answer 24

c. CLIA waived

Question 25

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

Answer 25

a. using SPS yellow top first then transferring blood to culture tubes

Question 26

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

Answer 26

d. all of the avobe

Question 27

A potassium test is greatly affected by
a. Clots
b. Hemoglobin
c. Anemia
d. Hemolysis

Answer 27

d. Hemolysis

Question 28

______ is to threaten to touch, causing fear in victim
a. battery
b. assault
c. breach of duty
d. malpratcice

Answer 28

b. assault

Question 29

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

Answer 29

a. daily cyclic variations in the body

Question 30

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

Answer 30

c. must be placed on ice

Question 31

_____ is used to clean up blood spills
a. Iodine
b. a 10% bleach solution
c. alcohol solution
d. a 90% bleach solution

Answer 31

b. a 10% bleach solution

Question 32

______ are used to prevent the spread of infection
a. chain of infection
b. engineering devices
c. isolation systems
d. safety devices

Answer 32

c. isolation systems

Question 33

____ is the formation of new blood cells
a. hemolysis
b. hemostasis
c. hematocrit
d. hematopoiesis

Answer 33

d. hematopoiesis

Question 34

which of the following tube contains heparin?
a. green
b. gray
c. gold
d. blue

Answer 34

a. green

Question 35

___ is the liquid portion from coagulated blood
a. plasma
b. whole blood
c. clotting factors
d. serum

Answer 35

d. serum

Question 36

what type of blood is collected when using the micro sampling method?
a. venous
b. capillary
c. arterial
d. clotted blood

Answer 36

b. capillary

Question 37

Where is the blood produced in the body?
a. bone marrow
b. spleen
c. liver
d. kidneys

Answer 37

a. bone marrow

Question 38

_______ accredits many medical facilities and requires laboratories have current procedure manuals that are reviewed annually
a. NCCLS
b. JCAHO
c. CLSI
d. OSHA

Answer 38

b. JCAHO

Question 39

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

Answer 39

c. immediately

Question 40

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

Answer 40

b. different color tops designate the presence or absence of tube additives

Question 41

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

Answer 41

b. below the iv

Question 42

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

Answer 42

a. middle and ring fingers

Question 43

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

Answer 43

a. inability to locate vein

Question 44

A _____ screens infants for inborn errors
a. heel stick
b. GTT
c. PKU
d. HCT

Answer 44

c. PKU

Question 45

Patients should _________ for a lipid or FBS test
a. be fasting
b. be resting
c. consume 50g glucose
d. not fast

Answer 45

a. be fasting

Question 46

Blood cultures are normally drawn when the patient has a fever spike
a. true
b. false

Answer 46

a. true

Question 47

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

Answer 47

d. first name, last name, dob, date and time of collection, initials

Question 48

______________ is the failure to perform duties according to professional standards.
a. malpractice
b. battery
c. negligence
d. reasonable care

Answer 48

c. negligence

Question 49

A ____________ test calculates the percentage of the different types of white blood cells
a. hematocrit
b. differential
c. hemoglobin A1c
d. PT-INR

Answer 49

b. differential

Question 50

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

Answer 50

d. all of the above

Question 51

what is the life span of an RBC?
a. 100 days
b. 140 days
c. 120 days
d. 110 days

Answer 51

c. 120 days

Question 52

What is the one thing that the TDM and GTT have in common?
a. Fasting
b. Timed
c. drug levels
d. red top tubes

Answer 52

b. Timed

Question 53

What department does a lipid panel go to?
a. hematology
b. coagulation studies
c. SST
d. chemistry

Answer 53

d. chemistry

Question 54

What tube(s) does ESR go into?
a. light blue / red
b. lavender / red
c. black / red
d. black / lavender

Answer 54

d. black / lavender

Question 55

what is the most common complication when drawing blood?
a. hemolysis
b. hematoma
c. hematopoiesis
d. hemoconcentration

Answer 55

b. hematoma

Question 56

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

Answer 56

b. patient identification

Question 57

which laboratory employee has the most education in the lab?
c. CPT
b. CLS
c. Pathologist
d. CMT

Answer 57

c. Pathologist

Question 58

What is called when a person has fluid buildup in their body?
a. edema
b. swollen
c. hemoconcentration
d. hemoglobin

Answer 58

a. edema

Question 59

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

Answer 59

c. higher chance of infection

Question 60

What is the number one way to prevent the spread of disease?
a. infection control
b. wearing gloves
c. handwashing
d. wearing your PPE

Answer 60

c. handwashing

Question 61

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

Answer 61

b. 240- 330 ml

Question 62

Osteochondritis appears in infants when you have hit the bone and caused damage when performing a heel stick
a. true
b. false

Answer 62

a. true

Question 63

Coagulation means
a. clotting
b. stoppage
c. platelet
d. fast flowing

Answer 63

a. clotting

Question 64

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

Answer 64

c. have them tell you their first and last name and dob

Question 65

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

Answer 65

d. how much medication are they taking

Question 66

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

Answer 66

b. a whole blood sample that has been centrifugated

Question 67

how much blood is taken when you donate blood?
a. 1 liter
b. 2 pints
c. 1 pint
d. 1 gallon

Answer 67

c. 1 pint

Question 68

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

Answer 68

a. quality control

Question 69

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

Answer 69

c. identify what additive it contains by reading the label

Question 70

What tube(s) is used for trace element levels?
a. royal blue / red
b. red / lavender
c. royal blue / tan
d. tan / lavender

Answer 70

c. royal blue / tan

Question 71

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

Answer 71

c. 15-30 degrees

Question 72

what department does a CBD test go?
a. chemistry
b. hematology
c. microbiology
d. serology

Answer 72

b. hematology

Question 73

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

Answer 73

a. OSHA

Question 74

what are the 3 main isolation categories?
a. airborne, droplet, contact
b. droplet, contact , respiratory
c. airborne, contact respiratory
d. contact, droplet, reverse

Answer 74

a. airborne, droplet, contact

Question 75

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

Answer 75

d. very close to the face and with the straps secure

Question 76

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

Answer 76

c. plasma, buffy coat, rbc

Question 77

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

Answer 77

b. light blue, green, lavender, gray

Question 78

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

Answer 78

c. 450 ml

Question 79

which bottle is drawn first when collecting blood culture?
a. aerobic
b. anaerobic

Answer 79

a. aerobic

Question 80

_____________ is blood infection with a pathologic microorganism
a. Septicemia
b. fever
c. galactosemia
d. contamination

Answer 80

a. Septicemia

Question 81

how many bottles should you have after you draw 4 blood culture tests
a. 3
b. 2
c. 8
d. 6

Answer 81

c. 8

Question 82

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

Answer 82

a. ask them their first, last name dob and check the wrist band

Question 83

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

Answer 83

c. before the lavender tube

Question 84

the PKU test is used to check for
a. inborn errors
b. diabetes
c. glucose level
d. jaundice

Answer 84

a. inborn errors

Question 85

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

Answer 85

b. 3 hrs

Question 86

Bloodletting is a therapeutic practice for patients who have what 2 conditions?
a. polycythemia vera
b. cancer
c. hemochromatosis
d. only a and c

Answer 86

d. only a and c

Question 87

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

Answer 87

a. Lab assistant, patient service assistant

Question 88

Phlebotomists are responsible for collecting which specimens?
a. blood
b. urine.
c. stool
d. all of the above

Answer 88

d. all of the above

Question 89

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

Answer 89

d. all of above

Question 90

how many identifiers are needed to properly identify each patient?
a. 0
b. 1
c. 2
d. it doesn’t matter

Answer 90

c. 2

Question 91

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

Answer 91

a. true

Question 92

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

Answer 92

a. the doctor needs the test as quickly as possible

Question 93

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

Answer 93

a. gloves, needles, adapter, alcohol pads, tourniquet, tape, cotton, tubes

Question 94

Phlebotomy duties are which phase?
a. post analytical
b. pre analytical
c. analytical
d. phlebotomy

Answer 94

b. pre analytical

Question 95

Which tube contains Na citrate?
a. lavender
b. gray
c. SST
d. light blue

Answer 95

d. light blue

Question 96

Heparin is the anti coagulant (anticlotting) additive in which of the following tubes?
a. red
b. blood culture
c. gray
d. green

Answer 96

d. green

Question 97

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

Answer 97

a. untie tourniquet, tube , needle

Question 98

The bevel must be facing up when performing phlebotomy
a. true
b. false

Answer 98

a. true

Question 99

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

Answer 99

b. 3-4 inches

Question 100

What tube is responsible for coagulation studies?
a. Lavender tube
b. Light blue tube
c. Green tube
d. Red tube

Answer 100

b. Light blue tube

Question 101

What is the additive inside the yellow tube if draw first?
a. Heparine
b. EDTA
c. SPS
d. ACD

Answer 101

c. SPS

Question 102

What tubes will yield coagulated blood?
a. Yellow
b. Gray
c. SPT/Tiger
d. Orange

Answer 102

c. SST/ Tiger

Question 103

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

Answer 103

b. Tiger/Gold 30 minutes

Question 104

Which tube is a lipid panel collected?
a. SST
b. Yellow
c. Green
d. None of the above

Answer 104

a. SST

Question 105

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

Answer 105

b. Light blue tube

Question 106

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

Answer 106

a. 23 or 25 g

Question 107

Coagulation means
a. Fibrin clot
b. Coagulated
c. Clotting
d. None of the above

Answer 107

c. Clotting

Question 108

After cleaning the venipuncture site with alcohol, it’s ok to re palpate the site prior to inserting the needle?
a. True
b. False

Answer 108

b. False

Question 109

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

Answer 109

c. 15-30

Question 110

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

Answer 110

b. False

Question 111

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

Answer 111

a. Anchor the vein by pulling the skin

Question 112

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

Answer 112

b. Hemoconcentration

Question 113

Is the cause for RBC to open and releasing hemoglobin
a. Hemolysis
b. Hemoconcentration
c. Hematoma
d. None of the above

Answer 113

a. Hemolysis

Question 114

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

Answer 114

d. Cephalic vein

Question 115

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

Answer 115

b. False

Question 116

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

Answer 116

B. 40 degrees centigrade

Question 117

The medial and lateral portions of the plantar surface are safe for puncture sites on babies.
a. True
b. False

Answer 117

a. True

Question 118

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

Answer 118

a. Lavender, green, additives

Question 119

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

Answer 119

d. only b and c

Question 120

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

Answer 120

c. 55% plasma and 45% formed elements

Question 121

EMR stands for
a. Electronic medical records
b. Early morning reminder
c. Electrolyte monitoring reacting
d. Erythrocyte measurement records

Answer 121

a. Electronic medical records

Question 122

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

Answer 122

c. PT, PTT

Question 123

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

Answer 123

c. RN

Question 124

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

Answer 124

d. all of the above

Question 125

A patient with low blood sugar has
a. galactosemia
b. hypoglycemia
c. hyperglycemia
d. glucosuria

Answer 125

b. hypoglycemia

Question 126

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

Answer 126

d. at the lowest point of concentration in the blood stream

Question 127

An inanimate object that can harbor bacteria is referred to as
a. asepsis
b. culture
c. fomite
d. pathogen

Answer 127

c. fomite

Question 128

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

Answer 128

d. all of the above

Question 129

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

Answer 129

c. you must use antiseptic soap and water and gray top tube

Question 130

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

Answer 130

c. checks the average sugar level for the past 4-6 weeks

Question 131

When you need blood for a serum glucose test, what is the best tube to use?
a. gray
b. red
c. lavender
d. green

Answer 131

b. red

Question 132

What department does an occult blood test go to?
a. hematology
b. microbiology
c. chemistry
d. coagulation

Answer 132

b. microbiology

Question 133

what does the term NPO mean?
a. nothing per dr.
b. nothing per oral
c. nothing per midnight
d. nothing per nurse

Answer 133

b. nothing per oral

Question 134

TDMs monitor what type of test?
a. glucose levels
b. drug levels
c. fasting profile
d. alcohol levels

Answer 134

b. drug levels

Question 135

what does the glucose tolerance test help to diagnose?
a. cholesterol
b. diabetes
c. alcohol
d. thyroid

Answer 135

b. diabetes

Question 136

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

Answer 136

c. agent, transmission, host

Question 137

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

Answer 137

a. formaldehyde used to preserve tissue samples and other anatomic body parts

Question 138

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

Answer 138

d. lymphatic system

Question 139

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

Answer 139

a. arteries

Question 140

This system is compromised of the hair, skin and nails
a. nervous system
b. urinary system
c. integumentary system
d. digestive system

Answer 140

c. integumentary system

Question 141

The function of a ______________ is to fight infection.
a. leukocyte
b. thrombocyte
c. erythrocyte
d. platelet

Answer 141

a. leukocyte

Question 142

A CBC test is drawn in a _____________ tube
a. blue
b. red
c. green
d. lavender

Answer 142

d. Lavender

Question 143

The _____________ system is comprised of the heart and blood vessels.
a. lymphatic
b. cardiovascular
c. urinary
d. respiratory

Answer 143

b. cardiovascular

Question 144

Hematopoiesis occurs in the _____________
a. spleen
b. kidneys
c. bone marrow
d. blood vessels

Answer 144

c. bone marrow

Question 145

Platelets deliver oxygen to the body
a. true
b. false

Answer 145

b. false

Question 146

______________ is the process of breaking down a fibrin clot
a. fibrinolysis
b. coagulation
c. hemolysis
d. hemostasis

Answer 146

a. fibrinolysis

Question 147

which of the following is not a vein used for venipuncture?
a. basilic
b. medial cubital
c. aorta
d. cephalic

Answer 147

c. aorta

Question 148

what’s the main function of the platelet?
a. fight infection
b. transport RBC
c. aid in clotting
d. carry hb through the body

Answer 148

c. aid in clotting

Question 149

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

Answer 149

c. leukocytes and thrombocytes

Question 150

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

Answer 150

c. plasma, buffy coat, rbc

Question 151

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

Answer 151

c. 4.5 to 5.5

Question 152

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

Answer 152

a. requires time for antiseptic action

Question 153

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

Answer 153

b. improper preparation of the venipuncture

Question 154

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.

Answer 154

b. place 1 mm drop blood a half inch from the edge of the slide

Question 155

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

Answer 155

c. speak with the patients guardian before performing the procedure to ensure the explanation was understood

Question 156

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

Answer 156

c. iatrogenic

Question 157

Occult blood collection is used to detect which of the following?
a. urinary bladder cancer
b. colon cancer
c. lower esophageal cancer
d. diverticulitis

Answer 157

b. colon cancer

Question 158

For which of the following test would a first voided morning urine specimen be collected?
a. drug
b. alcohol
c. glucose
d. pregnancy

Answer 158

d. pregnancy

Question 159

Federal law that establishes standards for the electronic exchange of patient information
a. CLIA
b. HIPPA
c. Medicare
d. OSHA

Answer 159

b. HIPPA

Question 160

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

Answer 160

c. wear gloves when contact with blood is anticipated

Question 161

what tubes should be collected first in dermal punctures?
a. lavender
b. green
c. red
d. light blue

Answer 161

a. lavender

Question 162

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

Answer 162

c. the incorrect data may be reported to the health care provider

Question 163

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

Answer 163

b. accession number

Question 164

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

Answer 164

d. 72

Question 165

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

Answer 165

c. watertight secondary container

Question 166

A written exposure control plan must be maintained by who?
a. practitioner
b. insurer
c. phlebotomist
d. employer

Answer 166

d. employer

Question 167

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

Answer 167

a. dorsal vein

Question 168

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

Answer 168

d. 36-38 degrees C

Question 169

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

Answer 169

c. to determine if the patient is at risk of developing iatrogenic anemia

Question 170

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

Answer 170

a. O2 levels

Question 171

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

Answer 171

d. the joint commission

Question 172

Which blood specimen additive can inhibit the metabolism of glucose in the cells for 3 days?
a. EDTA
b. Heparin
c. NaF
d. Oxalate

Answer 172

c. NaF

Question 173

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

Answer 173

b. benzalkonium chloride

Question 174

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

Answer 174

a. position the needle in the same direction as the vein and at 30 degree angle with the bevel up

Question 175

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

Answer 175

b. complete medical history

Question 176

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

Answer 176

a. DOE chart that provide a hospital ID number, medical record number and id band and labels

Question 177

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

Answer 177

d. flush the injured are with running water

Question 178

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

Answer 178

c. inspect the integrity of the needles seal

Question 179

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?

Answer 179

a. when was the last time you ate?

Question 180

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

Answer 180

d. I will cleanse the area with povidone iodine

Question 181

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

Answer 181

d. thin, feathered edge

Question 182

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

Answer 182

d. perform the venipuncture

Question 183

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

Answer 183

d. either heel

Question 184

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

Answer 184

c. clean catch, midstream collected in sterile cup

Question 185

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

Answer 185

b. CLIA 88

Question 186

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

Answer 186

b. flush your eyes with water for 15 minutes

Question 187

Operational standards are established by which of the following agencies?
a. CDC
b. CLSI
c. CLIAC
d. CLIA

Answer 187

b. CLSI

Question 188

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

Answer 188

c. if the patient is breathing and you do not suspect of spinal injury

Question 189

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

Answer 189

b. I will collect the specimen in a sterile container and return in 1 hr

Question 190

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

Answer 190

b. Winged infusion set and adapter

Question 191

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

Answer 191

c. send the results to the physician in a marked envelope

Question 192

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

Answer 192

d. shut off power to the instrument

Question 193

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

Answer 193

b. report the results to the patients physician

Question 194

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

Answer 194

c. Paternity testing

Question 195

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

Answer 195

a. Chain of custody

Question 196

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

Answer 196

d. Inform the patient to contact the ordering physician to get the results

Question 197

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

Answer 197

c. pre surgical

Question 198

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

Answer 198

d. attempt to draw from the antecubital region

Question 199

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

Answer 199

d. place the specimen tube in an ice water slurry

Question 200

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

Answer 200

b. an incorrect needle gauge

Question 201

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

Answer 201

a. Lavender, red

Question 202

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

Answer 202

c. discontinue the draw

Question 203

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

Answer 203

c. tiger top, lavender

Question 204

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

Answer 204

c. insert until a change in resistance

Question 205

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

Answer 205

c. choose a syringe and butterfly assembly and transfer to an ETS tube

Question 206

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

Answer 206

c. return after drawing other patients

Question 207

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

Answer 207

c. Excessively milking the finger during skin puncture can result in hemolysis and contamination of the specimen with tissue fluids

Question 208

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

Answer 208

c. To draw multiple tubes during a venipuncture on the same patient

Question 209

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

Answer 209

a. assault and battery

Question 210

Wearing gloves during phlebotomy procedures is mandated by the following agency?
a. CDC
b. FDA
c. HICPAC
d. OSHA

Answer 210

d. OSHA

Question 211

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

Answer 211

d. SST

Question 212

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

Answer 212

b. light blue

Question 213

this test is typically performed on capillary blood
a. CBC
b. GTT
c. PKU
d. PTT

Answer 213

c. PKU

Question 214

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

Answer 214

b. CBC

Question 215

A typical unit of donated blood contains approximately
a. 250 ml
b. 450 ml
c. 750 ml
d. 1.00 L

Answer 215

b. 450 ml

Question 216

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

Answer 216

b. diagnose urinary track infection

Question 217

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

Answer 217

c. release the tourniquet and stop the draw

Question 218

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

Answer 218

a. as soon as you collect the specimen keep it next to your body, we will need to submit it right away

Question 219

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

Answer 219

a. the median cubital vein could be more accessible on one side than the other

Question 220

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

Answer 220

b. when the patient is tested

Question 221

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

Answer 221

b. benzalkonium chloride

Question 222

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

Answer 222

d. a syringe draw transferred into a light blue tube vacutainer

Question 223

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

Answer 223

c. 15-30 degree angle

Question 224

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

Answer 224

b. N95 respirator

Question 225

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

Answer 225

b. check for breathing

Question 226

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

Answer 226

b. the biohazard bag prevents a possible exposure incident

Question 227

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

Answer 227

b. sodium citrate

Question 228

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

Answer 228

c. initial and date, time , mark each tube drawn

Question 229

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

Answer 229

c. engage the needle safety device

Question 230

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

Answer 230

a. cells must be separated from the serum/plasma

Question 231

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

Answer 231

c. shaking the collection tubes vigorously

Question 232

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

Answer 232

c. 2-10 degrees C

Question 233

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

Answer 233

c. potassium

Question 234

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

Answer 234

b. assess the site, cleanse the site, and insert the needle

Question 235

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

Answer 235

b. advise the patient that you understand their concern, document the declined procedure and notify the nurse

Question 236

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

Answer 236

b. direct them to ask their physician, do not provide the results

Question 237

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

Answer 237

d. pumping the fist prior to drawing blood

Question 238

the most common complication of phlebotomy is
a. petechiae
b. phlebitis
c. hemoconcentration
d. hematoma

Answer 238

d. hematoma

Question 239

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)

Answer 239

a. the ordered tests can be performed on a capillary specimen

Question 240

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

Answer 240

b. check with the nurse

Question 241

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

Answer 241

b. a transfusion reaction

Question 242

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

Answer 242

a. veins are inaccessible

Question 243

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

Answer 243

c. 240-330 ml

Question 244

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

Answer 244

c. when a new lot of kits is opened

Question 245

when someone is in shock, you should keep them cool?
a. true
b. false

Answer 245

b. false

Question 246

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

Answer 246

b. 16-18 g

Question 247

According to CLSI which tube is filled last when using a syringe?
a. EDTA
b. Heparin
c. Citrate
d. Sterile SPS

Answer 247

a. EDTA

Question 248

when collecting blood culture with a butterfly into culture bottles, which is filled first?
a. aerobic
b. anaerobic

Answer 248

a. aerobic

Question 249

Lancets are used to collect blood samples by _____
a. arterial draw
b. evacuated tubes
c. capillary or skin punctures
d. venipuncture

Answer 249

c. capillary or skin punctures

Question 250

ethanol and paternity tests are examples of.
a. reasonable care
b. duty of care
c. sample integrity
d. chain of custody

Answer 250

d. chain of custody

Question 251

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

Answer 251

b. put in sharps container

Question 252

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

Answer 252

c. call the physician who ordered the tests

Question 253

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

Answer 253

c. the source of collection

Question 254

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

Answer 254

a. hematoma

Question 255

when doing a BAC venipuncture, what antiseptic do you use?
a. 70% isopropyl alcohol
b. Ethyl alcohol
c. Chlorhexidine
d. Povidone iodine

Answer 255

d. Povidone iodine

Question 256

what complication could arise if you accidentally hit the bone on an infant heel stick?
a. osteoarthritis
b. osteochondritis
c. hematoma
d. edema

Answer 256

b. osteochondritis

Question 257

any handwriting done on the tube should be legible
a. true
b. false

Answer 257

a. true

Question 258

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

Answer 258

d. must use a protective barrier

Question 259

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

Answer 259

d. before the lavender tube

Question 260

what would be the clotting time for serum tubes?
a. 5 min
b. 10 min
c. 15 min
d. 30-60 min

Answer 260

d. 30-60 min

Question 261

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

Answer 261

a. could go through the vein

Question 262

it is important to have gender on the requisition
a. true
b. false

Answer 262

a. true

Question 263

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

Answer 263

c. gown, mask, gloves

Question 264

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

Answer 264

a. gloves, shield, gown, mask

Question 265

tdm stands for therapeutic drug monitoring?
a. true
b. false

Answer 265

a. true

Question 266

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

Answer 266

a. by drawing a peak and through level

Question 267

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

Answer 267

a. big toe

Question 268

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

Answer 268

a. phalanges

Question 269

if a patient is obese, what would be most likely vein to do a venipuncture?
a. median
b. cephalic
c. basilic
d. dorsal

Answer 269

b. cephalic

Question 270

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.

Answer 270

a. if they are allergic to shellfish

Question 271

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

Answer 271

c. when did you take your medication last

Question 272

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

Answer 272

a. clear the patient care area

Question 273

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

Answer 273

a. use plastic diapers or line with saran wrap

Question 274

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

Answer 274

c. release the tourniquet and remove the needle

Question 275

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

Answer 275

d. 1 to 2 min

Question 276

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

Answer 276

a. Syncope

Question 277

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

Answer 277

c. tourniquet, tube, gauze

Question 278

What condition is therapeutic phlebotomy commonly used?
a. Iatrogenic anemia
b. Hemophilia
c. Iron deficiency
d. Polycythemia vera

Answer 278

d. Polycythemia vera

Question 279

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

Answer 279

c. donate blood 9 weeks ago

Question 280

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

Answer 280

b. autologous

Question 281

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.

Answer 281

c. Hi, my name is xxx, I am a student phlebotomist, and I am here to collect a blood specimen.

Question 282

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

Answer 282

d. Below the IV

Question 283

Plasma still contains clotting factors
a. true
b. false

Answer 283

a. true

Question 284

What is the liquid portion of coagulated blood called?
a. plasma
b. serum
c. whole blood
d. red blood cells

Answer 284

b. serum

Question 285

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

Answer 285

b. plasma contains fibrinogen and serum does not