Practice Exam Flashcards
Which of the following is the BEST indication that a patient might be at risk of syncope?
A. Involuntary movement
B. Lightheadedness and shallow breath
C. Small red spots appearing on skin
D. Paleness and sweating
D. Paleness and sweating
Why is it important for a phlebotomist to invert anticoagulant tubes?
A. To recent a pH imbalance
B. To prevent hemolysis
C. To ensure proper mixing of blood and additive
D. To prevent hemoconcentration
C. To ensure proper mixing of blood and additive
Which of the following protects a patients information?
A. OSHA
B. HIPAA
C. The Joint Commission
D. AAHSA
B. HIPAA
Which of the following needle sizes is NOT used for laboratory assays but for collection of donor units of blood?
A. 18-gauge
B. 23-gauge
C. 21-gauge
D. 22-gauge
A. 18- gauge
How many minutes within collection of a urine sample should the phlebotomist take the temperature of the specimen?
A. Within 10 minutes
B. Within 45 minutes
C. Within 30 seconds
D. Within 4 minutes
D. Within 4 minutes
Quality control checklists ensure machines are inspected for compliance at time intervals specific to the equipment and _________.
A. Clinical application
B. Chemical measurement
C. Expiration date
D. Stock rotation
A. Clinical application
Which of the following actions will most likely prevent a needle stick injury?
A. Having a nurse or other healthcare team member dispose of used needles for the phlebotomist
B. Replacing sharps containers when they have reached their fill line
C. Recapping every needle prior to discarding it in the sharps container
D. Wearing rubber gloves during venipuncture
B. Replacing sharps containers when they have reached their fill line
Which of the following pieces of information need to be on a laboratory requisition form before a phlebotomist should proceed with obtaining a blood specimen?
A. The patients status as an organ donor
B. A specimen identification code
C. A laboratory’s CLIA number
D. The patient’s emergency contact
B. A specimen identification code
The patient is listening to a phlebotomist explain the venipuncture process before initiating the blood draw. The patient communicates their understanding but seems hesitant and confused. How should the phlebotomist handle the situation?
A. The phlebotomist should surmise that the patient has heard enough information and get ready to draw the patient’s blood.
B. The phlebotomist should leave the room and ask for another doctor or nurse to explain the procedure.
C. The phlebotomist should repeat the same explanation in a slower voice
D. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions
D. The phlebotomist should find another way to phrase the explanation and invite the patient to ask any clarifying questions.
The additive in a PINK TOP TUBE used in blood banking is which of the following?
A. Sodium polyanethole sulfonate (SPS)
B. Sodium heparin
C. Potassium ethylenediaminetetraacetic acid (EDTA)
D. Acid citrate dextrose (ACD)
C. Potassium ethylenediaminetetraacetic acid (EDTA)
If a patient verbally or physically refuses a venipuncture procedure, the phlebotomist should do which of the following?
A. The phlebotomist should inform the patient that they will still be responsible to pay for the procedure.
B. The phlebotomist should re-explain the procedure in case the patient did not understant
C. The phlebotomist should inform the patient that they will need to reschedule their appointment
D. The phlebotomist should immediately report the refusal and actions taken their supervisors
D. The phlebotomist should immediately report the refusal and actions taken their supervisors
What is the recommended allowance for a total volume of blood drawn from a patient within a 24-hour period?
A. .05%-1%
B. 1%-5%
C. 5%-7%
D. 10%
B. 1%- 5%
Which of the following is the proper way a phlebotomist should dispose of a needle?
A. The phlebotomist should recap it with the original white lid with the opposite hand and put it in a sharps container.
B. The phlebotomist should throw it, recapped, into a biohazard bag
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after withdrawing it from the patient’s arm.
D. The phlebotomist should collect them in a cup for disposal at the end of the day.
C. The phlebotomist should put it into a sharps container, SAFETY CAPPED, after withdrawing it from the patient’s arm.
When drawing blood from a patient who has a contagious pathogen, like COVID-19, which PPE provides the best protection for a phlebotomist?
A. Surgical mask
B. Gown
C. Double gloves
D. Respirator
A. Surgical mask
How should Vitamin B6 be transported in order to protect its photosensitive nature?
A. It should be transported on ice.
B. It should be transported at room temperature, no additional precaution needed.
C. It should be transported in an air-tight container, no additional precaution needed.
D. It should be transported in an amber or brown-colored biohazard bag.
D. It should be transported in an amber or brown-colored biohazard bag.
Before asking permission to obtain a specimen from a patient, a phlebotomist should:
A. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room.
B. The phlebotomist should ask the patient to extend their arm.
C. The phlebotomist should locate the sharps container.
D. The phlebotomist should begin to explain the phlebotomy procedure.
A. The phlebotomist should introduce themselves to the patient and any healthcare team members in the room.
What is an ICD-10 Code?
A. ICD-10 codes classify diagnoses and diseases.
B. ICD-10 codes identify specimens.
C. ICD-10 codes dictate patient care and privacy
D. ICD-10 codes organize the medical record number.
A. ICD-10 codes classify diagnoses and diseases.
If a patient expresses that they often faint when getting their blood drawn, a phlebotomist should which of the following?
A. The phlebotomist should tell the nurses to supervise the patient while the phlebotomist proceeds with the blood draw.
B. The phlebotomist should ask the patient to keep them updated on how they are feeling, have smelling salts ready, then proceed with the blood draw.
C. The phlebotomist should. Perform the blood draw while the patient lies down.
D. The phlebotomist should reassure the patient that they are in a safe place and keep close watch while they perform the blood draw.
C. The phlebotomist should. Perform the blood draw while the patient lies down.
How many inversions of a LAVENDER TOP TUBE should be done before placing it in the specimen collection tray?
A. 8 to 10 times
B. 2 to 6 times
C. 3 to 4 times
D. 6 to 8 times
A. 8 to 10 times
Which step of the blood draw should be done right before removing the needle from a patient’s arm?
A. Inverting all the tubes used in the procedure
B. Getting a bandage ready for the patient
C. Re-anchoring of the skin below the draw site
D. Asking the patient to open their fist
D. Asking the patient to open their fist
A phlebotomist witnesses a nurse receive a major electric shock from an instrument and immediately calls 911. What action should the phlebotomist have taken before calling 911?
A. The phlebotomist should have first removed the nurse from the instrument and the scene of the incident.
B. The phlebotomist should have first notified the supervisor that was on staff of the emergency.
C. The phlebotomist should have first found another nurse to take over the injured nurse’s duties.
D. The phlebotomist should have first shut off the instrument to cut off the source of the shock.
D. The phlebotomist should have first shut off the instrument to cut off the source of the shock.
The type of microorganism that causes diseases is which of the following?
A. Normal flora
B. Nonpathogenic
C. Pathogenic
D. Hereditary
C. Pathogenic
Which interfacility conditions would require a phlebotomist to transport specimens in a closed container with ice packs?
A. None as this is never necessary and will damage any specimen
B. If the specimens are hot to the touch and need to be cooled before testing
C. If it is hot weather
D. If the transport arrives and is missing a biohazard label
C. If it is hot weather
Which color signifies “instability” in the National Fire Protection Association marking system?
A. Yellow
B. White
C. Red
D. Orange
A. Yellow
If a patient decided to go on a morning jog on their way to the facility, which precautions should a phlebotomist take before proceeding with venipuncture?
A. The phlebotomist should ask the patient to raise their feet above their heart for 20 minutes.
B. The phlebotomist should provide the patient with a class of ice water
C. The phlebotomist should reschedule the appointment for another day
D. The phlebotomist should have the patient rest for 15 minutes
C. The phlebotomist should reschedule the appointment for another day
An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is most likely to be the only one that the phlebotomist can palpate?
A. Median cubical vein
B. Cephalic vein
C. Basilic vein
D. Antecubital vein
B. Cephalic vein
Which of the following steps should a phlebotomist take if blood was drawn from the wrong patient?
A. The phlebotomist should re-label the tubes with the correct patient’s name and move on.
B. The phlebotomist should immediately report the incident to the supervisor for corrective action.
C. The phlebotomist should redraw the specimen immediately and discard the wrong tubes.
D. The phlebotomist should throw the tubes away and have a nurse do the draw again.
B. The phlebotomist should immediately report the incident to the supervisor for corrective action.
Which of the following it the additive in the RED-GRAY Speckled TOP TUBE also known as a gold top tube or SST TUBE?
A. Sodium heparin
B. Thixotropic gel for serum separation
C. Ethylenediaminetetraacetic acid (EDTA)
D. No additive
B.
Where is the best draw site on a 9-month-old infant?
A. Dorsal vein
B. Thumb finger on either hand
C. Cephalic vein
D. Either heel
D. Either heel
When removing gloves after a procedure, which action best prevents contact with blood?
A. The phlebotomist should discard the first glove before touching the other glove.
B. The phlebotomist should ask another healthcare team member to assist them in taking off their gloves.
C. The phlebotomist should pinch the finger of one glove and tug quickly
D. The phlebotomist should remove the first glove so that it turns inside out.
D.
Serum is the LIQUID portion of _________ blood.
A. Hemolyzed
B. Anticoagulated
C. Hemostasis
D. Coagulated
D. Coagulated
Which of the following is true about OSHA standards and the hepatitis B vaccine?
A. Employers must offer the hepatitis B vaccine to their phlebotomist at no cost.
B. Patients are unable to receive the hepatitis B vaccine unless they have also received the hepatitis E vaccine.
C. Employers must require that every employee receive the hepatitis B vaccine within 90 days of beginning employment
D. Phlebotomist cannot receive the hepatitis B at their place of employment if they have had symptoms in the last 90 days.
A.
When teaching a patient to collect a sputum sample at home, the MOST important direction to include would be which of the following?
A. The patient should be directed to take the sample immediately after eating
B. The patient should be directed to rinse out their mouth before spitting into the container.
C. The patient should be directed to spit into the container after taking a deep breath and coughing.
D. The patient should be directed to keep the specimen in a room-temperature area, preferably in the dark.
C.
Which of the following examples of questions is most appropriate to use when identifying a patient?
A. “Are you Ms. Smith?”
B. “ Is your name Jane Smith?”
C. “ Would you please state and spell your full name and provide your date of birth?”
D. “ Would you please provide me with your last name and your billing address?”
C.
Why should a phlebotomist use an amber-colored micro container when obtaining a bilirubin level from a newborn?
A. This reduces the risk of penetrating bone during the heel stick
B. Bilirubin is photosensitive, and this tube protects the specimen from light exposure
C. The tube prevents the risk of cross-contamination
D. Bilirubin needs to be in a micro container in order to test properly.
B
Hemolyzation occurs when a phlebotomist:
A. Uses an incorrect needle gauge
B. Transports a sedimentary incorrectly
C. Follows an incorrect order of draw
D. Fails to invert the tube
A.
How many minutes should a phlebotomist rinse with water after receiving a chemical spill to exposed skin?
A. 10 minutes
B. 15 minutes
C. 12 minutes
D. 7 minutes
B
When the tourniquet is tied too tight, the capillaries in the area may rupture causing which of the following?
A. Rashes
B. Pain
C. Urticaria
D. Petechiae
D
When explain a at-home collection of a semen specimen to a patient, the phlebotomist should tell the patient to return within _______ to deliver the specimen to the lab?
A. 24 hours
B. 1 hour
C. 3 hours
D. 12 hours
B
Where should the phlebotomist send a patient’s laboratory results
A. The phlebotomist should send the results to the patient’s next of kin.
B. The phlebotomist should send the results to the patient’s ordering provider
C. The phlebotomist should send the results to the patient’s directly through mail
D. The phlebotomist should send the results to the patient’s insurance.
B