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Phlebotomy STATE EXAM > Review > Flashcards

Review Flashcards

1
Q

Which of the following methods of reporting results by a clinical laboratory abides by the recommended standards set by the joint commission (TJC)?

A

a faxed report from the clinical laboratory technician to the patient.

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2
Q

Which of the following time should the phlebotomist ensure this patient appointment os schedule?

A

2 hours after you start eating a meal

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3
Q

How many times should an EDTA tube be inverted after blood collection?

A

8-10 times

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4
Q

Which of the following information is required for proper outpatient rehabilitation?

A

Patient name and Patient DOB

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5
Q

Phlebotomist insets needle into a patients vein and observes no blood flow in the tube. Which of the following actions should the phlebotomist take first?

A

Pull the needle back slightly

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6
Q

Phlebotomist is preparing to collect a capillary blood specimen for the patient using an aseptic technique. Which of the following cleansing agent should the phlebotomist use?

A

70% isopropyl alcohol

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7
Q

Which of the following forms commonly accompanied a toxicology drug screen for legal purposes?

A

Chain of custody

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8
Q

After cleaning the collection site with an antiseptic agent, the phlebotomist should do which of the following?

A

Allow the site to air dry

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9
Q

Phlebotomist is preparing to collect blood from a patient who has self reported of needle phobia. Which of the following actions should the phlebotomist take?

A

Instruct the patient to lie supine during the procedure

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10
Q

Which of the following color top tubes will the phlebotomist need to perform A1C, CBC, Hepatic Panel, CMP?

A

Gold and Lavender

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11
Q

Fasting specimens are preferred for the which of the following tests?

A

Cholesterol

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12
Q

Which of the following tub additives promotes clot formation?

A

Sillica

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13
Q

A phlebotomist should instruct the patient to take which of the following actions when providing a sputum specimen?

A

Take a deep breath and the expectorate

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14
Q

A phlebotomist is preparing a blood smear slide. Which of the following should the phlebotomist take before transporting the specimen?

A

Allow the smear to dry

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15
Q

8 yo old pt arrives to the lab for blood work. Which of the following info is required on the venipuncture requisition?

A

Phlebotomy technician name

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16
Q

A phlebotomist has duplicate orders for a patient. How should the order be verified?

A

Call the provider to confirm the test requisition for the patient

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17
Q

How should a phlebotomist instruct a female patient to collect urine specimens for culture testing?

A

Do not touch the inside of the container, clean urinary meatus front to back and then collect urine

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18
Q

When preparing a blood sear, which of the following should a phlebotomist use to ensure the best result?

A

Venous blood from an EDTA tube

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19
Q

A phlebotomist finds a patient unresponsive and not breathing. In which of the following positions should the phlebotomist place the patient before initiating CPR?

A

Supine

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20
Q

A phlebotomist is explaining venipuncture procedure to a patient who is seated. In which of the following positions should the phlebotomist instruct the patient to place their arm.

A

Distal portion of the arm in a downward position

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21
Q

A phlebotomist should identify that which of the following OTC products taken by a patient can affect a liver function panel

A

Acetaminophen aka Tylenol

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22
Q

A CPT should identify a blood spot collection for in bord errors of metabolism requires which of the following?

A

The circles of the filter paper must be at least half filled

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23
Q

CPT should identifiy which of the following as the best site for phenylketonuria collection of an infant

A

The medial or bilateral areas of the heal

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24
Q

Which of the following lancet positions should a phlebotomist use for a capillary blood collection on a healthy adult patient?

A

Parallel to the nail bed

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25
Q

CPT… has just confirmed critical values on a lab test. Which of the following actions should the CPT take when the physician’s office is already closed?

A

Contac physician by paging or calling right away

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26
Q

CPT… informs a patient who is anxious that restraints will have to be used if the patient continues to move. When using this language, the CPT is liable for which of the following?

A

Assault

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27
Q

Which of the following actions should the CPT take to comply with guidance for CLIA-waived products?

A

Document quality control results

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28
Q

Which of the following refers to the process of cleaning up a blood specimen spill on the counter?

A

Disinfection

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29
Q

Failure ti demonstrate proper care that results in an injury to another person is an example of

A

Negligence

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30
Q

When performing a dermal puncture in a 1 yo old pt or older, the CPT should place the lancet in which of the following?

A

middle 3rd finger

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31
Q

CPT… is processing a urine sample in the lab. Which of the following PPE is required to maintain safety regulations in the lab.

A

Surgical glove

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32
Q

CPT…should use a blood transfer device with the following methods of blood collection?

A

Syringe

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33
Q

Which of the following actions should a. CPT take with a patient who has a seizure during blood collection?

A

Move the patient to the floor

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34
Q

A report of the lab results is required to have which of the following information?

A

Date of specimen

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35
Q

Drawing a patients blood without consent can result in a charge of

A

battery

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36
Q

The CLSA recommends a heal lancet penetration to be less than 2mm to prevent which of the following conditions

A

bone penetration

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37
Q

Which of the following actions should a phlebotomist take for a patient who has had a recent double mastectomy?

A

Contact the ordering product and obtain permission to draw from either of the arms

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38
Q

A CPT is caring for a patient who is in shock. Which of the following actions should the tech take?

A

Keep the patient warm

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39
Q

If a pt is on a droplet precautions, the CPT should recognize the which of the following is a means of transmission?

A

the patient sneezes

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40
Q

Which of the following info is required during urine collection for the Federal Department of Transportation Drug testing?

A

Temperature of the urine collected

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41
Q

Following collection of the last specimen collection tube, which of the following actions should be taken?

A

Withdraw the collection needle from the vein

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42
Q

The duties of a phlebotomist include?

A

Greeting and instructing the patient

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43
Q

Which of the following is the phlebotomist required to document on a CBC specimen label?

A

Patients identification number

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44
Q

Which of the following methods provides for the most secure and reliable delivery of lab results?

A

Electronic reports

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45
Q

A CPT experiences a needlestick injury and discusses the event with the patient’s partner w/o permission, the CPT is now in violation of the following?

A

HIPAA

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46
Q

While performing donor phlebotomy for a blood bank the phlebotomist should use?

A

16-18 gauge needle

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47
Q

A CPT is performing venipuncture on a pt who is allergic to alcohol. Which of the following is an appropriate antiseptic to use in the place of the alcohol?

A

Chlorhexidine

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48
Q

After collecting a bilirubin test which of the following steps should be taken post venipuncture to ensure an accurate test result

A

Specimen should be kept away from direct light

49
Q

A CPT is required to use the sharps container to dispose of which of the following items after performing a capillary collection?

A

Lancet

50
Q

An adult patient gives implied consent to a CPT when which of the following occurs

A

When the pt offers their arm out to the phlebotomist

51
Q

According to CLSI, the standard depth of a dermal puncture to an infant is

A

2mm

52
Q

A CPT allows another administrative employee to use their login password to enter a patient’s laboratory results. Which of the following regulates the confidentiality breached in the sitatution.

A

HIPAA

53
Q

A CPT has washed their hands in preparation for a routine venipuncture, which of the following actions should the phlebotomist take to dry their hands?

A

Dry hands with clean disposable towel

54
Q

A CPT is preparing to draw blood from a patient for therapeutic drug monitoring. Which of the following questions should the phlebotomist ask.

A

When was your last dose of lithium

55
Q

Which of the following processes occurs after a venipuncture to control bleeding?

A

Hemostasis

56
Q

The results from which of the following tests are an example of point of care testing?

A

An elevated blood glucose test

57
Q

When drawing blood on a preschooler, the CPT should

A

Explain the procedure to the child and parent

58
Q

A CPT should collect which of the following equipment for an ordered comprehensive metabolic panel (CMP)

A

Tourniquet, multi-sample needle and collection tube

59
Q

Which of the following is the general concept behind standard precautions?

A

Assume that all body fluids are infected with bloodborne pathogens

60
Q

WHich of the following actions should the CPT take when using a tourniquet?

A

Release tourniquet with one hand

61
Q

Which of the following practices should a phlebotomist follow to help monitor the volumes of blood collected in the pediatric patients

A

Maintain an updated log of blood collected from patients

62
Q

After centrifuging a green top yields a specimen of

A

plasma

63
Q

Which of the following criteria is acceptable in determining the quality of the peripheral blood smear?

A

A feathered edge

64
Q

A blood glucose meter was checked during the previous morning for errors. At which of the following times should the quality control of the meter be checked.

A

Before use

65
Q

A CPT has entered in a patient paper chart after venipuncture procedure. Which of the following actions should the phlebotomist take to correct the error?

A

Strike a line through the error and initial

66
Q

A phlebotomist is preparing to perform venipuncture on a patient who had a right side mastectomy. Which of the following is correct site perform the collection?

A

left antecubital

67
Q

Which of the following information must a phlebotomist include on the label of the venipuncture specimen?

A

Time of venipuncture

68
Q

A phlebotomist is obtaining a blood specimen from a patient who is suspected of having Myobacterium TB infection. Which of the following pieces of equipment is required?

A

N95 respirator

69
Q

A CPT should recognize the proper hand hygiene can result in which of the following?

A

A decrease in the incidence of the health care associated infections

70
Q

A CPT is concerned that the office’s current butterfly needles are not up to safety standards. Which of the following agencies can confirm safety compliance of the equipment for the technician?

A

OSHA

71
Q

A phlebotomist enter a patient room and observes the patient to be motionless and cyanotic. Which of the following actions should a phlebotomist take first?

A

Look, listen and feel for breathing movements

72
Q

Which of the following nonverbal factor can have a positive impact when a phlebotomist introduces themselves to patient

A

Take a position facing the patient

73
Q

A large spill has occurred in a laboratory involving venous blood, which of the following actions should the phlebotomist take?

A

Apply liquid thickening agent on top of the spill

74
Q

Which of the following best exemplifies diversity awareness in the workplace?

A

Acknowledge patient’s beliefs and customs

75
Q

When preparing a phlebotomy procedure to a patient, which of the following actions should the phlebotomist take?

A

Plan to use empathy toward the patient during discussion

76
Q

Which of the following is the vein choice for a venipuncture procedure?

A

median cubital

77
Q

A laboratory is scheduled for a routine annual inspection with the primary focus on the equipment maintenance logs. Which of the following areas will be the focus of the inspection?

A

Mechanical safety

78
Q

Which of the following is required on a chain of custody form after a drug urine screen?

A

Patient’s signature

79
Q

Which of the following types of bleeding should a phlebotomist notify a provider or nurse about?

A

Arterial

80
Q

Which of the following blood specimen tests are photosensitive and should be protected from light during handling and transportation?

A

Bilirubin

81
Q

A patient is on contact isolation precautions. What PPE other than gloves, would be required?

A

Gown

82
Q

Which of the following actions should a phlebotomist take after collecting blood into a serum separation tube SST?

A

Inver tthe tube 5-10 times

83
Q

Which of the following actions should a phlebotomist take first after removing the needle from patient arm?

A

activate the needle safety

84
Q

Which of the following orders of draw should a phlebotomist use for venipuncture collection?

A

Sodium citrate, SST sodium heparin, EDTA

85
Q

Aseptic techniques are followed by phlebotomist during phlebotomy procedures for which of the following reasons

A

To decrease the risk of infection to patient and phlebotomist

86
Q

Which of the following pieces of information is a phlebotomist required to include on the label of a blood specimen tube?

A

Phlebotomist initials

87
Q

A CPT is planning to collect a specimen to measure a patient’s serum cortisol level. Which of the following factors should the phlebotomist consider?

A

Time of day

88
Q

Which of the following pairs of blood test is appropriate for fasting specimen?

A

Glucose and triglycerides

89
Q

Which of the following is the appropriate procedure for handling ammonia specimen?

A

Transport on ice

90
Q

A CPT is instructing a patient on how to collect a stool specimen. Which of the following instructions should the phlebotomist give the patient about the collection specimen?

A

Avoid urine contact with specimen

91
Q

Which of the following needles should a phlebotomist use for a venipuncture using a winged infusion set and a 5 mL syringe?

A

23 gauge

92
Q

Which of the following anticoagulant is found in a lavender topped tube

A

EDTA

93
Q

Which of the following is caused by excessive shaking of the tube?

A

Hemolysis

94
Q

A CPT is called to the emergency department to draw blood from a patient who is in critical condition. Which of the following is applicable consent for this procedure?

A

Implied

95
Q

When performing a test for PKU, the specimen should processed using the following?

A

filter paper

96
Q

Which of the following actions should a phlebotomist take next for an adult capillary puncture after santizing and puncturing the site?

A

Wipe away the first drop of blood

97
Q

Which of the following bodies mandates the use of safety features and the immediate disposal as one unit in a biohazard container after use?

A

OSHA

98
Q

A CPT is preparing to draw blood from an adult for an infant. To calculate the blood volume that can be drawn, which of the following types of patient information must the phlebotomist have?

A

Weight

99
Q

Which of the following components is needed for hemostasis to take place?

A

Thrombocytes

100
Q

Which of the following tests is performed to identify bacteremia?

A

Blood cultures

101
Q

Which of the following actions is required immediately after a phlebotomist experiences an accidental injury when drawing blood from a patient who had HIV?

A

Report the exposure to the supervisor

102
Q

A CPT is scheduled to perform a venipuncture on a child who is unable to provide identification. Which of the following should the phlebotomist use to identify the child?

A

ID the patient by patient’s nurse

103
Q

If a phlebotomist’s hands are visibly soiled with blood or body fluid, which of the following decontamination agents should the phlebotomist use to clean then?

A

Soap and water

104
Q

Which of the following info should the physician’s office provide to a phlebotomist for laboratory specimen

A

laboratory requisition form

105
Q

There has been a chemical spill in the laboratory. To which of the following should a phlebotomist refer for directions to clean up the spill?

A

SDS`

106
Q

If a tube is not inverted correctly after collection it may cause?

A

False Test results

107
Q

How can a phlebotomist distinguish whether a collection tube contains serum or plasma?

A

EDTA in collection tube indicates plasma

108
Q

Which of the following techniques of needle insertion into the antecubital space in accordance with suggested venipuncture guidelines?

A

With bevel facing up at an angle of 15 degrees to 30 degrees

109
Q

A CPT should administer CPR to which of the following patients?

A

A patient who is pulseless

110
Q

A CPT is preparing to obtain an inpatient specimen from a patient. Which of the following locations is the proper place for the phlebotomist to place the tourniquet?

A

Over the patient gown or sleeve

111
Q

If no vein is apparent on the first inspection, which of the following actions should the phlebotomist take before reapplying the tourniquet?

A

Have the patient rest their arm in a downward position

112
Q

Utilizing tubes that have expired may result in which of the following?

A

Loss of vacuum

113
Q

By wearing a face shield whem coming into contact with body fluids, a phlebotomist is preventing exposure by which of the following modes of transmission

A

Permuscosal

114
Q

Which of the following is used to stabilize a patient’s arm during a venipuncture?

A

A phlebotomy wedge

115
Q

Which of the following parameters should a phlebotomist consider when selecting a collection method?

A

Patient condition, age, blood volume is required

116
Q

Which of the following is correct location to anchor a vein before a venipuncture?

A

1-2 inches below puncture site

117
Q

Every state is the US requires that newborns be tested for the following disorders?

A

Phenylketonuria

118
Q

A CPT is obtaining a venipuncture specimen and has decided to use the vein which lies on the outer edge of the arm. Which of the following veins has the phlebotomist selected?

A

Cephalic

Phlebotomy STATE EXAM (1 decks)

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