Phlebotomy Exam (200 questions) Questions and Answers

Phlebotomy Exam (200 questions) Questions and Answers What is Phlebotomy? a. A trained professional in blood drawing b. The legal standards for a person who performs bl C. The process of drawing blood d. All of the above C. The process of drawing blood What is a Phlebotomist a A trained professional in blood drawing b. The legal standards for a person who performs blood-drawing skills c. The process of drawing blood d. All of the above a A trained professional in blood drawing Which of the following is not part of a phlebotomist's point-of-care (POC) job-related duties? a. Taking blood pressure b. Instructing patients on urine specimen collection c. Performing a tracheostomy d. Performing POC testing c. Performing a tracheostomy All of the following are considered hazards except: a. Bending your knees when lifting heavy objects b. Airborne viruses and bacteria c. Handling broken glass when wearing gloves d. All of the above are hazards a. Bending your knees when lifting heavy objects All of the following are true about laboratory safety except: a. You may store food in the laboratory refrigerator b. Protect your feet from spills c. Always wear required personal protection equipment d. All of the above are correct a. You may store food in the laboratory refrigerator As written in the Patient Care Partnership from the American Hospital Association, the patient has the right to: a. High-quality care b. Protection of privacy c. Help with billing claims d. All of the above d. All of the above Certification is evidence that: a. The phlebotomist is working in the field b. The phlebotomist has demonstrated proficiency in the area of blood drawing c. The phlebotomist is licensed in the field The phlebotomist is accredited in the field d. The phlebotomist is accredited in the field b. The phlebotomist has demonstrated proficiency in the area of blood drawing Which of the following is not OSHA-required personal protection equipment? a. Steel-toe shoes b. Goggles c. Chin-length face shield d. Full-length lab coat a. Steel-toe shoes The Clinical Laboratory Improvement Act of 1988 follows guidelines and standards set by the: a. CLIA '88 b. CLSI c. ICAHO d. CDC b. CLSI Samples collected from a patient in a nursing home are sent to the: a. POL b. CDC nivisib to 220901 c. Reference laboratory d. Urgent care center c. Reference laboratory Quality assurance for laboratory personnel includes all of the following except: a. Specimen collection procedures b. Specimen transport processes c. Specimen-processing policies d. The laboratory supervisor's home telephone number d. The laboratory supervisor's home telephone number Personal protection equipment must be provided by the: a. CDC b. OSHA c. Employee d.Employer d.Employer Which of the following personal protection equipment must a phlebotomist use when performing a skin puncture or venipuncture? a. Goggles b. Gloves c. A mask d. Caps and booties b. Gloves Under HIPAA, protected health information is defined as: a. Information that the patient refuses to disclose to the physician b. Any test result c.Any part of a patient's health information that is linked to information that identifies the patient d.Information that summarizes the patient's insurance coverage c.Any part of a patient's health information that is linked to information that identifies the patient Employers must provide vaccination against___free of charge. a. Hepatitis A virus b. Hepatitis B virus c. Hepatitis C virus d. Hepatitis delta virus b. Hepatitis B virus Which of the following would be a reason for rejection of a specimen by the laboratory? a. The patient's name, date of birth, and the date and time are written on the label and requisition slip b. A specimen containing an additive has been inverted c. An ESR has been collected in a red-topped tube d. All of the above are reasons for rejections c. An ESR has been collected in a red-topped tube The quality of the test result depends on: a. The type of specimen b. The source of the specimen c.The time between collecting the specimen and analyzing the specimen d. Whether the sample is going to be analyzed for glucose or phosphate c. The time between collecting the specimen and analyzing the specimen The purpose of Total Quality Management is to: a. Check machinery with automated procedures b. Ensure that proper laboratory procedures are being followed during. c. Ensure that adequate patient care is being provided d. All of the above d. All of the above A specimen may be rejected by the laboratory if: a. The tube was not initialed b. The blood is hemolyzed c. The tube was not transported properly d. All of the above d. All of the above Transport bags have a separate compartment (pouch) for requisitions to: a.Safeguard the requisition b.Keep the specimen from getting lost c. Prevent contamination if the specimen leaks d.Ensure the requisition goes to central receiving and the specimen to the processing laboratory c. Prevent contamination if the specimen leaks ____is the most important first step in phlebotomy and other testing procedures. a.Proper patient identification b. Proper hand washing c. Proper specimen handling d. Collecting sufficient blood a.Proper patient identification Acceptable method(s) of identifying a patient include: a. Ask the patient to give his or her name and DOB b. Check the patient's ID band c. Ask the patient to present a photo ID d. All of the above are acceptable d. All of the above are acceptable When an admitted patient is not wearing an ID band, the phlebotomist must: a. Ask the patient for a picture ID b. Not draw blood from this patient c. Question the patient and confirm the date of birth d. Not draw blood until nursing has placed an ID band on the patient d. Not draw blood until nursing has placed an ID band on the patient What is the proper procedure for a phlebotomist to follow if a physician or member of clergy is in the patient's room at the time of draw? a. Ask the physician or clergy member to step outside b. Draw the blood with the physician or clergy member present c. Return at another time if the specimen is not a stat request d. Both A and C d. Both A and C How should the phlebotomist proceed if there is a language barrier with the patient? a. Use hand gestures to communicate. b. Leave the room and let the physician draw c. Draw the blood without consent d. All of the above a. Use hand gestures to communicate. Most tubes containing additives should be inverted: a. Once b. b. Three times c. Five to eight times d. Tubes containing additives should not be inverted c. Five to eight times The lavender-topped tube contains: a.No additive b. Heparin c. SPS or ACD d. EDTA d. EDTA The green-topped tube contains: a. No additive b. Heparin c. SPS or ACD d. EDTA b. Heparin The yellow-topped tube contains: a. No additive b. Heparin c. SPS or ACD d. EDTA c. SPS or ACD The glass red-topped tube contains: a. No additive b. Heparin C. SPS or ACD d. EDTA a. No additive Which of the following tubes contain (s) sodium fluoride and potassium oxalate? a. Red-topped tube b. Lavender-topped tube c. Gray-topped tube d. All tubes with splash guards c. Gray-topped tube Which of the following tubes would hold a glucose specimen for 24 hours? a.Red-topped tube b.Lavender-topped tube c. Gray-topped tube d.All tubes with splash guards c. Gray-topped tube In which tube(s) would a phlebotomist collect an erythrocyte sedimentation rate? a.Red-topped tube b.Lavender-topped tube c.Gray-topped tube d.All tubes with splash guards b.Lavender-topped tube Blood for serology testing should be drawn in a : a. Red-topped tube b. Lavender-topped tube c. Gray-topped tube d. All tubes with splash guards a. Red-topped tube Which of the following tubes yield (s) a serum specimen? a. Red-topped tube b. Lavender-topped tube c. Gray-topped tube d. All of the above a. Red-topped tube Coagulation studies should be drawn in a light blue tube containing which of the following additives? a. Clot activator b. Sodium citrate c. EDTA d. SPS b. Sodium citrate A blood donation given by a patient for use during his or her surgical procedure is called: a. An autologous donation b. A cryoprecipitated donation c. A Willebrand's collection d. None of the above a. An autologous donation Why should a glass red-topped tube be drawn before a green-topped tube? a. Additives in the red-topped tube will not interfere with the tests performed on the green-topped tube b. Red-topped tubes are always the first tube drawn c. Since there are no additives in the red-topped tube, it cannot contaminate the green-topped tube d. Green-topped tubes are always the last tube drawn c. Since there are no additives in the red-topped tube, it cannot contaminate the green-topped tube Which of the following is false for blood culture collection? a. The culture must be collected in the red and marbled-topped tube b. The area must be prepped with iodine or another antibacterial agent before the draw C. A tourniquet is not used for blood culture collection d. Both A and C are false for blood culture collection d. Both A and C are false for blood culture collection Which of the following is correct for arterial blood gas collection? a.ABG must be collected in a red- and marbled-topped tube b. The area must be prepped with iodine before the draw c. A tourniquet is used in the collection d. Both B and C are correct b.The area must be prepped with iodine before the draw A heparinized needle and syringe are necessary in the collection of: a. Blood culture b. ESR c. ABG d. Heparin levels c. ABG A Hemogard top: a. Is a plastic top that fits over the stopper b. Is only used on the lavender-topped tube c. Is used to reduce aerosol and splattering of blood d. Both A and C d. Both A and C Cold agglutinin tests musts be maintained at a temperature of: a.37°F b. 32°C c. 32°F d. 37°C d. 37°C Chilling a specimen will: a.Speed up the metabolic process b.Maintain the stability of the specimen during transport c. Prevent problems in tubes containing EDTA d.Facilitate processing b.Maintain the stability of the specimen during transport Specimens for which of the following tests must be kept chilled? a. Ammonia b. Pyruvate C. Lactic acid d. All of the above d. All of the above When labeling tubes, all of the following information should appear on them except the: a. Patient's name b. Date c. Time of draw d. All of the above should be on the tube d. All of the above should be on the tube Which of the following is not needed for a routine phlebotomy procedure? a. Gloves b. Tourniquet c. Alcohol d. lodine d. lodine What additional equipment may be needed when drawing blood from a patient in the premature nursery? a. Small butterfly needles b. Rewards, stickers, and toys c.Anesthesia d. Additional personal protection equipment d. Additional personal protection equipment The depth of a heel puncture cannot exceed: a. 5.3mm b. 2.4cm c. 2.0mm d. 1.3mm c. 2.0mm The tourniquet is placed above the site of draw. a. 5 to 7 inches b. 3 to 4 inches c. 1 to 2 inches d. 4 to 6 inches b. 3 to 4 inches When a tourniquet is left on too tight, capillaries may rupture, causing: a. A rash b. Pain C. Urticaria d. Petechiae d. Petechiae Which of the following is true when using a tourniquet during a phlebotomy procedure? a. Never tie a tourniquet on open sores b. Tying a tourniquet too tightly can cause petechiae c. Leaving a tourniquet on too long can cause hemoconcentration d. All of the above are true d. All of the above are true A phlebotomist must inspect the needle for: a. Burrs b. Expiration date c. Bevel facing up d. All of the above d. All of the above Which of the following is the smallest needle? a. 18 gauge b. 19 gauge c. 20 gauge d. 21 gauge d. 21 gauge A butterfly needle should be used: a. For patients with sclerosed veins and one tube being drawn b. On adults' dorsal and metacarpal veins c. On pediatric and geriatric patients d. All of the above d. All of the above A tube holder is used to connect needle and evacuated tube to: a. Prevent contact between the needle and tube b. Ensure a firm, stable connection between them c. Keep blood from entering the adapter d. Allow a syringe to be used b. Ensure a firm, stable connection between them The proper way to dispose of a needle is to: a. Recap it and put it into a sharps container b. Throw it recapped into a biohazard bag c. Put it into a sharps container, after activating needle safety device, immediately after withdrawing it from a patient d. Collect it in a cup and dispose of it later c. Put it into a sharps container, after activating needle safety device, immediately after withdrawing it from a patient In making a site selection, the phlebotomist should consider which of the following before a venipuncture? a. Scars or burns b. Edema c. Mastectomy d. All of the above d. All of the above Which of the following are correct for ending the phlebotomy procedure? a. Remove the needle, remove the tube, and remove the tourniquet b. Remove the tourniquet, apply pressure, remove the needle, and discard the needle in the sharps container c. Remove the tourniquet, remove the tube, place gauze, remove the needle, apply pressure, and discard the needle in the sharps container d. Remove the needle, apply pressure, and discard the needle in a biohazard bag c. Remove the tourniquet, remove the tube, place gauze, remove the needle, apply pressure, and discard the needle in the sharps container The area you are drawing blood from begins to swell and fill with blood. This is a common complication occurring in phlebotomy known as: a. Convulsions b. Short draw c. Hypovolemia d. Hematoma d. Hematoma A tourniquet that has been left on too long can cause: a. Petechiae b. Hemolysis c. Hemoconcentration d. All of the above d. All of the above What should a phlebotomist do first if a patient has syncope during a phiebotomy procedure? a. Go quickly for help b. Apply a cold compress c. Remove the needle and tourniquet, and apply pressure d. Attempt to wake the patient by speaking loudly c. Remove the needle and tourniquet, and apply pressure Which of the following is a sign or symptom of syncope? a. Small red dots at the site of draw b. Black and blue discoloration at the site c. Cold, damp, clammy skin d. All of the above c. Cold, damp, clammy skin Blood that has seeped from a vein into tissue is called: a. Hemoconcentration b. Hematoma c. Petechiae d. Short draw b. Hematoma Which of the following may cause vein occlusion? a. Dermal puncture b. CABG c. Sphygmomanometer d. Chemotherapy d. Chemotherapy Which of the following complications may occur if the phlebotomist punctures a bone? a. Hematoma b. Hemoconcentration c. Arteriosclerosis d. Osteomyelitis d. Osteomyelitis Veins that are hard and cordlike are called: a. Thrombosed b. Sclerosed c. Collapsed d. Tortuous b. Sclerosed The term that means the rupturing of red blood cells is: a. Hemostasis b. Hemoglobin c. Hemolysis d. Hematoma c. Hemolysis High bilirubin levels can lead to: a. Mismatched blood groups b. Breakdown of antibodies d. Jaundice, which can lead to brain damage c. All of the above d. Jaundice, which can lead to brain damage Thrombosis is: a. An autoimmune reaction. b. Blood pooled in the legs. c. Clot formation within a blood vessel. d. Inflammation of the thyroid gland c. Clot formation within a blood vessel. Which of the following will cause a shortened bleeding time in a bleeding time test? a. Aspirin b. Infection c. Hair at the incision site d. Scratching of a capillary c. Hair at the incision site A hematoma can be prevented if: a. Pressure is applied on the vein until bleeding stops completely b. A bandage is immediately placed on the vein c. The needle is removed before the tourniquet d. All of the above a. Pressure is applied on the vein until bleeding stops completely Aspirin may affect a patient's: a. HCG b. СВС c. Bleeding time d. Heparin time c. Bleeding time In a CSF collection, the phlebotomist may be asked to: a. Obtain the specimen from the physician after it has been collected from the patient b. Transport the specimen to the laboratory c. Process the microbiology specimen under the microscope d. All of the above d. All of the above Midstream clean catch urine collections are: a. Obtained by a phlebotomist or other trained healthcare professional b. Always as a stat specimen c. Collected in a sterile container d. Both A and C b. Always as a stat specimen The process for collecting amniotic fluid is known as: a. An amniocentesis b. An amnioectomy c. An amniotomy d. An amniology a. An amniocentesis The amniotic fluid must be: a. Transferred into a sterile container b. Protected from light c. Transported immediately to the laboratory for analysis d. All of the above d. All of the above Prompt delivery to the laboratory of semen samples is necessary to determine fertility testing. a. Viability b. Volume c. Vmax d. All of the above a. Viability Fecal specimens are collected for: a. Ova and parasite testing b. Testing for digestive abnormalities c. Occult blood analysis d. All of the above d. All of the above What is the best sample to determine blood pH and blood gases? a. Capillary blood b. Venous blood c. Arterial blood d. Cerebrospinal fluid c. Arterial blood An un-iced ABG must be delivered to the laboratory within: a. 1 hour b. 5 to 10 hours c. 30 minutes d. 2 hours c. 30 minutes Arterial blood gas must be processed immediately to minimize: a.Blood loss into tissue b. Hematoma c. Petechiae d. Changes in the analyte d. Changes in the analyte All of the following are safety equipment for arterial blood gas collection except as: a. Small rubber block b. Fluid-resistant gown c. Transport container d. Face shield c. Transport container If the result of the modified Allen test is negative, a. Another artery must be selected for blood collection b. The patient does not have hepatitis B c. Dermal puncture may proceed d. Sweat electrolytes are unlikely to be positive for cystic fibrosis a. Another artery must be selected for blood collection The NP culture is used to diagnose: a. Whooping cough b. Croup c. Upper respiratory infections d. All of the above d. All of the above The SE test is used to diagnose: a. Whooping cough b. Elevated levels of salt c. Cystic fibrosis d. All of the above c. Cystic fibrosis Which procedure is normally collected by a nurse or respiratory therapist? a. Glucose tolerance test b. Routine blood collection c. Arterial blood gas d. Capillary or dermal puncture c. Arterial blood gas When drawing from an adult, dermal punctures can be used as an alternative for all of the following except a (n): a. СВС b. Glucose tolerance test C. ESR d. Arterial blood gas determination d. Arterial blood gas determination Which of the following is the reason for cleansing the first drop of blood in a dermal puncture? a. To rid the sample of arterial blood b. To rid the specimen of fluid from tissue c. To rid the specimen of potassium d. All of the above b. To rid the specimen of fluid from tissue