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1. Which of the following actions Gently invert the tube after collecting the spec
should the phlebotomist take to imen
decrease the potential for
hemolysis of blood speci- men in Since an EDTA tube contains anticoagulant,
an EDTA tube? is
A. Store the tube in the refrigerator after important to immediately mix the
blood as soon
the specimen has been collected as it is collected to ensure that it doesn't
B. Use a 25 gauge needle or clot. The phlebotomist should gently invert
smaller to collect the specimen the tube after collecting the specimen to
maintain spec-
C. Allow the tube to stand for 20 minutes imen integrity and prevent rupture of
RBC's in
prior to processing testing using a
D.Gently invert the tube after control.
collecting the specimen
2. Small red spots appear near the
tourni- quet on a patient's arm.
This is MOST likely an indication
of
A. a collapsed vein.
B. a hematoma.
C. petechiae.
D. edema.
3. Which of the following is outside
the scope of practice for a
phlebotomist?
A. Verifying equipment
function on point of care
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the sample. pressure from the tourniquet.
Performing CLIA high complexity tests
Petechiae CLIA refers to the Clinical Laboratory
Improve- ment Amendment, which
Small red spots near the tourniquet on a pa- tient's arm specifies personnel requirements for
are most likely indicative of petechi- ae. Petechiae are performing laboratory testing
small, red, non-raised spots that appear in response to
B.Prioritizing collections based on order based upon their complexity. Modera
and
requests. high complexity testing are outside the scop
of
C. Recording quality control results on a practice for a phlebotomist. Medical
assistants
log may perform CLIA-waived testing, such as
sheet. Point of Care Testing, with proper
training.
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D. Performing CLIA high appropri- ate blood
complexity tests. collection device for
obtaining a blood spot
4. If a phlebotomist has questions collection on an infant?
about disposing of outdated
hazardous chem- icals, where
should she look to find this
information?
A. HIPAA
B. MSDS
C. CLIA
D. NIOSH
5. When inserting a needle during
venipuncture, the bevel should
be in which of the following
positions in rela- tion to the
vein?
A. Up
B. Down
C. Left
D. Right
6. Which of the following is an
example of a pre-analytical error
made at the time of collection?
A. Delay in transporting
B. Failing to mix tubes
C. Incomplete requisition
D. Waiting to centrifuge
7. Which of the following is the
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MSDS
A Material Safety Data Sheet (MSDS) is a haz- ardous
chemical reference. It provides health- care workers with
procedures for working with substances safety to ensure
regulatory compli- ance.
Up
Failing to mix tubes
If the blood is not well mixed with the anti- coagulant,
partial clotting can occur leading to microscopic fibrin
strands and inaccurate test results.
Lancet
PKU is a neonatal screening test collected on a