ASCP CERTIFICATION FINAL EXAM ACTUAL QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Standard Precautions is used in the hospital setting to prevent the spread of HIV
and HBV during patient care and applies to all body fluids, except: - ✔✔sweat
✔✔as a member of the health care team, the pbt knows the importance of standard of
precautions and routinely applies them to the care of: - ✔✔ALL PATIENTS
✔✔anatomic and surgical pathology - ✔✔the main division of the lab that analysis cells
and tissues is
✔✔analysis of DNA samples is performed in: - ✔✔Molecular Diagnostics
✔✔pbt is called to the ER for blood work on a patient suspected of having an MI. One
test that will most likely be drawn is - ✔✔Troponin
✔✔accreditation of labs is a fxn of which of the following.... - ✔✔JCAHO and CAP
✔✔standards and guidelines for laboratory patient testing are set forth by: - ✔✔CLSI
✔✔most common microbiology tests are.... - ✔✔culture and sensitivity (C&S)
✔✔pbt is working in specimen processing and notices tha tone of the specimens is a
dark yellow color after centrifugation and states that the specimen is - ✔✔lcteric
✔✔Urinanalyis testing includes all of the following except: - ✔✔VOLUME
✔✔newborn born with severe anemia and the pbt has collected a specimen for a direct
antibody test (Coombs) to be delivered immediately to: - ✔✔blood
bank/immunohematology
✔✔Pbt has received a specimen for chromosomal studies and delivers it to which lab
dept? - ✔✔Cytogenetics
✔✔pbt is working in the outpatient dept and has an order for a patient who routinely
faints when his/her blood is drawn. The best practice to employ for this patient is to: -
✔✔put the patient in the room with a reclining chair or bed
✔✔most commonly used antiseptic in routine venipuncture is: - ✔✔70% isopropyl
alcohol
, ✔✔The following antiseptic should not be used on infants under the age of two months:
- ✔✔Chlorhexidine Gluconate
✔✔pbt decides to use a winged infusion set and small volume tubes on an accident
victim who is bleeding internally and will be transferred to surgery as soon as the draw
is completed. He carefully draws the coagulation test, chemistry and a CBC, in that
order and delivers them to the lab for testing. There appears to be a problem with the
coagulation results: - ✔✔tube not completely full due to air space in the length of the
tubing
✔✔The use of anticoagulant will yield which type of blood specimen? - ✔✔whole blood
and serum
✔✔Antiglycolytics include which of the following - ✔✔Sodium Flouride
✔✔pbt has a request from the blood bank to draw a nonadditive tube on a specific
patient in addition to the pink top tube. The tube selected is: - ✔✔Red Glass
✔✔Clot activators include all of the following except: - ✔✔Silicone
✔✔pbt has an order for a routine CBC, metabolic panel, and a blood typing. The pbt will
select which of the following sets of tubes: - ✔✔Gold, Lavendar, Pink
✔✔pbt is in the midst of a diff. pre-op for a CBC, PT, PTT, and electrolytes. After
placing the last tube holder, the pbt picks up the previous two tubes to continue
inversions and notices that the PT/PTT tube did not completely fill. The proper course of
action is to: - ✔✔draw an appropriate discard tube first and then collect the PT, PTT
✔✔The pbt is preparing to go to several of the nursing homes to collect routine blood
draws for glucose and CBC's on several patients and will be gone for the morning. The
following tube will be used to draw the glucose: - ✔✔Gray (Flouride - -preservative)
✔✔Which of the following tests must be drawn first? - ✔✔STAT
✔✔Blood tests that may be affected by leaving the tourniquet on greater than one
minute include all of the following except: - ✔✔BUN
✔✔When inspecting the antecubital fossa to select a vein for venipunture, the order of
selection is: - ✔✔Median cubital, Cephalic, Basilica
✔✔After the need is removed, pressure should be applied until: - ✔✔Platelet plug forms
AND SOLUTIONS GRADED A+
✔✔Standard Precautions is used in the hospital setting to prevent the spread of HIV
and HBV during patient care and applies to all body fluids, except: - ✔✔sweat
✔✔as a member of the health care team, the pbt knows the importance of standard of
precautions and routinely applies them to the care of: - ✔✔ALL PATIENTS
✔✔anatomic and surgical pathology - ✔✔the main division of the lab that analysis cells
and tissues is
✔✔analysis of DNA samples is performed in: - ✔✔Molecular Diagnostics
✔✔pbt is called to the ER for blood work on a patient suspected of having an MI. One
test that will most likely be drawn is - ✔✔Troponin
✔✔accreditation of labs is a fxn of which of the following.... - ✔✔JCAHO and CAP
✔✔standards and guidelines for laboratory patient testing are set forth by: - ✔✔CLSI
✔✔most common microbiology tests are.... - ✔✔culture and sensitivity (C&S)
✔✔pbt is working in specimen processing and notices tha tone of the specimens is a
dark yellow color after centrifugation and states that the specimen is - ✔✔lcteric
✔✔Urinanalyis testing includes all of the following except: - ✔✔VOLUME
✔✔newborn born with severe anemia and the pbt has collected a specimen for a direct
antibody test (Coombs) to be delivered immediately to: - ✔✔blood
bank/immunohematology
✔✔Pbt has received a specimen for chromosomal studies and delivers it to which lab
dept? - ✔✔Cytogenetics
✔✔pbt is working in the outpatient dept and has an order for a patient who routinely
faints when his/her blood is drawn. The best practice to employ for this patient is to: -
✔✔put the patient in the room with a reclining chair or bed
✔✔most commonly used antiseptic in routine venipuncture is: - ✔✔70% isopropyl
alcohol
, ✔✔The following antiseptic should not be used on infants under the age of two months:
- ✔✔Chlorhexidine Gluconate
✔✔pbt decides to use a winged infusion set and small volume tubes on an accident
victim who is bleeding internally and will be transferred to surgery as soon as the draw
is completed. He carefully draws the coagulation test, chemistry and a CBC, in that
order and delivers them to the lab for testing. There appears to be a problem with the
coagulation results: - ✔✔tube not completely full due to air space in the length of the
tubing
✔✔The use of anticoagulant will yield which type of blood specimen? - ✔✔whole blood
and serum
✔✔Antiglycolytics include which of the following - ✔✔Sodium Flouride
✔✔pbt has a request from the blood bank to draw a nonadditive tube on a specific
patient in addition to the pink top tube. The tube selected is: - ✔✔Red Glass
✔✔Clot activators include all of the following except: - ✔✔Silicone
✔✔pbt has an order for a routine CBC, metabolic panel, and a blood typing. The pbt will
select which of the following sets of tubes: - ✔✔Gold, Lavendar, Pink
✔✔pbt is in the midst of a diff. pre-op for a CBC, PT, PTT, and electrolytes. After
placing the last tube holder, the pbt picks up the previous two tubes to continue
inversions and notices that the PT/PTT tube did not completely fill. The proper course of
action is to: - ✔✔draw an appropriate discard tube first and then collect the PT, PTT
✔✔The pbt is preparing to go to several of the nursing homes to collect routine blood
draws for glucose and CBC's on several patients and will be gone for the morning. The
following tube will be used to draw the glucose: - ✔✔Gray (Flouride - -preservative)
✔✔Which of the following tests must be drawn first? - ✔✔STAT
✔✔Blood tests that may be affected by leaving the tourniquet on greater than one
minute include all of the following except: - ✔✔BUN
✔✔When inspecting the antecubital fossa to select a vein for venipunture, the order of
selection is: - ✔✔Median cubital, Cephalic, Basilica
✔✔After the need is removed, pressure should be applied until: - ✔✔Platelet plug forms
