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Phlebotomy Exam Review Eighth Edition McCall TESTBANK PDF

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, TESTBANK FOR Phlebotomy Exam Review Eighth Edition McCall

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,Multiple Choice



1. A direct antiglobulin test (DAT) is most likely to be ordered in the diagnosis of:

A) hemolytic anemia.

B) hypothyroidism.

C) myocardial infarction.

D) cervical cancer.




Ans: A

Complexity: Easy

A-head: The Healthcare Setting

Subject: Chapter 01

Title: Phlebotomy: Past and Present and the Healthcare Setting

Rationale: A direct antiglobulin test (DAT) is most likely to be ordered in the diagnosis of hemolytic anemia.
Positive results point to autoimmune hemolytic anemia, hemolytic disease of the newborn (HDN), and transfusion
incompatibility.

Taxonomy: Remembering/Understanding

NAACLS Entry-Level Competency: 1.6

Chapter Learning Objective: 1




2. Which of the following is a substance that inhibits the clotting of blood?

A) Antitoxin

B) Antiglycolytic

C) Antibiotic

D) Anticoagulant




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 1

,Ans: D

Complexity: Easy

A-head: The Healthcare Setting

Subject: Chapter 01

Title: Phlebotomy: Past and Present and the Healthcare Setting

Rationale: An anticoagulant is a substance that prevents clotting. An antibiotic is used to treat an infection. An
antiglycolytic inhibits the metabolism of glucose by cells in a specimen of blood. An antitoxin is a substance that
counteracts a specific toxin.

Taxonomy: Remembering/Understanding

NAACLS Entry-Level Competency: 5.1

Chapter Learning Objective: 1




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 2

,Multiple Choice



1. A very busy phlebotomist misidentifies the patient when collecting a specimen for transfusion preparation. The
possible misdiagnosis of blood type could cause the patient's death. If the phlebotomist's action results in injury, the
action could be perceived as:

A) assault and battery.

B) vicarious liability.

C) a type of negligence.

D) invasion of privacy.




Ans: C

Complexity: Easy

A-head: Healthcare Legal Issues

Subject: Chapter 02

Title: Quality Assurance and Legal Issues in Healthcare

Rationale: Failure to exercise the level of care that a person of ordinary intelligence and good sense would exercise
under the given circumstances is called negligence. If a medical procedure results in injury, the injured person has
the right to sue for damages. Because the phlebotomist did not threaten or intend to harm the patient, there are no
assault and battery charges; nor did the phlebotomist commit invasion of privacy because there was no unlawful
disclosure of patient information. Vicarious liability would only come into place if the phlebotomist were a contract
worker, but the action would still be a type of negligence.

Taxonomy: Remembering/Understanding

NAACLS Entry-Level Competency: 4.1

Chapter Learning Objective: 3




2. A patient calls the laboratory for the results of her tests. Her results are all in the normal range. She should be
told:

A) that her physician will call her with the results.




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 1

,B) that all of the results were in the normal range.

C) what the results for each of the tests are.

D) to call her physician's office for the results.




Ans: D

Complexity: Easy

A-head: Healthcare Legal Issues

Subject: Chapter 02

Title: Quality Assurance and Legal Issues in Healthcare

Rationale: The patient should be told to call her physician's office for the results to avoid a potential breach of
confidentiality.

Taxonomy: Applying/Analyzing

NAACLS Entry-Level Competency: 9.1

Chapter Learning Objective: 4




3. All the following are examples of quality control procedures, except:

A) changing gloves between patients.

B) recording refrigerator temperatures.

C) checking expiration dates of tubes.

D) documenting centrifuge maintenance.




Ans: A

Complexity: Moderate

A-head: Quality Assurance in Healthcare




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 2

,Subject: Chapter 02

Title: Quality Assurance and Legal Issues in Healthcare

Rationale: Examples of quality control procedures are checking expiration dates of tubes, documenting centrifuge
maintenance, and recording refrigerator temperatures.

Taxonomy: Applying/Analyzing

NAACLS Entry-Level Competency: 8.00

Chapter Learning Objective: 2




4. What is the most critical aspect of blood specimen collection?

A) Wearing properly fitting gloves

B) Verifying patient identification

C) Obtaining informed consent

D) Decontaminating your hands




Ans: B

Complexity: Moderate

A-head: Quality Assurance in Healthcare

Subject: Chapter 02

Title: Quality Assurance and Legal Issues in Healthcare

Rationale: The most critical aspect of blood specimen collection is verifying patient identification. The other choices
are important, too. The most important, though, is verifying patient identification because it is a patient safety issue.
Misidentification of a bloodbank specimen can have serious or even lethal consequences if the patient were to
receive the wrong blood type.

Taxonomy: Applying/Analyzing

NAACLS Entry-Level Competency: 4.1

Chapter Learning Objective: 2




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 3

,5. Guides used to monitor all aspects of patient care are called:

A) quality system essentials.

B) threshold values.

C) QA indicators.

D) QI core measurements.




Ans: C

Complexity: Difficult

A-head: Quality Assurance in Healthcare

Subject: Chapter 02

Title: Quality Assurance and Legal Issues in Healthcare

Rationale: Guides used to monitor all aspects of patient care are called QA indicators. QA indicators are
measurements or values that provide information on the effectiveness or quality of processes. A threshold value is a
level of acceptable practice beyond which quality patient care cannot be assured.

Taxonomy: Evaluating/Creating

NAACLS Entry-Level Competency: 8.0

Chapter Learning Objective: 2




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 4

,Multiple Choice



1. An inspector is in the laboratory to check on engineering controls and personal protective equipment (PPE)
compliance. Which agency does the individual most likely represent?

A) CLIAC

B) CLSI

C) OSHA

D) CDC




Ans: C

Complexity: Easy

A-head: Safety

Subject: Chapter 03

Title: Infection Control, Safety, First Aid, and Personal Wellness

Rationale: The OSHA Blood-Borne Pathogens (BBP) Standard was put into force when it was concluded that
healthcare employees face a serious health risk from occupational exposure to blood and other body fluids and
tissues. Enforcement of the standard, which is mandated by federal law, and for which OSHA is also responsible, is
intended to reduce the chance of occupational exposure to BBPs. The standard requires implementation of
engineering controls and work practice controls to prevent exposure incidents, availability, and use of PPE.

Taxonomy: Remembering/Understanding

NAACLS Entry-Level Competency: 2.3

Chapter Learning Objective: 1




2. For which of the following reasons would a patient be placed in protective isolation?

A) Chickenpox

B) Hepatitis B




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 1

, C) Chemotherapy

D) Tuberculosis




Ans: C

Complexity: Easy

A-head: Infection Control

Subject: Chapter 03

Title: Infection Control, Safety, First Aid, and Personal Wellness

Rationale: Patients who may require protective isolation include those with suppressed or compromised immune
function, such as burn patients, organ transplant patients, AIDS patients, and neutropenic chemotherapy patients.

Taxonomy: Remembering/Understanding

NAACLS Entry-Level Competency: 2.2

Chapter Learning Objective: 3




3. A phlebotomist accidentally drops a specimen on the counter in the lab. The specimen container breaks, and the
phlebotomist feels a splash to the face. What is the first thing the phlebotomist should do?

A) Wipe the eyes with a tissue; then wash the face

B) Proceed to the emergency room as soon as possible

C) Flush the face and eyes with water for 10 minutes

D) Rinse the eyes several times with isotonic saline




Ans: C

Complexity: Moderate

A-head: Safety

Subject: Chapter 03




© Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 2

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