NCCT Interactive Review 4 MLT 413NC Saddleback College |
UPDATED Questions with 100% Verified Answers
Question:
1. The hospital is short staffed and has asked the phlebotomist
on duty to help. Which of the following tasks are considered
outside the normal phlebotomist scope of practice?
A. Collect a tissue sample
B. Process venous samples.
C. Perform a heel stick on a 2-day-old infant.
D. Perform point-of-care tests.
Answer:
Collect a tissue sample.
Rationale
The scope of practice for a health care worker includes tasks and duties for which they
have been trained or certified to perform. For a phlebotomist, processing blood samples,
performing capillary punctures and point of care testing all fall into this category.
Collecting a tissue sample would be the responsibility of the medical staff.
Question:
2. Which of the following is within the scope of the
phlebotomist’s duties?
A. Obtaining specimens from IV sites.
B. Calling critical values to providers.
C. POCT.
D. Correction of test orders.
Answer:
POCT.
Rationale
Procedures considered within the phlebotomist's scope of practice include: inspection of
equipment for defects, sterility and expiration dates, documenting refrigerator & freezer
temperatures, performing QC on glucometers and other waived point of care test
systems, correct patient identification, specimen labeling and other assessments of the
preanalytic phase of laboratory testing. If there are questions about the patient's test
, orders, the phlebotomist must contact the ordering physician and resolve the problem
before collecting the specimen. Blood is never drawn from an IV site as the specimen
would be contaminated with IV fluid and cause incorrect patient results. Calling critical
values to providers is the responsibility of the technologist who performed the test.
Question:
3. A phlebotomist collects blood from a post-operative
patient in a hospital bed with no problems. Before the
phlebotomist leaves, the patient asks for help moving from the
bed to a chair. While the phlebotomist is assisting the patient,
he falls. Was the phlebotomist wrong for helping the patient?
A. Yes, because it was out of the phlebotomist’s scope of
practice.
B. Yes, because there should be more than one person
moving a patient from a bed.
C. No, because the phlebotomist’s actions are covered under
the Joint Commission standards.
D. No, because the patient has a right to receive help.
Answer:
Yes, because it was out of the phlebotomist's scope of practice.
Rationale
Moving a patient is not within the phlebotomist's scope of practice. If the patient requests
to be moved, the phlebotomist may relay this information to the caregiver. The patient
does have the right to receive help, but it must be from someone with the knowledge
and training to correctly assist the patient. The number of persons required to move a
patient is governed on a case by case basis. The Joint Commission establishes standards
of care but is not involved in legal responsibilities.
Question:
4. According to the Patient’s Bill of Rights, which of the
following phlebotomist actions indicates a need for more
professionalism?
A. Performing a venipuncture on the basilic vein.
UPDATED Questions with 100% Verified Answers
Question:
1. The hospital is short staffed and has asked the phlebotomist
on duty to help. Which of the following tasks are considered
outside the normal phlebotomist scope of practice?
A. Collect a tissue sample
B. Process venous samples.
C. Perform a heel stick on a 2-day-old infant.
D. Perform point-of-care tests.
Answer:
Collect a tissue sample.
Rationale
The scope of practice for a health care worker includes tasks and duties for which they
have been trained or certified to perform. For a phlebotomist, processing blood samples,
performing capillary punctures and point of care testing all fall into this category.
Collecting a tissue sample would be the responsibility of the medical staff.
Question:
2. Which of the following is within the scope of the
phlebotomist’s duties?
A. Obtaining specimens from IV sites.
B. Calling critical values to providers.
C. POCT.
D. Correction of test orders.
Answer:
POCT.
Rationale
Procedures considered within the phlebotomist's scope of practice include: inspection of
equipment for defects, sterility and expiration dates, documenting refrigerator & freezer
temperatures, performing QC on glucometers and other waived point of care test
systems, correct patient identification, specimen labeling and other assessments of the
preanalytic phase of laboratory testing. If there are questions about the patient's test
, orders, the phlebotomist must contact the ordering physician and resolve the problem
before collecting the specimen. Blood is never drawn from an IV site as the specimen
would be contaminated with IV fluid and cause incorrect patient results. Calling critical
values to providers is the responsibility of the technologist who performed the test.
Question:
3. A phlebotomist collects blood from a post-operative
patient in a hospital bed with no problems. Before the
phlebotomist leaves, the patient asks for help moving from the
bed to a chair. While the phlebotomist is assisting the patient,
he falls. Was the phlebotomist wrong for helping the patient?
A. Yes, because it was out of the phlebotomist’s scope of
practice.
B. Yes, because there should be more than one person
moving a patient from a bed.
C. No, because the phlebotomist’s actions are covered under
the Joint Commission standards.
D. No, because the patient has a right to receive help.
Answer:
Yes, because it was out of the phlebotomist's scope of practice.
Rationale
Moving a patient is not within the phlebotomist's scope of practice. If the patient requests
to be moved, the phlebotomist may relay this information to the caregiver. The patient
does have the right to receive help, but it must be from someone with the knowledge
and training to correctly assist the patient. The number of persons required to move a
patient is governed on a case by case basis. The Joint Commission establishes standards
of care but is not involved in legal responsibilities.
Question:
4. According to the Patient’s Bill of Rights, which of the
following phlebotomist actions indicates a need for more
professionalism?
A. Performing a venipuncture on the basilic vein.
