Phlebotomy NCCT Practice Exam With Complete Solution

Phlebotomy NCCT Practice Exam The rubber sleeve at the end of a ETS venipuncture needle allows for a) faster draw of the specimen b) drawing a single tube c) slower draw of the specimen d) drawing mulitiple tubes - d) drawing mulitple tubes When wearing the appropriate personal protective equipment for the particular task or duty, the phlebotomist is exercising a) universal precautions. b) medical asepsis. c) standard precautions. d) work practice controls. - c) standard precautions The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This draw would be conducted under a) expressed consent. b) implied consent. c) informed consent. d) refusal of consent. - c) implied consent Which one of the following specimen types is primarily used to perform CLIA-waived point-of-care testing for glucose? a) serum b) plasma c) capillary blood d) venous blood - c) capillary blood The phlebotomist is drawing blood on an 88-year-old patient that has multiple skin tears. Which of the following should be used to secure the 2 x 2 gauze sponge? a) paper tape b) adhesive tape c) band aid d) Coban - d) Coban Which of the following is an example of a pre-analytical error made at the time of collection? delay in transporting failing to mix tubes incomplete requisition waiting to centrifuge - failing to mix tubes While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most likely to have been inadvertently punctured? brachial artery basilic vein cephalic vein ulnar artery - brachial artery A phlebotomist has orders to collect blood specimens from a patient who has IVs in his right forearm and in the left antecubital area. Where should the phlebotomist collect a venous blood specimen? the middle or ring finger of right hand in the antecubital area of the right arm above the IV in the left arm distal to the IV in the left arm - distal to the IV in the left arm Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent from a family member. This is a violation of HIPAA. The Patient's Bill of Rights. CLIA Waived Testing. The Stark Law. - The Patient's Bill of Rights While performing a venipuncture to obtain a CBC and PTT, the phlebotomist punctures the skin, advances the needle, inserts the tube, but does not see a blood return. The phlebotomist should next adjust the bevel up. release the tourniquet. try another tube. advance the needle further. - try another tube Which of the following is the proper way of collecting a blood culture with a winged infusion set on an adult? A discard tube should be drawn prior to collection. Anaerobic must be drawn first. Aerobic must be drawn first. The maximum blood volume is 3-7ml. - Aerobic must be drawn first The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which of the following sites should the phlebotomist use to obtain the specimen? lateral fingertip antecubital space heel of the foot superficial scalp vein - heel of the foot A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the phlebotomist's best option for collecting the largest amount of blood for this patient? microcollection container capillary tube filter paper (PKU) card evacuated tube - microcollection container Which of the following information is required information on a laboratory test requisition for a blood specimen? patient's social security number source of the sample diagnosis name of the physician - name of the physician A physician has ordered STAT hematology, chemistry, and coagulation tests on a patient. Which of the following tubes are needed for these procedures? (Select the three (3) correct answers.) lavender gray light blue green yellow - lavendar, light blue, green While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with a contaminated needle. After performing thorough hand washing, which of the following should the phlebotomist do first? Begin infectious disease prophylaxis. Complete an exposure incident report. Obtain patient consent for infectious disease testing. Report the incident to a supervisor. - Report the incident to a supervisor A phlebotomist must collect a specimen for a blood alcohol test on a patient who is allergic to shell fish. Which of the following antiseptics should the phlebotomist use? iodine 70% isopropyl alcohol benzalkonium chloride chlorohexidine gluconate - benzalkonium chloride The phlebotomist preps the median cubital vein for a venipuncture procedure. How should the phlebotomist prep the patient's skin? Use a circular motion, from the inside out. Use a circular motion, from the outside in. Wipe the area from top to bottom. Wipe the area from bottom to top. - use a circular motion, from the inside out Gray-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ALT) or aspartate aminotransferase (AST) because the anticoagulant destroys many enzymes. increases lipemia. prevents hemoconcentration. causes hemolysis. - destroys many enzymes When disposing of hazardous materials, the phlebotomist must adhere to the guidelines and standards set forth by OSHA. CLIA. FDA. CMS. - OSHA When performing venipuncture on a patient with a left mastectomy, which of the following sites should the phlebotomist use? back of left hand right antecubital fossa right saphenous vein left basilic vein - right antecubital fossa Which of the following is included in an exposure control plan? dates of each employee's last tetanus booster maintenance of MSDS and incident report logs contaminated needlestick injury evaluation process emergency exit markings in compliance with OSHA standards - contaminated needlestick injury evaluation process When performing a venipuncture, the phlebotomist is stuck with a bloody needle upon withdrawal from the patient. What is the first thing the phlebotomist should do? Report to a supervisor. Wash the exposed area with soap and water. Seek immediate medical attention. Document the incident. - Wash the exposed area with soap and water Small red spots appear near the tourniquet on a patient's arm. This is most likely an indication of a collapsed vein. a hematoma. petechiae. edema. - petechiae Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? payment of annual dues current certificate of compliance on file annual employee safety training annual inspections conducted by OSHA - annual employee safety training Keeping contaminated equipment and supplies away from the phlebotomist's clothing to prevent pathogen transmission to the next patient is an example of which of the following? medical asepsis surgical asepsis sanitization disinfection - medical asepsis While performing a venipuncture using an evacuated tube, a small amount of blood enters the tube and then stops. Which of the following conditions is most likely to have caused this? collapsing vein hematoma rolling vein sclerosed vein - collapsing vein A patient on coumadin therapy is at the lab for a weekly coagulation test. Which of the following tubes should the phlebotomist collect for this test? red top lavender top light blue top green top - light blue top The phlebotomist has collected an ammonia level. Which of the following should be done regarding transport of the specimen? Maintain the specimen at room temperature. Wrap the specimen in a heel warmer to slow the metabolic process. Wrap the specimen in foil to protect from light. Immerse the specimen in an ice and water slurry. - Immerse the specimen in an ice and water slurry A phlebotomist puts evacuated tubes filled with blood in plastic transport bags and places them in the physician office lock box for the reference lab courier who will pick them up in 1-2 hours. The lock box is outside and the temperatures are below freezing. How will freezing affect the test results? elevated hematocrit decreased red blood cell count elevated hemoglobin decreased calcium - decreased red blood cell count