Hartman Phlebotomy Practice Exam | Questions with 100% Correct Answers

Hartman Phlebotomy Practice Exam | Questions with 100% Correct Answers Which of these tasks is typically considered within a phlebotomy technician's scope of practice? (Choose three.) Creating peripheral blood smear slides Drawing blood from an indwelling port Performing a throat culture Drawing blood from the dorsal aspect of the hand using a syringe and transfer device Using a microscope to examine blood smears Blood pulsing into collection tubes is an indication that The needle is placed in the exact center of the vein The needle has struck a nerve The needle has passed entirely through the vein The needle has struck an artery A phlebotomist needs to collect gold, pink, and green-topped tubes by venipuncture. Which order is correct? Gold, green, pink Green, gold, pink Pink, green, gold Gold, pink, green Collection tubes with should not be used for therapeutic drug testing. Separator gel Clot activator Red tops Internal vacuum Which of the following will help a phlebotomy technician avoid having a patient's vein roll away when the needle is inserted? Selecting a vein in the hand Forming an anchoring "window" around the puncture site with the thumb below and the index finger above Anchoring the site from below, using the thumb to pull toward the wrist Warming the site for 3-5 minutes prior to venipuncture Facility policy states that no more than 5% of a patient's blood may be drawn in 30 days. What is the maximum amount of blood than can be drawn from an 9-pound infant in a month? 12 mL 16 mL 20 mL 24 mL A patient's chart indicates that her veins are thin, fragile, and frequently collapse. A total of 5 mL of blood needs to be drawn for various tests. Which of the following techniques would be best for drawing blood from this patient? Capillary puncture of the third or fourth finger Venipuncture using a 23-gauge butterfly needle and syringe/transfer device Venipuncture using a 21-gauge straight multisample needle Venipuncture using a 23-gauge butterfly needle and a 5 mL evacuated tube Which of the following is a significant difference between midstream and routine urine specimens? The area around the urethra is cleaned before collecting a midstream specimen A routine urine specimen is collected first thing in the morning A midstream urine specimen is collected at a patient's home A routine urine specimen is collected in a sterile container Hemoconcentration may be caused by Leaving a tourniquet in place for too long A patient eating a breakfast rich in fatty foods Using too narrow a needle Probing with the venipuncture needle A patient begins to experience a seizure during a blood draw. What should be the phlebotomist's first response? To ask the patient if he is OK To remove and sheathe the needle To steady the patient's arm so the tube currently inserted can be filled completely To lower the patient to the ground Which of these tests is an entry-level phlebotomy technician most likely to be trained to perform in its entirety? Testing urine with a dipstick Arterial blood gas Urine culture and sensitivity Complete blood count with differential Which of these items may be reused between patients with proper cleaning? A tube holder if there is no blood visible A specimen tube that was inserted but never received blood flow A phlebotomy wedge A retractable lancet One effective method to help control healthcare associated infections is Wiping down surfaces in a drawing station between patients using a damp, soapy cloth Performing hand hygiene after every other patient Washing hands for at least 15 seconds Using facility-approved disinfectants to clean reusable items like point-of-care testing devices Just as a needle is removed from a patient's arm, the patient has a coughing fit and the phlebotomy technician is accidentally stuck with the needle. What should the phlebotomy technician do after placing the needle in the sharps container? Call her supervisor Ask the patient if he has any known bloodborne illnesses Complete an incident report Wash the injury with soap under running water for 15 minutes Which of the following is one acceptable way of confirming a patient's identity? Asking the patient to confirm his name and date of birth Checking the name and date of birth on a wristband sitting on the patient's bedside table against his stated name and date of birth Matching a patient's hospital room number to the room number on the requisition Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth During centrifugation of a specimen the centrifuge becomes very hot and then bursts into flames. The power cord is plugged in behind the centrifuge. How should the phlebotomy technician operating the centrifuge respond? He should reach around carefully and unplug the centrifuge, then activate the fire alarm. He should leave the area and immediately activate the fire alarm. He should attempt to smother the flames with his lab coat, then activate the fire alarm. He should douse the centrifuge with water, then activate the fire alarm. Which of the following is the best response to a patient who is afraid of needles? "The sooner we do this, the sooner you can leave." "My last patient was ten years old and he said it didn't even hurt." "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." "Just close your eyes. It's probably easier if you just don't know when it's coming." The anticoagulant action of this tube additive can be reversed with the addition of calcium: Sodium citrate Sodium fluoride EDTA Sodium heparin Which of the following situations always requires written permission from a physician? (Choose two.) Drawing blood from the basilic vein in either arm Drawing blood from either arm or hand of a patient who has had a double mastectomy Drawing blood from the dorsal aspect of a patient's hand Drawing blood from a site distal to an IV Drawing blood from an ankle or foot patients and patients in are at the highest risk for iatrogenic anemia. Pediatric, intensive care Geriatric, emergency departments Middle aged, maternity wards Iron-deficient, cardiac units If a patient's veins seem difficult to access, one appropriate adaptation is to Slightly bend the venipuncture needle to allow a low angle of insertion while still maintaining control of the needle Ask the patient to dangle his arms for 3 minutes with the tourniquet in place Ask the patient to dangle his arms for 3 minutes without the tourniquet in place Attempt a "blind stick" Which set of regulations deals with how laboratories are staffed and what tests they can perform? HITECH HIPAA CLSI CLIA When a patient's veins are difficult to access, how many attempts at venipuncture should a phlebotomy technician make before seeking help from other qualified personnel? Four Three Two One Accidental artery puncture should be avoided for the following reason: It can be more difficult to get an adequate amount of blood for testing It can be more difficult to stop arterial bleeding Diagnostic tests cannot be run on arterial blood Arteries are more likely to collapse than veins In addition to causing pain for the patient, probing for a vein can result in , which may affect analytes in a specimen. Hemostasis Hemoconcentration Homeostasis Hematoma Which of the following is permitted during blood donation collections but should not be done during routine venipuncture collections? Opening and closing the hand during collection Palpating for a vein Applying a tourniquet during site selection Applying pressure to the puncture site after needle removal When should gloves be removed and replaced? Only if they become visibly soiled Always between patients Only if they are punctured or torn After every three patients The bloodborne illness that has most commonly affected healthcare workers is HIV AIDS Hepatitis B Hepatitis C Coagulation studies are ordered for a patient whose veins require use of a butterfly assembly. Which of the following is true? A discard tube should be started first, then a light blue tube filled completely A discard tube should be started first, then a light green tube filled completely A light blue tube should be filled at least halfway A lavender tube should be filled completely If a phlebotomy technician is not able to read a note made on a manual requisition form, she should Perform the draw as long as she can read which tests are ordered Ask the patient if she knows what the doctor wrote at the top of her requisition Contact the ordering provider for clarification Send the patient back to the ordering provider for a new requisition Sharp, shooting pain during venipuncture is a possible sign of what complication? Nerve involvement Hematoma Vein collapse Artery involvement Which of the following patients is most likely to require use of a syringe and transfer device? A 10-month-old infant A 12-year-old child A 40-year-old woman An 80-year old man Hemolysis of a capillary specimen is most likely to have resulted from Warming the collection site for too long "Milking" the finger during collection Using incorrect order of draw Creating too deep a puncture with the lancet A patient indicates that phlebotomy technicians have always had the best luck drawing blood from his right arm, but no suitable site can be found in the right arm after visual inspection and palpation. What should the phlebotomy technician do next? Draw from the patient's hand Check the left arm Attempt to draw from the right arm Perform capillary puncture Which of the following are effects of warming a capillary puncture site? (Choose two.) Decreased pain for the patient Improved blood flow Arterialization of the blood Decreased blood oxygen at the site Increased platelet activation at the site Gray-topped tubes typically have two additives. What are the actions of these two additives? Anticoagulant and clot activation Antihemolytic and antiglycolytic Anticoagulant and antiglycolytic Antiglycolytic and antithrombolytic When a patient is in an isolation room, where should the phlebotomy technician doff any required PPE? Inside the patient's room right before exiting Just outside the patient's room At the nurses' station At the patient's bedside after the procedure is complete When should a phlebotomy technician label and initial tubes drawn from patients in hospital rooms? After completing all draws in a single hospital department Right after completing the draw and in the presence of the patient After exiting the patient's room, before moving to the next room Before entering each patient's room Which of the following tasks related to point of care testing devices may be performed by a phlebotomy technician? Opening the machine to perform simple repairs Recording quality control measurements in a daily log Deciding when a test result was inaccurate Instructing a patient on medication dosage based on test results A split specimen is often created for purposes of testing. 24-hour urine Glucose Drug Pregnancy After centrifuging a specimen that does not have a separator gel, when should the liquid portion of the specimen be removed from the solid portion? Immediately Within 15 minutes Within 30 minutes Within 60 minutes How should a vein be anchored before venipuncture? By placing the thumb of the dominant hand 1-2 inches below the venipuncture site and pulling firmly but gently toward the wrist By placing the thumb of the nondominant hand 1-2 inches below the venipuncture site and pulling firmly but gently toward the wrist By placing the thumb of the nondominant hand just below and the index finger of the nondominant hand just above the venipuncture site and pulling firmly and gently outward By placing the thumb of the nondominant hand 1-2 inches above the venipuncture site and pulling firmly but gently toward the upper arm Drawing a patient's blood for routine testing after she has expressed that she does not wish to have the procedure performed may be considered Assault Battery Slander Libel Most collection tubes should be centrifuged within of collection. 30 minutes One hour Two hours Three hours Some swabs are transported in a tube with a(n) that must be to release liquid. Bulb, squeezed lightly Ampule, crushed Sticker, peeled off Attachment, screwed on Which of the following equipment has an expiration date that must be checked prior to use? Tube holders Needles Point-of-care test strips Pipettes Adhesive bandages are never placed on Capillary puncture sites Venipuncture sites Geriatric patients Patients under 2 years of age Which set of adaptations is appropriate when drawing blood from a pediatric patient? Use of a higher gauge needle, removing any sharp or potentially dangerous objects from within the patient's reach, and never leaving the patient alone at the drawing station Use of a lower gauge needle, removing any sharp or potentially dangerous objects from within the patient's reach, and never leaving the patient alone at the drawing station Use of a higher gauge needle, reminding the patient not to touch anything sharp or dangerous, and only leaving the patient alone briefly Use of a higher gauge needle, talking to the patient's parent or guardian instead of to the patient, and performing the venipuncture when the patient does not expect it to decrease anxiety is an organization that develops standards of practice for laboratories worldwide. CLSI CDC CLIA NCCT Drawing blood from is usually considered to be beyond the scope of practice for entry-level phlebotomy technicians. The hand A site below an IV Arteries The antecubital fossa A patient who uses a cane or walker is at a higher risk for this type of hazard: Uneven walkways and tripping hazards Chemical spills or splashes Radiation exposure Burns from hot equipment The following tests may be related to assessing kidney health: Lipid panel, blood culture Hepatic panel, erythrocyte sedimentation rate Renal panel, 24-hour urine collection Thyroid panel, fecal occult blood testing What step immediately follows removing the needle from a venipuncture site? Thanking the patient Activating the needle's safety mechanism Discarding the needle Bandaging the site Which of the following is true of labeling aliquot tubes? Each one should be labeled with the patient's identifying information A single label can be wrapped around several tubes The tubes can be placed, unlabeled, in a labeled transport bag They do not need to be labeled if they will be delivered by hand to the testing area along with the requisition An endocrinologist has ordered a thyroid panel and fasting blood glucose tests for a patient. Which of these choices represents a possible tube choice? SST only EDTA tube only SST tube and sodium fluoride/oxalate tube Citrate tube and sodium fluoride/oxalate tube The area of the foot used for infant heel stick is known as the Calcaneus Lateral or medial plantar surface Dorsal surface Arcus pedis CLSI standards for patient identification include asking a patient to her full name. Confirm Read out Sign State and spell - ANSWER(D) State and spell In which of the following ways can a phlebotomy technician help to prevent iatrogenic anemia? By choosing not to draw blood for certain tests By performing draws carefully and avoiding the need for redraws By only performing capillary puncture any time tests are ordered By performing a point-of-care hematocrit/ hemoglobin test before performing venipuncture When is a bandage applied to a venipuncture site? Immediately after the needle is withdrawn After bleeding has stopped After 3 minutes After 5 minutes If a patient has orders for therapeutic drug monitoring and must have blood drawn at trough medication levels, when should her blood be drawn? Within an hour before her next dose An hour after her last dose Within 10 minutes before her next dose Within 10 minutes after her last dose After completing a blood draw the phlebotomy technician should always Thank the patient Reassure the patient that everything will be OK Make suggestions regarding the patient's health Immediately call the next patient Death is a possible consequence of Touching a nerve during venipuncture Using the incorrect tubes to draw a specimen Inserting a phlebotomy needle at too high an angle Misidentifying a patient A blade-style lancet should be held at a _ angle to a patient's fingerprint whorls when performing capillary collection. 45° 90° 180° 360° Which of the following techniques is an acceptable way to make a patient's veins appear more prominently? Lightly flicking or slapping the skin in the antecubital area Placing an icepack over the antecubital area for 3-5 minutes Asking the patient to pump his fist rapidly Placing a warm pack over the antecubital area for 3-5 minutes Electrolytes and complete blood count are ordered for a patient who must have blood collected by capillary puncture. The correct tubes to use, in the correct order, would be EDTA, serum Serum, EDTA Heparin only Oxalate, EDTA Blood for newborn metabolic screening is collected In heparinized capillary tubes On filter paper printed with circles for each blood drop On a test strip inserted into a point-of care device In EDTA tubes This venipuncture site poses the lowest risk for nerve or artery involvement, and is generally well anchored: The fleshy part to the side of the third finger The cephalic vein The median cubital vein The basilic vein If a tourniquet has been left on the arm for more than one minute, how long should it remain off the arm before it is reapplied? One minute Two minutes Three minutes Five minutes A patient is being tested for various vitamin levels. Which of the following is true? The tubes should be protected from light. The tubes should be held at body temperature.