Hartman Phlebotomy Practice Exam 150 Questions with complete Answers 2023

Hartman Phlebotomy Practice Exam 150 Questions with complete Answers 2023 76. Which of these tasks is typically considered within a phlebotomy technician's scope of practice? (Choose three.) (A) Creating peripheral blood smear slides (B) Drawing blood from an indwelling port (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device (E) Using a microscope to examine blood smears (A) Creating peripheral blood smear slides (C) Performing a throat culture (D) Drawing blood from the dorsal aspect of the hand using a syringe and transfer device 77. Blood pulsing into collection tubes is an indication that (A) The needle is placed in the exact center of the vein (B) The needle has struck a nerve (C) The needle has passed entirely through the vein (D) The needle has struck an artery (D) The needle has struck an artery 78. A phlebotomist needs to collect gold, pink, and green-topped tubes by venipuncture. Which order is correct? (A) Gold, green, pink (B) Green, gold, pink (C) Pink, green, gold (D) Gold, pink, green (A) Gold, green, pink 79. Collection tubes with ___________________ _____________ should not be used for therapeutic drug testing. (A) Separator gel (B) Clot activator (C) Red tops (D) Internal vacuum (A) Separator gel 80. Which of the following will help a phlebotomy technician avoid having a patient's vein roll away when the needle is inserted? (A) Selecting a vein in the hand (B) Forming an anchoring "window" around the puncture site with the thumb below and the index finger above (C) Anchoring the site from below, using the thumb to pull toward the wrist (D) Warming the site for 3-5 minutes prior to venipuncture (C) Anchoring the site from below, using the thumb to pull toward the wrist 81. 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? (A) 12 mL (B) 16 mL (C) 20 mL (D) 24 mL (B) 16 mL 82. 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? (A) Capillary puncture of the third or fourth finger (B) Venipuncture using a 23-gauge butterfly needle and syringe/transfer device (C) Venipuncture using a 21-gauge straight multisample needle (D) Venipuncture using a 23-gauge butterfly needle and a 5 mL evacuated tube (B) Venipuncture using a 23-gauge butterfly needle and syringe/transfer device 83. Which of the following is a significant difference between midstream and routine urine specimens? (A) The area around the urethra is cleaned before collecting a midstream specimen (B) A routine urine specimen is collected first thing in the morning (C) A midstream urine specimen is collected at a patient's home (D) A routine urine specimen is collected in a sterile container (A) The area around the urethra is cleaned before collecting a midstream specimen 84. Hemoconcentration may be caused by (A) Leaving a tourniquet in place for too long (B) A patient eating a breakfast rich in fatty foods (C) Using too narrow a needle (D) Probing with the venipuncture needle (A) Leaving a tourniquet in place for too long 85. A patient begins to experience a seizure during a blood draw. What should be the phlebotomist's first response? (A) To ask the patient if he is OK (B) To remove and sheathe the needle (C) To steady the patient's arm so the tube currently inserted can be filled completely (D) To lower the patient to the ground (B) To remove and sheathe the needle 86. Which of these tests is an entry-level phlebotomy technician most likely to be trained to perform in its entirety? (A) Testing urine with a dipstick (B) Arterial blood gas (C) Urine culture and sensitivity (D) Complete blood count with differential (A) Testing urine with a dipstick 87. Which of these items may be reused between patients with proper cleaning? (A) A tube holder if there is no blood visible (B) A specimen tube that was inserted but never received blood flow (C) A phlebotomy wedge (D) A retractable lancet (C) A phlebotomy wedge 88. One effective method to help control healthcare associated infections is (A) Wiping down surfaces in a drawing station between patients using a damp, soapy cloth (B) Performing hand hygiene after every other patient (C) Washing hands for at least 15 seconds (D) Using facility-approved disinfectants to clean reusable items like point-of-care testing devices (D) Using facility-approved disinfectants to clean reusable items like point-of-care testing devices 89. 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? (A) Call her supervisor (B) Ask the patient if he has any known bloodborne illnesses (C) Complete an incident report (D) Wash the injury with soap under running water for 15 minutes (D) Wash the injury with soap under running water for 15 minutes 90. Which of the following is one acceptable way of confirming a patient's identity? (A) Asking the patient to confirm his name and date of birth (B) 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 (C) Matching a patient's hospital room number to the room number on the requisition (D) Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth (D) Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth 91. 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? (A) He should reach around carefully and unplug the centrifuge, then activate the fire alarm. (B) He should leave the area and immediately activate the fire alarm. (C) He should attempt to smother the flames with his lab coat, then activate the fire alarm. (D) He should douse the centrifuge with water, then activate the fire alarm. (B) He should leave the area and immediately activate the fire alarm. 92. Which of the following is the best response to a patient who is afraid of needles? (A) "The sooner we do this, the sooner you can leave." (B) "My last patient was ten years old and he said it didn't even hurt." (C) "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." (D) "Just close your eyes. It's probably easier if you just don't know when it's coming." (C) "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." 93. The anticoagulant action of this tube additive can be reversed with the addition of calcium: (A) Sodium citrate (B) Sodium fluoride (C) EDTA (D) Sodium heparin (A) Sodium citrate 94. Which of the following situations always requires written permission from a physician? (Choose two.) (A) Drawing blood from the basilic vein in either arm (B) Drawing blood from either arm or hand of a patient who has had a double mastectomy (C) Drawing blood from the dorsal aspect of a patient's hand (D) Drawing blood from a site distal to an IV (E) Drawing blood from an ankle or foot (B) Drawing blood from either arm or hand of a patient who has had a double mastectomy (E) Drawing blood from an ankle or foot 95. ________________________ patients and patients in ____________________ are at the highest risk for iatrogenic anemia. (A) Pediatric, intensive care (B) Geriatric, emergency departments (C) Middle aged, maternity wards (D) Iron-deficient, cardiac units (A) Pediatric, intensive care