Exam (elaborations) PHLEBOTOMY

PHLEBOTOMY EXAM

,Which of the following POC lab tests is within the CLIA defined scope of practice for a
phlebotomist?
a. cell differential and urine sediment
b. strep test and urine sediment
c. urine dip and cell differential
d. strep test and urine dip - CORRECT ANSWERS-d. strep test and urine dip

The phlebotomist is performing a venipuncture on an apprehensive school age child.
Which of the following approaches should the phlebotomist use to calm the child?
a. direct the child's questions to the parent and have the parent explain
b. tell the child she has to do this, but it won't hurt
c. explain the procedure and reassure the child that the parent can stay with her
d. allow child to clean the puncture site and give her a sticker - CORRECT ANSWERS-
c. explain the procedure and reassure the child that the parent can stay with her

Which task should a phlebotomist complete prior to daily use of a POC instrument?
a. run the test sample
b. perform QC on the instrument
c. ensure that QC was performed within the last month
d. perform QC and calibrate the instrument - CORRECT ANSWERS-b. perform QC on
the instrument

rationale: we can't calibrate instruments, out of our scope of practice

A patient brings in written lab tests result, including a mix of POC and higher complexity
tests, and asks the phlebotomist for help with interpretation. Which of the following
should the phlebotomist do?
a. explain the interpretation behind the POC tests, but let the patient read the directions
with the higher level tests
b. explain the interpretation behind the POC car tests, but refer the patient to the MD for
the higher complexity tests.
c. refer the patient to the MD for interpretation of all results
d. hand the patient pre-printed test explanations downloaded from the CDC website. -
CORRECT ANSWERS-c. refer the patient to the MD for interpretation of all results

Which of the following is outside the scope of practice for a phlebotomist?
a. verifying equipment function on point if care testing using a control
b. prioritizing collections based on order requests
c. recording quality control results on a log sheet
d. performing CLIA moderate complexity tests - CORRECT ANSWERS-d. performing
CLIA moderate complexity tests

What is the recommended depth of a heel puncture on an infant?
A.
2.0mm

,B.
1.2mm
C.
3.0mm
D.
.02mm - CORRECT ANSWERS-A.
2.0mm

To disinfect a surface you can use boiling water or _______________.
A.
Ammonia
B.
Alcohol
C.
Bleach
D.
Betadine - CORRECT ANSWERS-C.
Bleach

Glycolysis occurs faster in newborns.
A.
True
B.
False - CORRECT ANSWERS-A.
True

Which lab sectioin would analyze the C&S test?
A.
Hematology
B.
Immunology
C.
Microbiology
D.
Serology - CORRECT ANSWERS-C.
Microbiology

Veins are located deeper than arteries.
A.
True
B.
False - CORRECT ANSWERS-B.
False

A red top tube is usualy drawn for which lab department?
A.

, Hematology
B.
Blood bank
C.
Chemistry
D.
Serology - CORRECT ANSWERS-C.
Chemistry

Which body plane divides the body in equal portions?
A.
Frontal
B.
Sagittal
C.
Midsagittal
D.
Transverse - CORRECT ANSWERS-C.
Midsagittal

The order of draw for venipuncture is: BC, blue, serum, green, EDTA, gray.
A.
True
B.
False - CORRECT ANSWERS-A.
True

When someone is in shock you should keep them cool.
A.
True
B.
False - CORRECT ANSWERS-B.
False

Repeated venipuncture in the same vein can cause:
A.
Thrombus
B.
Phlebitis
C.
Hemolysis
D.
Petechiae - CORRECT ANSWERS-B.
Phlebitis

The first phase of hemostasis is _________________.