Phlebotomy Practice Exam 1 Multiple Choices And Questions With Verified Accurate Answers.

Which of the following statements is not one of the 3 major goals of the Patient's Bill of Rights? - correct answers Ensures that the care you receive is affordable. The Patient Bill of Rights was developed to help patients feel more confident in the US health care system by providing a framework that provides patients with healthcare that meets their needs, addresses their complaints and allows them to have more control over their health care. Though health care affordability is a top concern for many patients, it is not addressed in the Patient Bill of Rights. Which of the following duties is outside the scope of the phlebotomist's practice? - correct answers Collecting a tissue sample In delivering quality patient care, which of the following actions should be avoided? - correct answers Professionalism in phlebotomy includes avoiding painful probing on medical conditions and careful site selection to ensure that they do not have to experience unnecessary punctures and repeated draws. What federal agency regulates phlebotomy certifications? - correct answers None of the above - Phlebotomy is not a federally regulated procedure. Several states, including California, Nevada and Louisiana, have state-level regulatory guidelines, but there are no federal ones. If you encounter a hazardous chemical that you need more information about, where can you quickly and accurately locate that information? - correct answers MSDS Being free from contamination or germs is referred to as what term? - correct answersAsepsis Implied consent form a patient to draw blood would be obtained by which action? - correct answers Pt extends arm When collecting a sample to determine blood alcohol levels, what color tube should be used? - correct answers Gray Gray tubes are used for testing blood alcohol. Yellow ones are for use in pediatrics; Red ones are used for a variety of different tests, such as BMP, CMP, lipid, etc. when there is a gold center; red ones with a black center are used for Dilantin and drug testing. Royal blue tubes are used for testing of heavy metals, trace elements or lead. If a sample needs to be diluted, what should be added? - correct answers Diluent Potassium EDTA binds to what element in the blood? - correct answersCalcium (to prevent clotting) A failure to fast when ordered can impact a blood sample in which of the following ways? - correct answers Increasing its turbidity - "lipemic" sample If you notice that the name of a patient is spelled differently on the requisition and a patient's armband, what it the best course of action? - correct answers Visit with your manager to verify the information and have it corrected Anchoring a vein properly requires which of the following actions? - correct answers Placing the thumb of your free hand below the vein and stretching the skin The most common cause of contamination in blood cultures is which of the following? - correct answers Improper site preparation What is another name for a thrombocyte? - correct answers Platelet Inserting a needle at the point of divergence between veins can result in what? - correct answersAn increased chance of a hematoma. Inserting a needle where veins divert increases the chance of a hematoma. Insertion should occur in the intact portion of the selected vein. Which of the following is a complication that can arise in capillary sampling? - correct answers All of the above - Complications from capillary sampling include: collapse of veins if the tibial artery is lacerated, osteomyelitis of the heel bone, nerve damage if the fingers of neonates are punctured, hematoma and loss of access to the venous branch, scarring, localized or generalized necrosis, and skin breakdown from repeated use of adhesive strips. Approximately how many liters of blood is generally found in the adult human body? - correct answers5 L Which of the following is a cause for rejection of a specimen? - correct answers All of the above - There are many reasons to reject a specimen. These can include: incorrect or unlabeled samples, the presence of a inappropriate preservative, collection in an improper container, insufficient quantity to analyze, incomplete documentation of chain of custody and an unsuitable specimen for the required analysis. A failure to allow alcohol to completely dry during site preparation can lead to what? - correct answers Hemolysis The process of maintaining control of a specimen from the point of collection until testing is complete is referred to as what? - correct answers Chain of custody Chain of custody is the legal protocol for documentation and control of specimen transfer from the point of collection until testing is completed. An incident reporting system should include which of the following components? - correct answers All of the above - An incident reporting system is required for reporting all adverse events. A log book or register should be established with accurate details of the incident, possible causes and management of adverse events. Which of the following is not required on a correctly completed requisition? - correct answers Patient history Which of the following is a National Patient Safety Goal(s)? - correct answers All of the above - The National Patient Safety Goals for Laboratory operations are: Identify patients correctly (such as by using two ways to identify them - e.g. name and DOB, improve staff communication, such as getting the results to the right person on time, and prevent infection, such as by using hand cleaning guidelines from the CDC or WHO. Workplace safety in a lab is governed by which agency? - correct answers OSHA is responsible for ensuring the safe and healthful working conditions for workplaces in all industries What is the proper sequence for putting on PPE? - correct answers Gown Mask Gloves When should a sharps container be disposed of? - correct answers3/4 full Which of the following draws can be collected after a draw the a gray tube (sodium fluoride/potassium oxalate with antiglycolytic inhibitor)? - correct answers None of the above - Gray tubes should be the final type of draw. The proper order is 1) blood culture tube (yellow with SPS) or blood culture bottles, 2) sodium citrate tubes (light blue), 3) serum tubes - non-additive and additive tubes with gels (red, SST), 4) heparin tubes - with or without gel (light green or dark green, 5) EDTA tubes - with or without gel (lavender, pearl white or pink, and 6) sodium fluoride/potassium oxalate with antiglycolytic inhibitor (gray). The additive 3.2% sodium citrate results in what? - correct answers The prevention of clotting by binding calcium. Venipuncture should not be performed on which of the following sites? - correct answers Inappropriate sites for venipuncture include: arm on the side of mastectomy, edematous areas, hematomas, arm in which blood is being transfused, scarred areas, arms with fistulas or vascular grafts, and sites above an IV cannula. The use of povidone iodine for site preparation can result in a false increase in what level? - correct answers Povidone iodine may falsely increase levels of potassium, phosphorus or uric acids in test results. 70% isopropyl alcohol is a preferable site disinfectant due to this effect. Prior to drawing from a sleeping patient, what should be done? - correct answers Gently wake them up, and when they are ready, request they provide verification of their identity What type of draw is generally performed for patients in infancy? - correct answers Heel stick Which of the following would not be required for a finger stick? - correct answers Syringe Which of the following is a characteristic of capillaries? - correct answers They are found in every square inch of the human body What action can prevent bruises from forming due to a blood draw? - correct answersApplying firm pressure immediately after and keeping a bandage on for several hours Which test order should be given the most priority? - correct answers STAT Which of the following is not a primary method of venipuncture? - correct answers Lancet Why is blood drawn in a specific order? - correct answers To avoid cross-contamination of additives When a sample is rejected for QNS, what is the appropriate response? - correct answersCollect another sample with sufficient quantity Which of the following examples is not a HIPAA violation? - correct answersProviding court-ordered health information What is the first step in dealing with a patient that appears nervous? - correct answersAssess their cause for concern and provide reassurance What describes quality control? - correct answersQuality control is the term that describes the overarching process of the management function whereby control of the quality of raw materials, assemblies, produced materials and components; services related to production; and management, production and inspection processes is exercised for the purpose of preventing undetected production of defective material or rendering of faulty services. Which of the following can reduce your risk of infection after being exposed to a bloodborne pathogen such as Hepatitis B or HIV? - correct answersTaking a post-exposure prophylaxis.