Phlebotomy Practice Exam Questions With Correct Answers!!

Phlebotomy Practice Exam Questions With Correct Answers!! Which of the following statements is not one of the 3 major goals of the Patient's Bill of Rights? Assures that the health care system is fair and it works to meet patients' needs. Gives patients a way to address any problems they may have. Encourages patients to take an active role in staying or getting healthy. Ensures that the care you receive is affordable. 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. Which of the following duties is outside the scope of the phlebotomist's practice? Collecting a tissue sample. Labeling samples correctly. Drawing blood using the appropriate equipment. Identifying patients properly. Collecting a tissue sample. Phlebotomist responsibilities include: identifying patients via ID, medical record and/or verbal verification, drawing blood using needles and other standard equipment, and labeling samples correctly and sending them for testing. The collection of tissue samples is outside the scope of practice for a phlebotomist. In delivering quality patient care, which of the following actions should be avoided? Excessive punctures. Repeated draws. Probing on their medical condition. All of the above. All of the above. 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? Center for Disease Control (CDC). National Institutes of Health (NIH). Health & Human Services. None of the above. 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? Employee manual. Material Safety Data Sheet (MSDS). By searching on the Internet. Procedural manual. Material Safety Data Sheet (MSDS). The Material Safety Data Sheets are provided by manufacturers and contain information on each hazardous chemical that may be encountered in your workplace. This is the quickest way to access accurate info about the chemical. Employee manuals and procedural manuals will not include any information about specific chemicals, though they may address the proper response for encountering one. Being free from contamination or germs is referred to as what term? Asepsis. Healthy. Sepsis. Clean. Asepsis. Asepsis is a condition of being free of contamination or germs that could cause disease. Healthy is a term used in humans when they are free from an observed condition. Sepsis is the opposite of asepsis, meaning that it is something that is contaminated or has germs present. Clean is a general term which may or may not apply to something that is aseptic. Implied consent form a patient to draw blood would be obtained by which action? The patient signs a consent form. The patient verifies their identity. The patient extends their arm. All of the above. The patient extends their arm. An adult patient implies consent when they extend their arm for venipuncture. If they sign a consent form, it is expressed consent, rather than implied consent. The patient's action of verifying their identity is unrelated to consent, although it is a crucial part of any procedure. When collecting a sample to determine blood alcohol levels, what color tube should be used? Yellow. Red. Royal Blue. Gray. 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? Anticoagulant. Preservative. Diluent. All of the above. Diluent. A blood sample may be diluted with a diluent, such as 1% aqueous ammonium oxalate. Preservatives work to prevent changes in the constituents of a specimen, while anticoagulants prevent blood clotting. Potassium EDTA binds to what element in the blood? Iron. Calcium. Magnesium. All of the above. Calcium. Potassium EDTA prevents clotting by binding calcium. A failure to fast when ordered can impact a blood sample in which of the following ways? Increasing its turbidity. Increasing stress hormones. Increasing enzymes such as creatinine and fatty acids. A false increase in analytes. Increasing its turbidity. A patient who is not fasting will produce a sample that is lipemic, in which the serum and plasma make the sample appear turbid. This turbidity comes from increased blood triglycerides and may interfere with any tests that rely in light passage. Stress hormones are often elevated in patients who are suffering from anxiety. Short term exercise can result in increased muscle enzymes such as creatine kinase, as well as WBC, creatinine and fatty acids. Dehydration can result in hemoconcentration, which produces a false increase in many analytes. 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? Assume there was a typo and ignore the requisition. Visit with your manager to verify the information and have it corrected. Ask the patient to go get the requisition corrected. Any of the above. Visit with your manager to verify the information and have it corrected. Specimens or requisitions that do not match exactly require an escalation to a manager and consultation with the nurse's station to have the error or typo corrected. This should occur before the collection to prevent any misidentification. Anchoring a vein properly requires which of the following actions? Placing your thumb to the side of the vein and pressing firmly. Placing the thumb of your free hand below the vein and stretching the skin. Increasing pressure on the tip of the needle. All of the above. Placing the thumb of your free hand below the vein and stretching the skin. Anchoring the vein is completed by pulling down on the skin from below the intended puncture site with the thumb of your free hand. This stretches the skin and is especially important with cephalic or basilic vein draws. This serves to minimize the pain of the puncture. The most common cause of contamination in blood cultures is which of the following? Improper site preparation. Improper transportation. Improper storage. All of the above. Improper site preparation. The majority of contaminations to blood culture draws stems from improper site preparation. This test is particularly sensitive to contamination by the presence of persistent bacteria on the skin. What is another name for a thrombocyte? Platelet. Thrombus. White blood cell. Plasma. Platelet. A platelet is another name for a thrombocyte. They are the tiny blood cells that help your body form clots to stop bleeding. A clot is also called a thrombus. Inserting a needle at the point of divergence between veins can result in what? An increased chance of a hematoma. Nerve damage. Failed venipuncture. Nothing. This is an ideal spot for venipuncture. An 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? Collapse of veins. Nerve Damage. Scarring. All of the above. 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? 5 Liters. The human body holds approximately 5-5.5 liters of blood. This may vary depending upon the size of the individual. Which of the following is a cause for rejection of a specimen? Improper specimen (serum, blood, plasma) Incomplete chain of custody documentation. Insufficient quantity. All of the above. All of the above. There are many reasons to reject a specimen: 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? Hemolysis. Hemoconcentration. Hematoma. There is impact if the alcohol fails to completely dry. Hemolysis. Alcohol can damage the cell walls. If the site hasn't completely dried, hemolysis occurs. The process of maintaining control of a specimen from the point of collection until testing is complete is referred to as what? Chain of custody. Specimen tracking. Patient control. None of the above. 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. It is documented through written records that traces the specimen's transfer from patient to analyst, then to storage and/or disposal. Any tests with medicolegal significance should follow chain of custody protocol, including drug tests, blood alcohol, and paternity testing. An incident reporting system should include which of the following components? Details of the incident. Potential causes. Management of adverse events. All of the above. 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? Patient history. Priority status. Test(s) ordered. Patient number. Patient history. A completed requisition should include the patient name and contact info, the name and contact info for the ordering physician, billing and insurance information, tests ordered, priority status and the date and time of the order. Which of the following is a National Patient Safety Goal(s)? Identify the patient correctly. Prevent infection. Improve communication. All of the above. 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? Center for Disease Control (CDC). National Institutes of Health (NIH). Federal Emergency Management Administration (FEMA). Occupational Safety and Health Administration (OSHA). Occupational Safety and Health Administration (OSHA). OSHA is responsible for ensuring the safe and healthful working conditions for workplaces in all industries. The CDC promotes health and the prevention of disease while the NIH functions as the nation's medical research agency. FEMA is a part of Homeland Security and it supports citizens and first responders during disaster situations. What is the proper sequence for putting on PPE? Gown, Mask, Gloves. The proper sequence for putting on a complete set of PPE indicates that the gown is put on first, followed by the mask or respirator and goggles or a face shield if necessary. Gloves are put on last and are pulled over the cuffs of the gown. When should a sharps container be disposed of? After it is half full. When it is 3/4 full. When it is completely full. Never. They are reusable. When it is 3/4 full.