TEST BANK
Phlebotomy Simplified
Diana Garza, & Kathleen Becan-McBride
3rd Edition
,Table of Contents
Chapter 1 Phlebotomy Practice and Quality Assessment Basics 1
Chapter 2 Ethical, Legal, and Regulatory Issues 5
Chapter 3 Basic Medical Terminology, the Human Body, and the Cardiovascular System 9
Chapter 4 Safety and Infection Control 13
Chapter 5 Documentation, Specimen Handling, and Transportation 17
Chapter 6 Blood Collection Equipment 21
Chapter 7 Preexamination/Preanalytical Complications 25
Chapter 8 Venipuncture Procedures 29
Chapter 9 Capillary or Dermal Blood Specimens 33
Chapter 10 Pediatric and Geriatric Procedures 37
Chapter 11 Special Collections 41
,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
TEST BANK
Chapter 1
Multiple Choice
1. Which of the following is an example of an internal stakeholder for phlebotomy
services?
a. Health care foundation
b. Medicare or Medicaid official
c. Physician or nurse
d. Home health agency
2. Which organization has a list of entry-level phlebotomist competencies that are addressed in
the chapter?
a. American Society of Phlebotomy Technicians (ASPT)
b. National Phlebotomy Association (NPA)
c. National Healthcareer Association (NHA)
d. National Association for Accreditation of Clinical Laboratory Sciences (NAACLS)
3. What is the difference between venipuncture and dermal puncture?
a. In dermal puncture, blood is drawn from an artery.
b. In venipuncture, blood is drawn a small capillary puncture.
c. In dermal puncture, blood is drawn from the vein.
d. In venipuncture, blood is drawn from the vein.
4. Which of the following categories would be an inpatient setting?
a. Mobile blood-donation van
b. Acute-care hospital
c. Home health agency
d. Emergency care centers
5. Which of the following is one of a phlebotomist’s clinical duties?
a. Manipulate small objects, tubes, and needles
b. Print/collate/distribute laboratory requisitions and reports
c. Use medical terminology appropriate for patients and coworkers
d. Withdraw blood into the correct containers/tubes in the correct order
6. What kind of diploma is required to enter most phlebotomy programs?
a. High school or equivalent
b. Associate degree
c. Bachelor’s degree
d. Master’s degree
7. How do employers provide feedback on a phlebotomist's ability to do his/her job?
a. Increased benefits
b. Performance evaluations
c. Certification examinations
d. Cost of living raises
8. What should a phlebotomist do if the patient assigned to him/her does not speak
English?
a. Use sign language to communicate
______________________________________________________________________________________________
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Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. Wait for a family member to assist
c. Week a translator or written instructions in that language
d. Allow the patient’s child to translate
9. It is best to transport routine blood specimens to the laboratory within:
a. 45 minutes
b. 1 hour
c. 2 hours
d. 4 hours
10. Which of the following actions helps the phlebotomist to listen actively?
a. Plan your next remark while the patient is speaking
b. Avoid excessive eye contact
c. Use an encouraging phrase like “You can tell me about that later.”
d. Notice body language
11. Which of the following is recommended to reduce collection errors and ensure quality in the
phlebotomy services?
a. An annual review of insurance companies and employers that pay for services
b. Role-reversal exercises for internal and external stakeholders
c. A periodic review of the laboratory’s collection procedures and policies
d. Silent pauses in the conversation to mentally review what has been said.
12. Approximately how many minutes does it take for a specimen without additives
to clot?
a. 10
b. 15
c. 30
d. 60
13. Which term describes anemia that results when excessive amounts of blood are taken from a
patient?
a. Hemolytic
b. Diabetic
c. Iatrogenic
d. Iron deficiency
14. Which phase of the laboratory process involves the duty of requesting a repeat
blood test?
a. Preanalytical
b. Analytical
c. Postanalytical
d. Specimen processing
15. Maintaining Quality Control on phlebotomy supplies and equipment is part of which phase
of laboratory testing??
a. Preanalytical
b. Examination
c. Postexamination
d. Postanalytical
16. Which phase of the laboratory process involves performing a chemical assay
on a serum specimen?
a. Preanalytical
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Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. Analytical
c. Postanalytical
d. Reporting results
17. Which phase of the laboratory process involves correct labeling of each specimen
tube after the blood specimen is collected from a patient?
a. Preexamination
b. Examination
c. Postexamination
d. Reporting results
18. Why should a phlebotomist locate the nearest bed when taking blood samples in a patient’s
home?
a. Because the patient will be located in the bed.
b. In case the patient needs to be transported to the hospital.
c. In case the patient becomes faint.
d. So the phlebotomy equipment can be laid out on a single surface.
19. When performing inventory on blood collection supplies, the supplies should
be organized by:
a. expiration date.
b. ease of use.
c. volume of blood the tubes hold.
d. laboratory department that uses each tube.
20. Which type of quality control tool is used to record the frequency of a problematic event?
a. Cause and effect diagram
b. PDCA cycle
c. Flow chart
d. Pareto chart
Matching
Match each lettered word or phrase to the most appropriate numbered word or phrase. The letters
may be used more than once.
a. POCT 1. 4–12 feet
b. STAT 2. Point-of-care testing
c. DOB 3. up to 18 inches
d. personal space 4. emergency
e. social space 5. birthdate
f. values and beliefs 6. professional organization/certification agency
g. alcohol based gel 7. advocacy group for the elderly
h. OSHA 8. used for hand hygiene
i. ASCP 9. federal agency
j. AARP 10. culture
Fill in the Blanks
1. Point-of-care testing refers to laboratory tests performed at or near _______________.
2. Face shields, gowns, and gloves are examples of ____________________. (Do not use the
abbreviation in your answer)
______________________________________________________________________________________________
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,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
3. _______________is a term that defines an individual's values, beliefs, traditions, and
practices.
4. Inpatient care refers to health care for patients located in a _______________.
5. The term phlebotomy is derived from the Greek words meaning veins and
____________.
6. _______________is the most effective means of communication.
7. Blindness and deafness are sensory _____________ that can impact effective
communication.
8. The term STAT refers to a(n) _____________ situation.
9. A phlebotomist should never tell a patient, “This will not _______________.”
10. The phlebotomist should always match the patient's name with a unique _______________.
______________________________________________________________________________________________
4|Page
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,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
TEST BANK
Chapter 2
Multiple Choice
1. Which term means a set of principles or values based on religious or moral teachings that
guide a person’s actions?
a. Standards
b. Maxims
c. Laws
d. Ethics
2. Which of the following seemingly innocent activities can lead to a lawsuit?
a. Discussing patient information with a patient’s family member with the patient’s
permission.
b. Discussing a 17-year-old patient’s information with the patient’s father without
the patient’s permission.
c. Sending a patient’s lab test request to print and forgetting to take it off the printer.
d. Logging off the computer after entering blood collection updates.
3. A 4-year-old girl who refused to have her blood collected was locked in a room
by a health care worker and was forced to have her blood collected. This is an
example of:
a. informed consent.
b. invasion of privacy.
c. misdemeanor.
d. assault and battery.
4. Which term refers to the conduct of the average health care worker in the community?
a. Discovery
b. Standard of care
c. Informed consent
d. Implied consent
5. What is defined as “failure to provide proper care, resulting in injury to others”?
a. Criminal action
b. Slander
c. Negligence
d. Assault
6. Before a patient’s laboratory test results can legally be released, the patient must:
a. express verbal consent over the telephone or in person.
b. tell his/her physician or nurse practitioner that it is okay.
c. provide written consent.
d. provide his/her attorney’s consent.
7. The legal term for improper care of a patient by a member of the health care team resulting
in injury to the patient is:
a. litigation.
______________________________________________________________________________________________
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, ______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. assault.
c. battery.
d. malpractice.
8. What is a nonmedical reason for which medical records are used?
a. Quality improvement
b. Record of illness and treatment
c. Communication between physician and the health care team
d. Monitor continuous patient care
9. All of the following are ways to avoid malpractice litigation except:
a. properly handling all HIPAA communications without violation.
b. disposing of laboratory tests in the regular trash.
c. obtaining consent for the collection of blood specimens.
d. regularly participating in continuing education programs.
10. Daria is a phlebotomist who became infected with HIV due to a needlestick that
happened at work during a patient blood draw. She will probably be covered by
workers’ compensation benefits as long as she can demonstrate:
a. that she was properly trained.
b. that no malpractice has occurred.
c. a causal connection between her infection and her employment.
d. an ethical basis for her claim.
11. Professional negligence in blood collection is:
a. malice.
b. malpractice.
c. informed consent.
d. implied consent.
12. Nasir is a 15-year-old patient at the hospital. Who has the right to release his
laboratory results?
a. Only the patient
b. The laboratory supervisor
c. The patient’s parent/guardian
d. The physician
13. Which statement about medical malpractice insurance is TRUE?
a. All health care workers should examine the possibility of malpractice suits and the
need for malpractice insurance from a personal standpoint.
b. Health care staff in the hospital or clinical laboratory is always covered by a blanket
malpractice insurance policy.
c. Only physicians can be sued for medical malpractice; other health care workers are
considered “legally immune.”
d. As a hospital employee, phlebotomists are represented by the hospital’s attorney in
malpractice cases.
14. Which of the following might result in a negligence law suit for a health care worker such
as a phlebotomist?
______________________________________________________________________________________________
6|Page
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Phlebotomy Simplified
Diana Garza, & Kathleen Becan-McBride
3rd Edition
,Table of Contents
Chapter 1 Phlebotomy Practice and Quality Assessment Basics 1
Chapter 2 Ethical, Legal, and Regulatory Issues 5
Chapter 3 Basic Medical Terminology, the Human Body, and the Cardiovascular System 9
Chapter 4 Safety and Infection Control 13
Chapter 5 Documentation, Specimen Handling, and Transportation 17
Chapter 6 Blood Collection Equipment 21
Chapter 7 Preexamination/Preanalytical Complications 25
Chapter 8 Venipuncture Procedures 29
Chapter 9 Capillary or Dermal Blood Specimens 33
Chapter 10 Pediatric and Geriatric Procedures 37
Chapter 11 Special Collections 41
,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
TEST BANK
Chapter 1
Multiple Choice
1. Which of the following is an example of an internal stakeholder for phlebotomy
services?
a. Health care foundation
b. Medicare or Medicaid official
c. Physician or nurse
d. Home health agency
2. Which organization has a list of entry-level phlebotomist competencies that are addressed in
the chapter?
a. American Society of Phlebotomy Technicians (ASPT)
b. National Phlebotomy Association (NPA)
c. National Healthcareer Association (NHA)
d. National Association for Accreditation of Clinical Laboratory Sciences (NAACLS)
3. What is the difference between venipuncture and dermal puncture?
a. In dermal puncture, blood is drawn from an artery.
b. In venipuncture, blood is drawn a small capillary puncture.
c. In dermal puncture, blood is drawn from the vein.
d. In venipuncture, blood is drawn from the vein.
4. Which of the following categories would be an inpatient setting?
a. Mobile blood-donation van
b. Acute-care hospital
c. Home health agency
d. Emergency care centers
5. Which of the following is one of a phlebotomist’s clinical duties?
a. Manipulate small objects, tubes, and needles
b. Print/collate/distribute laboratory requisitions and reports
c. Use medical terminology appropriate for patients and coworkers
d. Withdraw blood into the correct containers/tubes in the correct order
6. What kind of diploma is required to enter most phlebotomy programs?
a. High school or equivalent
b. Associate degree
c. Bachelor’s degree
d. Master’s degree
7. How do employers provide feedback on a phlebotomist's ability to do his/her job?
a. Increased benefits
b. Performance evaluations
c. Certification examinations
d. Cost of living raises
8. What should a phlebotomist do if the patient assigned to him/her does not speak
English?
a. Use sign language to communicate
______________________________________________________________________________________________
1|Page
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,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. Wait for a family member to assist
c. Week a translator or written instructions in that language
d. Allow the patient’s child to translate
9. It is best to transport routine blood specimens to the laboratory within:
a. 45 minutes
b. 1 hour
c. 2 hours
d. 4 hours
10. Which of the following actions helps the phlebotomist to listen actively?
a. Plan your next remark while the patient is speaking
b. Avoid excessive eye contact
c. Use an encouraging phrase like “You can tell me about that later.”
d. Notice body language
11. Which of the following is recommended to reduce collection errors and ensure quality in the
phlebotomy services?
a. An annual review of insurance companies and employers that pay for services
b. Role-reversal exercises for internal and external stakeholders
c. A periodic review of the laboratory’s collection procedures and policies
d. Silent pauses in the conversation to mentally review what has been said.
12. Approximately how many minutes does it take for a specimen without additives
to clot?
a. 10
b. 15
c. 30
d. 60
13. Which term describes anemia that results when excessive amounts of blood are taken from a
patient?
a. Hemolytic
b. Diabetic
c. Iatrogenic
d. Iron deficiency
14. Which phase of the laboratory process involves the duty of requesting a repeat
blood test?
a. Preanalytical
b. Analytical
c. Postanalytical
d. Specimen processing
15. Maintaining Quality Control on phlebotomy supplies and equipment is part of which phase
of laboratory testing??
a. Preanalytical
b. Examination
c. Postexamination
d. Postanalytical
16. Which phase of the laboratory process involves performing a chemical assay
on a serum specimen?
a. Preanalytical
______________________________________________________________________________________________
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,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. Analytical
c. Postanalytical
d. Reporting results
17. Which phase of the laboratory process involves correct labeling of each specimen
tube after the blood specimen is collected from a patient?
a. Preexamination
b. Examination
c. Postexamination
d. Reporting results
18. Why should a phlebotomist locate the nearest bed when taking blood samples in a patient’s
home?
a. Because the patient will be located in the bed.
b. In case the patient needs to be transported to the hospital.
c. In case the patient becomes faint.
d. So the phlebotomy equipment can be laid out on a single surface.
19. When performing inventory on blood collection supplies, the supplies should
be organized by:
a. expiration date.
b. ease of use.
c. volume of blood the tubes hold.
d. laboratory department that uses each tube.
20. Which type of quality control tool is used to record the frequency of a problematic event?
a. Cause and effect diagram
b. PDCA cycle
c. Flow chart
d. Pareto chart
Matching
Match each lettered word or phrase to the most appropriate numbered word or phrase. The letters
may be used more than once.
a. POCT 1. 4–12 feet
b. STAT 2. Point-of-care testing
c. DOB 3. up to 18 inches
d. personal space 4. emergency
e. social space 5. birthdate
f. values and beliefs 6. professional organization/certification agency
g. alcohol based gel 7. advocacy group for the elderly
h. OSHA 8. used for hand hygiene
i. ASCP 9. federal agency
j. AARP 10. culture
Fill in the Blanks
1. Point-of-care testing refers to laboratory tests performed at or near _______________.
2. Face shields, gowns, and gloves are examples of ____________________. (Do not use the
abbreviation in your answer)
______________________________________________________________________________________________
3|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
3. _______________is a term that defines an individual's values, beliefs, traditions, and
practices.
4. Inpatient care refers to health care for patients located in a _______________.
5. The term phlebotomy is derived from the Greek words meaning veins and
____________.
6. _______________is the most effective means of communication.
7. Blindness and deafness are sensory _____________ that can impact effective
communication.
8. The term STAT refers to a(n) _____________ situation.
9. A phlebotomist should never tell a patient, “This will not _______________.”
10. The phlebotomist should always match the patient's name with a unique _______________.
______________________________________________________________________________________________
4|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
TEST BANK
Chapter 2
Multiple Choice
1. Which term means a set of principles or values based on religious or moral teachings that
guide a person’s actions?
a. Standards
b. Maxims
c. Laws
d. Ethics
2. Which of the following seemingly innocent activities can lead to a lawsuit?
a. Discussing patient information with a patient’s family member with the patient’s
permission.
b. Discussing a 17-year-old patient’s information with the patient’s father without
the patient’s permission.
c. Sending a patient’s lab test request to print and forgetting to take it off the printer.
d. Logging off the computer after entering blood collection updates.
3. A 4-year-old girl who refused to have her blood collected was locked in a room
by a health care worker and was forced to have her blood collected. This is an
example of:
a. informed consent.
b. invasion of privacy.
c. misdemeanor.
d. assault and battery.
4. Which term refers to the conduct of the average health care worker in the community?
a. Discovery
b. Standard of care
c. Informed consent
d. Implied consent
5. What is defined as “failure to provide proper care, resulting in injury to others”?
a. Criminal action
b. Slander
c. Negligence
d. Assault
6. Before a patient’s laboratory test results can legally be released, the patient must:
a. express verbal consent over the telephone or in person.
b. tell his/her physician or nurse practitioner that it is okay.
c. provide written consent.
d. provide his/her attorney’s consent.
7. The legal term for improper care of a patient by a member of the health care team resulting
in injury to the patient is:
a. litigation.
______________________________________________________________________________________________
5|Page
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, ______________________________________________________________________________________________
Test Bank - Phlebotomy Simplified, 3rd Edition (Garza, 2019)
b. assault.
c. battery.
d. malpractice.
8. What is a nonmedical reason for which medical records are used?
a. Quality improvement
b. Record of illness and treatment
c. Communication between physician and the health care team
d. Monitor continuous patient care
9. All of the following are ways to avoid malpractice litigation except:
a. properly handling all HIPAA communications without violation.
b. disposing of laboratory tests in the regular trash.
c. obtaining consent for the collection of blood specimens.
d. regularly participating in continuing education programs.
10. Daria is a phlebotomist who became infected with HIV due to a needlestick that
happened at work during a patient blood draw. She will probably be covered by
workers’ compensation benefits as long as she can demonstrate:
a. that she was properly trained.
b. that no malpractice has occurred.
c. a causal connection between her infection and her employment.
d. an ethical basis for her claim.
11. Professional negligence in blood collection is:
a. malice.
b. malpractice.
c. informed consent.
d. implied consent.
12. Nasir is a 15-year-old patient at the hospital. Who has the right to release his
laboratory results?
a. Only the patient
b. The laboratory supervisor
c. The patient’s parent/guardian
d. The physician
13. Which statement about medical malpractice insurance is TRUE?
a. All health care workers should examine the possibility of malpractice suits and the
need for malpractice insurance from a personal standpoint.
b. Health care staff in the hospital or clinical laboratory is always covered by a blanket
malpractice insurance policy.
c. Only physicians can be sued for medical malpractice; other health care workers are
considered “legally immune.”
d. As a hospital employee, phlebotomists are represented by the hospital’s attorney in
malpractice cases.
14. Which of the following might result in a negligence law suit for a health care worker such
as a phlebotomist?
______________________________________________________________________________________________
6|Page
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