Strasinger – The Phlebotomy Textbook 3rd edition Strasinger – The Phlebotomy Textbook 3rd edition
CHAPTER 1 - Phlebotomy and the Health-Care Delivery 7. All of the following are barriers to verbal 1. The phlebotomy supervisor at Healthy Hospital holds b. The emergency department calls the laboratory
System communication EXCEPT: a meeting to tell the staff that the phlebotomy requesting a STAT blood culture. The
a. hand signals department is going to be decentralized. phlebotomist arrives in the emergency department
Study Questions b. hearing impairment without the necessary equipment.
c. using medical jargon a. How could this affect the working location of
1. Which of the following may be an additional d. non–English-speaking patient the phlebotomists? - The person answering the phone did not
duty of phlebotomists in today’s health-care repeat the request back to the caller or did not tell the
system? 8. Good telephone etiquette includes all of the - Phlebotomists may be transferred to other phlebotomist what the actual request was.
a. performing patient vital signs following EXCEPT: areas such as the emergency department, outpatient
b. transporting samples to the laboratory a. checking for an emergency before putting services, and off-site collection areas in physician office c. A patient’s daughter overhears a phlebotomist
c. performing dermal punctures someone on hold buildings. talking about her mother in the cafeteria.
d. selecting sample collection equipment b. stating your name and department when
answering the phone - The phlebotomist was not observing the patient
2. The primary benefit of hospital decentralization is: c. repeating a request back to the caller before b. How might this affect the duties of the confidentiality rules.
a. increased efficiency hanging up phlebotomists?
b. increased training of personnel d. immediately transferring a call to the correct d. A patient with limited understanding of English is
c. decreased patient complaints department - Phlebotomists may be trained to perform basic given instructions to return to the laboratory the next
d. decreased diagnostic testing patient-care tasks, point-of-care testing, and clerical morning for a fasting blood collection. The patient
9. A phlebotomist who takes an examination duties. shows up drinking a high-carbohydrate energy drink.
3. Which of the following DOES NOT represent a prepared by a national phlebotomy agency is
professional phlebotomist? seeking: - The instructions were not understood by the
a. attending a continuing education program a. continuing education c. What is the major benefit for Healthy Hospital patient. Written instructions should have been given in
b. organizing requisitions before leaving the b. certification of decentralizing phlebotomy? the patient’s native language.
laboratory c. accreditation
c. exhibiting overconfidence d. membership -To increase efficiency and cost effectiveness by
d. volunteering to take on an extra duty eliminating the need for health-care personnel to travel
10. The hospital department that is responsible for from a central testing area to the patient’s room and
4. A phlebotomist who is responding appropriately sterile supplies are: then back to the testing area.
to cultural diversity will: a. housekeeping
a. speaks in the patient’s native language b. central supply d. The phlebotomy supervisor will be teaching
b. be able to stereotype patients c. engineering classes on phlebotomy. Who might be attending the
c. be sensitive to the patient’s reactions d. sterilization classes?
d. quickly examines the patient’s arm
11. A phlebotomist working for an organization - Nurses, respiratory therapists, radiology
5. Effective communication includes: that performs highly specialized testing is employed by technologists, and other patient-care personnel.
a. verbal a:
b. nonverbal a. group practice
c. listening b. health maintenance organization 2. The phlebotomy supervisor receives the following
d. all of the above c. specialty clinic complaints. State possible causes for the complaints.
d. reference laboratory
6. All of the following actions make patients feel a. A very sick person mistakenly calls the laboratory
that you care about them EXCEPT: 12. The implementation of DRGs has: instead of the emergency department and is put on
a. smiling at them a. increased the length of hospital stays hold for 10 minutes.
b. introducing yourself b. increased the need for home health care
c. looking directly at them c. decreased the opportunities for phlebotomists - The person answering the phone did not ask
d. avoiding eye contact d. decreased the need for rehabilitation facilities the patient if this was an emergency before putting the
patient on hold.
Clinical Solutions
1|Page 2|Page
, Strasinger – The Phlebotomy Textbook 3rd edition Strasinger – The Phlebotomy Textbook 3rd edition
Chapter 2 – The Clinical Laboratory d. plasma is obtained by centrifugation a. What would be the quickest education and c. A phlebotomist delivers a gel serum separator
training route the supervisor could tube to the blood bank for a type and crossmatch.
Study Questions 8. The clinical laboratory section that performs recommend?
serum testing to detect antibodies to hepatitis -Not acceptable—The gel interferes with the
1. Which of the following laboratory sections is included viruses is: - Enroll in an accredited 2-year associate degree antigen-antibody reaction.
in the anatomical area of the laboratory? a. hematology medical laboratory technician program.
a. microbiology b. chemistry d. A phlebotomist is asked to deliver a urine
b. histology c. blood bank b. What would be the next step in education and sample to microbiology for a C & S.
c. immunology d. immunology training for this person’s advancement?
d. urinalysis -Acceptable—If the specimen was a cleancatch
9. The routine urinalysis includes all of the following - Transfer the associate degree credits to an specimen collected in a sterile container.
2. Which of the following laboratory personnel is EXCEPT: accredited 4-year baccalaureate program in clinical
an MD? a. physical examination laboratory science.
a. pathologist b. culture and sensitivity e. A phlebotomist working in a POL is performing
b. laboratory administrator c. chemical testing dipstick urinalysis.
c. technical supervisor d. microscopic examination c. How might specialist certification help this
d. medical technician person’s career? -Acceptable—It is a CLIA-waived test.
10. All of the following are found in whole blood
3. A phlebotomist reports first to the: EXCEPT: -This person would have additional f. A phlebotomist delivers a CBC to the chemistry
a. laboratory administrator a. casts qualifications to become a department supervisor. section.
b. technical supervisor b. white blood cells
c. medical technician c. red blood cells -Not acceptable—It must go to hematology.
d. laboratory director d. platelets d. Name two categories of educational courses that
could help this person’s advancement to a
4. Which of the following tests would be delivered 11. Testing of stools for parasites is performed in: laboratory manager.
to the chemistry section? a. hematology
a. CBC b. microbiology - Courses in administration or business that
b. Gram stain c. immunology could apply to a Master’s degree.
c. bilirubin d. urinalysis
d. type and screen 2. State whether the following situations are acceptable
12. A sentinel event would be most likely caused by or not acceptable procedure and explain your answer.
5. A prothrombin time (PT) test is performed in: delivery of a mislabeled tube to:
a. coagulation a. coagulation a. A phlebotomist delivering a sample to the
b. immunology b. hematology urinalysis section is instructed to place the sample in
c. microbiology c. immunology the refrigerator.
d. chemistry d. blood bank
- Acceptable—Urine specimens that cannot
6. Which of the following tests is NOT part be tested within 1 or 2 hours should be preserved by
of a CBC? Clinical Solutions refrigeration.
a. red blood cell count 1. A phlebotomist with a high school diploma has
b. platelet count completed a structured phlebotomy program and
c. sedimentation rate obtained national certification. After working in a b. A histology technician is examining Pap smears
d. differential hospital for a year, the phlebotomist asks the to detect cancerous cells.
phlebotomy supervisor how he or she can continue with
7. Plasma differs from serum in that: a clinical laboratory career. - Not acceptable—Cytologists, not histology
a. serum contains fibrinogen technicians, examine Pap smears.
b. serum is obtained by centrifugation
c. plasma contains fibrinogen
3|Page 4|Page
, Strasinger – The Phlebotomy Textbook 3rd edition Strasinger – The Phlebotomy Textbook 3rd edition
Chapter 3 – Regulatory, Ethical, and Legal Issues b. negligence 1. A hometown professional football player was
c. defamation admitted to the hospital for blood work. Tests to rule -Slander
Study Questions d. battery out Hodgkin’s disease were ordered. The phlebotomist
obtained the blood samples and delivered them to the d. A phlebotomist pretends to be checking on a
1. Which of the following laboratory regulatory 7. Performing an unauthorized arterial puncture laboratory. After work, the phlebotomist told friends celebrity patient who is recovering from
agencies classify laboratory tests by them that results in damage to the patient’s use of the about drawing blood from the famous person and the surgery.
complexity? arm is termed: sad reason why he was in the hospital.
a. CAP a. malpractice -Invasion of privacy
b. JC b. negligence a. Could the phlebotomist face legal charges? Why
c. HIPAA c. unethical or why not?
d. CMS d. battery
- Yes, it is a breach of confidentiality.
2. A phlebotomist who fails to change gloves and 8. Implied consent for a venipuncture on an adult
wash hands between patients is not observing the: requires the: b. If the football coach calls the laboratory for the
a. Clinical Laboratory Improvement a. patient’s signature test results, can a phlebotomist release the
Amendments b. patient extending an arm results? Why or why not?
b. Joint Commission Patient Safety Goals c. presence of a witness
c. College of American Pathology Safety Rules d. signature of a witness - No, the results can only be released to the
d. Patient’s Bill of Rights patient’s health-care provider.
9. When a patient refuses to have blood drawn,
3. Phlebotomists’ involvement with the Patient’s the phlebotomist should: c. Under what conditions would HIPAA permit
Bill of Rights includes all of the following a. notifies the patient’s health-care provider release of these results to the coach?
EXCEPT the patient’s right to: b. asks another phlebotomist to collect the
a. refuse treatment sample -Only with the patient’s written consent.
b. respectful care c. document the refusal
c. receive diagnostic information from their d. both A and C 2. Indicate whether a phlebotomist would be accused of
health-care provider libel, slander, assault, battery, invasion of
d. examine their hospital bill 10. Consent for HIV testing: privacy, negligence, or malpractice in the following
a. must adhere to state laws situations.
4. Ethics are defined as: b. must be done on an opt-out basis
a. standards of right and wrong c. must be done on an opt-in basis a. A phlebotomist tells a patient who refuses to
b. legally required conduct d. requires written consent have blood drawn that help will be summoned
c. the patient’s right to know to forcibly obtain the blood.
d. the standard of care 11. Risk management departments develop policies
to protect the: -Assault
5. The law that specifically addresses privacy of a. employees
health information is the: b. patients b. A nurse reports that a patient was found
a. Patient’s Bill of Rights c. employer sleeping with a bed rail lowered after the
b. Clinical Laboratory Improvement d. all of the above phlebotomist had drawn blood.
Amendments
c. Health Insurance Portability and Accountability Act 12. An unexpected patient death that is not related - Negligence
d. JC Patient Safety Goals to the patient’s illness is termed a:
a. root cause error
6. A phlebotomist who tells a patient who is re- b. human error c. A phlebotomist, angry over recently receiving a
fusing to have blood drawn to calm down or c. sentinel event speeding ticket, tells a local reporter that the
they will get someone to hold them down is d. professional liability police officer has been to the hospital for an HIV
committing: Clinical Solutions test and it was positive. The hospital has no
a. assault record of this.
5|Page 6|Page
CHAPTER 1 - Phlebotomy and the Health-Care Delivery 7. All of the following are barriers to verbal 1. The phlebotomy supervisor at Healthy Hospital holds b. The emergency department calls the laboratory
System communication EXCEPT: a meeting to tell the staff that the phlebotomy requesting a STAT blood culture. The
a. hand signals department is going to be decentralized. phlebotomist arrives in the emergency department
Study Questions b. hearing impairment without the necessary equipment.
c. using medical jargon a. How could this affect the working location of
1. Which of the following may be an additional d. non–English-speaking patient the phlebotomists? - The person answering the phone did not
duty of phlebotomists in today’s health-care repeat the request back to the caller or did not tell the
system? 8. Good telephone etiquette includes all of the - Phlebotomists may be transferred to other phlebotomist what the actual request was.
a. performing patient vital signs following EXCEPT: areas such as the emergency department, outpatient
b. transporting samples to the laboratory a. checking for an emergency before putting services, and off-site collection areas in physician office c. A patient’s daughter overhears a phlebotomist
c. performing dermal punctures someone on hold buildings. talking about her mother in the cafeteria.
d. selecting sample collection equipment b. stating your name and department when
answering the phone - The phlebotomist was not observing the patient
2. The primary benefit of hospital decentralization is: c. repeating a request back to the caller before b. How might this affect the duties of the confidentiality rules.
a. increased efficiency hanging up phlebotomists?
b. increased training of personnel d. immediately transferring a call to the correct d. A patient with limited understanding of English is
c. decreased patient complaints department - Phlebotomists may be trained to perform basic given instructions to return to the laboratory the next
d. decreased diagnostic testing patient-care tasks, point-of-care testing, and clerical morning for a fasting blood collection. The patient
9. A phlebotomist who takes an examination duties. shows up drinking a high-carbohydrate energy drink.
3. Which of the following DOES NOT represent a prepared by a national phlebotomy agency is
professional phlebotomist? seeking: - The instructions were not understood by the
a. attending a continuing education program a. continuing education c. What is the major benefit for Healthy Hospital patient. Written instructions should have been given in
b. organizing requisitions before leaving the b. certification of decentralizing phlebotomy? the patient’s native language.
laboratory c. accreditation
c. exhibiting overconfidence d. membership -To increase efficiency and cost effectiveness by
d. volunteering to take on an extra duty eliminating the need for health-care personnel to travel
10. The hospital department that is responsible for from a central testing area to the patient’s room and
4. A phlebotomist who is responding appropriately sterile supplies are: then back to the testing area.
to cultural diversity will: a. housekeeping
a. speaks in the patient’s native language b. central supply d. The phlebotomy supervisor will be teaching
b. be able to stereotype patients c. engineering classes on phlebotomy. Who might be attending the
c. be sensitive to the patient’s reactions d. sterilization classes?
d. quickly examines the patient’s arm
11. A phlebotomist working for an organization - Nurses, respiratory therapists, radiology
5. Effective communication includes: that performs highly specialized testing is employed by technologists, and other patient-care personnel.
a. verbal a:
b. nonverbal a. group practice
c. listening b. health maintenance organization 2. The phlebotomy supervisor receives the following
d. all of the above c. specialty clinic complaints. State possible causes for the complaints.
d. reference laboratory
6. All of the following actions make patients feel a. A very sick person mistakenly calls the laboratory
that you care about them EXCEPT: 12. The implementation of DRGs has: instead of the emergency department and is put on
a. smiling at them a. increased the length of hospital stays hold for 10 minutes.
b. introducing yourself b. increased the need for home health care
c. looking directly at them c. decreased the opportunities for phlebotomists - The person answering the phone did not ask
d. avoiding eye contact d. decreased the need for rehabilitation facilities the patient if this was an emergency before putting the
patient on hold.
Clinical Solutions
1|Page 2|Page
, Strasinger – The Phlebotomy Textbook 3rd edition Strasinger – The Phlebotomy Textbook 3rd edition
Chapter 2 – The Clinical Laboratory d. plasma is obtained by centrifugation a. What would be the quickest education and c. A phlebotomist delivers a gel serum separator
training route the supervisor could tube to the blood bank for a type and crossmatch.
Study Questions 8. The clinical laboratory section that performs recommend?
serum testing to detect antibodies to hepatitis -Not acceptable—The gel interferes with the
1. Which of the following laboratory sections is included viruses is: - Enroll in an accredited 2-year associate degree antigen-antibody reaction.
in the anatomical area of the laboratory? a. hematology medical laboratory technician program.
a. microbiology b. chemistry d. A phlebotomist is asked to deliver a urine
b. histology c. blood bank b. What would be the next step in education and sample to microbiology for a C & S.
c. immunology d. immunology training for this person’s advancement?
d. urinalysis -Acceptable—If the specimen was a cleancatch
9. The routine urinalysis includes all of the following - Transfer the associate degree credits to an specimen collected in a sterile container.
2. Which of the following laboratory personnel is EXCEPT: accredited 4-year baccalaureate program in clinical
an MD? a. physical examination laboratory science.
a. pathologist b. culture and sensitivity e. A phlebotomist working in a POL is performing
b. laboratory administrator c. chemical testing dipstick urinalysis.
c. technical supervisor d. microscopic examination c. How might specialist certification help this
d. medical technician person’s career? -Acceptable—It is a CLIA-waived test.
10. All of the following are found in whole blood
3. A phlebotomist reports first to the: EXCEPT: -This person would have additional f. A phlebotomist delivers a CBC to the chemistry
a. laboratory administrator a. casts qualifications to become a department supervisor. section.
b. technical supervisor b. white blood cells
c. medical technician c. red blood cells -Not acceptable—It must go to hematology.
d. laboratory director d. platelets d. Name two categories of educational courses that
could help this person’s advancement to a
4. Which of the following tests would be delivered 11. Testing of stools for parasites is performed in: laboratory manager.
to the chemistry section? a. hematology
a. CBC b. microbiology - Courses in administration or business that
b. Gram stain c. immunology could apply to a Master’s degree.
c. bilirubin d. urinalysis
d. type and screen 2. State whether the following situations are acceptable
12. A sentinel event would be most likely caused by or not acceptable procedure and explain your answer.
5. A prothrombin time (PT) test is performed in: delivery of a mislabeled tube to:
a. coagulation a. coagulation a. A phlebotomist delivering a sample to the
b. immunology b. hematology urinalysis section is instructed to place the sample in
c. microbiology c. immunology the refrigerator.
d. chemistry d. blood bank
- Acceptable—Urine specimens that cannot
6. Which of the following tests is NOT part be tested within 1 or 2 hours should be preserved by
of a CBC? Clinical Solutions refrigeration.
a. red blood cell count 1. A phlebotomist with a high school diploma has
b. platelet count completed a structured phlebotomy program and
c. sedimentation rate obtained national certification. After working in a b. A histology technician is examining Pap smears
d. differential hospital for a year, the phlebotomist asks the to detect cancerous cells.
phlebotomy supervisor how he or she can continue with
7. Plasma differs from serum in that: a clinical laboratory career. - Not acceptable—Cytologists, not histology
a. serum contains fibrinogen technicians, examine Pap smears.
b. serum is obtained by centrifugation
c. plasma contains fibrinogen
3|Page 4|Page
, Strasinger – The Phlebotomy Textbook 3rd edition Strasinger – The Phlebotomy Textbook 3rd edition
Chapter 3 – Regulatory, Ethical, and Legal Issues b. negligence 1. A hometown professional football player was
c. defamation admitted to the hospital for blood work. Tests to rule -Slander
Study Questions d. battery out Hodgkin’s disease were ordered. The phlebotomist
obtained the blood samples and delivered them to the d. A phlebotomist pretends to be checking on a
1. Which of the following laboratory regulatory 7. Performing an unauthorized arterial puncture laboratory. After work, the phlebotomist told friends celebrity patient who is recovering from
agencies classify laboratory tests by them that results in damage to the patient’s use of the about drawing blood from the famous person and the surgery.
complexity? arm is termed: sad reason why he was in the hospital.
a. CAP a. malpractice -Invasion of privacy
b. JC b. negligence a. Could the phlebotomist face legal charges? Why
c. HIPAA c. unethical or why not?
d. CMS d. battery
- Yes, it is a breach of confidentiality.
2. A phlebotomist who fails to change gloves and 8. Implied consent for a venipuncture on an adult
wash hands between patients is not observing the: requires the: b. If the football coach calls the laboratory for the
a. Clinical Laboratory Improvement a. patient’s signature test results, can a phlebotomist release the
Amendments b. patient extending an arm results? Why or why not?
b. Joint Commission Patient Safety Goals c. presence of a witness
c. College of American Pathology Safety Rules d. signature of a witness - No, the results can only be released to the
d. Patient’s Bill of Rights patient’s health-care provider.
9. When a patient refuses to have blood drawn,
3. Phlebotomists’ involvement with the Patient’s the phlebotomist should: c. Under what conditions would HIPAA permit
Bill of Rights includes all of the following a. notifies the patient’s health-care provider release of these results to the coach?
EXCEPT the patient’s right to: b. asks another phlebotomist to collect the
a. refuse treatment sample -Only with the patient’s written consent.
b. respectful care c. document the refusal
c. receive diagnostic information from their d. both A and C 2. Indicate whether a phlebotomist would be accused of
health-care provider libel, slander, assault, battery, invasion of
d. examine their hospital bill 10. Consent for HIV testing: privacy, negligence, or malpractice in the following
a. must adhere to state laws situations.
4. Ethics are defined as: b. must be done on an opt-out basis
a. standards of right and wrong c. must be done on an opt-in basis a. A phlebotomist tells a patient who refuses to
b. legally required conduct d. requires written consent have blood drawn that help will be summoned
c. the patient’s right to know to forcibly obtain the blood.
d. the standard of care 11. Risk management departments develop policies
to protect the: -Assault
5. The law that specifically addresses privacy of a. employees
health information is the: b. patients b. A nurse reports that a patient was found
a. Patient’s Bill of Rights c. employer sleeping with a bed rail lowered after the
b. Clinical Laboratory Improvement d. all of the above phlebotomist had drawn blood.
Amendments
c. Health Insurance Portability and Accountability Act 12. An unexpected patient death that is not related - Negligence
d. JC Patient Safety Goals to the patient’s illness is termed a:
a. root cause error
6. A phlebotomist who tells a patient who is re- b. human error c. A phlebotomist, angry over recently receiving a
fusing to have blood drawn to calm down or c. sentinel event speeding ticket, tells a local reporter that the
they will get someone to hold them down is d. professional liability police officer has been to the hospital for an HIV
committing: Clinical Solutions test and it was positive. The hospital has no
a. assault record of this.
5|Page 6|Page
