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Phlebotomy Exam
Phlebotomy Exam
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1
Point of care detection of group A strep normally requires a
throat swab
blood sample
nasal collection
urine specimen
2
Neutrophils, eosinophils, basophils, lymphocytes, and monocytes
coagulation factors
anticoagulants
red blood cells
white blood cells
3
EDTA works by
inactivating thrombin
binding calcium
binding prothrombin
lysis of red blood cells
4
A phlebotomist who attempts to draw blood w/o sufficient training could be accused of
duty of care
incompetence
negligence
abandonment
5
How long should you apply pressure after venipuncture in a patient with a clotting disorder?
5 minutes
10 minutes
3 minutes
7 minutes
6
An ETOH specimen must be collected. Which tube would you use to collect the specimen
gray-top sodium fluoride tube
green-top plasma separator tube
plain red-top clot activator tube
royal blue with green-coded label
7
The ability to see things from another person's point of view is
ethics
consent
sympathy
empathy
8
Name the tube that a CBC is collected in, and identify the tube additive and the Lab Dept
blue top, citrate, coagulation
purple top, EDTA, hematology
green top, heparin, chemistry
red top, no additive, serology
9
Enforces regulations requiring the labeling of hazardous materials
CSLI
CDC
NFPA
OSHA
10
tube, dept, and order of draw for a trace-element test collected with a CBC and a protime
green, immunology, after protime
lavender, chemistry, first tube
royal blue, chemistry, separate draw
tan, immunology, last tube
11
When preparing a blood smear directly from a skin puncture, you should _________
wipe away the first drop of blood
use plastic slides instead of glass
add sodium citrate to the blood
make it as thick as possible
12
Characteristics of capillaries
having thin walls
connecting arterioles with venules
forming microscopic pathways
all of them
13
When do you use pre-warming techniques?
keep patient warm during phlebotomy
separate plasma from formed elements
increase patient's tendency to bleed
warm vacuum tubes for testing
14
Blood sample to be collected 2 hours post-prandial means
2 hours before a meal
2 hours before bedtime
2 hours after a meal
2 hours after waking up
15
Which finger(s) do you use for adult capillary puncture
little (fifth)
second (index)
third and fourth (middle and ring)
second and third (index and middle)
16
To destroy all microbial life including highly resistant bacterial endospores is to
acid wash
sterilize
eradicate
toxify
17
Which system contains the bladder, urethra, kidneys, and ureters?
respiratory
reproductive
urinary
muscular
18
ABG
center for disease control
arterial blood gases
quality assurance
fever of unknown origin
19
Broken glassware that may be contaminated should be picked up by
someone who's not afraid to do it
an environmental control specialist
mechanical means (broom/dustpan)
the end of the shift
20
White blood cells
assist in hemostasis
defend against foreign invaders
carry oxygen to tissues
collect waste products
21
CBC
center for disease control
custody and control form
complete blood count
arterial blood gases
22
EDTA
anticoagulant in lavender top tubes
custody and control form
arterial blood gases
sexually transmitted diseases
23
routine urinalysis typically uses what type of specimen
random
24 hour collection
double voided
first morning
24
Order of draw recommended by CLSI
grey, blue, red, culture, green, lavender
culture, blue, red, green, lavender, grey
culture, red, blue, green, lavender, grey
culture, blue, red, grey, lavender, green
25
Which of the following tests are light sensitive?
arterial blood gases
ACTH
bilirubin
ammonia
26
If a biohazard spills in the laboratory, a phlebotomist should first try to
pull the fire alarm
contain the spill safely
call a physician to the site
wash his or her hands
27
A classification the physician's office lab (POL) falls into will be determined by
complexity of laboratory tests performed
length of time in operation
number of employees working there
ratio of male to female employees
28
A patient who is making a fist and frowning is exhibiting __ body language.
positive
uncooperative
excited
compliant
29
Contact w/ blood or other potentially infectious materials that results from performing duties
exposure incident
unfortunate incident
occupational hazard
hazardous exposure
30
Failure to do something a reasonable person who do under ordinary circumstances is considered
malpractice
defamation
slander
negligence
31
A rubber or plastic tube used to drain or inject fluid through the body opening is called
venipuncture
catheter
injection
none of the above
32
In most hospitals, a phlebotomist with a cough may draw blood from a patient provided the
all of the above
phlebotomist wears a mask
patient is not in reverse isolation
phlebotomist does not have a fever
33
In performing phlebotomy on children, it is best to
tell the truth if asked
talk softly and gently
enlist the help of parents
all of the above
34
the suffix -uria refers to which body location?
blood stream
kidney
urine
synovial fluid
35
When you send blood tubes by mail for analysis in a watertight container, they should be in a
second durable watertight container
overnight envelope
secure certified mail envelope
paper box
36
Anticoagulants prevent the formation of
factor VII
collagen
fibrin
platelets
37
Cause of clotting in an anticoagulant tube
unbalanced specimen
insufficient mixing of sample
incomplete filling of tube
traumatized specimen
38
The purpose of the bleeding time test is to assess
the amount of blockage in the veins
the pressure of the blood vessels
elasticity in the major blood vessels
platelet plug formation in the capillaries
39
All of the following are examples of "Personal Protective Equipment" except
gloves
masks
aprons
uniforms
40
When drawing blood from pediatric inpatients, a phlebotomist can increase safety for the pt by
using a smaller bore needle and smaller collection tubes
making sure the bedrails are left raised if found that way
getting help to hold the patient securely during the draw
all of the above
41
Phase of lab testing that refers to test orders, test collection and test prep are all part of
pre-analytical
post-prandial
exponential
testing
42
It is necessary to control the depth of the lancet during heel capillary puncture to avoid:
excessive bleeding
puncturing an artery
injury to the calcaneus
specimen contamination
43
After they are used, disposable syringes, needles, and scalpel blades should be placed
in puncture-resistant containers
in biodegradable containers
in OSHA containers
in sanitized containers
44
Study of moral issues, questions, and problems arising in the practice of biomedical research
biocommunications
litigation
privileged communications
bioethics
45
Which system contains the sebaceous glands, skin, hair, and nails?
cardiovascular
sensory
integumentary
nervous
46
Forcing venipuncture on a patient who has refused it would be considered
assault
contributory negligence
battery
slander
47
Information given by a pt to medical personnel that cannot be disclosed w/o consent constitutes
privileged communication
negligence
duty of care
judgment
48
In approaching an elderly patient, is it appropriate to call the patient by name using
his/her nick name
his.her first name
Miss, Mrs., or Mr.
something like "honey"
49
All specimens must be labeled with
patient's name
collector's initials
date and time
all of them
50
What is the single most important source of HIV and HBV in the workplace?
Saliva in dental procedures
Semen
Blood
Pleural fluid
51
Smallest veins in the human body
venules
villi
bronchioles
lymph glands
52
CLSI recommended blood culture site disinfectant for infants older than 2 months
chlorhexidine gluconate
benzalkonium chloride
betadine
isopropyl alcohol
53
Coagulation studies: Name the tube top color and additive
lithium heparin, green
thixotropic gel, red/gray
potassium EDTA, lavender
sodium citrate, light blue
54
Redirecting the needle during venipuncture may be necessary if ________
the patient moved unexpectedly
all of these
the vein was not well anchored
blood flow starts, then stops
55
All workers whose jobs involve possible exposure to blood or other body fluids should have the
hepatitis B vaccine
human immunodeficiency vaccine
small pox vaccine
hepatitis C vaccine
56
If a patient is prone to syncope during venipuncture,
tie the tourniquet tighter
watch for fainting
cancel the order
use caffeine as a stimulant
57
Sodium citrate is used for coagulation testing because it protects ________
red blood cells
white blood cells
enzyme inhibitors
clotting factors
58
A chronic disease in which the pancreas fails to secrete enough insulin is called
diabetes mellitus
renal disease
high blood pressure
A.I.D.S.
59
QC
quality assurance
quality control
already been gathered
for use of others
60
The common name for thrombocytes
platelet
red blood cell
bone marrow
white blood cell
61
What must be followed exactly for legal purposes?
coefficient of variation
chain of custody
standard deviation
chain of command
62
How do you tell if the specimen is arterial during phlebotomy?
bright red
dark blue
pulses into syringe
has air bubbles
63
When are peak and trough levels important
therapeutic drugs
blood cultures
estrogen levels
cortisol levels
64
the study of blood
hematoxylin
hemolysis
hematology
hemoglobin
65
How do lancets collect blood samples?
arterial puncture
venous accession devices
venipuncture
capillary or skin puncture
66
An appropriate means of communicating w/ a pt who is profoundly hearing impaired might include
trying to speak a little louder
ignoring the patient entirely
talking only to a hearing relative
using written communication
67
A patient in reverse isolation has been so placed because s/he
needs to keep all blood and body fluids away from staff
has tuberculosis or a similar respiratory disease
needs protection from others carrying infection
has an infection in a wound or atop the skin
68
OSHA requires that training on bloodborne pathogens be provided to employees
only if they request it
at no cost to them
if anyone has had an accident
in large workplaces only
69
If blood does not appear in the tube during venipuncture, the first thing to do is ______
slightly reposition the needle
push the needle further in
pull the needle out and start over
pop the tourniquet and tie it tighter
70
CDC
center for disease control
quality control
custody and control form
quantity control
71
Conduct, courtesy, and manners, customary in the medical profession, is called
judgement
tort
medical etiquette
ethics
72
A 24-hour urine specimen must be kept
refrigerated
warm
frozen
at room temperature
73
Most important way of preventing the spread of infection in the hospital
wash hands
keep rooms clean
wear gowns
use disposables
74
Another name for red blood cells is
bone marrow
leukocytes
erythrocytes
platelets
75
Some suggested methods for controlling on the job stress during phlebotomy might include
drinking lots of coffee
taking deep breaths if anxious
screaming to rid oneself of anger
reading the newspaper while working
76
Which system contains the liver, stomach, and pancreas?
sensory
reproductive
digestive
muscular
77
Permission granted by a person voluntarily (and in his right mind) is
duty of care
litigation
consent
breach
78
What is caused by needle being withdrawn before removing the tourniquet
bruising at the base of the arm
bleeding from the site
syncope in the phlebotomist
inaccurate test results
79
anticoagulants
fight infection
prevent blood from clotting
neutralize stomach acid
inhibit bacterial growth
80
Centrifuges are used to __________
store tubes at correct temperatures
separate liquid from cells in blood
sort tubes of different colors
measure blood oxygen levels
81
Which test is most affected by testing delays longer than 2 hours
blood glucose
cholesterol
ionized calcium
occult blood
82
Way an artery is different than a vein, an artery is ______
softer
pulsating
harder
a different color
83
Phlebotomists have a greater chance of contracting _______ more than AIDS
cancer
hepatitis
mononucleosis
strep throat
84
What happens when a finger is squeezed too tightly during skin puncture
test is diluted with tissue fluid
test is diluted with alcohol
test is contaminated with skin particles
test is contaminated with swab particles
85
When all evaluated services and the results compare w/ accepted standards, principles of __
networking
management
regulatory bodies
quality assurance
86
When you send specimens in the mail, the label should state
address of lab
all of the above
biohazardous materials
in case of breakage, send to CDC
87
SPS (sodium polyanetholesulfonate) is used for blood cultures because it _______
does not inhibit bacterial growth
is completely biodegradable
is less expensive
has a longer half-life
88
Contaminated objects that can penetrate the skin are
disposable devices
contaminated sharps
infectious waste materials
dangerous incisors
89
FUO
for use of others
already been gathered
fever of unknown origin
quantity controlled
90
N-95 respirators must be used if the patient has.......
pulmonary tuberculosis
respiratory syncytial virus
diabetes mellitus
infectious hepatitis
91
Which tube is used for testing electrolytes?
lavender
blue
red
yellow
92
Before entering isolation rooms,
put on gowns and tie them
put on masks and foot coverings
check requirements on signs
call the nurse or physician
93
The study of all aspects of disease in the body is know as
histology
hematology
phlebotomy
pathology
94
Diurnal rhythms refer to variations in the body's functions or fluids that occur during
nighttime
every 24 hours
sleep
cyclically once per month
95
Contaminated laundry should be __ where it was soiled
destroyed at the location
bagged or containerized at the location
disinfected or discarded at the location
transported away from the location
96
The major structural difference between arteries and veins is
veins have a thicker muscle layer
arteries have more tissue layers
arteries are larger in diameter
veins have valves that direct flow
97
Blood cell functions of capillaries
binding carbon dioxide
releasing oxygen
eliminating waste
all of them
98
Most prevalent type of nosocomial infections are in the
digestive tract
skin
urinary tract
gastrointestinal tract
99
The artery located in the groin, which is used as an alt site for arterial blood gas collection
radial
carotid
femoral
ulnar
100
Veins may be prone to collapse if
vacuum tube was too large for vein
vacuum tube lost its vacuum
none of these
tourniquet was too tight
101
measures blood pressure
sphygmomanometer
hydration barometer
co-oximeter
temperature probe
102
oral glucose tolerance test is used to detect _________
AIDS
mononucleosis
hepatitis
diabetes
103
If blood seeps into surrounding tissue during a venipuncture, what may form?
hemolysis
hematoma
petechia
carbuncle
104
The most important step for accuracy in sample collection
keeping the patient supine
recording the time accurately
always wearing gloves
identifying the patient properly
105
What do you do before entering a closed patient room door
ask for permission to enter
check for isolation signs
all are correct
knock
106
A tube sent to the lab without a label is _______
labeled by the phlebotomist
labeled by the doctor
rejected automatically
labeled by the nurse
107
Negligence by a professional person is called
slander
invasion of privacy
malpractice
tort
108
Which system contains the trachea, nose, lungs, and pharynx?
respiratory
nervous
sensory
skeletal
109
Reasonable possibility of contact w/ potentially infectious materials that may occur
professional acquisition
occupational exposure
job-related infestation
biohazardous probability
110
When delivering blood samples to a laboratory, they should always be transported
inside brown paper sacks
inside triple-sealed plastic bags
individually boxed
inside sealed plastic bags
111
During venipuncture, the bevel of the needle should be
facing up
facing down
turned sideways
none of these
112
The federal government requires that specimens are transported or shipped in
paper containers
watertight containers
egg crate containers
cardboard containers
113
A phlebotomist using an armband for patient ID must also
check the room number for additional verification
make certain requisition matches wristband
write down location of the patient on the requisition
have the patient state additional ID information
114
The higher the needle gauge the __________
longer the needle length
larger the needle bore
smaller the needle bore
shorter the needle length
115
platelets
collect waste products
participate in hemostasis
carry oxygen
defend against foreign invaders
116
Which tube is used for a CBC
blue
lavender
red
black
117
A violation of a person's right to not have their name photograph or private affair made public
malpractice
false imprisonment
statute
invasion of privacy
118
What other substance can be used w/ alcohol to cleanse the skin?
iodine
aspirin
ammonia
chlorine bleach
119
red blood cells are also called
lymphocyte
erythrocytes
thrombocytes
leukocytes
120
Which additive binds calcium to prevent coagulation?
potassium EDTA
thixotropic gel
lithium heparin
sodium fluoride
121
Doing something a reasonable person would not do under ordinary circumstances is called
negligence
malpractice
slander
defamation
122
STD
red top or speckled top
sexually transmitted diseases
quality control
blood culture tube
123
Which tube is used for cholesterol testing?
red
blue
lavender
yellow
124
The abbreviation VAD is commonly used in hospitals to mean ____________
venous anesthetic device
variable antiseptic dilutions
various anesthetic devices
venous access device
125
Test used to assess hemostasis before surgery
blood culture
bleeding time
hemoglobin
platelet count
126
Tests that basically pose insignificant risks to pt's if errors occur in test performance are
level I laboratory tests
none of the above
waived tests
level II laboratory tests
127
Forearm vein commonly used for venipuncture
radial
basilic
median cubital
cephalic
128
Which lab test has the greatest collection priority?
STAT electrolytes in ER
ASAP electrolytes in CCU
STAT CBC in labor and delivery
Timed blood cultures in ICU
129
The heart, lymphatic organs and blood vessels are in which system?
urinary
digestive
cardiovascular
respiratory
130
Law protects the health worker if it can be determined that he or she acted reasonably
reasonable care
statute
duty of care
negligence
131
Which system regulates hormones?
cardiovascular
integumentary
endocrine
reproductive
132
EMLA is an emulsion of lidocaine and prilocaine that can be used to
topically anesthetize a draw site
put a phlebotomy patient under
sterilize a venipuncture site
anticoagulate whole blood
133
What causes AIDS
parasites
bacteria
HIV virus
kissing
134
Small divisions of arteries
capillaries
arterioles
lymph glands
venules
135
The federal law expanded in 2000 to protect electronic health information
CLIA
EPA
HIPAA
OSHA
136
What not to do when performing heelsticks on infants in the hospital nursery
touch the infant in any way
wash your hands
share supplies from one infant to another
wake up a sleeping infant
137
Skin punctures are used when ________
patient veins need to be preserved for IV therapy
only a small amount of blood is needed
patient is an infant, toddler, or preschooler
all of them
138
Which statement complies with electrical safety guidelines?
slightly frayed cords are still considered safe
use malfunctioning equipment carefully
unplug electrical equipment when not in use
extension cords should be used for convenience
139
If hemolysis occurs, which test would be rejected?
pyruvate
rubella
potassium
pregnancy
140
Each and every patient is entitled to __ as a part of his/her patient rights.
what he can afford
what his family can afford
respect and complete care
how much insurance he has
141
NaCitrate
gray top tube
anticoagulant in blue top tubes
hemoglobin and hematocrit
complete blood count
142
Purpose of blood cultures is to detect
septicemia
cholesterol
cancer
anemia
143
All of these statements concerning an employee bloodborne exposure incident are true except:
source pt must submit to HIV and HBV testing within 48 hours
all exposure incidents should be reported to the supervisor
exposed employees get a free confidential medical evaluation
it should be documented on a standard incident report form
144
How should the phlebotomist identify the patient, John Doe in Room 302B?
"please state your name and DOB" and match to ID band
check ID band
"Are you John Doe?"
check ID band and verify name with the nurse
145
According to OSHA, a contaminated needle may be safely discarded into a
sharps container
plastic cup
all of the above
hard sided trash can
146
An unlawful threat or attempt to do bodily injury to another is
litigation
crime
assault
libel
147
A specimen must be collected on a 6-year-old that is a little fearful. What should you do
restrain the child and draw without any explanation
promise a special treat if the child doesnt cry
tell the child to remain very still so it will not hurt
explain it in simple terms and ask the child to cooperate
148
H&H
hemoglobin and hematocrit
fever of unknown origin
quality assurance
for use of others
149
Electrolytes
blood culture tube
anticoagulant in blue top tubes
red top or speckled tube
gray top tube
150
The term that refers to right and wrong conduct is
ethics
rights
sympathy
empathy
151
What should you do if you arrive to draw a fasting specimen and the patient is eating breakfast
draw, but write “nonfasting” on the test order and the label
collect the specimen since the pt had not finished eating
document as a “nonfasting” specimen after asking the nurse
fill out an incident report, and ask the nurse to reorder it