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