What is the primary route of disease transmission in a healthcare facility?

The hands of healthcare workers

You would like to report observations about a resident to a nurse. You should discuss it

in a private place where only the nurse can hear

Which of the following is true about sexual comments from a patient?

They should be reported even if the PBT considers them harmless

A PBT is preparing a draw on a patient who looks confused. The pt states she doesn't understand. What is best response?

Wait a moment while I call our interpreter.

Clinical experience for a phlebotomist in training must include

Performing venipuncture and capillary puncture procedures

Blood specimens should be transported

In an appropriately labeled bag or container

Which of the following statements about abuse is true?

suspected abuse must be reported

Why should phlebotomists not wear artificial nails or nail wraps?

Because they can harbor bacteria

A PBT says, "Depending on what your test results are, I'd get a second opinion." Which of the following is true?

The PBT should not offer this or any other advice to a patient

What is a precaution used to prevent the spread of influenza?

Wearing a face mask when caring for a patient with influenza

How is a healthcare worker most likely to be exposed to a bloodborne disease?

By contact with infected blood or body fluids

Which of the following is true about employers who hire phlebotomists?

Healthcare facilities, labs, and insurance companies hire phlebotomists.

CLIA waived tests can be performed by

any trained healthcare personnel

What must happen after a doctor orders a blood test orally in an emergency situation?

PBT draws blood ASAP, but a written/electronic order must be created later.

What is the difference between a microorganism and a microbe?

A microorganism and a microbe are the same thing

When using the healthcare facility's computer, you should

log off after you entre your data

Which of the following best describes a CLIA-waived test?

A test of low complexity that can be performed with little risk of error

"The doctor ordered a CBC, stat." This sentence would be most appropriate when spoken by the

Clinic coordinator to a phlebotomist

Which of the following is true of patients with cognitive impairment?

Nonverbal cues from patients with cognitive impairment are very important.

How are laws and ethics related?

Laws are usually based on ethics.

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Hartman's Phlebotomy Ch 1-4

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Answers

1
What is the primary route of disease transmission in a healthcare facility?
The hands of healthcare workers
Improperly sanitized equipment
Infected needles and other sharps
Infected waste from patients' rooms
2
A spoken untrue statement is known as
tort
slander
fraud
libel
3
Mr Singh refuses venipuncture, but the phlebotomist does it anyway, stating "It's for your own good." She is guilty of
defamation
assault
libel
battery
4
You would like to report observations about a resident to a nurse. You should discuss it
in a private place where only the nurse can hear
as you assist her with another resident
in the hallways while she is preparing medications
in the social room with other residents present
5
A physician writes a DNR order on a resident's chart. DNR is the medical abbreviation for
designated note of responsibility
designated nurse responder
Do not resuscitate
do not readmit
6
Which of the following is true about sexual comments from a patient?
They should be reported only if there is chance pt will return to facility
They should be reported only if the PBT finds them threatening
They should be reported even if the PBT considers them harmless
They should be reported only if they continue after PBT asks them to stop
7
This laboratory department would be responsible for testing how quickly a patient's blood clots:
Pathology
Hematology
Immunology
Cytology
8
Proper labeling is vital to reducing the risk of accidental exposure.
True
False
9
When should a phlebotomist change gloves and perform hand hygiene between patient interaction?
Between patients with any documented infectious illnesses
Between patients with any documented or suspected infectious illnesses
Between patients with documented bloodborne illnesses
Always
10
Written words are considered a form of
oral communication
nonverbal communication
verbal communication
body language
11
Any care that results in pain, harm, or mental anguish can lead to being charged with
abuse
misappropriation
slander
defamation
12
A PBT is preparing a draw on a patient who looks confused. The pt states she doesn't understand. What is best response?
Wait a moment while I call our interpreter.
It's OK, I'll talk slowly
I won't talk then. I'll just show you what to do.
I can see you're nervous. Let me know if you have questions.
13
Clinical experience for a phlebotomist in training must include
Performing venipuncture and capillary puncture procedures
Observing surgeries
Observing venipuncture and dermal puncture, but not performing them
Taking written or computer-based tests
14
Blood specimens should be transported
In an appropriately labeled bag or container
In a lab coat pocket
In sharps containers
In a bare hand
15
An infeection in the bloodstream is a __________ infection.
localized
healthcare-associated
nosocomial
systemic
16
Which of the following statements about abuse is true?
the victim must report the allegations
suspected abuse must be reported
only sexual abuse must be reported
only physical abuse must be reported
17
Which of the following details would be considered protected health information?
A patient's hair color
A patient's email address
A patient's nationality
A patient's political party
18
Why should phlebotomists not wear artificial nails or nail wraps?
Because they interfere with computer use
Because they make it difficult to feel for a patient's veins
Because they are distracting to patients
Because they can harbor bacteria
19
A lab is ordered stat. You should
do it immediately
do it whenever you have a free moment
not do it, only the nurse can draw stat labs
do it before the end of your shift
20
What should you, a PBT, do if you find a requisition sheet on the break room counter?
throw it in the trash
shred it
place in patient's chart
give to nurse or supervisor
21
Keeping information private and confidential about a resident is
only relevant to medical test results
a legal responsibility
applicable only in certain circumstances
a polite gesture but not necessary
22
A PBT says, "Depending on what your test results are, I'd get a second opinion." Which of the following is true?
PBT is not giving the patient enough info to act on and should be specific
This fulfills the PBT's professional responsiblity to be honest.
This standard language should be used with all patients to ensure best care
The PBT should not offer this or any other advice to a patient
23
What is the maximum distance usually traveled by droplets that carry viruses?
1 foot
10 feet
2 feet
6 feet
24
What is a precaution used to prevent the spread of influenza?
Wearing a respirator and goggles when caring for a patient with influenza
Asking the patient to wash hands before care is provided
Placing a patient with known influenza in a specially sealed room
Wearing a face mask when caring for a patient with influenza
25
Which Bloodborne pathogens can live outside the human body for at least 7 days and still cause infection?
influenza
AIDS
HBV
HIV
26
How is a healthcare worker most likely to be exposed to a bloodborne disease?
By contact with infected blood or body fluids
By failing to wear a respiratory and face mask when caring for infected pt.
By touching or hugging an infected patient
By working closely with an infected patient and breathing the same air.
27
Bloodborne Pathogens can occur through infected blood being introduced through?
all of the above
cuts in the skin
contaminated sharps/needle injuries
contact with mucous membranes
28
Which is a common illness requiring droplet precautions?
Conjunctivitis
influenza
C diff.
Tuberculosis
29
Causes of stress are
always negative situations
the same for all people
situations that cannot be changed or managed
different for different people
30
Which of the following is true about employers who hire phlebotomists?
Healthcare facilities, labs, and insurance companies hire phlebotomists.
Only hospitals hire phlebotomists.
Only diagnostic laboratories hire phlebotomists.
Only doctors' offices hire phlebotomists.
31
Hand Sanitizers can be used no more than __________ times before washing hands.
there is no limit
1
5
2
32
The standard time notation 2:05 am can also be expressed as
0205
0405
1405
1605
33
Medicare and Medicaid are considered
Healthcare enablers
Healthcare providers
Healthcare payers
Healthcare facilities
34
You should always assume that a patient who is comatose can
touch
speak
hear
see
35
CLIA waived tests can be performed by
medical technicians only
any trained healthcare personnel
nurses and medical technicians only
physicians, nurse practitioners, and physician assistants only
36
What must happen after a doctor orders a blood test orally in an emergency situation?
A nurse/other licensed medical professional must confirm order before draw
PBT must wait to draw until the order is placed electronically/in writing
PBT draws blood ASAP; MD orders do not need to be documented in emergencies
PBT draws blood ASAP, but a written/electronic order must be created later.
37
Which of the following is NOT considered a Bloodborne Pathogen?
HIV
Influenza
Hepatitis B
Hepatitis C
38
Which of the following is a task only a doctor, physician assistant, or nurse practitioner can perform?
Making a diagnosis
Recording a patient's medical history
Performing an electrocardiogram
Measuring vital signs
39
Hepatitis is an inflammation of the ______________.
large intestine
liver
blood
spleen
40
What is the difference between a microorganism and a microbe?
A microorganism and a microbe are the same thing
A microorganism can be destroyed by antibacterial soap and a microbe cannot
A microorganism is a form of bacteria and a microbe is a form of virus
A microorganism causes disease and a microbe does not
41
When using the healthcare facility's computer, you should
use anyone's log in
leave yourself logged in to save time later
log off after you entre your data
report abnormal findings at the end of your shift
42
Which of the following best describes a CLIA-waived test?
A test of low complexity that can be performed with little risk of error
A test of high complexity that must be performed by a MD or PhD scientist.
A test of high complexity that requires specific machinery
A test of moderate complexity that can be performed by a med tech in a lab
43
Which is NOT considered PPE?
gloves
masks
lab coats
scrubs
44
"The doctor ordered a CBC, stat." This sentence would be most appropriate when spoken by the
Phlebotomist to a minor patient's parent
Phlebotomist to an adult patient
Clinic coordinator to a phlebotomist
Clinic coordinator to an adult patient
45
Which of the following is a type of advance directive?
An acknowledgement of privacy policies
An informed consent document
An authorization to release records
A do-not-resuscitate order
46
Which of the following is true of patients with cognitive impairment?
Limiting smiling and nonverbal communication with reduce misunderstandings
Because they can't understand, there is no need to explain or seek consent
Nonverbal cues from patients with cognitive impairment are very important.
They will always have a legal representative with them
47
Most people affected with HIV will eventually develop
AIDS
West Nile Virus
cancer
C diff
48
All bodily fluids should be treated as potentially dangerous.
True
False
49
How long should a PBT rub hands together when washing hands with soap and water?
15 seconds
30 seconds
10 seconds
20 seconds
50
How are laws and ethics related?
Ethics are usually based on laws.
Laws existed before ethics, and ethics were developed to enhance laws.
Laws are usually based on ethics.
There is no relationship between laws and ethics.
51
Equipment should be disinfected
at the end of each day
after each patient
three times daily
at the end of each shift
52
Which of these describes the correct order of the 3-step form of communication?
Sender sends message; receiver receives message; receiver responds
Sender sends message; receiver sends message; sender responds
Receiver receives message; receiver responds; sender receives response
Send receives message; sender responds; receiver responds
53
Taking something that does not belong to you is
theft
defamation
fraud
acceptable, if it is not worth a lot of money
54
________ is beyond the scope of practice for a phlebotomist.
Swabbing a patient's cheek to collect a cell specimen
Drawing blood from an intravenous port
Answering patient questions about a blood draw EX: "How many tubes?"
Collecting a urine sample
55
Which of the following is true about certification for phlebotomy technicians?
Costs and requirements for certification are the same across all agencies.
There is one national certification agency.
The federal government regulates phlebotomy technician certification.
Different agencies have different requirements for clinical experience.
56
This is a circumstance in which blood might be legally drawn from a patient w/o the patient's informed, express consent:
When a pt is cognitively impaired but legally competent refuses a test
When a healthcare worker may have been exposed to illness but refuses test
When a pt is refusing a blood test that relates to life or death diagnosis
When an officer suspects a driver to be under the influence of alcohol
57
In which of the following situations is it appropriate for a phlebotomy technician to not use Standard Precautions?
When the patient indicates he does not have any infectious diseases
When the PBT is personally familiar with the patient and knows he's healthy
When a doctor assures PBT that patient doesn't have any infectious disease.
It is never appropriate
58
A PBT notices that a patient is breathing deeply. He asks, "Would it help if we took a few min to relax?" He is showing
Dependability
Honesty
Lack of prejudice
Empathy
59
PPE must be removed as soon as you leave the patient's room.
False
True
60
Which of the following is the most appropriate statement to put in an incident report?
Ms.J passed out and bumped head. It's my fault b/c she said she was nervous
Ms. J is scared of needles. The sight of one made her pass out & bump head.
Ms. J lost consciousness as PBT was preparing needle. Her head struck cart
Ms.J passed out when she saw needle. She hit cart but I think she's OK.
61
A rule of conduct made by a government body is a
law
tort
boundary
libel
62
Which of the following is true of implied consent?
Implied consent can never apply when a patient is conscious.
It can be more difficult to document/prove than informed, express consent.
It's given by directly affirming that pt understands and consents
Implied consent is communicated by signing a consent document.
63
A patient signed a general consent form. Which of the following is true?
a PBT can draw blood no matter what
it does not extend to blood draws
the patient may still decline the procedure
the patient may never decline a procedure ordered by a physician
64
OSHAs recommendation that biomedical waste be properly discarded at the point of origin means
If there isn't an appropriate container it can be thrown away in trash can
PBT should tell patients they need to come back if there is no container
An appropriate container in every location biomedical waste is created
There should be at least 1 appropriate container on each floor at facility
65
What is the term for a course of action that should be taken every time a certain situation occurs?
Official guidance
Procedure
Policy
Best practice
66
This is an example of nonverbal communication
Patient speaks to PBT through hospital's tablet-based translation program
A patient gives one-word answers
A patient paces back and forth and does not sit down at the drawing station
A doctor writes an order for a blood test on a piece of paper
67
When is it appropriate to use medical terminology with patients?
only when you know the patient personally
always
only when the patients seem intelligent
never
68
A face shield may be substituted for goggles when blood or body fluids may be splashed or sprayed into the eyes.
True
False
69
Which of the following is true of healthcare-associated infections?
They are relatively easy to cure
They can occur anywhere in a community
Proper hand hygiene can prevent or control their spread
They are a concern for some healthcare workers (MD,RN) but not others (PBT)
70
Spores that cause __________ can live on surfaces for months even years.
pink eye
hepatitis
HIV
C. diff
71
The military time notation 1830 can also be expressed as
8:30 pm
6:30 am
8:30 am
6:30 pm
72
The Patient Care Partnership
Set of principles hospitals must follow to be reimbursed by insurance
Proposal by medical schools to ensure the rights of pts in teaching hosp
Is a set of federal guidelines designed to ensure high-quality patient care
Most recent version of the AHA's Patient Bill of Rights
73
Which of these professional behaviors is also a legal requirement for phlebotomy technicians?
Not discussing personal subjects with patients
Not discussing controversial subjects with patients ex: politics/religion
Keeping all patients' information confidential
Not using personal phones in patient care areas
74
Which of the following is an example of an engineering control?
A puncture-resistant, leakproof container for sharps disposal
A cap that must be manually replaced on a needle after use
A needle available in several different sizes
A needle that retracts (pulls back) at the push of a button
75
Disinfection is a process that kills all microorganisms.
True
False
76
The abbreviation PPE stands for
Patient Protective Equipment
Protective Plan for Emergencies
Personal Protective Equipment
Policies and Procedures for Emergencies
77
Which of the following exemplifies continuous quality improvement for a PBT?
Saving supervisors time by performing tests on specimens w/o being asked
Streamlining facility procedures by eliminating time consuming steps
Following procedures carefully to obtain a high-quality specimen
Accurately guessing a patient's diagnosis based on the tests ordered.
78
It is NOT appropriate to discuss your patient's health information with
all of the above
your family
your patient's visitors
your patient's roommate
79
Which of the following best defines informed consent?
completely understands all aspects of his treatment
the person is admitted to the healthcare facility
signs a form
indicates their treatment preferences
80
Body language is a form of
imitation
verbal communication
posturing
nonverbal communication
81
A patient offers the PBT a gift on the last day of her hospital stay. Which of the following is true?
it is illegal to accept the gift
only decline if extremely valuable
it is unethical to accept the gift
there is no reason for the PBT to decline the gift
82
One of the differences between hepatitis B and HIV is that
There is a vaccine that protects against Hep B but no vaccine for HIV
HIV can be deadly and hepatitis B cannot
Hep B is a risk to healthcare workers and HIV is not
You can tell a patient has HIV by looking at him but not Hep B
83
What precautions include wearing a special mask, such as an N95 or HEPA respirator?
contact
airborne
droplet
standard
84
Which of the following is one of the ASCLS's goals for quality laboratory testing?
produce accurate test results
produce healing for the patient
perform tests with minimal patient wait
perform tests with nor patient pain
85
Knowledge of what you should or should not do is
public law
torts
civil law
ethics
86
How should a phlebotomy technician approach a patient known to have a hearing impairment?
From the front, making sure the patient sees her
Exactly as she would approach any patient
From the back, with a tap of the shoulder
From the side, checking as she approaches that patient's hearing aid is in.
87
Employers must offer free vaccines for ___________.
HIV
Hepatitis B
COVID
Influenza
88
Which of the following is an example of an advance directive?
do-not-resuscitate order
incident report
requisition form
general consent form
89
Family members can interpret for patients to sign consent forms.
False
True
90
The military time notation 2135 can also be expressed as
9:35 a.m.
11:35 a.m.
11:35 p.m.
9:35 p.m.
91
A famous athlete has been admitted but on a different unit. If you want to know why he is there, you should
drop by the unity and see what you can find out
log onto the hospital database and read his medical record
resist the temptation and keep doing your job
ask your friend who works on that unit
92
Which of the following is true of freestanding emergency rooms?
They are required to operate as satellites of established hospitals.
They are usually staffed by nurses, with a physician available on call.
They are not subject to regulation by state or federal governments.
They have more medical equipment and services than urgent care centers.
93
Which of these phrases best indicates that a PBT is engaging in active listening?
"Tell me more about that."
"Is that all?"
"Let's go ahead and do the draw, then."
"Oh, I've heard it all before!"
94
Threatening to touch an individual's body without their consent is
slander
battery
assault
invasion of privacy
95
One reason a phlebotomist should organize his supplies before beginning a blood draw is that
Specimens must be collected in a particular order
This prevents other PBTs from taking needed supplies during the draw
Supervisors might be watching and want to see that the PBT is organized
Patients find this reassuring
96
HIPAA applies to
Only licensed healthcare workers
Only healthcare workers in facilities that receive Medicare/Medicaid funds.
All healthcare workers
Only healthcare workers in public facilities
97
Which of these is an employer's responsibility for infection prevention?
Providing education on infection prevention if it is requested by employees
Training employees in the use of PPE
Providing free vaccinations for all illnesses employees might be exposed to
Give employees time off when influenza and other illnesses are widespread

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