a GTT pt vomits w/in 30 min of drinking the glucose beverage. What should the phlebotomist do?

Notify RN/Dr immediately & see if pt should be rescheduled

What constitutes a positive modified Allen test?

The hand color returns to normal in 15 seconds.

The term distal means:

farthest from point of attachment

The normal composition of blood is approximately:

55% plasma, 45% formed elements.

You are most likely to increase the chance of hemolyzing a specimen if you use a:

25-gauge butterfly needle to collect a specimen from a child

The purpose of “reverse” isolation is to:

protect susceptible patients from outside contamination.

How can you visually tell serum from plasma?

You cannot visually tell them apart

The purpose of performing the modified Allen test prior to arterial specimen collection is to:

determine collateral circulation.

When does the timing of specimen collection begin during a GTT?

When the patient has finished the glucose beverage

Eligibility requirements for donating blood include:

age 17 to 66 years, 110 pounds or more.

Which of the following blood vessels are listed in the proper direction of blood flow?

Arteries, arterioles, capillaries

Which of the following statements most accurately describes capillary puncture blood?

A mix of venous, arterial, and capillary blood

Which of the following conclusions is probable? This figure shows an arm with:

the results of hematoma blood moving after venipuncture

TB test administration involves:

injecting the antigen just under the skin

Which phlebotomist’s duty, if not complied with, has a penalty of possible fines or jail time?

maintain patient confidentiality

A patient who has collateral circulation:

has multiple arteries supplying blood to an area.

As the tube's filling, you hear a hissing sound, see a spurt of blood in the tube, & flow stops

bevel came out of the skin and the tube vacuum escaped.

HIPAA was enacted to:

provide guidelines for sharing of PHI.

studbud

Duplicate of Duplicate of Final & Certification Review

254 termsStudBud Administration15 plays

This is a review session for the #Phlebotomy #certification exam based off of questions found on PrepU and in your textbook!

Flashcards254 cardsFPractice quizPHost liveL

Questions 254

Answers

1
Standard precautions should be followed:
if a patient is HIV positive.
for anyone with hepatitis B.
with all patients at all times
while a patient is in isolation.
2
Basic metabolic panels (BMPs) are performed in what dept?
histology
hematology
chemistry
microbiology
3
The serum or plasma of a hemolyzed specimen appears:
clear yellow.
pink or reddish
greenish yellow.
cloudy white.
4
Blind or deep probing for a vein can result in:
loss of tube vacuum
greater vein patency
an arterial puncture
tube additive reflux
5
The hormone detected in urine pregnancy testing is:
PPD
hCG
ACT
TSH
6
The radial artery is located in the:
crease of the groin.
antecubital fossa.
pinky side of the wrist.
thumb side of the wrist
7
a GTT pt vomits w/in 30 min of drinking the glucose beverage. What should the phlebotomist do?
Discontinue the test & write that the patient vomited
Continue the test & note time the patient vomited
Notify RN/Dr immediately & see if pt should be rescheduled
Give the patient another dose of the beverage & continue
8
The pulmonary circulation takes blood to the:
heart from the body tissues.
arteries in the heart muscle.
internal organs to the body.
lungs and back to the heart
9
What constitutes a positive modified Allen test?
The blood pressure increases in the radial artery.
The color drains from the hand within 30 seconds.
The hand color returns to normal in 15 seconds.
The pulse in the ulnar artery becomes irregular.
10
Which color-coded microtube would be used to collect a CBC?
lavender
green
yellow
gray
11
The term distal means:
higher or above, toward the head
to the back of the body or body part
closest to the point of attachment
farthest from point of attachment
12
Which of the following is an abnormal finding in the blood?
bacteria
platelets
blood cells
antibodies
13
Inadequate mixing of an anticoagulant tube can lead to:
hemolysis of the specimen.
lipemia of the specimen.
the sample clotting too fast.
microclots in the specimen.
14
The normal composition of blood is approximately:
55% plasma, 45% formed elements.
90% plasma, 10% formed elements
10% plasma, 90% formed elements.
30% plasma, 70% formed elements.
15
This heart chamber receives blood from the systemic system.
left ventricle
right ventricle
right atrium
left atrium
16
The heart muscle gets its blood supply from the:
pulmonary arteries.
carotid arteries.
pulmonary veins
coronary arteries.
17
Tests influenced by diurnal variation are typically ordered:
stat
timed
fasting
preop
18
You are most likely to increase the chance of hemolyzing a specimen if you use a:
23-gauge butterfly needle from a hand vein.
25-gauge butterfly needle to collect a specimen from a child
22-gauge needle and syringe from a difficult vein.
21-gauge ETS needle from a median vein.
19
The first response in the hemostatic process is:
vasoconstriction
thrombin creation
fibrin formation.
platelet adhesion
20
Lipemia results from:
specimen hemoconcentration
increased number of platelets.
improper specimen handling.
high fat content of the blood.
21
The tourniquet is removed within 1 minute to reduce the effects of what?
hemolysis
hemoconcentration
homeostasis
hemostasis
22
Which type of specimen must be handled and analyzed stat?
spinal fluid
buccal swab
throat swab
gastric fluid
23
The pathogen responsible for causing an infection is called the:
host
vehicle
vector
infectious agent
24
According to CLSI, depth of heel puncture should not exceed:
2.0 mm
1.5 mm
2.4 mm
4.9 mm
25
Which of the following would be a preanalytical error related to specimen transport?
Agitation-induced hemolysis
strenuous, recent exercise
Incorrect collection tube
Contamination caused by dust
26
Donor units of blood are typically collected using needles that are:
18-28 gauge
23-25 gauge
16-18 gauge
20-22 gauge
27
Which type of specimen is typically used for routine urinalysis?
double-voided
24-hour
Random
first morning
28
The purpose of “reverse” isolation is to:
prevent airborne transmission of infectious microbes.
protect susceptible patients from outside contamination.
provide the safest environment for psychiatric patients
separate contagious patients from contact with others.
29
How can you visually tell serum from plasma?
Serum is fluid, plasma is gel-like.
Serum is clear, plasma is cloudy.
Plasma is yellow, serum is colorless.
You cannot visually tell them apart
30
A cyanotic extremity would:
look pale yellow
appear jaundiced
exhibit erythema
be bluish in color
31
What is the proper order for putting on protective clothing?
gloves, gown, mask
mask, gown, glove.
gown, mask, gloves
gown, gloves, mask
32
Which additive can be found in four separate tubes with different stopper colors?
potassium oxalate
EDTA
heparin
sodium citrate
33
The purpose of performing the modified Allen test prior to arterial specimen collection is to:
locate the pulse in the ulnar artery.
assess patient ventilation status.
determine collateral circulation.
measure the radial artery pressure
34
When does the timing of specimen collection begin during a GTT?
After the fasting blood specimen has been collected
Before the fasting blood specimen is to be collected
When the patient has finished the glucose beverage
As soon as the patient begins to drink the beverage
35
The calcaneus is a bone located in the:
thumb
finger
heel
earlobe
36
Eligibility requirements for donating blood include:
age 18 to 75 years, 110 pounds or more.
minimum of 21 years old, 100 pounds
age 17 to 66 years, 110 pounds or more.
age 21 to 65 years, at least 100 pounds.
37
Which of the following blood vessels are listed in the proper direction of blood flow?
Capillaries, arterioles, arteries
Arterioles, venules, capillaries
Arteries, arterioles, capillaries
Veins, venules, capillaries
38
Which tubes must contain a 9-to-1 ratio of blood to anticoagulant to be accepted for testing?
blood bank
chemistry
hematology
coagulation
39
Which BC is inoculated first when the specimen has been collected by needle and syringe?
anaerobic media
Doesn't matter
ARD container
aerobic media
40
Which of the following statements most accurately describes capillary puncture blood?
Mostly venous blood mixed with tissue fluid
Nearly identical to a venous blood specimen
Mostly tissue fluid mixed with arterial blood
A mix of venous, arterial, and capillary blood
41
Identify the portion of the specimen indicated by arrow 2 in this figure.
buffy coat
red blood cells
plasma
serum
42
Antiseptics are:
safe for use on human skin.
corrosive chemical compounds.
used on surfaces and instruments.
used to kill pathogenic microbes
43
This is the abbreviation for a test that is always performed on whole blood.
PTT
BUN
CBC
LDL
44
Which of the following conclusions is probable? This figure shows an arm with:
the results of hematoma blood moving after venipuncture
discoloration from prolonged application of a tourniquet.
bruising that was most likely caused by a reflux reaction.
evidence of partial exsanguination of the antecubital area.
45
TB test administration involves:
cleaning the site with povidone–iodine.
applying pressure right after injection.
checking for a reaction in 12 to 24 hours.
injecting the antigen just under the skin
46
Which phlebotomist’s duty, if not complied with, has a penalty of possible fines or jail time?
participate in continuing education
maintain patient confidentiality
perform quality control checks
promote good public relations
47
A patient who has collateral circulation:
has multiple arteries supplying blood to an area.
does not need respiratory therapy or assessment.
has normal arterial pressure in both wrist areas
does not need to undergo radial artery puncture.
48
As the tube's filling, you hear a hissing sound, see a spurt of blood in the tube, & flow stops
needle went all the way through the back wall of the vein.
patient had a sudden and dramatic drop in blood pressure.
bevel came out of the skin and the tube vacuum escaped.
tube had a crack in it and there was no more vacuum left
49
What does a sclerosed vein feel like?
Soft & Pliable
hard & cord-like
pulsating & firm
bouncy & resilient
50
The thumb should not be used to feel for an artery or a vein because it:
is insensitive
is too strong
is too large
has a pulse
51
HIPAA was enacted to:
provide guidelines for sharing of PHI.
standardize patient electronic records.
protect HCW from malpractice issues.
examine all patient healthcare records.
52
Which test requires especially strict identification and specimen labeling procedures?
cross-match
Aldosterone
plasminogen
valproic acid
53
What anticoagulant is contained in a plasma-separator tube (PST)?
Oxalate
Citrate
ACD
Heparin
54
What is the best thing to do if a venipuncture site continues to bleed after 5 minutes?
Report it to the patient’s physician or nurse.
Make a note of the problem on the lab slip.
Wrap the site with a tight pressure bandage
Have the patient hold pressure until it stops.
55
What may happen if you mix tubes too vigorously?
no effect
lipemia
hemolysis
jaundice
56
The basilic vein is the last choice for venipuncture because it is:
the hardest AC vein to palpate
fixed in the surrounding tissue.
located close to a major nerve.
deeply buried in the AC fossa.
57
A serum specimen is requested. Which of the following evacuated tubes can be used?
PPT
SST
EDTA
PST
58
This test is collected in a tube with a light-blue top:
glucose
prothrombin time
platelet count
red blood count
59
Which of the following tests is collected from patients with FUO to rule out septicemia?
nasopharyngeal culture
blood cultures x2
Wound and skin culture
Urine culture and sensitivity
60
Pronation of the hand is the act of:
extending the hand out to the side.
turning the hand palm down
flexing the hand at the wrist.
rotating the hand so that it is vertical.
61
CSF is the abbreviation for fluid that comes from the:
spinal cavity.
lung cavity.
joint cavities.
pelvic cavity.
62
To prevent sensitization, Rh immunoglobulin is given to:
Rh-positive mothers who deliver Rh-negative babies
Rh-negative mothers who deliver Rh-positive babies.
pregnant women who bleed throughout the pregnancy.
Rh-positive babies immediately after they are born.
63
All pathogens are:
communicable microorganisms.
microbes that can cause disease.
normal flora found on the skin
microorganisms that live in soil.
64
Where is the best place to apply the tourniquet?
About 3 to 4 inches above the venipuncture site
Distal to the wrist bone if drawing a hand vein
Immediately above the venipuncture site
Distal to the venipuncture site on the forearm
65
Proper finger puncture technique would exclude:
puncturing parallel to the fingerprint.
warming the site before puncturing
choosing a middle or ring finger site.
trying not to squeeze or milk the site.
66
Some blood specimens require cooling to:
prevent premature clotting.
promote serum separation.
slow metabolic processes
avoid hemolysis of RBCs.
67
A transfusion of incompatible blood is often fatal because it causes:
lysis, or rupturing, of RBCs, within the vascular system.
the patient’s lungs to fill with nonfunctioning RBCs.
hemochromatosis in the patient’s circulatory system
a major allergic reaction, releasing too much histamine.
68
Which of the following is the best indication that you have accidentally punctured an artery?
Blood pulses into the tube.
A hematoma starts to form.
Blood obtained is bright red
Blood obtained is dark red.
69
Identify the condition in which a unit of blood is withdrawn from a patient as a treatment.
Autologous donation
Hemochromatosis
Hemolytic anemia
ABO incompatibility
70
The patient asks if the test you are about to draw is for diabetes. How do you answer?
Tell the patient that it's not a glucose test even if it is
Say, “HIPAA confidentiality rules won’t let me tell you.”
If the test is for glucose say, “Yes,” but don't elaborate.
Explain that it is best to discuss the test with the Dr..
71
Lymph fluid originates from excess:
tissue fluid
digestive liquid
blood plasma
urinary flitrate
72
Exsanguination is:
iatrogenic depletion of blood.
life-threatening loss of blood.
therapeutic removal of blood
autologous donation of blood.
73
This gland is called the “master gland” of the endocrine system.
pineal
pituitary
thymus
thyroid
74
Which department performs chemical screening tests on urine specimens?
coagulation
hematology
microbiology
urinalysis
75
Which of the following is the safest area of an infant’s foot for capillary puncture?
Any area of the arch
Posterior curvature
Medial plantar heel
Center of the big toe
76
Which of the following veins are listed in the proper order of selection for venipuncture?
Cephalic, median cubital, basilic
Median, median basilic, cephalic
Basilic, cephalic, median cubital
Median cubital, cephalic, basilic
77
Which type of test is most affected by tissue thromboplastin contamination?
serology
coagulation
Chemistry
hematology
78
If collected by heelstick, which specimen should be collected in an amber microtube?
glucose
bilirubin
lead
pku
79
Prolonged tourniquet application can affect blood composition because it causes:
delayed hemostasis.
specimen hemolysis
dilution of plasma.
hemoconcentration.
80
The fundamental units of the nervous system are the:
meninges
neurons
axons
nephrons
81
Vein with walls that have temporarily drawn together & stopped blood flow during collection (j)
inactive fistula
collapsed vein
reflux reaction
blown vessel
82
One purpose of wiping away the first drop of blood during capillary specimen collection is to
avoid contamination with bacteria.
reduce tissue fluid contamination.
improve blood flow to the site.
minimize platelet aggregation
83
This test includes a physical, chemical, and microscopic analysis of the specimen.
AFP
GTT
UA
C&S
84
The term phlebotomy is derived from Greek words that, literally translated, mean to
draw blood
stick
withdraw blood
cut a vein
85
Which of the following specimens is unlikely to be rejected for analysis? A specimen for:
total bilirubin that is icteric
platelet count with microclots.
fasting glucose that is lipemic.
electrolytes that is hemolyzed.
86
What is the purpose of an antiglycolytic agent?
It preserves glucose.
It prevents clotting
It enhances the clotting process.
It inhibits electrolyte breakdown.
87
This is an example of a preanalytical error made at the time of collection.
Delay in transporting
Failing to mix tubes
Waiting to centrifuge
Incomplete requisition
88
Which of the following substances is contained in a serum separator tube?
Lithium heparin
EDTA
sodium citrate
thixotropic gel
89
The most frequently analyzed nonblood specimen is:
CSF
feces
urine
saliva
90
To examine by touch or feel is to:
pronate
anchor
ambulate
palpate
91
The most critical aspect of blood culture collection is:
specimen handling
needle gauge
media inocculation
skin antisepsis
92
what is the difference between serum and plasma
there is no difference, they are the same
Serum has fibrinogen and plasma does not
Serum is clear, plasma is gel
Plasma has fibrinogen and serum does not
93
What is the most critical error a phlebotomist can make?
Misidentify the patient’s specimen
Unknowingly give a patient a bruise
Fail to obtain the desired specimen
Collect a timed specimen late
94
A person’s blood type is determined by the presence or absence of certain types of:
antigens on the surfaces of the white blood cells
antigens on the surfaces of the red blood cells.
antibodies on the surfaces of the red blood cells.
antibodies on the surfaces of the white blood cells.
95
Which one of the following additives can be found in a royal blue–topped collection tube?
oxalate
fluoride
edta
citrate
96
Which is a common arterial puncture complication even when proper procedure is used?
Arteriospasm
Bacteremia
hematoma
Clot formation
97
A hematoma is a:
symptom of nerve injury
blood clot inside a vein.
swelling or mass of blood.
pool of fluid from an IV.
98
Which of the following is a phlebotomy QA procedure?
Keeping a record of employee paid sick leave
Recording chemistry instrument maintenance
tracking all of the laboratory OSHA violations
Checking needles for blunt tips and small barbs
99
Butterfly is another name for a:
winged infusion set
needle safety feature
multisample needle
hypodermic needle
100
The main purpose of PPE is to:
provide the user a barrier against infection
protect street clothes from getting soiled.
prevent infection transmission to patients.
help project a professional appearance.
101
Blood vessels that carry blood away from the heart are called:
venules
veins
arteries.
capillaries
102
Jaundice in a newborn is associated with high levels of:
thyroxine
ketones
glucose
bilirubin
103
A specimen for ova & parasite testing goes to what dept?
urinalysis
coagualtion
chemistry
microbiology
104
The Joint Commission’s sentinel event program’s purpose is to:
standardize measurements of quality performance
demonstrate flexibility in setting QC measures.
prevent unfavorable events from happening again.
research healthcare organizations’ collection of data.
105
A nosocomial infection is one that is
caught by a healthcare worker.
highly contagious in nature.
acquired while in a hospital.
present without symptoms
106
The brain and spinal cord comprise the:
autonomic nervous system
central nervous system
somatic nervous system
peripheral nervous system
107
Which blood cell has the ability to pass through blood vessel walls?
WBC
RBC
Platelet
Reticulocyte
108
blood typing & compatibility testing are done in what dept?
chemistry
blood bank
coagulation
hematology
109
A whole-blood specimen consists of:
blood cells suspended in serum.
plasma and the formed elements.
serum and clotted red blood cells
aggregated blood cells and water.
110
A needle that has gone through the back wall of the vein may cause:
blood to enter the tube slowly or not at all.
the tube to fill with air that is in the tissues
a hissing sound when you engage the tube.
reflux of specimen into surrounding tissue.
111
Why would blood cultures be collected with an antimicrobial adsorbing resin?
The patient has fever spikes for more than a week.
To eliminate contaminating normal skin flora.
To absorb and remove bacteria-caused contamination.
The patient is taking a broad-spectrum antibiotic.
112
Measurement of copper, a trace element, requires blood collection in a tube with a:
lavendar top
royal blue top
light blue top
green top
113
These are tiny blood vessels that are only one cell thick.
capillaries
arterioles
arteries
venules
114
According to CLIA ’88, the following is true:
all laboratories must follow the same standards.
a CLIA certificate is required only for hospitals.
personnel standards are not included in the law.
physicians’ laboratories are exempt from CLIA.
115
The term used to describe an infection that infects the entire body is:
systemic
local
nosocomial
communicable
116
A patient’s arm is swollen. The term used to describe this condition is:
cyanotic
thrombosed
sclerosed
edematous
117
What is sputum?
saliva
nasal fluid
gastric fluid
phlegm
118
Which of the following stopper colors identifies a tube used for coagulation testing?
Red
Light Blue
Lavender
Green
119
Which of the following is an abbreviation for a respiratory system test?
ABG
TSH
UA
KOH
120
During a blood draw, a patient says he feels faint. What should the phlebotomist do?
Discontinue the draw and lower his head.
Ask him if it is OK to continue the draw.
Keep him upright and complete the draw.
Use an ammonia inhalant to revive him
121
A urine C&S is typically ordered to:
evaluate the function of the kidneys.
check for glucose in the urine.
diagnose urinary tract infection.
monitor urinary protein levels.
122
This equipment is required when collecting a specimen from a patient in airborne isolation.
mask and goggles
full face shield
N95 respirator mask
eye mask
123
Which of the following can cause a hematoma to form as a result of a blood draw?
Entering the lumen of the vein without hesitation
Failing to apply adequate pressure after the draw
Mixing the first tube while collecting the second
Removing the tourniquet as the first tube is filling
124
What does the laboratory use to identify a specimen throughout the testing process?
LIS image/icon
Accession number
Hospital number
Mnemonic code
125
The primary duty of a phlebotomists is to
start IV's
collect blood specimens
answer phone calls
document workload
126
All chemical & physical reactions in the body that are necessary to sustain life is called:
metabolism
anabolism
catabolism
cannibalism
127
If the following tests are collected by capillary puncture, which is collected first?
bilirubin
Electrolytes
CBC
Glucose
128
The purpose of TDM is to:
screen for illegal drug use using multiple samples
maintain peak levels of drug in a patient’s system.
prevent trough levels of drug in a patient’s system.
determine and maintain a beneficial drug dosage.
129
Another name for blood bank is
immunohematoloty
serology
immunology
hematology
130
During venipuncture the tourniquet should not be left on longer than:
30 seconds
1 minute
There is no limit, leave on until last tube is collected
2 minutes
131
An outpatient becomes weak and pale after a blood draw. What should the phlebotomist do?
Have the patient lie down until recovered.
Accompany the patient to his or her car.
Offer the patient a glass of water to drink.
Tell the patient to go get something to eat
132
which of the following tests are performed in the coagulation dept?
Glucose
CBC
BUN
PT/INR
133
Tests performed on plasma samples are:
obtained from clotted blood.
hematology or serology tests.
collected in red/gray-top tubes.
drawn in anticoagulant tubes.
134
Falsely decreased bilirubin results can be caused by:
puncturing the heel close to the calcaneus.
collecting the specimen 5 minutes late.
failing to protect the specimen from light.
using isopropyl alcohol to clean the site
135
Example of what type of transmission: infected with E. coli after eating contaminated spinach.
contact
droplet
vehicle
vector
136
The most common type of HAI infection in the United States is:
bedsore infection
urinary tract infection
respiratory infection
hep b infection
137
A trace element specimen tube should be collected:
before any other tubes.
after any other tubes:
with a 21-gauge butterfly
separately or by syringe.
138
Which of the following is required by the Bloodborne Pathogens (BBP) Standard?
Gowning before entering rooms of AIDS patients
Providing isolation of patients known to be HIV-positive
Wearing gloves when performing phlebotomy
Having warning labels on specimens from AIDS patients
139
Neonatal screening for this disorder is required by law in the United States:
HBV
HDN
PKU
Diabetes
140
If you misidentify a pt leading to a misdiagnosis, injury, or death, this is an example of
negligence
fraud
battery
assualt
141
Myocardial ischemia is a condition that results from:
malfunction of an atrioventricular valve.
partial obstruction of a coronary artery
complete blockage of a coronary artery.
death of a portion of myocardial tissue.
142
The antiseptic must be completely dried before performing capillary puncture to avoid:
specimen hemolysis
hematoma formation.
hemoconcentration
premature clotting.
143
The preferred and most common site for arterial puncture is the:
ulnar artery
femoral artery
radial artery
brachial artery
144
What criterion is used to decide which needle gauge to use for venipuncture?
Size and condition of the vein
Type of test being collected
Depth of the selected vein
yours, or the patient's, personal preference
145
The liquid portion of a clotted blood specimen is called:
fibrinogen
saline
serum
plasma
146
To what does the “gauge” of a needle relate?
length
diameter
volume
strength
147
Phenylketonuria is a
temporary condition caused by lack of phenylalanine
contagious condition caused by lack of phenylalanine.
disorder caused by excessive phenylalanine ingestion.
genetic disorder involving phenylalanine metabolism.
148
A platelet is actually a part of a bone marrow cell called a:
macrophage
megakaryocyte
granulocyte
T lymphocyte
149
Oxygen and nutrients diffuse through the walls of the
venules
capillaries.
alveoli.
arterioles
150
Which is the best way to avoid reflux?
Make certain that tubes fill from the bottom up
Keep the tourniquet on until the last tube is full.
Draw the specimen while the patient is supine.
Follow the correct order of draw when filling tubes.
151
The part of a syringe that shows measurements in cc or mL is called the:
plunger
adapter
barrel
hub
152
A vein that feels hard, cord-like, and lacks resiliency is most likely:
collapsed
superficial
sclerosed
an artery
153
Hemoconcentration from prolonged tourniquet application increases:
nonfilterable analytes.
pH and oxygen levels.
specimen hemolysis
blood plasma volume.
154
phlebotomy is used as a therapeutic treatment for:
leukemia
phlebitis
polycythemia
diabetes
155
This test detects occult blood.
BAC
Lactose
Skin Test
Guaiac
156
which of the following is a hematology test?
C&S
HBsAg
CBC
BMP
157
a pap smear is examined for the presence of cancer cells in this deparment
histology
cytology
chemistry
hematology
158
The purpose of sodium citrate in specimen collection is to:
inhibit glucose breakdown.
preserve glucose values.
protect coagulation factors
accelerate coagulation.
159
A pink-top tube containing EDTA is primarily used for:
blood bank tests
microbiology tests
coagulation tests
chemistry tests
160
A vein that is thrombosed is:
clotted
patent
scarred
swollen
161
Red blood cells are produced in the
lymph nodes
thymus gland
blood stream
bone marrow
162
Which of the following specimens does not need to be centrifuged?
CBC in a lavender tube
PTT in a light-blue tube
BUN in a red/gray SST
Potassium in a green tube
163
An example of vector infection transmission is contracting:
the plague from the bite of a rodent flea.
hepatitis B from a contaminated countertop.
HIV from an HIV-tainted blood transfusion.
tuberculosis after inhaling droplet nuclei
164
Types of ETS tube additives include:
separator gels.
clot activators.
anticoagulants.
all are correct
165
Which of the following is an anuclear biconcave disc?
leukocyte
erythrocyte
thrombocyte
granulocyte
166
The Joint Commission:
certifies lab personnel
accredits healthcare organizations
approves phlebotomy programs
develops phlebotomy standards
167
This term describes the balanced or “steady state” condition normally maintained by the body.
homeostasis
anabolism
hemostasis
catabolism
168
what dept performs blood cultures?
histology
hematology
microbiology
chemistry
169
The ability of a microorganism to survive on contaminated articles & equipment has to do with
viability
virulence
transmission
susceptibility
170
This organization develops standards for specimen handling and processing.
CDC
CLIA
CLSI
FDA
171
Most tests in this department are performed on plasma specimens.
hematology
cytology
immunology
coagulation
172
A typical unit of donated blood contains approximately:
250 mL
1.00 L
750 mL
450 mL
173
What should the phlebotomist do if the pulse is absent or faint following ABG collection?
Nothing, because an arteriospasm is expected.
Notify the patient’s nurse or the lab supervisor.
Apply a pressure bandage as soon as possible.
Gently massage the patient’s wrist and hand.
174
This specimen would most likely be accepted for testing despite this problem (not in bloodbank)
Incomplete identification
Expired evacuated tube
quantity not sufficient (QNS)
Not initialed by collector
175
unauthorized release of confidential patient info is called
failure to use due care
invasion of privacy
a type of negligence
violation of discovery
176
Sputum specimens are collected in the diagnosis of:
tuberculosis
genetic defects.
strep throat.
lung maturity.
177
A solution used to clean the site before routine venipuncture is:
5.25% sodium hypochlorite.
70% methanol.
povidone-iodine
70% isopropyl alcohol.
178
This is the name of a sharp-pointed device used today to make capillary punctures
fleam
lancet
bullet
scalpel
179
Which of the following is the medical term for fainting?
Stasis
Syncope
Sclerosis
Supine
180
If a serum specimen is not completely clotted before it is centrifuged, the:
buffy coat may not form properly.
red blood cells in it may hemolyze.
separator gel may come to the top.
serum may have a fibrin clot in it
181
The antecubital (AC) fossa is located:
posterior and proximal to the wrist
posterior and proximal to the elbow.
anterior and distal to the wrist.
anterior and distal to the elbow.
182
The slanted tip of a needle is called the:
hub
bevel
shaft
lumen
183
A stinging sensation when the needle is first inserted is most likely the result of
not letting the alcohol dry thoroughly.
an imperfection in the needle bevel.
tying the tourniquet excessively tight.
pushing down during needle insertion.
184
This is a term for the bottom surface of the heel.
plantar
dorsal
lateral
distal
185
Which action is least likely to cause specimen hemolysis?
Pulling back a syringe plunger too quickly
Using a transfer device for a syringe draw
Drawing a large tube using a small needle
Mixing a blood specimen too vigorously
186
Which of the following would be a preanalytical error related to specimen storage?
Faulty technique
Exposure to light
Underfilled tube
Inadequate fast
187
The plantar surface of the foot is the:
sole or bottom
area of the arch
heel portion
top of foot
188
Drawing blood from an edematous extremity may cause:
premature specimen clotting.
hemolysis of the specimen.
erroneous specimen results.
rapid formation of petechiae
189
All of the following tests can be collected by capillary puncture EXCEPT:
hemoglobin
electrolytes
blood culture
lithium level
190
When performing the modified Allen test, which artery is released first?
femoral
radial
ulnar
brachial
191
MR# on band matches Req, but names spelled differently. WHat do you do?
Make the correction on the requisition and draw the specimen
Do not collect the specimen until the difference is resolved
Draw the specimen because the medical record number matches.
Collect the specimen, report error to the patient’s nurse.
192
An example of a QC measure in phlebotomy is:
recording patient census daily on the computer
documenting every missed venipuncture.
logging hours worked on your time sheet daily.
checking the expiration dates of evacuated tubes.
193
Which of the following is most apt to be the cause of vein collapse during venipuncture?
Several large-volume tubes have been collected.
Tourniquet application has exceeded 1 minute.
Tourniquet pressure is below diastolic pressure.
Tube vacuum is too great for the size of the vein
194
Which of the following tests requires an arterial specimen?
blood typing
blood culture
blood glucose
blood gases
195
What keeps the blood moving through the venous system?
Skeletal muscle movement and valves in the veins
Movement of fluid throughout the lymphatic system
Expansion and contraction of the systemic arteries
Pressure caused by contraction of the ventricles
196
Which urine specimen is normally the most concentrated?
timed
Random
24-hour
first-morning
197
If you have no choice but to collect a specimen from an arm with a hematoma, collect it
through it
beside it
distal to it
proximal to it
198
The manufacturer must supply a safety data sheet for:
distilled water
isopropyl alcohol
lab coats
saline
199
A 12yo pt refused to have blood drawn & was restrained while phleb collected the specimen. Ex?
assault & battery
negligence
malpractice
implied consent
200
Which type of muscle is under voluntary nervous control?
cardiac
smooth
visceral
skeletal
201
The serum or plasma of a lipemic specimen appears:
dark yellow
pink to red
foamy pink
cloudy white
202
The HazCom Standard is also commonly called the:
Full disclosure law
material safety law
Universal safety law
Right to know law
203
Septicemia is:
presence of microorganisms in the blood
fever in which the cause is not known.
bacteria measurement in whole blood.
a positive test for transmissible disease.
204
The abbreviation for regulations that est. standards for all labs that test human specimens:
OSHA
CLIA '88
HazCom
BBP standard
205
Which needle gauge has the largest lumen?
20
21
23
18
206
This test is used to monitor blood thinner us such as Coumadin/Warfarin Therapy
D-Dimer
PTT
CBC
PT
207
Platelets are also called
neutrophils
leukocytes
thrombocytes
erythrocytes
208
what is the recommended dilution strength when using bleach to decontaminate lab areas?
1:2
1:1
1:10
1:25
209
Blind or deep probing for a vein can result in:
stoppage of the normal venous blood flow.
part of the normal coagulation process.
backflow of tissue fluid into a vein.
vein collapse from excess pressure
210
guidelines from this are the basis for cert exam questions & the standards of care for the lab:
CLSI
PHS
HIPAA
ACO
211
A patient complains of pain radiating down his arm that does not subside. What should you do?
Collect the specimen as quickly as you can.
Discontinue the venipuncture immediately.
Say “Hold on or I’ll have to stick you again.”
Ask him if he wants you to stop the draw.
212
What is the purpose of warming the site before capillary puncture?
Prevent sample hemolysis
Increase the flow of blood
relax & comfort patients
Enhance visibility of veins
213
How many chambers are found in the human heart
4
2
3
1
214
How does dermal collection differ from venipuncture for tests that can be collected both ways?
order of draw
antiseptic used
additives used
ID procedures
215
The “standard of care” in phlebotomy is influenced by which of the following organizations?
HIPAA
The EPA
FDA
Joint Commission & CAP
216
It is preferable to perform most stat chemistry tests on plasma rather than serum b/c plasma
gives more accurate results.
is more stable than serum.
tests require less specimen
can be tested a lot sooner.
217
Most exposures to HIV in healthcare settings are the result of:
splashes during surgery.
accidental needlesticks.
tainted blood transfusions
touching infected patients
218
This U.S. government agency mandates and enforces safe working conditions for employees.
NIOSH
HICPAC
OSHA
CDC
219
Labeling of routine inpatient blood specimens should take place:
outside the patient’s room after collection
in the lab processing area after collection.
before the blood specimens are collected.
at the bedside immediately after collection.
220
what is the name of the law establishing standards for the electronic exchange of patient info?
OSHA
HIPAA
Medicare
CLIA
221
Which of the following capillary puncture procedure steps are in the correct order?
Warm, puncture, clean, wipe, collect
Clean, puncture, warm, wipe, collect
Clean, warm, puncture, collect, wipe
Warm, clean, puncture, wipe, collect
222
Which specimen needs to be transported on ice?
Ammonia
Carotene
potassium
bilirubin
223
Which of the following is one of the most common bedside or POCT tests?
troponin
glucose
cholesterol
blirubin
224
This tube stopper color indicates that the tube contains EDTA.
light blue
lavender
red
green
225
Lithium heparin is a suitable anticoagulant for which of the following tests?
Electrolytes
Protime
CBC
Lithium
226
This test detects parasites and their eggs in feces.
HCG
O&P
FOBT
C&S
227
what is the most CRITICAL aspect of blood specimen collection?
obtaining consent
verifying patient identification
wearing gloves that fit
decontaminating your hands
228
If a specimen has inadequate identification, the specimen processor may:
refer the tube to the lab supervisor
add the missing information to the label.
ask the phlebotomist to get a new sample.
contact the patient for correct information.
229
The most probable reason a phlebotomist would wrap a specimen in aluminum foil would be to:
maintain 37°C temperature.
protect it from room light
cool down the specimen.
cover a contaminated tube.
230
Normal plasma is a:
cloudy, completely colorless fluid containing 45% solutes.
clear or slightly hazy, pale-yellow fluid that is 90% water.
clear, colorless, watery fluid containing about 10% solutes.
slightly hazy, pale-yellow fluid that is close to 55% water.
231
Which of the following is a nervous system test?
C-reactive protein
CSF analysis
CK isoenzymes
AFB culture
232
Which of the following is 1 of the most impt ways to prevent healthcare-associated infections?
isolation procedures
hand hygiene
current immunizations
glove use, if indicated
233
Which of the following are required characteristics of capillary puncture lancets?
all choices are correct
Permanently retractable blades
Blades or points that are sterile
A controlled depth of puncture
234
A site for blood culture collection can typically be cleaned with which of the following?
Sodium hypochlorite
Hydrogen peroxide
All of the choices are correct
Chlorhexidine gluconate
235
A person who has A-negative blood has red blood cells that:
lack the A antigen and have the Rh antigen.
have both the A antigen and the Rh antigen.
lack both the A antigen and the Rh antigen
have the A antigen and lack the Rh antigen.
236
What precautions are to be used for a patient who has an enteric pathogen?
droplet
standard
airborne
contact
237
A laboratory report form should state that a specimen has been collected by capillary puncture:
to satisfy liability insurance requirements
because results can vary by specimen source.
so other tests will be capillary collections.
for equipment inventory control purposes.
238
Which dept performs tests to identify abnormalities of blood & blood forming tissues?
urinalysis
microbiology
hematology
chemistry
239
When a nonadditive specimen is spun in a centrifuge the substance that comes to the top is
buffy coat
plasma
red cells
serum
240
A trough drug level is collected:
30 minutes after administration of the drug intravenously.
when the highest serum concentration of drug is expected
immediately after administration of the drug by the nurse.
immediately before the next scheduled drug dose is given.
241
Which of the following would violate a patient's right to confidentiality?
Discussing the patient's test results with the family
Sharing information on a “difficult draw” with a coworker
Giving the patient a physician's name that you know & trust
Showing a patient his or her lab results when requested
242
Which type of precautions would be used for a patient who has pulmonary tuberculosis?
droplet
contact
airborne
reverse
243
After making a blood smear:
place it in alcohol.
wave it until dry
blow on it until dry.
let it dry naturally.
244
What is the best way to clean up blood that has dripped on the arm of a phlebotomy chair?
Absorb it with a gauze pad & clean the area with bleach.
Rub it with a damp cloth & wash the area with soap & water.
wipe it with an alcohol pad using outward circular motion
wait for it to dry, then scrape into a biohazard container
245
Capillary specimens contain:
arterial blood
venous blood
all of the choices are correct
tissue fluids
246
A leukocyte is a:
platelet stem cell
lymphatic cell
white blood cell
red blood cell
247
Collect a CBC, PTT, and stat potassium in the proper order of collection
Lavender top, serum-separator tube (SST), royal-blue top
Light-blue top, green top, lavender top
Gold top, yellow top, light-blue top
Red top, gray top, light-blue top
248
This mode of transmission involves contaminated food, water, drugs, or blood transfusions.
vehicle
contact
vector
airborne
249
Which of the following tubes will yield a serum sample?
green top
light blue top
lavender top
red top
250
A vascular access pathway that is surgically created to provide access for dialysis is
a PICC
an AV shunt.
a CVC
a saline lock
251
Clean-catch refers to the collection of urine:
the first thing in the morning
from a catheter in the bladder.
after cleaning the genital area.
in a container that is sterile.
252
A lipemic specimen is a clue that the patient was probably:
not fasting.
in basal state.
dehydrated.
jaundiced
253
Lavender stopper tubes are most commonly used to collect:
hematology tests
coagulation tests
immunology tests
chemistry tests
254
Which of the following steps should be omitted from infant heel puncture?
Apply bandage.
warm the site
Clean the site.
ID the patient.

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