When selecting a vein in the antecubital area, what action will help determine the size, depth and direction of vein?

palpate the pt's antecubital area

Hospitals have strict protocols for pt identification prior to blood collection for transfusion testing. One is:

A special identification wristband

The micro collection containers above both have a similar characteristic. What is it? (LAVENDER AND LIGHT GREEN)

both containers have an anticoagulant

The best site for a dermal puncture on the fingers is the:

distal area of the middle finger and ring finger

that are required from healthcare settings

The four basic elements in the communication loop are:

sender, message, receiver, and feedback.

The post-examination phase of laboratory testing includes:

reporting results to the physician

After a dermal puncture, the step before collecting blood in the micro-collection container is:

wipe the first drop of blood away

False positive blood culture results may occur due to:

re-palpating the puncture site after cleansing

Upon entering a patient room, you encounter a fire in the waste container. The FIRST thing you should do is:

rescue those who need immediate help

One backdraw of a dermal puncture for the laboratory is:

the small amount of blood collected

Why should small children not have bandages applied after a dermal puncture?

because of a swallowing or choking risk

safety dermal puncture devices have a blade that retracts after the device is used. Why are safety devices recommended?

They help to prevent accidental needlesticks

You greet your pt. w/ a smile & eye contact, but your pt. seems to be avoiding eye contact. How should you handle this?

Continue to behave in a friendly manner & exercise common social politeness

Lactic acid blood collection requires:

venipuncture without a tourniquet

It's recommended to draw a discard tube before collecting a sodium citrate tube. Why should this be done?

To remove any blood contaminated with thromboplastin.

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Phlebotomy Final Review HACC

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1
You see the word "cyte" at the end of a word. What does this mean?
serum
blood
cell
tissue
2
When selecting a vein in the antecubital area, what action will help determine the size, depth and direction of vein?
palpate the pt's antecubital area
heat the pt's arm in the elbow area
pinch the pt's arm in the antecubital area
chill the pt's arm in the antecubital area
3
What will happen if a tourniquet is left on too long?
infection of the site
hemoconcentration
excessive bleeding
specimen contamination
4
Knowing the anatomy of blood vessels, what type of vessel is shown in image "A"
vein
inferior vena cava
artery
capillary
5
Hospitals have strict protocols for pt identification prior to blood collection for transfusion testing. One is:
Special tube systems
Special reagents
A special identification wristband
Special donor requirements
6
A 58 yo male has HDL and LDL blood tests ordered. What type of tests are these?
Cardiac
Glucose
Cholesterol
Blood type
7
During the final step of hemostasis,the blood clot will start to dissolve & the blood vessel starts to repair itself.aka
secondary hemostasis
dissolving stage
breakdown
fibrinolysis
8
which image(s) represents the proper handling of specimens for blood gases? choose all that apply
image D
image B
image A
image C
9
Your first venipuncture request at 6:30am. Once you have request form, verify all info is correct. (LOOK @ PIC)
D
B
A
C
10
The best urine specimen to use for general health assessment is the :
24-hour collection
clean-catch specimen
first morning void
random void
11
What's the name of the test that'll check for HEPATITIS, CIRRHOSIS, and other LIVER DISEASES?
Hepatitis Panel
Hepatic Function Panel
Hepatitis B
Basic Metabolic Panel
12
The micro collection containers above both have a similar characteristic. What is it? (LAVENDER AND LIGHT GREEN)
nothing is similar between these containers
both containers have an anticoagulant
both containers have a separator gel
both containers have an light barrier
13
Place the blood collection containers shown in this image in their proper order of draw.(Yellow;Lt green;Lavender)micro
3, 2, 1
1, 2, 3
3, 1, 2
2, 3, 1
14
The best site for a dermal puncture on the fingers is the:
distal area of the middle finger and ring finger
medial area of the middle finger and ring finger
lateral area of the plantar surface
medial area of the plantar surface
15
You have a lab order to collect the following: CBC, complete metabolic panel, PT,CK-total. What color tube collects CMP?
Light Blue
Gold
Lavender
Yellow
16
When describing a needle, the gauge is referred to as:
outside diameter
none of these
bore size
length
17
Proper documentation is a vital link in preventing?
Stress.
Burnout.
Stereotyping.
Liability.
18
Which vein is the first vein a phlebotomist should attempt to find?
cephalic
hand
basilic
median cubital
19
HAIs are infections
of the nasal passage
that occur in communal settings
with non-pathogenic organisms
that are required from healthcare settings
20
The four basic elements in the communication loop are:
speaker, listener, sender, and message.
sender, message, receiver, and feedback.
receiver, message, listener, and feedback.
message, feedback, listener, and white noise.
21
Select the evacuated tube, represented by the stoppers in image, that should be used to collect blood for a CBC.
Light Green
Lavender
Light Blue
Red
22
The formation of a mass under the skin is a result of:
a hematoma
the collapse of a vein
ecchymosis
hemoconcentration
23
You hold down a pt. to collect blood.Pt. is 20yo and can make his own decisions.Pt didnt want. Youre taken to court for:
battery
negligence
statute of limitations
malpractice
24
The post-examination phase of laboratory testing includes:
reporting results to the physician
performing recommended follow-up
confirmation of laboratory test requests
running required control samples
25
After a dermal puncture, the step before collecting blood in the micro-collection container is:
hold gauze against the site
Squeeze the site
wipe the first drop of blood away
scrape the container against the site
26
while performing a dermal puncture the phleb has difficulty forming a good drop of blood and blood goes everywhere but
Both of these
Image A
Image B
Neither of these
27
Youre unable to collect capillary blood from the finger of a child who has cold hands that appear bluish. Whats the term
cyanotic
xanthochromic
hypochromic
melanomic
28
Diseases can be transmitted in several ways. A pt's cough is an example of ___________ transmission.
vehicle
aerosol
vector
airborne
29
A Physician wants to assess a pt's basal state. When should this specimen be collected?
Late in the afternoon
Twice during the day
At a specific time of day
First thing in the morning
30
What test measures Oxygen, Carbon dioxide, and pH levels?
Blood culture
ABG
Electrolytes
Specific Gravity
31
False positive blood culture results may occur due to:
circular cleaning of the puncture site
allowing the cleaning agent to dry on the skin.
re-palpating the puncture site after cleansing
wiping the tube stopper with alcohol prior to collection
32
A term used to encompass variation within a category is:
stereotype
attributes
culture
diversity
33
Upon entering a patient room, you encounter a fire in the waste container. The FIRST thing you should do is:
rescue those who need immediate help
Contain the fire as much as possible
extinguish if possible
activate the fire alarm or phone in the alarm
34
One backdraw of a dermal puncture for the laboratory is:
the large amount of blood collected
the method may not work for small children
the small amount of blood collected
the blood is always hemolyzed
35
Why should small children not have bandages applied after a dermal puncture?
because of the small area punctured
because of a swallowing or choking risk
because it will constrict the patient's finger
because the bandages become contaminated
36
Determining whether or not a pathogen is resistant to an antibiotic is the responsibility of which medical lab dept?
clinical chemistry
microbiology
immunology
blood bank
37
Which of the images shows proper placement of the needle during venipuncture?
Image C
Image D
Image B
Image A
38
You are asked this question during your interview: "Who may order a blood test?" What is your answer?
Any healthcare worker
A ward or unit clerk
The patient
The healthcare provider
39
Comparing the performance of a laboratory with that of other laboratories is a function of:
continuing education
competency assessment
proficiency testing
audit and evaluation
40
You are to draw blood from the pt's basilic vein. The medical term used to describe the location of the basilic vein is:
superior
medial
proximal
anterior
41
Pneumatic tube systems move phlebotomy specimens using a(n):
robotic system
track system
vacuum system
elevator system
42
When describing a petient's skull, which term would you use?
Lumbar
Encephalo
Thoracic
Cranial
43
safety dermal puncture devices have a blade that retracts after the device is used. Why are safety devices recommended?
They help to prevent accidental needlesticks
They help to prevent clotting
They help to cut across the fingerprint
They help to prevent hemolysis
44
Hemostasis is the word that describes:
the destruction of blood cells
the controlling of blood flow
the clotting of blood
an increase in the flow of blood
45
Blood and blood products that are used in the treatment of pts. must be labeled according to standards by which agency?
AABB
FDA
CDC
EPA
46
Attempting to perform procedures for which you are you are not fully trained may result in:
quality patient outcomes
improved customer satisfaction
perceived negligence
a high level of patient care
47
If a pt has a complication during a venipuncture procedure, the reaction/complication must be:
ignored
documented
recognized
discussed
48
You greet your pt. w/ a smile & eye contact, but your pt. seems to be avoiding eye contact. How should you handle this?
The pt. is being antisocial, so you shouldn't attempt a convo and focus.
you should confront the pt. about not making eye contact
Continue to behave in a friendly manner & exercise common social politeness
The pt. may be hiding something; you should make sure to thoroughly ID them
49
Lactic acid blood collection requires:
warming after collection
a chain-of-custody form
venipuncture without a tourniquet
heated tubes
50
It's recommended to draw a discard tube before collecting a sodium citrate tube. Why should this be done?
To add to the platelet function test
To remove the layers of skin before entering into the sodium citrate tube
To have extra blood
To remove any blood contaminated with thromboplastin.
51
Which tube should be drawn first in the order of draw?
light-blue tube
lavender tube
either tube may be drawn first
a red-topped tube must be drawn before either tube
52
The NFPA chemical hazard codes indicate all of the following EXCEPT:
health hazard
reactivity
alkalinity
flammability
53
Once a micro-collection container with an anticoagulant additive is filled correctly, what is the next step?
Apply the cap and shake the container
Apply the cap and mix by inverting the container
Place the container upright on the counter.
Place the container in a cold place
54
The term "oral" pertains to the:
windpipe
mouth
throat
tooth
55
The anticoagulant in a gray-stoppered blood collection tube is:
potassium heparin
sodium fluoride
lithium heparin
potassium oxalate
56
Proper handling of semen specimens includes that they:
should be collected in a condom
should be kept refrigerated and transported on ice
should be delivered within 30 minutes of collection
are best collected after 7 days of continence
57
Providing medical care for an elderly person would best be performed by a physician who is a:
Pediatrician
Gerontologist.
Family Practice Physician
Neonatologist
58
If the Phlebotomist is unsure of a decision regarding specimen collection, the best place to find correct info is the:
quality assurance manual
levey-jennings manual
standard operating procedure manual
quality control manual
59
A pt needs a CBC, HIV, lipid panel, CMP, random glucose, and TSH collected. Which needs to be collected as fasting?
Random Glucose
HIV, TSH, random glucose
Lipid Panel
CBC, CMP
60
A phlebotomist collects a specimen from a pt in an isolation room. What can they do to prevent the spread of infection?
wear all appropriate PPEs
Dispose of contaminated equipment outside the room
wash his hands before removing his PPEs
Remove PPEs outside the room
61
When performing quality control on a POC instrument, 1 of the 2 levels is out of range. Whats the appropriate next step?
run only the STAT tests and rerun the control later
repeat the control after verifying expiration date and proper handling
throw out both controls and start all over again
run all patient specimens and then repeat the control
62
The Greek term Phlebotomy means:
drain blood
dermal cut
cut into a vein
draw blood
63
What is the purpose of having velves in our veins
to keep blood from flowing backwards in the vein
to keep blood from moving forward too quickly
to filter blood as it passes by
to push blood so that it keeps moving
64
The specimen on the right in this image needs to be recollected because:
the sample should be plasma
RBCs have been destroyed
the serum is lipemic (cloudy)
the specimen tube is overfilled
65
Choose the additive in the micro collection container shown on the right.
The container on the right has lithium heparin
There are no additives in the container on the right
The container on the right has EDTA
The container on the right has sodium citrate
66
When a blood culture specimen is contaminated with organisms that didnt originate in the blood, this is called a:
positive result
negative result
false-negative result.
false-positive result.
67
The object in this image is used to: (pic of a scanner)
take the patient's temperature
verify a patient's identity
locate a suitable vein
perform a glucose reading
68
Which of the following is a common blood test used to check for heart trauma or myocardial infarction?
Prothrombin Time
Creatine Kinase
Platelet count
BNP
69
What is the anticoagulant additive in a lavender-stoppered evacuated blood collection tube?
Sodium fluoride and potassium oxalate
Ethylenediaminetetraacetic acid
There are no additives
Sodium, lithium, or ammonium heparin
70
What liquid is acceptable to drink when fasting?
coffee
milk
fruit juice
water
71
Which of the following actions kills microorganisms when you use rubbing alcohol on your hands?
The applying
The mixing
The rubbing
The drying
72
Blood collection for therapeutic drug monitoring requires:
use of alternate antiseptic
standard venipuncture procedure
sterile technique be followed
chain-of-custody procedure
73
Formed elements in the blood make up what percent of the blood's total volume?
65%
45%
55%
35%
74
Which event will most likely affect patient satisfaction with the laboratory?
The phlebotomist forgot to wear her/his name badge.
The phlebotomist was perceived as being rude.
Results took a little longer than expected.
The laboratory waiting area had music playing.
75
A light-green-stoppered evacuated blood collection tube contains:
no additives.
sodium fluoride and potassium oxalate
sodium, lithium, or ammonium heparin.
ethylenediaminetetraacetic acid.
76
A dermal puncture may NOT be used to collect a specimen for:
glucose
hemoglobin
hematocrit
blood cultures
77
When collecting a specimen for blood culture, some blood is placed into an aerobic bottle and will be exposed to a(n):
oxygen-rich environment
oxygen-free environment
gas-free environment
room air environment
78
underfilling an evacuatedtube is possible if the tube is removed from the assembly before its completely filled. LT blue
too much blood will be drawn for the proper blood to anticoagulant ratio
the phlebotomy procedure is completed faster
there is no impact on the results
too little blood will be drawn for the proper blood to anticoagulant ratio
79
Determining ways to prevent errors from happening in the future is the purpose of:
process improvement.
corrective action.
preventive action.
audit and evaluation.
80
Making sure that you adhere to the required dress code and presenting a well-groomed appearance and manner are part of:
occupational safety
professionalism
customer feedback
scope of practice
81
Testing for human chronic gonadotropin assesses the status of:
pregnancy in women
male fertility
none of these.
streptococcus infection
82
How does blood collection for blood alcohol testing differ from routine draws?
No iodine or alcohol is used for skin preparation.
The patient must always be fasting.
No tourniquet is used for blood alcohol specimens.
A sterile technique is used instead of an aseptic technique.
83
When performing a venipuncture, you notice an IV on the pt's right hand. Where should you obtain you blood sample?
draw from the right AC with the IV fluid turned off.
obtain the blood sample like any other blood draw
draw blood on the right AC with the IV fluid still running
choose the left arm if possible
84
Which tube is specially designed to be free from all trace elements?
Red
Tan
Royal Blue
Green
85
What holds the genetic code that contains all information needed for processes of the body?
RNA
PPE
Brain
DNA
86
You are required to draw blood for plasma chemistry tests. Which tube would you select for this blood draw?
Image A
Image B
Image C
Image D
87
Place the blood collection containers, represented by the stoppers in this image, in their proper order of draw:
1, 2, 3, 4
4, 3, 2, 1
3, 2, 1, 4
2, 4, 1, 3
88
The liquid in the blood culture bottles:
promotes bacterial growth
removes antibiotics
inhibits normal flora
destroys pathogens
89
Some special handling procedures require specimens to be chilled after collection. Why?
chilling speeds up the metabolic process
Chilling slows down the metabolic process
chilling keeps the specimen from light exposure
Chilling keeps the specimen from hemolyzing
90
Which government agency mandates the use of PPEs?
HAZMAT
OSHA
SDS
CLSI
91
You enter a room to collect a blood specimen and notice the sign above the bed states "NPO." This means that
you are not to collect blood from either arm
the patient may not eat or drink anything
you should have put on isolation PPEs
the patient is a new patient under observation
92
Which of the following tests requires specimens to be placed in a body temperature heater upon collection?
blood gases
alcohol
cold agglutinins
ammonia
93
In what phase of laboratory testing are phlebotomists most frequently involved?
None of these phases
Post-examination
Examination
Pre-examination
94
During a clean-catch urine specimen, which portion is collected into the sterile container?
End of the stream
Middle of the stream
Beginning of the stream
All of the urine
95
A physician requests that a BMP be drawn. What's the meaning of this test and which dept should it be completed in?
Basic Morning Panel; Hematology
Basic Metabolic Panel; Chemistry
Before Morning Panel; Immunohematology
Basic Metabolic Panel; Microbiology
96
You enter a pt's room in the ICU. The nurse informs you that this pt. is in a coma. What should you do?
Inform the pt. of your presence and explain the procedure.
The pt. can't identify herself, so you can't collect a specimen from her.
Call for a guardian to approve the specimen collection procedure.
Collect the specimen and simply ignore the pt.
97
In the picture, name the layers that you see, starting with the top layer
Plasma, buffy coat, cellular elements
serum, WBC, RBC
serum, gel, cellular elements
Plasma, WBC, RBC
98
You are assisting another phlebotomist, who asks to hand her a plasma separator tube (PST). Which tube will you give?
Light Green
Royal Blue
Gold
Green
99
inpatient facilities where phlebotomists can work include all of the following EXCEPT:
Rehabilitation Centers
Nursing Homes
Physician office laboratories (POL)
Hospitals

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