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Phlebotomy Exam
Phlebotomy Exam
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1
what is likely to occur if the needle is withdrawn before the tourniquet is removed
d. hematoma
c. petechiae
a. hemoconcentration
b. hemolysis
2
What should you do if a STAT test is ordered and the patient is not in their room
d. Post pone the collection
b. Leave a note at the nurse's station
a. Wait until they return
c. Locate the patient
3
the most common procedure for collecting many tubes of urine specimen is known
c. suprapubic aspiration
d. timed specimen
a. catherterized urine sample
b. midstream clean catch
4
HIPPA is
a. a national certification exam
b. an organization that aids the public in accessing a persons health info
d. designed aid phlebotomists in assisting a blood sample to tube top
c. designed to keep personal health information private
5
is it necessary for a patient to fast for 12 hours before
c. glucose tolerance test
a. therapeutic phlebotomy
b. blood donation
d. blood culture
6
what is the most important step of the blood collection procedure
c. appropriate vein selection
b. selections of the proper tubes
a. patient indentification
d. application of the tourniquet
7
the legal term for intent to cause harm or injury to a person and actually doing so is called
c. battery
b. negligence
d. litigation
a. breach of contract
8
if a phlebotomist encounters a combative patient they should:
c. tie the patients arm down
b. attempt to venipuncutre when the patient is not looking
a. be empathetic & patient
d. continue asking the patient to cooperate until the patient submits
9
veins carry
b. deoxygenated blood to the heart
d. oxygenated blood from the heart
c. oxygenated blood to the heart
a. deoxygenated blood to the heart
10
which term refers to a rapid, serve, life threating immune reaction
c. irritant contact dermatitis
b. anaphylaxis
d. sensitivity
a. allergic contact dermatitis
11
What is the purpose of the requisition?
d. All of the above
b. determine the specimens to be collected
a. identify the patient
c. allow all proper equipment to be gathered for collection
12
Plasma consits of what percemtage of total blood volume?
d. 92
b. 55
c. 80
a. 45
13
handling samples obtained from a patient with a trans blood borne disease, which additional precautions should be taken
b. standardized isolation
c. blood and body fluid precautions
d. reverse isolation
a. strict isolation
14
a collection of blood below the surface of the skin is called
a. hemolysis
d. hematoma
c. hematology
b. hematuria
15
which laboratory department requires a special identification system in addition to the hospital ID bracelet
b. coagulation
d. blood blank
c. hematoma
a. chemistry
16
what is the most important meas used to prevent the spread of infection
a. wearing gloves
c. wearing a mask
d. quarantine infectious patients
b. hand washing
17
the most common antiseptic used to clean a venipuncture site is
a. bleach
c. chlorhexidine gluconate
d. betadine
b. isopropyl alchol
18
prolonged bleeding time may be a sign of
d. early infection
a. low white blood cell count
b. low red blood cell count
c. low platelet count
19
__ is the substance in erythrocytes that carries oxygen
c. hemoglobin
d. albumin
a. sodoum chloride
b. water
20
How many inches should a tourniquet be placed above the vein puncture site
c. 3 to 4
a. 1 to 2
b. 2 to 3
d. 4 to 5
21
Veins and arteries are composed of how many layers
a. 1
c. 3
d. 4
b. 2
22
which of the following neonatal test is required by law
b. bilirubin
a. hemoglobin
d. cruetzfeldt- jacob
c. phenylketonuria
23
when donning a gown, mask , respirator, face shield, and gloves, which items should be put on last
a. gown
b. maski
c. gloves
d. respirator
24
what vein is most commonly used when performing a blood draw
a. the basilica
c. the main cubital
d. none of the above
b. the antecubital
25
which laboratory department performs complete blood cell counts (CBC)
c. immunochematology
d. microbiology
b. hematology
a. chemistry
26
all of the following statements concerning the quality of blood specimens are true except
d. the laboratory will not always be able to detect problem with a specimen
a. phlebotomy technique is critical to test result
c. specimen of low quality can produce inaccurate
b. specimen handling has no effect on the labe result
27
what is the most commonly used anticoagluant for blood tests
a. EDTA
b. Potassium oxalate
c. sodium oxalate
d. heparin
28
the prime function of red blood cells is to
c. fight infection
d. carry hemoglobin
a. provide nutrients to the leukocytes
b. provide nutrients to the erythrocytes
29
the liquid portion of the blood collected from a red shirt - stoppered tube following centrtrugation
a. plasma
b. serum
c.
d. sodium citrate
30
when perfroming venipuncture, a hematoma forms, all of the following actions are acceptable except
c. ignoring it and controlling the specimen
a. removing the needle to apply pressure
d. trying another site
b. adjusting the depth of the needle
31
professionals should
a. be groomed well
c. follow the standards and guidelines
d. all of the above
b. dress correctly
32
what point of care test can be used for a routine urinalysis
a. glucose monitor test
d. human chorionic gonadotripin (HCG)
c. dipstick test
b. occult blood
33
which of these factors do not usually contribute to syncope
a. fatigue
c. sudden decrease in blood volume
d. hematoma
b. cardiac arrhythmia
34
to prevent aerosol from getting in a phlebotomist eyes, she/he should wear a
a. mask
c. cap
d. gloves
b. goggles
35
when performing venipuncture, the tourniquet should never be on for more than
b. 30 seconds
a. 15 seconds
c. 45 seconds
d. 1 minute
36
to protect blood constitutents that are light sensitive, the phlebotomist should
d. none of the above
a. wrap the tube in aluminum foil after collection
c. place tube in a dark container
b. draw blood in a dark room
37
which of the following body systems protects vital organs & gives body structure
b. integumentary system
d. muscular system
a. skeletal system
c. vascualr system
38
microorganism that can cause disease are considered
a. normal flora
b. bacterial
d. all of the above
c. fungal
39
which of the following steps are in proper order
c. apply pressure, release tourniquet, remove the needle
a. remove needle, apply pressure, release tourniquet
b. remove needole, release tourniquet, apply pressure
d. release the tourniquet, remove the needle, apply pressure
40
a lavender/ purple top vacationer tube that contains EDTA is most commonly used for
b. PTT
c. CBC
d. SST
a. PT
41
which anticoagulant is used for blood gas determinations
b. SPS
a. EDTA
d. sodium citrate
c. Heparin
42
hypoglycemia is
b. high chloesterol
a. high blood sugar
c. low blood sugar
d. low cholesterol
43
which of the following tubes should be drawn first
a. light blue
b. green
d. red
c. lavender
44
what is the first action one should take if stuck with a used needle that has been in contact with blood
d. seek medical attention
c. tourniquet the injured limb
b. flood the exposed area with water & clean the wound with soat & water
a. dial 911
45
all of the following are ways an infection can be spread between patients, except:
b. isolation
c. droplets
a. airborn
d. direct contact
46
cytology is the study of
c. tissue
b. cells
a. brain
d. organs
47
which of the following biological conditions may least affect the results of a blood test
b. pregnancy
d. medications
a. posture
c. diet
48
all of the following equipment may be discarded after use except
d. gloves
b. alcohol swabs
a. blood pressure cuffs
c. needles
49
hemogard is a type of
b. splashguard
c. lancet
d. anticoagulant
a. needle
50
all of the following are true statements about collecting blood alchol levels except
d. the site must be cleaned with alchol
b. tubes must be filled as full as the vacuum allows
a. use sterile soap & water to clean the puncture site
c. the specimen should not be left uncapped
51
the phelbotomist can normally except serum produced after spinning in a tube to be
a. mikey white
d. purple
b. Brown
c. clear or straw colored
52
when a sharps container is full, it should be
a. reported to the lab supervisor
b. emptied in to a biohazard bag
c. properly closed and put it in a leak-proff biohazard container
d. emptied into the trashcan
53
what following documents contains fact about chemicals, their hazards procedure for clean up & first aid information
d. NFPA diamond- shaped label
a. checmial label
c. OSHA regulations handbook
b. material safety data sheet (MSPS)
54
What is the term for blood donated by a patient to be used for a planned future surgical operation
d. directed donation
c. compatibility testing
b. blood typing
a. autologous donation
55
Which is not an example of proper laboratory safety
a. washing hands between patients
d. properly disposing of sharps
c. reusing gloves
b. wearing personal protective equipment
56
what is the name for the part of the needle that attached to the collection tube of syringe
b. gauge
d. hub
a. bevel
c. lumen
57
erythrocytes are
c. Lymphocytes
d. RBC's
a. platelets
b. WBC's
58
a phlebotomist is required to wear which of the following PPE when performing a routine venipuncture
a. a mask
c. gloves
b. a gown
d. eye protection
59
sodium heparin can be found in which of the following tubes
d. lavender
b. green
c. light blue
a. red
60
the 5 hour OGTT is used to test for:
d. blood glucose
a. anemia
b. epinephrine
c. lactose
61
all of the following are reasons for clotting to occur in anti- coagulated tube expect
d. hemolysis of red blood cells
b. failure to sufficiently mix blood & anti- coagulant
blood collected in a syringe was not add quickly to tubes with antiocaluate
a. improper ration of blood to anit- coagulant
62
venipuncture should be advoided in the arm on the affected side when a patient has has a(n)
d. rhinoplasty
b. colostomy
c. mastectomy
a. localized skin lnfection
63
The test performed to check for blood in fecal matter is
c. clean catch test
d. occult blood test
b. 73 hour stool test
a. random test
64
which of the following would be the largest sized needle
d. 23 gauge
c. 21 gauge
b. 20 gauge
a. 16 gauge
65
the primary source of information when labeling a specimen is
c. wrist band
d. specimen collection manul
a. patients comments
b. nurse
66
venipuncture can be performed by using
a. a vacutainer technique
d. all of the above
b. a butterfly
c. a syringe
67
a patient is refusing to have their blood drawn the phlebotomist should do all of the following except
a. return the lab requisition to the lab
c. try to convince the patient to have his or her blood drawn
d. force the patient to have his or her blood drawn
b. contact the patients nurse
68
which is the largest bore opening
a. 14 gauge
c. 21 gauge
d. 22 gauge
b.. 20 gauge
69
What is the maximum amount of time an infant heel warming device should be applied for
a. 1-2 minutes
d. 3-5 minutes
b. 8-10 minutes
c. 30 seconds
70
improper cleaning of a venipuncture site could cause
c. septicemia
a. UTI
b. retechaie
d. hematoma
71
to prevent a hematoma, the tourniquet should be removed
c. before the 30 seconds elapse
a. before removing the needle
d. before palpating the vein
b. after removing the needle
72
while sitting, a patient faints all of the following actions are acceptable expect
c. quickly go for help
a. positioning a patients head between his/her legs
b. placing a cold compress on the back of the patients neck
d. remove the needle & apply pressure
73
the following vacationer tube contains NO additives
c. Green tube
b. Prumple tube
d. Grey tube
a. Red tube
74
the most effective means of preventing the transmission of disease in a health care
b. use of masks
d. hand washing
c. surveillance
a. use of gowno
75
the abbreviation for "immediately" is
d. STAT
a. ASAP
c. NPO
b. ER
76
during an oral GTT, the patient is allowed to consume water only
False
True
77
the first thing phlebotomist do when performing an adult standard venipucture is
c. examine the requisition form
a. apply a tourniquet
examine the patients identification band
b. identify vein by palpation
78
a barrier to effective communication is:
b. paying attention
a. listening
c. empathy
d. stereotyping
79
what is an inanimate object capable of carrying infectious organisms
d. culture
b. portal of entry
a. host
c. fomite
80
the prefix phlebo-
c. injecting
d. needle
a. vein
b. blood
81
what position should the bevel of the needle be in before entering a vein
a. facing toward the side
b. the position doesn't matter
d. facing upward
c. facing down
82
Which of the following personnel may be found in a clinical laboratory
a. pathologist
d. all of the above
c. phlebotomist
b. medical technologist
83
the most common gauge is used for routine venipuncture is
d. 20 gauge
b. 25 gauge
c. 14 gauge
a. 16 gauge
84
which area of the lab will most often have strictest specimen collections requirement
a. chemistry
c. hematology
b. blood bank
d. bacteriology
85
which specimen requires chilling during transfer
b. arterial blood gases
c. cryofibrinogen
d. bleeding time
a. CBC
86
when performing a dermal picture on children younger than one year old, the best site is
d. the heel
b. the finger
a. the buttocks
c. the leg
87
What is the most common chemistry test performed by means of POCT
b. CBC
d. sodium
a. glucose
c. potassium
88
small red spots on the skin caused by a tourniquet that is to tight is known as
a. hematoma
d. hemolysis
b. petechiae
c. hemoconcentration
89
it is not true that
b. disposable needles can never be reused
d. recapping used needles after routine venipuncture is acceptable
a. the tube holder & needle are discarded
c. a safety device that is part of the needle hooder may be revised
90
occluded veins are blocked and feel hard or cord-like to the touch
True
False
91
lavender- stoppered tubes are used for all of the following tests except
c. platelet count
a. WBC
b. CBC
d. blood glucose test
92
which of the following cells contributes to blood clotting the most
d. RBC's
a. platelets
b. WBC's
c. lymphocytes
93
when performing a micro capillary blood collection, in the case of an infant, the skin puncture may include
b. the earlobe
a. the belly
c. the forearm
d. the elbow
94
what test is used to diagnose hypoglycemia
a. 5 hour oral GTT
b. 2 hour PP (postprandial) glucose
c. 1 hour oral GTT
d. 3 hour oral GTT
95
a gary top vacationer tube is most commonly used for
c. CBC
a. PT
d. GTT
b. PTT
96
Which of the following is NOT an anticoagulant?
d.EDTA
b. sodium heparin
c. sodium citrate
a. polymer gel
97
a retractable sheath is part of a
a. multiple draw needle
c. 21 gauge needle
b. lancet
d. vacutainer
98
respiratory precautions will be used for which of the following disease(s)
c. hepatitis B
b. tuberculosis
d. HIV
a. staphylococcal skin infections
99
all of the following are reason to avoid an area of the arm to perform venipuncture except
a. petechaie
b. scarred veins
d. edema
c. obesity
100
What is the first step one should take upon seeing smoke or flames in the laboratory
c. evacuate the building
d. open all doors and windows
b. find an extinguisher and try to put the fire out
a. pull the fire alarm
