A pneumatic tube is a

pressurized air transportation system

Which situation demonstrates integrity?

A phlebotomist who follows the rules when obtaining a blood sample

According to CLSI, the maximum time limit for separating serum/plasma from cell is

2.0 hours from time of collection

If a phlebotomist __________, they are negligent.

fails to put the needle and holder in the sharps container

Why is promoting good public relations a part of the phlebotomist's role?

It is viewed as valuable in the delivery of patient care

Which of the following represents improper aliquot preparation?

Carefully pouring the contents into the aliquot tube

Which of the following is a function of the urinary system?

To maintain electrolyte balance.

Transporting blood specimens with the stopper up has nothing to do with

maintaining sterility of the sample

Which action will compromise the quality of a specimen?

Partially filling a liquid EDTA tube

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Final Exam Review

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Answers

1
To maintain integrity of ABG specimen, it should be...
analyzed within 30 minutes.
protected from light.
transported at 37 degrees C.
immediately placed on ice.
2
Which test requires a 24-hour urine specimen?
Glucose tolerance test
Culture and sensitivity
Creatinine clearance
Fibrin split products
3
A prefix
All of the above
adds information about a term
precedes the word root
modifies the meaning of a term
4
A pneumatic tube is a
tube connection between two computers
pressurized air transportation system
type of collection tube for blood gases
temporary computer data storage unit
5
Which of the following is a test of the respiratory system?
CSF
UA
ETOH
ABGs
6
The Joint Commission "Do Not Use" list applies to all of the following except
electronic laboratory reports
handwritten laboratory reports
handwritten medication orders
writing on preprinted forms
7
When you are facing someone in normal anatomic position, at which body plane are you looking?
Frontal
Transverse
Midsaggital
Saggital
8
Drawing a patient's blood without their permission can result in a charge of
respondeat superior
breach of confidentiality
invasion of privacy
assault and battery
9
The medical term for white blood cell is
hepatocyte
leukocyte
erythrocyte
thrombocyte
10
Which situation demonstrates integrity?
A phlebotomist who follows the rules when obtaining a blood sample
A phlebotomist who gets a specimen for a doctor after taking shortcuts
A phlebotomist who admits making a mistake
A phlebotomist who takes advantage of learning situations
11
Which of the following types of muscle is under voluntary control?
Visceral
Cardiac
Smooth
Skeletal
12
The "standard of care" in the practice of phlebotomy is influenced by which of the following organizations?
The Environmental Protection Agency
The Joint Commission
The U.S. Food and Drug Administration
The Health Insurance Privacy Agency
13
Which action is considered improper telephone etiquette?
Answering the phone promptly
Prioritizing callers, if necessary
Hanging up on angry callers
Clarifying and recording information
14
What is the angle of insertion for ABG collection?
15
90
25
45
15
Some test specimens require immediate cooling in ice and water slurry to...
separate serum more completely.
prevent the specimen from clotting.
slow down metabolic processes.
prevent activation of cold agglutinins.
16
Which laboratory department prepares blood products to be used for patient transfusion?
Microbiology
Cytology
Immunohematology
Cytogenetics
17
When performing the Allen test, which artery is released first?
Brachial
Radial
Femoral
Ulnar
18
The abbreviation "ESR" stands for
eosinophil survival response
erythrocyte sedimentation rate
energy-saving respiration
estimated survival rate
19
You can perform an ABG collection on the same arm with an A/V shunt or fistula.
True
False
20
Which patient situation would cause a barrier to effective communication?
Wears reading glasses
Works a part-time job
Lives on a farm
Does not speak English
21
After performing ABG collection, you need to check the pulse...
distal to the puncture site.
proximal to the puncture site.
directly over the ulnar artery.
medial to the puncture site.
22
Which of the following is a test of the urinary system?
Creatinine clearance
Creatine kinase
Cholinesterase
Pleuracentesis
23
According to CLSI, the maximum time limit for separating serum/plasma from cell is
2.0 hours from time of collection
1.0 hour from time of collection
30 minutes from time of collection
15 minutes from time of collection
24
With which hospital department would the Chemistry lab department coordinate therapeutic drug monitoring, or TDM, with?
Pharmacy
Physical therapy
Radiology
Nuclear medicine
25
Accessioning takes place in central processing or triage.
True
False
26
The avascular layer of the skin is the
epidermis
corium
dermis
subcutaneous
27
Which observation communicates unprofessionalism?
Long hair pulled back
Intense odor of cologne
Short, clean fingernails
Clean laboratory coat
28
An example of a preanalytical error happening during specimen processing is
inadequate centrifugation
insufficient specimen
patient stress and anxiety
faulty collection technique
29
What antiseptic is used for ABG collection?
Heparin
Isopropyl alcohol
Sodium hypochlorite
Lidocaine
30
Which is the artery of choice for ABG collection?
Brachial
Femoral
Ulnar
Radial
31
This organization develops standards for specimen handling and processing
CDC
FDA
CLIA
CLSI
32
What additional information is required when labeling a nonblood specimen?
Special handling needs
Specimen type and source
Ordering physician's name
Biohazard warning
33
Which urine collection method involves aspiration of urine directly through the wall of the bladder using a syringe?
Fractional
Catheterized
Pediatric
Suprapubic
34
What word means "condition of clotting"?
Thrombosis
Hemostasis
Vasoconstriction
Leukopenia
35
What is the most common complication that can occur during ABG collection, even if proper technique is used?
Hematoma formation
Arteriospasm
Infection
Thrombus formation
36
If a phlebotomist __________, they are negligent.
does not obtain a specimen from a combative patient
puts the bedrail in an upright position when leaving
fails to put the needle and holder in the sharps container
reports obvious changes in the patient's condition
37
A specimen was mislabeled and the phleb has to fill out an incident report. What information is not part of the report?
Suggestion for new guidelines
Description of the consequence
Details of the corrective action taken
Explanation of the problem
38
A phlebotomist may have to instruct a patient on how to collect a clean catch midstream urine collection.
False
True
39
"ASAP" or "Med Emerg" specimens must be attended to before routine specimens.
True
False
40
Why is promoting good public relations a part of the phlebotomist's role?
It is viewed as valuable in the delivery of patient care
Ensures laboratory compliance with regulatory bodies
Reduces the number of duplicate tests
Reduces the fear of having venipuncture
41
What fluid is obtained by lumbar puncture?
Peritoneal
Pleural
Synovial
Cerebrospinal
42
Which of the following represents improper aliquot preparation?
Carefully pouring the contents into the aliquot tube
Removing the stopper behind a splash shield
None of the above
Covering or capping the aliquot tube immediately
43
What are the credentials for an ASCP-certified phlebotomist?
RPT
NCPT
CPT
PBT
44
What is the most common needle gauge for radial ABG collection?
25g
18g
22g
20g
45
Which of the following is a function of the urinary system?
To remove CO2 from the body
To receive environmental stimuli
To return tissue fluid to the blood
To maintain electrolyte balance.
46
Which stool test requires a room temp sample?
Urobilinogen
Fat analysis
Ova and parasite
All of the above
47
Transporting blood specimens with the stopper up has nothing to do with
maintaining sterility of the sample
encouraging complete clot formation
minimizing stopper-caused aerosols
reducing agitation-caused hemolysis
48
A good way to avoid lawsuits is to consistently perform venipunctures as rapidly as possible to get the results quickly
False
True
49
The layers of the skin containing blood vessels are
subcutaneous only
epidermis and dermis
dermis and subcutaneous
epidermis only
50
A specimen would most likely be accepted for testing despite this problem.
Incomplete identification
No phlebotomist initials
Expired evacuated tube
Quantity not sufficient (QNS)
51
Which action will compromise the quality of a specimen?
Mixing a serum separator tube 5 times
Partially filling a liquid EDTA tube
Drawing electrolytes in an amber tube
Placing a cold agglutinin in a heat block
52
Which of the following terms means kidney inflammation?
Hepatitis
Nephritis
Neuritis
Cystitis
53
Which is the literal translation in Greek for the term "phlebotomy"?
blood collection
capillary puncture
vein incision
vein dissection
54
Which body plane divides the body into equal portions?
Midsagittal
Transverse
Sagittal
Frontal
55
Which duty is least likely to be performed by local public health agencies?
Immunization and vaccination
Licensure of healthcare personnel
Venereal disease screening
Diabetes screening
56
A first morning specimen is preferred for hCG testing because it is...
less likely to be contaminated
typically more concentrated
all of the above
more likely to have a higher pH
57
The ability of the body to repair and maintain itself to achieve a "steady state defines what term?
Catabolism
Homeostasis
Hemostasis
Anabolism
58
Which statement is a confirming response to a patient?
"I understand how you must be feeling."
"I have no idea how long it will take."
"I'm on a tight schedule right now."
"I do not know what you mean."
59
The word elements of the term "polycythemia" mean
state of reduced blood cells.
lack of normal red blood cells.
condition of large blood cells.
blood condition of many cells.
60
Chilling will adversely affect the quality of test results for which of the following analyte?
Renin
Ammonia
Potassium
Lactic acid
61
3 of the following conditions are reasons a specimen could be rejected for analysis. Which one is not?
A CBC specimen contains clots
A bilirubin specimen is icteric
A fasting glucose specimen is lipemic
An electrolyte specimen is hemolyzed
62
The only outpatient phlebotomist is not familiar with an ordered test. What is the most appropriate action to take?
Draw both a serum and plasma sample
Call the physician's office for assistance
Refer to the procedure manual for instruction
Send the patient to another drawing center
63
Sputum samples are typically collected to diagnose
H. pylori
meningitis
tuberculosis
Diphtheria
64
How do you know if a specimen is arterial? The blood should...
pulse into the syringe
appear bright cherry red
look dark bluish red
have visible air bubbles
65
2 phlebs are discussing a patient's condition in the elevator. They are overheard by the patient's daughter. This is
res ipsa loquitur
invasion of privacy
failure to exercise due care
improper or unskilled care
66
Which responsibility is least likely to appear on a job description for a phlebotomist?
Performing laboratory computer operations
Transporting specimens to the lab
Collecting blood specimens
Starting intravenous (IV) lines
67
What is the recommended procedure for collecting a 24-hour urine sample?
Void the 1st morning, start timer and collect all other to next morning
Collect all of the urine voided in any 24-hour period
Collect the 1st morning specimen and all other except the next morning
Start timer, collect the 1st morning specimen and all to the next morning
68
Which levels are measured within an electrolyte panel?
BUN, cholestrol
glucose, uric acid
sodium, potassium
bilirubin, creatinine
69
The preferred needle gauge for ABG collection is 20g.
True
False
70
Which statement describes proper centrifuge operation?
Remove evacuated tube stoppers before placing them in the centrifuge.
Place tubes of equal size and volume opposite one another for balance.
Centrifuge serum specimens before they start to form noticeable clots.
Never centrifuge both serum and plasma specimens in the same centrifuge.
71
What does the suffix of the term "glycolysis" mean?
Glucose
Against
Breakdown
Living
72
What is earned as proof of participation in workshops to upgrade skills that is required by some agencies renew license?
Essentials
IACET
CEUs
Accreditation
73
A national organization that sets standards for phlebotomy procedures is the
TJC
NAACLS
CLSI
ASCP
74
Which is another name for blood bank?
Microbiology
Immunology
Immunohematology
Serology
75
Which specimen can be centrifuged immediately upon arrival in specimen processing?
Blood culture in an SPS tube
Calcium in a green top tube
Creatinine in an SST tube
CBC in a lavender stopper tube
76
The ulnar artery is first-choice for ABG collection.
False
True
77
Which of the following specimens needs to be chilled?
Bilirubin
Cold agglutinin
Ammonia
Serum protein
78
The "c" sounds like an "s" in which of the following terms?
Cardiac
Cellular
Culture
Coagulation
79
Drugs of abuse can be tested for in
saliva
hair
all of the above
urine
80
An NP swab is collected to detect the organism that causes
genetic defects
whooping cough
strep throat
encephalitis
81
Which of the following would not violate a patient's right to confidentiality?
Tacking a patient's lab results on the bulletin board
Listing all HIV+ patients in the laboratory computer
Indicating the nature of a patient's disease on the door
Sharing collection site information on a difficult patient
82
Labeling of a specimen must be exact.
True
False
83
Which of the following would not be considered a preanalytical error?
Using wrong order of draw
Misreporting patient results
Failing to mix an additive tube
Mislabeling an aliquot tube
84
Which department is responsible for administering oxygen therapy?
Physical therapy
Electroencephalography
Cardiodiagnostics
Respiratory therapy
85
The pituitary gland is often called the "master gland" of the endocrine system.
True
False
86
Why is heparin used in ABG collection?
Prevent clotting of the specimen
Stabilize oxygen and CO2 levels
Reduce the amount of pain when puncture is performed
To increase flow of blood
87
What word means "hardening of the artery"?
Arteritis
Arteriospasm
Arteriopathy
Arteriosclerosis
88
A urine C&S is typically used to detect
presence of UTI
abnormal urine pH
glucose overload
kidney damage
89
The letter "g" is pronounced like a "j" in
guaiac
gamete
glycolysis
gestation
90
What happens to an ABG specimen that has been left at room temp for a prolonged period?
Blood cells continue to consume oxygen
Levels of carbon dioxide increase
Continued metabolism produces acids
All of the above
91
Which one of the following examples is unrelated to quality control?
Recording refrigerator temperature daily
Employees filling out their time sheets daily
Documenting maintenance on a centrifuge
Checking expiration dates of evacuated tubes
92
The purpose of the Joint Commission's Office of Quality Monitoring is to:
evaluate and track complaints related to care.
implement immediate response to safety issues.
inspect healthcare facilities for accreditation.
set specific patient safety goals to improve care.
93
Which patient would be considered in "steady state" for ABG collection?
A patient breathing on a ventilator for the last 15 minutes
A patient who has been asleep for the last 30 minutes, breathing room air
A patient who just finished treatment with a respiratory therapist
A patient breathing oxygen while finishing lunch
94
Malpractice is a claim of
improper treatment
breach of confidentiality
assault and battery
invasion of privacy
95
ABG syringes (aka cartridge) are pretreated with EDTA to ensure the sample does not clot.
False
True
96
What nonblood specimen has to be protected from light?
Cerebrospinal fluid
Tissue biopsy
Sputum sample
Amniotic fluid
97
Which behavior demonstrates negative kinesics?
Smiling
Frowning
Touching
Eye contact
98
The term "distal" means
nearest to the center of the body
higher or above
toward the back
farthest from the point of attachment
99
Which of the following is used by the laboratory to identify a specimen throughout the testing process?
Mnemonic code
Hospital number
Accession number
Password ID
100
A phlebotomist must undergo further training to perform ABG punctures.
True
False

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