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Phlebotomy practice test
Phlebotomy practice test
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1
The first step in the testing process begins when the
Test is ordered by the healthcare provider
Specimen is collected from the patient
Laboratory technician receives the sample
Specimen is delivered to the laboratory
2
Which one of the following tests could be collected using a tube other than a trace element free tube?
Zinc
Lead
Sodium
Copper
3
The OSHA HazCom standard is also commonly called the
Right-to know law
Chemical act
UN placard system
Disclosure law
4
Which test is used to monitor heparin therapy?
ACT
BT
TnT
PT
5
Never leave a tourniquet on for more than
2 minutes
30 seconds
1 minute
3 minutes
6
The site radial artery puncture is located in the wrist
About 1 inch above crease
On the underside of the arm
On the thumb side of the arm
All of the options are correct
7
a patient contact isolation states that all who ever the room must use soap and water to wash their hands before leaving
Clostridium difficile
All of the options are correct
Bordetella pertussis
Neisseria meningitides
8
an inpatient by the name of John does. Which of the following is a acceptable way to confirm the patient's identity?
Match the ID band and requistion with the patients verbal statement of ID
See if the ID band matches the requistion to be sure of the patients identi
Ask the patient " are you Mr John doe" and see if he says "yes"
Check the patients ID band and say " i see you are john doe"
9
Which test must be performed on anticoagulation whole blood?
CBC
CPK
BUN
PTT
10
Electrolyte testing includes
Gluclose, uric acid
BUN, cholesterol
Sodium, potassium
Bilirubin, creatine
11
The most common reason a throat swab is collected is to detect an infection with which type of microorganism?
Neisseria
C-diffcile
Staphylococcus
Streptococcus
12
What does acknowledging a patient's beliefs, customs, knowledge and attitudes exemplify?
Sympathy
Compassion
Diversity awareness
Empathy
13
Why are EDTA specimens obtained before the other specimens when collected by skin puncture?
To prevent contamination from carryover
To minimize tissue fluid contamination
To minimize effecgs of platelet clumping
To reduce negative effects of hemolysis
14
Which of the following would NOT violate a patient's right to confidentiality?
Sharing collection site information on a difficult patient
Indicating the nature of a patient's disease on the door
Listing all HIV-postive patient's in the laboratory computer
Posting a patient's laboratory results on a bulletin board
15
Which situation is the best way to tell that you may have accidentally punctured an artery?
A hematoma starts to form
The blood pulses into the tube
There is no way to tell
The blood obtained is dark red
16
Which of the following is a test of the respiratory system?
Renin activity
Sputum culture
C-urea breath
Cold agglutinin
17
Capillary puncture is the preferred method of obtaining blood from infants because
Removing tubes of blood can lead to anemia
All of the options are correct
Capillary bloof is preferred for some tests
Venipuncture in infants may damage veins
18
What does the suffix of the term "glycolysis" mean?
Aganist
Breakdown
Gluclose
Living
19
It is a good idea to collect a CBC specimen from a screaming infant because the
Specimen will be hemocconcentrated
White blood count may be fasley elevated
Specimen will be more likely to hemolyze
Platelets are more likely to clump
20
Which one of the following conditions is LEAST likely to be a reason for specimen rejection?
A clotted specimen for a CBC
A lipemic fasting glucose specimen
An incteric bilirubin specimen
A hemolyzed electrolyte specimen
21
Another name for blood bank is
Immunohematology
Microbiology
Serology
Immunology
22
What part of the term "osteoarthritis" is the suffix?
Chondr
Osteo
Tis
Itis
23
You have no choice but to draw specimen from site with a hematoma. Where should you obtain the specimen?
In the area of the hematoma
Proximal to the hematoma
Distal to the hematoma
None of the options are correct
24
The relaxing phase of the cardiac cycle is called
Diastole
Infarction
Systole
Bradycardia
25
Which tests requires strict skin antisepsis procedures before specimen collection?
Blood urea nitrogen
Complete blood count
Type and crossmatch
Blood culture
26
A phlebotomist collects a light blue top,lavender top and gray top tube from an inpatient
EDTA,cirate, potassium oxlate
Cirate, EDTA, sodium flouride
Sodiu flouride, thrombin, cirate
Heaprin, EDTA, thixotropic gel
27
Which of these terms means "condition of clotting"?
Vasconstriction
Hemostasis
Thrombosis
Leukopenia
28
The first choice artery for ABG collection is the
Radial artery
Femoral artery
Ulnar artery
Brachial artery
29
A blood clot circulating in the bloodstream is called a/an
Embolus
Thrombus
Embolism
Aneurysm
30
All POC gluclose analyzers approved for hospital use have which of the following in common?
All of the options are correct
Data can be downloaded to a data management program
They have the ability to use capillary,venous, or arterial blood samples
They require the usd of an authorized operator ID number
31
What is the proper blood to additive ratio for light tube collected for coagulation test?
8:1
4:1
3:1
9:1
32
Which of the following tests requires a 24-hour urine specimen?
Gulcose tolerance test
Fibrin split products
Culture and sensitivity
Creatine clearance
33
Which of the following scenarios represents correct capillary puncture technique?
Wiping alcohol dry so the puncture doesn't sting
Puncturing perpendicular to the fingerprint whirls
Scooping up blood that is running down the finger
Using povidone idoine to clean the heel of an infant
34
Which instance most closely resembles basal state?
A patient who has just awakened at 0600 after fasting all night
A patient who has just arrived for a fasting blood test
A patient who has been lying down for an hour
A patient who has worked all night but did not eat at work
35
Which of the following is used by the laboratory to identify a specimen throughout the testing process?
Accession number
Password ID
Mnemonic code
Hospital number
36
Which of the following is NOT a phlebotomist's duty?
Performing laboratory computer operations
Collecting blood specimens
Starting intravenous (IV) lines
Transporting specimens to the laboratory
37
A fistula is a
Implanted port attached to an indwelling line
Special winged infusion set left in a patients arm
Temporary fusion of an artery and vein
Permanent fusion of an artery and vein
38
Critical values (test values that are considered life threatening) are also called
Panic values
Unstable values
Alarm values
At-risk values
39
Which additive is usually present in a tube with a lavender stopper?
EDTA
Oxalate
Heparin
Citrate
40
Which of the following is the safest area for infant heel puncture?
The central area
The label plantar surface
The area of the arch
The posterior curvature
41
Tests influenced by diurnal variation are ordered as_ tests, and it is important to collect them as close as possible
Postprandial
STAT
Timed
Fasting
42
What is the critical and laboratory standards institute recommended maximum depth of hell puncture?
1.0 mm
2.0 mm
1.4 mm
2.4 mm
43
A first morning specimen is preferred for HCG testing because it is
Less likely to be contaminated
All of the options are correct
Typically more concentrated
More apt to have a higher pH
44
The tube additive that is responsible for the most carry over problem is
Ethylenediaminetetraacetic acid
Thixotropic gel separtor
Cirate phosphate dextrose
Sodium polyanethol sulfonate
45
Which type of specimen is required for a urine C&S?
Midstream clean catch
First morning
Random double- voided
Timed pooled
46
A phlebotomist arrives to draw a specimen from a inpatient. The patients door is closed. What should the phlebotomist do
Know softly, then open it slowly and ask permission to enter
Open the door and proceed directly into the room
Knock softly and wait for someone to come to the door
Leave to draw another patient and come back
47
All the veins are large and easily palpated,but the large basilic vein is the most visible. Which one should be chosen
Median cephalic
Medican basilic
Median
Basilic
48
What additional information is typically required when labeling a nonblood specimen?
Ordering physician's name
Speical handling needs
Biohazard warning
Specimen type and source
49
Breath samples can be used to detect
Lactose intolerance
H-pylori bacteria
Recent marijuana use
All of the options are correct
50
What type of specimens must be processed before routine specimens?
All of the options are correct
STAT
Timed
ASAP
51
Which department is responsible for administering oxygen therapy?
Respiratory therapy
Cardiodiagnostics
Physical therapy
Electroencephalography
52
Which test requires a specimen with a 9:1 ratio of blood to anticoagulant?
Glycohemoglobin
Prothrombin time
Ethanol
Red cell count
53
Which one of the following is NOT included in the various phases of malpractice litigation?
Depostions are given while a court reporter records every word
A healthcare institution is informed of an injury to a patient
Appeal of the jury decison is began by the losing party
A complaint aganist the defendant is filed by the plaintiff
54
Which of the following is the MOST common arterial puncture complication, occurring even when proper technique is used?
Thrombus formation
Infection
Arteriospasm
Hematoma formation
55
Which type of specimen must be protected from light?
Sputum sample
Tissue biopsy
Cerabrospinal fluid
Amniotic fluid
56
Drawing a patients blood without his or her permission can result in a charge of
Breach and confidentiality
Invation of privacy
Assault and battery
Repondeat superior
57
Levels of which analyte can differ by 50% or more between morning and late afternoon?
CBC
Cortisol
BUN
Sodium
58
A urine C&S is typically ordered to detect
Abnormal urine PH
The presence of a UTI
Glucose overload
Kidney damage
59
Drugs of abuse can be detected in
Saliva
Urine
Hair
Hair, saliva, and urine
60
A 2 hour postprandial specimen should be drawn
2 hours before the patient arrives for the test
2 hours after the patient arrives for the test
2 hours before the patient has eaten a meal
2 hours after a patient finishes eating a meal
61
Which needle gauge has the largest lumen?
18
22
20
21
62
It is improper telephone protocol to
Prioritize callers, if necessary
Answer the phone promptly
Hang up on angry callers
Clarify qnd record information
63
Which of the following specimens are least likely to require special handling?
Gastrin and lactric acid
Homocysteine and renin
Billirubin and serum folate
Cholesterol and uric acid
64
Tattooed areas should be avoided as venipuncture sites because
All of the options are correct
There could be an undetected infection in that area
Fresh tattoo sites may be more prone to infection
Tattos can mask an adverse reaction to the draw
65
An elderly patient is accompanied by his daughter, and mentions he is hard of hearing How should you proceed
Repeat every question and statement twice
Get close to the patient's face and speak very loudly
Address all questions directly to the patients daughter
Speak distinctly in a normal tone of voice
66
If a patient is complaining of sharp radiating pain from the needle insertion site, the phlebotomist should
Complete the draw and put ice on the site
Ask the patient if it is okay to continue
Immediately terminate the venipuncture
Tell the patient the pain will stop soon
67
According to standard first aid procedures, severe external bleeding is best controlled by
Applying a tourniquet
Keeping the injured area below the level of the heart
Raising the victim's head above the level of the injury
Applying direct pressure
68
The term "distal" means?
Higher or above
Farthest from the point of attachment
Toward the back
Nearest to the center of the body
69
Which of the following is an example of a potential permucosal exposure to biohazdous microorganisms?
Rubbing an eye with a contaminated hand
Drinking water from contaminated glass
Getting stuck by a needle used on an AIDS patient
Touching infections material with chapped hands
70
ABG specimen rejection criteria include
Air bubbles in the specimen
Insufficient volume of blood
All of the options are correct
Incomplete missing label
71
Which of the following is a nervous system disorder?
Acute nephritis
Rheumatoid arthritis
Multiple sclerosis
Chronic hepatitis
72
An individual's blood type is determined by the presence or absence of a certain type of
Antigen present on the red blood cells
Antibody present on the white blood cells
Antibody present on the red blood cells
Antigen presents on the white blood cells
73
The joint commissions sentinel event QI program policy is designed to do all of the following EXCEPT
Demonstrate flexibility in setting QC measures
Prevent unfavorable events from happening again
Identify unfavorable events for immediate investigation
Improve the safety of patients in healthcare institutions
74
Which of the following is the BEST way to tell that a specimen is arterial? As the specimen is collected, the blood
Has visible air bubbles
Pulses into the syringe
Looks dark bluish red
Appears bright cherry red
75
Which one of the following statements about autonomous donation is NOT true?
Blood cam be collected up to 72 hours before surgery
Patients must have written order from their physician
Unused autologous units may be isrd by other patients
Using the patients own blood eliminates many risks
76
The hormone detached in a positive urine pregnancy test is
ACTH
HCG
GH
TSH
77
The purpose of an antiglycolytic agent is to
Prevent clotting
Enhance clotting
Preserve gluclose
Inhibit microbes
78
A major cause of respiratory distress in infants and young children is
Cystic fibrosis
Emphysema
Mycobacteeium tuberculosis
Respiratory syncytial virus
79
A tube fails to fill with blood during a venipuncture. Which of the following might lead you to think the vein collapsed
A hematoma quickly starts to form at the site
The vein disappears when you engage the tube
There is a hising sound as the tube is engaged
You sense a slight needle vibration or quiver
80
Which of the following veins is NOT an antecubital vein
Basillic
Median
Femoral
Cephalic
81
A test sample that is not recommended to be sent in a pneumatic tube is
Blood creatine
Serum potassium
Total bilirubin
Alkaline phosphatase
82
The medical term for white blood cell is
Erythrocyte
Hepatocyte
Leukocyte
Thrombocyte
83
What is the most important factor in choosing which gauge needle to use for venipuncture
Age and weight of patient
Type of test being performed
Size qnd condition of the vein
Number of tubes to be drawn
84
The most critical aspect of blood culture collection is
Skin antisepsis
The amount of specimen
Specimen handling
The needle guage
85
Which test is used to diagnose cystic fibrosis?
Sweat chloride
Occult blood
C-urea breath test
Semen analysis
86
Which of the following type of muscle is under voluntary control?
Skeletal
Smooth
Cardiac
Visceral
87
Which of the following is not one of the code words in the NFPA order of action in the event of a fire?
Smother
Resue
Alarm
Confine
88
According to CLSI, the maximum time limit for separating serum or plasma from cells is
2.0 hours from the time of collection
30 minutes from the time of collection
15 minutes from the time of collection
1.0 hour from the time of collection
89
The area the lab where testing is preformed to detect infectious diseases and the antibodies produced by infection is
Microbiology
Immunology
Virology
Immunohematology
90
Which of the following tubes can be used to collect blood for a type and crossmatch?
Gel barrier
Pink top
Royal blue top
ETS gray top
91
Which body plane divides the body into equal portions?
Midsagittal
Sagittal
Fronal
Transverse
92
The most common needle size for routine radial ABG specimen collection is
18 gauge
22 gauge
20 gauge
25 gauge
93
Using which of the following communication strategies before obtaining a blood specimen from a child is poor technique?
Establishing rapport with the child
Telling the child what to expect
Telling the child it wont hurt
Greeting the parent and the child
94
A tube with green stopper normally contains
Oxalate
Heparin
Cirate
EDTA
95
Capillaries are
All options are correct
Tiny, one-cell thick blood vessels
Where gas exchange takes place
What link arterioles and venules
96
Vaccination aganist HBV involves
A dose of vaccine, a second dose 1 month later, a third dose 6 months later
One signle dose of vaccine that normally confers immunity for lifetime
Three doses of vaccine, each 3 months apart, then yearly doses thereafter
None of the answers are correct
97
Of the following tests which is MOST likely to result in fatal consequences if the patient is misidentified
Postprandial glucose
Blood culture
Drug screen
Type and crossmatch
98
Which of the following is an example of a confirming response to a patient?
I understand how you must be feeling
I have no idea how long it will take
Im on a tight schedule right now
I do know what you mean
99
The phlebotomist has made two unsuccessful attempts to collect a fasting specimen. What should you do next?
Make a third attempt on the patient's other arm
Tell the patient to come back in the morning
Ask another phlebotomist to collect the specimen
Call a supervisor and ask permission to try again
100
A specimen would most likely be accepted for testing despite which of the following problems?
Incomplete identification
Expired evacuated tube
No phlebotomist initals
Quality not sufficient
101
What is the purpose of warning the site before skin puncture?
It makes the veins more visible
It increases blood flow up to seven times
It minimizes hemolysis of the specimen
It is comforting to the patient
102
patient is not wearing an ID band. There is an ID band taped to the patients I've pole that matches the requistion
Draw the specimen and fill out an incident report form
Only draw the specimen after an ID band has been applied
Call the laboratory supervisor and ask how to proceed
Draw the specimen and then ask the nurse to ID the patient
103
When performing the Allen test, which artery is released first?
Radial
Femoral
Ulnar
Brachial
104
A laboratory reports form should indicate when a specimen has been collected by capillary puncture because
Risk management requires that information
Some tests results vary with specimen source
The information helps with inventory control
Repeat tests will need to use capillary blood
105
Which of the following scenarios represents correct capillary puncture technique?
Middle finger
Thumb
Little finger
Earlobe
106
To maintain integrity of an ABG specimen collected in a plastic syringe, it should be
Protected from light
Analzed within 30 minutes
Transported at 37 degree celsius
Immediately placed in ice
107
Heparin is used in ABG specimen collection to
Reduce the amount of pain
Prevent clotting of the specimen
Stablize oxygen and C02 levels
Incresse the flow of blood
108
The CAP requires QC for many waived tests to be preformed
Daily and when a new kit is opened
On a weekly basis for a minimum
Before each patient test preformed
When the test manufacturer specifies
109
Which type of PPE must be removed after leaving the patient's room and closing the door?
Respirator
Face mask
Gloves
Gown
110
A phlebotomist has attempted twice to draw a (PTT) specimen from a patient. Only able to get partial tubes
Submit the fullest tube for testing. Nothing the draw was difficult.
Pour the two tubes together and mix well
Have another phlebotomist attempt to draw the specimen
Collect the specimen by skin puncture
111
Hemolysis can erroneously elevate
Ammonia
All of the options are correct
Potassium
Magnesium
112
The patient is just finishing a big breakfast as the phlebotomist arrives to draw a fast specimen. What should you do?
Draw the specimen since breakfast was just eaten and probably not absorbed
Check with the patients nurse to see if the specimen should be collected
Draw the specimen, but write "nonfasting" on the lab requistion
Refuse to collect the specimen and fill out an incident report slip
113
The function of the left ventricle is to deliver
Oxygenated blood to the left atrium
Oxygenated blood to the aorta
Deoxgenated blood to the pulmonary vein
Deoxygenated blood to the pulmonary artery
114
The following tests have all been ordered at the same time on different inpatients. Which should be collected first?
ASAP CBCZ in the cardiac unit
Timed blood culture in ICU
Routine high in long term care
STAT electrolytes in the ER
115
Which of the following terms means kidney inflammation?
Cystitis
Hepatitis
Neuritis
Nephritis
116
The letter "g" is pronounced like a "j" in
Glycolysis
Gamete
Guaiac
Gestation
117
Heparin prevents blood from clotting by
Activating calcium
Preserving thrombin
Inhibiting thrombin
Binding calcium
118
What is the recommended procedure for collecting a 24-hour urine sample?
Void the first morning specimen, start timing, and collect all specimens
Collect all of the urine voided in any 24-hour period
Collect the first morning specimen and all others, except the next mornings
Start the timing, collect the first morning including the next mornings
119
A phlebotomist starts venipuncture. As the needle touches the skin, the patient moves. How should you proceed
Clean the site again, anchor the vein and complete the venipuncture
Anchor the vein, tell the patient not to move this time, and finish drawing
Replace the needle, clean the site, warn the patient and finish the draw
Take a break and ask another phlebotomist to collect the specimen
120
If a phlebotomist ___, he or she is negligent.
Puts the bedrail in an upright position when leaving
Reports obvious changes in the patient's condition
Does not obtain a specimen from a comative patient
Fails to put the needle and holder in the sharps container
121
Which of the following is a proper needle insertion angle for radial artery puncture?
45 degree
25 degree
15 degree
90 degree
122
TDM is used by physicians to
Screen inpatients for abuse of prescriptive drugs
Maintain "through" levels of a drug in a patients system
Determine a beneficial drug usage fora patient
Maintain "peak" levels of a drug in a patient's system
123
An additive tube should be mixed
As soon as it is removed from the holder
While the label is being put on the tube
When all the tubes have been collected
After the next tube is placed in the holder
124
A blood is drawn too quickly from a small vein, the vein have a tendency to
Roll
Collapse
Bruise
Disintegrate
125
The Joint Commission (TJC) "do not use" list applies to all of the following EXCEPT
Electronic laboratory reports
Writing on reprinted forms
Handwritten medication orders
Handwritten laboratory reports
