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All test questions for final!
All test questions for final!
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1
Why should a dermal puncture site be warmed?
To increase blood flow
To cause hemoconcentration
To prevent hemolysis
To prevent clotting
2
Which of the following can be used to obtain a serum specimen?
PPT
PST
EDTA
SST
3
An arterialized specimen must be collected for which of the following tests?
Blood gases
Malaria blood smear
Bilirubin
Newborn screening tests
4
The word encephalomeningitis, which part of the word is the suffix?
Itis
Encephal
Mening
O
5
What is the correct identification procedure when an unidentified patient is brought into the ED?
You may NOT draw blood from and unidentified person
You must cross reference the temporary ID # to the permanent ID # assigned
You must have ED staff attach an ID band with a tentative name and ID #
You must wait until the identity of patient is confirmed before collecting
6
Bone marrow is collected from the?
Radius
Lumbar vertebrae
Femur
Iliac crest
7
When should a phlebotomist document the name of the person who has verified a patients identity?
When a patient is a teenager
When a patient is cognitively impaired
When a patient is combative
When a patient is elderly
8
An advantage of POCT is?
A large number of operators
Billing mechanisms
Fast TAT
Inventory management
9
The recommended disinfectant for blood and body fluid contamination is?
Hydrogen peroxide
Sodium hydroxide
Sodium hypochlorite
Antibacterial soap
10
A puncture site may require additional pressure to stop bleeding when a patient?
Frequently takes aspirin
Has a clotting tendency
Has low blood pressure
Has high blood pressure
11
Which of the following tests would be delivered to the chemistry section?
Bilirubin
Type and screen
CBC
Gram stain
12
Blood is pumped into the aorta from?
Left atrium
Right ventricle
Right atrium
Left ventricle
13
A patient verbalizes a shooting, burning, tingling pain when the needle is inserted. This could be caused by?
Sclerosed vein
Vasovagal reaction
Collapsed vein
Nicked nerve
14
Safe operation of the centrifuge EXCLUDES?
Firmly fastening the top before operations
Stopping the centrifuge using the brake
Unplugging the centrifuge to clean it with bleach
Placing tubes of equal size and volume across from each other
15
Which of these regulatory agencies classifies laboratory tests by their complexity?
CAP
TJC
HIPPA
CMS
16
When a dermal puncture device is selected, the most critical consideration is the?
Width of the incision
Depth of the incision
Tests requested
Amount of blood needed
17
What must be considered when choosing the correct equipment for venipuncture?
All of the above
Age of patient
Amount to be collected
Type of blood collection system
18
What test result is markedly decreased when a patient fasts longer than 16 hours?
Glucose
Triglycerides
Cholesterol
Bilirubin
19
The trough level for therapeutic drug monitoring is collected?
At the time specified by the manufacturer
30 minutes before the medication is administered
After the patient has fasted for 8 hours
30 minutes after medication is administered
20
The blood specimen for this test must be protected from light?
PKU
CBC
CBGs
Bilirubin
21
Which of the following tests is part of a CBC?
Hemoglobin
PLT aggregation
Sediment rate
Reticulocyte count
22
Geriatric patients are more prone to hematoma formation because?
Their veins have decreased elasticity
Tourniquet must be tied tighter
They have smaller veins
They have difficulty making a fist
23
Sweat electrolytes are collected to confirm the diagnosis of?
Lactose intolerance
Peptic ulcers
RSV
Cystic fibrosis
24
OSHA requires employers to provide health-care workers with which of the following immunizations free of charge?
HCV
HBV
Smallpox
HIV
25
The plural form for bronchitis is?
Bronchi
Bronchia
Bronches
Bronchis
26
On newborns, dermal punctures are performed on the?
Back of the heel
Index finger
Earlobe
Medial/lateral plantar areas of the heel
27
Dermal punctures are often performed on?
Geriatric patients
Patients receiving chemotherapy
All of the above
Diabetic patients
28
When a chemical is accidentally spilled on the body, the first thing to do is?
Refer to SDS
Flush the area with water
Notify the supervisor
Neutralize the chemical
29
A procedure manual is?
All of the above
Used to document QC
Given to the patient before testing
A documentation of compliance with good practice
30
What complication can occur when you draw blood from an arm located on the same side of the body as patients mastectomy
Lymphedema
Decreased blood flow
Hemolysis
Hemoconcentration
31
The vein that carries oxygen rich blood is the?
Median cubical
Pulmonary
Basilic
Saphenous
32
What type of specimen is collected by inserting a flexible mini-tip culture swab through the nose?
Gastric
NP
Buccal
Serous fluid
33
What should you do first when a patient develops syncope?
Place the patient on a bed
apply cold compresses to patients neck
Remove the tourniquet and needle
Lower the patients head
34
Ethics are defined as?
The patients right to know
All of the above
Standards of right and wrong
Legally required conduct
35
The vein of choice for venipuncture located in the antecubital space is?
Medium cubital
Radial
Pulmonary
Saphenous
36
Phlebotomist tells patient who refuses to have blood drawn, calm down or he will get someone to hold them down committed
Defamation
Battery
Assault
Negligence
37
Acceptable QC can ensure?
Integrity of the testing materials
Correct functioning of the testing device
Correct performance of the test
All of the above
38
The needle is inserted into the vein with the bevel?
Down at an angle of 15-30 degrees
Up at an angle of 15-30 degrees
Up at an angle of 45-50 degrees
Down at an angle of 45-50 degrees
39
Which urine test requires a patient to collect a clean catch midstream specimen?
Drug test
Pregnancy test
24- hour protein test
Culture and sensitivity
40
Specimens for ammonia levels must be?
Protected from light
Kept warm
Drawn in a light blue tube
Transported on ice
41
The advantage of the ETS is that?
You can control the suction pressure on the vein
The angle of the needle can be lowered
Blood is placed in the tube using a transfer device
Blood is directly collected into the evacuated tube
42
Wiping away the first drop of blood?
Stimulate platelets and faster clotting
Cause air bubbles to enter the tube
Increases blood flow
Prevents specimen contamination
43
The blood cells that sensor oxygen and carbon dioxide are?
Leukocytes
Plasma
Thrombocytes
Erythrocytes
44
A patient who appears pale, and has cold damp skin may develop?
Sclerosis
Coagulation problems
Syncope
Septicemia
45
Which of the following test requires a patient to collect a 72 hour fecal specimen?
Fecal O & P
Fecal fat analysis
Fecal occult blood
Fecal culture and sensitivity
46
When a patient refuses to have his/her blood drawn, the phlebotomist should?
Obtain help and hold the patient down
Document the patients decision and notify nursing personnel
Call the physician
Cancel the test
47
A test included in a newborn screen that requires placement of blood in circles on filter paper is?
CBC
Bilirubin
Electrolytes
PKU
48
The acronym RACE should be followed when?
Operating a fire extinguisher
Determining the type of fire extinguisher
A fire is first discovered
Classifying fires and fire extinguishers
49
PPE includes all of the following except?
Gloves
Masks
Uniforms
Gown
50
A phlebotomist is unfamiliar with how to perform an arterial puncture but does it anyway, resulting injury example of?
Unethical practice
Battery
Malpractice
Negligence
51
Which of the following carries oxygen poor blood?
Aorta
Radial artery
Pulmonary
Pulmonary artery
52
Capillaries, lymph vessels, nerve fibers, gland and hair follicles are in which layer of the skin?
Epidermis
Visceral
Dermis
Subcutaneous
53
The primary goal of a QMS is to?
Reduce medical errors
Monitor laboratory productivity
Increase employee satisfaction
Increase laboratory efficiency
54
When blood is inoculated into blood culture bottles using the winged blood collection set, the?
Safety device is activated first
Aerobic bottle is inoculated first
Anaerobic bottle is inoculated first
Volume of blood inoculated is increased
55
Oxygenated blood from the lungs flows into the?
Left ventricle
Right atrium
Right ventricle
Left atrium
56
In addition to documenting patient and QC results, which of following must be recorded when performing POCT?
Accrediting agency
Test complexity
Reagent/kit expiration
All of the above
57
Consent for HIV testing?
Requires written consent
Must be done on an opt-in basis
Must adhere to state laws
Must be done on an opt-out basis
58
Which of the following actions makes a patient feel that you care about them?
Appearing distracted
Acknowledging them
Avoiding eye contact
Adopting a slouching posture
59
A phlebotomist who is or may be pregnant should avoid?
Areas with radiation symbols
Areas with risk of exposure to chemical hazards
Areas with biohazard symbols
Areas with risk of exposure to BBPs
60
Physicians approval is required when collecting blood from?
Pediatric patients
A patients foot or leg veins
Patients with diabetes
A patients lower arm vein
61
The combining form cyt/o means?
Cell
Ribs
Secrete
Cold
62
After collection and delivery to the laboratory, when must clotted and anti-coagulated tubes be centrifuged?
Within 2 hours
Within 5 minutes
Within 1 hour
Within 4 hours
63
Which of the following represents a professional behavior by a phlebotomist?
Wearing long, dangling earring
Wearing a wrinkled lab coat
Exhibiting overconfidence
Organizing requisitions and supplies before leaving the laboratory
64
The maximum length of a puncture device used on the heel is?
1.5 mm
2 mm
1 mm
2.5 mm
65
According to the CLSI, which of the following is an acceptable order of draw?
Light blue, light green, lavender
Red, light blue, lavender
Yellow, green, light blue
Lavender, red, yellow
66
The maximum length of time a tourniquet should be applied is?
3 minutes
10 minutes
1 minute
5 minutes
67
Phlebotomists involvement with the Patient Care Partnership includes the patients right to?
A clean and safe environment
Continuity of care
Privacy
All of the above
68
The main foundation of a word that denotes a body component is the?
Prefix
Word root
Combining vowel
Suffix
69
Procedural controls that verify test kit and added reagents are performing correctly are called?
Electronic controls
Proficiency testing
Internal controls
External controls
70
EDTA, sodium citrate and potassium oxalate anticoagulants prevent blood from clotting in blood collection tubes by?
Acting as an antithrombin agent
Releasing heparin
Binding calcium
Binding fibrinogen
71
The information that must be present on the specimen label?
Phlebotomists initials
Date and time of collection
All of the above
Patients full name and DOB
72
What should a phlebotomist do when a patient is sleeping?
Gently awake the patient and allow him/her to become oriented
Ask the nurse to wake the patient
Wait until a family member is present
Postpone the collection
73
The test used to monitor coumadin(warfarin) is?
PFT
PT (INR)
ACT
APTT
74
Six steps of lean are?
Sustain, straighten, staff, support, sort, safety
Sort, straighten, scrub, safety, standardize, sustain
Sustain, sweep, scour, staff, sort, stop
Sort, straighten, sweep, support, shine, stop
75
The term HAI refers to infections?
Contracted by visitors
Contracted by healthcare workers
Contracted by patients
Caused by antibiotic-resistant bacteria
76
Risk management departments develop policies to protect the?
Employers
All of the above
Employees
Patients
77
The pacemaker of the heart is the?
SA node
AV node
Purkinje fibers
AV bundle
78
The agency that sets the standards and guidelines for POCT is?
Clinical laboratory improvement amendments (CLIA)
The food and drug administration (FDA)
The joint commission (TJC)
College of American pathologists (CAP)
79
Pleural fluid is collected from the?
Heart
Joint
Chest
Lymph node
80
Specimens that require chilling immediately after collection are placed in?
A container of crushed ice and water
A bag of dry ice
A flask of cold water
A container of large ice cubes
81
Documentation of a laboratory’s overall quality of work is provided in the laboratory’s?
QC records
QMS
Quality indicators
Quality essentials
82
The medical word for inflammation of the liver is?
Hepatitis
Hepatomegaly
Hematoma
Nephritis
83
Which must ALWAYS be filled to the correct ratio?
Light green PST
Light blue stopper tube
Tan stopper tube
Gold SST
84
Which of the needles has the smallest diameter?
21 gauge needle
16 gauge needle
22 gauge needle
23 gauge needle
85
When encountering a patient with an AV fistula, the phlebotomist should?
Attach a syringe to the tube connector
Apply the tourniquet below the fistula
Use the other arm
Collect the blood from the fistula
86
In the chain of infection, the susceptible host can also become the?
Portal of entry
Portal of exit
Means of transmission
Reservoir
87
A properly tied tourniquet?
Prevents backflow
Blocks arterial and venous flows
Permits venous flow and blocks arterial flow
Permits arterial flow and block venous flow
88
QC includes?
Following a standardized procedure
Instrument calibration
All of the above
Using standards and controls
89
An unexpected patient death that is not related to that patients illness is termed a?
Human error
Sentinel event
Root cause error
Professional liability
90
Which of the following is correct for positioning for a venipuncture procedure?
Extending the arm down from the shoulder
Asking the patient to stand
Confirming the elbow is straight
Hyperextending the arm
91
The winged blood collection set is primarily used for?
Hand veins
Large antecubital veins
Heel sticks
Finger sticks
92
Why are specimens collected at specific times?
To ensure that all lab. test specimens are collected when patient is fastin
To measure the body’s metabolism of a test substance
Because all laboratory tests exhibit diurnal variation
Convenience for the phlebotomist
93
A PT test is performed in?
Coagulation
Chemistry
Immunology
Microbiology
94
Sputum specimens are collected to diagnose?
Strep throat
TB
Endocarditis
Cystic fibrosis
95
In the words cardiology, bradycardia, cardiomegaly and cardiologist, the word root is?
Cardi
Logist
Brady
Logy
96
When should you label blood collection tubes?
In the laboratory
At the nurses station
Before entering the patients room
In the presence of the patient
97
Where is POCT most often performed?
Hospital laboratory
ED
Research laboratory
Patients bedside
98
Drawing excess amounts of blood from a premature infant can cause?
Infection
All of the above
Arteriospasm
Iatrogenic anemia
99
To define a medical word, first define the?
Prefix
Suffix
Combining vowel
Word root
100
The smallest blood vessel is the?
Arteriole
Vein
Venule
Capillary
101
Serum or plasma must be separated from cells within ____ minutes from collection
60
30
120
45
102
Misidentification of a patient whose hemoglobin level is being monitored every 4 hours might be detected by?
Auto verification
Delta check
Both a & b
The chemistry supervisor
103
Start of employment sup. asks phlebotomist to do a glucose test and report results to supervisor, phlebotomist doing?
QC
Patient testing
Competency testing
Compliance testing
104
Errors most commonly associated with the incorrect PT (INR) results are?
Prematurely performing capillary puncture before test strip/cartridge ready
Cleansing and drying the capillary puncture site
Adequate application of the specimen
Using the first drop of blood collected by dermal puncture
105
The lungs and heart are located in the?
Cranial cavity
Thoracic cavity
Abdominal cavity
Pelvic cavity
106
When greeting a patient, you must?
Identify yourself
Tell the patient the name of the tests requested
Use technical terms to describe the procedure
Rely on the bed song for the patients name
107
Which of the following is not routinely carried on a phlebotomists tray?
Syringes
Evacuated tubes
Urine collection cups
Tourniquets
108
Which abbreviation is on The Joint Commissions “do not use” list?
U
All of the above
IU
MS
109
A person’s blood group is determined by testing?
Erythrocytes
Leukocytes
Both a & c
Plasma
110
Which word means “pertaining to the period around birth?”
Postnatal
Prenatal
Prenatal
Perinatal
111
A tourniquet is used in routine venipuncture to?
Impede arterial blood flow
Flathead the vein
Harden the vein
Impede venous blood flow
112
What information is required on a requisition form?
Patients first and last names
All of the above
Patients ID number
The tests requested
113
Effective communication includes?
Listening skills
All of the above
Verbal skills
Nonverbal skills
114
A reclining chair is part of a?
Phlebotomy drawing station
Portable infant phlebotomy station
Mobile phlebotomy workstation
Phlebotomy collection tray
115
The most common type of fire extinguisher is?
Class C device
Class ABC device
Class D device
Class A device
116
A phlebotomist who takes an exam prepared by a national phlebotomy agency is seeking?
Continuing education
Certification
Membership
Accreditation
117
The hospital department that provides breathing treatments and performs arterial punctures is?
Physical therapy
Radiography
Occupational therapy
Respiratory therapy
118
Which of the following methods can be used to locate veins that are not prominent?
Massaging the patients arm downward
Applying heat for 3 minutes
Applying a cold compress
Tapping the patients arm
119
Documentation required in a phlebotomy department includes a/an?
Both A & C
Procedure manual
Reference manual
Evaluation of TATs
120
The concentration of this analyte is higher in blood collected by dermal puncture than by venipuncture?
Potassium
Glucose
Calcium
Total protein
121
Testing of stool for parasites is performed in?
Immunology
Microbiology
UA
Hematology
122
Phlebotomist receives request for cortisol level, FBS level and stat cross match. Which order should be collected?
FBS, cortisol, cross match
Cortisol, FBS, cross match
FBS, crossmatch, cortisol
Crossmatch, FBS, cortisol
123
The artery located in the antecubital space is?
Radial
Femoral
Ulnar
Brachial
124
Before you draw a blood specimen from a patient, you must always?
Both A & B
Tell the patient what type of blood tests you are performing
Check the patients ID number and name
Ask the patient his/her first and last name & DOB
125
A phlebotomist who encounters a comatose patient with no ID band should?
Ask the nurse to band the patient
Notify the phlebotomy supervisor
Leave the requisition at the nurses station
Check the patients identity with the patients roommate
126
When obtaining a specimen for Group A strep, swabbing which of these areas could possibly produce false negative result?
Tongue
Back of throat
Noticeable white patches
Tonsils
127
The recommended specimen for urine pregnancy testing is a?
Timed specimen
Random specimen
First morning specimen
Midstream clean catch specimen
128
Why do phlebotomists perform their routine blood collections early in the morning?
Patients will have had breakfast
Patients are in their basal state
Patients have a lower chance of fainting
The physician needs the results
129
Deoxygenated blood enters the heart in which chamber?
Right ventricle
Left atrium
Right atrium
Left ventricle
130
Synovial fluid is found in the?
Joints
Spinal cord
Testes
Lymph nodes
131
The clinical laboratory section that performs serum testing to detect ABS to hepatitis viruses is?
Hematology
Immunology
BB (immunohematology)
Chemistry
132
Yellow ACD blood collection tubes are used for?
Blood cultures
Therapeutic drug levels
Molecular diagnostic tests
Alcohol levels
133
Implied consent for venipuncture on an adult requires?
Presence of a witness
Patient’s signature
Signature of a witness
Patient extending an arm
134
Six sigma methodology is a?
Statistical determination of variable and error reduction
Departmental assessment of errors and quality
Departmental assessment of variables
QA method to control variables
135
The brain and spinal cord are protected by?
Neurons
Meninges
Alveoli
Nephrons
136
Two blood culture sets from a patient requiring STAT administration of antibiotics are collected?
30 minutes apart
Before and after the fever spikes
Immediately from two different sites
Before and after the antibiotic is administered
137
The basic structure of the body is the?
Organ
Cell
Skeleton
Tissue
138
Which of the following may be an additional duty of phlebotomists in today’s healthcare system?
Performing dermal punctures
Selecting specimen collection equipment
Transporting specimens to laboratories
Performing patient vital signs
139
Which tube additive preserves glucose?
Sodium citrate
Sodium fluoride
Sodium polyanethol sulfonate
Sodium heparin
140
The law that specifically addresses the privacy of health information is the?
Clinical Laboratory Improvement Amendments
Patient Care Partnership
HIPPA
TJC patient safety goals
141
Which of the following laboratory personnel is an MD?
Pathologist
Technical supervisor
Medical technician
Laboratory administrator
142
The acronym PASS should be followed when?
Determining the type of fire extinguisher to use
Classifying fires and fire extinguisher
A fire is first discovered
Operating a fire extinguisher
143
The current routine infection control policy developed by the CDC and followed in all healthcare settings is?
Universal precautions
Blood and body fluid precautions
Standard precautions
Isolation precautions
144
An error in correctly reporting a patients test result is considered a/an?
Post examination phase
Examination phase
All of the above
Preexamination variable
145
Before you enter an isolation room, the first thing you should do is?
Read the posted instructions
Perform hand hygiene
Put on sterile gloves
Put a gown and mask on
146
If urine specimen for routine analysis cannot be delivered to laboratory with 2 hours, what should you do?
Add boric acid preservative
Reject the specimen and ask patient to collect new one
Freeze the specimen
Refrigerate the specimen
147
Before disposing of a contaminated needle, you must?
Always use two hands
Activate the safety device
Remove the needle from the ETS holder
Recap the needle
148
To prevent rolling veins, the venipuncture step of primary importance is?
Selecting the median cubital vein
Tightly applying the tourniquet
Using a 23-gauge needle
Anchoring the vein while inserting the needle
149
What is the focus of RCA?
Physician errors
Process errors
Patient errors
Personnel errors
150
Plasma differs from a serum in that?
Plasma is obtained by centrifugation
Serum contains fibrinogen
Plasma contains fibrinogen
Serum is obtained by centrifugation