The monitoring of specimen ordering may include examination of al the following measures EXCEPT:

timeliness of the delivery of patient records.

Errors in performance of a chemical examination of urine include all of the following EXCEPT:

reading the color reactions at specified times.

All of the following could be considered an invasion of a patient’s privacy EXCEPT:

interrupting a patient-clergy visit to collect a STAT specimen.

A phlebotomist who cannot locate the patient on whom a cortisol level is scheduled for collection at 10:00am should:

return the requisition form to the nursing station for rescheduling.

A falsely decreased blood alcohol level may be obtained if:

the tube is only partially filled.

All of the following are POCT for coagulation EXCEPT the:

partial pressure of oxygen (PO2).

When corrective actions are necessary in the specimen processing area, the phlebotomist should:

keep a record of the actions following established procedures.

Quality indicators are part of a quality management system in which of the following ways?

They indicate an opportunity for improvement.

Performing venipunctures on pediatric patients may require all of the following EXCEPT:

telling the child it will not hurt.

Which of the following is an example of expressed consent?

Obtaining a signature consent from the patient to perform a surgery.

A urinalysis should be performed:

within 2 hours of specimen collection.

The most serious errors in phlebotomy are:

failures of patient identification.

Errors in site selection or patient identification affect all of the following EXCEPT:

quality control specimen results.

The ideal time for collecting a blood culture is:

just before the patient’s temperature spikes.

Turnaround time (TAT) for a test generally means:

the time between the ordering of a test and the reporting of the result

Specimens should remain covered during processing and storage before actual testing to:

reduce the chances of splashing, contamination, and evaporation.

Advantages of POCT include all of the following EXCEPT:

providing a wider variety of laboratory tests.

To inoculate blood culture media with blood drawn in a syringe, the phlebotomist:

inoculates anaerobic media first.

Which of the following is an example of a phlebotomist adhering to their professional code of ethics?

Performing duties specified in their job descriptions.

An institution’s QMS will incorporate which of hte following requirements?

TJC, CAP, ISO, Lean, Root cause analysis, and Six Sigma.

The reporting of patient results by electronic means:

is more common but still requires permanent records.

All of the following are examples of sentinel events involving the phlebotomist that may be investigated by TJC EXCEPT:

a refusal by the patient to permit the drawing of a specimen

The following are valid reasons for performing Delta checks EXCEPT verifying that:

sharps wastes were properly disposed of.

Phlebotomy collection sites that should be avoided EXCEPT:

uncomplicated antecubital area of one of the patient’s arms.

The purpose of enzyme immunoassay tests for pregnancy is the:

detection of human chorionic gonadotropin.

The primary goals of HIPPA include all of the following EXCEPT:

limit the amount of out-of-pocket expenses for a patient.

Lipemic serum appears:

cloudy due to the presence of fat

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Questions 39

Answers

1
The monitoring of specimen ordering may include examination of al the following measures EXCEPT:
measurement of TAT.
the number of incomplete requisitions.
timeliness of the delivery of patient records.
delays in the collection of timed tests.
2
Errors in performance of a chemical examination of urine include all of the following EXCEPT:
leaving the reagent strip in the urine for 2 minutes.
reading the color reactions at specified times.
incompletely dipping the strip in the urine.
comparing the color reactions to a chart after 10 minutes.
3
The primary goal of Six Sigma is to reduce variable and decrease errors to a level of 3.4 defects:
per phlebotomist in each 40-hour week.
per 100 opportunities.
per year.
per 1 million opportunities.
4
The number of specimens collected from a patient receiving a 2-hour postprandial glucose test is:
one
three
two
four
5
All of the following could be considered an invasion of a patient’s privacy EXCEPT:
using a patient’s specimen with their name on it for teaching purposes.
entering a patient’s room without knocking.
interrupting a patient-clergy visit to collect a STAT specimen.
releasing patient information to a newspaper.
6
A phlebotomist who cannot locate the patient on whom a cortisol level is scheduled for collection at 10:00am should:
return the requisition form to the nursing station for rescheduling.
request the nursing station to call the lab when the patient is available.
collect the specimen 2 hours after the patient finishes lunch.
reschedule the test for 4:00pm.
7
All of the following tests can be performed by POCT instruments EXCEPT:
hematocrits.
arterial blood gases.
platelet counts.
electrolytes.
8
A falsely decreased blood alcohol level may be obtained if:
the tube is overfilled.
blood is collected in a gray stopper tube.
the site is cleansed with Zephiran chloride.
the tube is only partially filled.
9
All of the following are POCT for coagulation EXCEPT the:
activated clotting time (ACT).
prothrombin time (PT).
activated partial thromboplastin time (APTT).
partial pressure of oxygen (PO2).
10
When corrective actions are necessary in the specimen processing area, the phlebotomist should:
call the patient’s physician and discuss the situation.
type up a summary of your actions and give it to the chief pathologist.
send an e-mail to the supervisor.
keep a record of the actions following established procedures.
11
Quality indicators are part of a quality management system in which of the following ways?
They are useful only in the examination phase of testing.
They are instituted whenever a problem situation is indicated.
They indicate an opportunity for improvement.
They are included in every run on an instrument.
12
Performing venipunctures on pediatric patients may require all of the following EXCEPT:
obtaining identification from the parents.
assistance from a parent to hold the arm.
telling the child it will not hurt.
using toys to demonstrate the procedure.
13
Which of the following is an example of expressed consent?
Performing an emergency procedure to save a patient’s life.
A patient allowing to have his temperature taken by opening his mouth.
A patient extending her arm to allow a phlebotomist to obtain a specimen.
Obtaining a signature consent from the patient to perform a surgery.
14
Errors in prioritizing specimens appropriately (routine versus STAT) for processing are classified as:
pre-examination variables.
examination variables.
different types of variable depending on the type of laboratory.
postexamination variables.
15
What tube should an OGTT be collected in:
SSTs
gray stopper tubes
red stopper tubes
PSTs
16
What happens if you put cold agglutinins in the fridge for morning shift to pick up:
be falsely increased
represent patient's true condition
be falsely decreased
be unaffected
17
A phlebotomist who enters a patient’s room to collect a fasting specimen and finds the patient eating breakfast should:
notify the nursing station.
return when the patient has finished breakfast.
reschedule the test in 12 hours.
draw the specimen immediately.
18
A urinalysis should be performed:
when laboratory personnel are present.
before the end of the shift.
within 10 minutes of specimen collection.
within 2 hours of specimen collection.
19
The most serious errors in phlebotomy are:
failures to properly mix specimens that require mixing.
failures of order of draw.
failures to collect routine specimens in a timely manner.
failures of patient identification.
20
If a phlebotomist is not performing a test correctly, this will be detected through:
panic values.
quality control.
calibration.
documentation.
21
Errors in site selection or patient identification affect all of the following EXCEPT:
test results that are affected by hemolysis, such as potassium.
test results that are affected by IV fluids, such as sodium or chloride.
Delta checks.
quality control specimen results.
22
The ideal time for collecting a blood culture is:
when the patient’s temperature is the highest.
when the patient’s WBC count is the highest.
just before the patient’s temperature spikes.
after antibiotics have been given.
23
Centrifuge performance is verified using a:
statement from the manufacturer.
tachometer.
series of randomly selected patient specimens.
stop-action photography instrument.
24
Turnaround time (TAT) for a test generally means:
the amount of time between ordering a test and collection of the specimens
the time between the ordering of a test and the reporting of the result
the amount of time needed to identify the patient and collect all specimens
the time between collecting a specimen and the arrival in the laboratory
25
Specimens should remain covered during processing and storage before actual testing to:
allow better fit in the centrifuge buckets.
reduce interference with the centrifuge’s tachometer.
reduce the introduction of examination variables.
reduce the chances of splashing, contamination, and evaporation.
26
Advantages of POCT include all of the following EXCEPT:
limiting the amount of blood needed for testing.
faster turnaround time of test results.
providing faster patient treatment.
providing a wider variety of laboratory tests.
27
To inoculate blood culture media with blood drawn in a syringe, the phlebotomist:
vents an anaerobic container.
mixes syringe before inoculation.
inoculates aerobic media first.
inoculates anaerobic media first.
28
Which of the following is an example of a phlebotomist adhering to their professional code of ethics?
Sanitizing hands twice during their shift.
Releasing patient information to coworkers.
Obtaining a blood specimen from a patient who has refused.
Performing duties specified in their job descriptions.
29
An institution’s QMS will incorporate which of hte following requirements?
TJC and CAP requirements only.
TJC, CAP, ISO, Lean, Root cause analysis, and Six Sigma.
CAP requirements only.
OSHA requirements only.
30
The reporting of patient results by electronic means:
is more common but still requires permanent records.
is not covered by accrediting agencies
is covered by pre-examination procedures and requirements.
is limited to laboratory instruments only and not by POC instruments.
31
All of the following are examples of sentinel events involving the phlebotomist that may be investigated by TJC EXCEPT:
an instance of misidentification of a patient.
a refusal by the patient to permit the drawing of a specimen
an improperly labeled patient specimen for pretransfusion testing.
an improperly labeled patient specimen for chemistry testing.
32
The following are valid reasons for performing Delta checks EXCEPT verifying that:
specimens were properly inverted when required.
sharps wastes were properly disposed of.
patients have been properly identified.
phlebotomists are following the proper order of draw.
33
A decrease in the amount of oxygen reaching the cells can be detected using a(n):
Accu-Check.
reagent strip.
HemoCue.
HemoChron Jr.
34
The pre-examination phase associated with POCT include all of the following EXCEPT:
transporting and storing of specimens.
collection supplies.
reporting results.
proper identification of the patient.
35
Phlebotomy collection sites that should be avoided EXCEPT:
arm immediately adjacent to a mastectomy site.
hematomas.
uncomplicated antecubital area of one of the patient’s arms.
arm receiving intravenous fluids.
36
The purpose of enzyme immunoassay tests for pregnancy is the:
conjugation of antibodies and urine or serum.
reaction of placental cells with enzymes.
reaction of human chorionic gonadotropin with antibody to produce a color.
detection of human chorionic gonadotropin.
37
The primary goals of HIPPA include all of the following EXCEPT:
provide easier detection of fraud and abuse.
protect workers with pre-existing conditions from losing health insurance.
limit the amount of out-of-pocket expenses for a patient.
reduce paperwork by requiring electronic data transfer.
38
Lipemic serum appears:
dark yellow due to the presence of bilirubin
clear and red
cloudy due to the presence of fat
clear and pale yellow
39
A phlebotomist running a test on a standardized specimen received from a monitoring agency is performing:
quality control.
documentation.
waived testing.
proficiency testing.

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