It is important to fill anticoagulant tubes to the proper level to ensure

there is a proper ratio of blood to anticoagulant additive

What is a disadvantage of puncturing the radial artery

it is small and difficult to feel

Feather is a term used to describe the appearance of

the thinnest area of a blood film

What is a positive modified Allen test

hand color returns to normal in 15 seconds

proof of participation in workshops to upgrade knowledge

A urine C & S is typically ordered to

diagnose urinary tract infection

pt has mastectomy on rt, has IV in left forearm, order for CBC how do you proceed

Collect the specimen from the left hand finger puncture

microbes that can cause disease

How soon should a blood smear from an EDTA specimen be made

within 1 hour of specimen collection

Arteriospasm is defined as

arterial contraction due to pain irritation by a needle

The main difference between serum and plasma is

plasma contain fibrinogen, serum does not

Which specimen is most likely to be rejected for testing

fasting glucose specimen that is lipemic

What is the best thing to do if the vein can be felt but not see, even with the tourniquet on

look for visual clues on the skin

Transporting tubes with stopper up has nothing to do with:

maintaining the sterility of the sample

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Phlebotomy National

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Guide for #Nationals#Phlebotomy

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Questions 100

Answers

1
CLSI and OSHA guidelines do not require specimen transport bags to have
slip pockets for paperwork
shock resistant features
a visible biohazard logo
liquid-tight closure tops
2
Which of the following is a safe area for infant heel puncture
central plantar area
posterior curvature
area of the arch
medial plantar surface
3
Which of the following analytes requires protections from light
lipoproteins
ammonia
vitamin B12
calcium
4
It is important to fill anticoagulant tubes to the proper level to ensure
tissue fluid contamination of the specimen is minimized
there is a proper ratio of blood to anticoagulant additive
the specimen yields enough serum for the required test
there is an adequate amt of blood to perform the test
5
Oncologist treat?
Heart
Stomach
Cancer
Kidney
6
Red Blood Cells are also called?
lymphocytes
leukocytes
thrombocytes
erythrocytes
7
What is a disadvantage of puncturing the radial artery
it is not easy to fully compress
it is small and difficult to feel
the risk of hematoma formation
there is not collateral circulation
8
Feather is a term used to describe the appearance of
a newborn screening blood spot
blood in a thick malaria smear
lipemia in a bilirubin specimen
the thinnest area of a blood film
9
According to CLSI max time limit to separate serum or plasma from cells
2 hours
15 minutes
1 hour
30 minutes
10
The additive and color code associated with coagulation tests is
potassium EDTA, lavender
sodium citrate, light blue
trixotropic gel, red/grey
lithium heparin, green
11
This agency enforces regulations requiring labeling of hazardous materials
NFPA
CDC
OSHA
CLSI
12
What is a positive modified Allen test
blood pressure increases in the radial artery
pulse in the ulnar artery becomes irregular
color drains from hand at 30 seconds
hand color returns to normal in 15 seconds
13
What are CEU
college credits for taking related healthcare courses
certificates awarded for participating in skills courses
proof of participation in workshops to upgrade knowledge
documentation of passing a national certification exam
14
A blood smear made from blood collected in EDTA must be prepared within
4.0 hours of collection
1.0 hour of collection
a few minutes of collection
30 minutes of collection
15
A urine C & S is typically ordered to
check for glucose in the urine
evaluate function of the kidneys
monitor urinary protein levels
diagnose urinary tract infection
16
It is untrue that capillary specimens contain
venous blood
serous fluids
arterial blood
tissue fluids
17
Ability of O2 to combine with this substance in RBS increase the amt of O2 carried by 70 times
glucose
hemoglobin
potassium
Carbon dioxide
18
This area of the lab detects infectious diseases and the antibodies in response to infection
microbiology
virology
immunohematology
immunology
19
Which body fluid is not considered to be infectious under standard precautions
saliva
blood
sweat
urine
20
Which needle has the largest diameter
23-gauge
22-gauge
21- gauge
18-gauge
21
Which mode of infection transmissions occurs from touching contaminated bed linens?
droplet contact
indirect contact
Direct contact
Vehicle contact
22
pt has mastectomy on rt, has IV in left forearm, order for CBC how do you proceed
Collect the specimen from the left hand finger puncture
As the nurse to do it when the IV is discontinued
Collect a CBS from the rt arm without using a tourniquit
As the nurse to collect from the IV
23
Anaerobic conditions must be maintained when collecting and handling this specimen
blood gases
plasma renin
bilirubin
glucose
24
This is one of the several agencies that regulates lab transportation
CLSI
EPA
DOT
FDA
25
What is the best means of preventing nosocomial infection?
isolation procedures
using disposible gloves
Proper immunization
hand decontamination
26
Which type of specimen has processing and testing priority over all other specimens
STAT
Timed
ASAP
fasting
27
You are unfamiliar with a test manual says it requires a serum specimen, which tube yield serum
lavender top
light blue top
green top
plain red top
28
All pathogens are
microbes that can cause disease
normal flora found on the skin
microorganisms that live in soil
communicable microorganisms
29
What is Exsanguination
drawing blood to deadly limits
tying a patient arm to chair
ignoring a patient
Putting a patient on fire out
30
Some specimens require cooling to
slow down metabolic processes
separate serum more completely
avoid cold agglutinin activation
prevent the blood from clotting
31
A specimen transported at or near body temperature would be
98 C
37 C
25 C
50 C
32
An individual who has little resistance to an infectious microbe is referred to as susceptible
host
agent
pathway
reservoir
33
How soon should a blood smear from an EDTA specimen be made
at the time the specimen is collected
after blood cells settle in the tube
before the specimen has been mixed
within 1 hour of specimen collection
34
Arteriospasm is defined as
tingling feeling in the fingertips after needle insertion
arterial contraction due to pain irritation by a needle
fainting related to hypotension
pain that shoots up side of the arm after needle insertion
35
Reference values for this test are higher for capillary specimens
calcium
phosphorus
glucose
total progtein
36
Which is an example of negative kinesics
eye contact
good grooming
smiling
crossing arms
37
Which is an unlikely barrier to effective communication with a patient
is a very young child
does not speak english
is emotionally upset
is a healthcare worker
38
Which of the following are not antecubital veins
subclavian
median
accessory cephalic
median basilic
39
The main difference between serum and plasma is
serum is pale yellow, plasma is colorless
plasma is obtained from clotted blood
plasma contain fibrinogen, serum does not
serum is usually clear, plasma is cloudy
40
What is the Medical Term for Phlebotomy
Vein Cutting
Vein wrapping
Vein Incision
Vein disection
41
What is typically required on a nonblood specimen label
Accession number
physician name
patient diagnosis
specimen source
42
Antiseptics are
Corrosive liquid
kill pathogenic microbes
disinfect contaminated surfaces
safe and effective on skin
43
The liquid portion of a clotted specimen is called
plasma
saline
serum
fibrinogen
44
Which type of test is most affected by tissue thromboplastin contamination
serology
Chemistry
coagulation
microbiology
45
Which specimen is most likely to be rejected for testing
CBC specimen collected in EDTA
fasting glucose specimen that is lipemic
bilirubin specimen that is icteric
potassium specimen collected in heperin
46
What is the best thing to do if the vein can be felt but not see, even with the tourniquet on
mark the spot with felt tip pen
keep the tourniquet on until you get blood
look for visual clues on the skin
insert needle where you think it is and probe until you find
47
Transporting tubes with stopper up has nothing to do with:
encouraging complete clot formation
reducing agitation caused hemolysis
maintaining the sterility of the sample
minimizing stopper caused aerosols
48
What is an example of work practice control that reduces risk of BBP exposure
Hepatitis B vaccination
red biohazard sticker
frequent handwashing
exposure control plan
49
The tourniquet should never be left in place longer than
4 minutes
30 seconds
60 seconds
2 minutes
50
Which is not a reason to eliminate a venipuncture site
Edema from IV
Petechiae
vein is hard and cordlike
massive scar
51
Blood vessels of the skin are found only in the
epidermis and adipose layer
germinativum and corneum
dermis and germinativum
corium and subcutaneous
52
Which is proper centrifuge operation
Avoid centrifuging serum in the same machine as plasma
Balance tubes of equal volume and size opposite one another
Remove the stopper prior to centrifugation
Spin ASAP to stimulate clotting process
53
It is necessary to control the depth of lance insertion during capillary puncture to avoid
excessive bleeding
puncturing and artery
specimen contamination
injury to the calcaneus
54
Which of the micro collections containers should be filled first if collected by capillary
Lavender top
Green top
Red top
Gray top
55
Which of the following diseases can be transmitted through blood and body fluids
syphilis
anemia
rubella
leukemia
56
It is incorrect to say tha HIPAA was enacted to
standardize electronic transfer of data
provide guidelines for sharing PHI
protect privacy of patient information
examine all patient healthcare records
57
You explain to patient that a blood specimen is to be collected, pt extends arm this is example
informed concent
refusal of consent
implied concent
expressed concent
58
Which word is used to describe the breakdown of red blood cells
hemostatis
erythema
erythrocytosis
hemolysis
59
Pt c/o of severe pain when needle is inserted and is radiating down the arm what do you do.
remove the needle and discontinue the draw immediately
Ask the patient if it is all right to continue the draw
collect the necessary amount as quickly as possible
tell patient there will be another draw if you stop
60
Steps taken in lab to connect specimen with paperwork of a patient is called
bar-coding specimen labels
collection verification
accessioning the specimen
patient identification
61
Purpose of a tourniquet in the venipuncture procedure is to
enlarge veins so they are easier to find and enter
redirect more blood flow to the venipuncture site
obstruct blood flow to concentrate the analyte
block the flow of arterial blood into the area
62
Chilling can cause erroneous results for this analyte
lactic acid
potassium
glucagon
ammonia
63
A patient who is NPO
cannot have any food or drink
is in critical but stable condition
is recovering from minor surgery
cannot have anything but water
64
What does acknowledging a patients beliefs customs knowledge and attitude exemplify
diversity awareness
sympathy
compassion
empathy
65
This is not a reason to transport tubes with stopper up
to encourage clot formation
to maintain sterility
minimize stopper caused aerosols
reduce agitation caused hemolysis
66
What ion is essential to the coagulation process
calcium
potassium
sodium
chloride
67
A person who recovered from a virus and has antibodies against that virus is said to be
a carrier
immune
infectious
susceptible
68
When the threshold value of a QA is exceeded a problem is identified
incident report is written
patient physician must be notified
a corrective action is implemented
patient specimen must be redrawn
69
When collecting a capillary specimen how does it differ from routine venipuncture
ID procedures
the additives used
The order of draw
the antiseptic used
70
Phenylketonuria ia a
temporary condition caused by lack of phenylalanine
contagious condition caused by lack of phenylalanine
genetic disorder involving phenylalanine metabolism
disorder caused by excessive phenylalanine ingestion
71
What is the CLSI recommended blood culture site disinfectant for infants 2 months older
Isopropyl alcohol swab
benzalkonium chloride
betadine swab
chlorhexidine gluconate
72
Which specimen should be transported on ice
potassium
Ammonia
carotene
bilirubin
73
A splash of bleach solution into the phlebotomist eyes occurs, what is the first thing you do
flush the eyes with water for minimum of 15 minutes
put 10-20 drops of saline in the eyes
Proceed to the emergency room
Blot the eyes with a wet paper towel
74
What is the most common nosocomial infection in US
surgical site infection
respiratory infection
urinary tract infection
hepatitis infection
75
It is incorrect to say this tube stopper color indicates the presence of an additive in tube
Green
Lt blue
Lavender
Dark Blue
76
The composition of capillary puncture blood more closely resembles
arterial blood
tissue fluid
lymph fluid
venous blood
77
A PT must be collected from a pt with IV's in both arms, whats best place to collect
above on of the IVs
from one of the IVs
below one of the IVs
from an ankle vein
78
Identify the tubes that can be used to collect a WBC, PTT, Electrolyte in order
Pink, Tiger, Gray
Lt blue, Lavender, Gray
Red, Yellow, Green
Lt Blue, Green, Lavender
79
An example of a QA indicator is
all phlebotomist will follow universal precautions
lab personnel will not wear lab coats when on break
blood culture contamination rates will not exceed 3%
no eating drinking or smoking in lab
80
An ETOH specimen must be collected for forensic purposes. Which tube would be best choice
Plain red top clot activator tube
Gray-top sodium fluoride tube
Royal blue with green coded label
Green-top plasma separator tube
81
Which tube is filled first when using evacuated tube system
blood culture
non additive discard tube
STAT potassium tube
CBC
82
Which of the following are normally the most numerous of the formed elements
platelets
reticulocytes
red blood cells
white blood cells
83
A technologist asks the you to collect 5cc of whole blood What volume tube do you use
15 ml
3.0 ml
5.0 ml
10 ml
84
The "Right to Know" law primarily deals with
exposure to pathogens
labeling of specimens
hazard communication
electrical safety issues
85
What is an aliquot
portion of a specimen being tested
filter for separating serum from cells
specimen being prepared for testing
tube used to balance the centrifuge
86
Which is not a required characteristic of a sharps container
puncture resistant
lid that locks
leak-proof
red in color
87
It is unlikely that you will inadvertently puncture an artery during venipuncture if you
use the basilic vein in the antecubital fossa
select a site that is near where you feel a pulse
choose the cephalic vein or one close by
select a vein that overlies or is close to an artery
88
The Abbreviation for the virus that causes AIDS
HAV
HBV
HCV
HIV
89
How soon should a newly hired phlebotomist be vaccinated against hepatitis B
within 10 days of employment
within 1 month of employment
immediately upon being hired
after probationary period is over
90
What is the best time to release the tourniquet during venipuncture
after the needle is withdrawn
as soon as blood begins to flow into the tube
as soon as the needle penetrates the skin
after the last tube has been filled completely
91
If a specimen has inadequate ID the specimen processor may
ask the phlebotomist to get a new sample
refer the tube to the lab supervisor
add the missing information to the label
contact the patient for correct information
92
One phlebotomist on night shift, has the following orders which is first
STAT CBS in labor and delivery
ASAP electrolytes in CCU
Timed blood cultures in ICU
STAT electrolytes in ER
93
The suffix of the term hepatitis means
deficiency
infection
inflammation
condition
94
Which additive prevents coagulation by binding calcium
Lithium heparin
trixotropic gel
potassium EDTA
sodium fluoride
95
It is incorrect to say this analyte requires protection from light
Ammonia
Vitamin C
bilirubin
vitamin B12
96
Symptoms of shock include
warm, moist skin
rapid strong pulse
decreased breathing
expressionless face
97
what can be deleted from a list of agencies that define guidelines for specimen transportation
FDA
OSHA
FAA
DOT
98
Which type of test is most affected by tissue thromboplastin contamination
Chemistry
microbiology
serology
coagulation
99
You have had 2 unsuccessful draws and you notice a large vein in another area what do you do
ask patient to come back later so you can try again
make a third attempt on the newly discovered vein
ask another phlebotomist to collect
call the supervisor for permission to make a third attempt
100
Exposure time, distance, shielding are main principles of
electrical safety
radiation safety
chemical safety
biohazard safety

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