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Midterm Study Quiz
Midterm Study Quiz
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#phlebotomy
Flashcards
70 cards
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Practice quiz
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Questions
70
Answers
1
An example of common vehicle transmission could be
Mosquitoes
Contaminated water
Coughing
Keyboard
2
Which vein lies on top of the brachial artery?
Basilic vein
Cephalic vein
Median cubital vein
Brachial vein
3
How should the needle be inserted for venipuncture?
Bevel down, in a smooth quick motion
Bevel down, very slowly
Bevel up, very slowly
Bevel up, in a smooth quick motion
4
Part of the lab that analyzes blood, urine and body fluids
Cytology
Anatomic and surgical pathology
Histology
Clinical laboratory
5
Which anticoagulant is used for coagulation studies?
SPS
Sodium citrate
Heparin
EDTA
6
What tube should be collected for trace metal analysis?
Yellow
Pink
Royal blue
Red
7
A pink top, plasma or whole blood tube contains
Sodium Flouride
Sodium Citrate
EDTA
Sodium Heparin
8
Which tube should be drawn first?
Red
Lavender
Green
Light blue
9
What is the first step in routine venipuncture?
Cleanse the site
Correctly identify the patient
Insert the needle at 15 - 30 degrees
Requisition from the MD
10
Which needle size is most commonly used for routine venipuncture?
18 gauge
16 gauge
26 gauge
21 gauge
11
The most common microbiology test:
CBC
Ova and Parasite O&P
PT/PTT
Culture and sensitivity C&S
12
The most common antiseptic used in routine venipuncture
10% bleach
Povidone - iodine
Chlorhexidine gluconate
Isopropyl alcohol
13
The tourniquet should not be left on the patient longer than ____ ?
3 minutes
2 minutes
1 minute
30 seconds
14
The yellow diamond in the NFPA safety label indicates:
Reactivity
Flammability
Other
Health
15
Conditions that may alter the quality of the specimen or cause harm to the patient include
Edematous tissue
All of these
Mastectomies
Hematomas
16
Reasons for specimen rejection could include all of these except:
Collection from a hematoma
Hemolysis
Tube not labeled
Collection in wrong tube
17
Which is true?
Phlebotomy equipment has not changed since its start
Phlebotomy is an ancient procedure at least 3500 years old
Phlebotomy started after WWII
Phlebotomy started after WWI
18
The first state to mandate licensure of all phlebotomists:
Louisiana
Florida
Tennessee
California
19
The proper tourniquet placement is ___ ?
Slightly below the puncture site
3 to 4 inches below the puncture site
3 to 4 inches above the puncture site
1 to 2 inches above the puncture site
20
Which of the following should be drawn first?
Blood cultures
Red
Lavender
Light blue
21
After venipuncture a patient on anticoagulants may take ___ to ____ mins to stop bleeding
2 to 5
3 to 5
10 to 15
5 to 10
22
Standards and guidelines for laboratory patient testing are set forth by _____ ?
CLSI
CAP
CLIA
JCAHO
23
When our patient experiences syncope during venipuncture, the first step is to ____ ?
Put the patient's head between the knees
Remind them "almost done"
Discontinue the draw
Go get help
24
Evidence that an individual has demonstrated proficiency in a particular area of practice:
Approval
Accreditation
Standardization
Certification
25
What type of precautions should be taken for patients with herpes or wound infections?
Contact
Bloodborne
Droplet
Airborne
26
Before removing the needle during venipuncture it is important to
Remove the tourniquet and tube
Activate the safety device
Cover your eyes in anticipation of splatter
Apply a bandage
27
The tourniquet is left on more than a min. Consequences to the sample include all
except
:
Hemolysis
Hematoma
Petechiae
Hemoconcentration
28
According to the Bloodborne Pathogens Standard set by OSHA
Employers must have a written exposure plan
All of these
Employers must provide a cleaning schedule
Employers must provide proper PPE
29
During venipuncture the patient complains of tingling fingers. What is the likely cause?
Tourniquet is too loose
The needle is too deep
You have punctured a nerve
Tourniquet is too tight
30
The first action to take in the event of fire is to:
call the fire department
close windows and doors
pull the fire alarm
remove patients from danger
31
This will pulsate while palpating:
Thumb
Arteries
Tendons
Veins
32
Which laboratory is independent and analyzes samples from other facilities?
POL lab
Reference lab
HMO lab
PPO lab
33
If you are stuck by a used needle or get blood in your eyes, nose, or mouth the first step is:
Report to your supervisor
Go to the ER
Apply pressure to the site with clean gauze for up to 15 min
Flood exposed area with water
34
To enhance vein prominence it is acceptable to do the following except:
Warm the site with a heel warmer
Massage the arm gently
Dangle the arm downward
Slap the antecubital fossa
35
This tube requires a specific ratio of nine parts blood to one part sodium citrate
Light blue
Yellow
Green
Gray
36
This virus is stable in dried blood at 25 degrees celsius for 7 days
HCV
HAV
HIV
HBV
37
An example of a common Chemistry test (collected in a gold top SST) would be:
PT/PTT
CBC
C&S
CMP
38
Which department performs blood typing?
Chemistry
Urinalysis
Immunohematology
Hematology
39
Veins that are occluded or sclerosed will feel ___ or ___ upon palpation.
Thick, cordlike
Soft, thick
Hard, cordlike
Soft, bouncy
40
A serum separator tube (SST) is a tube with a:
Lavender top
Light blue top
Light green top
Gold top
41
Which tube would be used for a CBC hematology test?
Light Blue
Lavender
Red
Green
42
Once certified, continuing education programs allow phlebotomists to earn:
licensing points
a degree
accreditation
CEUs
43
What does the term
phlebotomy
actually mean?
Removal of a vein
Incision of a vein
Testing of blood
Withdrawal of red blood cells
44
Which vein is the best second choice when the median cubital can't be used?
Cephalic vein
Radial vein
Basilic vein
Jugular vein
45
A requisition or order for testing will contain all this information
except:
Tests needed
Patient's full name
Collection method needed
Patient's date of birth
46
Ensuring the patient understands the procedure, its risks and agrees is _____ ?
Informed consent
Privacy
Confidentiality
Legality
47
The clinical laboratory is under the direction of a:
Medical assistant
Pathologist
Pharmacist
Phlebotomist
48
An example of a physical hazard would be:
Open flame
High-voltage equipment
Needles
Wet floor
49
Latex sensitivity and allergy can present itself at any time in you or your patients as:
All of these
Allergic contact dermatitis
Anaphylactic shock
Irritant contact dermatitis
50
Standard precautions should be taken with:
HIV positive patients
All patients
Patients is protective isolation
Patients in isolation
51
When using needles without a safety device always remember to:
Refuse using needles without a safety device
Tell patient "please hold still"
Steady the needle with your index finger
Use your dominant hand to anchor above and below site
52
A needle should only be used once and its adapter can be used
As many times as needed
Twice
Once
Until visibly soiled
53
Which laboratory department analyzes DNA in specimens?
Molecular diagnostics
Chemistry
Hematology
Histology
54
When drawing on an infant or child our first concern is the child's ____ ?
Temperament
Age
Parents
Weight
55
Which is the only tube that does not need to be mixed after filling?
Green
Red glass
Light green
Lavender
56
Class A Fire involves:
Electrical equipment
Cooking oils and grease
Wood, paper and cloth
Flammable metals
57
The Health Insurance Portability and Accountability Act of 1996 regulates:
Informing patients of procedures
Health insurance transfers
Phlebotomy training
Privacy of health information
58
When removing PPE first you will remove:
Gown and gloves
Gloves and mask
Mask
Goggles or face shield
59
What type of precautions should be taken for patients with measles or tuberculosis?
Droplet
Bloodborne
Airborne
Contact
60
Why are band aids not recommended for babies/toddlers?
The site will be unusable next time
They hurt too much
They are not effective in preventing infection
Risk of irritation and swallowing the bandage
61
The most common hazard phlebotomists encounter:
Radioactive
Physical
Chemical
Sharps
62
When a physician or clergy is in the room, return at another time unless
You are behind that day
The test is routine
The test is ordered STAT or timed
You are in a hurry
63
Infectious agents such as bacteria or viruses represent which safety hazard?
Biological
Chemical
Flammable
Physical
64
As the lumen gets bigger, the number or gauge size gets ____ ?
Stays the same
The lumen does not change
Smaller
Bigger
65
Clotting in a serum tube will take
Serum tubes will not clot
30 to 60 mins
10 to 20 mins
20 to 35 mins
66
Protecting safety of employees in the workplace:
JCAHO
OSHA
HIPAA
CAP
67
What is the correct order for putting on PPE?
Gown, gloves, mask
Gloves, gown, mask
Gloves, mask, gown
Gown, mask, gloves
68
Clotting in a tube containing an anticoagulant will take
30 to 60 mins
10 to 20 mins
It will not clot
15 to 25 mins
69
At what angle should a multisample needle be inserted for routine venipuncture?
15 to 30 degrees
30 to 45 degrees
10 to 25 degrees
15 to 25 degrees
70
Increase in ratio of formed elements to plasma caused by leaving the tourniquet on too long.
Petechiae
Hematoma
Hemolysis
Hemoconcentration