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