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New 11-16
New 11-16
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1
What type of specimen is collected by inserting a flexible mini-tip culture swab through the nose?
Buccal
Serous fluid
Gastric
NP
2
An error in correctly reporting a patients test result is considered a/an?
All of the above
Post examination variable
Preexamination variable
Examination variable
3
Inaccurate CBG results are caused by?
Warming the site
Transporting on ice
Mixing the specimen
Air bubbles in the collection tube
4
A urine specimen for routine urinalysis cannot be delivered to laboratory within 2 hours, what should a phlebotomist do?
Reject the specimen and ask patient to collect a new one
Refridgerate the specimen
Freeze the specimen
Add a boric acid preservative
5
Acceptable QC can ensure?
Correct performance of the test
Integrity of the testing materials
Correct functioning of the testing device
All of the above
6
Wiping away the first drop of blood?
Stimulate platelets and faster clotting
Increases blood flow
Prevents specimen contamination
Cause air bubbles to enter the tube
7
Errors most commonly associated with incorrect PT (INR) results are?
Using first drop of blood collected by dermal puncture
Prematurely performing capillary puncture before test/strip is remind
Adequate application of the specimen
Cleansing and drying the capillary puncture site
8
The six steps of Lean are?
Sort, straighten, scrub, safety, standardize, sustain
Sustain, sweep, scour, staff, sort, stop
Sustain, straighten, staff, support, sort, safety
Sort, straighten, sweep, support, shine, stop
9
When policies and procedures are developed, it is important to identify?
The primary purpose of the procedure
The qualifications of the people performing the procedures
Areas where the procedure is being performed
Variables that may affect the procedure
10
When a blood smear is prepared, the proper angle of the spreader is?
15 degrees
25 degrees
45 degrees
30 degrees
11
The principle and purpose of each laboratory test is included?
On the requisition form
In the laboratory report
In the procedure manual
On the patients wristband barcode
12
Safe operation of the centrifuge EXCLUDES?
Unplugging the centrifuge to clean it with bleach
Stopping the centrifuge using the brake
Firmly fastening the top before operations
Placing tubes of equal size and volume across from each other
13
An arterialized specimen must be collected for which of the following tests?
Malaria blood smear
Newborn screening tests
Blood gases
Bilirubin
14
Pleural fluid is collected from the?
Joint
Chest
Lymph node
Heart
15
Failure to puncture across the fingerprint will cause?
Additional patient discomfort
Contamination of the specimen
Hemolysis
Blood to run down the finger
16
Which of the following would disqualify a person on the blood donor selection process?
Blood pressure: 160/90 Hg
Weight: 220 lbs
Hemoglobin: 11.0/dL
Temperature: 98 degrees F
17
Risk management departments develop policies to protect the?
Employer
Patients
Employees
All of the above
18
A procedure manual is?
Used to document QC
Given to the patient before testing
All of the above
A documentation of compliance with good practice
19
The basic principle of the Lean system is to increase efficiency and proficiency by?
CQI
Documentation of quality essentials
Elimination of waste
Rotation of duties
20
Serum or plasma must be separated from cells within ___ minutes from collection?
120
45
60
30
21
A thick blood smear is required for?
Malaria
A differential blood count
A nonautomated reticulocyte test
Special stains
22
Procedural controls that verify that the test kit and added reagents are performing correctly are called?
Internal controls
Electronic controls
Proficiency testing
External controls
23
A phlebotomist who tells a patient who refuses to have blood drawn to calm down or he will get someone to hold them down
Negligence
Defamation
Battery
Assault
24
When a patient refuses to have blood drawn, a phlebotomist should?
Notify his/her supervisor
Have the nurse hold down the patient for the draw
Ask another phlebotomist to collect the specimen
Document the refusal
25
The order of draw for a bilirubin, blood smear and CBC, by dermal puncture is?
Bilirubin, blood smear, CBC
Blood smear, CBC, bilirubin
Blood smear, bilirubin, CBC
CBC, blood smear, bilirubin
26
Bone marrow is collected from the?
Lumbar vertebrae
Iliac crest
Femur
Radius
27
Implied consent for Venipuncture on an adult requires the?
Signature of a witness
Patient extending an arm
Patients signature
Presence of a witness
28
Consent for HIV testing?
Must adhere to state laws
Must be done on an opt-out basis
Requires written consent
Must be done on an opt-in basis
29
Phlebotomists involvement with the Patient Care Partnership includes the patient right to?
All of the above
Continuity of care
Privacy
A clean and safe environment
30
Sputum specimens are collected to diagnose?
Cystic fibrosis
TB
Endocarditis
Strep throat
31
An advantage of POCT is?
Fast TAT
Inventory management
A large number of operators
Billing mechanisms
32
Documentation required in a phlebotomy department includes a/an?
Reference manual
Both A & C
Evaluation of TATs
Procedure manual
33
Which of the following tests requires a patient to collect a 72-hours fecal specimen?
Fecal occult blood
Fecal O&P
Fecal fat analysis
Fecal culture and sensitivity
34
Where is POCT most often performed?
Patients bedside
Research laboratory
ED
Hospital laboratory
35
Documentation of a laboratory’s overall quality of work is provided in the laboratory’s?
Quality essentials
QMS
QC records
Quality indicators
36
A POCT analyzer that can perform metabolic chemistry panels is the?
Bilicheck
Cholestech LDX
Glucometer
I-STAT
37
A waived test performed on the Hemocue analyzer that includes whether a patient has anemia is?
Bilirubin
Glucose
Monotest
Hgb
38
QC is part of the?
Collection phase
Pre examination phase
Examination phase
Post examination phase
39
A test included in a newborn screen that requires placement of blood in circles on filter paper is?
CBC
Bilirubin
PKU
Electrolytes
40
In newborns, dermal punctures are performed on the?
Earlobe
Back of the heel
Medial/lateral plantar areas of the heel
Index finger
41
A phlebotomist is unfamiliar with how to perform an arterial puncture but does it, the nerve injury to the patient is?
Negligence
Battery
Unethical practice
Malpractice
42
What special handling requirement is necessary for amniotic fluid that’s to be tested for hemolytic disease in newborns?
Transportation via a pneumatic tube system
Placement in a warm sterile container
Placement in an ice slurry
Protection from the light
43
Six sigma methodology is a?
Departmental assessment of errors and quality
Departmental assessment of variables
QA method to control variables
Statistical determination of variable and error reduction
44
Before mailing a newborn screening test to the reference laboratory, the blood spots must dry for?
2 hours
3 hours
1 hour
15 minutes
45
When a dermal puncture device. Is selected, the most critical consideration is the?
Tests requested
Width of the incision
Depth of the incision
Amount of blood needed
46
CSF specimen labels No. 1, No. 2 and No. 3 are delivered to the laboratory. What section should tube No. 3 go to?
Serology
Hematology
Microbiology
Chemistry
47
The equipment required for a dermal puncture excludes?
A tourniquet
A microcollection tube
Alcohol pads
A safety lancet
48
An unexpected patient death that is not related to that patients illness is termed a?
Professional liability
Sentinel event
Root cause error
Human error
49
The maximum length of a puncture device used on the heel is?
1 mm
2 mm
2.5 mm
1.5 mm
50
The recommended specimen for urine pregnancy testing is a?
Midstream clean-catch specimen
Timed specimen
First monitoring specimen
Random specimen
51
The primary goal of a QMS is to?
Increase laboratory efficiency
Monitor laboratory productivity
Reduce medical errors
Increase employee satisfaction
52
Failure to allow alcohol to dry on the puncture site may cause?
All of the above
Inability to form a round drop
RBC hemolysis
Specimen contamination
53
Dermal punctures are often performed on?
Patients receiving chemotherapy
Diabetic patients
All of the above
Geriatric patients
54
What instruction must a patient follow for the collection of a semen specimen?
Record the time of the collection
Abstain from sexual activity for 3 weeks but no longer than 5 weeks
Collect the specimen in a condom
Keep the specimen refrigerated after collection
55
Why should a dermal puncture site be warmed?
To prevent clotting
To increase blood flow
To prevent hemolysis
To cause hemoconcentration
56
The test used to monitor Coumadin (warfarin) therapy is?
APTT
PT (INR)
PFT
ACT
57
The agency that sets the standards and guidelines for POCT is?
Food and Drug Administration (FDA)
Clinical Laboratory Improvement Amendments (CLIA)
College of American Pathologists (CAP)
The Joint Commission (TJC)
58
Which of the following tests must be collected by capillary blood?
Newborn screening tests
ESRs
Coagulation tests
Blood cultures
59
When obtaining a specimen for a group a strep, swabbing which of the following areas could produce false negative?
Noticeable white patches
Back of the throat
Tonsils
Tongue
60
Duties of the phlebotomist when using the LIS EXCLUDE?
Collecting from the correct patient
Checking patient results
Printing specimen labels
Generating a requisition
61
Selection of an improper heel punctures site can result in?
Puncture of the calcaneous
Additional patient discomfort
The need for vigorous massaging
Specimen hemolysis
62
QC includes?
Instrument calibration
All of the above
Following a standardized procedure
Using standards and controls
63
Sweat electrolytes are collected to confirm the diagnosis of?
RSV
Lactose intolerance
Cystic fibrosis
Peptic ulcers
64
In addition to documenting patient and QC results, which of the following must be recorded when performing POCT?
Test complexity
All of the above
Reagent/kit expiration
Accrediting agency
65
Beginning of employment, phlebotomist asked to perform a glucose test and return results to supervisor. Employee doing?
Patient testing
Competency testing
Compliance test
QC
66
The concentration of this analyte is higher in blood collected by dermal puncture than by venipuncture?
Potassium
Total protein
Calcium
Glucose
67
When specimens for sample testing are processed, what safety precautions must be followed?
Wear sterile gloves
Wear isolation gown
Wear a hair cap
Wear fluid-resistant lab coat
68
A recommended way to measure and assess phlebotomy QSEs is to establish and monitor?
Quality indicators
QC
Quality improvement
Quality management
69
The law that specifically addresses the privacy of health information is the?
Clinical Laboratory Improvement Amendments
TJC patient safety goals
HIPPA
Patient Care Partnership
70
Which urine test requires a patient to collect a clean-catch midstream specimen?
Drug test
Culture and sensitivity
Pregnancy test
24-hour protein test
71
POCT preexamination errors include?
Control line does not appear
Improper storage of test materials
Moving the instrument during analysis
Reading a result too early
72
The blood specimen for this test must be protected from light?
PKU
CBC
Bilirubin
CBGs
73
What is the focus of an RCA?
Patient errors
Process errors
Physician errors
Personnel errors
74
Misidentification of a patient whose hemoglobin level is being monitored every 4 hours might be detected by?
Both A & B
Auto verification
The chemistry supervisor
A delta check
75
Ethics are defined as?
Standards of right and wrong
The patients right to know
All of the above
Legally required conduct
76
Drawing excess amounts of blood from a premature infant can cause?
All of the above
Infection
Arteriospasm
Iatrogenic anemia
