Phlebotomy Exam Questions and Answers, Exams of Nursing

Download Phlebotomy Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! 2024 NHA Phlebotomy Technician Certification Exam New Latest Version Updated with All Questions and 100% Correct Answers What does the acronym PASS describe and stand for? ---------- Correct Answer ---------- It describes the use of a fire extinguisher and stands for: Pull pin, Aim nozzle, Squeeze handle, Sweep from side to side. What does the acronym RACE stand for? ---------- Correct Answer ---------- It stands for what a healthcare worker should do if a fire or explosion occurs in the workplace: Rescue, Alarm, Contain, Exit 3. A parent asks the phlebotomist for the results of their young adults point of care test (POCT) test, what steps should the phlebotomists take? A. Write down the results for the parent and the patient. B. Ask the patient to leave the room and tell the parent. C. Show the parent the results in the hallway. D. Ask the patient for the permission to disclose results with the parent present. --------- Correct Answer ---------- B. Ask the patient to leave the room and tell the parent. 4. A patient starts to cry and is unwilling to extend her arm for the third draw of a glucose tolerance test (GTT), what is the proper statement for the phlebotomist to make? A. "I will get a nurse to hold your hand." B. "May I perform the draw?" C. "You may come back tomorrow to get the draw done." D. "I will draw the blood anyway." --------- Correct Answer ---------- B. "May I perform the draw?" . Before placing a call on hold, a phlebotomist should: a. record the caller's name. b. check to see if it is an emergency. c. transfer the call to the phlebotomy supervisor. d. tell the caller his or her name. ---------- Correct Answer ---------- b. check to see if it is an emergency. A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. ---------- Correct Answer ---------- d. all of the above. . Specimens are rejected by the laboratory for all of the following reasons except: a. clots in a lavender stopper tube. b. collection in the wrong tube. c. incompletely filled light-blue stopper tubes. d. clots in a red stopper tube. ---------- Correct Answer ---------- d. clots in a red stopper tube. . Allowing blood to leak from a vein into the surrounding tissue will cause: a. hematoma. b. hemolysis. c. nerve damage. d. syncope. ---------- Correct Answer ---------- a. hematoma. Hematomas can be caused by all of the following except: a. having the patient bend the elbow. b. inserting the needle partially into the vein. c. drawing below an intravenous line. d. removing the tourniquet after removing the needle. ---------- Correct Answer ---------- c. drawing below an intravenous line. The best reason why the majority of patient samples are drawn in the early moming hours is because: a. the patient will not be in the basal state early in the rnorning because this requires several hours of normal physical activity by the patient. b. patients should have consumed a meal no less than three hours prior to the time of collection. c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. d. patients are generally more agreeable with collection times scheduled early in the morning. ---------- Correct Answer ---------- c. the patient will be in the basal state, having restrained from strenuous exercise and having fasted for approximately 12 hours. . Plasma differs from Serum in that: a. Serum contains fibrinogen b. Serum is obtained by centrifugation c. Plasma contains fibrinogen d. Plasma is obtained by centrifugation ---------- Correct Answer ---------- c. Plasma contains fibrinogen A sentinel event would be most likely caused by delivery of a mislabeled tube to which lab department: a. Coagulation b. Hematology c. Immunology d. Blood bank ---------- Correct Answer ---------- d. Blood bank . Which of the following tests is not part of the CBC: a. Red blood cell count D. Chloride Metabolic Panel ---------- Correct Answer ---------- A. Comprehensive Metabolic Panel . What color of tube does the phlebotomist use for blood bank testing? A. Red plastic B. Red glass C. Yellow D. Pink ---------- Correct Answer ---------- D. Pink Traditional duties of the phlebotomist include all of the following except: A. Correctly label all specimens with required information B. Select the appropriate specimen containers for the specified test C. Perform test on patient samples in the lab D. Collect the appropriate amount of blood by venipuncture or dermal puncture ---------- Correct Answer ---------- C. Perform test on patient samples in the lab . To prevent blood from clotting, the specimen must be: A. Collected in a tube containing an anticoagulant B. Inverted right after collection C. Centrifuged right after collection D. Both a and b ---------- Correct Answer ---------- D. Both a and b A. Collected in a tube containing an anticoagulant B. Inverted right after collection The primary antiseptic for venipuncture is: A. 70% isopropyl alcohol B. 80% isopropyl alcohol C. 90% isopropyl alcohol ---------- Correct Answer ---------- A. 70% isopropyl alcohol . Most anticoagulants in blood collection tubes prevent clotting by: A. Binding calcium B. Acting as an antithrombin agent C. Binding fibrinogen D. Releasing heparin ---------- Correct Answer ---------- A. Binding calcium . List five (5) physical and/or emotional changes associated with the aging process that could impact phlebotomy procedures ---------- Correct Answer ---------- Any 5 of the following: - Hearing loss leading to embarrassment and frustration - Impaired verbal communication - Failing eyesight - Loss of taste, smell and/or feeling - Memory loss - Thinner skin tissue - Smaller muscles - Increased susceptibility to accidental hypothermia - Increased sensitivities and allergies - Anxiety related to becoming older and less capable List two other terms used to refer to point-of-care testing: Any two of the following: ---------- Correct Answer ---------- - Decentralized laboratory testing - On-site testing - Bedside testing - Near-patient testing - Patient-focused testing The nervous system that is made up of the brain and spinal cord is the: a. central nervous system. b. peripheral nervous system. c. autonomic nervous system. d. voluntary nervous system ---------- Correct Answer ---------- a. central nervous system Application of the tourniquet on the patient's arm for longer than one minute may cause: a. an increase in contaminated blood cultures. b. a clotted sample in the red top tubes collected. c. an increase in concentration of large molecules. d. decreased pain and discomfort in the arm. ---------- Correct Answer ---------- c. an increase in concentration of large molecules The anterior portion of the body is the: a. right side. b. front side. c. back side. d. left side. ---------- Correct Answer ---------- b. front side. When a central venous access device (CVAD) is present: a. blood is drawn from the line using a 30-mL syringe. b. laboratory specimens should not be collected from the catheter. c. blood is drawn and discarded before the specimen is collected. d. an evacuated tube is attached to the line for specimen collection. ---------- Correct Answer ---------- c. blood is drawn and discarded before the specimen is collected. A phlebotomist may be requested not to transport a specimen through the pneumatic tube system if it is to be tested for: a. glucose. b. cholesterol. c. creatinine. d. potassium. ---------- Correct Answer ---------- d. potassium. Inflammation of the meninges caused by a bacterial or viral infection is called: a. poliomyelitis. b. chondrosarcoma. c. meningitis. d. cerebral palsy ---------- Correct Answer ---------- c. meningitis. Accessioning refers to: a. a test performed in the chemistry section. b. organization of requisition slips for morning sweeps. c. assigning of identification numbers and distribution of specimens. d. processing of specimens requiring special handling. ---------- Correct Answer ---------- c. assigning of identification numbers and distribution of specimens. Errors in prioritizing specimens appropriately (routine versus stat) for processing are classified as: a. post-examination variables. b. different types of variables depending on the type of laboratory. c. pre-examination variables. d. examination variables. ---------- Correct Answer ---------- c. pre-examination variables. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. ---------- Correct Answer ---------- d. when the hands are not visibly contaminated with blood or other body fluid. The physical examination of urine includes reports on: a. odor and turbidity. b. color and appearance. c. clarity and foam color. d. color and blood. ---------- Correct Answer ---------- b. color and appearance. Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. d. fasting and cloudy. ---------- Correct Answer ---------- d. fasting and cloudy. Phlebotomists may be required to classify tests using a: a. current procedural technology (CPT) code. b. bar code. c. International Classification of Diseases, 9th Revision (ICD-9) code. d. Centers for Disease Control and Prevention (CDC) code. ---------- Correct Answer ---- ------ a. current procedural technology (CPT) code. The sweat electrolyte test is used in the diagnosis of; Which type of urine specimen should a tech. Instruct a pt. To collect for a pregnancy test? ----------- Correct Answer ----------- First-morning A tech. Is explaining a phlebotomy procedure to a pt. Who wears hearing aids. The pt. Seems distracted. Which way should the tech. Ask to ensure the pt. Understands the procedure? ----------- Correct Answer ----------- "Would you like me to repeat the directions?" A tech should identify which information is required for positive identification of a pt. In an outpatient facility? ----------- Correct Answer ----------- Picture ID, full name, DOB A tech enters a pts. Room to perform a blood draw and notices that the patient's ID band is sitting on the bedside table. The pt states "I hate wearing it, so I took it off" what response should the tech make? ----------- Correct Answer ----------- "I will ask the nurse to replace the ID band" A tech is seeking consent to perform veni. On an older adult pt who has been accompanied to the facility by a younger adult. Which action should the tech take? ------- ---- Correct Answer ----------- Speak to the pt in a normal tone. A tech is preparing to draw blood from a pt who had been admitted for life threatening cardiac symptoms. Which action should the tech take? ----------- Correct Answer ---------- - Proceed with collecting the patients blood A tech is collecting a specimen to test a patients lithium level following a recent dose of medication. Which levels should the tech collect? ----------- Correct Answer ----------- Peak A tech is preparing to perform a blood collection in an outpatient setting. Which info is required on the requisition form? ----------- Correct Answer ----------- Patients billing info and test status A tech is preparing to collect specimens to determine a pts peak and trough levels. Which actions should the tech take? ----------- Correct Answer ----------- Ask the nurse when the medication was administered. A tech is processing the blood sample of a pt who ate a meal of meat and cheese prior to draw. Following centrifugation, what should the tech expect to find? ----------- Correct Answer ----------- The specimen is lipemic A tech is preparing to draw a pts blood when the pt informs him that she is taking warfarin. The tech should identify that the results of which of the tests is affected by the medication? ----------- Correct Answer ----------- PT/INR A tech is preparing to collect blood from a pt who has experienced syncope during previous draws. Which action should the tech take? ----------- Correct Answer ----------- Place the pt in a supine position A pts asks a tech why his blood is being drawn. What response should the tech make? - ---------- Correct Answer ----------- "You should ask your provider about the test" A tech is informing a pt about the procedure for collecting a blood culture. What should the tech include? ----------- Correct Answer ----------- "I will swab the area twice to make sure it is sterile" A tech is preparing to collect a blood sample from a patient for a cholesterol test. What statement should the tech make? ----------- Correct Answer ----------- "Please sit for at least 5 mins before the test" A tech is positioning a pt for a veni. To prevent reflux or backflow, the tech should instruct the pt to love arm into what position? ----------- Correct Answer ----------- Fully extended in a downward position. A tech is preparing to collect a specimen from a 3-year old pt to perform a coagulation test. What collection method should the tech use? ----------- Correct Answer ----------- Winged safety butterfly A tech is performing a veni. On a pt. Who currently has an IV in both arms. What action should the tech take? ----------- Correct Answer ----------- Ask the nurse to turn off the IV for 2 mins A tech is educating a pt ab a 24-hr urine collection. What instructions should the tech give the pt? ----------- Correct Answer ----------- "Start collecting at the second void of the day" A tech is instructing a pt on how to collect a urine specimen for a culture and sensitivity test. What statement should the tech include? ----------- Correct Answer ----------- "You will need to collect a midstream clean-catch specimen" A tech is performing a veni. For bilirubin test, a cold agglutinin tiger, a CBC, and a PTT test. Which tubes should the tech use? ----------- Correct Answer ----------- One light blue, two serum tops, and one lavender tube A pt sits down for a veni. In an outpatient setting, rolls up her sleeve, and extends arm. The pt turns her head away from the tech and says "I don't want my blood drawn" which responses should the tech make to the pt? ----------- Correct Answer ----------- "May I draw your blood" A tech is preforming a veni. On a deep median cubical vein. What methods of withdrawal should the tech use? ----------- Correct Answer ----------- Withdraw the bevel up a 25 degree - 30 angle A tech is performing a dorsal veni. With the needle at 15 degrees resulting in slow blood flow and the development of a hematoma. What should the tech identify as the cause of the hematoma? ----------- Correct Answer ----------- Needle went through the vein A tech is preparing to perform a veni. Test for coagulation, WBC, pregnancy, and random glucose. Which of the following tubes should the tech choose? ----------- Correct Answer ----------- Sodium citrate, SST and EDTA A tech is performing a dermal puncture for an adult pt. What location should the tech use for the procedure? ----------- Correct Answer ----------- The side of the central of the ring finger A tech is performing a hand veni. On a 25 year old pt who has small veins that are difficult to access. What equipment should the tech use to perform the procedure? ------- ---- Correct Answer ----------- 23 gauge winged collection set A tech is preparing equipment for a blood draw. The tech notices that one tube on the tray is expired. What action should the tech take to ensure accurate test results? --------- -- Correct Answer ----------- Use a new tube from the front of the shelf A tech is preforming a veni. For a potassium test, CBC, and glucose test. The tech has left the tourniquet tied on the pt for 3 Mins. What outcome should the tech expect? ------- ---- Correct Answer ----------- High potassium level A tech is preforming a blood collection for a pt who has edema in her right arm. What location should the tech identify as the best vein choice for veni? ----------- Correct Answer ----------- Left side dorsal hand A tech is using providone-iodine during a capillary specimen collection. What outcome should the tech expect? ----------- Correct Answer ----------- Increased potassium level A tech is preforming a veni. After removing the needle cap what steps should the tech take? ----------- Correct Answer ----------- Anchor the vein 2.5-5 cm (1-2in) below the puncture site A tech is drawing blood through a hematoma. What errors should the tech expect to see in the specimen? ----------- Correct Answer ----------- Hemolysis A tech is preforming a capillary collection for CBC, FSH, and electrolyte tests. What is the proper collection order? ----------- Correct Answer ----------- Lavender microcollection container Green microcollection container, the red microcollection container A tech is instructing a pt about how to collect a fecal specimen at home. What instructions should be included? ----------- Correct Answer ----------- "Do not mix urine with the fecal sample" A tech is performing a brief psychical examination of a prospective blood donor. What measurements would indicate the donors eligibility to donate blood? ----------- Correct Answer ----------- Hematocrit level 42% A tech has collected a neonatal screening card. What actions should the tech take to properly dry the blood spot collection card? ----------- Correct Answer ----------- Place card on a flat, dry surface A tech is preparing to load two tubes into a centrifuge. What actions should the tech take? ----------- Correct Answer ----------- Place tubes of equal volume across from each other A tech is preparing serum samples for the centrifugation. How many minutes should the tech allow the serum samples to stand before loading them into the centrifuge? ----------- Correct Answer ----------- 30 mins A tech is preparing to draw a blood specimen that must be protected from light. what lab tests will be performed on this specimen? ----------- Correct Answer ----------- Bilirubin A tech working in a lab has received six filled evacuated tubes, one of whimsy is missing a label. What action should the tech take? ----------- Correct Answer ----------- Recollect the unlabeled specimen What action should a tech take when collecting urine specimen for drug testing? ---------- - Correct Answer ----------- Seal the specimen in a tamper evident container A tech is preparing to obtain a forensic specimen to determine a pts blood alcohol level. What info should the tech include on the chain of custody form? ----------- Correct Answer ----------- Date and time of specimen collection A tech has received a urine drug test specimen with a thermometer reading of 29.4 degrees Celsius. What action should the tech take? ----------- Correct Answer ----------- Have the pt provide another urine specimen under observation. A tech has released a specimen to a courier who is transporting it to the lab. What statements should the courier use to instruct the medical specimen accessioner on how to complete the chain of custody form? ----------- Correct Answer ----------- "Write your name on the form" A female pt is being referred to a reproductive specialist. What blood test last would the tech release to the referring personnel? ----------- Correct Answer ----------- FSH and LH A tech calls a medical assistant to inquire about a lab requisition. What info is required on a lab requisition? ----------- Correct Answer ----------- Pt ID number A tech is accessing the lab info system prior to collecting a specimen. What actions should the tech take? ----------- Correct Answer ----------- Print the specimen labels A tech is accessing the lab info system. The tech should identify what info can be found in the system? ----------- Correct Answer ----------- Previous lab results What info should the tech use to access a pts medical record in the lab info system? ---- ------- Correct Answer ----------- Pt ID number A tech is performing a point of care glucose test for a pt and receives a glucometer reading of 46 mg/dL. What findings should the tech expect the pt to exhibit? ----------- Correct Answer ----------- Rapid heartbeat A tech is performing a point of care hemoglobin test for a pt. What values should the tech report to the provider? ----------- Correct Answer ----------- 9.2 g/dL A tech is performing a point of care total cholesterol test for a pt. What values should the tech report to the provider? ----------- Correct Answer ----------- 250 mg/dL A tech notices that the volume of blood required to fill the tests ordered by a pts endocrinologist exceeds the recommended draw amount for the day. What action should the tech take? ----------- Correct Answer ----------- Contact the pts endocrinologist A tech has just received several blood test results from different pts. What results should the tech distribute first? ----------- Correct Answer ----------- Stat CBC drawn in surgery A tech should refrigerate what specimens before transportation? ----------- Correct Answer ----------- Lactic acid A tech is transporting a cryoglobulin specimen to the lab. The tech should keep the specimen at what temperature? ----------- Correct Answer ----------- 37 degrees Celsius (98.6 degrees F) 1. What temperature should a semen sample be transported? ---------- Correct Answer -- -------- 36-38 degrees C 2. Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw b. Incorrect needle gauge c. Applying tourniquet too close to the draw site d. Failure to invert tube ---------- Correct Answer ---------- b. Incorrect needle gauge 3. Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light b. Keep specimen warm c. Keep specimen at body temp d. Place specimen in icewater slurry (or a cup of ice) ---------- Correct Answer ---------- d. Place specimen in icewater slurry (or a cup of ice) 4. The phlebotomist has a request to collect a CBC from a healthy 10 month old. Which is appropriate? ---------- Correct Answer ---------- a. Either heel 5. A phlebotomist is preparing to draw blood from a patient in hospital/ The patient extends his arm and turns head away. Which consent does this indicate? ---------- Correct Answer ---------- a. Implied consent 6. Why should phlebotomist document volume of blood drawn from a patient? ---------- Correct Answer ---------- a. Iatrogenic anemia could be a result fo too much taken 7. A phlebotomist has a requisition to draw blood on a patient with severe Down's syndrome. What steps would you take? ---------- Correct Answer ---------- a. Speak with the patient guardian before performing venipuncture to enmsure the patient understands 8. A 69 year old unconscious patient is brought ot the ER. Several blood tests are ordered. The phlebotomist collects blood under ---------- Correct Answer ---------- a. Implied consent 9. Which of the following actions is appropriate when labeling specimens? ---------- Correct Answer ---------- a. Label specimens at the time of collection in front of the patient 10. Before collecting blood on an inpatient, the phlebotomist notices there's no wristband on wrist. There is one on the IV pole. What do you do? ---------- Correct Answer ---------- a. Don't draw until nurse puts an armband on patient 11. Which is appropriate form of identification in inpatient setting? ---------- Correct Answer ---------- a. Verbal and wrist band 12. WBC, RBC, Electrolytes are ordered. Which tubes are used for capillary? ---------- Correct Answer ---------- a. Lavender and red 13. A blood specimen is rejected by lab with QNS as the reason? Why? ---------- Correct Answer ---------- a. The specimen was insufficient-not enough blood 14. Which of the following is best method to prevent internal or external bleeding from venipuncture site after needle is removed? ---------- Correct Answer ---------- a. Apply pressure to prevent leakage of blood into the tissues 41. What is additive for a PT/PTT? ---------- Correct Answer ---------- a. Sodium Citrate (Blue top) 42. Blood cultures have been ordered on ICU patient. You would use: ---------- Correct Answer ---------- a. Aerobic and anaerobic bottles 43. A phlebotomist is required to obtain what from a potential donor? ---------- Correct Answer ---------- a. Complete medical history 44. Phlebotomist needs to draw a glucose tolerance test on a patient and notices an empty breakfast plate at bedside. What should you do? ---------- Correct Answer ---------- a. Ask the patient when he or she ate last 45. Which vein should you attempt first? ---------- Correct Answer ---------- a. Median cubital 46. If a phlebotomist is stuck with a used needle, first action is: ---------- Correct Answer ---------- a. Flush the area with running water 47. correct specimen handling, what should you put on collection tubes? ---------- Correct Answer ---------- Before leaving a patient room, make sure the date, time and initials are on the tubes. 48. When removing the needle from the arm, engage the safety device immediately ----- ----- Correct Answer ---------- 49. What can cause hemolysis? ---------- Correct Answer ---------- a. Vigorously shaking the tube 50. A phlebotomist must centrifuge a serum separator tube before shipment: ---------- Correct Answer ---------- a. Cells must be separated from the serum 51. The phlebotomist draws a CBC at 1800. Lab closed at 1730 and will not process until 500. What temp should the CBC be stored ---------- Correct Answer ---------- a. 2-10 degrees C (EDTA tubes may be processed at 12 hours if refrigerated) 52. What test results can be affected if iodine is used to clean the site? ---------- Correct Answer ---------- a. Potassium 53. According to CLSI, what is collected first? ---------- Correct Answer ---------- a. Blood cultures 54. KNOW ORDER OF DRAW ---------- Correct Answer ---------- 1. KNOW ADDITIVES ---------- Correct Answer ---------- 55. KNOW ORDER OF VENIPUNTURE PROCEDURE ---------- Correct Answer ---------- 56. A physician ordered a Tobramycin level to be drawn one hour after dose. The Tobramycin has been ordered for 11am. What should you do ---------- Correct Answer -- -------- a. Check with the nurse to make sure meds were given (or not given) 57. phlebotomist notices red spots. What is appropriate action? ---------- Correct Answer ---------- a. Apply pressure after collecting During the draw, the the sample 58. What is a potential consequence of mislabeling a blood bank specimen? ---------- Correct Answer ---------- a. A Transfusion reaction 59. When should a phlebotomist perform external liquid controls for quality control on CLIA waived point of care test? ---------- Correct Answer ---------- a. When a new lot number or kit is opened 60. A 3.3 kg infant has a total blood volume of 240-330ml ---------- Correct Answer ------- --- 61. Cleanse in an outward spiral ---------- Correct Answer ---------- 62. What would you use for a hand draw? ---------- Correct Answer ---------- a. Butterfly or winged infusion set 63. Invert anticoagulant tubes to :prevent coagulation ---------- Correct Answer ---------- Name the 3 types of blood samples ---------- Correct Answer ---------- whole blood/ plasma/ serum What two States require licensure ---------- Correct Answer ---------- Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? ---------- Correct Answer ---------- The patient's Intimate Zone or Space Define Phlebotomy ---------- Correct Answer ---------- An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? ---------- Correct Answer ---------- ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: ---------- Correct Answer ---------- A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. . Number the following items to reflect the correct blood flow through the heart and lungs: _1__ Vena Cave (superior/inferior) _7__ Lungs _5__ Pulmonary Valve _6__ Pulmonary Artery _13__ Aorta _9__ Left Atrium _2__ Right Atrium _8__ Pulmonary Veins _4__ Right Ventricle _11__ Left Ventricle _3__ Tricuspid Valve _12__ Aortic Valve _10__ Mitral Valve (aka, Bi-Cuspid) ---------- Correct Answer ---------- To whom does the phlebotomist report? ---------- Correct Answer ---------- A technical phlebotomy supervisor What two government agencies administer CLIA? ---------- Correct Answer ---------- Center for Medicare/Medicaid Services (CMS)__ FDA . Is the Joint Commission a non-profit organization? ---------- Correct Answer ---------- No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? ---------- Correct Answer ---------- 1973 by the American Hospital Association. . What is Informed Consent? ---------- Correct Answer ---------- When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? ---------- Correct Answer ---------- When you explain the procedure to the patient and they make a gesture that implies their permission to proceed, such as extending their arm, rolling up their sleeve or nodding their head. What is required to obtain Informed Consent for a child? ---------- Correct Answer --------- - You explain the procedure to the parent or legal guardian and obtain their informed consent for the child. What is the difference between a Criminal Lawsuit and a Civil Lawsuit? ---------- Correct Answer ---------- A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? ---------- Correct Answer ---------- The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? ---------- Correct Answer ---------- Actual harmful touching of another person without his or her consent. . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology ---------- Correct Answer ---------- b. Blood bank The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in: a. coagulation. b. chemistry. c. urinalysis. d. histology. ---------- Correct Answer ---------- a. coagulation. . Which test would a physician order on a patient with a suspected infection? a. Glucose b. Complete blood count (CBC) c. Cholesterol d. Antinuclear antibody (ANA) ---------- Correct Answer ---------- b. Complete blood count (CBC) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. ---------- Correct Answer ---------- d. complete blood count. . An agency that assures quality care by hospitals is the: a. Joint Commission. b. Centers for Disease Control and Prevention. c. Occupational Safety and Health Administration. d. College of American Pathologists. ---------- Correct Answer ---------- a. Joint Commission. . The most serious error a phlebotomist can make is: a. causing a hematoma. b. failure to correctly identify a patient. c. drawing a specimen in the wrong tube. d. collecting a hemolyzed dermal puncture specimen. ---------- Correct Answer ---------- b. failure to correctly identify a patient. . A puncture device with a broken seal should not be used because: a. it is no longer sterile. b. the needle may contain a barb. c. there may be a manufacturing defect. d. the color coding will not match the size. ---------- Correct Answer ---------- a. it is no longer sterile. Using an evacuated tube after its expiration date can result in all of the following except: a. a short draw. b. a clotted specimen. c. a lipemic specimen. d. a contaminated specimen ---------- Correct Answer ---------- a. a short draw. The Patient's Bill of Rights guarantees the patient all of the following except: a. a private room. b. informed consent. c. confidentiality. d. treatment refusal. ---------- Correct Answer ---------- a. a private room. To complete the chain of infection, all of the following are required except a: a. source. b. contaminated surface. c. mode of transmission. d. host. ---------- Correct Answer ---------- b. contaminated surface. An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate ---------- Correct Answer ---------- c. nosocomial. The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. b. antimicrobial soap. c. hydrogen peroxide. d. sodium hypochlorite. ---------- Correct Answer ---------- d. sodium hypochlorite. . The term universal precautions refers to: a. universal blood donors. b. mixing organic chemicals under a hood. c. wellness clinics available to everyone. d. treating all specimens as infectious. ---------- Correct Answer ---------- d. treating all specimens as infectious. In addition to changing gloves between every patient, phlebotomists should also: a. change their lab coats. b. disinfect the phlebotomy tray. c. double-bag the specimens. d. wash their hands. ---------- Correct Answer ---------- d. wash their hands. To comply with the current Bloodborne Pathogens Standard, phlebotomists must: a. discard sharps only into containers attached to the wall. b. activate the needle protection device before removing the needle from the adapter. c. decontaminate needle adapters between each patient. d. activate the needle protective device and discard the needle and the adapter. ---------- Correct Answer ---------- d. activate the needle protective device and discard the needle and the adapter. The code word PASS refers to: a. storage of volatile chemicals. b. operation of a fire extinguisher. c. labeling of hazardous material. d. the presence of radioactive material ---------- Correct Answer ---------- b. operation of a fire extinguisher. Alcohol-based hand sanitizers may be used as a substitute for handwashing: a. only in a blood donation center. b. only in certain patient care areas such as oncology or obstetrics and gynecology. c. at any time. d. when the hands are not visibly contaminated with blood or other body fluid. ---------- Correct Answer ---------- d. when the hands are not visibly contaminated with blood or other body fluid The prefix that means decreased is: a. hypo- b. hyper- c. hetero- d. haplo- ---------- Correct Answer ---------- a. hypo- Which of the following abbreviations on a patient's chart, test requisition, or bedside notice would be most important if a patient asked a phlebotomist for a drink of water? a. TPR b. PRN c. OP d. NPO ---------- Correct Answer ---------- d. NPO The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. ---------- Correct Answer ---------- d. homeostasis. The layer of skin that contains the blood vessels is the: a. epidermis. b. dermis. c. keratinized epithelium. a. red stopper tubes. b. lavender stopper tubes. c. green stopper tubes. d. light blue stopper tubes. ---------- Correct Answer ---------- a. red stopper tubes. . Which of the following needles has the largest diameter? a. 16 gauge b. 18 gauge c. 20 gauge d. 22 gauge ---------- Correct Answer ---------- a. 16 gauge Collecting a large evacuated tube using a 23-gauge needle: a. is recommended for geriatric patients. b. is required for certain automated tests. c. may cause a hemolyzed sample. d. may cause a loss of vacuum in the tube. ---------- Correct Answer ---------- c. may cause a hemolyzed sample. Forcing blood from a syringe into an evacuated tube: a. prevents the blood from clotting. b. can only be done when using a small syringe. c. may hemolyze the specimen. d. is required when using a transfer device. ---------- Correct Answer ---------- c. may hemolyze the specimen The needle holder that is part of the evacuated tube collection system is: a. disposed of in the general trash after removing the collection needle. b. disposed of as a unit with the collection needle into a red bag. c. disposed of as a unit with the collection needle into a sharps container. d. made of a grade of plastic that does not require disposal in a sharps container. -------- -- Correct Answer ---------- c. disposed of as a unit with the collection needle into a sharps container. All of the following are used to identify a patient except the: a. bed sign. b. requisition form. c. identification band. d. bar codes. ---------- Correct Answer ---------- a. bed sign. The most important purpose of a requisition form is: a. authorization to perform the procedure.a. authorization to perform the procedure. b. providing a system to report results. c. location of the patient. d. monitoring test result turnaround time. ---------- Correct Answer ---------- a. authorization to perform the procedure.a. authorization to perform the procedure. Blood should not be drawn from a patient who is: a. standing. b. nervous. c. unable to make a fist. d. not fasting. ---------- Correct Answer ---------- a. standing. The maximum time a tourniquet should remain on the patient's arm is: a. 1 minute. b. 2 minutes. c. 3 minutes. d. 5 minutes. ---------- Correct Answer ---------- a. 1 minute. The vein of choice for routine venipuncture is the: a. median cubital. b. radial. c. cephalic. d.baslic ---------- Correct Answer ---------- a. median cubital. The vein located on the thumb side of the arm is the: a. brachial. b. median cubital. c. basilic. d. cephalic. ---------- Correct Answer ---------- c. basilic. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line. ---------- Correct Answer ---------- b. examine by touch. Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C ---------- Correct Answer ---------- d. both A and C a. excessive bleeding c. hemolysis. Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except: a. increased bacteriostatic action. b. a stinging sensation for the patient. c. a possible unsterile site. d. specimen hemolysis. ---------- Correct Answer ---------- a. increased bacteriostatic action. Correct palpation of a vein includes all of the following except: a. determining the depth of the vein. b. detecting a pulse using the thumb. c. determining the direction of the vein. d. probing with the index finger. ---------- Correct Answer ---------- b. detecting a pulse using the thumb. Hemoconcentration can be caused by: a. prolonged tourniquet application. b. intravenous therapy. c. excessive probing. d. failure to clench the fist. ---------- Correct Answer ---------- a. prolonged tourniquet application. . Firmly anchoring the vein prior to needle insertion is necessary to prevent: a. specimen hemolysis. b. incompletely filled tubes. c. an accidental needlestick. d. the vein from rolling. ---------- Correct Answer ---------- d. the vein from rolling. . During the venipuncture, the phlebotomist should do all of the following except: a. anchor the vein above and below the puncture site. b. insert the needle with the bevel up. c. insert the needle at a 15- to 30-degree angle. d. brace the hand holding the adapter on the patient's arm. ---------- Correct Answer ------ ---- a. anchor the vein above and below the puncture site. A properly labeled tube must have all of the following information except the: a. patient location. b. patient identification number. c. date of collection. d. phlebotomist's initials. ---------- Correct Answer ---------- a. patient location. Two identifiers for patient identification before specimen collection are routinely secured by all the following means except: a. verifying the patient's identification number on the wrist or ankle identification band. b. asking the patient to state his or her first name and last name. c. asking the patient "Are you John Doe?" or "Are you Mary Doe?". d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition. ---------- Correct Answer ---------- d. comparing information obtained verbally and from the patient's identification band with the information on the test requisition When encountering a patient who is sleeping, the phlebotornist should: a. return at another time. Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort. ---------- Correct Answer ---------- c. hemolysis An unexpected patient death that is not related to the patient's illness is termed a: a. root cause. b. human error. c. sentinel event. d. professional liability. ---------- Correct Answer ---------- c. sentinel event. The maximum safe length of lancets used for heel puncture is: a. 1.5 mm. b. 2.0 mm. c. 2.75 mm. d. 3.4 mm. ---------- Correct Answer ---------- b. 2.0 mm. The main organ(s) of the integumentary system is (are) the: a. nails. b. hair. c. skin. d. sweat glands. ---------- Correct Answer ---------- c. skin. . If a patient refuses to have blood drawn, the phlebotomist should: a. send another phlebotomist to collect the specimen. b. report the situation to the nursing station. c. return the requisition form to the laboratory. d. ask someone to hold the patient and collect the specimen. ---------- Correct Answer --- ------- b. report the situation to the nursing station. 1. Besides gloves which of the following PPE should a phlebotomist wear when drawing on a patient with pneumonia? A. Face mask B. Gown C. N95 Respirator D. Shoe covers --------- Correct Answer ---------- A. Face mask 2. A phlebotomists noticed that a blood collection tube is cracked what steps should the phlebotomists take? A. Send tube to the lab as is. B. Discard the tube in a glove. C. Discard tube in a sharp's container. D. Dispose of tube in the trash --------- Correct Answer ---------- C. Discard tube in a sharp's container. 5. While performing a glucose monitor quality control check the phlebotomist should record which of the following? A. Date of battery charge B. Water bath temperature C. Date of patient test results D. Time of lunch break --------- Correct Answer ---------- A. Date of battery charge 6. A phlebotomist gets a glucometer reading of 250 mg/dL on a patient, a second test reads in the normal range, which of the following could have happened? A. Too little blood was used. B. The first drop of blood was used. C. The finger was dirty. D. The test strips were left open. --------- Correct Answer ---------- C. The finger was dirty. 7. What should a phlebotomist use to clean up a large blood spill? A. Chlorine Bleach B. Hydrogen Peroxide C. Povidone-Iodine D. Isopropyl Alcohol --------- Correct Answer ---------- A. Chlorine Bleach 8. If a phlebotomist experiences an accidental needle stick which of the following should be included in the sharps log? A. The patients vein location B. The time the phlebotomist got to work C. The department where the injury D. The nurse's name --------- Correct Answer ---------- C. The department where the injury 9. Which of the following types of transmission-based precautions should be used for streptococcal pharyngitis? A. Contact B. Standard C. Airborne D. Droplet --------- Correct Answer ---------- D. Droplet 10. Which of the following is true for blood culture collection? A. Scrub the site with chlorhexidine gluconate for 1 min. B. Do not clean the site. C. Palpate the vein after cleansing the site. D. Do not use a tourniquet. --------- Correct Answer ---------- A. Scrub the site with chlorhexidine gluconate for 1 min. 11. A medical professional should do which of the following when performing CPR on an infant? A. 30 compressions, 3.8 cm (1.5 in) deep B. 3 compressions, .05 cm (-1 in) deep C. 10 compressions, 5.08 cm (2 in) deep D. 100 compressions, 3.7 cm (1.5 in) deep --------- Correct Answer ---------- A. 30 compressions, 3.8 cm (1.5 in) deep 12. After a failed venipuncture attempt a phlebotomist collects blood in a micro collection tube, why should the phlebotomist document that blood was collected in this manner? A. To alert the nurse of blood change B. To alert the physician that this is capillary blood C. To alert the laboratory of the presence of capillary blood D. To alert the patient of their bad veins --------- Correct Answer ---------- B. To alert the physician that this is capillary blood 13. A centrifuge fire belongs in which classes of fire? A. Class A B. Class B C. Class C D. Class D --------- Correct Answer ---------- D. Class D 14. Upon completing a draw in an isolation room which of the following PPE should the phlebotomist remove first? A. Mask B. Gown C. Googles D. Gloves --------- Correct Answer ---------- C. Goggles 15. Which of the following PPE should be worn in order to aliquot a blood specimen? A. Face shield and gloves B. Gown and gloves C. Mask and gloves D. Gloves and shoe covers --------- Correct Answer ---------- A. Face shield and gloves 16. Which of the following is the phlebotomist most likely to experience upon receiving an accidental needle stick? A. Hepatitis A Virus (HAV) B. Human Papilloma Virus (HPV) C. Human Immunodeficiency Virus (HIV) D. Hepatitis B Virus (HBV) --------- Correct Answer ---------- D. Hepatitis B Virus (HBV) 17. If a phlebotomist receives a splash of blood to the eyes while aliquoting a specimen, which of the following will be the phlebotomist's first course of action? A. Blink eyes repeatedly B. Notify supervisor C. Rinse eyes with water for a minimum of 15 min. B. Ask the nurse when the medication was administered. C. Ask the patient what medication they are taking. D. Perform the draw. --------- Correct Answer ---------- B. Ask the nurse when the medication was administered. 30. A patient has indigested a fatty meal just before having their blood drawn, which of the following should the phlebotomist expect the sample to look like? A. The specimens will be lipemic. B. The specimen will be clotted. C. The specimen will be QNS. D. The specimen will b e fatty. --------- Correct Answer ---------- A. The specimens will be lipemic. 31. Which of the following tests will be affected by a patient taking warfarin? A. PT B. HDL C. TSH D. LDL --------- Correct Answer ---------- A. PT 32. A patient informs the phlebotomist that they may experience syncope while having blood drawn what action should the phlebotomist take? A. Draw from the patient's foot. B. Place the patient in an upright position. C. Place the patient in a supine position. D. Perform capillary draws. --------- Correct Answer ---------- C. Place the patient in a supine position. 33. During a routine blood draw a patient asks the phlebotomist why blood is being collected, what would be the best response for the phlebotomist to give? A. "The test is critical to your health." B. "You should ask your provider about the test." C. "Your health is failing." D. "In order to rule out cancer." --------- Correct Answer ---------- B. "You should ask your provider about the test." 34. For a blood culture to be collected properly the phlebotomist should do which of the following? A. Swab the area twice to make sure it Is sterile. B. Use an evacuated lavender tube to perform the draw. C. Wipe the antiseptic off before the draw. D. Leave the tourniquet on longer for the collection. --------- Correct Answer ---------- A. Swab the area twice to make sure it Is sterile. 35. A phlebotomy technician is preparing to collect a blood sample from a patient for a cholesterol test. Which of the following statements should the technician make? A. "Please sit for at least 5 minutes before the test." B. "Please take any prescribed medication after the test." C. "Avoid eating red meat the day before the test." D. "Avoid any caffeine on the day of the test." --------- Correct Answer ---------- C. "Avoid eating red meat the day before the test." 36. In order to prevent reflux or back flow of anticoagulants the phlebotomist should place patients arm in which position? A. A 30-degree angle. B. Elbow bent at a 90 degree angle. C. Fully extended from the shoulder to the wrist. D. Hanging down at the patient's side. --------- Correct Answer ---------- C. Fully extended from the shoulder to the wrist. 37. To collect a coagulation test on a 4-year old patient the phlebotomist should use which of the following methods? A. Winged infusion set. B. Finger stick. C. Heel stick D. ETS system --------- Correct Answer ---------- A. Winged infusion set. 38. Upon entering a patient room, the phlebotomist notices that the patient has an IV in both arms, which action should be phlebotomist take? A. Ask the nurse to turn the IVs off for 10 minutes. B. Apply the tourniquet above the IV site. C. Ask the nurse to turn the IV's off for 30 minutes. D. Ask the nurse to turn the IV's off for 2 minutes. --------- Correct Answer ---------- D. Ask the nurse to turn the IV's off for 2 minutes. 39. Which of the following instructions should the phlebotomist give to a patient who must collect a 24-hour urine? A. "Reduce the amount of liquid intake" B. "Start collecting at the first void of the day." C. "Start collecting at the second void of the day." D. "Store the specimen at room temperature." --------- Correct Answer ---------- C. "Start collecting at the second void of the day." 40. Which of the following is true for a Urine specimen culture and sensitivity collection? A. Midstream clean-catch specimen. B. Collect a first morning void. C. Collect the specimen after a 2 hour fast. D. You will need to collect the specimen 2 hours after eating. --------- Correct Answer ---- ------ A. Midstream clean-catch specimen. 41. Which of the following equipment should the phlebotomist use on 30-year-old patient with small veins? A. 23-gauge winged infusion set B. 23-gauge ETS eclipse needle C. 21-gauge winged collection set D. 21-gauge syringe collection set --------- Correct Answer ---------- A. 23-gauge winged infusion set 42. While performing equipment inventory a phlebotomist notices that there are several expired tubes, which of the following is the best action for the phlebotomist to take? A. Dispose of the tubes in a trash can. B. Dispose of the tubes in a sharp's container and order new ones. C. Use the expired tube regardless of the tube. D. Use the tube within 30 days of expiration. --------- Correct Answer ---------- B. Dispose of the tubes in a sharp's container and order new ones. 43. While performing a routine venipuncture for a CBC, glucose and potassium test on a patient the phlebotomist leaves the tourniquet on for 3 minutes, which of the following outcomes could the phlebotomist expect? A. Low potassium level B. Low iron level C. High CBC level D. High potassium level --------- Correct Answer ---------- D. High potassium level 44. Which of the following locations would be the best choice for a phlebotomist draw if the patient has edema on the right arm? A. Right side median cubital B. Left side median cephalic (?) C. Left side hand D. Right side dorsal hand --------- Correct Answer ---------- C. Left side hand 45. If a phlebotomist used povidone iodine to clean a capillary puncture site, which of the following may occur? A. Decreased potassium level B. Increased potassium level C. Decreased glucose levels D. Increased glucose levels --------- Correct Answer ---------- B. Increased potassium level 46. Which of the following is the correct way to anchor a vein for a venipuncture? A. Position the needle at a 90 degree angle above the puncture site. B. Perform a "C" hold over the intended puncture site. C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. D. Insert the needle slowly at the puncture site. --------- Correct Answer ---------- C. Anchor the vein 2.5 to 5 cm (1 to 2 in) below the puncture site. 47. Which of the following errors would a phlebotomist see if the blood was collected through a hematoma? A. Hemolysis D. Green, light yellow ACD, serum --------- Correct Answer ---------- A. Light blue, gold, lavender 59. Upon performing a routine venipuncture, the vein of the patient collapses, which of the following could be the cause? A. Using a 25-gauge winged infusion set B. Inserting a micro evacuated tube C. Applying the blood pressure cuff to 40 mmHg D. Applying the tourniquet too tightly --------- Correct Answer ---------- D. Applying the tourniquet too tightly 60. Which of the following test should be collected first? A. Blood Culture B. Cholesterol C. Complete Blood Count (CBC) D. Basic Metabolic Panel (BMP) --------- Correct Answer ---------- A. Blood Culture 61. Which of the following is the proper way to process a WBC differential test, testosterone test and a glucose test? A. Prepare a slide from an orange-topped tube and centrifuge a light blue-topped tube and a yellow-topped tube. B. Prepare a slide from a red-topped tube and centrifuge a light-blue topped tube and a lavender-topped tube. C. Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube. D. Prepare a slide from a light-blue topped tube and centrifuge a light blue-topped tube and a red-topped tube. --------- Correct Answer ---------- C. Prepare a slide from a lavender-topped tube and centrifuge a red-topped tube and a gray-topped tube. 62. To properly prepare a peripheral blood smear from a capillary puncture, which of the following should be done first? A. Pipette the blood onto the center of the slide. B. Touch the slide to the second drop of blood. C. Touch the slide to the first drop of blood. D. Pipette the blood to the bottom of the slide. --------- Correct Answer ---------- B. Touch the slide to the second drop of blood. 63. Which of the following is the proper order of draw for a blood culture test, a PTT and a CBC test using the syringe method? A. SPS tube, anaerobic bottle, EDTA, light-blue-topped tube B. Aerobic bottle, anaerobic bottle, light blue topped tube, EDTA C. Lavender tube, light-blue-topped tube, aerobic bottle, anaerobic bottle D. Anaerobic bottle, aerobic bottle, light blue tube and lavender tube --------- Correct Answer ---------- D. Anaerobic bottle, aerobic bottle, light blue tube and lavender tube 64. Which of the following is the correct way to collect two sets of blood cultures? A. Collect one set from the patient's right arm and one set from a different site on the same arm. B. Collect one set from the antecubital region and one set from the back of the patient's leg. C. Collect one set from the patient's left arm and one set from the same location 5 minutes later. D. Collect one set from the finger and one set from the heel of the foot. --------- Correct Answer ---------- A. Collect one set from the patient's right arm and one set from a different site on the same arm. 65. When collecting a peripheral blood smear from a patient a phlebotomist should know that which of the following test will be run for this specimen? A. Blood Culture B. Rapid plasma reagin (RPR) C. Arterial blood gas (ABG) D. WBC differential test --------- Correct Answer ---------- D. WBC differential test 66. Upon receiving a chain of custody specimen, the phlebotomist should verify that which of the following is pieces of information matches the requisition form? A. State number B. Accession number C. Case number D. County clerk number --------- Correct Answer ---------- C. Case number 67. Which of the following is the proper way to collect a neonatal screening card? A. Touch the paper to a drop of blood and smear the blood around the circles. B. Touch the card to a drop of blood and saturate each circle on the card. C. Touch the card to several drops of blood from different draw sites. D. Place multiple small drops on each circle of the card. --------- Correct Answer ---------- B. Touch the card to a drop of blood and saturate each circle on the card. 68. Which of the following is the best time to perform a neonatal screening test? A. Between 24 and 72 hours after birth. B. Between 24 and 72 hours before birth. C. Between 1-2 weeks after birth. D. Between 1-2 weeks before birth. --------- Correct Answer ---------- A. Between 24 and 72 hours after birth. 69. Which of the following patients is the best candidate to donate blood? A. A 67-year old patient who weighs 44.4 kg (98lb) B. A 15-year old patient who weighs 61.2 kg (135lb) C. A 20-year old patient who weighs 47.7 kg (105lb) D. A 65-year old patient who weighs 54.4 kg (120lb) --------- Correct Answer ---------- D. A 65-year old patient who weighs 54.4 kg (120lb) 70. Which of the following blood types is the universal donor? A. AB B. A+ C. O- D. B- --------- Correct Answer ---------- C. O- 71. Which of the following is the total blood volume (in liters) for a pediatric patient weighing 15.9kg (35lb)? A. 1.45L B. 2.0L C. 1.83L D. 1.59L --------- Correct Answer ---------- D. 1.59L 72. Which of the following is the total blood volume (in milliliters) for an infant weighing 3.3 kg (6.6lbs)? A. 105 to 195mL B. 240 to 330mL C. 550 to 770mL D. 170 to 250mL --------- Correct Answer ---------- B. 240 to 330mL 73. A patient is going to collect a pregnancy test, which of the following statements should the phlebotomist make? A. "Collect your last urine specimen of the morning." B. "Collect your urine specimen after fasting for 24 hours." C. "Collect your first urine specimen of the morning." D. "Collect your urine specimen after a full meal." --------- Correct Answer ---------- C. "Collect your first urine specimen of the morning." 74. A patient is going to collect a sputum specimen, which of the following statements should the phlebotomist make? A. "You should provide the specimen in the evening after eating and drinking." B. "You should provide the specimen in the morning before eating and drinking." C. "You should provide the specimen in the morning after eating breakfast." D. "You should provide the specimen in the evening after eating dinner." --------- Correct Answer ---------- B. "You should provide the specimen in the morning before eating and drinking." 75. When performing a peripheral blood smear, the phlebotomist should know that which additive is correct for the test? A. EDTA B. Sodium Na C. K Oxalate D. Heparin --------- Correct Answer ---------- A. EDTA (lavender top) 76. Which of the following is the correct order of draw for a PTT, blood culture and testosterone levels? A. Orange-topped tube, Green-topped tube, grey-topped tube D. Include the transportation method --------- Correct Answer ---------- C. Include their name on the form 89. Which of the following test results would a phlebotomist release to a reproductive specialist for a female patient? A. AST and ALT B. FSH and LH C. BBP and GTT D. PT and PSA --------- Correct Answer ---------- B. FSH and LH 90. Which of the following is not required on a laboratory requisition? A. Patients gender B. Patients full name C. Patients' blood type D. Patient date of birth --------- Correct Answer ---------- C. Patients' blood type 91. Which of the following actions should the phlebotomist take prior to collecting blood? A. Print the specimen label B. Print the daily schedule C. Accept the specimen in processing D. Look at previous lab results --------- Correct Answer ---------- A. Print the specimen label 92. A phlebotomist should know that which of the following can be found in the laboratory information system? A. Venipuncture order B. Previous laboratory results C. Witness name and signature D. Current patients' whereabouts --------- Correct Answer ---------- B. Previous laboratory results 93. Of the following choices, which one would be the best in accessing a patient's medical records in the laboratory information system? A. Laboratory requisition number B. Medical laboratory number C. Provider name and phone number D. Patient identification number --------- Correct Answer ---------- D. Patient identification number 94. Which of the following would a phlebotomist expect a patient to have if their POCT glucometer reading is 46 mg/dL? A. Slow breathing B. Rapid heartbeat C. Rapid breathing D. Slow vision --------- Correct Answer ---------- B. Rapid heartbeat 95. Which of the following POCT values for a hemoglobin test should be reported to the provider? A. 9.2 g/dL B. 12.0 g/dL C. 16.0 g/dL D. 17.5 g/dL --------- Correct Answer ---------- A. 9.2 g/dL 96. A patient is having a POCT test for total cholesterol, which of the following results should be reported to the provider? A. 175 mg/dL B. 143 mg/dL C. 165 mg/dL D. 250 mg/dL --------- Correct Answer ---------- D. 250 mg/dL 97. The amount of blood volume the phlebotomist will need to collect for a patient's endocrinology tests will exceed the daily amount, which of the following actions should the phlebotomists take? A. Contact the patient. B. Contact the patient's parents. C. Contact the patient's endocrinologist. D. Contact the patient's primary care physician. --------- Correct Answer ---------- C. Contact the patient's endocrinologist. 98. Which of the following test results would take precedence in distribution to physicians? A. STAT CBC drawn in surgery B. POCT glucose drawn C. ASAP Ammonia in ER D. Blood culture drawn in Urgent Care --------- Correct Answer ---------- A. STAT CBC drawn in surgery 99. Which of the following should be refrigerated before transportation? A. Cold agglutinins B. Von Willebrand factor assay C. CMP D. Lactic Acid --------- Correct Answer ---------- D. Lactic Acid 100. While transporting a Cold agglutinin specimen to the laboratory the phlebotomist should make sure that the temperature of the specimen is kept at which of the following? A. 0 degree celsius (32 degree F) B. 37 degree celsius (98.6 degree F) C. 4 degree celsius (39.2 degree F) D. 21 degree celsius (69.8 degree F) --------- Correct Answer ---------- B. 37 degree celsius (98.6 degree F) A phlebotomy technician is preparing to draw blood from a patient's arm and observes a sore at the site where the tourniquet is to be placed. Which of the following actions should the technician take? --------- Correct Answer ---------- Tie the tourniquet over the patient's sleeve to prevent any further damage to the skin. The Joint Commission recommends using the patient's full name and which of the following pieses of information to ensure accurate inpatient identification? --------- Correct Answer ---------- Medical record number A phlebotomy technician is preparing to store a blood specimen. At which of the following temperatures should the technician store the specimen? --------- Correct Answer ---------- 2° to 8° C (35.6 ° to 46.4° F) Which of the following tasks is within a phlebotomy technician's scope of practice? ------- -- Correct Answer ---------- Providing instructions to patients for specimen collection. A phlebotomy technician is preparing ti perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin a procedure? --------- Correct Answer ---------- Implied consent. A phlebotomy technician should identify that which of the following is the first step in the blood collection procedure? --------- Correct Answer ---------- Test requisition. A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following actions should the technician take to properly dispose of the items? --------- Correct Answer ---------- Place the bag inside a second hazardous waste bag outside of the room. A phlebotomy technician is preparing to perform a blood draw when the patient states that he is severely allergic to latex. Which of the following actions should the technician take? --------- Correct Answer ---------- Use a blood pressure cuff and inflate it to 40 mm Hg. A phlebotomy technician is preparing to perform a hand draw. Which of the following equipment should the technician assemble? --------- Correct Answer ---------- Winged infusion set and adapter. While a phlebotomy technician is performing a blood collection, several drops pf blood land on the drawing chair. Which of the following solutions should the technician use to remove the blood? --------- Correct Answer ---------- 1:10 bleach A phlebotomy technician has a requisition form to perform a chromosome analysis for a patient. The technician should select a collection tube that contains which of the following additives? --------- Correct Answer ---------- Heparin