Phlebotomy Certification Exam Questions with Answers, Exams of Nursing

Download Phlebotomy Certification Exam Questions with Answers and more Exams Nursing in PDF only on Docsity! PHLEBOTOMY CERTIFICATION EXAM QUESTIONS WITH ANSWERS . The most serious error a phlebotomist can make is: causing a hematoma. failure to correctly identify a patient. drawing a specimen in the wrong tube. collecting a hemolyzed dermal puncture specimen . A puncture device with a broken seal should not be used because: a. it is no longer sterile. the needle may contain a barb. there may be a manufacturing defect. the color coding will not match the size. - ANS-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 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.. 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. - An infection contracted by a patient while in the hospital is termed: a. antibiotic-resistant. b. staphylococcal. c. nosocomial. d. unfortunate - The recommended disinfectant for blood and body fluid contamination is: a. sodium hydroxide. The ability to keep body systems functioning in a steady state is called: a. coagulation. b. articulation. c. metabolism. d. homeostasis. The layer of skin that contains the blood vessels is the: a. epidermis. dermis. keratinized epithelium. root shaft. - The artery of choice for measuring the pulse rate in an adult is the: a. carotid. b. radial. c. brachial. d. temporal. - The blood vessels that carry deoxygenated blood to the heart are: a. arteries. alveoli. capillaries. veins. - All of the following are formed elements found in the blood except: a. erythrocytes. platelets. macrophages. leukocytes. . The primary role of the thrombocyte is to: a. transport nutrients. b. promote blood clotting. c. phagocytize bacteria. d. produce antibodies. . Functions of the blood include all of the following except: a. transport oxygen. b. regulate pulse rate. c. deliver nutrients. d. transport waste products The fluid that comprises approximately 55% of the total blood volume is made up of: a. hematocrit. plasma. tissue fluid. serum. - The primary antiseptic for routine venipuncture is: a. iodine. chlorhexidine. isopropyl alcohol. Betadine. - A properly tied tourniquet: a. permits arterial flow and blocks venous flow. b. blocks arterial and venous flow. c. prevents backflow. . Which of the following needles has the largest diameter? a. 16 gauge 18 gauge 20 gauge 22 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 Forcing blood from a syringe into an evacuated tube: prevents the blood from clotting. can only be done when using a small syringe. c. may hemolyze the specimen. d. is required when using a transfer device 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 All of the following are used to identify a patient except the: a. bed sign. requisition form. identification band. bar codes. 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. Blood should not be drawn from a patient who is: a. standing. nervous. unable to make a fist. not fasting. - 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 The vein of choice for routine venipuncture is the: a. median cubital. radial. cephalic. baslic The vein located on the thumb side of the arm is the: a. brachial. b. median cubital. c. basilic. d. cephalic. Palpate means to: a. perform a venipuncture. b. examine by touch. c. examine by sound. d. obtain a specimen from an intravenous line Prolonged application of a tourniquet will cause: a. excessive bleeding. b. difficulty locating a vein. c. hemolysis. d. both A and C - c. hemolysis. Failure to allow the alcohol to dry on the patient's arm after site cleansing can cause all of the following except: increased bacteriostatic action. identification band with the information on the test requisition. When encountering a patient who is sleeping, the phlebotornist should: a. return at another time. b. try to collect the specimen without waking the patient. c. notify the nursing station. d. awaken the patient before collecting the specimen The best way to prevent fainting in a patient during blood collection is to: a. have the patient stand during the phlebotomy. b. have the patient lie down during the phlebotomy. c. have the patient pump the fist three times. d. place a pillow under the patient's head. Patients are most likely to be in a basal state at: a. 6:00 a.m. b. 10:00 a.m. c. 2:00 p.m. d. 6:00 p.m. . A patient who appears pale and has cold, damp skin may develop: a. coagulation problems. b. septicemia. c. sclerosis. d. syncope. - When encountering a patient with a fistula, the phlebotornist should: a. apply the tourniquet below the fistula. use the other arm. collect the blood from the fistula. attach a syringe to the T-tube connector.. When collecting blood from a patient with a very edematous right arm and a large hematoma in the antecubital area of the left arm, the phlebotornist should collect the specimen from: a. below the hematoma. b. above the hematoma. c. the antecubital area of the right arm. d. the antecubital area of the left arm. The maximum number of attempts that a phlebotomist should make to collect a specimen is: one. two. c. three. d. four. - . Prolonged tourniquet application will cause: a. edema. hemolysis. hemoconcentration. both B and C - b. hemolysis. c. hemoconcentration. . Specimens are rejected by the laboratory for all of the following reasons except: a. clots in a lavender stopper tube. collection in the wrong tube. incompletely filled light-blue stopper tubes. . Testing of a fecal stool for parasites is performed in: a. Hematology b. Microbiology c. Immunology d. Urinalysis - A prothrombin test is performed in: a. Coagulation b. Immunology c. Microbiology d. Chemistry Indicate whether the following statements are true or false. The liquid portion of a specimen collected in a tube containing ethylenediaminetetraacetic acid (EDTA) is serum. - ANS-False Indicate whether the following statements are true or false. If a needle has not been used it can be recapped? - ANS-False Indicate whether the following statements are true or false. When using a butterfly, a light blue stopper tube should be collected first. - ANS-/False . What zone does a phlebotomist work in, according to the American zone of comfort guide lines? A. Intimate zone 18-24 inches B. Intimate zone 24-36 inches C. Personal zone 18-24 inches D. None of the above - . In what department of the lab is a complete blood count performed? A. Hematology B. Microbiology C. Chemistry D. Blood bank - Which of the following would not be needed when collecting a throat culture? a. Flashlight b. Blood agar culture plate c. Tongue depressor d. Sterile swab - What type of tube is used for a complete blood count? A. Purple with clot activator B. Lavender with EDTA C. Lavender with EDTA D. Lavender with NaK - . What chemical or additive is needed for performing an activated partial thromboplastin time? A. EDTA B. SPS C. Clot activator D. Sodium citrate - What color of tube is used for activated partial thromboplastin time? A. Light blue B. Light green C. Purple D. Yellow - What is the abbreviation for activated partial thromboplastin time? A. PT B. CBC C. PTT D. CHEM-7 Which of the following is not one of the three types of blood samples? A. Whole blood B. Plasma C. Serum D. Iron - In which part of the lab is a CMP performed? A. Microbiology B. Chemistry C. Hematology process that could impact phlebotomy procedures - ANS-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: - ANS-- 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 - 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. The anterior portion of the body is the: a. right side. b. front side. c. back side. d. left side. - When a central venous access device (CVAD) is present: blood is drawn from the line using a 30-mL syringe. 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. A phlebotomist may be requested not to transport a specimen through the pneumatic tube system if it is to be tested for: glucose. cholesterol. c. creatinine. d. potassium. Inflammation of the meninges caused by a bacterial or viral infection is called: a. poliomyelitis. b. chondrosarcoma. c. meningitis. d. cerebral palsy. Accessioning refers to: a test performed in the chemistry section. organization of requisition slips for morning sweeps. assigning of identification numbers and distribution of specimens. d. both B and C - b. is taking anticoagulants. c. frequently takes aspirin . Which of the following pairings is incorrect? a. Thumb and calluses Index finger and increased nerve endings Third finger and increased possibility of bone puncture Fifth finger and decreased tissue mass - . Lavender stopper tubes can be used for all of the following except: a. coagulation tests. platelet counts. differential counts. hematocrits. - The most economical and safest method for performing routine venipuncture is the use of: butterflies. plastic syringes. c. glass syringes. d. evacuated tubes . An elevated bilirubin might indicate a disorder of the: a. heart. b. kidney. c. brain. d. liver. Areas that should be avoided for venipuncture include all of the following except: a. hematomas. b. deep cephalic veins. c. sclerosed veins. d. tattoos. - . To produce a rounded drop of blood, finger punctures should be made: a. on the index finger. on the fingerprint. before the alcohol is dry. across the fingerprint. Using a small-gauge needle with a large evacuated tube can cause: a. a hematoma. b. petechiae. c. hemolysis. d. patient discomfort. - 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. 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. The main organ(s) of the integumentary system is (are) the: a. nails. b. hair. c. skin. d. sweat glands . 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 What temperature should a semen sample be transported? - ANS-36-38 degrees C Which of the following would result in a grossly hemolyzed specimen? a. Incorrect order of draw Incorrect needle gauge Applying tourniquet too close to the draw site Failure to invert tube - Which of the following is proper procedure after collecting ammonia specimen? a. Protect from light Keep specimen warm Keep specimen at body temp Place specimen in icewater slurry (or a cup of ice) The phlebotomist has a request to collect a CBC from a healthy 10 month old. resistance Which is the best method to collect a blood specimen from an older adult patient who has fragile, easy to collapse veins? - ANS-a. Choose a syringe and butterfly assembly Which of the following is the term for donation of a patient's own blood for an upcoming surgery? - ANS-a. Autologous donation The order of draw for capillary collections is different than venipuncture because - ANS-a. Increased risk of coagulation (remember platelets start to form) Upon entering a patient's room for routine blood draw, phlebotomist notices clergy member is with the patient. What should you do? - ANS-a. Return later after drawing other patients A phlebotomist notices a hematoma developing at the site of venipuncture. The phlebotomist should - ANS-a. Release the tourniquet and stop the draw Know ORDER of DRAW!! - ANS- A phlebotomist working in an infertility clinic and the patient is to submit a semen specimen. The phlebotomist would tell the patient: - ANS-a. As soon as you collect the specimen, keep it next to your body and bring it in right away. (the reason is it needs to stay at body temp and delivered in lab within 2 hours) After placing tourniquet on a patients arm, the phlebotomist notices small red spots below the tourniquet. - ANS-a. Petechiae The phlebotomist should examine the antecubital veins of both arms because: - ANS-a. The median cubital might be more accessible on one side than the other What is the appropriate cleanser to clean the meatus for a clean catch urine specimen? - ANS-a. Benzalkonium chloride When should the code on glucose cuvettes or strips be compared to the code on the glucose meter? - ANS-a. When the patient is tested Which of the following is appropriate to use when collecting for a chemistry test that requires serum? - ANS-a. SST (this is the red gel tube) A patient state she is a difficult draw and requests a skin puncture. The test is a PTT. Which should you do? - ANS-a. Use a syringe and transfer to a light blue tube Industry standard states needle insertion in the antecubital area should be: - ANS-a. 15-30 degree angle Tubes with which additive should be used for CBC? - ANS-a. EDTA (purple tube) When preparing for transport, which specimen must be placed on ice within 30 minutes after collection? - ANS-a. Arterial Blood Gases Which provides the phlebotomist the best protection when drawing blood from a patient with active TB? - ANS-a. N-95 respirator mask During a draw, the patient becomes unresponsive. What should you do? - ANS- a. Check for breathing Why should a phlebotomist avoid drawing blood from a leg or foot of a diabetic patient? - ANS-a. These areas are more susceptible to infection Why is it important to place a specimen in a biohazard specimen bag outside the laboratory? - ANS-a. The biohazard bag prevents a possible exposure incident When using evacuated tube system (EVS). - ANS-a. Position the needle in the on CLIA waived point of care test? - ANS-a. When a new lot number or kit is opened What would you use for a hand draw? - ANS-a. Butterfly or winged infusion set Name the 3 types of blood samples - ANS-whole blood/ plasma/ serum What two States require licensure - ANS-Louisiana & California When the Phlebotomist collects blood, in which of the patient's zones of interpersonal space is he/she operating? - ANS-The patient's Intimate Zone or Space Define Phlebotomy - ANS-An incision into the vein What is the meaning of these acronyms: ASPT, ASCP, and NHA? - ANS-ASPT = American Society of Phlebotomy Technicians ASCP = American Society for Clinical Pathology NHA = National Healthcareer Association Define Reference Laboratory: - ANS-A reference laboratory is one that specializes in one test or one group of tests, or where more unusual or obscure tests are performed. To whom does the phlebotomist report? - ANS-A technical phlebotomy supervisor What two government agencies administer CLIA? - ANS-Center for Medicare/Medicaid Services (CMS) FDA . Is the Joint Commission a non-profit organization? - ANS-No, it's a not for profit organization In what year and by what organization was The Patient's Bill of Rights initiated? - ANS-1973 by the American Hospital Association. . What is Informed Consent? - ANS-When you explain the procedure to the patient and they give you verbal or written permission to proceed. What is Implied Consent? - ANS-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? - ANS-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? - ANS-A criminal lawsuit is initiated by the government, a civil lawsuit is between private parties. What is Assault? - ANS-The threat of touching another person without his or her consent and with the intention of causing fear of harm What is Battery? - ANS-Actual harmful touching of another person without his or her consent. What is Libel? - ANS-False defamatory writing that is published. What is a Sentinel Event? - ANS-An unanticipated death or permanent loss of function not related to a patient's illness or underlying condition. . What does PPE stand for? - ANS-Personal Protective Equipment . How full should you fill the Sharps Container before using a new container? - ANS-¾ full A competent professional demeanor is shown by: a. neatness and cleanliness. b. courtesy and cheerfulness. c. pleasantness. d. all of the above. Traditional duties of the phlebotomist include all of the following except: a. correct labeling of all specimens with the required information. b. selection of the appropriate specimen containers for the specified tests. c. performance of tests on patient samples in the laboratory. d. collection of the appropriate amount of blood by venipuncture or dermal puncture. . The two major areas of the clinical laboratory are: a. chemistry and hematology. b. cytology and histology. c. anatomical and clinical. d. urinalysis and microbiology. The difference between plasma and serum is that: serum contains fibrinogen. serum is obtained from a non-clotted specimen. c. plasma is obtained from a clotted specimen. d. plasma contains fibrinogen. Specimens collected in serum separator tubes are most frequently delivered to: a. blood bank. serology. hematology. chemistry. To prevent blood from clotting the specimen must be: d. both A and B c. centrifuged right after collection. d. both A and B Which of the following pairings is wrong? a. icteric and yellow. b. lipemic and cloudy. c. hemolyzed and red. - ANS-d. fasting and cloudy. The main anticoagulant for coagulation studies is: a. ethylenediaminetetraacetic acid (EDTA). b. sodium citrate. c. heparin. d. oxalate. - . ABO and Rh typing are performed in which laboratory section? a. Hematology b. Blood bank c. Chemistry d. Cytology - ANS-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. . 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) An anemia would be detected by a: a. glucose test. b. blood culture. c. urinalysis. d. complete blood count. . An agency that assures quality care by hospitals is the: a. Joint Commission. Centers for Disease Control and Prevention. Occupational Safety and Health Administration.