Phlebotomy and Laboratory Safety: A Comprehensive Guide, Exams of Nursing

Download Phlebotomy and Laboratory Safety: A Comprehensive Guide and more Exams Nursing in PDF only on Docsity! Phlebotomy Practice Test Questions with Answers 2024 What does the term phlebotomy actually mean? a.) Removal of a vein b.) Incision of a vein c.) Testing of blood d.) Withdrawal of red blood cells ✔ b.) Incision of a vein What is the first step in routine blood collection? a.) Select and prepare the site of collection b.) Label the sample tubes c.) Choose the appropriate equipment for collecting the sample d.) Correctly and positively identify the patient ✔ d.) Correctly and positively identify the patient Which of the following acronyms is not a certification agency for phlebotomists? a.) ASCP b.) ASPT c.) AMT d.) NAACLS ✔ d.) NAACLS Which of the following terms is evidence that an individual has demonstrated proficiency in a particular area of practice? a.) Accreditation b.) Approval c.) Certification d.) Standardization ✔ c.) Certification A phlebotomist must ensure that the patient understands and agrees that his or her blood is going to be drawn. What is the name of this process? a.) Confidentiality b.) Informed consent c.) Legality d.) Privacy ✔ b.) Informed consent The Health Insurance Portability and Accountability Act of 1996 regulates which of the following areas? a.) Privacy of health information b.) Health insurance transfers on changing jobs c.) Informing patients of intended procedures d.) Phlebotomy training ✔ a.) Privacy of health information You have entered a patient's room and explained that you need to draw blood, and the patient repeatedly refuses. What should you do? a.) Attempt to draw anyhow because the physician ordered the test b.) Call for another phlebotomist to help you convince the patient c.) Take the request form back to laboratory after you have finished drawing your other patients d.) Notify the patient's physician according to the institution's written policies ✔ d.) Notify the patient's physician according to the institution's written policies The term informed consent means: a.) A patient must be informed of all intended treatments and risks before the treatment is performed. b.) A patient must inform the physicians concerning what procedures they need. c.) A nurse informed by the phlebotomist can overrule a patient's refusal. d.) As long as the patient is informed, he or she cannot refuse a treatment. ✔ a.) A patient must be informed of all intended treatments and risks before the treatment is performed. Which of the following is true? a.) Phlebotomy is an ancient profession dating back at least 3500 years. b.) Phlebotomy is a new profession arising during World War II. c.) Phlebotomists today draw blood from patients for the same reasons as ancient phlebotomists. d.) Phlebotomy equipment has not changed since the original phlebotomists. ✔ a.) Phlebotomy is an ancient profession dating back at least 3500 years. What state has led the way in state regulation of phlebotomy? a.) California b.) Nevada c.) Oklahoma d.) Texas ✔ a.) California The hospital laboratory falls under which of the following categories of administrative services? a.) Fiscal b.) Nursing c.) Professional d.) Support ✔ c.) Professional Which department of the hospital dispenses drugs? a.) Electrolytes b.) Immune function c.) Lipid d.) Liver function ✔ a.) Electrolytes Culture and sensitivity tests are performed by which laboratory department? a.) Chemistry b.) Hematology c.) Immunohematology d.) Microbiology ✔ d.) Microbiology Which of the following is the term for blood donated by a patient for his or her own use during a planned future surgical operation? a.) Autologous donation b.) Blood typing c.) Compatibility testing d.) Directed donation ✔ a.) Autologous donation Which laboratory department uses genetic and biochemical techniques to analyze DNA in specimens? a.) Chemistry b.) Hematology c.) Histology d.) Molecular diagnostics ✔ d.) Molecular diagnostics The director of a hospital clinical laboratory is usually which of the following? a.) Medical technologist b.) Pathologist c.) Phlebotomist d.) Register nurse ✔ b.) Pathologist Which laboratory department performs blood typing? a.) Chemistry b.) Hematology c.) Immunohematology d.) Urinalysis ✔ c.) Immunohematology Which department of the clinical laboratory typically dips paper strips embedded with chemicals into its specimens? a.) Chemistry b.) Hematology c.) Immunohematology d.) Urinalysis ✔ d.) Urinalysis Which kind of laboratory is independent and analyzes samples from other health care facilities? a.) HMO lab b.) POL lab c.) PPO lab d.) Reference lab ✔ d.) Reference lab In addition to the clinical laboratory, which professional service in a hospital may perform arterial blood gases? a.) Occupational therapy b.) Nuclear medicine c.) Radiology d.) Respiratory therapy ✔ d.) Respiratory therapy Which department within the laboratory performs complete blood counts (CBCs)? a.) Chemistry b.) Hematology c.) Immunohematology d.) Microbiology ✔ b.) Hematology Which section within the chemistry laboratory identifies unknown drugs within specimens? a.) Electrolytes b.) Endocrinology c.) Immunohematology d.) Toxicology ✔ d.) Toxicology Which government agency is responsible for laboratory workplace safety? a.) CLIA b.) FDA c.) MSDS d.) OSHA ✔ d.) OSHA Infectious agents such as bacteria and viruses represent which type of safety hazard? a.) Biological b.) Chemical c.) Flammable d.) Physical ✔ a.) Biological Needles and lancets are which type of safety hazard? a.) Biological b.) Electrical c.) Physical d.) Sharps ✔ d.) Sharps Which of the following is the first action you should take if you have been stuck with a used needle that has been in contact with blood? a.) Flood the exposed area with water and clean the wound with soap and water or disinfectant b.) Call 911 c.) Report the injury to your supervisor d.) Seek medical attention ✔ a.) Flood the exposed area with water and clean the wound with soap and water or disinfectant Written information about a chemical, its hazards, and procedures for clean up and first aid are available in which of the following documents? a.) Chemical label b.) Material Safety Data Sheet (MSDS) c.) OSHA regulations d.) NFPA diamond-shaped label ✔ b.) Material Safety Data Sheet (MSDS) Which of the following is the first action you should take if you splash a chemical in your eye? a.) Report the incident to your supervisor b.) Flush the eyes for 15 minutes at an eyewash station c.) Go to the emergency department d.) Clean up the spill on the lab counter or floor ✔ b.) Flush the eyes for 15 minutes at an eyewash station What does the red area on the following label represent? a.) Flammability b.) Reactivity c.) Health hazards d.) Radioactivity ✔ a.) Flammability Which type of hazard is indicated by the following label? a.) Flammable c.) Contact d.) Vector ✔ d.) Vector What is the most frequent and important transmission route for infections contracted by hospitalized patients? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ c.) Contact What is the transmission route of an infection acquired by ingestion of contaminated food? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ b.) Common vehicle What is the single most important means of preventing the spread of infection? a.) Wearing gloves b.) Wearing a mask c.) Hand washing d.) Isolation of infectious patients ✔ c.) Hand washing Which of the following acronyms refers to barriers used to protect skin, mucous membranes, and clothing from infectious agents? a.) CDC b.) MRSA c.) PPE d.) VRE ✔ c.) PPE Proper hand-washing technique includes scrubbing hands together vigorously for at least how long? a.) 5 seconds b.) 15 seconds c.) 5 minutes d.) Scrubbing hands is not necessary ✔ b.) 15 seconds Respirators must be certified by which of the following agencies? a.) CDC b.) CLIA c.) NIOSH d.) OSHA ✔ c.) NIOSH When donning a gown, mask, respirator, face shield, and gloves, which item should be put on last? a.) Gloves b.) Gown c.) Mask d.) Respirator ✔ a.) Gloves What is the term for infection control measures that use barrier protection and work practice control to prevent contact with infectious body fluids from all patients? a.) Hospital precautions b.) Isolation precautions c.) Patient precautions d.) Standard precautions ✔ d.) Standard precautions When removing PPE, which item should be removed first? a.) Gloves b.) Goggle c.) Gown d.) Mask ✔ a.) Gloves When removing PPE, what is the last thing one should do? a.) Remove gloves b.) Remove mask c.) Remove gown d.) Wash hands ✔ d.) Wash hands The Bloodborne Pathogens Standards require an employer to provide which of the following immunizations? a.) Hepatitis A b.) Hepatitis B c.) HIV d.) Tetanus ✔ b.) Hepatitis B According to the Bloodborne Pathogens Standards, who is responsible for providing PPE to an employee? a.) The employee b.) The employer provides PPE but may deduct the cost from the employee's paycheck c.) The employer must provide and pay for PPE d.) The patient ✔ c.) The employer must provide and pay for PPE According to the Bloodborne Pathogen Standard rules, which specimens are considered to be potentially infectious? a.) Only specimens from patients with HIV or hepatitis B b.) Specimens from patients with any known infection c.) Specimens that a physician has indicated are infectious d.) All blood and body fluid specimens ✔ d.) All blood and body fluid specimens A diluted solution of which of the following can be used as a disinfectants against blood borne pathogens on countertops and work spaces? a.) Acetic acid b.) Bleach c.) Iodine d.) Lysol ✔ b.) Bleach Which of the following is the term for separation of an infectious source from its susceptible hosts? a.) Contact precautions b.) Infection c.) Isolation d.) Protective equipment ✔ c.) Isolation In addition to standard precautions, what type of precautions should also be used for patients with such diseases as tuberculosis and measles? a.) Airborne b.) Bloodborne c.) Contact d.) Droplet ✔ a.) Airborne In addition to standard precautions, what type of precautions should also be used for patients with such ideas as herpes or wound infections? a.) Airborne b.) Bloodborne c.) Contact d.) Droplet ✔ c.) Contact In addition to standard precautions, what type of precautions should be used for patients with such diseases as HIV or hepatitis B? d.) pull the fire alarm ✔ c.) remove patients from danger In the event of electric shock, the first thing you should do is a.) call 911 b.) attempt to turn off the electrical equipment c.) break contact between the source and the victim d.) start CPR ✔ b.) attempt to turn off the electrical equipment Which of the following does the NFPA symbol not warn about? a.) protective equipment b.) fire c.) chemical stability d.) health ✔ a.) protective equipment Which of the following would not be considered a pathogen? a.) bacteria b.) viruses c.) fungi d.) vectors ✔ d.) vectors Vectors include: a.) doorknobs b.) medical instruments c.) needles d.) insects ✔ d.) insects In the circulatory system, gas exchange occurs in the a.) capillaries b.) veins c.) arteries d.) venules ✔ a.) capillaries Which blood vessels are a single cell in thickness? a.) capillaries b.) veins c.) arteries d.) arterioles ✔ a.) capillaries Veins and arteries are composed of how many layers? a.) 1 b.) 2 c.) 3 d.) 4 ✔ c.) 3 A characteristic of arteries is a.) they are composed of a single layer of endothelial cells b.) they have a thick muscle layer lining the lumen c.) they have valves along the lumen d.) they carry blood toward the heart ✔ b.) they have a thick muscle layer lining the lumen Which lab test does not assist in diagnosing HIV infection? a.) Western blot b.) T-cell count c.) APTT d.) anti-HIV antibody ✔ c.) APTT Which of the following is not an anticoagulant? a.) polymer gel b.) sodium heparin c.) sodium citrate d.) EDTA ✔ a.) polymer gel What does the term phlebotomy actually mean? a.) Removal of a vein b.) Incision of a vein c.) Testing of blood d.) Withdrawal of red blood cells ✔ b.) Incision of a vein What is the first step in routine blood collection? a.) Select and prepare the site of collection b.) Label the sample tubes c.) Choose the appropriate equipment for collecting the sample d.) Correctly and positively identify the patient ✔ d.) Correctly and positively identify the patient Which of the following acronyms is not a certification agency for phlebotomists? a.) ASCP b.) ASPT c.) AMT d.) NAACLS ✔ d.) NAACLS Which of the following terms is evidence that an individual has demonstrated proficiency in a particular area of practice? a.) Accreditation b.) Approval c.) Certification d.) Standardization ✔ c.) Certification A phlebotomist must ensure that the patient understands and agrees that his or her blood is going to be drawn. What is the name of this process? a.) Confidentiality b.) Informed consent c.) Legality d.) Privacy ✔ b.) Informed consent The Health Insurance Portability and Accountability Act of 1996 regulates which of the following areas? a.) Privacy of health information b.) Health insurance transfers on changing jobs c.) Informing patients of intended procedures d.) Phlebotomy training ✔ a.) Privacy of health information You have entered a patient's room and explained that you need to draw blood, and the patient repeatedly refuses. What should you do? a.) Attempt to draw anyhow because the physician ordered the test b.) Call for another phlebotomist to help you convince the patient c.) Take the request form back to laboratory after you have finished drawing your other patients d.) Notify the patient's physician according to the institution's written policies ✔ d.) Notify the patient's physician according to the institution's written policies The term informed consent means: a.) A patient must be informed of all intended treatments and risks before the treatment is performed. b.) A patient must inform the physicians concerning what procedures they need. c.) A nurse informed by the phlebotomist can overrule a patient's refusal. d.) As long as the patient is informed, he or she cannot refuse a treatment. ✔ a.) A patient must be informed of all intended treatments and risks before the treatment is performed. Which of the following is true? a.) Phlebotomy is an ancient profession dating back at least 3500 years. b.) Phlebotomy is a new profession arising during World War II. a.) Clotted b.) Hemolyzed c.) Icteric d.) Lipemic ✔ c.) Icteric Which term is used to describe serum that is cloudy or milky? a.) Clotted b.) Hemolyzed c.) Icteric d.) Lipemic ✔ d.) Lipemic Which term is used to describe serum that is pink-tinged? a.) Clotted b.) Hemolyzed c.) Icteric d.) Lipemic ✔ b.) Hemolyzed Sodium, potassium, and chloride are all part of which panel of tests? a.) Electrolytes b.) Immune function c.) Lipid d.) Liver function ✔ a.) Electrolytes Culture and sensitivity tests are performed by which laboratory department? a.) Chemistry b.) Hematology c.) Immunohematology d.) Microbiology ✔ d.) Microbiology Which of the following is the term for blood donated by a patient for his or her own use during a planned future surgical operation? a.) Autologous donation b.) Blood typing c.) Compatibility testing d.) Directed donation ✔ a.) Autologous donation Which laboratory department uses genetic and biochemical techniques to analyze DNA in specimens? a.) Chemistry b.) Hematology c.) Histology d.) Molecular diagnostics ✔ d.) Molecular diagnostics The director of a hospital clinical laboratory is usually which of the following? a.) Medical technologist b.) Pathologist c.) Phlebotomist d.) Register nurse ✔ b.) Pathologist Which laboratory department performs blood typing? a.) Chemistry b.) Hematology c.) Immunohematology d.) Urinalysis ✔ c.) Immunohematology Which department of the clinical laboratory typically dips paper strips embedded with chemicals into its specimens? a.) Chemistry b.) Hematology c.) Immunohematology d.) Urinalysis ✔ d.) Urinalysis Which kind of laboratory is independent and analyzes samples from other health care facilities? a.) HMO lab b.) POL lab c.) PPO lab d.) Reference lab ✔ d.) Reference lab In addition to the clinical laboratory, which professional service in a hospital may perform arterial blood gases? a.) Occupational therapy b.) Nuclear medicine c.) Radiology d.) Respiratory therapy ✔ d.) Respiratory therapy Which department within the laboratory performs complete blood counts (CBCs)? a.) Chemistry b.) Hematology c.) Immunohematology d.) Microbiology ✔ b.) Hematology Which section within the chemistry laboratory identifies unknown drugs within specimens? a.) Electrolytes b.) Endocrinology c.) Immunohematology d.) Toxicology ✔ d.) Toxicology Which government agency is responsible for laboratory workplace safety? a.) CLIA b.) FDA c.) MSDS d.) OSHA ✔ d.) OSHA Infectious agents such as bacteria and viruses represent which type of safety hazard? a.) Biological b.) Chemical c.) Flammable d.) Physical ✔ a.) Biological Needles and lancets are which type of safety hazard? a.) Biological b.) Electrical c.) Physical d.) Sharps ✔ d.) Sharps Which of the following is the first action you should take if you have been stuck with a used needle that has been in contact with blood? a.) Flood the exposed area with water and clean the wound with soap and water or disinfectant b.) Call 911 c.) Report the injury to your supervisor d.) Seek medical attention ✔ a.) Flood the exposed area with water and clean the wound with soap and water or disinfectant Written information about a chemical, its hazards, and procedures for clean up and first aid are available in which of the following documents? a.) Chemical label b.) Material Safety Data Sheet (MSDS) ✔ c.) A person who carries a disease agent but is not sick What is the term for infections contracted by patients during hospitalization? a.) Nosocomial infections b.) Chains of infections c.) Non-transmitted infections d.) Colonization ✔ a.) Nosocomial infections HEPA (high-efficiency particulate air) filters can help prevent which type of disease transmission? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ a.) Airborne The pathogen West Nile virus is carried by mosquitoes. What type of transmission is this? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ d.) Vector What is the most frequent and important transmission route for infections contracted by hospitalized patients? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ c.) Contact What is the transmission route of an infection acquired by ingestion of contaminated food? a.) Airborne b.) Common vehicle c.) Contact d.) Vector ✔ b.) Common vehicle What is the single most important means of preventing the spread of infection? a.) Wearing gloves b.) Wearing a mask c.) Hand washing d.) Isolation of infectious patients ✔ c.) Hand washing Which of the following acronyms refers to barriers used to protect skin, mucous membranes, and clothing from infectious agents? a.) CDC b.) MRSA c.) PPE d.) VRE ✔ c.) PPE Proper hand-washing technique includes scrubbing hands together vigorously for at least how long? a.) 5 seconds b.) 15 seconds c.) 5 minutes d.) Scrubbing hands is not necessary ✔ b.) 15 seconds Respirators must be certified by which of the following agencies? a.) CDC b.) CLIA c.) NIOSH d.) OSHA ✔ c.) NIOSH When donning a gown, mask, respirator, face shield, and gloves, which item should be put on last? a.) Gloves b.) Gown c.) Mask d.) Respirator ✔ a.) Gloves What is the term for infection control measures that use barrier protection and work practice control to prevent contact with infectious body fluids from all patients? a.) Hospital precautions b.) Isolation precautions c.) Patient precautions d.) Standard precautions ✔ d.) Standard precautions When removing PPE, which item should be removed first? a.) Gloves b.) Goggle c.) Gown d.) Mask ✔ a.) Gloves When removing PPE, what is the last thing one should do? a.) Remove gloves b.) Remove mask c.) Remove gown d.) Wash hands ✔ d.) Wash hands The Bloodborne Pathogens Standards require an employer to provide which of the following immunizations? a.) Hepatitis A b.) Hepatitis B c.) HIV d.) Tetanus ✔ b.) Hepatitis B According to the Bloodborne Pathogens Standards, who is responsible for providing PPE to an employee? a.) The employee b.) The employer provides PPE but may deduct the cost from the employee's paycheck c.) The employer must provide and pay for PPE d.) The patient ✔ c.) The employer must provide and pay for PPE According to the Bloodborne Pathogen Standard rules, which specimens are considered to be potentially infectious? a.) Only specimens from patients with HIV or hepatitis B b.) Specimens from patients with any known infection c.) Specimens that a physician has indicated are infectious d.) All blood and body fluid specimens ✔ d.) All blood and body fluid specimens A diluted solution of which of the following can be used as a disinfectants against blood borne pathogens on countertops and work spaces? a.) Acetic acid b.) Bleach c.) Iodine d.) Lysol ✔ b.) Bleach Which of the following is the term for separation of an infectious source from its susceptible hosts? a.) Contact precautions b.) Infection c.) Isolation d.) hematology ✔ c.) nuclear medicine Occult blood testing is performed on a.) plasma b.) feces c.) serum d.) cerebrospinal fluid ✔ b.) feces OSHA stands for a.) Occupational Standards in Health Associations b.) Outline of Safety Hazards and Accidents c.) Occupational Safety and Health Administration d.) Occupational Standards and Health Administration ✔ c.) Occupational Safety and Health Administration The first action to take in the event of fire is to a.) call the fire department b.) close windows and doors c.) remove patients from danger d.) pull the fire alarm ✔ c.) remove patients from danger In the event of electric shock, the first thing you should do is a.) call 911 b.) attempt to turn off the electrical equipment c.) break contact between the source and the victim d.) start CPR ✔ b.) attempt to turn off the electrical equipment Which of the following does the NFPA symbol not warn about? a.) protective equipment b.) fire c.) chemical stability d.) health ✔ a.) protective equipment Which of the following would not be considered a pathogen? a.) bacteria b.) viruses c.) fungi d.) vectors ✔ d.) vectors Vectors include: a.) doorknobs b.) medical instruments c.) needles d.) insects ✔ d.) insects In the circulatory system, gas exchange occurs in the a.) capillaries b.) veins c.) arteries d.) venules ✔ a.) capillaries Which blood vessels are a single cell in thickness? a.) capillaries b.) veins c.) arteries d.) arterioles ✔ a.) capillaries Veins and arteries are composed of how many layers? a.) 1 b.) 2 c.) 3 d.) 4 ✔ c.) 3 A characteristic of arteries is a.) they are composed of a single layer of endothelial cells b.) they have a thick muscle layer lining the lumen c.) they have valves along the lumen d.) they carry blood toward the heart ✔ b.) they have a thick muscle layer lining the lumen Which lab test does not assist in diagnosing HIV infection? a.) Western blot b.) T-cell count c.) APTT d.) anti-HIV antibody ✔ c.) APTT Which of the following is not an anticoagulant? a.) polymer gel b.) sodium heparin c.) sodium citrate d.) EDTA ✔ a.) polymer gel