Phlebotomy Certification Exam Practice Questions and Answers, Exams of Laboratory Practices and Management

Download Phlebotomy Certification Exam Practice Questions and Answers and more Exams Laboratory Practices and Management in PDF only on Docsity! Practice Certification Exam Questions with Verified Answers 2024 Update. A patient report that during a previous blood draw he felt lightheaded and almost passed out. What should the phlebotomy technician do? - Correct answer Perform the draw with the patient reclined or in a supine position. A phlebotomy technician at a primary care clinic is performing venipuncture on a patient with suspected influenza. The patient is wearing a mask. What PPE should the technician wear? - Correct answer Gloves and a mask. A requisition calls for the following tests: CBC, CMP, and PTT. Which of the following reflects the proper order of draw? - Correct answer Citrate (blue top), SST (red top), and EDTA (lavender). Blood exits the heart through the body's largest artery, the _________ - Correct answer Aorta. What part of the evacuated tube system allows multiple collection tubes to be filled with one puncture? - Correct answer The interior needle/tube holder. When drawing a specimen for an ammonia test, what should a phlebotomy technician have ready for specimen transportation? - Correct answer An Ice slurry. A phlebotomy technician asks a patient to state and spell his name. He says, "Chris Morgan, C-H-R-I-S M-O-R-G-A-N." The name listed on the requisition is "Criss Morgan." What should the phlebotomy technician do? - Correct answer Call the ordering provider to resolve the issue and get a new requisition with the correct spelling if the spelling was an error. When a blood culture is ordered along with other tests, which tube is filled first? - Correct answer Yellow SPS. Which of these patient reactions should be documented, but is not a cause for discontinuing a draw or likely to affect analytes? - Correct answer Petechiae. A phlebotomy technician is performing a venipuncture collection on a young adult and needs to draw a citrate tube, a serum separator tube, and an EDTA tube. The citrate tube and SST fill quickly. The EDTA tube fills partway and then blood flow stops. What is the most likely explanation? - Correct answer The tube's vacuum is compromised. Scars cover the arms and hands of a patient whose requisition requires CBC and electrolytes. After finding no acceptable venipuncture site on either arm or hand, the phlebotomy technician sees that the scarring does not extend to the fingertips. Which of the following is true? - Correct answer The phlebotomy technician can do a capillary draw and document that where the blood was collected and why. When is a sharps receptacle considered to overfilled according to OSHA standards? - Correct answer When it is more that 3/4 full. Of the three veins commonly assessed for venipuncture, which is considered the least favorable? - Correct answer The basilic vein. An emergency room physician directs a phlebotomist to draw blood from an unconscious patient of unknown identity. This is... - Correct answer Legal under the concept of implied consent. When performing a draw on an inpatient with a recent mastectomy, the phlebotomy technician finds that an IV is running in the arm on the non-mastectomy side. Which site should the phlebotomy technician use? - Correct answer A site distal to the IV on the non-mastectomy side. An infant's blood volume may be approximated by multiplying the child's ... by .... - Correct answer Weight in kilograms, 80. Two sets of blood culture bottles are to be filled for a patient. Which of the following is true? - Correct answer The sets must be filled from two different venipuncture site. After assembling the ETS and double-checking that he has the correct tubes gathered for a venipuncture draw, a phlebotomy technician realizes that he forgot to remove the tourniquet after site selection. He knows that it has been in place for more than one minute. If he continues with the draw, what is one possible consequence? - Correct answer The specimens collected will not produce accurate test results. Which of the following information on a requisition form is essential for a phlebotomy technician to match exactly with information provided by the patient? - Correct answer Complete date of birth. Disposable tourniquets are intended to be used... - Correct answer On one patient only. How should a phlebotomy technician respond if, after a site is selected and cleaned and equipment prepared, the patient pushes down his sleeve and clutches his arm to his chest? - Correct answer She should ask the patient if he has concerns she can address or if he would like to talk to his doctor. Which of the following is a HIPAA violation? - Correct answer Failing to log out of a patient record on a visible screen before calling the next patient in. During a blood draw on an elderly patient, the patient's vein collapses when the first tube is inserted. Which of the following is the best option for completing the draw? - Correct answer Try a tube with a smaller volume. A phlebotomist is drawing blood for a glucose tolerance test. What process is avoided by using gray-topped collection tubes? - Correct answer Glycolysis. Orders indicate a patient needs coagulation studies, a lipid panel, and a complete blood count. Which of these tubes will be needed ? - Correct answer Lavender top, Tiger top, Light blue top. When performing venipuncture on a school-age child, which needle gauge is the best choice? - Correct answer 23 Which of the following is instruction that should be given to a patient who will be collecting a 24-hour urine specimen? - Correct answer Collect the urine in the hat and then transfer it carefully to specimen container. Most blood chemistry tests are performed on specimens collected in either - Correct answer Serum tubes or heparin tubes. A CLIA waived test may not be performed by the following laboratory personnel: - Correct answer Personnel who are not trained in its use. Which of the following processes is part of appropriate medical asepsis in a laboratory? - Correct answer Thoroughly cleaning a venipuncture sited with 70% isopropyl alcohol. When a phlebotomy technician begins work at a facility, the employer must offer this protection against bloodborne pathogens: - Correct answer A free hepatitis B vaccine. A patient with measles is in an airborne infection isolation room. When drawing blood from this patients, a phlebotomy technician will need to wear: - Correct answer An N95 respirator. Where is venipuncture most commonly performed if no suitable site can be found in the antecubital are of either of the patient's arms? - Correct answer The dorsal aspect of one of the patient's hands. When passing another phlebotomy technician's drawing station a PBT overhears him telling the patient that if she does not extend her arm, he will have to extend it for her and strap it down for the draw. What is the passing PBT's best course of action? - Correct answer Politely ask the coworker to pause for a moment, then immediately find a supervisor to intervene. The Needlestick Safety and Prevention Act requires that employers... - Correct answer Involve staff in the selection of safer medical devices. If a patient asks a phlebotomy technician for her opinion about the doctor who ordered his tests, the phlebotomy technician should... - Correct answer Politely decline to offer any opinion. How is a five-year-old child most likely to be positioned for venipuncture? - Correct answer In a parent or guardian's lap. Which of these choices lists lab tests in the order in which tubes would be drawn to conduct the tests? - Correct answer Thyroid panel, complete blood count, glucose. A transfer device allows blood to be safely transferred from... to... - Correct answer A syringe, evacuated tubes. After introducing herself, confirming the patient's identity and matching it to the requisition, what should a phlebotomy technician do? - Correct answer Explain the procedure to the patient. In which of the following situations must a phlebotomy technician ask nursing staff to complete a blood draw? - Correct answer A hospitalized patient's chart indicates blood should only be taken from a central port. Which of these statements is true? - Correct answer Citrate tubes must be filled to at least 90% capacity. Chain of custody documentation is required when a test: - Correct answer May be used in legal proceedings. What action should be taken immediately after a phlebotomy needle has been removed? - Correct answer The phlebotomist should apply pressure to a gauze square over the venipuncture site. What is the maximum angle at which a venipuncture needle should be inserted when drawing blood from a patient who is obese? - Correct answer 30 degree. Glucose challenge tests are routinely performed on what patient population? - Correct answer Pregnant women. If blood is taken from a collection tube to perform a peripheral blood smear, what type of tube should be used? - Correct answer Lavender top. For which of the following tests commonly performed on newborns should an amber micro collection tube be used? - Correct answer Bilirubin. A patient whose veins must be preserved for medical interventions such as chemotherapy may have blood tests conducted on: - Correct answer Blood taken from capillaries. When can a phlebotomy technician puncture the patient's skin for either venipuncture or capillary puncture? - Correct answer After the site has been cleaned and has dried. If, after centrifuging a specimen, a phlebotomist notices a pink or red tint to the serum, the specimen is likely... - Correct answer Hemolyzed. Which of these tasks is typically considered within a phlebotomy technician's scope of practice? - Correct answer Creating peripheral blood smear slides drawing blood, performing a throat culture and drawing blood from the dorsal aspect of the hand using a syringe and transfer device. Blood pulsing into collection tubes is an indication that: - Correct answer The needle has truck an artery. A phlebotomist needs to collect gold, pink, and green-topped tubes by venipuncture. Which order is correct? - Correct answer Gold, green, pink. Collection tubes with... should not be used for therapeutic drug testing. - Correct answer Separator gel. Which of the following will help a phlebotomy technician avoid having a patient's vein roll away when the needle is inserted? - Correct answer Anchoring the site from below, using the thumb to pull toward the wrist. Facility policy states that no more than 5% of a patient's blood may be drawn in 20 days. What is the maximum amount of blood than can be drawn from an 9-pound infant in a month? - Correct answer 16 mL. A patient's chart indicates that her veins are thin, fragile, and frequently collapse. A total of 5 mL of blood needs to be drawn for various tests. Which of the following techniques would be best for drawing blood from this patient? - Correct answer Venipuncture using a 23-gauge butterfly needle and syringe/transfer device. Which of the following is a significant difference between midstream and routine urine specimen? - Correct answer The area around the urethra is cleaned before collecting a midstream specimen. Hemoconcentration may be caused by... - Correct answer Leaving a tourniquet in place for too long. A patient begins to experience a seizure during a blood draw. What should be the phlebotomist's first response? - Correct answer Too remove and sheathe the needle. When a patient is in an isolation room, where should the phlebotomy technician doff any required PPE? - Correct answer Inside the patient's room right before exiting. When should a phlebotomy technician label and initial tubes drawn from patients in hospital rooms? - Correct answer Right after completing the draw and in the presence of the patient. Which of the following tasks related to point-of-care testing devices may be performed by a phlebotomy technician? - Correct answer Recording quality control measurements in a daily log. A split specimen is often created for purposes of... testing - Correct answer Drug. After centrifuging a specimen that does not have a separator gel, when should the liquid portion of the specimen be removed from the solid portion? - Correct answer Immediately. How should a vein be anchored before venipuncture? - Correct answer By placing the thumb of the nondominant hand 1-2 inches below the venipuncture site and pulling firmly but gently toward the wrist. Drawing a patient's blood for routine testing after she has expressed that she does not wish to have the procedure performed may be considered. - Correct answer Battery. Most collection tubes should be centrifuged within... of collection. - Correct answer Two hours. Some swabs are transported in a tube with a(n)... that must be... to release liquid. - Correct answer Ampule, crushed. which of the following equipment has an expiration date that must be checked prior to use? - Correct answer Point-of-care test strips. Adhesive bandages are never placed on - Correct answer Patients under 2 years of age. Which set of adaptations is appropriate when drawing blood from a pediatric patient? - Correct answer Use of a higher gauge needle, removing any sharp or potentially dangerous objects from within the patient's reach, and never leaving the patient alone at the drawing station. ______ is an organization that develops standards of practice for laboratories worldwide. - Correct answer CLSI. Drawing blood from... is usually considered to be beyond the scope of practice for entry- level phlebotomy technicians. - Correct answer Arteries. A patient who uses a cane or walker is at a higher risk for this type of hazard: - Correct answer Uneven walkways and tripping hazards. The following tests may be related to assessing kidney health: - Correct answer Renal panel, 24-hour urine collection. What step immediately follows removing the needle from a venipuncture site? - Correct answer Activating the needle's safety mechanism. Which of the following is true of labeling aliquot tubes? - Correct answer Each one should be labeled with the patient's identifying information. An endocrinologist has ordered a thyroid panel and fasting blood glucose tests for a patient. Which of these choice represents a possible tube choice? - Correct answer SST tube and sodium fluoride/oxalate tube. The area of the foot used for infant heel stick is known as the - Correct answer Lateral or medial plantar surface. CLSI standards for patient identification include asking a patient to... - Correct answer State and spell. In which of the following ways can a phlebotomy technician help to prevent iatrogenic anemia? - Correct answer By performing draws carefully and avoiding the need for redraws. When is a bandage applied to venipuncture site? - Correct answer After bleeding has stopped. If a patient has orders for therapeutic drug monitoring and must have blood drawn at trough medication levels, when should her blood be drawn? - Correct answer Within 10 minutes before next dose. After completing a blood draw the phlebotomy technician should always... - Correct answer Thank the patient. Death is a possible consequence of: - Correct answer Misidentifying a patient. A blade-style lancet should be held at a... angle to a patient's fingerprint whorls when performing capillary collection. - Correct answer 90 degree. Which of the following techniques is an acceptable way to make a patient's veins appear more prominently? - Correct answer Place a warm pack over the antecubital area for 3-5 minutes. Electrolytes and complete blood count are ordered for a patient who must have blood collected by capillary puncture. Th collect tubes to use, in the correct order, would be tubes to use, in the correct order, would be: - Correct answer EDTA, serum. Blood for newborn metabolic screening is collected: - Correct answer On filter paper printed with circles for each blood drop. This venipuncture site poses the lowest risk for nerve or artery involvement, and is generally well anchored: - Correct answer The median cubital vein. If a tourniquet has been left on the arm for more than one minute, how long should it remain off the arm before it is reapplied? - Correct answer Two minutes. A patient is being tested for various vitamin levels. Which of the following is true? - Correct answer The tubes should be protected from light. When an order is marked STAT it should be collected: - Correct answer Within 10 minutes, as soon as possible. Which of the following is true of patient fasting? - Correct answer If it extends beyond 14 hours it may produce inaccurate test results. Hemolysis can occur when the phlebotomist: - Correct answer Draws a syringe plunger back forcefully. Which fingers are best suited for capillary blood collection? - Correct answer The ring finger and the middle finger. The patients who are performing stool guaiac testing at home should be instructed not to eat... in the days leading up to and during the test. - Correct answer Red meat. The number associated with all documents and specimens connected to a particular requisition is known as the... - Correct answer Accession number.