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

Download Phlebotomy Certification Exam Practice Questions and more Exams Laboratory Practices and Management in PDF only on Docsity! Practice phlebotomy certification exam questions with 100% correct answers 2024 update. 1. A patient reports that during a previous blood draw he felt lightheaded and almost passed out. What should the phlebotomy technician do? (A) Call the patient's doctor to verify that the draw should be performed (B) Give the patient a cup of juice or light snack before the draw (C) Perform the draw according to standard procedures, but make sure a trained first aid provider is nearby (D) Perform the draw with the patient reclined or in supine position - Correct answer. Perform the draw with the patient reclined or in a supine position. 2. 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? (A) Gloves and a mask (B) Gloves, gown, and a mask (C) Gloves only (D) Gloves, gown, mask, and goggles - Correct answer. Gloves and a mask 3. A requisition calls for the following tests: CBC, CMP, and PTT. Which of the following reflects the proper order of draw? (A) EDTA, SST, citrate (B) Citrate, SST, EDTA (C) SST, citrate, EDTA (D) EDTA, citrate, SST - Correct answer. Citrate, SST, EDTA 4. Blood exits the heart through the body's largest artery, the _______________. (A) Atrium (B) Aorta (C) Vena cava (D) Carotid artery - Correct answer. Aorta 5. What part of the evacuated tube system allows multiple collection tubes to be filled with one puncture? (A) The interior needle/ tube holder (B) The syringe barrel (C) The bevel (D) The lumen - Correct answer. The interior needle/ tube holder 6. When drawing a specimen for an ammonia test, what should a phlebotomy technician have ready for specimen transportation? (A) A heating block (B) An amber transport tube (C) An ice slurry (D) Ice cubes - Correct answer. An ice slurry 7. 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 "Chris Morgan." what should the phlebotomy technician do? (A) Assume the requisition has a typographical error and complete the draw (B) Ask if the patient minds that his name is misspelled on the requisition, then complete the blood draw if the patient agrees (C) Cross out "Crises" on the requisition and write "Chris" (D) Call the ordering provider to resolve the issue and get a new requisition with the correct spelling if the spelling was an error. - 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. 8. When a blood culture is ordered along with other tests, which tube is filled first? (A) Yellow ACD (B) Yellow SPS (C) Lavender EDTA (D) Light blue sodium citrate - Correct answer. Yellow SPS 9. Which of these patient reactions should be documented, but is not a cause for discontinuing a draw or likely to affect analyses? (A) Syncope in a seated patient (B) Petechial (C) Hematoma (D) Nerve involvement - Correct answer. Petechial 10. 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 part way and then blood flow stops. What is the most likely explanation? (A) The patient's vein has collapsed (B) A clot has formed in the needle (C) The tube's vacuum is compromised (D) The patient's vein is empty - Correct answer. The tube's vacuum is compromised 11. 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? (A) The phlebotomy technician can do a capillary draw and submit specimens without additional comment (B) The phlebotomy technician can do a capillary draw and document that where the blood was collected and why (C) The phlebotomy technician can draw blood from a vein in the foot or ankle (B) Discussing which tests were ordered for a patient with the patient's physician (C) Asking a fellow phlebotomist for help finding a good venipuncture site on a patient the colleague has worked with previously (D) Calling a patient's first name to summon her to a drawing station - Correct answer. Failing to log out of a patient record on a visible screen before calling the patient in 23. A patient with a DNR order in place becomes unresponsive during the course of a blood draw. The phlebotomy technician should (A) Discontinue the blood draw and immediately start CPR if trained to do so (B) Discontinue the blood draw, document the time at which the patient became unresponsive, and move on to the next patient (C) Complete the blood draw and then call for help (D) Discontinue the blood draw and immediately call for help - Correct answer. Discontinue the blood draw and immediately call for help 24. Which of the following is within the range of common micro collection tube volume? (A) 0.5 mL (B) 5 mL (C) 5000 (D) 2 mL - Correct answer. 0.5 mL 25. Which of the following cases should a phlebotomy technician seek out interpretation services? (A) A patient whose first language is not English indicates that she is comfortable communicating in English and seems to understand well (B) A patient does not speak English and is accompanied by her 10-year-old grandson who speaks fluent English (C) A patient does not speak English, but the PBT speaks the patient's language and has been trained in interpretation by her facility (D) A patient speaks moderately fluent English and communicates that she understands the procedure, rolling up her sleeve and nodding - Correct answer. A patient does not speak English and is accompanied by her 10-year-old grandson who speaks fluent English 26. Capillary blood gas testing is ordered on a newborn infant. Where and how should the specimen be drawn? (A) From the scalp by venipuncture (B) From the antecubital fossa by venipuncture (C) From the third or fourth finger by capillary puncture (D) From the lateral or medial plantar surface of the foot by capillary puncture - Correct answer. From the lateral or medial plantar surface of the foot by capillary puncture 27. Which set of differences is true of collection of donor blood as connected to routine venipuncture for diagnostic testing? (A) A smaller needle is used and the patient is first given a brief medical exam (B) A larger needle is used and the patient is not required to provide consent (C) A larger needle is used and the patient is first given a brief medical exam (D) A smaller needle is used and the patient is first tested for anemia - Correct answer. A larger needle is used and the patient is first given a brief medical exam 28. Blood flow slows and then stops while a phlebotomy technician is halfway through drawing a citrate tube. After adjusting the needle gently forward and backward, the technician is not able to restore the flow. What should he do? (A) Label and submit the tube for testing halfway full (B) Label and submit the tube for testing halfway full only if a second tube is inserted and also does not fill (C) Discontinue the draw and reschedule the patient (D) Try a second citrate tube; if the second tube does not fill, perform a second venipuncture at a new site - Correct answer. Try a second citrate tube; if the second tube does not fill, perform a second venipuncture at a new site 29. Using liquid controls to test point-of-care devices is effective because (A) It provides the phlebotomy technician practice using the device (B) It tests the device using analyses of known composition (C) It lubricates the device (D) It provides a contrast to actual specimens from patients - Correct answer. It tests the device using analyses of known composition 30. A lancet designed for heel stick on a full-term infant usually punctures at a depth of (A) 2.2 mm (B) 2.0 mm (C) 1.0 mm (D) 0.85 mm - Correct answer. 1.0 mm 31. If a facility's policy is to collect tan-topped tubes along with tubes with the same additive, they should be collected in the same order as (A) Yellow topped tubes (B) Gray topped tubes (C) Green topped tubes (D) Lavender topped tubes - Correct answer. Lavender-topped tubes 32. In which of the following situations should a phlebotomy technician consult a Safety Data Sheet? (A) She notices a burning smell when operating a centrifuge (B) She splashes a disinfecting solution on her skin (C) She receives an accidental needle stick as a venipuncture needle is removed (D) She drops a glass collection and it breaks, spilling blood on the floor of her drawing station - Correct answer. She splashes a disinfecting solution on her skin 33. A patient orders for a fasting blood glucose test. What should the phlebotomy technician do before inspecting the patient's arms for an acceptable venipuncture site? (A) Ask if the patient has had this test performed before (B) Ask the patient when she last had anything to eat or drink other than water (C) Ask the patient when she last consumed any sugary foods or beverages (D) Ask the patient if she has been formally diagnosed with diabetes - Correct answer. Ask the patient when she last had anything to eat or drink other than water 34. The veins in both arms of a patient who is obese are difficult for a phlebotomy technician to palpate and the patient is complaining of pain from the standard disposable tourniquet applied to her arm. Which steps might help the phlebotomy technician locate a vein and improve comfort for the patient? (A) remove the tourniquet, ask the patient to dangle her arms for several minutes, and then use a blood pressure cuff inflated to just below the patient's diastolic blood pressure in place of a standard tourniquet (B) remove the tourniquet, ask the patient to dangle her arms for several minutes, and then use a blood pressure cuff inflated to just below the patient's systolic blood pressure in place of a standard tourniquet (C) Leave the tourniquet in place, ask the patient to dangle her arms for several minutes, and then try again to palpate a vein (D) Remove the tourniquet, wait two minutes, apply a blood pressure cu - Correct answer. remove the tourniquet, ask the patient to dangle her arms for several minutes, and then use a blood pressure cuff inflated to just below the patient's diastolic blood pressure in place of a standard tourniquet 35. Capillary blood will flow more easily when this is done prior to capillary puncture: (A) The patient drinks a tall glass of water (B) The patient raises her hands above her head for 3-5 minutes (C) The patient breathes deeply just before the puncture is performed (D) The site is warmed for 3-5 minutes - Correct answer. The site is warmed for 3-5 minutes 36. When a patient enters a phlebotomist's drawing station, how can the phlebotomist best communicate a positive, professional attitude? (A) By having all equipment preassembled and immediately beginning the procedure (B) By facing away from the phlebotomy chair to allow the patient time to be seated without any pressure to communicate (C) By greeting the patient, introducing himself by name and title, and inviting the patient to be seated (D) By greeting the patient and then asking the patient to confirm the tests ordered - Correct answer. By greeting the patient, introducing himself by name and title, and inviting the patient to be seated 37. ________________ is an illness spread by droplets. (A) MRSA (B) Influenza (C) Measles (D) C. diff - Correct answer. Influenza (C) Tiger top (D) Royal blue top (E) Light blue top - Correct answer. Lavender top, C. tiger top, and E. light blue top 50. When performing venipuncture on a school aged child, which needle gauge is the best choice? (A) 16 (B) 18 (C) 21 (D) 23 - Correct answer. 23 51. Which of the following is instruction that should be given to a patient who will be collecting a 24-hour urine specimen? (A) "Include the urine collected both at the very beginning and very end of the 24-hour cycle." (B) "Deliver the completed specimen within three days of collecting it." (C) "Collect the urine in the 'hat' and then transfer it carefully to the specimen container (D) "After completing the specimen, put the lid firmly in place and then shake the container to thoroughly mix the chemical additives." - Correct answer. "Collect the urine in the 'hat' and then transfer it carefully to the specimen container." 52. Most blood chemistry tests are performed on specimens collected in either (A) Serum tubes or heparin tubes (B) Heparin tubes or EDTA tubes (C) Sodium citrate tubes or heparin tubes (D) Serum tubes or sodium fluoride tubes - Correct answer. Serum tubes or heparin tubes 53. A CLIA waived test may not be performed by the following laboratory personnel: (A) Personnel who are not trained in its use (B) Phlebotomy technicians (C) Medical technicians (D) Supervising nurses - Correct answer. Personnel who are not trained in its use 54. Which of the following processes is part of appropriate medical asepsis in a laboratory? (A) Using sterile gloves during venipuncture procedures (B) Placing used needles in an autoclave before disposal (C) Thoroughly cleaning a venipuncture site with 70% isopropyl alcohol (D) Performing hand hygiene after every third patient - Correct answer. Thoroughly cleaning a venipuncture site with 70% isopropyl alcohol 55. When a phlebotomy technician begins work at a facility, the employer must offer this protection against blood borne pathogens: (A) A low-cost hepatitis b vaccine (B) A free hepatitis b vaccine (C) Instruction on how to recap needles effectively (D) Free antiviral medications to take on an ongoing basis - Correct answer. A free hepatitis B vaccine 56. A patient with Measles is in an airborne infection isolation room. When drawing blood from this patient, a phlebotomy technician will need to wear (A) A surgical mask (B) A N95 respirator (C) A biohazard suit (D) A face shield - Correct answer. An N95 respirator 57. Where is venipuncture most commonly performed if no suitable site can be found in the antecubital area of either of the patient's arms? (A) The dorsal aspect of one of the patient's hands (B) The dorsal aspect of one of the patient's forearms (C) The lateral aspect of one of the patient's wrists (D) One of the patient's feet or ankles - Correct answer. The dorsal aspect of one of the patient's hands 58. 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? (A) Keep walking and tell a supervisor about the situation later (B) Immediately call facility security (C) Politely ask the coworker to pause for a moment, then immediately find a supervisor to intervene (D) Confront the coworker, informing him that his behavior is abusive, and perform the draw in his place - Correct answer. Politely ask the coworker to pause for a moment, then immediately find a supervisor to intervene 59. The needle stick Safety Prevention Act requires that employers (A) Provide biohazard suits for phlebotomy technicians (B) Involve staff in the selection of safer medical devices (C) Provide appropriate PPE at a reasonable cost to the employee (D) Make payments to employees who are victims of accidental needle sticks - Correct answer. Involve staff in the selection of safer medical devices 60. If a patient asks a phlebotomy technician for her opinion about the doctor who ordered his tests, the phlebotomy technician should (A) Offer her opinion after clarifying that it is only her professional opinion and not a professional assessment (B) Politely decline to offer any opinion (C) Say that all of the doctors who refer patients to the laboratory are excellent (D) Recommend that if the patient is uncertain he should get a second opinion - Correct answer. Politely decline to offer any opinion 61. How is a five-year-old child most likely to be positioned for venipuncture? (A) In a parent or guardian's lap (B) In a booster seat with straps to secure the arm (C) In an adult phlebotomy chair adjusted to its highest setting (D) Sitting on his knees in a bariatric phlebotomy chair - Correct answer. In a parent or guardian's lap 62. Which of these choices lists lab tests in the order in which tubes would be drawn to conduct the tests? (A) Glucose, thyroid panel, complete blood count (B) Thyroid panel, glucose, complete blood count (C) Complete blood count, thyroid panel, glucose (D) Thyroid panel, complete blood count, glucose - Correct answer. Thyroid panel, complete blood count, glucose 63. A transfer device allows blood to be safely transferred from _________ to _______. (A) Evacuated tubes, aliquot tubes (B) A syringe, evacuated tubes (C) A patient's vein, evacuated tubes (D) A syringe, micro collection tubes - Correct answer. A syringe, evacuated tubes 64. After introducing herself, confirming the patient's identity and matching it to the requisition, what should a phlebotomy technician do? (A) Ask the patient what symptoms he has been experiencing (B) Apply the tourniquet and find a suitable vein (C) Explain the procedure to the patient (D) Call the patient's doctor to confirm that the tests on the requisition are correct - Correct answer. Explain the procedure to the patient 65. In which of the following situations must a phlebotomy technician ask nursing staff to complete a blood draw? (A) A hospitalized patient's chart indicates blood should only be taken from a central port (B) A hospitalized patient has an IV in one forearm and a cast on the other arm (C) A patient's chart indicates she has had a double mastectomy (D) An elderly patient reports that his veins frequently collapse during blood draws - Correct answer. A hospitalized patient's chart indicates blood should only be taken from a central port 66. Which of these statements is true? (A) Citrate tubes must be filled to at least 90% capacity (B) Citrate tubes must be filled to at least 75% capacity (C) Citrate tubes must be filled to at least 50% capacity (D) Citrate tubes are filled to a varying capacity, depending on the test ordered - Correct answer. Citrate tubes must be filled to at least 90% capacity 79. Patient’s collection tubes with________________ should not be used for therapeutic drug testing. (A) Separator gel (B) Clot activator (C) Red tops (D) Internal vacuum - Correct answer. Separator gel 80. Which of the following will help a phlebotomy technician avoid having a patient's vein roll away when the needle is inserted? (A) Selecting a vein in the hand (B) Forming an anchoring "window" around the puncture site with the thumb below and the index finger above (C) Anchoring the site from below, using the thumb to pull toward the wrist (D) Warming the site for 3-5 minutes prior to venipuncture - Correct answer. Anchoring the site from below, using the thumb to pull toward the wrist 81. Facility policy states that no more than 5% of a patient's blood may be drawn in 30 days. What is the maximum amount of blood than can be drawn from a 9-pound infant in a month? (A) 12 mL (B) 16mL (C) 20 mL (D) 24mL - Correct answer. 16 mL 82. A patient's chart indicates that her veins are thin, fragile, and frequently collapse. A total of 5mL of blood needs to be drawn for various tests. Which of the following techniques would be best for drawing blood from this patient? (A) Capillary puncture of the third or fourth finger (B) Venipuncture using a 23-guage butterfly needle and syringe/ transfer device (C) Venipuncture using a 21-guage straight multisampling needle (D) Venipuncture using a 23-guage butterfly needle and a 5mL evacuated tube - Correct answer. Venipuncture using a 23-guage butterfly needle and syringe/ transfer device 83. Which of the following is a significant difference between midstream and routine urine specimens? (A) The area around the urethra is cleaned before collecting a midstream specimen (B) A routine urine specimen is collected first thing in the morning (C) A midstream urine specimen is collected at a patient's home (D) A routine urine specimen is collected in a sterile container - Correct answer. The area around the urethra is cleaned before collecting a midstream specimen 84. Hem concentration may be caused by (A) Leaving a tourniquet in place for too long (B) A patient eating a breakfast rich in fatty foods (C) Using too narrow needle (D) Probing with the venipuncture needle - Correct answer. Leaving a tourniquet in place for too long 85. A patient begins to experience a seizure during A blood draw. What should be the phlebotomist’s? First response? (A) To ask the patient if he is OK (B) To remove and sheathe the needle (C) To steady the patient's arm so the Tube currently inserted can be filled Completely (D) To lower the patient to the ground - Correct answer. To remove the sheathe the needle 86. Which of these tests is an entry-level phlebotomy technician most likely to be trained to perform in its entirety? (A) Testing urine with a dipstick (B) Arterial blood gas (C) Urine culture and sensitivity (D) Complete blood count with differential - Correct answer. Testing urine with a dipstick 87. Which of these items may be reused between patients with proper cleaning? (A) A tube holder if there is no blood visible (B) A specimen tube that was inserted but never received blood flow (C) A phlebotomy wedge (D) A retractable lancet - Correct answer. A phlebotomy wedge 88. One effective method to help control healthcare Associated infections is (A) Wiping down surfaces in a drawing station Between patients using a damp, Soapy cloth (B) Performing hand hygiene after every Other patient (C) Washing hands for at least 15 seconds (D) Using facility-approved disinfectants to Clean reusable items like point-of-care Testing devices - Correct answer. Using facility approved disinfectants to clean reusable items like point-of-care testing devices 89. Just as a needle is removed from a patient's Arm, the patient has a coughing fit and the Phlebotomy technician is accidentally stuck With the needle. What should the phlebotomy Technician do after placing the needle in the Sharps container? (A) Call her supervisor (B) Ask the patient if he has any known Blood borne illnesses (C) Complete an incident report (D) Wash the injury with soap under running Water for 15 minutes - Correct answer. Wash the injury with soap under running water for 15 minutes 90. Which of the following is one acceptable way of confirming a patient's identity? (A) Asking the patient to confirm his name and date of birth (B) Checking the name and date of birth on a wristband sitting on the patient's bedside table against his stated name and date of birth (C) Matching a patient's hospital room number on the requisition (D) Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth - Correct answer. Checking the name and date of birth on a wristband on the patient's wrist against his stated name and date of birth 91. during centrifugation of a specimen the centrifuge Becomes very hot and then bursts into Flames. The power cord is plugged in behind The centrifuge. How should the phlebotomy Technician operating the centrifuge respond? (A) He should reach around carefully and Unplug the centrifuge, then activate the Fire alarm. (B) He should leave the area and immediately Activate the fire alarm. (C) He should attempt to smother the flames With his lab coat, then activate the fire Alarm. (D) He should douse the centrifuge with Water, then activate the fire alarm. - Correct answer. He should leave the area and immediately activate the fire alarm 92. Which of the following is the best response to a patient who is afraid of needles? (A) "The sooner we do this, the sooner you can leave." (B) "My last patient was ten years old and he said it didn't even hurt." (C) "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." (D) "Just close your eyes. It’s probably easier if you just don't know when it's coming." - Correct answer. "You might find it easiest to look away while I get the equipment ready. I'll tell you before I actually perform the procedure." 93. The anticoagulant action of this tube additive Can be reversed with the addition of calcium: (A) Sodium citrate (D) Hepatitis C - Correct answer. Hepatitis B 104. Coagulation studies are ordered for a patient Whose veins require use of a butterfly assembly? Which of the following is true? (A) A discard tube should be started first, Then a light blue tube filled completely (B) A discard tube should be started first, Then a light green tube filled completely (C) A light blue tube should be filled at least Halfway (D) A lavender tube should be filled Completely - Correct answer. A discard tube should be started first, then a light blue tube filled completely 105. If a phlebotomy technician is not able to read A note made on a manual requisition form, She should (A) Perform the draw as long as she can read Which tests are ordered? (B) Ask the patient if she knows what the Doctor wrote at the top of her requisition (C) Contact the ordering provider for Clarification (D) Send the patient back to the ordering provider For a new requisition - Correct answer. Contact the ordering provider for clarification 106. Sharp, shooting pain during venipuncture is a Possible sign of what complication? (A) Nerve involvement (B) Hematoma (C) Vein collapse (D) Artery involvement - Correct answer. Nerve involvement 107. Which of the following patients is most likely to require use of a syringe and transfer device? (A) A 10-month-old infant (B) A 12-year-old child (C) A 40-year-old woman (D) An 80-year-old man - Correct answer. An 80-year-old man 108. Hemolysis of a capillary specimen is most Likely to have resulted from (A) Warming the collection site for too long (B) "Milking" the finger during collection (C) Using incorrect order of draw (D) Creating too deep a puncture with the Lancet - Correct answer. "Milking" the finger during collection 109. A patient indicates that phlebotomy technicians Have always had the best luck drawing Blood from his right arm, but no suitable site Can be found in the right arm after visual Inspection and palpation. What should the Phlebotomy technician do next? (A) Draw from the patient's hand (B) Check the left arm (C) Attempt to draw from the right arm (D) Perform capillary puncture - Correct answer. Draw from the patient's hand 110. Which of the following are effects of warming a capillary puncture site? (Choose two.) (A) Decreased pain for the patient (B) Improved blood flow (C) Arterialization of the blood (D) Decreased blood oxygen at the site (E) Increased platelet activation at the site - Correct answer. Improved blood flow, C. arterialization of the blood 111. Gray-topped tubes typically have two additives. What are the actions of these two additives? (A) Anticoagulant and clot activation (B) Ant hemolytic and ant glycolytic (C) Anticoagulant and ant glycolytic (D) Ant glycolytic and antithrombotic - Correct answer. Anticoagulant and ant glycolytic 112. When a patient is in an isolation room, where Should the phlebotomy technician doff any? Required PPE? (A) Inside the patient's room right before Exiting (B) Just outside the patient's room (C) At the nurses' station (D) At the patient's bedside after the procedure Is complete - Correct answer. Inside the patient's room right before exiting 113. When should a phlebotomy technician label And initial tubes drawn from patients in hospital Rooms? (A) After completing all draws in a single Hospital department (B) Right after completing the draw and in The presence of the patient (C) After exiting the patient's room, before Moving to the next room (D) Before entering each patient's room - Correct answer. Right after completing the draw and in the presence of the patient 114. Which of the following tasks related to point-of-care testing devices may be performed by a phlebotomy technician? (A) Opening the machine to perform simple repairs (B) Recording quality control measurements in a daily log (C) Deciding when a test result was inaccurate (D) Instructing a patient on medication dosage based on test results - Correct answer. Recording quality control measurements in a daily log 115. A split specimen is often created for purposes Of _____________ testing. (A) 24-hour urine (B) Glucose (C) Drug (D) Pregnancy - Correct answer. Drug 116. 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? (A) Immediately (B) Within 15 minutes (C) Within 30 minutes (D) Within 60 minutes - Correct answer. Immediately 117. How should a vein be anchored before Venipuncture? (A) By placing the thumb of the dominant Hand 1-2 inches below the venipuncture Site and pulling firmly but gently toward The wrist (B) By placing the thumb of the no dominant Hand 1-2 inches below the venipuncture Site and pulling firmly but gently Toward the wrist (C) By placing the thumb of the no dominant Hand just below and the index finger Of the no dominant hand just above The venipuncture site and pulling firmly And gently outward (D) By placing the thumb of the no dominant (B) Hepatic panel, erythrocyte sedimentation Rate (C) Renal panel, 24-hour urine collection (D) Thyroid panel, fecal occult blood testing - Correct answer. Renal panel, 24-hour urine collection 128. What step immediately follows removing the Needle from a venipuncture site? (A) Thanking the patient (B) Activating the needle's safety mechanism (C) Discarding the needle (D) Bandaging the site - Correct answer. Activating the needle's safety mechanism 129. Which of the following is true of labeling aliquot tubes? (A) Each one should be labeled with the patient's identifying information (B) A single label can be wrapped around several tubes (C) The tubes can be placed, unlabeled, in a labeled transport bag (D) They do not need to be labeled if they will be delivered by hand to the testing area along with the requisition - Correct answer. A single label can be wrapped around several tubes 130. An endocrinologist has ordered a thyroid Panel and fasting blood glucose tests for a Patient. Which of these choices represents a Possible tube choice? (A) SST only (B) EDTA tube only (C) SST tube and sodium fluoride/oxalate Tube (D) Citrate tube and sodium fluoride/oxalate Tube - Correct answer. SST tube and sodium fluoride/ oxalate tube 131. The area of the foot used for infant heel stick Is known as the (A) Calcaneus (B) Lateral or medial plantar surface (C) Dorsal surface (D) Arcos pedals - Correct answer. Lateral or medial plantar surface 132. CLSI standards for patient identification Include asking a patient to _______________ Her full name. (A) Confirm (B) Read out (C) Sign (D) State and spell - Correct answer. State and spell 133. In which of the following ways can a phlebotomy technician help to prevent iatrogenic anemia? (A) By choosing not to draw blood for certain tests (B) By performing draws carefully and avoiding the need for redraws (C) By only performing capillary puncture any time tests are ordered (D) By performing a point-of-care hematocrit/ hemoglobin test before performing venipuncture - Correct answer. By performing draws carefully and avoiding the need for redraws 134. When is a bandage applied to a venipuncture? Site? (A) Immediately after the needle is Withdrawn (B) After bleeding has stopped (C) After 3 minutes (D) After 5 minutes - Correct answer. After bleeding has stopped 135. If a patient has orders for therapeutic drug Monitoring and must have blood drawn at Trough medication levels, when should her Blood be drawn? (A) Within an hour before her next dose (B) An hour after her last dose (C) Within 10 minutes before her next dose (D) Within 10 minutes after her last dose - Correct answer. Within 10 minutes before her next dose 136. After completing a blood draw the phlebotomy Technician should always (A) Thank the patient (B) Reassure the patient that everything will Be OK (C) Make suggestions regarding the patient's Health (D) Immediately call the next patient - Correct answer thank the patient 137. Death is a possible consequence of (A) Touching a nerve during venipuncture (B) Using the incorrect tubes to draw a Specimen (C) Inserting a phlebotomy needle at too High an angle (D) Misidentifying a patient - Correct answer. Misidentifying a patient 138. A blade-style lancet should be held at a _______ Angle to a patient's fingerprint Whorls when performing capillary collection. (A) 45° (B) 90° (C) 180° (D) 360° - Correct answer. 90 degrees 139. Which of the following techniques is an acceptable way to make a patient's veins appear more prominently? (A) Lightly flicking or slapping the skin in the antecubital area (B) Placing an icepack over the antecubital area for 3-5 minutes (C) Asking the patient to pump his fist rapidly (D) Placing a warm pack over the antecubital area for 3-5 minutes - Correct answer. Placing a warm pack over the antecubital area for 3-5 minutes 140. Electrolytes and complete blood count are Ordered for a patient who must have blood Collected by capillary puncture. The correct Tubes to use, in the correct order, would be (A) EDTA, serum (B) Serum, EDTA (C) Heparin only (D) Oxalate, EDTA - Correct answer. EDTA, serum 141. Blood for newborn metabolic screening is Collected (A) In heparinized capillary tubes (B) On filter paper printed with circles for Each blood drop (C) On a test strip inserted into a point-of care Device (D) In EDTA tubes - Correct answer. On filter paper printed with circles for each blood drop 142. This venipuncture site poses the lowest risk For nerve or artery involvement, and is generally Well anchored: (A) The fleshy part to the side of the third Finger (B) The cephalic vein (C) The median cubical vein (D) The basilica vein - Correct answer. The median cubical vein 143. 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?