Phlebotomy Final Questions PDF

What is phlebotomy? 1) The process of drawing blood All of the following are true about lab safety except 2) You may store food in the refrigerator Certification is evidence that phlebotomist has _____ 3) The phlebotomist has demonstrated proficiency in the area of blood drawing Quali...

What is phlebotomy? 1) The process of drawing blood All of the following are true about lab safety except 2) You may store food in the refrigerator Certification is evidence that phlebotomist has _____ 3) The phlebotomist has demonstrated proficiency in the area of blood drawing Quality assurance for lab personnel indicates all of the following except 4) Lab supervisor’s home telephone number Which of the following PPE must be used by the phlebotomist while performing skin puncture? 5) Gloves Employees must provide ___ vaccination free of cost 6) Hep B virus The quality of the test results depends on 7) The time between collecting the specimen and analyzing the specimen The CLIA 1988 follows guidelines and standards by _____ 8) CLSI A specimen may be rejected by the lab for ____ 9) All of the above ____ is the first step in phlebotomy and other testing procedures 10) Proper PT identification When an inpatient is not wearing ID MA must ____ 11) Not draw blood until nurse has placed ID band on PT How should a phlebotomist proceed if there is a language barrier?  12) Use hand gestures Lavender tube contains 13) EDTA Yellow tube contains 14) SPS or ACD 15) Gray tube contains Sodium Fluoride and Potassium Oxalate In what tube is ESR done 16) Lavender What tube gives serum specimen 17) Red topped tube A blood donation to be given in his own surgical procedure 18) Autologous Which of the options is false for blood culture 19) Both a and c are false for blood culture collection A heparinized needle and syringe are necessary in the collection of? 20) ABG Cold agglutinin test must be maintained at a temperature of? 21) 37 C Which of the following specimens must be chilled? 22) All of the above Which of the following is not needed for routine phlebotomy procedure? 23) Iodine The depth of a heel puncture cannot exceed? 24) 2.0mm When a tourniquet is kept too tight capillaries may rupture and cause? 25) Petichae The phlebotomist must inspect the needle for? 26) All of the above A butterfly needle may be appropriate for use on patients with? 27) All of the above Proper disposal of a needle after removal from the vein is? 28) Put it into a sharps container, after activating needle safety device, immediately after withdrawing it from a pt Which of the following are correct for ending the phlebotomy procedure 29) Remove the tourniquet, remove the tube, place gauze, remove the needle, apply pressure and discard needle in sharps container A tourniquet that has been left on for too long will cause? 30) All of the above Which of the following is a sign and symptom of syncope? 31) Cold, damp, clammy skin Which of the following may cause vein occlusion? 32) Chemotherapy Veins that are hard and cord-like are called? 33) Sclerosed High bilirubin levels can lead to?  34) Jaundice, which can lead to brain damage Which of the following will cause a shortened bleeding time in a bleeding time test? 35) Hair at the incision site Aspirin may affect which test? 36) Bleeding time Midstream clean catch urine is collected in? Stat specimen Amniotic fluid must be? 37) All of the above Fecal specimens are collected for? 38) All of the above An iced ABG specimen must be delivered within how many hours to the lab? 39) 30 minutes All of the following are safety equipment for ABG collection except? 40) Transport container A NP (nasopharyngeal) culture is used to diagnose? 41) All of the above Which specimen is collected by a nurse or respiratory therapist instead of a phlebotomist in some hospitals? 42) ABG collection For which of the following patients should a dermal puncture be performed? 43) All of the above When collecting blood from a child phlebotomists should?  44) All of the above What do phlebotomists look for when ID’ing newborns? 45) The hospital ID number and last name A pathogen is? 46) An infectious, disease causing microorganism A healthcare associated infection is? 47) An infection contracted as a result of exposure to a pathogen in a healthcare institution A patient who is known to have tuberculosis is placed in? 48) In airborne precautions Patients within neonatal ICU or burn units are? 49) In a protective environment An infection is? 50) The invasion and growth of a pathogen Which of the following are infectious agents? 51) Bacteria, viruses, protozoa and fungi Red blood cells are called? 52) Erythrocytes The most abundant white blood cells are? 53) Neutrophil An average adult has approximately how much blood? 54) 5L Veins carry what type of blood back to the heart? 55) Blood back to the heart Outermost layer of the heart is called? 56) Epicardium The upper receiving chambers of the heart are called? 57) Atrium Which of the following are semilunar valves? 58) Aortic and pulmonary valve The aorta is? 59) Major artery Exchange of O2 and Co2 at tissue levels occurs in? 60) The capillaries Physiology is? 61) The function of the human body Blood in the urine is called? 62) Hematuria Hemostasis is? 63) The process by which blood vessels are repaired after injury Formation of blood cells is known as? 64) Hematopoiesis Blood cells that carry oxygen? 65) RBC All of the following structures are located in the abdominal cavity except? 66) Rectum The muscle of the vessels in the circulatory system can be classified as which type?  67) Striated involuntary The stomach passes food into? 68) Small intestines Substances that speed up digestion are known as? 69) Enzymes What is the ratio of plasma to formed elements? 70) 55 Plasma 45 Formed elements When you exhale you rid the body of? 71) Co2 Phlebotomist dropped a tube of blood on the floor and broke it, the proper way to clean up blood and broken glass includes all except? 72) Dispose of glass in waste container The phlebotomist prepares to draw blood on a child who does not want to have their blood drawn, the phlebotomist can gain the child's trust by doing all the following except? 73) Tell the child it will not hurt A patient in open heart surgery recovery has an order for Hgb and Hct, electrolytes, glucose, and ABG, the phlebotomist tells the nurse to collect all the specimens through the arterial line because? 74) Blood samples will be labeled as arterial samples You are working quickly to complete your AM draws when you encounter a difficult draw on a newborn that will surely take longer. You should call down to the lab for assistance because you..? 75) Need a slurry of ice to transport the temperature sensitive specimen While processing the specimen, the phlebotomist spills a tube of blood on the table, the phlebotomist should? 76) All of the above As you are putting away the new order of vacuum tubes you should? 77) Position current stock so it will be used up first The ER nurse hands the phlebotomist an ID bracelet to put on a trauma patient so the phlebotomist can draw stat labs. The phlebotomist should? 78) Inform the nurse that he or she is not allowed to do so and request that the pt put it on You have received an order for CBC and cholesterol on Mr.Smith. He states he is in a rush, which of the following actions is to be taken to speed up the process? 79) None of the above You receive a specimen from the physician's office dated yesterday, the specimen is now 18 hrs old but you do not reject it because it was…? 80) A glucose test drawn in a gray top After applying the tourniquet on a patient, the phlebotomist noticed petechiae. She verified the correct application of the tourniquet, and should now do what? 81) Continue the procedure and expect a loner clotting time at the puncture site The patient has a small visible, palpable median cephalic vein in the left arm. The phlebotomist will select which needle combination as the best option for venipuncture? 82) 22G with a vacutainer The patient has an order for CBC, PT both of which requires a small amount of blood. She has mastectomy on the left side and scars from burns on the antecubital site on the right arm. The phlebotomist should…? 83) Collect the blood by performing a finger stick on the right hand While performing a start of afternoon draw, the sleeve of the phlebotomist lab coat is contaminated with splatter of blood. The appropriate action is? 84) Discard the coat and get a fresh one from the laboratory A patient comes to the lab stating the physician called and told them to get a stat CBC draw, you have no requisition, therefore you should…? 85) Call the physician and get a verbal order The phlebotomist is processing a chain of custody specimen and is called to an emergency when she has not yet completed the process. The appropriate course of action is to? 86) Sign the specimen over to another tech to finish up the process The phlebotomist enters the room of an elderly patient who tells her she had difficulty manipulating the cup while collecting mid-stream clean catch specimen, so she voided all of the urine into the collection cup. The phlebotomist should…? 87) Inform the nurse so that he or she can assist the PT or collect a catch specimen While processing a specimen, the phlebotomist finds a tube labeled with a patient's name, MR#, DOB, date and time of collection. The phlebotomist should…? 88) Process the specimen and deliver it to the appropriate department for analysis While performing a venipuncture procedure the phlebotomist checked the expiration date of the tube being used. The action is considered part of…? 89) Quality control The phlebotomist completes a difficult draw on a very angry patient, after returning to the lab, the phlebotomist should…? 90) Document what occurred during the procedure and interaction with the patient The phlebotomist was preparing to deliver pathology reports to the doctors mailbox when she noticed her neighbor had been diagnosed with prostate cancer. She promptly called her neighbor who was anxiously waiting on the news. All of the following are relevant to the appropriateness of the phlebotomists actions except which of the following? 91) Her neighbor asked for the information A 10 year old child comes into the lab with her insurance card and requisition for blood draw, stating his mother is in the car. The phlebotomist or patient representative should…? 92) Ask the child to go and get his mother from the parking lot