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Mock Exam Questions
Questions 1-100
| Question | Answer |
|---|---|
| What is Phlebotomy? | The act of drawing blood |
| What is a phlebotomist? | A trained professional in blood drawing |
| Which is the following is NOT part of a phleb's point-of-care-job-related duties? | Performing tracheostomy |
| All of the following are considered hazards except: | bending your knees when lifting heavy objects |
| Can you store food in a lab refrigerator? | NO |
| As written in the Patient Care Partnership from the American Heart Association, the patient has the right to: | high-quality care, protection of privacy, help with billing claims |
| Certification is evidence that: | the phlebotomist has demonstrated proficiency in the area of blood drawing. |
| Which of the following is OSHA approved PPE | Goggles, chin-length face shield, full-length lab coat |
| The Clinical Laboratory Improvement Act of 1988 follows guidelines and standards set by the: | CLSI |
| Samples collected from a PT in a nursing home are sent to the | reference laboratory |
| Quality assurance for lab personnel includes all of the following: | specimen collection procedures, specimen transport processes, specimen- processing policies |
| PPE must be provided by the | Employer |
| Which of the following much a Phlebotomist use when performing a routine venipuncture? | Gloves |
| Under HIPPA, protected health information is defined as: | any part of a patient's health information that is linked to information that identifies the patient. |
| Employers must provide ____________ vaccination, free of charge | Hepatitis B |
| Which of the following would be a reason for rejection of a specimen by the lab? | An ESR has been collected in a red-topped tube |
| The quality of the test result depends on: | the time between collecting the specimen and analyzing the specimen |
| The purpose of Total Quality Management is to: | check machinery with automated procedures, ensure that proper lab procedures are being followed and ensure that adequate PT care is being provided |
| A specimen may be rejected by the lab if: | the tube was not initialized, the blood is hemolyzed, or the tube was not transported properly |
| Transport bags have a separate compartment (pouch) for requisitions to: | prevent contamination if the specimen leaks |
| Proper________ __________ is the most important first step in phlebotomy and other testing procedures. | Proper patient identification |
| Acceptable method(s) of identifying a patient include: | PT name and DOB, check the PT ID band, ask PT to present photo ID |
| When an admitted PT is not wearing an ID band, the phleb should: | not draw blood until nursing has placed an ID band on the PT |
| What is the proper procedure to follow if a Dr or member of clergy is in PT's room at the time of draw? | a) As them to step outside c) Return at another time if the specimen is not a stat request |
| How should you proceed if there is a language barrier with the PT? | use hand gestures to communicate with the PT |
| Most tubes containing additives should be inverted | 5-8 times |
| Lavender Top Tub (additive) | EDTA |
| Green Top Tube (additive) | Heparin |
| Yellow Top Tube (additive) | SPS or ACD |
| Glass Red Top Tube (additive) | No additive |
| Which tube contains sodium flouride and potassium oxalate? | Gray Top Tube |
| Which tube holds a glucose specimen for 24 hours | Gray Top Tube |
| Which tube to collect erythrocyte sedimentation rate? | Lavender Tube |
| blood for serology testing should be drawn in what tube? | Red |
| This tube yields a serum specimen | Red Top Tube |
| Coagulation studies should be drawn in a light blue tube containing which of the following additives? | Sodium Citrate |
| A blood donation given by a patient for use during his or her surgical procedure is called: | Autologous Donation |
| These would be considered false for a blood culture collection | The culture must be collected in a red- and marble top tube A tourniquet is not used for blood culture collection A & C |
| For ABG's the area must be prepped with __________ before the draw. | iodine |
| A heparinized needle and syringe are necessary int he collection of: | ABG |
| A Hemogard top is | a plastic top that fits over the stopper used to reduce aerosol and splattering of blood |
| Cold agglutanin test must be maintained at _______ degrees celcius | 37 |
| Chilling a specimen will | Maintain the stability of the specimen during transport |
| The specimens for the following tests must be kept chilled: | Ammonia, Pyruvate, Lactic Acid |
| When labeling tubes this information must be included | PT's name, date, time of draw |
| ____________is NOT needed for routine phlebotomy procedure | iodine |
| What additional equipment may be needed when drawing blood from a patient in the premature nursery? | Additional PPE |
| The depth of a heel puncture cannot exceed: | 2.0 mm |
| 50) The tourniquet is placed ____________ inches above the site of draw | 3-4 |
| When a tourniquet is left on too tight, capillaries may rupture, causing: | petechiae |
| A phlebotomist must inspect the needle for: | burrs, bevel facing up, expiration date |
| Which is the smallest needle? | the larger the gauge ex: 21 is small |
| A butterfly needle should be used on: | pediatric/ geriatric pts, pts w/ sclerosed veins & 1 tube being drawn, adults' dorsal and metacarpal veins |
| A tube older is used to connect needle and evacuated tube to: | ensure firm, stable connection between |
| The proper way to dispose of a needle: | activate safety device, dispose in sharps container immediately after withdrawing the needle from pt |
| Before drawing, the phleb should consider: | scars/ burns, edema, mastectomy |
| Correct way to end draw procedure | Remove tourniquet, remove tube, apply gauze, remove needle, apply pressure and discard needle to sharps container |
| A tourniquet left on too long can cause all of the following: | petechia, hemolysis, hemoconcentration |
| What should you do if a pt experiences syncope? | remove needle and tourniquet, apply pressure |
| Sign of syncope | Cold, clammy, damp skin |
| Blood that has seeped from vein to tissue | Hematoma |
| What can cause vein occlusion | Chemotherapy |
| What can occur if a phlebotomist punctures a bone | Osteomyelitis |
| Veins that are hard and cordlike are called | Sclerosed |
| The term that means the rupturing of red blood cells | hemolysis |
| High bilirubin levels can lead to | jaundice, which can lead to brain damage |
| Thrombosis | Clot formation within blood cell |
| Which would cause a shortened bleeding time in a bleeding time test? | Hair at the incision site |
| A hematoma can be prevented if | pressure is applied on the vein until bleeding stops completely |
| Aspirin may affect a patients | bleeding time |
| In CSF collection, the phlebotomist will | obtain specimen from Dr after it has been collected from the PT, transport specimen to lab, process the microbiology specimen under the microscope |
| 75) Midstream clean catch urine collections are | Always a stat specimen |
| The process of collecting amniotic fluid is known as | amniocentesis |
| The amniotic fluid must be | transferred to a sterile container, protected from light, transported immediately to the lab for analysis |
| Prompt delivery to the lab of semen samples is necessary to determine ______________ in fertility testing. | viability |
| Fecal specimens are collected for: | ova/parasite, digestive abnormalities, occult blood analysis |
| What is the best sample to determine blood pH and blood gases? | Arterial blood |
| An un-iced ABG must be delivered to the lab within __________minutes | 5-10 minutes |
| ABG must be processed immediately to minimize | changes in the analyte |
| Safety equipment for ABG collection | Small rubber block, fluid-resistant gown, face shield |
| If the result of a modified Allen test is negative, | Another artery must be selected for blood collection |
| The NP culture is used to diagnose | whooping cough, croup, upper respiratory infections |
| The SE test is used to diagnose | cystic fibrosis |
| Which procedure is normally collected by a nurse or respiratory therapist | ABG |
| When drawing from an adult, dermal punctures can be used as an alternate for | CBC, glucose tolerance, ESR. (can not be used for ABG) |
| Which type of PTs should receive dermal puncture? | Pts that require frequent blood draws, with burns on the arms or who are at risk for venous thrombosis |
| Why should you cleanse the first drop of blood in a dermal puncture? | To rid the specimen of fluid from tissue |
| What should the phlebotomist NOT do when drawing blood from a child? | Do not tell the child that it won't hurt |
| What does the phlebotomist look for when identifying a newborn? | Hospital identification number and the last name |
| Improper cleaning of a venipuncture site can cause | infection |
| Define pathogen | An infectious, disease-causing microorganism |
| What are components needed for chain of infection | reservoir, means of transmission, susceptible host |
| A health-care associated infection is | an infection contracted within a health care facility |
| When a pt has a highly contagious disease, he or she is placed: | in expanded precaution isolation |
| A PT who is known to have tuberculosis is placed, | in airborne precautions |
| 100) A PT who has diarrhea and bacterial gastroenteritis is placed | Contact Precautions |
Created by:
hippiejess419
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