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Phlebotomy Exam
| Question | Answer |
|---|---|
| Quality is best defined as: | a degree of excellence. |
| Making sure the standards of care have been maintained” defines: | quality assurance. |
| “The constant search for ways to improve a product, service, and performance” defines: | quality improvement. |
| Which of the following can be used to determine specimen collection information? | All of the above |
| A bleeding time test is used for: | evaluation of platelet function. |
| _________ is a normal bleeding time result? | 5 minutes |
| ________________ and _________ tests is required by law for neonatal screening? | PKU and Thyroid testing |
| The glucose tolerance test (GTT) is used to evaluate which of the following conditions? | Hypoglycemia ,Diabetes mellitus and Gestational diabetes |
| _________ tube colors is designed especially for glucose collection? | Gray |
| ___________ is proper protocol for collection of arterial blood gases? | Collect from the artery, collected in heparinized syringe; transport on ice. |
| The cold agglutinin antibody is made in response to a form of pneumonia caused by which of the following bacteria? | Mycoplasma pneumoniae |
| The clinical condition in which bacteria enter the bloodstream is known as: | septicemia |
| ________ and _______ is the appropriate collection device to use when performing blood culture collection? | Yellow-top SPS tube and Blood culture bottles |
| Proper incubation temperature for cold agglutinin specimens is ________________. | 37°C |
| When culture bottles are prepared for inoculation with the patient sample, the bottles should be. | cleansed with alcohol. |
| Therapeutic phlebotomy is not performed for treatment of which of the following conditions? | Anemia |
| Blood collected during therapeutic phlebotomy is: | discarded after collection. |
| When a peripheral blood smear is prepared, which of the following statements is NOT true? | Make the smear one minute after placing the blood on the slide. |
| sites should not be selected for venipuncture? | Scarred veins , Vessels that pulse and Burned areas |
| One of the most important steps for prevention of testing errors in venipuncture is: | verification of the patient’s age. |
| Which vein is the phlebotomist’s first choice for venipuncture? | Basilic |
| The phlebotomy supply area should be appropriately stocked with approximately a ___ -month supply of expendables. | 2 |
| As part of the laboratory’s quality assurance plan, records should be kept in the laboratory for all of the following EXCEPT: | physician credentials. |
| How often should inventory be performed? | Biweekly |
| When making the departmental budget, the phlebotomy manager must consider which of the following? | Volume of work ,Materials and Hours of work |
| The combination of artificial respiration and artificial circulation is known as: | CPR. (cardiopulmonary resuscitation) |
| Which of the following is NOT considered a vital sign? | weight |
| Normal body temperature is ________________. | 97–99°C |
| Which of the following body temperature sources is most accurate? | Rectal |
| In order for an axillary temperature to be accurate, the thermometer must be held in position for _____ minutes. | 10 |
| Which vital sign is defined as the beat of the heart felt through the wall of an artery? | pulse |
| There is a normal ratio of _____ respirations to a pulse. | 1:4 |
| The force exerted on the arterial walls during cardiac relaxation is: | diastolic pressure. |
| ______________, __________ and _______________ factors affects blood pressure? | Pain ,Smoking and Exercise |
| This type of testing is approved by CLIA to be performed by the phlebotomist. | waived testing |
| _____________ CANNOT be performed as a point-of-care test? | Hemoglobin electrophoresis |
| Which of the following is NOT a reason for prothrombin time point-of-care testing? | Hemoglobin monitoring |
| The body of law that is voted on and passed by the U.S. Congress or by a state legislature as an outcome of a political process or societal influence is known as: | statutory law. |
| __________ consists of those principles and rules of action that derive their authority solely from usages and customs that have evolved from ancient, unwritten laws of England. | common law |
| Rules and regulations written by government agencies to implement statutes or public laws are __________________. | administrative law |
| Those laws that relate to private rights and remedies sought by citizens are known as: | civil law. |
| In a legal dispute the patient or client that claims to be injured is known as the: | plaintiff |
| A civil wrongdoing or injury is known as: | a tort |
| Leaving a patient sign-in sheet in plain view of other patients is a violation of which of the following government agencies? | HIPAA |
| The rule of legal evidence that requires an authorized person to account for the location, control, and integrity of a specimen, result, or report at all times is known as: | a chain of custody. |
| Phlebotomists must be certified to obtain employment in their field. | true/false |
| ____________ medical personnel may perform venipuncture? | Doctors, Medical assistants and Phlebotomists |
| In the modern laboratory or medical setting, the phlebotomist must be aware of all of the following EXCEPT: | the patient’s previous medical/surgical history |
| ____________ a barrier to effective communication? | Positive body language |
| Which of the following exhibits positive body language? | Smiling |
| ______________ conducive to effective communication? | Stereotyping |
| ______________________________is a valid avenue for continuing education for phlebotomy | National meetings, Videoconferences and Self-instructional units |
| The risk for infectious disease in health care workers comes from which of the following? | HIV, Hepatitis C and Hepatitis B |
| The single most important preventative measure for spread of infectious disease is: | hand washing |
| ___________________ is NOT a means of transmission for pathogens? | hand washing. |
| ________________ is NOT a means of transmission for pathogens? | Intact skin |
| Plasma is defined as: | the liquid portion of blood, with clotting factors. |
| Serum is defined as: | the liquid portion of blood, without clotting factors. |
| Whole blood contains: | all cellular components and plasma. |
| The evacuated tube with the GOLD stopper contains which of the following additives? | Dry clot enhancer |
| Which of the following tubes requires the tube to be completely filled to the appropriate indicator mark in order to avoid analytical error due to a diluted specimen? | Blue |
| In order to reduce aerosol mist during handling and testing procedures, a tube with a splash guard placed over the rubber stopper has been manufactured. This tube is called a ______________. | hemostat tube |
| The size of the needle is referred to as the __________________. | gauge |
| As the diameter of the needle increases, the gauge of the needle ___________. | decreases |
| The most common needle gauge used for venipuncture is ___________. | 21G |
| Choose the best method for needle disposal. | Unscrew the needle directly into a puncture-proof container. |
| The device used to hold the tube during venipuncture is known as: | the tube holder, the barrel. and the adapter |
| What is the purpose of the tourniquet? | Increase resistance to venous blood flow |
| The maximum time allowed for the tourniquet to remain tied on the arm of the patient is: | 1 minute. |
| Potassium EDTA | Lavender |
| No additive | Solid red |
| Sodium or lithium heparin | Green |
| Sodium citrate | Light blue |
| Gel activator | SST (jungle top) |
| Sodium fluoride/potassium oxalate | Gray |
| Which of the following complications is caused by insufficient blood flow to the brain? | Syncope |
| The best way to avoid potential patient complications is to: | ask the patient’s venipuncture history. |
| This common complication occurs when the needle is improperly placed in a vein, and the blood is allowed to escape from the vein and collect under the skin. | Hematoma |
| If during venipuncture the phlebotomist notices swelling around the venipuncture site while the needle is still inserted, the proper procedure is to: | remove the needle and discontinue the venipuncture. |
| Which of the following is NOT a possible reason for short draw? | Syringe plunger withdrawn too slowly |
| A short draw in a blue-top anticoagulated tube could lead to which of the following? | Patient must be redrawn, Inaccurate test results and Specimen rejected by laboratory |
| Which of the following is NOT proper procedure for collecting blood from a patient with a running IV? | If blood is drawn above the IV site, the IV should be turned off by the phlebotomist and turned back on immediately after completion of the blood draw. |
| Which of the following is NOT correct in regards to drawing from a damaged or scarred vein? | A larger needle may be necessary to obtain an adequate specimen. |
| The phlebotomist must NEVER do which of the following when dealing with a convulsing patient? | Leave the patient. |
| If the patient complains of shooting pain during phlebotomy, the phlebotomist should: | discontinue venipuncture immediately. |
| A faulty collection tube with poor vacuum may result in which of the following? | Short draw |
| Hemolysis can be defined as: | destruction of red cells. |
| Which of the following would NOT cause hemolysis? | Pediatric venipuncture Pediatric venipuncture |
| Which of the following could NOT cause a clot to form in an anticoagulated tube? | Inversion of the anticoagulated tube 10 times immediately following collection |
| Inversion of the anticoagulated tube 10 times immediately following collection | sagittal plane |
| The plane that divides the body into anterior and posterior portions is called the _________. | coronal plane |
| The smallest, most basic unit of life is the _____________________. | cell |
| The study of cells is known as: | cytology. |
| __________________ forms the outer layer of skin and some internal organs and the inner lining of blood vessels. | Epithelial tissue |
| _____________________ consists of fibers (cells), provides motion, and helps the body maintain posture. | Muscle tissue |
| __________________ consists of complex, specialized cells that transmit nerve impulses to tissues, glands, or other neurons throughout the body to help coordinate body activity. | Nerve tissue |
| _______________ supports and protects the body organs. | Connective tissue |
| Body systems work together to maintain a state of internal balance known as_________. | homeostasis |
| Which of the following is NOT a part of the integumentary system? | Muscle |
| ___________ is the medical specialty that pertains to treatment of the skin and related disorders. | Dermatology |
| _________________ belongs to the integumentary system? | Skin Nails Sweat glands, skin and sweat glands |
| How many bones are in the human body? | 206 |
| ______________ is the medical specialty that studies the skeletal system and associated structures. | Orthopedics |
| ______________ is the study of muscles. | Myology |
| Which of the following is a function of muscle tissue? | Organ formation and function |
| The junction between two neurons is called the ____________________. | synapse |
| The central nervous system consists of ___________________________________. | the brain and spinal cord |
| The peripheral nervous system consists of ______________________________. | nervous tissue outside the central nervous tissue somatic nervous tissue autonomic nervous tissue, nervous tissue outside the central nervous tissue and somatic nervous tissue |
| _________________ is NOT an endocrine gland? | Sweat gland |
| ______________ regulate metabolism and energy production, contraction of muscles, growth, and aspects of the immune system. | Hormones |
| ________________ is the study of hormone-producing glands. | Endocrinology |
| Which portion of the heart receives deoxygenated blood from the body? | Right atrium |
| The vein that brings blood into the heart from the upper portion of the body above the heart is known as the ______________________. | superior vena cava |
| The vein that brings blood to the heart from the lower portion of the body below the heart is known as the ________________. | inferior vena cava |
| At resting state, the normal heart beats approximately _________ beats per minute. | 70–72 |
| Systolic blood pressure is a measure of which phase of the cardiac cycle? | Contraction of the heart |
| Diastolic blood pressure is a measure of which phase of the cardiac cycle? | Relaxation of the heart |
| Blood pressure is measured in __________________. | mm/Hg |
| _____________ vessels carries oxygenated blood away from the heart? | Arteries |
| ____________vessels carries deoxygenated blood to the heart from the venules? | Veins |
| Which vein is the phlebotomist’s first and usually best choice for venipuncture? | Basilic vein |
| An anticoagulant is used to _____________________. | keep blood from clotting |
| The primary function of red blood cells is _____________________. | to carry oxygen |
| The normal life span of a red blood cell is _________ days. | 120 |
Created by:
Cynthia J.
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