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Phlebotomy Knowledge
Study
| Question | Answer |
|---|---|
| Performing a laboratory assay on a patient's blood specimen is an example of which phase of laboratory testing? | examination/analytical |
| The term phlebotomy is derived from Greek words that mean: | vein, cut |
| Acute care refers to which type of hospital care? | short-term |
| Receiving an emergency lab test request is an example of which phase of laboratory testing? | preexamination/preanalytical |
| In which of the circumstances below is the phlebotomist likely to collaborate with the pharmacy? | when asked to collect specimens for drug monitoring |
| Which of the following aspects would do the most to promote a professional appearance in a patient care setting? | good posture and personal hygiene |
| Health care for infants and children falls into which medical specialty? | pediatrics |
| Which of the following is acceptable attire for a phlebotomist? | necklace tucked inside a collar |
| If a non-English-speaking patient is scheduled to have a blood specimen collection, the health care worker should: | find an interpreter or other method to communicate the information |
| In a health care setting, which would be the preferred manner to place a caller on hold? | Answer the phone and allow the caller to give the reason for calling, then ask him or her, "May I put you on hold for a few moments?" |
| What are "delta checks"? | QC that allows for detection of significant changes in laboratory results |
| In phlebotomy, what does the term preanalytical mean? | variables that affect a specimen prior to lab testing |
| Failure to act or perform duties according to the standard of care for phlebotomy is: | negligence |
| When a phlebotomist gives aid during an emergency, he or she is usually protected through: | implied consent |
| Before a patient's laboratory test results can legally be released to another physician or health care facility, the patient must: | provide his or her informed consent |
| The federal law enacted that regulates the quality and accuracy of laboratory testing (including phlebotomy procedures) by creating a uniform set of provisions governing all clinical laboratories is referred to as: | CLIA |
| Which federal law states that a laboratory with moderately complex or highly complex testing must have written policies and procedures for specimen collection and labeling? | CLIA |
| A large number of negligence health care lawsuit cases arise out of the violation of: | violation of patient confidentiality |
| A national organization that develops guidelines and safety measures and sets national standards specifically for laboratory procedures is: | The Joint Commission |
| Which of the following organizations oversees the investigation and control of various diseases, especially those that are communicable? | CDC |
| Which of the following is an agency of the U.S. Department of Labor that requires employers to provide measures that will protect workers exposed to biological hazards? | OSHA |
| If an accident such as a needlestick occurs, the injured health care worker should immediately: | cleanse the area with isopropyl alcohol and apply an adhesive bandage |
| Which of the following is a commonly identified causative agent of nosocomial infections in the nursery unit? | Escherichia coli |
| Antiseptics for skin include: | iodine |
| Which of the following chemicals should be used to disinfect tourniquets and items contaminated with blood? | 1:10 dilution of chlorine bleach |
| Which of the following is the proper sequence for removal of isolation apparel after blood collection in an isolation room? | gloves, gown, mask |
| In health care facilities, which of the following is a typical fomite? | laboratory coat |
| Which of the following is the most important procedure in the prevention of disease transmission in health care institutions? | handwashing |
| Babies whose mothers have which of the following problems must be isolated from other infants? | genital herpes |
| The first step in controlling severe bleeding is to: | apply pressure directly over the wound or venipuncture site |
| In the hazardous labeling system developed by the NFPA, the blue quadrant of the diamond indicates a: | health hazard |
| The first step in giving mouth-to-mouth resuscitation is to: | determine whether the victim is conscious by gently tapping the shoulders of the victim and speaking loudly, "Are you okay?" |
| If a health care provider hears a fire alarm as she or he is collecting blood from a patient, she or he should not: | run |
| If a phlebotomist is exposed accidentally to a chemical spill on the floor, he or she should quickly go to which department for a chemical spill cleanup kit? | clinical chemistry |
| CPR stands for: | cardiopulmonary resuscitation |
| How many times per minute does the average person inhale and exhale? | 15 |
| What is the purpose of ordering a fasting lab test? | preventing glucose and cholesterol levels from elevated results |
| A test request for O & P refers to: | an evaluation for parasites |
| When performing a skin puncture in an adult or older child, you should stick the fleshy part of the fingertip section of which finger? | middle |
| A differential count refers to: | specific types of WBCs |
| Which of the following veins is most commonly used for venipuncture? | median cubital |
| Hemoglobin content is assessed in the laboratory by analyzing: | erythrocytes |
| How fast does the average adult heartbeat? | 60–80 times per minute |
| Which of the following is true of a serum specimen? | does not contain an anticoagulant additive |
| An aneurysm is a condition in which: | there is a weakened area of the blood vessel wall |
| A high cholesterol level is associated with which condition? | atherosclerosis |
| Abnormal glucose levels are associated with which condition? | diabetes |
| SPS tubes are used in the collection of: | microbiology specimens |
| The yellow-topped blood collection tube has which of the following additives? | sodium polyanethol sulfonate |
| The safety butterfly blood collection system is frequently used with a needle gauge size of: | 21 |
| The most important step to ensure accuracy in sample collection is? | identifying the patient properly |
| If collected by capillary puncture, which test specimen is collected first? | CBC |
| A pt complains of extreme pain when you insert the needle during a venipuncture attempt. The pt does not feel any numbness. The needle is in the vein because the blood is flowing into the tube. You have only two tubes to fill, and the first one is almost | discontinue the draw and attempt collection at another site |
| When do you centrifuge the specimen? | after the blood clots |
| After cleaning the venipuncture site with alcohol, the phlebotomist should: | allow the alcohol to dry completely |
| If hematoma occurs what are its effects? | bruising and extreme pain from blood draw |
| If the blood does not appear in an evacuated tube upon venipuncture, a phlebotomist's first course of action should be to? | slightly re-position the needle |
| If a patient is prone to syncope during venipuncture, the phlebotomist should? | watch in case of fainting |
| When delivering blood samples to a laboratory, they should always be transported inside? | phlebotomy tray box |
| When you send specimens in the mail, the label should state? | address of laboratory,biohazardous material, in case of breakage, send to CDC |
| A 24 hours urine specimen must be kept? | refrigerated |
| Safe working conditions are mandated by? | OSHA |
| In the event of a body fluid splash to the eyes, the victim should immediately? | flush eyes with water for 10 minutes |
| In approaching an elderly patient, it is appropriate to call the patient by name using? | Miss., Mrs., or Mr. |
| The law that established national standards for the electronic exchange of protected health information is? | CLIA |
| Containers used for disposing of needles and other sharp objects must be all of the following except which one? | recyclable |
| Which of the following best describes the "smallest of all the blood vessels?" | capillaries |
| Which of the following best describes how to avoid an arterial puncture? | do not select a vein that lies either over or close to an artery, veins will feel bouncy and resilient and arteries will feel firm and will pulsate |
| Which of the following patients cannot have blood drawn from the arm? | Mr. Thomson has an intravenous infusion, Mrs. Sanchez just underwent a bilateral mastectomy |
| Health care workers and patients allergic to latex gloves could experience which of the following? | incomplete filling of the tube |
| Your patient is allergic to adhesive tape. How will you prevent exposure and apply pressure to a venipuncture site? | use roller gauze or a dressing |
| Which type of patient is most likely to have an AV fistula or graft? | dialysis |
| The tourniquet should not be left on the patient for longer than? | one minute |
| Recent OSHA regulation requires that all healthcare personal exposed to blood and other body fluid must receive vaccination against ____________? | Hepatitis B |
| Which of the following best describes the purpose of a blood culture? | to isolate microorganisms from the patient's blood |
| The physician orders a test that you are unfamiliar with, but that you know requires special preparation for this test. How will you find the information you are looking for? | look in the laboratory or user manual |
| The average adult body contains about 9 to 11 pints of blood? | False |
| You invert the tube 15 times after venipuncture? | False |
| A requisition is hard copy documentation of the blood test ordered? | True |
| The phlebotomist must wear sterile gloves when performing venipunctures? | False |
| You check the patients identification band in a hospital setting after blood draw? | False |
| It is not necessary to identify yourself or explain the procedure for a patient who is unconscious or nonresponsive? | False |
| For inpatients, the most common position of venipuncture is lying down and facing up? | True |
| Use of cotton balls to hold pressure is not recommended because they tend to stick to the site and re-initiate bleeding when removed? | True |
| Tube stoppers (tops or closures) are typically made of rubber? | True |
| Laboratory requisitions will frequently note the time a blood sample should be drawn? | True |
| Blood cholesterol, triglyceride and glucose levels are the most common tests that require fasting? | True |
| Tube stoppers (tops or closures) are typically made of rubber? | True |
| Laboratory requisitions will frequently note the time a blood sample should be drawn? | True |
| Blood cholesterol, triglyceride and glucose levels are the most common tests that require fasting? | True |
Created by:
hofphlebotomy