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CPT Phlebotomy Exam
CPT Phlebotomy Prep
| Question | Answer |
|---|---|
| 1. Why is it important to invert our tubes immediately after removing from the hub? a. To prevent hemolysis b. To prevent clotting c. To cause serum d. To prevent hemoconcentration | b. To prevent clotting |
| 2. The tourniquet should be left on no longer than? a. 2 minutes b. 3 minutes c. 1 minute d. 30 seconds | c. 1 minute |
| 3. Shaking a tube with blood in it can cause? a. Hemoconcentration b. Hemolysis c. Clotting d. Hematoma | b. Hemolysis |
| 4. A lavender top tube must be drawn before a. Red top tube b. SST tube c. Gray tube d. Green tube | c. Gray tube |
| 5. A green top tube must be drawn before a. Blue top tube b. Red top tube c. SST top tube d. Lavender top tube | d. Lavender top tube |
| 6. You get plasma when drawing the following tube. a. Blue top tube b. Red top tube c. SST top tube d. Lavender top tube | a. Blue top tube |
| 7. This is the protein that aids in the clotting process; a. Potassium b. Fibrinogen c. Keratin d. None of the above | b. Fibrinogen |
| 8. The reason why you may not use an expired evacuated tube is: a. They may not fill completely b. They will crack when spun down c. They are no longer sterile d. None of the above | a. They may not fill completely |
| 9. When should you remove the needle cap in order to prevent any contamination? a. When you are about to perform the puncture b. When you set up c. When you are palpating the vein d. When you put the tourniquet on | a. When you are about to perform the puncture |
| 10. A serum or plasma that has fat or is lipemic will look a. Clear b. Milky c. Yellow d. Red | b. Milky |
| 11. When should you not use a butterfly needle? a. When the child is moving b. For an older patient c. For bouncy veins d. Small an fragile veins | c. For bouncy veins |
| 12. Which of the following specimens does not need to be kept from light? a. Vitamin B-12 b. Potassium c. Folate d. Bilirubin | b. Potassium |
| 13. Which of the following specimens needs to be chilled immediately and transported on ice? a. Potassium b. CBC c. Lipids d. Ammonia | d. Ammonia |
| 14. Which of the following has a higher concentration in capillary blood? a. Lipids b. Glucose c. Lipase d. Calcium | b. Glucose |
| 15. What department would a lavender top tube be sent to ? A. Chemistry B. Coagulation C. Blood Bank D. Hematology | d. Hematology |
| 16. What department would a red top tube be sent to? a. Chemistry b. Coagulation c. Blood Bank d. Hematology | b. Coagulation |
| 17. What test would be done on a lavender top tube? a. CBC b. potassium c. CMP d. Liquid | d. Lipid |
| 18. What test should be done on a blue top tube? a. CBC b. Lipid c. PT d. Potassium | b. Lipid |
| 19. What department would the blue top be sent to? a. Chemistry b. Coagulation c. Blood Bank d. Hematology | a. Chemistry |
| 20. What is the name for blood leakage into the tissue? Hematoma Hemoconcentration Hemolysis Fibrinogen | c. Hemolysis |
| 21. As a phlebotomist if the patient asks what the test will tell the physician about her you should: Explain it to the patient. Direct her to webmd .com Tell the patient that the physician will be best to answer this None of the above | b. Direct her to webmd.com |
| 22. An ESR (Erythrocyte Sedimentation Rate) is drawn in what tube? Red SST Lavender Gray | a. red tube |
| 23. An ESR gives us information regarding? Hemoglobin How large our red blood cells Inflammation in the body How many red blood cells we have | c. inflammation in the body. |
| 24. What substance is higher in capillary blood? a. Hemoglobin b. Potassium c. WBC d. Glucose | d. Glucose |
| 25. The color codes of the needle for ETS tells us the a. Length of the needle b. The additive in the needle c. Gauge d. None of the above | c. Gauge |
| 26. The most common antiseptic used for phlebotomy is a. Peroxide b. 70% isopropyl alcohol c. Soap d. Iodine | b. 70% isopropyl alcohol |
| 27. A child asks if the phlebotomy procedure will hurt. The correct way to respond is a. No this won’t hurt. b. Explain to him the procedure honestly and ask for his cooperation c. Tell him it just depends d. None of the above | b. Explain to him the procedure honestly and ask for his cooperation |
| 28. Which additive prevents glycolysis? a. EDTA b. Silica c. Heparin d. Sodium Fluoride | d. Sodium Fluoride |
| 29. What is the first step in performing phlebotomy? a. Explain the procedure b. Set up your supplies c. Identify yourself d. Find your vein | c. Identify yourself |
| 30. How does a hematoma occur? a. Needle not in the vein all the way b. The bevel is on the wall c. Leaving the tourniquet on too long d. Using the wrong antiseptic | a. Needle not in the vein all the way |
| 31. The heel bone is called a. Carpals b. Tarsals c. Calcaneus d. Sole | c. Calcaneus |
| 32. If you are drawing blood cultures you need an anaerobic and a a. Aerobic tube b. Blue top tube c. Lavender tube d. Red top tube | a. Aerobic tube |
| 33. Blood cultures will be sent to what department? a. Chemistry b. Microbiology c. Hematology d. Blood Bank | b. Microbiology |
| 34. When drawing for blood cultures what is the appropriate antiseptic to use a. Peroxide b. Isopropyl alcohol c. Chlorhexidine gluconate d. Soap and water | c. Chlorhexidine gluconate |
| 35. When drawing blood you want to avoid what areas a. Burns b. Tattoos c. Scars d. All of the above | d. All of the above |
| 36. When you perform a capillary puncture you wipe the first drop why? a. To help to clot the area b. To reduce interstitial fluid c. To wipe away the alcohol d. To help the blood flow | b. To reduce interstitial fluid |
| 37. What color tube preserves sugar? a. Blue top b. Red c. Gray d. Green | c. Gray |
| 38. How long do you let a specimen clot? a. 10 minutes b. 15 minutes c. 20 minutes d. 30 minutes | d. 30 minutes |
| 39. How long do you spin your specimen in the centrifuge? a. 30 minutes b. 15 minutes c. 10 minutes d. 1 hour | c. 10 minutes |
| 40. To stop veins from rolling you should? a. Use a butterfly needle b. Anchor the vein c. Keep the tourniquet on d. Use a smaller tube | b. Anchor the vein |
| 41. Sclerosed means that the vein is a. Rolling b. Narrowing c. Hardening d. Collapsed | c. Hardening |
| 42. If you have your patient pump his fist while drawing his blood this can cause what test to be inaccurate a. Calcium b. Glucose c. Potassium d. PTT | c. Potassium |
| 43. If you do not fill a gray tube completely which test result can be inaccurate? a. Glucose b. Alcohol c. Blood typing d. Calcium | b. Alcohol |
| 44. When explaining to your patient how to collect a 24 hour urine specimen, which morning urine do you discard? a. The first morning b. The second morning c. Third morning d. None of them | a. The first morning |
| 45. How do you stop the bleeding? a. Apply pressure for an hour b. Apply pressure for 5 minutes c. Apply pressure for 5 to 15 minute d. Apply pressure for 30 minutes | c. Apply pressure for 5 to 15 minute |
| 46. How long does a person need to fast for a fasting specimen? a. 4 -6 hours b. 6-8 hours c. 8- 14 hours d. 24 hours | c. 8- 14 hours |
| 47. A hemolyzed specimen will cause false results for what test? a. Calcium b. Lipids c. Glucose d. Potassium | d. Potassium |
| 48. Autologous donation is a. When someone brings their own blood in to the lab b. Someone donates their blood for their family member c. Someone donates their blood for their own use d. When you draw their blood | c. Someone donates their blood for their own use |
| 49. Elder patients have more of a chance to get a hematoma due to a. The tightness of the tourniquet b. Their fragile veins c. The lack elasticity of the veins d. None of the above | c. The lack elasticity of the veins |
| 50. When labeling your tubes what does not need to be included? a. Patients name b. The lab it is going to c. Date d. Time | b. The lab it is going to |
| 51. The average urine that is excreted by an adult is a. 700 ml b. 1000 ml c. 1250 ml d. 1800 ml | c. 1250 ml |
| 52. Blood specimens should be drawn to standards of? a. OSHA b. CLSA c. CDC d. MSDS | b. CLSA |
| 53. Tubes need to be drawn in order to stop a. Reflux b. Cross Contamination c. Clotting d. Agglutination | b. Cross Contamination |
| 54. The most common site for venipuncture is a. Carotid artery b. Basilic vein c. Mediancubital vein d. Cephalic vein | c. Mediancubital vein |
| 55. The most common artery used for arterial blood gasses is a. Carotid artery b. Brachial artery c. Radial artery d. Temporal artery | c. Radial artery |
| 56. What kind of specimen do we need to test urine for an infection? a. Random urine specimen b. First morning specimen c. Clean catch midstream specimen d. 24 hour urine specimen | c. Clean catch midstream specimen |
| 57. What kind of urine specimen do we need when checking the protein over a period of time? a. Random urine specimen b. First morning specimen c. Clean catch midstream specimen d. 24 hour urine specimen | d. 24 hour urine specimen |
| 58. Having ketones in our urine can indicate a. Starvation b. Exercise c. Infection d. Blood | a. Starvation |
| 59. Another name for white blood cells is a. Erythrocytes b. Leukocytes c. Thrombocytes d. Leukemia | b. Leukocytes |
| 60. Immature red blood cells are called a. Erythrocytes b. Reticulocytes c. Macrocytes d. Microcytes | b. Reticulocytes |
| 61. Respondeat Superior means? a. The thing that speaks for itself b. There is no case c. Let the master answer d. Decision is final | c. Let the master answer |
| 62. Cerebral Spinal fluid should be a. Red b. White c. Milky d. Clear and colorless | d. Clear and colorless |
| 63. You should never use a lancet that goes deeper then 2mm because a. The patient will bleed too much b. It can damage the bone c. It will hurt too much d. None of the above | b. It can damage the bone |
| 64. A basil state is no food, drink or exercise for how long? a. 6 hours b. 8 hours c. 10 hours d. 12 hours | d. 12 hours |
| 65. A lavender top tube would be used for which test? a. Lipid Panel b. Iron c. WBC d. Glucose | c. WBC |
| 66. patient states she has syncope when she has her blood drawn WYD a. Give them a wet rag to put on their neck b. Have someone watch so they can help if they do faint c. Lie the patient down to avoid any injury d. Tell the patient she will be ok | c. Lie the patient down to avoid any injury * Syncope is a type of fainting |
| 67. A urine specimen should never be left out longer than? a. 1 hour b. 2 hour c. 3 hour d. 4 hours | a. 1 hour |
| 68. What is another name for a butterfly needle? a. Winged infusion set b. BTTFLY c. Winged injection set d. Fragile needle | a. Winged infusion set |
| 69. Human Chorionic Gonadotropin (HCG) is used to test for a. Genetic disorders b. Pregnancy c. Ovulation d. Sterilization | b. Pregnancy |
| 70. Blood cultures test for a. Cancer markers b. Sexual transmitted diseases c. Septicemia d. Best antibiotic | c. Septicemia Means blood poisoning by bacteria |
| 71. What does C & S stand for a. Culture and screening b. Culture and sensitivity c. Calcaneus sensitivity d. Culture and septicemia | b. Culture and sensitivity |
| 72. Where is the tourniquet placed according to the site that you will be drawing from? a. 2” above b. 3 – 4” below the site c. 3- 4” above the site d. 4 – 5” above the site | c. 3- 4” above the site |
| 73. When drawing from an infant what is the best way to collect their blood? a. Winged b. Capillary c. Evacuated tube system d. None of the above | The answer is A and B: Winged or Capillary Depending on the situation |
| 74. When drawing a blood culture using bottles with a winged infusion set which is filled first? a. Aerobic b. Anaerobic c. Red tube d. Blue tube | a. Aerobic |
| 75. Antes putting a bandage on patient you should a. Tell the patient everything will be ok b. Tell the patient to keep pressure on the site for 30 minutes c. Make sure the patient has stopped bleeding d. Thank the patient for their cooperation | c. Make sure the patient has stopped bleeding |
| 76. What test does a phlebotomist fill circles on a filter paper? a. Glucose b. PKU c. HIV d. Bilirubin | b. PKU |
| 77. What can you do to prevent veins from rolling a. Only using the median cubital vein b. Use a larger gauge needle c. Anchor the vein d. Tie the tourniquet closer to the site | c. Anchor the vein |
| 78. When looking for a vein you are making sure that it a. Has a heart beat b. Thin c. Hard d. Bouncy | d. Bouncy |
| 79. You should never have a patient bend their arm at the elbow because it can cause a. Excessive bleeding b. Hemoconcentration c. Hemolysis d. Hematoma | d. Hematoma |
| 80. An instrument that can be used to find a vein is called a. Ophthalmoscope b. Venoscope c. Otoscope d. Cystoscopy | b. Venoscope |
| 81. What happens if a vein collapses? a. The blood flow will decrease b. The blood flow will increase c. The blood will squirt into the tube d. It will cause hemoconcentration | d. Hemoconcentration |
| 82. What is the most likely to cause hemoconcentration? a. Diabetes b. Needle against the wall of the vein c. Dehydration d. Shaking of the tubes | b. Needle against the wall of the vein |
| 83. Basal state is when your patient has a. Fasted for 8 hours b. Has had no exercise, food or drink for 12 hours c. Has had no exercise, food or drink for 6 hours d. Fasted for 10 hours | a. fasted for 8 hours |
| When we need to test for Ova and Parasite (O &P) what type of specimen do we need? | Fecal |
| nosocomial transmission is when ? | An infection we acquire when having HIV |
| When should you label your specimen | Immediately after the draw before your patient leaves |
| If you need to send a specimen chilled to the lab than you need it | In a container with ice packs |
| Synovial fluid is located | In the spine |
| What tube(s) contain an anticoagulant? | Lavender, Green, Blue, Lt. Blue, Grey |
| Petechiae | Tiny non-raised red spots that appear on the skin from rupturing of the capillaries due to the tourniquet being left on to long and or to tight |
| List five types of mode of transmission | contact - direct and indirect droplet airborne common vehicle vector borne |
| Hematuria | Blood in urine |
| Which test would have the highest priority if all were received at the same time? | STAT CBS in labor and delivery |
| Whole Blood: | Blood from which none of the elements have been removed |
| What is the additive in a Lt. Blue top tube? | Sodium Citrate |
| What do Basophils cary? | Histamine to help control allergies |
| What additives are collected in the mint green tubes? | Sodium Heparin, Lithium Heparin, Ammonuim ion |
| What is the most common cause for blood culture contamination? | Improper skin preperation |
| What sample needs to be run within 15 minutes of collection? | ABG |
| If you draw a sample culture and sensitivity, what section of the lab would receive that? | Microbiology |
| Sodium Flouride keeps ______ molecules intact for 3 days? | Glucose |
| An average adult weighing between 150 to 160 pounds has how much blood in their body? | 4-6 liters |
| HIV stands for: | Human Immunodeficiency Virus |
| What is a multi-draw needle used for? | To draw multiple tubes of blood from the same patient during venipuncture |
| What is the order of draw? | The sequence which tubes are filled |
| What is the correct order of removal of PPE? | Gloves, gown, mask |
| An indirect infection is an infection that is: | transmitted through no direct human contact |
| 55% of blood is | plasma |
| A tourniquet is: | A constrictive band used for venipuncture and intravenous injections |
| There are _____ types of white blood cells in human blood? | 5 |
| A fistula is: | is permanent surgical connection between artery and vein |
| What color tube does an electrolyte panel go in? | Green |
| A hematoma is defined as: | A localized collection of blood outside the blood vessels |
| What is a pathogen? | A microorganism that causes disease in its host |
| Hemolysis stands for what? | red blood cells is called hemolysis. Red blood cells carry oxygen to all parts of your body. |
| BBP stands for ? | Blood Borne Pathogen |
| What color tube does one use when drawing for a reticulocyte count? | Lavender |
| Which of the following are types of cells found in blood? | RBC's , WBC's, and Platelets |
| What is hematuria? | Blood in the Urine |
| What does ESR stand for? | Erythrocyte Sedimentation Rate |
| In which direction should the bevel be facing upon entering the arm?? | UP!! |
| A group of blood test ordered is known as a: | Profile and Panel |
| The release of medical records without a patients permission is: | Invasion of privacy |
| What is phlebitis | inflammation of a vein |
| What does ACD stand for? | Acid Citrate Dextrose |
| The state of being free of pathogenic microorganisms is known as: | Medical Asepsis |
| Platelets are defined as: | Cells that circulate in blood and clot to keep us from bleeding |
| What does CK stand for? | Creatine Kinase: this test measures the amount of creatine kinase (CK) in the blood. CK is a type of protein, known as an enzyme. |
| Red blood cells, white blood cells, and platelets make up what percent of blood volume: | 45% |
| Infections that originate in hospitals are known as? | Nosocomial infections |
| What does TSH stand for? | Thyroid Stimulating Hormone |
| What tube contains the reversible anticoagulant citrate? | Light Blue |
| What tubes contain no additives? | Red (glass) |
| A toxic chemical that affects the body by being absorbed into the blood is: | Blood Agent |
| 13. What is septicemia? | Blood Poisoning caused by bacteria |
| 14. What does PP stand for? | Post Prandial |
| An extremely small blood vessel located within the tissue of the body is known as a: | Capillary |
| PLT stands for: | Platelet Count Test |
| The cavity located in the elbow joint is known as: | Antecubital Fossa |
| How long does it take for the body to replace 500ml of blood?? | 4 - 6 weeks |
| XDP stands for: | Serum crosslinked fibrin |
| 21. Blood accounts for how much of your total body weight? | 7-8% |
| When a patient fasts and discontinues exercise for 12 hours it's known as a: | Basal State |
| Hct stands for: | Hemocrit |
| What color tube is used for blood banking? | Pink EDTA |
| What tube contains Thrombin for STAT serum testing?? | Orange or Grey/Yellow Tiger Top |
| GTT stands for: | Glucose Torlance Test |
| Arterial Blood Gas (ABG) samples need to be run within how long of collecting? | 15 Mins |
| LH stands for: | Leutinizing Hormone |
| Which of the following are light sensitive specimins? | All of Them: Bilirubin, Carotene, and RBC Folate |
| Capillary samples are generally taken from: | Finger |
| What do you call an inanimate object that can transmit infectious agents from individual to another? | Fomite |
| Which color tubes are used for trace metal analysis? | Royal Blue |
| POCT stands for: | Point-Of-Care-Testing |
| Which vein is often used to draw blood in an obese patient? | Cephalic Vein |
| PSA stands for: | Prostate Specific Antigen |
| What are small red or purple spots on the body, caused by a minor hemorrhage? | Petachie |
| What is a hemoglobin? | The molecule in red blood cells that carries oxygen |
| What color tube is used for Erythrocyte Sedimentation Rate? | Lavender |
| QNS stands for: | Quantity Not Sufficient: |
| Lipemic blood refers to a condition where: | Where the blood serum is milky |
| What color tube contains sodium polyanethol sulfonate (SPS)? | Yellow |
| How long does it take for blood to circulate your body? | 60 secs |
| What does EST stand for? | Evacuated Tube System |
| BT stands for? | Bleeding Time |
| What tubes contain coagulents? | Gold, Red, and Orange |
| Grey tubes contain: | Oxalate |
| What is edema? | swelling |
| What does CBC stand for? | Complete Blood Count |
| A factor that contributes to the phlebotomist’s professional image is? | attitude |
| Which formed element is the first to play a role in sealing an injury to a blood vessel? | Platelet - Due to its clotting factors when it comes down towards injury. |
| Which part of a cell contains the chromosomes or genetic material? | Nucleus |
| The principles of right and wrong conduct as they apply to professional problems are called | ethics |
| The major difference between plasma and serum is that plasma: | Contains fibrinogen while serum does not |
| The ratio of blood to anticoagulant is most critical for: | All the above: Coagulation specimens, Light blue stoppers, Sodium Citrate Tubes |
| Which of the following examples of potential exposure to bloodborne pathogens involves a parenteral route of transmission? | Rubbing the eyes while processing specimens |
| The “e” is pronounced separately in | all of the above: Systole, Syncope, Diastole |
| The process by which the body maintains a state of equilibrium is | homeostasis. |
| Which type of tissue covers the body and lines the blood vessels? | Epithelial |
| Which of the following is required requisition information?? | All of the above: Type of test to be performed, Patient's first and last names, Ordering physician's name. |
| The longest vein and the largest artery in the body in that order are: | Great saphenous (Vein) and aorta (Artery) |
| Distance, time, and shielding are principles of: | Radiation safety |
| Proper patient identification includes? | actively involving patients in their own identification. |
| A transillumination device is used to: | Locate veins |
| A national organization that develops guidelines and sets standards for laboratory procedures is the | CLSI: Clinical Laboratory Standards Institute |
| Which of the following is proper telephone technique? | Being careful of the tone of your voice when answering the phone: * Remember its always YOUR TONE! |
| A delta check refers to? | comparing current test results with previous ones. |
| Which type of infection transmission is possible if a patient with influenza sneezes and infectious particles from the sneeze land in a healthcare worker’s nose? | Droplet |
| The statute of limitations timing can begin | on the day the negligent act took place. |
| Symptoms of shock include: | Cold, pale, clammy skin |
| Which of the following is an example of proxemics? | Zone of comfort |
| Which of the following blood vessels are listed in the proper order of blood flow? | Capillary, venule, vein |
| Which of the following is the oldest and largest healthcare standards–setting body in the nation?? | The Joint Commission |
| Which of the following is described as an nuclear, biconcave disk? | Erythrocyte |
| A member of the clergy is with the patient when you arrive to collect a routine specimen. What should you do? | Come back after the clergy person has gone. * The clergy? Trained chaplain, priest or spiritual uplifter |
| Which of the following can identify trends for risk management? | Incident reports |
| Reverse isolation may be used for: | A patient with severe burns/Revered Isolation: Used to protect you from exposed germs when your immune system isn't working properly |
| The purpose of the pulmonary system is to... | Carry blood to and from the lungs |
| The following test orders for different patients have been received at the same time. Which test would you collect first? | STAT glucose in the ER |
| The single most important means of preventing the spread of infection is: | Proper hand antisepsis |
| The abbreviation “NPO” means | nothing by mouth. |
| The normal composition of blood is approximately: | 55% plasma, 45% formed elements |
| A young adult comes to an outpatient lab to have his blood drawn. The phlebotomist refuses to draw this patient’s blood because the patient | has not reached the age of majority in the state. |
| What type of muscle lines the walls of blood vessels? | Visceral |
| Which of the following tests is a measure of kidney function? | Creatinine |
| The preferred vein for venipuncture in the H pattern is the: | Median cubital |
| Which class of fire extinguisher uses soda and acid or water to cool a fire? | Class A |
| The public health service's responsibilities are to? | Administer programs for control of disease |
| This is an abbreviation for a healthcare provider that includes a number of associated medical facilities that furnish coordinated healthcare services from prebirth to death? | IDN |
| The abbreviation for the coding system used by physicians for patients seen in the ambulatory setting and for physician billing in hospitals in called? | CPT |
| It is the responsibility of the designed case manager or gatekeeprer in managed care to? | Provide early detection of a patient's disease. |
| A nationally endorsed principle ensuring that patients and their families understand their rights and responsibilities while in a healthcare facility? | A patient care partnership brochure |
| Managed care organizations control costs by? | detecting risk factors early |
| The term third-party payers is used to describe? | Health Insurance Plans |
| This is an abbreviation for a classification system that is only used to determine payment to hospitals for Medicare services? | APC |
| Which person would have the responsibility for seeing that nurses maintain quality bedside testing? | Supervisor, Point of Care |
| What person oversees the department that does the fungi, and viral studies? | Supervisor, Microbiology |
| What is the abbreviation for ETS? | Evacuated Tube System |
| Anticoagulants? | Test require whole blood or plasma are collected in tubes containing an anticoagulant to prevent clotting of the specimens. |
| Anticoagulants with Preservatives? 2 types | Acid Citrate Dextrose (ACD) Sodium Polyanethol Sulfonate (SPS) |
| Sodium Fluoride does what? | Preserves glucose and inhibits bacterial growth. |
| Which are the two clot activators? | Silica: Increases platelet activation Thrombin: Promotes Clotting |
| Name the tube that a CBC is collected in, and identify the additive in the tube and the department that performs the test? | C: Purple Top, EDTA, Hematology |
| A phlebotomist collects a specimen from an inpatient with this disease and must wear an N-95 respirator while in the patients room. | Pulmonary Tuberculosis |
| Red blood Cells are also called? Erythrocytes Leukocytes Lymphocytes Thrombocytes | Erythrocytes |
| Identify the tube sipper color, department, and order of draw for the trace element test collected with a CBC and protime? | Royal Blue, Chemistry, Collect by separate draw. |
| A stat and H&H on a postop patient is requested. Which of the following scenarios best describes the proper response? | Go immediately to the surgical recovery room, collect a Lavender top on the patient, and deliver it immediately to the laboratory. |
| The phlebotomist arrives to collect the specimen on a patient named John Doe in 302B how should the phlebotomist verify the patient? | Ask him to state his name and DOB, and match it to the requistion form. |
| A delay in processing longer than 2 hours can lead to erroneously decresed results for? Blood Glucose Cholestrol Ionized Calcium Occult Blood | Blood Glucose |
| Which type of urine analysis is typically collected for routine urinalysis? 24 hour Double voided First-Morning Random | Random |
| A positive FIT test indicated ? | Bleeding in the colon ir Rectum |
| A quick, nininvasive means of paternity testing is performed on cells from a ? | Buccal Swab |
| Hematoma formation during a venipuncture could be caused by? | The needle beve being partial inserted into the vein |
| Antiseptics are? | |
| A phlebotomy technician is processing a semen specimen. Which of the following actions should the technician take? | |
| A phlebotomy technician in an outpatient facility finds a patient who is in shock and bleeding profusely from his leg. Which of the following actions should the technician take first? | The first step the technician should take is to control the hemorrhage by applying direct pressure to the patient's wound. |
| A phlebotomy technician is selecting a site for a blood draw from a patient. From which of the following veins should the technician attempt to draw first? | The technician should first attempt to draw from the patient's median cubital vein, on either arm, because this vein is more accessible than others. |
| A phlebotomy technician obtains two readings of 17 mg/dL when performing a glucometer test for a patient. Which of the following actions should the technician take? | The technician should perform quality control testing to verify that the glucometer is working correctly. |
| A phlebotomy technician is working with a patient who has a Mycobacterium tuberculosis infection. Which of the following transmission precautions should the technician use for this patient? | |
| Before collecting blood from a patient in an inpatient setting, a phlebotomy technician notices that the patient does not have a wristband on his wrist, but there is one attached to the patient's IV stand. Which of the following actions should the technic | The technician should not perform a blood draw on this patient until the nurse has attached a wristband to the patient. |
| A phlebotomy technician is preparing to perform a blood draw on a patient who had a left-sided mastectomy and has an IV on her right side. In which of the following locations should the technician perform the draw? | After asking the nurse to shut off the flow of the IV to prevent infiltration of the IV site, the technician should draw blood from a site below the IV. |
| A phlebotomy technician is preparing to obtain a blood specimen from a patient for an erythrocyte sedimentation rate test. The technician should select a collection tube that has a top with which of the following colors? | The technician should select a collection tube that has a lavender-colored top when collecting for an erythrocyte sedimentation rate test. |
| Which of the following tests is the most common point-of-care test performed at home and in medical facilities? | Blood glucose monitoring is the most widely used point-of-care test, evaluating blood glucose levels at any given time. |
| A phlebotomy technician is instructing a patient about how to collect a fecal occult specimen. Which of the following instructions should the technician include? | The technician should instruct the patient to avoid taking ibuprofen, which can cause false-positive test results. |
| Which of the following actions should a phlebotomy technician take to verify the quality of venipuncture supplies before beginning a blood draw on an adult patient? | Inspect the integrity of the needle's seal. |
| A phlebotomy technician is verifying a patient's identity before performing a venipuncture procedure. Which of the following information should the technician request from the patient? | |
| How frequently should a phlebotomy technician perform a quality control test on a glucometer in the laboratory? | Every day the meter is used |
| A phlebotomy technician is preparing to collect a patient's troponin T level. Which of the following troponin T levels should the technician immediately report to the provider? | |
| For which of the following conditions does emergency first aid treatment include maintaining an open airway, controlling bleeding, and keeping the patient warm until help arrives? | shock |
| A phlebotomy technician is preparing to obtain a blood specimen from a patient for thyroid studies. The technician should select a collection tube that has a top with which of the following colors? | The technician should select a collection tube that has a speckled top when collecting a specimen for thyroid studies (T3, T4, and thyroid-stimulating hormone). |
| Which of the following information should a phlebotomy technician document when adhering to chain of custody guidelines? | The technician should ensure that all personnel who had possession of the specimen are documented, as well as the time of transfer. |
| A phlebotomy technician should select a tube that has which of the following anticoagulants to collect a sample for a PT/PTT test? | The technician should use a collection tube that has the anticoagulant sodium citrate to collect a sample for a PT/PTT test. |
| A phlebotomy technician is preparing to perform a venipuncture on a patient. Which of the following types of consent is the patient providing when she extends her arm to begin the procedure? | Implied consent |
| A phlebotomy technician has a requisition form for a series of tests on a patient's serum. The technician should select a collection tube that contains which of the following additives? | thrombinThe technician should use a collection tube that has the additive thrombin, which helps accelerate clotting for serum specimens. |
| A phlebotomy technician is preparing to draw a blood sample from a patient for a glucose tolerance test (GTT) and notices an empty breakfast plate on a bedside table. Which of the following actions should the technician take? | The technician should ask the patient to verify when he last ate or drank and not assume the breakfast plate belongs to the patient. |
| A phlebotomy technician is preparing to collect a timed medication draw ordered for 1400. The technician should verify when the patient received his previous dose of medication with which of the following members of the interprofessional team? | Nurse |
| Which of the following actions should a phlebotomy technician take to maintain compliance with HIPAA? | The technician should ensure patient confidentiality by clearing phone numbers and email addresses from office equipment, such as fax machines and copiers. |
| A phlebotomy technician is preparing to draw a peak level for a medication that was administered orally to a patient. After verifying when the patient received the medication, how long should the technician wait prior to attempting the draw? | 2 hr after administration |
| Which of the following test results are affected when a phlebotomy technician uses povidone-iodine to cleanse a site for a dermal puncture? | Povidone-iodine is contraindicated for potassium tests because it can cause a false elevation of potassium in a specimen. |
| Saturate each circle with one drop of blood. | |
| A phlebotomy technician is removing a bag of contaminated items from a collection area. Which of the following actions should the technician take to properly dispose of the items? | This method of disposal is called double-bagging and is the proper procedure for disposing of biohazardous waste. This process limits the risk for cross-contamination. |
| A phlebotomy technician is preparing to draw blood from a patient who states that she fainted during her last blood draw. Which of the following actions should the technician take? | To prevent syncope and possible injury to the patient from a fall, the technician should ask the patient to lie down for the procedure. |
| Which of the following actions should a phlebotomy technician take when reporting laboratory results? | The technician should send the laboratory results to the ordering provider. |
| A phlebotomy technician is preparing to draw blood from a patient who states that this is his first blood draw. Which of the following actions should the technician take? | For a patient who is having blood drawn for the first time, the technician should explain the procedure before proceeding with the blood draw. |
| The Joint Commission recommends using the patient's full name and which of the following pieces of information to ensure accurate inpatient identification? | The patient's medical record number, a number assigned to the patient by a facility, is an acceptable form of patient identification. The patient's birthdate and home address are also acceptable patient identifiers. |
| A phlebotomy technician is performing a venipuncture using a winged infusion set. The red-topped tube fills, but the light blue-topped tube slows and does not fill completely. Which of the following actions should the technician take? | The tube might have low vacuum. Instead of performing a new venipuncture, the technician should check to see if a new light blue-topped tube will fill completely. |
| A phlebotomy technician is drawing a patient's blood when the patient states that she is becoming dizzy and light-headed. Which of the following actions should the technician take first? | The first action the technician should take when the patient reports feeling dizzy and lightheaded is to remove the tourniquet and needle to avoid causing injury to the patient. |
| When performing a hand draw, which of the following steps should a phlebotomy technician take before removing the needle? | The technician should disengage the tube from the adapter before removing the needle. This prevents contamination and the dripping of blood. |
| A phlebotomy technician observes a hematoma developing at the site of a venous blood draw. Which of the following actions should the technician take? | The technician should stop the draw to prevent the hematoma from getting larger and causing excessive bruising. |
| What test should be chilled on ice after specimen has taken place? | The technician should immediately chill ammonia specimens following collection to prevent chemical changes that alter test results. |
| A phlebotomy technician is planning to collect a sputum specimen from a patient. Which of the following instructions should the technician give the patient? | The technician should instruct the patient to breathe deeply and then cough up a specimen into the container. This increases the chances for obtaining a quality sputum specimen rather than saliva. |
| A phlebotomy technician is informing a patient about how to enter a basal state for a blood collection. The technician should inform the patient not to consume food for how many hours prior to blood collection? | 12 hr |
| A phlebotomy technician is performing a blood glucose test. Which of the following glucose levels should the technician identify as being outside the expected reference range? | 200 mg/dL |
| After verifying a patient's identity, a phlebotomy technician sees that the patient's laboratory results are ready. Which of the following actions should the technician take? | Only the ordering provider can discuss laboratory results with the patient. The technician should instruct the patient to contact the provider to obtain the laboratory results. |
| A phlebotomy technician is exposed to blood via a needlestick injury. Within how many hours should the technician initiate postexposure prophylaxis (PEP)? | 24 hr |
| Which of the following tasks is within a phlebotomy technician's scope of practice? | Providing instructions to patients for specimen collection is within the technician's scope of practice. |
| Blood cultures have been ordered on an adult patient in an intensive care unit. A nurse calls a phlebotomy technician to bring the appropriate materials. Which of the following materials should the phlebotomy technician bring? | An aerobic bottle and an anaerobic bottle |
| A phlebotomy technician is preparing to perform a fingerstick for a patient. Which of the following actions should the technician take first? | Confirm the identity of the Patient |
| Which of the following is the best method for a phlebotomy technician to collect a blood specimen from an older adult patient who has fragile, easy-to-collapse veins? | The technician should identify that a syringe minimizes pressure on fragile veins and helps prevent collapsing. |
| Which of the following actions should a phlebotomy technician take to prevent needlestick injuries? | To prevent a needlestick injury, the technician should replace a sharps container that has reached its fill line. |
| For which of the following reasons should a phlebotomy technician centrifuge a serum specimen before transport to an outside reference laboratory? | Cells must be separated from the serum. |
| A phlebotomy technician is selecting a site to collect a blood specimen from a patient. After applying a tourniquet, the technician sees no apparent vein to use for the venipuncture. Which of the following actions should the technician take? | The technician should ask the patient to dangle her arm for 1 to 2 min for the veins to be filled to capacity with blood. |
| A phlebotomy technician is preparing to collect a blood specimen from a patient. Which of the following statements should the technician make prior to performing the venipuncture? | The technician should inform the patient that his provider has requested the blood specimen. |
| Which of the following tubes should a phlebotomy technician collect first when obtaining dermal samples? | The technician should collect the dermal samples using a lavender-topped tube first because this tube minimizes platelet clumping and microclot formation. |
| Which of the following actions should a phlebotomy technician take when preparing a peripheral blood smear? | The technician should place a 1 mm drop of blood of blood one-half inch from the edge of the slide. |
| Transfer an infectious agent via droplets larger than 5um in diameter is known as ? | Droplet Transmission |
| Which of the following is known as a vector transmission? | Bubonic Plague |
| Droplet transmission may result from? | Throat Swab? |
| All of the following are prohibited under the Center of Disease Control CDC guideline for hand hygiene EXCEPT? | Hand washing using plain water and soap |
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