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Phlebotomy
Practice Test Questions
| Question | Answer |
|---|---|
| A technician should identify which of the following is one of the Joint Commission’s 2016 National Patient Safety Goals? | A: Identify patients correctly. |
| A phlebotomy technician is following the Clinical and Laboratory Standards Institute (CLSI) clinical laboratory workflow pathway. As part of the post examination phase of this process,which of the following actions should the technician take? | Enter critical laboratory data is part of the post examination phase of the CLSI clinical laboratory workflow |
| A phlebotomy technician is using a point-of-care test system to determine a patient’s WBC count For which of the following results should the technician immediately notify the provider? | 1.8/mm3 |
| A phlebotomy technician is collecting a urine specimen from a patient for a pre-employment test. Which of the following actions should the technician take? | ensure direct observation of the patient while they urinate to verify the specimen is their own and not tampered with |
| Which of the following actions should a phlebotomy technician take after collecting an ammonia specimen? | Place the specimen tube in an ice-water slurry. |
| A phlebotomy technician sees a coworker receive a major electrical shock from an instrument. Which of the following actions should the technician take first? | Shut off power to the instrument. |
| A phlebotomy technician receives a chemical splash to his forearm. After removing his contaminated clothing, which of the following the minimum amount of the technician should raise the collected area? | 15 min - The technician should rinse the affected area for a minimum of 15 min after the contaminated clothing has been removed. |
| A phlebotomy technician is performing a heel stick to obtain capillary blood for testing a newborn’s bilirubin level. Which of the following actions should the technician take? | Use an amber colored container- The technician should use an amber colored microcontainer when obtaining a bilirubin level from a newborn. Bilirubin is photosensitive, and the tube protects the specimen from exposure to light. |
| Within which of the following time periods should a phlebotomy technician collect a newborn blood-spot test screening card? | within 72 hours-the technician should collect the newborn screening card within 72 hr of birth. |
| A phlebotomy technician is washing her hands at the beginning of her shift. Which of the following actions should the technician take? | Use enough soap to form a lather.-The technician should form a lather by rubbing hands together for at least 15 seconds, covering all surfaces of her hands and fingers with soap. |
| A phlebotomy technician is obtaining a blood specimen from a patient. The technician notices swelling and a large hematoma forming at the end puncture site. Which of the following actions should the technician take? | Remove the tourniquet and needle.- The technician should immediately remove the tourniquet and needle and apply pressure to the puncture site. |
| A phlebotomy technician has a mild sensitivity to latex. According to the National Institute for occupational safety and health (NIOSH), which of the following actions should the technician take? | Wear nitrile gloves instead of latex gloves |
| According to standard precautions, a phlebotomy technician should take which of the following actions when shipping specimens to a reference laboratory in hot weather? | Place the specimens in a box with cold packs and biohazard labels. -Standard precautions require the technician to transport specimens in an enclosed container with ice packs and a biohazard label in hot water. |
| For which of the following reasons should a phlebotomy technician document the total volume of blood drawn from a patient? | To determine if the patient is at risk for developing iatrogenic anemia. |
| A phlebotomy technician should identify which of the following is the total blood volume of an infant 3.3kg(7.3lb)? | 240 to 330 mL -The technician should identify that an infant who weighs 3.3kg(7.3lb)has a total blood volume of approximately 240 to 330mL. |
| An unconscious patient brought to the emergency department and several blood tests are ordered. A phlebotomy technician should collect the patient’s blood because he has received which of the following types of consent? | Implied consent- The technician should identify that implied consent can be obtained when a patient is unconscious and in an emergency situation. |
| A phlebotomy technician is performing a venipuncture on a patient who recently had a mastectomy on her right side. The technician should draw blood from which of the following locations? | Left arm-The patient will have swelling on her right side due to lymph accumulation in the tissue. The technician should draw blood from the patient's left arm because it is the opposite side of the mastectomy and will avoid the possibility of infection. |
| A phlebotomy technician is preparing to dispose of contaminated sharps . According to OSHA, which of the following actions should the technician take? | Replace the sharps container when it is two-thirds full. |
| A phlebotomy technician is collecting a blood specimen from an adolescent patient who weighs 42.6 kg. Which of the following amounts to appropriate to collect if the maximum allowable volume of blood is 1%? | 426 mL |
| A phlebotomy technician is collecting blood specimens from a patient for multiple blood assays. The technician should fill the tube has which of the following additives first? | Sodium Citrate: fill a light blue tube which contains the additive sodium citrate. |
| A phlebotomy technician is collecting from a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? | Mask |
| A phlebotomy technician is applying a tourniquet prior to collecting a blood specimen from a patient. Which of the following actions should the technician take? | tuck a partial loop of of tourniquet underneath the tourniquet. |
| For which of the following reasons should a phlebotomy technician avoid drawing blood from one leg or foot of a patient who has diabetes? | These aeras are more susceptible to infection |
| A phlebotomy technician enters a patients room to perform venipuncture and notices patient is sleeping. | Wake the patient before collection |
| A phlebotomy tech is removing his gloves after a venipuncture procedure. | Remove the first glove so that it turns inside out during removal |
| Which of the following actions should a phlebotomy tech to prevent bleeding from a venipuncture site after the needle is removed? | apply pressure to prevent leakage of blood into the tissues. |
| A phlebotomy tech is preparing to collect a vancomycin peak level for a patient in an inpatient setting? | Ask the attending nurse if the patients vancomycin dose schedule is accurate |
| Which of the following regulations ensures that phlebotomy tech is proficient to perform job duties and responsibilities? | CLIA: The Clinical Laboratory Improvement Act provides quality control guidelines, patient test management, and testing of personal and proficiency. It also regulates laboratories for proven competency |
| A phlebotomy technician is preparing to collect a blood specimen from a patient who is allergic to alcohol. | Chlorhexidine |
| A phlebotomy technician is using a glucose monitor for point-of-care testing of a patient who has been fasting for 12 hr. Which of the following results should the technician immediately notify the provider? | 130 mg/dL |
| Prior to transport, which of the following specimens should a phlebotomy technician place in an ice bath within 30 mins after collection? | arterial blood gas |
| Which of the following sources for patient identification should a phlebotomy technician use in an inpatient setting? | verbal & wristband |
| A phlebotomy technician is interviewing a patient before venipuncture. patient states that he lives nearby and ran to the facility. | have patient rest comfortably for at least 15 mins before the venipuncture. |
| A phlebotomy technician is performing a venipuncture for a patient. patient suddenly reports "feeling faint" | have patient put her head between her legs |
| When should A phlebotomy technician perform external liquid controls for quality control on a CLIA-waived glucose point-of-care? | when a new lot number or kit is opened |
| While performing a venipuncture, A phlebotomy technician is stuck with a used needle. | flush the injured area with running water. |
| A phlebotomy technician is required to obtain which of the following from a potential blood donor? | complete medical history |
| According to the Clinical and Laboratory Standards Institute's order of draw guidelines. what sample should phlebotomy tech collect first? | blood cultures |
| A phlebotomy technician is transporting blood specimens to a laboratory which of the following actions should the technician take? | place the specimens in a lockable container |
| A tourniquet should be left on a patients arm for which of the following amounts of time? | No longer than 60 secs. |
| A phlebotomy technician is preparing a patients arm for venipuncture. Which of the following techniques should technician use when applying an antiseptic solution? | back and forth strokes |
| A patient arrives at a clinic with a requisition for a chemistry panel. tech notices patients last name differs from the patients provided identification | contact the ordering provider to correct the requisition form |
| A phlebotomy technician is collecting a patient's blood specimen is a lavender-topped tube. How many times should tube be inverted? | 8-10 times |
| A phlebotomy technician is performing a total cholesterol point-of-care test for a patient. Which of the following finding should the tech immediately report | 300 mg/dL |
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