Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
NCPT 1
ncct
| Question | Answer |
|---|---|
| Which of the following standards are being violated when a phlebotomist fails to use proper handwashing technique? | OSHA |
| Which of the following is the CLSI recommended micro-collection order of draw for a BMP, CBC and bilirubin? | lavender, green, red |
| The patient on hemodialysis with a left AV shunt has undergone a right sided mastectomy and has an order for a STAT glucose. The phlebotomist is told to perform a capillary draw. Which of the following sites should the phlebotomist use? | left ring finger |
| A patient tells the phlebotomist the last time he was in the clinic to have his blood drawn, he “became very dizzy and felt like the room was spinning.” Which of the following actions should the phlebotomist take? | Encourage the patient to lie down during the venipuncture. |
| A phlebotomist is collecting blood from a patient with very small, difficult veins. The blue and green tubes fill easily and completely, but the lavender tube fills incompletely. Which of the following should the phlebotomist do next? | Re-position the needle and recollect the lavender tube. |
| Which of the following tube and additive combinations should be used for a PT/INR test? | light blue, sodium citrate |
| A patient on coumadin therapy is at the lab for a weekly coagulation test. Which of the following tubes should the phlebotomist collect for this test? | light blue top |
| For which of the following patients is the use of an adhesive bandage contraindicated? | newborn with hyperbilirubinemia |
| Which of the following is a site preparation solution required for collecting blood cultures and blood alcohol levels? | povidone-iodine |
| Which of the following specimens requires a heat block for transportation? | cryofibrinogen |
| The phlebotomist has a requisition for chemistry and coagulation testing. Which of the following is the correct tube selection and order of draw? | light blue, SST |
| Which of the following organizations makes on-site visits to inspect phlebotomy laboratories? | CLIA |
| A phlebotomist has completed a draw on a patient. After the blood is drawn the patient informs the phlebotomist that he tends to bleed longer. Which of the following is the next course of action the phlebotomist should take? | Confirm hemostasis and apply gauze with a pressure wrap |
| While performing a venipuncture, immediately before removing the needle, the phlebotomist should | release the tourniquet. |
| The phlebotomist is asked to draw blood from a patient with an IV in the right arm whose left arm is inaccessible. The phlebotomist may draw without a physician’s approval from the | right arm distal to the IV site. |
| According to the American Hospital Association, if a Spanish-speaking patient is not provided a translator although one was requested. This would be considered a violation of. | Patient’s Bill of Rights |
| An inpatient with a left-sided mastectomy has a hematoma in the left arm and an active IV in the right arm. Which of the following is an appropriate site for venipuncture? | distal to the IV |
| A phlebotomist has orders to collect blood specimens from a patient who has IVs in his right forearm and in the left antecubital area. Where should the phlebotomist collect a venous blood specimen? | distal to the IV in the left arm |
| When drawing a blood alcohol specimen, which of the following should be used to clean the arm? | benzalkonium chloride |
| The phlebotomist needs to draw a blood culture, sedimentation rate, PTT, and a glucose test. Which of the following is the correct order of draw? | yellow, light blue, lavender, gray |
| When performing venipuncture on a patient with a left mastectomy, which of the following sites should the phlebotomist use? | right antecubital fossa |
| While performing a venipuncture, the phlebotomist removes the filled tubes, but forgets to remove the tourniquet prior to needle withdrawal. Which of the following is the most likely result? | hematoma |
| Which of the following is the maximum amount of time a phlebotomist can leave a tourniquet secured in place prior to venous access? | one minute |
| Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? | The Patient’s Bill of Rights |
| Which of the following actions by the phlebotomist is the first line of defense in preventing the spread of microorganisms? | perform regular hand hygiene |
| The patient was sent to the lab to have lavender, light blue, green, and gray. Place the evacuated tubes in the correct order of draw. | light blue #1 green #2 lavender #3 gray #4 |
| The phlebotomist is collecting a capillary sample from an infant. Following the collection, the phlebotomist holds firm pressure on the site until bleeding has stopped. How should the phlebotomist proceed? | Do not bandage. |
| During palpation of a large vessel in the forearm, the phlebotomist detects a vibration sensation. The phlebotomist should then | choose a different collection site. |
| A physician orders a CBC and glucose tolerance test. Which of the following is the correct tube selection and order of draw? | lavender, gray |
| A phlebotomist has active symptoms of the common cold. Under which of the following conditions may he perform venipuncture? | The phlebotomist may perform venipuncture provided he is wearing a mask and afebrile. |
| After performing a venipuncture on a patient the phlebotomist notices the patient is bending his elbow to hold the gauze in place. This action is contraindicated because bending the elbow is likely to | create a hematoma. |
| Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy? | Check controls on urinalysis reagent strips daily. |
| When inspecting a patient’s arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation? | butterfly needle |
| The phlebotomist is educating the patient on fasting diet requirements prior to a glucose tolerance test. Which of the following is the minimum time frame the patient must remain fasting before the start of the test? | 8-12 hours |
| Instead of obtaining consent from a patient who is mentally competent, the phlebotomist obtains consent from a family member. This is a violation of | The Patient’s Bill of Rights. |
| The physician has ordered a prothrombin time (PT) and complete blood count (CBC) for an adult patient with a diagnosis of thrombophlebitis. The phlebotomist should collect the evacuated tubes in which of the following orders? | light blue, lavender |
| The physician orders a hemoglobin level to be checked on a 2-month-old patient. Which of the following sites should the phlebotomist use to obtain the specimen? | heel of the foot |
| A 19-year-old patient offers her arm to the phlebotomist when she comes in with a venipuncture tray. This is an example of | implied consent. |
| The phlebotomist is instructed to perform a capillary stick for newborn screening. Which of the following collection devices should the phlebotomist use? | heel stick lancet |
| Which of the following precautions should be used for a patient with pulmonary TB? | airborne and standard |
| A phlebotomist has received a requisition for a blood draw on a patient with a coagulation disorder. The phlebotomist should be sure to | hold pressure on the draw site until bleeding has stopped. |
| The proper technique to anchor a vein is to use the non-dominant thumb | to pull the skin toward the wrist. |
| To help prevent a hematoma at the site after drawing blood, which of the following actions should the phlebotomist take? | apply direct pressure with cotton gauze |
| The phlebotomist is performing a venipuncture on an apprehensive school age child. Which of the following approaches should the phlebotomist use to calm the child? | Explain the procedure and reassure the child that the parent can stay with her. |
| Which of the following conditions may occur if a tourniquet is left in place on a patient’s extremity for longer than 60 seconds? | hemoconcentration |
| Which of the following information is contraindicated for patient identification at the time of draw? | social security number |
| An infant is brought to the clinic for a CBC. After performing a heel stick, not enough blood is collected to perform the test. Which of the following actions should the phlebotomist take? | Apply a warm compress. |
| The phlebotomist has collected an ammonia level. Which of the following should be done regarding transport of the specimen? | Immerse the specimen in an ice and water slurry. |
| For which of the following tubes must the phlebotomist prep the site with povidone iodine or chlorhexidine? | A yellow tube with SPS |
| Which of the following techniques should the phlebotomist use when performing a venipuncture on a geriatric patient with loose skin? | pulling the skin taut using gentle and sufficient pressure to anchor the vein |
| Which of the following actions should the phlebotomist take to make a vein more prominent when attempting to select a venipuncture site? | Apply a warm compress to the area for 5 minutes. |
| A tourniquet was left on the arm for an extensive period of time before the performance of a venipuncture. Which of the following is most likely to occur? | The blood specimen will be hemoconcentrated. |
| . Which of the following statements best describes the reason antecubital veins are most desirable to use when performing venipuncture? | The tissue surrounding these veins is less sensitive, making the procedure less painful |
| A centrifuge functions in which of the following ways? | rotates to separate components of a patient’s blood |
| When a phlebotomist enters a patient’s room to collect a STAT blood sample, a sign above the bed states that all collections should be from the patient’s central port. Which of the following should the phlebotomist do next? | Communicate the test order to the nursing staff and wait for one of them to collect the sample. |
| When performing a capillary puncture on an infant, which of the following is the reason for using the lateral heel instead of a finger? | The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely. |
| After selecting the appropriate location to collect a blood sample, how many inches above that location should the phlebotomist tie the tourniquet? | 3 to 4 inches |
| The phlebotomist applies the tourniquet, but then has trouble relocating the vein after several minutes of palpation. Which of the following is an expected outcome in these test results? | falsely elevated K levels from tissue damage |
| After centrifuging a blood specimen, the phlebotomist notes the serum has a reddish appearance. Which of the following has occurred? | The specimen is hemolyzed. |
| A phlebotomist puts evacuated tubes filled with blood in plastic transport bags and places them in the physician office lock box. The lock box is outside and the temperatures are below freezing. How will freezing affect the test results? | decreased red blood cell count |
| A finger stick capillary puncture should be performed at which of the following sites to prevent injury? | slightly to the side of the center of the fingertip |
| When disposing of hazardous materials, the phlebotomist must adhere to the guidelines and standards set forth by | OSHA. |
| A patient with an order for a blood draw presents with burns covering both arms. Which of the following is the phlebotomist’s best option for collecting the largest amount of blood for this patient? | microcollection container |
| The phlebotomist applies pressure to the venipuncture site using gauze. After two minutes he observes that bleeding has not stopped. The next appropriate action would be to | elevate the arm while applying pressure. |
| A sharp may be disposed of following a venipuncture once the needle is | sheathed |
| Which of the following best describes the proper way to clean up a broken glass tube? | Use a broom and dustpan to sweep up the glass and fragments and place in a sharps container. |
| The phlebotomist is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the phlebotomist dispose of her gloves? | a biohazard waste container |
| What does the color of an evacuated collection tube represent? | the type or absence of an additive |
| A phlebotomist must collect type and screen, STAT electrolytes, D-dimer, and estrogen. Which of the following correctly lists the appropriate additives for these tests in the CLSI recommended order of draw? | sodium citrate, non-additive, lithium heparin, potassium EDTA |
| A phlebotomist collects a cryofibrinogen specimen, places the specimen in a biohazard specimen bag, then onto a slurry of ice and water and transports it to the laboratory in a timely manner. In this case the phlebotomist | should have kept the specimen at 37˚C. |
| Which of the following should be included on a patient’s laboratory requisition? A. insurance information | test priority |
| In the middle of a blood draw the patient experiences a seizure. Which of the following should the phlebotomist do after removing the tourniquet and withdrawing the needle? | Call for help. Protect the patient’s head and lower her to the floor. |
| A phlebotomist has received a requisition to draw a bilirubin on an infant with jaundice. The phlebotomist should | Protect the specimen from light. |
| If a patient has measles, which of the following is a required additional precaution? | N95 respirator |
| Venipuncture should be avoided on an arm with | an elbow splint. |
| Which of the following is the correct order of PPE removal prior to leaving the exam room of a patient who is in contact-droplet isolation? | gloves, gown, mask |
| Which of the following POC laboratory tests is within the CLIA defined scope of practice for a phlebotomist? | strep test and urine reagent strip |
| Which of the following QC measures are within the phlebotomist’s scope of practice? | checking the expiration dates of venipuncture supplies monitoring temperatures of specimen refrigerators perform daily glucose meter control checks |
| Which of the following would be considered a hospital acquired infection? | a patient who contracts a MRSA infection from a venipuncture |
| The phlebotomist is drawing blood on an 88-year-old patient that has multiple skin tears. Which of the following should be used to secure the 2 x 2 gauze sponge? | Coban |
| Which of the following is the reason for wiping off the first drop of blood from the patient’s finger with gauze when performing a capillary puncture? | The first drop of blood may contain traces of tissue fluids. |
| While performing a venipuncture to obtain a CBC and PTT, the phlebotomist punctures the skin, advances the needle, inserts the tube, but does not see a blood return. The phlebotomist should next | try another tube. |
| The phlebotomist is asked to draw blood on a non-responsive patient in an emergency department. This draw would be conducted under | implied consent. |
| After the phlebotomist has introduced herself and identified the patient, she should next | explain the procedure. |
| The phlebotomist has an order to collect a complete blood count with differential, partial thromboplastin time, basic metabolic panel, and blood cultures. Place the collection tubes in the correct order of draw. | blood culture bottles 1 light blue 2 red 3 lavender 4 |
| While performing a venipuncture in the antecubital space, the patient verbalizes an extreme amount of pain and the blood in the collection tube is noted to be bright red. Which of the following sites is most likely to have been inadvertently punctured? | brachial artery |
| Which of the following actions should the phlebotomist take when disposing of a needle following a venipuncture? | Place the needle with the safety device activated immediately in a sharps container. |
| While performing a capillary stick on a six-month-old infant’s heel, the lancet should be no longer than | 2.0 mm |
| A CMP is ordered for an older adult patient whose veins continue to collapse despite drinking water. Which of the following is the best collection method for this patient? A. evacuated tube system | 23-gauge butterfly needle and syringe |
| Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? | annual employee safety training |
| Which of the following regulations set the minimum standards for medical laboratory practice and quality? | CLIA |
| The rubber sleeve at the end of a ETS venipuncture needle allows for | drawing multiple tubes. |
| Which of the following needle gauges is most commonly used for venipuncture? | 21-23 |
| An immunization is currently available for prevention of which of the following bloodborne diseases? | Hepatitis B |
| A patient brings in written lab test results, including a mix of POC and higher complexity tests, and asks the phlebotomist for help with interpretation. Which of the following should the phlebotomist do? | Refer the patient to the physician for interpretation of all results. |
| Most laboratory testing errors occur during the | patient prep to lab arrival pre-analytical phase. |
| Which of the following statements represents correct patient identification for a phlebotomist in an outpatient setting? | "May I have your name please?" |
| While giving a patient an injection, the patient jumped, causing the phlebotomist to get stuck on the hand with a contaminated needle. After performing thorough hand washing, which of the following should the phlebotomist do first? | Report the incident to a supervisor. |
| The phlebotomist is about to perform a venipuncture procedure using a 21- gauge straight needle. At what angle should the phlebotomist position the needle prior to venipuncture? | 15-30 degrees |
| A phlebotomist receives an order to collect a cold agglutinin specimen. The phlebotomist should | maintain the specimen at 37 degrees Celsius. |
| The phlebotomist notes the patient's arm is scarred in the lateral aspect the antecubital fossa, the other arm is not available. Phlebotomist decides to use medial site in the fossa over the basilic vein. Which of the following make this a poor choice? | increased risk of nerve damage increased risk of arterial involvement |
| A phlebotomist is using an evacuated tube holder and multi-sample needle to collect a CBC, PT, and BUN. The correct order of draw for this collection is | light blue, green, lavender. |
| Which of the following is an appropriate alternative to using a rubber tourniquet when attempting a venipuncture on a known patient who is difficult to obtain a sample from? | blood pressure cuff |
| Which of the following specimens require the phlebotomist to follow chain-of custody documentation procedures? | blood alcohol drug testing |
| Which of the following actions is a HIPAA violation? | disposing of extra patient tube labels in a regular trash can |
| When drawing blood for a comprehensive metabolic panel (CMP) and a complete blood count (CBC), why is the CMP tube collected before the CBC tube? | EDTA in the CBC tube can alter some of the test results in the CMP. |
| When inserting a needle during venipuncture, the bevel should be in which of the following positions in relation to the vein? | up |
| Which of the following steps is completed first in performing venipuncture? | identify the patient |
| If a phlebotomist has questions about disposing of outdated hazardous chemicals, where should she look to find this information? | MSDS |
| While obtaining blood during a venipuncture, the patient faints. Which of the following actions should the phlebotomist take initially? | Discontinue the venipuncture and call for help. |
| Which of the following is an example of negative nonverbal communication? | folding the arms across the chest |
| Capillary blood specimens are most likely to be successfully collected from patients that | are extremely obese. |
| The Needlestick Safety and Prevention Act exists to protect healthcare workers from accidental exposure to | blood borne pathogens. |
| Which of the following should the phlebotomist do when collecting blood via finger stick? | Position the lancet across the fingerprint lines. |
| A patient presents to have a diagnostic HIV test drawn. Which of the following forms of consent must the phlebotomist obtain prior to venipuncture? | informed |
| The phlebotomist received a requisition for blood test on female patient with diabetes and a mastectomy of the left breast. The phlebotomist notices a PICC line in the patient’s right arm. For this specimen collection, the phlebotomist should | refer the draw to the nurse. |
| Which of the following is outside the scope of practice for a phlebotomist? | performing CLIA high complexity tests. |
| On the initial attempt the phlebotomist went through the vein, but was able to pull back on the needle and successfully collect the specimen. Which of the following should the phlebotomist do next? | Explain to the patient that a bruise may be likely, but it should be gone within a few days. |
| Which of the following veins would generally be acceptable for routine blood collection by the phlebotomist? | cephalic |
| When performing a venipuncture, sudden swelling is observed at the insertion site. Which of the following actions should the phlebotomist take? | Release the tourniquet, remove the needle, and immediately apply pressure at the site. |
| Which of the following statements by a new phlebotomist indicates the need for further education on standard precautions? | "I will wear a gown, gloves, and mask for inpatient collections.“ |
| Forceful shaking of blood in an evacuated collection tube will cause which of the following complications? | hemolysis |
| Using the guidelines for any method of venipuncture, which of the following actions should the phlebotomist perform first? | Review the requirements for collecting and handling the blood specimen. |
| A phlebotomist has received a requisition to collect specimens for a Bilirubin from a premature newborn patient. Which of the following is the best device for this collection? | 1.00 mm lancet |
| An older adult patient arrives to have blood drawn. The phlebotomist notices scar tissue in the antecubital areas and is unable to palpate a vein. Which of the following is appropriate alternative course of action? | Draw blood from the hand using a winged infusion set. |
| Keeping contaminated equipment and supplies away from the phlebotomist’s clothing to prevent pathogen transmission to the next patient is an example of which of the following? | medical asepsis |
| How long should pressure be applied on the venipuncture site for a patient on Coumadin therapy? | 5 min |
| The phlebotomist is drawing plain red, purple, green, and blue top tubes. Upon completion of the blood draw the phlebotomist noticed that he missed an order requiring an SST. The phlebotomist should share the | red |
| It is appropriate for the phlebotomist to use an alcohol-based hand rub as the only method of hand hygiene after which of the following activities? | . before putting on gloves prior to venipuncture |
| Which of the following is an appropriate draw site for an adult patient with a central line? | dorsal side of the hand. |
| At which of the following times should a test tube be labeled with the patient’s identification? | while in the patient’s room, after drawing the blood |
| Which of the following must be included on a specimen label once it has been filled with blood? | collector’s identification |
| Which of the following is the minimum PPE requirement when drawing lab work on a patient with suspected HIV? | gloves only |
| Negligence by a healthcare professional is considered which of the following? | malpractice |
| While performing a venipuncture using an evacuated tube, a small amount of blood enters the tube and then stops. Which of the following conditions is most likely to have caused this? | collapsing vein |
| Which of the following is the appropriate blood collection device for obtaining a blood spot collection on an infant? | lancet |
| Small red spots appear near the tourniquet on a patient's arm. This is most likely an indication of | petechiae. |
| Which task should a phlebotomist complete prior to daily use of a POC instrument? | Perform QC on the instrument. |
| The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn? | blood culture, red top, lavender top |
| There is an isolation cart located outside the room. The phlebotomist washes her hands and puts on the following personal protective equipment: gown, gloves, and mask. Which of the following types of precautions are being used for this patient? | Contact Droplet |
| A patient notices this symbol on a container in the room and asks what it means. The phlebotomist should tell the patient the symbol means | biohazard material present. |
| Gray-topped sodium fluoride tubes should not be used to collect alanine aminotransferase (ALT) or aspartate aminotransferase (AST) because the anticoagulant | destroys many enzymes. |
| . Which of the following evacuated tubes should the phlebotomist draw first? | light blue top |
| Which of the following is a CLIA waived test that can be performed by the phlebotomist? | urine reagent strip analysis |
| Which of the following sites should the phlebotomist use for newborn screening blood collection? | lateral or medial plantar surface of the heel |
| A phlebotomist must follow transmission based precautions for which of the following patients? | patient with meningitis |
| Which of the following actions should the phlebotomist take to decrease the potential for hemolysis of a blood specimen in an EDTA tube? | Gently invert the tube after collecting the specimen. |
| Which of the following is included in an exposure control plan? | Use a circular motion, from the inside out. |
| A physician has ordered STAT hematology, chemistry, and coagulation tests on a patient. Which of the following tubes are needed for these procedures? | lavender light blue green |
Created by:
user-2034933
Popular Phlebotomy sets