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WorksheetsPhlebotomy
Total questions: 155
Worksheet time: 1hrs 24mins
Name
Class
Date
1.
Alcohol, Betadine, and Iodine must be avoided when collecting which type of sample?
a)
ETOH
b)
EDTA
c)
PTT
d)
K
2.
Normal fasting glucose range:
a)
100-200 mg/dL
b)
125 mg/dL or higher
c)
50-70 mg/dL
d)
70-100 mg/dL
3.
To produce a plasma sample, clotting must be prevented. Clotting is inhibited by adding a chemical substance called an __________to the blood.
a)
Alcohol
b)
Anticoagulant
c)
Thinning Solution
d)
Clot Buster
4.
First choice, easy to palpate, less tendency to roll
a)
Median Cubital Vein
b)
Cephalic Vein
c)
Foot Vein
d)
Hand Vein
5.
What is the preferred method of collection for children under 1 year old, and adults whose veins are inaccessible?
a)
Straight Needle
b)
Capillary Collection
c)
Butterfly System
d)
Venipuncture
6.
__________ is elevated in all hemolyzed samples.
a)
Glucose
b)
Sodium
c)
Potassium
d)
Calcium
7.
Butterfly needles are typically what size?
a)
23g
b)
18g
c)
12g
d)
28g
8.
Green tubes contain what additive?
a)
Hemoglobin
b)
Heparin
c)
Hematocrit
d)
Hepatic
9.
Which should be drawn first?
a)
CBC
b)
Blood Chemistry
c)
Blood Cultures
d)
Liver Functions
10.
GTT stands for what?
a)
Green Test Tube
b)
Geriatric Temperature Test
c)
Gray Test Tube
d)
Glucose Tolerance Test
11.
Which administration route will reach peak level the fastest?
a)
IM
b)
SubQ
c)
Oral
d)
IV
12.
The Occupational Safety and Health Administration conducts visits at health care facilities in order to:
a)
ensure employee safety
b)
license onsite laboratories
c)
provide vaccines for workers
d)
research the cause of diseases
13.
What is the study of blood
a)
nephrology
b)
hematology
c)
neurology
d)
opthamology
14.
A physician orders a CBC and glucose tolerance test. Which of the following is the correct tube selection and order of draw?
a)
Lavender, yellow
b)
Green, lavender
c)
Lavender, gray
d)
Red, lavender
15.
During palpation of a large vessel in the forearm, the phlebotomist detects a vibration sensation. The phlebotomist should then:
a)
Use a syringe blood collection set up with minimal plunger pressure
b)
Choose a different collection site
c)
Use a lower angle of penetration with a butterfly
d)
Select a smaller gauge needle for the draw site
16.
Which of the following is outside the scope of practice for a phlebotomist?
a)
Verifying equipment function on point of care testing using a control
b)
Performing CLIA high complexity tests
c)
Recording quality control results on a log sheet
d)
Prioritizing collections based on order requests
17.
The following can occur if the touniquet is left on the patient too long
a)
A. nerve damage
b)
B. hemoconcentration
c)
C. occluded radial pulse
d)
D. hematoma
18.
The proper use and disposal of safety needles:
a)
A. can decrease needlestick injury
b)
B. can protect the patient and phlebotomist
c)
C. provide 100% protection
d)
D. (A) and (B)
19.
Most venipunctures are performed to obtain blood samples used to measure specific blood components such as.....
a)
oxygen
b)
creatinine, hemoglobin, electrolytes, and drug levels
c)
blood gases
20.
Blood collection tubes hold approximately 4-8ml of blood.
a)
True
b)
False
c)
False it is 6-10ml of blood
21.
The smaller the gauge number of the venipuncture needle, the ________ the hole (lumen) within the needle.
a)
flatter
b)
rounder
c)
smaller
d)
larger
22.
The tip of the venipuncture needle is ________.
a)
pointed
b)
beveled
c)
flat
d)
round
23.
The initials POC stand for ________.
a)
physician on call
b)
phlebotomist on call
c)
patient's overall condition
d)
point of care
24.
The most common antiseptic used in routine venipunture is
a)
A. povidone-iodine
b)
B. Bleech
c)
C. isopropyl alcohol
d)
D. chlorhexidine gluconate
25.
Upon calling the patient's number / name you should first:
a)
A. assemble your equipment
b)
B. put on your glove
c)
C. introduce yourself
d)
D.identify the patient .
26.
Which is true of the venipuncture procedure?
a)
A. It is not very safe
b)
B. It is the common method of obtaining blood for lab analysis
c)
C. Only a small amount of blood is obtained
d)
D. A superficial artery is punctured with a needle
27.
Which of the following statements applies to the venipuncture procedure?
a)
A. Standard Precaution must be observed
b)
B. The procedure includes preparation of the patient
c)
C. Selecting and preparing the puncture site is part of the procedure
d)
D. All of the above
28.
At what angle should a venipuncture needle penetrate the skin?
a)
A. 10 to 15 degrees
b)
B. 15 to 30 degrees
c)
C. 30 to 40 degrees
d)
D. 45 degrees
29.
Which of the following would NOT be considered a pathogen?
a)
A. Bacteria
b)
B. Viruses
c)
C. Fungi
d)
D. Vetors
30.
Filled vacuum blood collection tubes should be :
a)
A. placed on ice until delivery to the lab
b)
B. handle according to tube type,test ordered,and instructions in the procedure manual
c)
C. labeled after delivery to the lab
d)
D. mixed by inversion every 3 minutes
31.
When doing venipuncture it is not important to ask patients if they are taking Warfarin or Heparin
a)
True
b)
False
32.
You do NOT have to check the requisition against the patients ID band.
a)
True
b)
False
33.
Outpatients may not have wrist bands.
a)
True
b)
False
34.
If the wrist band is not on the patient but is on the bedside table...
a)
Draw their blood then let the nurse know
b)
Put it on the patient, then draw their blood
c)
Do not draw the blood, let the nurse know
d)
Draw their blood, after they identify themselves
35.
Which is the most IMPORTANT item missing in this picture.
a)
Cotton ball or 2x2 gauze
b)
Gloves
c)
mask
d)
Isolation gown
36.
Your tourniquet should be how far above your puncture site?
a)
1-2 inches
b)
2inches
c)
2-3 inches
d)
5 inches
37.
You can leave the tourniquet on for up to...
a)
2 min
b)
3min
c)
1min
d)
5min
38.
All of the following can occur if you leave the tourniquet on too long EXCEPT...
a)
Hemoconcentration
b)
Petechiae
c)
Hemolysis
d)
Diluted Sample
39.
With Venipuncture selection, the first choice is the...
a)
Basilic
b)
Cephalic
c)
Median Cubital
40.
It is ok to remove the tourniquet, then reapply after cleaning the site
a)
True
b)
False
41.
At what angle should you perform the venipuncture
a)
5-10degrees
b)
45degrees
c)
15-30degrees
d)
45-90degrees
42.
The bevel of the needle should face which direction when performing the venipuncture?
a)
up
b)
down
43.
Once blood is flowing, it is ok to remove your tourniquet.
a)
true
b)
false
44.
You must hold pressure for how long after you remove your needle?
a)
1min
b)
2min
45.
The last thing you do when you leave the patient's room with your sample is...
a)
Label tube outside the room
b)
Wash your hands after removing gloves
c)
Check to make sure bleeding has stopped
d)
Through your trash away
46.
Label your tubes before you collect the blood
a)
true
b)
False
47.
When using a syringe for venipuncture, it is crucial to remember
a)
The syringe will not fill automatically
b)
Pull back fast to get the blood flowing
48.
To transfer blood from a syringe into the tubes, you need to remove the colored top first
a)
True
b)
False
49.
Methods used to monitor the quality of procedures, such as calibration of equipment is
a)
Quality phlebotomy
b)
Quality control
50.
Fasting specimens should be collected
a)
8 to 12 hours after eating
b)
First thing in the morning
c)
24 hours after fast
51.
What are the most common patient identifiers?
a)
Full name
b)
Date of Birth(DOB)
c)
address
d)
Full name and DOB
52.
If there is any reasonable suspicion that the patient does not understand what venipuncture is and what will happen -------
a)
Do it anyway
b)
Do not perform the venipuncture.
c)
Leave the patient alone.
d)
Don't notify the supervisor.
53.
Coumadin or warfarin, aspirin, Lovenox, heparin, plavix, and aggrenox are medications that will ____ bleeding.
a)
decrease
b)
increase
c)
stop
d)
continue
54.
When assisting with hygiene on a patient who has hepatitis B, you should observe ______ precautions.
a)
airborne
b)
contact
c)
biohazard
d)
standard
55.
Vacutainers have ______ pressure in order for the blood to be drawn into the tube.
a)
positive
b)
negative
c)
neutral
56.
What size gauze pads are typically used to cover the venipuncture site after needle removal?
a)
1x1 inch gauze
b)
4x4 inch gauze
c)
2x3 inch gauze
d)
3x5 inch gauze
57.
Hemolysis can cause _____ lab results.
a)
accurate
b)
correct
c)
different
d)
inaccurate
58.
You can shake the vacutainer to mix the additives with the blood.
a)
True
b)
False
c)
Who knows
d)
That's crazy
59.
A phlebotomist will never have to worry about signing a Chain of custody. It only applies to the doctors and nurses
a)
True
b)
False
60.
When collecting a blood sample for a legal alcohol level, it is important to
a)
Clean the site well with an alcohol prep pad
b)
NOT fill the tube completely full so the alcohol is not pushed out
c)
Cleanse the site with nonalcoholic solution
d)
Collect in lavender top tube
61.
What should you ALWAYS ask before drawing a blood sugar patient?
a)
Their name
b)
DOB
c)
How long they have been fasting for
d)
How to spell their last name
62.
How long should the patient leave the adhesive bandage over the gauze ?
a)
15 seconds
b)
15 minutes
c)
30 seconds
d)
30 minutes
63.
In order to draw blood from a client you will need which supplies?
a)
pen, lab form, alcohol wipe, vacutainer needle, hub, and tube.
b)
autosafe safety phlebotomy device and tournequit
c)
a patient, needle, tube, and syringe
d)
gloves, gown, eye covers, needles, syringes, and tournequit
64.
In order to draw blood from a client you will need all of the following except:
a)
Sharps container
b)
vacutainer needle
c)
vacutainer
d)
chair
65.
verify the following regarding the patient
a)
fasting, diet restrictions, timing, medical treatment and meds
b)
meds, timing, right patient
c)
allergies, meds, timing, medical tx, fasting restrictions
d)
right patient, fasting, timing, medical history
66.
This is a
a)
vacutainer holder, needle, and tube
b)
vacutainer hub, needle, holder, and butterfly
c)
vacutainer holder, hub, and butterfly needle
d)
vacutainer hub and needle
67.
this is used for
a)
electrolytes, lipid panel, hepatic function, digoxin, bilirubin
b)
Blood serum level
c)
various chemical studies
d)
lithium
68.
this is used for
a)
PT, PTT, APTT coagulation
b)
ammonia level
c)
DNA studies
d)
glucose
69.
This is used for
a)
CBC, hemoglobin
b)
all glucose studies
c)
ammonia level
d)
Electrolyte, lipid panel, hepatic function , digoxin
70.
this is used for
a)
various chemical studies
b)
HLA tissue typing, paternity DNA studies
c)
All glucose studies
d)
Chemistries, immunology, and serology
71.
This is used for
a)
glucose and anticoagulant
b)
CBC, hemoglobin, hematocris, ESR
c)
Chemistries, immunology and serology
d)
Ammonia level
72.
this is used for
a)
sodium and heparin
b)
ammonia level
c)
sodium citrate
d)
PT, PTT, coagulation
73.
Do:
a)
use a single-use device for blood sampling and drawing
b)
wash gloves between patients
c)
recap needles using both hands
d)
forget to wash hands so use disinfectant
74.
Don't:
a)
Use one pair of sterile gloves per procedure
b)
use a single-use device for blood sampling and drawing
c)
carry out hand hygiene and wash carefully
d)
recap needle only if unavoidable
75.
PEP is
a)
post epithelial preparation
b)
post exposure prophylaxis
c)
pre-exposure preparation
d)
peri-exposure paraphynalia
76.
what is this
a)
vacutainer
b)
vacutainer set up
c)
vacutainer holder
d)
vacutainer tube
77.
what is this
a)
vacutainer needle
b)
vacutainer holder
c)
vacutainer set up
d)
blood draw tube
78.
what is this
a)
vacutainer with needle
b)
vacutainer holder with needle
c)
vacutainer tube
d)
vacutainer
79.
The first thing you do when you walk in the patients room is...
a)
Introduce yourself
b)
Gather your supplies
c)
Identify patient
d)
Check Requisition
80.
The ID band will contain all of the following EXCEPT
a)
Patient Name
b)
Patient DOB
c)
Patient allergies
d)
Patient Age
81.
You do NOT have to check the requisition against the patients ID band.
a)
True
b)
False
82.
The patients states they would like to stand while you draw their blood, the correct response would be...
a)
Ok, then perform the venipuncture
b)
Tell them it is better to sit, then draw their blood
c)
Have them stand against the wall, then draw their blood
83.
VERBAL INFORMED CONSENT is when you explain the procedure to the patient and they respond with an "ok."
a)
True
b)
False
84.
When performing venipuncture it is best to go by.......when picking a vein
a)
Sight
b)
Feel
85.
Clean the site for .......with alcohol
a)
10sec
b)
20sec
c)
15-20sec
d)
30-60sec
86.
To prevent a hematoma (collection of blood under skin) it is important to....
a)
Remove tourniquet then remove needle
b)
Remove needle then remove tourniquet
87.
Which is a correct tube order?
a)
Gray, Green, Red, Light Blue
b)
Sterile Blood Culture, Light Green,
Red, Lavender
Red, Lavender
c)
Sterile Blood Culture, Light Blue, Red, Lavender
d)
Sterile Blood Culture, Red,Lavender, Green
88.
What is the additive in a lavender tube?
a)
EDTA
b)
Sodium Citrate
c)
SPS
d)
Heparin
89.
What is the additive in a gray tube?
a)
Heparin
b)
SPS
c)
EDTA
d)
Potassium oxalate/sodium fluoride
90.
What is the additive in the green tubes?
a)
EDTA
b)
Heparin
c)
SPS
d)
Sodium Citrate
91.
What is the additive in a Sterile blood culture?
a)
Sodium Citrate
b)
SPS
c)
Potassium oxalate/Sodium Fluoride
92.
What is the additive of tiger top tube?
a)
Gel separator
b)
SPS
c)
EDTA
d)
No additive
93.
Which is a common test drawn in a lavender tube?
a)
Metabolic Profile
b)
PTT
c)
Fasting Blood sugar
d)
CBC
94.
Which is NOT drawn with a tiger top tube?
a)
Liver functions
b)
BHCG
c)
HGB A1C
d)
Electrolytes
95.
What information is important to find out when drawing a metabolic panel?
a)
Last blood draw
b)
Last time they ate
c)
Last time they urinated
d)
Blood pressure
96.
What is the normal for 2º post prandial?
a)
Less than 100
b)
70-100
c)
135-145
d)
Less than 140
97.
What is the normal sodium range?
a)
12-16
b)
135-145
c)
3.5-5.5
d)
Less than 140
98.
What is the normal range for potassium?
a)
3.5-5.5
b)
4.5-6.5
c)
135-145
d)
12-16
99.
What is important to know when drawing a Lipid Panel?
a)
What they ate last
b)
When they ate last
c)
When they had blood drawn last
d)
When their last dose of medication was
100.
HDL is....
a)
High density lipoprotein and is GOOD fat
b)
Low density lipoprotein and is BAD fat
c)
A liver function
d)
A kidney function
101.
What is the normal ranges for HGB?
a)
Females-36-45%
Males- 42-52%
Males- 42-52%
b)
1.000-1.030
c)
150,000-400,000
d)
Females 12-16
Males- 13-18
Males- 13-18
102.
What is the does the Hgb A1C measure?
a)
Specific Gravity
b)
Good fat
c)
Mean glucose in the last 2-3 mos.
d)
Anemia
103.
What does ESR test for?
a)
glucose
b)
iron
c)
inflammation
d)
galactosemia
104.
What does specific gravity show?
a)
Inflammation
b)
Dehydration
c)
Arthritis
d)
Mono
105.
Sodium heparin is an additive to what color test tube?
a)
Blue
b)
Green
c)
Gray
d)
Pink
106.
Sodium citrate is an addivtive to what color test tube?
a)
Light Blue
b)
Green
c)
Pink
d)
Lavender
107.
Sodium, Potassium, CO2, Anion gap, and Chloride are an example of what Panel?
a)
Basic Metabolic Panel
b)
Arthritis Panel
c)
Electrolytes Panel
d)
Lipid Panel
108.
The gray color test tube has what addivitive in it?
a)
Sodium Flouride
b)
Sodium Citrate
c)
Sodium Heparin
d)
EDTA
109.
What are common tests performed in the coagulation department?
a)
CBC and PBC
b)
PT, PTT, Fibrinogen
c)
CMP, Glucose, Electrolytes
d)
X-match and Type and screen
110.
What is the order of draw?
a)
Light Blue, Gold/Green, Pink/Lavender, Green, Gray
b)
Light Blue, Green, Red, Pink, Gray
c)
Light Blue, Pink Lavender, Green, Red/Gold/Tiger, Gray
d)
Light Blue, Red/Gold/Tiger, Green, Lavender/Pink, Gray
111.
All are the three main veins to draw from except?
a)
Brachial Vein
b)
Basilic Vein
c)
Median cubital vein
d)
Cephalic Vein
112.
Gel and Clot activator is an addivitive in what color test tube?
a)
Gold
b)
Gray
c)
Green
d)
Red
113.
You should use a minimum of __ forms of identification.
a)
2
b)
3
c)
4
114.
What is the additive in a lavender tube?
a)
EDTA
b)
Sodium Citrate
c)
SPS
d)
Heparin
115.
What is the additive in a gray tube?
a)
Heparin
b)
SPS
c)
EDTA
d)
Potassium oxalate/sodium fluoride
116.
What is the additive in the green tubes?
a)
EDTA
b)
Heparin
c)
SPS
d)
Sodium Citrate
117.
What is the additive in a Sterile blood culture?
a)
Sodium Citrate
b)
SPS
c)
Potassium oxalate/Sodium Fluoride
118.
Which is a common test drawn in a lavender tube?
a)
Metabolic Profile
b)
PTT
c)
Fasting Blood sugar
d)
CBC
119.
What is the normal range for fasting blood sugar?
a)
Less than 200
b)
3.5-6.5
c)
70-100 (or less than 100)
d)
Less than 140
120.
Which of the following is the next step after removing the needle from the patient's arm?
a)
Ask the patient to open his fist
b)
Remove the tourniquet
c)
Engage the needle safety device
d)
Invert all tubes
121.
According to the CLSI order of draw guidelines, which of the following samples should the phlebotomist collect first?
a)
Coagulation
b)
Blood Cultures
c)
Electrolytes
d)
Glucose Level
122.
Which of the following can cause a hemolyzed specimen?
a)
Inverting the specimen four times.
b)
Partially filling the collection tube.
c)
Shaking the collection tube vigorously
d)
Allowing the specimen to clot.
123.
The phlebotomist has complete control over these preanalytic variables EXCEPT
a)
Collection equipment
b)
Specimen collection
c)
Patient preparation
d)
Specimen labeling
124.
The phlebotomist has a legal responsibility to do which of the following?
a)
Maintain integrity of doctor/patient relationship
b)
Maintain patient confidentiality
c)
Follow the standard of care
d)
All of the Above
125.
The smaller the gauge number of the venipuncture needle, the ________ the hole (lumen) within the needle.
a)
flatter
b)
rounder
c)
smaller
d)
larger
126.
When drawing blood by the Vacutainer method it is important to fill the tubes in the recommended order. Which one of the following tubes would be filled first?
a)
lavender
b)
royal blue
c)
grey
d)
yellow
127.
The preferred finger for capillary puncture is the ________ of the nondominant hand.
a)
thumb
b)
pinky finger
c)
index finger
d)
middle or ring finger
128.
Which of the following is a method of venipuncture?
a)
vacuum tube
b)
syringe & needle
c)
butterfly
d)
all of the above
129.
It is important to maintain the correct order of draw to ________.
a)
ensure the correct amount of blood is drawn
b)
maintain the drawn blood at the correct temperature
c)
ensure that the tubes are labeled with the name of the correct patient
d)
prevent contamination of a sample with chemicals from another
130.
________ is the destruction of red blood cells with the release of hemoglobin into the plasma.
a)
hematocrit
b)
hemolysis
c)
hematoma
d)
hematology
131.
After a lancet is used, it should immediately be placed in ________ to prevent needlesticks.
a)
a biohazard container
b)
a trash can
c)
sharps container
d)
any of the above
132.
When palpating for a vein you look for?
a)
Size and direction
b)
Size and Color
c)
Direction and Length
d)
Width and Color
133.
What should you ALWAYS ask before drawing a blood sugar patient?
a)
Their name
b)
DOB
c)
How long they have been fasting for
d)
How to spell their last name
134.
What does blood consist of?
a)
plasma, red blood cells, white blood cells, platelets
b)
hormones, oxygen, nutrients, water
c)
red blood cells
d)
carbon dioxide and minerals
135.
The proper term for white blood cells is...
a)
leucocytes
b)
thromobocytes
c)
erythrocytes
136.
The proper term for red blood cells is...
a)
leucocytes
b)
thrombocytes
c)
erythrocytes
137.
The proper term for platelets is...
a)
leucocytes
b)
thrombocytes
c)
erythrocytes
138.
The function of platelets is...
a)
Bloodclotting
b)
Transporting oxygen
c)
Fighting infection
139.
What is the word used to describe the shape of red blood cells?
a)
Round
b)
Concave disc
c)
Biconcave disc
140.
Where are blood cells made?
a)
Bone marrow
b)
Lymph glands
c)
Spleen
d)
Lungs
141.
How long do erythrocytes live?
a)
forever
b)
100-120 days
c)
2 weeks only
d)
a year
142.
Which blood cells are the most numerous?
a)
RBC
b)
WBC
c)
platelets
143.
Which of the following are the smallest structures?
a)
RBC
b)
WBC
c)
platelets
144.
What part of blood is responsible for fighting infections?
a)
Red Blood Cells
b)
White Blood Cells
c)
Platelets
d)
Plasma
145.
Doctors can say that a patient has an infection, if there are a lot of _________ in his blood.
a)
erythrocytes
b)
leukocytes
c)
thrombocytes
d)
plasma
e)
oxygen
146.
Why we need Erythrocytes?
a)
they destroy bacteria and viruses
b)
they provide blood clotting
c)
they carry oxygen
d)
they digest the food
147.
How long do erythrocytes live?
a)
forever
b)
100-120 days
c)
2 weeks only
d)
a year
148.
Which cells make blood clotting?
a)
thrombocytes
b)
leukocytes
c)
erythrocytes
d)
clotting cells
149.
What is the oxygen carrying pigment in blood?
a)
hematocrit
b)
hemopoesis
c)
hemoglobin
d)
hemostasis
150.
What is the oxygen carrying pigment in blood?
a)
hematocrit
b)
hemopoesis
c)
hemoglobin
d)
hemostasis
151.
Which of the following is NOT one of the three methods of venipuncture?
a)
Vacuum tube method
b)
Butterfly method
c)
Caterpillar method
d)
Syringe and needle method
152.
Which vein(s) is/are a commonly used site for venipunctures?
a)
cephalic
b)
basilic
c)
median cubital
d)
all of the above
153.
When drawing blood by the Vacutainer method, it is important to fill the tubes in the recommended order. Which one of the following tubes would be filled first?
a)
lavender
b)
red
c)
blue
d)
yellow
154.
When preparing to collect blood from a dialysis patient with a fistula, the phlebotomist must ________.
a)
wait until dialysis is complete
b)
wait three minutes after dialysis is complete
c)
avoid the fistula site
d)
us a large vein, such as the subclavian
155.
Before inserting the needle, the medical assistant should do all of the following, EXCEPT ________.
a)
make sure the patient understands the procedure
b)
ask the patient about allergies and other possible complications
c)
clean the puncture site with an alcohol wipe
d)
have the patient sit upright for two minutes
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