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Total questions: 70
Worksheet time: 35mins
The tourniquet should not be left on longer than :
30 seconds
45 seconds
60 seconds
2 minutes
Standards and guidelines for laboratory patient testing are set forth by:
CLIA
OSHA
Joint Commission
CAP
What angle should a multisample needle be inserted for routine venipuncture?
10 - 20 degrees
15 - 30 degrees
20 - 30 degrees
60 - 90 degrees
What is the correct order for donning P.P.E?
Gown, Gloves, Mask
Gloves, Gown, Mask
Mask, Gloves, Gown
Gown, Mask, Gloves
What is the first step in routine venipuncture?
Cleanse the site
Obtain informed consent
Have a requisition
Insert the needle 15 - 30 degrees
What tube would be collected for a CBC test?
Lavender EDTA
Red clot activator
Light Blue Sodium Citrate
Pink EDTA
The yellow diamond in the NFPA label represents:
Flammibility
Reactivity
Health Hazard
Other
Class A fire involves:
Cooking oils and grease
Flammable metals
Wood, paper, and cloth
Electrical equipment
Increase in ratio of formed elements to plasma caused by the tourniquet being left on too long
Hemoconcentration
Hemolysis
Petechiae
Hematoma
The most common hazard a phlebotomist will encounter:
Health
Fire
Electrical
Sharps
The most common microbiology test
CBC
PT/PTT
CMP
Urine culture C&S
Which department performs blood typing?
Hematology
Chemistry
Immunohematology / Blood Bank
Coagulation
Protecting safety of employees in the workplace
HIPAA
OSHA
Joint Commission
CAP
What does the term Phlebotomy actually mean?
Removal of a vein
Incision of a vein
Testing blood
Withdrawal of red blood cells
Evidence that an individual has demonstrated proficiency in a particular area of practice:
Accreditation
Certification
Approval
Standardization
Ensuring a patient understands the procedure, its risks and agrees is known as:
Confidentiality
Legality
Privacy
Informed consent
Infectious agents such as bacteria or viruses represent which safety hazard?
Biological
Chemical
Flammable
Physical
The Health Insurance Portability and Accountability Act of 1996 regulates:
Privacy of health information
Health insurance transfers
Informing patients about procedures
Phlebotomy training
Which is true?
Phlebotomy is an ancient procedure at least 3500 years old
Phlebotomy started after WWI
Phlebotomy started after WWII
Phlebotomy equipment has not changed since its start
What type of precautions should be taken for patients with tuberculosis or measles?
Bloodborne
Airborne
Droplet
Contact
Which laboratory department analyzes DNA in specimens?
Chemistry
Hematology
Histology
Molecular Diagnostics
What type of precautions should be taken for patients with herpes or wound infections?
Bloodborne
Airborne
Droplet
Contact
Which needle size is most commonly used for routine venipuncture?
16
18
21
22
Which anticoagulant is used for coagulation studies?
EDTA
SPS
Sodium Citrate
Heparin
Which is the only tube that does not need to be mixed after filling?
Red glass
Red plastic
Light green
Light blue
During venipuncture your patient complains of tingling fingers. What is the likely cause?
The needle is too deep
You have punctured a nerve
The tourniquet is too loose
The tourniquet is too tight
Which vein is the best second choice when the median cubital can't be used?
Basilic
Cephalic
Brachial
Femoral
Which vein lies on top of the brachial artery?
Median cubital
Cephalic
Basilic
Femoral
Latex allergy and sensitivity can present itself at any time in you or your patients as:
Irritant contact dermatitis
Allergic contact dermatitis
Anaphylactic shock
All of these
This virus is stable in dried blood at 25 degrees celsius for 7 days
HIV
HBV
HCV
Flu
Why are band-aides not recommended for babies/toddlers?
They hurt too much
They are not effective in preventing infection
Risk of irritation/choking
The site will be unusable next time
A serum separator tube (SST) is a tube with a:
Light Blue top
Light Green top
Gold top
Lavender top
Once certified, continuing education programs allow phlebotomists to earn:
CEUs
Licensing Points
Accreditation
A degree
The section of the main lab that analyzes blood, urine and body fluids:
Anatomic and Surgical Pathology
Clinical Laboratory
Cytology
Histology
An example of a Chemistry test would be:
CBC
PT/PTT
C&S
CMP
The Clinical Lab is under the direction of a :
Pathologist
Phlebotomist
Pharmacist
Medical Assistant
An example of a physical hazard would be:
High-voltage equipment
Open flame
Wet floor
Needles
If you are poked by a used needle the first step is to:
Report the incident to your supervisor
Go to the ER
Apply pressure to the site with clean gauze for 15 minutes
Flood the exposed area with soap and water
This will pulsate while palpating
Arteries
Veins
Capillaries
Tendons
The first action to take in the event of fire is to:
Call the fire department
Close all windows and doors
Remove all patients from danger
Pull the fire alarm
An example of common vehicle transmission would be:
Coughing
Sneezing
Mosquitoes
Contaminated water source
When removing P.P.E. first you will remove
Gown and gloves
Mask
Goggles or face shield
Gloves and mask
According to the Blood borne Pathogen Standard set by OSHA:
Employers must provide PPE
Employers must have a written exposure plan
Employers must have a cleaning schedule
All of these
After venipuncture a patient taking anticoagulants may take __ to ___ minutes to stop bleeding
2 to 5
2 to 10
10 to 15
15 to 20
When using a needle without a safety device always remember to:
Steady the needle with your index finger
Tell the patient to hold still
Use your dominant hand to anchor above and below the site
Refuse using needles without a safety device
The most common antiseptic used for venipuncture
Povidone iodine
Isopropyl Alcohol
Chlorohexidine gluconate
10% bleach
A requisition will contain all of this information except:
Patient full name
Patient date of birth
Collection method
Tests needed
Clotting in a tube containing an anticoagulant will take:
15 - 30 minutes
20 - 30 minutes
30 - 60 minutes
It will not clot
To enhance vein prominence it is acceptable to do the following except:
Massage the arm gently
Slap/flick the anticubital fossa gently
Dangle the arm downward
Warm the site with a heel warmer
This tube requires a specific ratio of 9 parts blood to 1 part sodium citrate
Red
Green
Lavender
Light Blue
According to CLSI, a heel puncture lancet should not puncture deeper than:
1.5mm
2.0mm
2.5mm
3.0mm
How should tubes be labeled?
After filling, verified by the patient
Before filling, verified by patient
After filling, verified by lab
In the order they were filled
Which additive prevents glycolysis?
Sodium Citrate
Sodium Heparin
Sodium Flouride
Glucose
When exiting an isolation room, this item of P.P.E. must be removed outside of the room
Gloves
Gown
N95 Respirator
Mask
Capillary punctures can be performed on the fingers of children older than ____ ?
6 months old
1 year old
2 years old
3 years old
The phlebotomist can protect herself/himself from lawsuits by:
Following the procedure steps
Working where there are not cameras
Delegating most tasks to coworkers
Convincing patients everything was done to standard
What is the single most important step of the blood collection procedure?
Patient Identification
Appropriate vein selection
Proper tube selection
Proper order of draw
Sodium, potassium, and chloride are all part of which panel of tests?
Lipid Panel
Liver Function Panel
Electrolyte Panel
Allergy Panel
Which statement is an appropriate introduction to a patient?
"Hello, my name is Sam. I am a phlebotomy technician and I am here to draw your blood."
"Hello, my name is Ms Johnson. I work at the hospital and I am here to test for diabetes."
"Hello. I am a phlebotomist, and I am here to perform a glucose test."
"Hello. I am a phlebotomy tech and I need to know if you are fasting."
Which of the following is an example of proper patient identification?
Ask the patient where he lives, check the medical record, check the wristband
Compare the wristband to the laboratory order sheet and ask the patient to spell his name
Ask the patient to state his name and date of birth.
Observe whether patient answers yes when you call his name.
A 19-year-old patient extends her arm and looks away when a phlebotomist enters her hospital room. This is an example of what type of consent?
Expressed
Informed
Implied
Minor
To inform a patient what preparations should be performed for a test in the basal state,which of the following should the phlebotomist tell the patient?
"The test should be performed right after work."
"The test should be performed first thing in the morning."
"The test requires that a patient records the time she took medication."
"The test requires the the patient records the last time her blood was drawn."
What is a blood culture primarily used to check for?
Blood typing
Pregnancy
Bacteria
Platelets
For which of the following is a test required in all states for newborns?
Anti-A titers
Human immunodeficiency virus
Sickle cell disease
Phenylketonuria
Which of the following is the most commonly occurring laboratory-acquired infection?
Pneumonia
Hepatitis B
Human immunodeficiency virus
Meningitis
Standard Precautions involve:
Asking the patient if they have any infectious diseases
Treating all body fluids as if they were infected
Handwashing for the phlebotomist and the patient
Wearing a disposable mask
Which laboratory is independent and analyzes samples from other facilities?
HMO Lab
PPO Lab
POL Lab
Reference Lab
Standard Precautions should be taken with:
Patients in isolation
Patients in protective isolation
Patients with HIV
All patients
Clotting in a tube containing an anticoagulant will take:
15 to 20 minutes
20 to 30 minutes
30 to 60 minutes
It will not clot
To enhance vein prominence it is acceptable to do the following except:
Massage the arm gently
Dangle the arm downward
Slap/flick the anticubital fossa gently
Warm the site with a heel warmer
